| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
92,433 |
80,461 |
$5.31M |
| 74177 |
|
11,119 |
10,676 |
$2.50M |
| 99285 |
|
15,446 |
14,482 |
$2.16M |
| 87633 |
|
5,292 |
5,128 |
$1.71M |
| 99283 |
|
21,692 |
20,427 |
$1.62M |
| 0241U |
|
11,311 |
11,014 |
$1.62M |
| 93975 |
|
6,652 |
6,410 |
$1.52M |
| 99284 |
|
17,428 |
16,534 |
$1.50M |
| 80053 |
|
93,506 |
83,631 |
$1.18M |
| U0003 |
Cov-19 amp prb hgh thruput |
12,820 |
12,241 |
$1.14M |
| 96374 |
|
19,255 |
17,655 |
$1.14M |
| 70450 |
|
9,347 |
9,009 |
$1.11M |
| 93005 |
|
41,607 |
37,938 |
$1.09M |
| 0122 |
|
155 |
151 |
$849K |
| 0259 |
|
40,612 |
36,230 |
$820K |
| 85025 |
|
108,295 |
95,017 |
$773K |
| 99499 |
|
9,036 |
7,315 |
$744K |
| 96372 |
|
21,949 |
19,434 |
$696K |
| 96375 |
|
18,054 |
15,793 |
$693K |
| 96365 |
|
7,773 |
6,423 |
$555K |
| 96361 |
|
18,581 |
17,124 |
$544K |
| 74176 |
|
4,653 |
4,500 |
$525K |
| 72125 |
|
2,862 |
2,788 |
$500K |
| 76705 |
|
7,895 |
7,526 |
$499K |
| 0121 |
|
56 |
56 |
$434K |
| 71260 |
|
2,071 |
1,991 |
$403K |
| J3490 |
Drugs unclassified injection |
59,527 |
33,974 |
$359K |
| 71046 |
|
16,200 |
15,514 |
$342K |
| 84443 |
|
19,985 |
19,516 |
$332K |
| 96360 |
|
5,137 |
4,874 |
$316K |
| 71045 |
|
27,374 |
25,620 |
$306K |
| 71275 |
|
1,674 |
1,647 |
$302K |
| J7030 |
Normal saline solution infus |
22,926 |
20,503 |
$302K |
| 81001 |
|
34,753 |
32,398 |
$294K |
| 0250 |
|
14,075 |
10,601 |
$283K |
| 0762 |
|
421 |
381 |
$277K |
| 77067 |
|
2,914 |
2,907 |
$271K |
| 93970 |
|
1,456 |
1,392 |
$268K |
| 82306 |
|
8,619 |
8,543 |
$248K |
| 84484 |
|
27,968 |
24,464 |
$234K |
| 83690 |
|
33,140 |
30,210 |
$230K |
| 76819 |
|
3,314 |
1,798 |
$214K |
| 0761 |
|
4,931 |
3,633 |
$212K |
| 80061 |
|
19,088 |
18,870 |
$203K |
| 76801 |
|
3,041 |
2,514 |
$202K |
| 87486 |
|
5,295 |
5,131 |
$201K |
| Z7502 |
|
6,039 |
5,827 |
$196K |
| 76805 |
|
1,822 |
1,738 |
$190K |
| 76830 |
|
2,659 |
2,619 |
$189K |
| G0480 |
Drug test def 1-7 classes |
2,470 |
2,295 |
$184K |
| 87581 |
|
5,297 |
5,131 |
$184K |
| 76700 |
|
2,307 |
2,273 |
$173K |
| 76856 |
|
2,780 |
2,687 |
$173K |
| 76770 |
|
2,271 |
2,221 |
$170K |
| 83036 |
|
17,329 |
17,128 |
$168K |
| 84480 |
|
10,591 |
10,430 |
$156K |
| J1885 |
Ketorolac tromethamine inj |
22,512 |
20,816 |
$144K |
| 76641 |
|
1,962 |
1,856 |
$143K |
| 93971 |
|
1,236 |
1,211 |
$141K |
| 83880 |
|
5,225 |
4,833 |
$138K |
| 11042 |
|
4,957 |
2,315 |
$137K |
| 87086 |
|
