| Code | Description | Claims | Beneficiaries | Total Paid |
| T2048 |
Bh ltc res r&b, per diem |
1,744 |
615 |
$7.24M |
| 45380 |
|
3,573 |
2,778 |
$5.35M |
| 99283 |
|
35,179 |
29,859 |
$5.04M |
| 11042 |
|
9,904 |
4,296 |
$4.71M |
| 99285 |
|
40,535 |
32,993 |
$4.14M |
| 43239 |
|
6,260 |
4,932 |
$4.10M |
| 99284 |
|
28,696 |
24,134 |
$4.07M |
| 99282 |
|
23,934 |
20,671 |
$3.31M |
| G0463 |
Hospital outpt clinic visit |
42,830 |
29,424 |
$2.74M |
| 43249 |
|
1,335 |
941 |
$2.66M |
| 92507 |
|
15,664 |
4,582 |
$2.18M |
| 93005 |
|
34,823 |
28,015 |
$2.04M |
| 71045 |
|
15,758 |
12,654 |
$2.00M |
| 97530 |
|
14,689 |
4,352 |
$1.89M |
| 97110 |
|
15,975 |
3,823 |
$1.43M |
| 71046 |
|
10,128 |
8,690 |
$1.00M |
| 96374 |
|
27,578 |
22,727 |
$904K |
| 59025 |
|
3,505 |
2,625 |
$843K |
| 64483 |
|
892 |
756 |
$754K |
| 74177 |
|
2,300 |
1,896 |
$679K |
| 99281 |
|
4,428 |
3,901 |
$603K |
| 45385 |
|
718 |
581 |
$591K |
| 96413 |
|
2,833 |
1,465 |
$463K |
| 64635 |
|
265 |
198 |
$440K |
| U0004 |
Cov-19 test non-cdc hgh thru |
6,408 |
5,797 |
$425K |
| 85025 |
|
105,930 |
84,210 |
$417K |
| 64493 |
|
429 |
318 |
$373K |
| 80053 |
|
63,245 |
50,469 |
$326K |
| 87651 |
|
9,631 |
8,991 |
$293K |
| 96361 |
|
4,071 |
3,101 |
$257K |
| 69436 |
|
151 |
127 |
$251K |
| 70450 |
|
2,773 |
2,262 |
$250K |
| 36415 |
|
126,122 |
95,672 |
$249K |
| 43450 |
|
1,942 |
1,561 |
$246K |
| 80307 |
|
6,675 |
5,302 |
$212K |
| 95810 |
|
108 |
63 |
$207K |
| 87502 |
|
3,209 |
2,746 |
$200K |
| 88305 |
|
9,223 |
5,374 |
$198K |
| 95811 |
|
88 |
54 |
$178K |
| 87426 |
|
6,912 |
5,606 |
$177K |
| U0002 |
Covid-19 lab test non-cdc |
4,828 |
4,325 |
$167K |
| 80050 |
|
872 |
817 |
$147K |
| 93306 |
|
465 |
401 |
$144K |
| 64636 |
|
286 |
187 |
$143K |
| 62323 |
|
387 |
280 |
$130K |
| 84484 |
|
18,938 |
13,709 |
$129K |
| U0005 |
Infec agen detec ampli probe |
5,218 |
4,757 |
$116K |
| 80048 |
|
27,570 |
21,510 |
$115K |
| 96375 |
|
13,198 |
10,020 |
$112K |
| 64494 |
|
365 |
262 |
$97K |
| 45378 |
|
90 |
83 |
$93K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,263 |
1,631 |
$72K |
| 87088 |
|
13,315 |
11,276 |
$71K |
| 80061 |
|
8,363 |
7,602 |
$70K |
| 43235 |
|
73 |
64 |
$65K |
| 87491 |
|
2,329 |
2,084 |
$65K |
| 87591 |
|
2,314 |
2,072 |
$64K |
| 99222 |
|
108 |
91 |
$63K |
| 96372 |
|
3,181 |
2,642 |
$60K |
| 78815 |
|
64 |
38 |
$60K |
| 64721 |
|
67 |
45 |
$59K |
| 87633 |
|
237 |
209 |
$52K |
| 70553 |
|
92 |
82 |
$42K |
| 74176 |
|
261 |
233 |
$41K |
| 97605 |
|
307 |
52 |
$38K |
| 84443 |
|
4,806 |
4,314 |
$38K |
| 88175 |
|
2,897 |
2,579 |
$37K |
| 86780 |
|
3,547 |
3,164 |
$36K |
| 11045 |
|
282 |
111 |
$34K |
| 93458 |
|
13 |
12 |
$34K |
| 87389 |
|
1,859 |
1,646 |
$34K |
| 99239 |
|
58 |
52 |
$30K |
| 36475 |
|
22 |
12 |
$29K |
| 81001 |
|
17,024 |
14,018 |
$28K |
| 77336 |
|
235 |
90 |
$28K |
| 86480 |
|
479 |
454 |
$28K |
| 76856 |
|
155 |
136 |
$27K |
| 83690 |
|
8,082 |
6,598 |
$25K |
| 83970 |
|
2,087 |
1,821 |
$23K |
| 80074 |
|
518 |
486 |
$23K |
| 76830 |
