| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96361 |
|
11,547 |
9,939 |
$2.24M |
| 99284 |
|
17,717 |
16,624 |
$2.20M |
| 99283 |
|
19,026 |
18,084 |
$2.16M |
| 99285 |
|
14,629 |
13,562 |
$2.11M |
| 74177 |
|
4,732 |
4,546 |
$1.24M |
| 99282 |
|
5,649 |
5,439 |
$515K |
| 70450 |
|
3,521 |
3,340 |
$473K |
| 74176 |
|
1,995 |
1,923 |
$472K |
| 11042 |
|
4,051 |
1,732 |
$398K |
| 96365 |
|
4,296 |
3,797 |
$283K |
| 96360 |
|
2,641 |
2,535 |
$276K |
| 80053 |
|
29,798 |
26,119 |
$221K |
| G0378 |
Hospital observation per hr |
1,495 |
1,061 |
$217K |
| 96374 |
|
13,254 |
11,905 |
$217K |
| 96366 |
|
1,590 |
1,138 |
$198K |
| 99291 |
|
941 |
888 |
$170K |
| 93306 |
|
895 |
876 |
$164K |
| 80307 |
|
5,971 |
5,585 |
$164K |
| 76705 |
|
2,119 |
2,013 |
$163K |
| 71275 |
|
839 |
812 |
$162K |
| 96375 |
|
11,289 |
9,341 |
$152K |
| 76856 |
|
1,944 |
1,891 |
$133K |
| 85025 |
|
30,040 |
26,082 |
$129K |
| 93005 |
|
10,850 |
9,554 |
$108K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,207 |
6,976 |
$104K |
| 76830 |
|
1,466 |
1,429 |
$103K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
268 |
264 |
$90K |
| 36415 |
|
36,842 |
30,728 |
$87K |
| G0463 |
Hospital outpt clinic visit |
2,310 |
1,802 |
$83K |
| 84484 |
|
8,107 |
6,192 |
$78K |
| 71046 |
|
2,790 |
2,700 |
$78K |
| 71045 |
|
6,181 |
5,692 |
$73K |
| 76801 |
|
1,160 |
1,059 |
$71K |
| 96376 |
|
5,045 |
3,680 |
$70K |
| 93971 |
|
768 |
747 |
$65K |
| U0004 |
Cov-19 test non-cdc hgh thru |
1,377 |
1,325 |
$61K |
| 84443 |
|
5,924 |
5,686 |
$57K |
| 72125 |
|
695 |
682 |
$54K |
| 96372 |
|
6,089 |
5,058 |
$50K |
| 83690 |
|
9,996 |
9,043 |
$44K |
| J7030 |
Normal saline solution infus |
15,212 |
12,683 |
$43K |
| 84145 |
|
1,926 |
1,745 |
$41K |
| 71260 |
|
291 |
285 |
$40K |
| 83880 |
|
3,101 |
2,866 |
$40K |
| 77067 |
|
1,056 |
1,048 |
$39K |
| 87040 |
|
3,299 |
1,898 |
$38K |
| 83605 |
|
4,467 |
3,880 |
$37K |
| 85379 |
|
2,885 |
2,766 |
$35K |
| 88305 |
|
1,009 |
993 |
$33K |
| 73630 |
|
1,400 |
1,338 |
$33K |
| 94640 |
|
1,668 |
1,354 |
$33K |
| G0480 |
Drug test def 1-7 classes |
1,760 |
1,636 |
$33K |
| 81001 |
|
11,968 |
11,002 |
$31K |
| 0202U |
|
6,001 |
5,714 |
$30K |
| 72100 |
|
877 |
857 |
$27K |
| 87086 |
|
4,710 |
4,461 |
$27K |
| 73610 |
|
1,121 |
1,068 |
$26K |
| 81025 |
|
6,367 |
6,051 |
$25K |
| 73030 |
|
982 |
929 |
$25K |
| 97110 |
|
1,213 |
483 |
$24K |
| 97530 |
|
1,280 |
649 |
$22K |
| 77063 |
|
892 |
885 |
$22K |