17,845 |
16,709 |
$130K |
| 36902 |
|
1,162 |
1,152 |
$128K |
| 80048 |
|
12,410 |
11,399 |
$124K |
| 93306 |
|
548 |
525 |
$119K |
| 99282 |
|
2,424 |
2,343 |
$117K |
| 59025 |
|
3,547 |
1,614 |
$116K |
| 93000 |
|
2,912 |
2,859 |
$115K |
| 84439 |
|
12,466 |
12,254 |
$114K |
| 73630 |
|
3,934 |
3,806 |
$113K |
| 97110 |
|
3,052 |
889 |
$107K |
| 73562 |
|
3,705 |
3,604 |
$106K |
| 73130 |
|
2,995 |
2,893 |
$100K |
| 70486 |
|
644 |
622 |
$99K |
| 81025 |
|
9,170 |
8,542 |
$97K |
| 70551 |
|
376 |
369 |
$97K |
| Z9725 |
|
3,212 |
3,185 |
$96K |
| 76817 |
|
1,516 |
1,382 |
$95K |
| 0636 |
|
10,734 |
9,977 |
$93K |
| 0171 |
Inj, epinephrine (belcher) |
64 |
64 |
$93K |
| 73610 |
|
3,081 |
2,983 |
$91K |
| G0378 |
Hospital observation per hr |
2,687 |
2,058 |
$91K |
| 73030 |
|
3,019 |
2,933 |
$86K |
| J2405 |
Ondansetron hcl injection |
14,313 |
12,823 |
$84K |
| 83605 |
|
7,456 |
6,665 |
$79K |
| 87798 |
|
2,483 |
2,374 |
$76K |
| 82607 |
|
5,447 |
5,406 |
$73K |
| 77063 |
|
2,799 |
2,792 |
$73K |
| 96366 |
|
1,647 |
1,461 |
$72K |
| 82948 |
|
10,611 |
7,073 |
$70K |
| 97139 |
|
1,942 |
466 |
$69K |
| 72100 |
|
1,964 |
1,927 |
$68K |
| 87040 |
|
4,844 |
4,220 |
$68K |
| 36415 |
|
23,151 |
18,577 |
$66K |
| 73110 |
|
2,155 |
2,072 |
$66K |
| 0361 |
|
429 |
379 |
$64K |
| J2270 |
Morphine sulfate injection |
7,325 |
6,465 |
$63K |
| 87491 |
|
2,036 |
1,989 |
$63K |
| 94640 |
|
2,462 |
2,114 |
$62K |
| 87635 |
|
1,234 |
1,184 |
$62K |
| J1170 |
Hydromorphone injection |
6,566 |
5,398 |
$61K |
| J0500 |
Dicyclomine injection |
1,233 |
1,204 |
$60K |
| 70496 |
|
337 |
336 |
$59K |
| 72110 |
|
1,263 |
1,251 |
$59K |
| 87507 |
|
146 |
143 |
$58K |
| J1100 |
Dexamethasone sodium phos |
7,481 |
6,951 |
$58K |
| 99291 |
|
324 |
321 |
$58K |
| 87186 |
|
6,573 |
6,219 |
$57K |
| 87591 |
|
2,034 |
1,987 |
$56K |
| 70498 |
|
362 |
359 |
$55K |
| 85379 |
|
3,727 |
3,606 |
$54K |
| 96367 |
|
1,396 |
1,107 |
$53K |
| 86480 |
|
984 |
978 |
$50K |
| 93976 |
|
246 |
229 |
$50K |
| 86901 |
|
4,983 |
4,539 |
$49K |
| J7050 |
Normal saline solution infus |
7,323 |
5,270 |
$48K |
| J0696 |
Ceftriaxone sodium injection |
5,654 |
4,938 |
$46K |
| 73080 |
|
1,367 |
1,319 |
$44K |
| 86850 |
|
2,816 |
2,629 |
$43K |
| 90714 |
|
1,292 |
1,275 |
$43K |
| 76870 |
|
703 |
677 |
$41K |
| E0114 |
Crutch underarm pair no wood |
881 |
860 |
$40K |
| 74018 |
|
1,644 |
1,600 |
$40K |
| 84702 |
|
2,597 |
2,143 |
$39K |
| 87077 |
|
5,698 |