|
120 |
106 |
$22K |
| 74018 |
|
205 |
161 |
$21K |
| 29581 |
|
272 |
88 |
$20K |
| 96365 |
|
410 |
303 |
$19K |
| 71260 |
|
94 |
66 |
$19K |
| 45390 |
|
34 |
26 |
$17K |
| 82306 |
|
947 |
859 |
$16K |
| 82728 |
|
1,860 |
1,656 |
$16K |
| 86850 |
|
3,544 |
3,127 |
$15K |
| 76819 |
|
186 |
129 |
$15K |
| 87624 |
|
526 |
481 |
$15K |
| 86762 |
|
1,329 |
1,150 |
$15K |
| 86803 |
|
1,310 |
1,159 |
$14K |
| 84439 |
|
2,624 |
2,321 |
$14K |
| 99211 |
|
187 |
164 |
$13K |
| 81025 |
|
2,174 |
1,818 |
$13K |
| 97140 |
|
889 |
305 |
$13K |
| J7030 |
Normal saline solution infus |
1,147 |
889 |
$12K |
| 72148 |
|
75 |
55 |
$12K |
| 73721 |
|
39 |
32 |
$12K |
| 96417 |
|
136 |
62 |
$12K |
| 93017 |
|
111 |
107 |
$11K |
| 87522 |
Neg quan hep c or qual rna |
310 |
281 |
$11K |
| A9502 |
Tc99m tetrofosmin |
13 |
13 |
$11K |
| 94060 |
|
185 |
142 |
$10K |
| 99214 |
|
267 |
230 |
$9K |
| 76536 |
|
76 |
63 |
$9K |
| 84702 |
|
953 |
593 |
$9K |
| 82607 |
|
978 |
869 |
$9K |
| 83550 |
|
1,752 |
1,508 |
$9K |
| 88346 |
|
19 |
16 |
$9K |
| 87340 |
|
1,279 |
1,110 |
$8K |
| G0378 |
Hospital observation per hr |
138 |
68 |
$8K |
| 83880 |
|
474 |
383 |
$8K |
| 83735 |
|
2,646 |
1,730 |
$8K |
| 83036 |
|
1,154 |
1,063 |
$8K |
| 71250 |
|
50 |
46 |
$7K |
| 83540 |
|
1,755 |
1,511 |
$7K |
| 82746 |
|
767 |
671 |
$7K |
| 87635 |
|
134 |
119 |
$6K |
| 84703 |
|
1,084 |
894 |
$6K |
| 64495 |
|
17 |
14 |
$6K |
| 85027 |
|
2,334 |
1,812 |
$6K |
| 87637 |
|
44 |
40 |
$6K |
| 87634 |
|
95 |
84 |
$6K |
| 87081 |
|
778 |
667 |
$5K |
| 84100 |
|
2,546 |
1,719 |
$5K |
| A4649 |
Surgical supplies |
8,609 |
6,978 |
$5K |
| J7120 |
Ringers lactate infusion |
6,338 |
5,150 |
$4K |
| 78452 |
|
13 |
13 |
$4K |
| 76817 |
|
29 |
27 |
$4K |
| J2405 |
Ondansetron hcl injection |
2,253 |
1,784 |
$4K |
| 36416 |
|
1,439 |
946 |
$4K |
| 82150 |
|
562 |
523 |
$3K |
| 94762 |
|
23 |
12 |
$3K |
| 86900 |
|
1,382 |
1,193 |
$3K |
| 94640 |
|
233 |
195 |
$3K |
| 73130 |
|
130 |
122 |
$3K |
| 97035 |
|
24 |
13 |
$3K |
| J2469 |
Palonosetron hcl |
301 |
142 |
$3K |
| 86901 |
|
1,380 |
1,192 |
$3K |
| 96150 |
|
99 |
65 |
$3K |
| 97162 |
|
69 |
57 |
$3K |
| 36591 |
|
42 |
24 |
$3K |
| 87653 |
|
102 |
94 |
$3K |
| 97165 |
|
22 |
13 |
$3K |
| 82947 |
|
898 |
786 |
$2K |
| 86140 |
|
1,113 |
962 |
$2K |
| 82948 |
|
1,380 |
857 |
$2K |
| 83605 |
|
407 |
347 |
$2K |
| 94726 |
|
319 |
239 |
$2K |
| 76775 |
|
63 |
53 |
$2K |
| G0480 |
Drug test def 1-7 classes |
134 |
120 |
$2K |
| 82248 |
|
464 |
439 |
$2K |
| 97161 |
|
38 |
25 |
$2K |
| 80069 |
|
837 |
680 |
$2K |
| 80076 |
|
447 |
339 |
$2K |
| 83655 |
|
164 |
157 |
$2K |
| 97166 |
|
15 |
12 |
$2K |
| 71275 |
|
28 |
27 |
$2K |
| 85379 |
|
327 |
262 |
$2K |
| 82570 |
|
620 |
515 |
$1K |
| 73630 |
|
69 |
65 |
$1K |
| 72125 |
|
30 |
29 |
$1K |
| 93922 |
|
45 |
42 |
$1K |
| 85652 |
|
732 |
645 |
$1K |
| 84460 |
|
409 |
361 |
$1K |
| 96367 |
|
25 |
14 |
$1K |
| 77003 |
|
729 |
598 |
$1K |
| M0239 |
Bamlanivimab-xxxx infusion |
54 |
21 |
$998.40 |
| 82565 |
|
335 |
291 |