| 83735 |
|
7,189 |
6,400 |
$22K |
| 87077 |
|
3,906 |
3,462 |
$21K |
| 73130 |
|
771 |
743 |
$21K |
| 83036 |
|
2,060 |
2,007 |
$21K |
| 90715 |
|
1,018 |
992 |
$20K |
| 87804 |
|
1,185 |
1,136 |
$19K |
| 87181 |
|
3,511 |
3,111 |
$19K |
| 80048 |
|
2,663 |
2,265 |
$17K |
| 74018 |
|
824 |
784 |
$17K |
| 12001 |
|
112 |
111 |
$16K |
| J7120 |
Ringers lactate infusion |
4,321 |
3,784 |
$16K |
| 84439 |
|
1,565 |
1,514 |
$15K |
| 80061 |
|
1,794 |
1,768 |
$15K |
| 85027 |
|
3,786 |
3,492 |
$15K |
| 84702 |
|
1,978 |
1,720 |
$15K |
| 87591 |
|
1,103 |
1,072 |
$15K |
| 10060 |
|
95 |
92 |
$15K |
| 76817 |
|
313 |
286 |
$15K |
| J1170 |
Hydromorphone injection |
6,032 |
3,642 |
$14K |
| 87070 |
|
2,284 |
2,008 |
$14K |
| 71250 |
|
174 |
171 |
$14K |
| 73562 |
|
621 |
597 |
$13K |
| 93970 |
|
140 |
134 |
$13K |
| 87635 |
|
310 |
294 |
$12K |
| J3010 |
Fentanyl citrate injection |
4,649 |
2,737 |
$12K |
| 82962 |
|
5,285 |
3,367 |
$11K |
| 76700 |
|
111 |
110 |
$11K |
| 87081 |
|
1,276 |
1,255 |
$11K |
| 81000 |
|
2,882 |
2,641 |
$10K |
| 87491 |
|
1,075 |
1,047 |
$10K |
| 85610 |
|
4,694 |
4,161 |
$10K |
| 87633 |
|
155 |
147 |
$10K |
| 36000 |
|
1,841 |
1,782 |
$10K |
| 73110 |
|
442 |
410 |
$9K |
| 86140 |
|
1,560 |
1,421 |
$9K |
| 87075 |
|
1,531 |
1,340 |
$9K |
| 86900 |
|
1,901 |
1,698 |
$9K |
| 87581 |
|
155 |
147 |
$9K |
| J2704 |
Inj, propofol, 10 mg |
3,418 |
3,015 |
$8K |
| 86850 |
|
1,422 |
1,358 |
$8K |
| J0696 |
Ceftriaxone sodium injection |
2,378 |
2,012 |
$8K |
| 76642 |
|
153 |
136 |
$7K |
| 87205 |
|
2,305 |
2,046 |
$7K |
| 87389 |
|
779 |
761 |
$7K |
| J2270 |
Morphine sulfate injection |
3,944 |
2,791 |
$7K |
| 87426 |
|
1,169 |
1,120 |
$6K |
| 70496 |
|
27 |
27 |
$6K |
| 81003 |
|
3,608 |
3,450 |
$6K |
| 86901 |
|
1,911 |
1,706 |
$6K |
| J7050 |
Normal saline solution infus |
2,968 |
1,957 |
$6K |
| J1885 |
Ketorolac tromethamine inj |
10,442 |
9,305 |
$6K |
| 84703 |
|
1,290 |
1,246 |
$6K |
| 90471 |
|
1,061 |
1,027 |
$5K |
| 85732 |
|
1,523 |
1,429 |
$5K |
| U0003 |
Cov-19 amp prb hgh thruput |
173 |
163 |
$5K |
| J2060 |
Lorazepam injection |
2,522 |
1,831 |
$5K |
| 94060 |
|
103 |
100 |
$5K |
| J0131 |
Inj, acetaminophen (nos) |
450 |
413 |
$5K |
| 11045 |
|
49 |
25 |
$4K |
| 73564 |
|
120 |
119 |
$4K |
| J2405 |
Ondansetron hcl injection |
12,360 |
9,610 |
$4K |
| 82150 |
|
1,140 |
1,095 |
$4K |
| 82550 |
|
1,187 |
980 |
$4K |
| 86803 |
|
420 |
409 |
$4K |
| 87880 |
|
1,683 |