5,468 |
$39K |
| 85730 |
|
6,906 |
6,458 |
$39K |
| 71250 |
|
311 |
310 |
$38K |
| 87651 |
|
868 |
856 |
$37K |
| 87880 |
|
3,349 |
3,279 |
$36K |
| 76604 |
|
778 |
735 |
$35K |
| 10060 |
|
803 |
740 |
$35K |
| 0710 |
|
1,565 |
1,477 |
$34K |
| 86140 |
|
6,581 |
6,225 |
$34K |
| J1200 |
Diphenhydramine hcl injectio |
5,731 |
5,230 |
$34K |
| 80305 |
|
2,391 |
2,277 |
$34K |
| 82550 |
|
5,106 |
4,610 |
$34K |
| 72131 |
|
225 |
225 |
$33K |
| 99221 |
|
29 |
29 |
$33K |
| 77066 |
Tomosynthesis, mammo |
297 |
295 |
$33K |
| 85610 |
|
9,113 |
8,491 |
$32K |
| 73590 |
|
1,086 |
1,041 |
$32K |
| 86803 |
|
2,090 |
2,067 |
$31K |
| 82803 |
|
2,414 |
2,204 |
$31K |
| 87661 |
|
1,192 |
1,159 |
$30K |
| 76775 |
|
731 |
702 |
$29K |
| 87426 |
|
914 |
872 |
$28K |
| 73090 |
|
849 |
830 |
$28K |
| 29125 |
|
670 |
647 |
$28K |
| 51701 |
|
589 |
567 |
$28K |
| 0272 |
|
2,139 |
2,044 |
$27K |
| 84153 |
|
1,603 |
1,585 |
$26K |
| 82728 |
|
2,333 |
2,302 |
$26K |
| J7120 |
Ringers lactate infusion |
2,756 |
2,540 |
$25K |
| P9016 |
Rbc leukocytes reduced |
113 |
96 |
$25K |
| 87389 |
|
813 |
800 |
$25K |
| 84145 |
|
1,351 |
1,303 |
$23K |
| 88305 |
|
833 |
791 |
$23K |
| 0270 |
|
2,081 |
1,966 |
$22K |
| 83735 |
|
3,692 |
2,985 |
$22K |
| A4217 |
Sterile water/saline, 500 ml |
1,560 |
1,322 |
$22K |
| 87451 |
|
3,269 |
3,114 |
$21K |
| G0463 |
Hospital outpt clinic visit |
2,417 |
1,991 |
$21K |
| 11043 |
|
344 |
187 |
$20K |
| 87340 |
|
1,903 |
1,875 |
$20K |
| J2001 |
Lidocaine injection |
3,063 |
2,831 |
$20K |
| 99211 |
|
840 |
627 |
$20K |
| 80076 |
|
2,808 |
2,706 |
$20K |
| 86701 |
|
1,363 |
1,341 |
$19K |
| 0258 |
|
603 |
485 |
$19K |
| 81220 |
|
117 |
117 |
$19K |
| 84466 |
|
1,495 |
1,472 |
$18K |
| 82652 |
|
716 |
707 |
$18K |
| J1439 |
Inj ferric carboxymaltos 1mg |
39 |
24 |
$17K |
| 12001 |
|
251 |
247 |
$17K |
| 90715 |
|
438 |
426 |
$17K |
| J2765 |
Metoclopramide hcl injection |
2,708 |
2,564 |
$16K |
| 81002 |
|
6,316 |
5,961 |
$16K |
| 0271 |
|
1,392 |
1,232 |
$16K |
| 73140 |
|
614 |
595 |
$16K |
| 80307 |
|
269 |
266 |
$16K |
| J0780 |
Prochlorperazine injection |
1,262 |
1,219 |
$16K |
| 73721 |
|
37 |
36 |
$15K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,345 |
2,276 |
$15K |
| J2930 |
Methylprednisolone injection |
1,090 |
993 |
$14K |
| C9803 |
Hopd covid-19 spec collect |
729 |
711 |
$14K |
| 80306 |
|
860 |
811 |
$14K |
| 45378 |
|
89 |
89 |
$14K |
| 86705 |
|
1,126 |
1,114 |