$978.67 |
| 87661 |
|
27 |
26 |
$959.82 |
| 83615 |
|
441 |
250 |
$947.40 |
| 81003 |
|
741 |
618 |
$933.90 |
| 84156 |
|
560 |
454 |
$885.13 |
| 86200 |
|
129 |
111 |
$827.86 |
| 87510 |
|
47 |
42 |
$815.88 |
| 87480 |
|
47 |
42 |
$815.88 |
| J2250 |
Inj midazolam hydrochloride |
3,307 |
2,726 |
$751.34 |
| 87660 |
|
47 |
42 |
$736.28 |
| 84153 |
|
125 |
111 |
$732.07 |
| J2175 |
Meperidine hydrochl /100 mg |
2,620 |
2,149 |
$727.47 |
| 86038 |
|
121 |
103 |
$712.89 |
| 93971 |
|
26 |
24 |
$697.04 |
| 86225 |
|
100 |
84 |
$686.79 |
| J2704 |
Inj, propofol, 10 mg |
2,664 |
2,069 |
$678.68 |
| 85610 |
|
352 |
298 |
$645.95 |
| J1885 |
Ketorolac tromethamine inj |
1,676 |
1,404 |
$625.34 |
| 76815 |
|
12 |
12 |
$583.76 |
| J1453 |
Fosaprepitant injection |
27 |
14 |
$550.50 |
| 82950 |
|
120 |
115 |
$527.15 |
| 96376 |
|
98 |
39 |
$515.97 |
| 82550 |
|
162 |
138 |
$506.76 |
| 94729 |
|
356 |
261 |
$482.88 |
| 87641 |
|
20 |
14 |
$480.82 |
| J2270 |
Morphine sulfate injection |
538 |
441 |
$453.12 |
| 87077 |
|
104 |
79 |
$445.08 |
| 96151 |
|
114 |
37 |
$440.64 |
| 96152 |
|
44 |
27 |
$440.64 |
| 86431 |
|
131 |
113 |
$410.26 |
| 87186 |
|
98 |
76 |
$398.92 |
| 83520 |
|
20 |
17 |
$339.23 |
| C1894 |
Intro/sheath, non-laser |
45 |
38 |
$252.72 |
| C1726 |
Cath, bal dil, non-vascular |
674 |
539 |
$243.54 |
| 85046 |
|
41 |
41 |
$237.93 |
| J3490 |
Drugs unclassified injection |
142 |
111 |
$234.37 |
| 87880 |
|
45 |
36 |
$221.62 |
| 82043 |
|
58 |
56 |
$204.77 |
| 86235 |
|
15 |
14 |
$173.79 |
| 84550 |
|
118 |
74 |
$172.99 |
| 88142 |
|
13 |
12 |
$157.08 |
| 85007 |
|
64 |
44 |
$156.69 |
| 83525 |
|
13 |
12 |
$137.16 |
| 82172 |
|
14 |
13 |
$129.16 |
| 82784 |
|
19 |
16 |
$124.69 |
| J1100 |
Dexamethasone sodium phos |
456 |
307 |
$112.77 |
| J2785 |
Regadenoson injection |
13 |
13 |
$94.56 |
| 86704 |
|
17 |
12 |
$82.26 |
| J3010 |
Fentanyl citrate injection |
622 |
447 |
$55.44 |
| 72202 |
|
13 |
12 |
$54.00 |
| 82962 |
|
68 |
55 |
$33.99 |
| J0690 |
Cefazolin sodium injection |
28 |
24 |
$27.72 |
| 81596 |
|
14 |
13 |
$17.75 |
| 96373 |
|
16 |
15 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
274 |
197 |
$0.00 |
| C1889 |
Implant/insert device, noc |
159 |
132 |
$0.00 |
| A9609 |
F18 fdg, 15 millicuries |
32 |
28 |
$0.00 |
| J3420 |
Vitamin b12 injection |
88 |
51 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
37 |
29 |
$0.00 |
| 98961 |
|
12 |
12 |
$0.00 |
| G1010 |
Cdsm stanson |
1,951 |
1,457 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
65 |
58 |
$0.00 |
| A9552 |
F18 fdg |
89 |
55 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
48 |
27 |
$0.00 |
| 88312 |
|
33 |
29 |
$0.00 |
| J0780 |
Prochlorperazine injection |
231 |
121 |
$0.00 |
| 99152 |
|
25 |
24 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
21 |
12 |
$0.00 |
| 0100U |
|
41 |
30 |
$0.00 |
| C1776 |
Joint device (implantable) |
21 |
15 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
22 |
16 |
$0.00 |
| C1887 |
Catheter, guiding |
16 |
12 |
$0.00 |