$13K |
| 80074 |
|
213 |
211 |
$13K |
| 86709 |
|
1,118 |
1,107 |
$13K |
| J3010 |
Fentanyl citrate injection |
2,454 |
2,249 |
$12K |
| 85652 |
|
4,890 |
4,648 |
$12K |
| 83540 |
|
2,258 |
2,222 |
$12K |
| 99152 |
|
1,308 |
1,277 |
$12K |
| J1642 |
Inj heparin sodium per 10 u |
1,440 |
831 |
$12K |
| 0750 |
|
81 |
79 |
$11K |
| 86308 |
|
1,232 |
1,206 |
$11K |
| U0002 |
Covid-19 lab test non-cdc |
196 |
193 |
$10K |
| 73503 |
|
246 |
242 |
$10K |
| 83655 |
|
1,123 |
1,119 |
$10K |
| 82570 |
|
2,515 |
2,304 |
$10K |
| 87205 |
|
2,569 |
2,351 |
$10K |
| J7613 |
Albuterol non-comp unit |
1,286 |
1,103 |
$10K |
| J2250 |
Inj midazolam hydrochloride |
2,787 |
2,595 |
$10K |
| 72040 |
|
283 |
276 |
$10K |
| 87070 |
|
1,254 |
1,166 |
$9K |
| 77080 |
|
326 |
322 |
$9K |
| 86900 |
|
3,159 |
2,955 |
$9K |
| A9270 |
Non-covered item or service |
3,057 |
2,251 |
$9K |
| 84550 |
|
2,270 |
2,087 |
$9K |
| 72148 |
|
44 |
43 |
$9K |
| 76882 |
|
563 |
535 |
$9K |
| 97750 |
|
123 |
114 |
$9K |
| 84403 |
|
513 |
502 |
$9K |
| 86920 |
|
95 |
90 |
$8K |
| M0247 |
Sotrovimab infusion |
24 |
24 |
$8K |
| J7040 |
Normal saline solution infus |
1,353 |
1,234 |
$8K |
| 86787 |
|
229 |
225 |
$8K |
| 97140 |
|
168 |
66 |
$8K |
| S0020 |
Injection, bupivicaine hydro |
687 |
609 |
$8K |
| 43239 |
|
27 |
27 |
$8K |
| 76881 |
|
151 |
151 |
$8K |
| 82553 |
|
682 |
599 |
$7K |
| J8499 |
Oral prescrip drug non chemo |
2,875 |
2,436 |
$7K |
| 0360 |
|
42 |
38 |
$7K |
| 84100 |
|
1,843 |
1,358 |
$7K |
| 86592 |
|
1,680 |
1,639 |
$7K |
| 76536 |
|
121 |
121 |
$7K |
| Q0144 |
Azithromycin dihydrate, oral |
499 |
382 |
$7K |
| 84703 |
|
738 |
674 |
$7K |
| 73564 |
|
198 |
196 |
$7K |
| 12011 |
|
80 |
77 |
$6K |
| 86677 |
|
387 |
377 |
$6K |
| Q3014 |
Telehealth facility fee |
861 |
852 |
$6K |
| 72050 |
|
142 |
142 |
$6K |
| 82043 |
|
1,153 |
1,143 |
$6K |
| 96413 |
|
196 |
126 |
$5K |
| Z7610 |
|
739 |
607 |
$5K |
| J1756 |
Iron sucrose injection |
81 |
37 |
$5K |
| 52000 |
|
65 |
65 |
$5K |
| 86038 |
|
702 |
692 |
$5K |
| J1815 |
Insulin injection |
533 |
380 |
$5K |
| 99214 |
|
89 |
76 |
$5K |
| 99281 |
|
127 |
119 |
$5K |
| 29515 |
|
79 |
72 |
$5K |
| 72072 |
|
140 |
136 |
$5K |
| 84156 |
|
1,454 |
1,273 |
$4K |
| 82670 |
|
221 |
217 |
$4K |
| 83550 |
|
681 |
675 |
$4K |
| 83615 |
|
714 |
610 |
$4K |
| 0637 |
|
346 |
335 |
$4K |
| 76815 |
|
51 |
50 |
$4K |
| 29530 |
|
174 |
163 |
$4K |
| 73502 |
|
132 |
128 |
$4K |
| 82009 |
|
685 |
647 |
$4K |
| G9012 |
Other specified case mgmt |
50 |
44 |
$3K |
| 96376 |
|
1,074 |
938 |
$3K |
| 45380 |
|
12 |
12 |
$3K |
| 36430 |
|
13 |
13 |
$3K |
| 82040 |
|
35 |
34 |
$3K |
| 85018 |
|
1,387 |
1,353 |
$3K |
| Q0162 |
Ondansetron oral |
803 |
785 |
$3K |
| 85027 |
|
479 |
439 |
$3K |
| 74178 |
|
15 |
15 |
$3K |
| 85014 |
|
1,267 |
1,240 |
$3K |
| 70491 |
|
12 |
12 |
$3K |
| 84270 |
|
187 |
184 |
$3K |
| J2704 |
Inj, propofol, 10 mg |
343 |
337 |
$3K |
| 86762 |
|
193 |
190 |
$3K |
| 97530 |
|
178 |
102 |
$3K |
| 93017 |
|
52 |
50 |
$3K |
| 29540 |
|
243 |
232 |
$3K |
| 87081 |
|
92 |
87 |
$2K |
| 99215 |
Prolong outpt/office vis |
28 |
28 |
$2K |
| 99213 |
|
68 |
67 |
$2K |
| 77065 |
Tomosynthesis, mammo |
25 |
25 |
$2K |
| 77062 |
|
89 |
89 |
$2K |
| 29105 |
|
13 |
13 |
$2K |
| 83918 |
|
105 |
103 |
$2K |
| 73060 |
|
89 |
88 |
$2K |
| 87420 |
|
462 |
442 |
$2K |
| S0164 |
Injection pantroprazole |
111 |
92 |
$2K |
| J0690 |
Cefazolin sodium injection |
223 |
185 |
$2K |
| 70360 |
|
52 |
44 |
$2K |
| 96368 |
|
86 |
78 |
$2K |
| 82140 |
|
133 |
119 |
$2K |
| J1790 |
Droperidol injection |
218 |
206 |
$2K |
| J3360 |
Diazepam injection |
86 |
82 |
$2K |
| 0300 |
|
588 |
443 |
$2K |
| 0274 |
|
145 |
144 |
$1K |
| J1644 |
Inj heparin sodium per 1000u |
226 |
133 |
$1K |
| J8540 |
Oral dexamethasone |
339 |
336 |
$1K |
| 0370 |
|
151 |
146 |
$1K |
| 87045 |
|
142 |
141 |
$1K |
| 51702 |
|
14 |
14 |
$1K |
| C1725 |
Cath, translumin non-laser |
222 |
212 |
$1K |
| 83001 |
|
151 |
151 |
$1K |
| 73552 |
|
54 |
53 |
$1K |
| J3370 |
Vancomycin hcl injection |
102 |
84 |
$1K |
| 90471 |
|
218 |
213 |
$1K |
| J3475 |
Inj magnesium sulfate |
187 |
158 |
$1K |
| 86200 |
|
144 |
142 |
$1K |
| 87220 |
|
234 |
214 |
$1K |
| 80081 |
|
13 |
13 |
$1K |
| 80069 |
|
243 |
233 |
$984.60 |
| 82746 |
|
86 |
84 |
$930.77 |
| 87804 |
|
89 |
51 |
$896.00 |
| 82247 |
|
161 |
111 |
$892.35 |
| 36600 |
|
53 |
50 |
$867.65 |
| 87210 |
|
225 |
209 |
$859.38 |
| 83002 |
|
93 |
93 |
$836.94 |
| 82010 |
|
96 |
89 |
$817.57 |
| 93880 |
|
13 |
13 |
$814.44 |
| 88304 |
|
76 |
66 |
$780.91 |
| 87015 |
|
110 |
110 |
$738.56 |
| 87899 |
|
133 |
128 |
$734.74 |
| 83525 |
|
76 |
76 |
$733.38 |
| 87075 |
|
134 |
123 |
$710.34 |
| 87450 |
|
129 |
128 |
$687.78 |
| J1630 |
Haloperidol injection |
120 |
110 |
$642.26 |
| 82330 |
|
47 |
47 |
$637.91 |
| 83970 |
|
59 |
59 |
$631.57 |
| 73560 |
|
37 |
37 |
$631.14 |
| 87324 |
|
53 |
52 |
$536.78 |
| 74019 |
|
26 |
26 |
$533.13 |
| J7512 |
Prednisone ir or dr oral 1mg |
85 |
84 |
$434.58 |
| 76857 |
|
12 |
12 |
$432.90 |
| 86430 |
|
71 |
71 |
$432.46 |
| 82150 |
|
63 |
59 |
$431.05 |
| J2919 |
Inj, methylpred sod succ 5mg |
27 |
25 |
$414.50 |
| 87521 |
Neg quan hep c or qual rna |
13 |
13 |
$393.80 |
| J2550 |
Promethazine hcl injection |
51 |
51 |
$393.19 |
| 83874 |
|
32 |
28 |
$379.23 |
| 96523 |
|
49 |
43 |
$375.87 |
| J7644 |
Ipratropium bromide non-comp |
269 |
258 |
$372.65 |
| S0119 |
Ondansetron 4 mg |
787 |
775 |
$315.46 |
| J2920 |
Methylprednisolone injection |
31 |
15 |
$305.09 |
| J7510 |
Prednisolone oral per 5 mg |
63 |
63 |
$293.50 |
| 86738 |
|
19 |
19 |
$277.98 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
29 |
27 |
$265.91 |
| 84154 |
|
42 |
42 |
$261.00 |
| 73660 |
|
15 |
15 |
$257.58 |
| 17250 |
|
17 |
12 |
$246.20 |
| C1769 |
Guide wire |
536 |
513 |
$240.00 |
| 99153 |
Mod sedat endo service >5yrs |
100 |
99 |
$231.78 |
| 83520 |
|
12 |
12 |
$212.63 |
| C9290 |
Inj, bupivacaine liposome |
36 |
36 |
$200.95 |
| J1650 |
Inj enoxaparin sodium |
47 |
27 |
$192.72 |
| J1940 |
Furosemide injection |
84 |
55 |
$190.72 |
| 86696 |
|
12 |
12 |
$164.04 |
| 86695 |
|
12 |
12 |
$164.04 |
| 72170 |
|
14 |
14 |
$161.66 |
| 76000 |
|
13 |
13 |
$139.56 |
| 80051 |
|
32 |
30 |
$130.88 |
| 0402 |
|
74 |
72 |
$130.47 |
| 82105 |
|
13 |
13 |
$129.90 |
| 86317 |
|
12 |
12 |
$126.01 |
| 82947 |
|
24 |
24 |
$112.08 |
| 82270 |
|
28 |
12 |
$94.31 |
| J2175 |
Meperidine hydrochl /100 mg |
12 |
12 |
$87.38 |
| 87147 |
|
15 |
15 |
$78.29 |
| J2060 |
Lorazepam injection |
15 |
15 |
$75.86 |
| 81015 |
|
1,245 |
1,204 |
$70.60 |
| 0301 |
|
473 |
384 |
$63.06 |
| 82248 |
|
13 |
13 |
$54.82 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
12 |
12 |
$44.92 |
| 0306 |
|
245 |
229 |
$41.67 |
| 0730 |
|
71 |
69 |
$29.84 |
| J2274 |
Inj morphine pf epid ithc |
34 |
33 |
$21.04 |
| 0324 |
|
70 |
70 |
$18.13 |
| 80197 |
|
14 |
13 |
$16.48 |
| 0278 |
|
12 |
12 |
$14.34 |
| 0305 |
|
421 |
386 |
$11.24 |
| 85007 |
|
127 |
127 |
$0.00 |
| 0258R |
|
91 |
90 |
$0.00 |
| 0270R |
|
695 |
683 |
$0.00 |
| 0272R |
|
694 |
682 |
$0.00 |
| 0710R |
|
270 |
266 |
$0.00 |
| 0480 |
|
12 |
12 |
$0.00 |
| C1887 |
Catheter, guiding |
69 |
69 |
$0.00 |
| 0370R |
|
41 |
40 |
$0.00 |
| 0720 |
|
111 |
109 |
$0.00 |
| 0250R |
|
1,039 |
527 |
$0.00 |
| 80329 |
|
13 |
13 |
$0.00 |
| 80320 |
|
17 |
17 |
$0.00 |