1,656 |
$4K |
| 82553 |
|
365 |
298 |
$4K |
| 82077 |
|
2,300 |
2,098 |
$4K |
| 76805 |
|
51 |
51 |
$4K |
| 85007 |
|
1,270 |
1,172 |
$4K |
| 86592 |
|
622 |
605 |
$3K |
| 87486 |
|
155 |
147 |
$3K |
| C2627 |
Cath, suprapubic/cystoscopic |
297 |
284 |
$3K |
| 70498 |
|
26 |
26 |
$3K |
| 87088 |
|
643 |
619 |
$3K |
| J1100 |
Dexamethasone sodium phos |
2,959 |
2,824 |
$3K |
| A9579 |
Gad-base mr contrast nos,1ml |
307 |
290 |
$3K |
| U0002 |
Covid-19 lab test non-cdc |
224 |
213 |
$3K |
| 87798 |
|
105 |
99 |
$3K |
| 87507 |
|
55 |
53 |
$3K |
| 70486 |
|
36 |
36 |
$2K |
| 94729 |
|
103 |
100 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
1,083 |
955 |
$2K |
| J3490 |
Drugs unclassified injection |
1,182 |
904 |
$2K |
| 93975 |
|
31 |
29 |
$2K |
| J0690 |
Cefazolin sodium injection |
933 |
846 |
$2K |
| G0279 |
Tomosynthesis, mammo |
219 |
198 |
$2K |
| 94726 |
|
75 |
73 |
$2K |
| 12002 |
|
12 |
12 |
$2K |
| 85651 |
|
587 |
551 |
$2K |
| 82728 |
|
126 |
125 |
$2K |
| 85652 |
|
754 |
716 |
$2K |
| 72040 |
|
59 |
56 |
$2K |
| 73502 |
|
77 |
76 |
$1K |
| 59025 |
|
18 |
12 |
$1K |
| 87624 |
|
86 |
85 |
$1K |
| 97140 |
|
92 |
40 |
$1K |
| 87340 |
|
216 |
211 |
$1K |
| 88175 |
|
102 |
101 |
$1K |
| 83550 |
|
131 |
128 |
$1K |
| 87184 |
|
298 |
284 |
$1K |
| 80143 |
|
415 |
384 |
$1K |
| 82306 |
|
148 |
148 |
$1K |
| 94799 |
|
339 |
290 |
$1K |
| 85018 |
|
586 |
499 |
$1K |
| M0243 |
Casirivi and imdevi inj |
12 |
12 |
$1K |
| J2930 |
Methylprednisolone injection |
343 |
301 |
$925.99 |
| 87807 |
|
117 |
114 |
$893.63 |
| 81002 |
|
420 |
401 |
$891.32 |
| 76870 |
|
13 |
12 |
$885.86 |
| 76816 |
|
14 |
14 |
$868.83 |
| 83540 |
|
134 |
131 |
$864.47 |
| 76536 |
|
13 |
12 |
$797.90 |
| 80179 |
|
385 |
361 |
$787.77 |
| 87210 |
|
193 |
190 |
$781.49 |
| J3360 |
Diazepam injection |
107 |
65 |
$758.28 |
| 86787 |
|
80 |
72 |
$742.30 |
| 82075 |
|
180 |
145 |
$706.44 |
| 92587 |
|
12 |
12 |
$687.79 |
| 76942 |
|
12 |
12 |
$676.72 |
| J2795 |
Ropivacaine hcl injection |
621 |
558 |
$668.36 |
| 96367 |
|
61 |
50 |
$668.31 |
| 71271 |
|
17 |
16 |
$636.47 |
| 87147 |
|
116 |
111 |
$605.54 |
| J0330 |
Succinycholine chloride inj |
98 |
88 |
$590.63 |
| U0005 |
Infec agen detec ampli probe |
1,010 |
972 |
$500.04 |
| 73140 |
|
36 |
36 |
$490.30 |
| J2765 |
Metoclopramide hcl injection |
977 |
826 |
$474.28 |
| 77065 |
Tomosynthesis, mammo |
12 |
12 |
$438.25 |
| 88304 |
|
46 |
42 |
$430.19 |
| 77066 |
Tomosynthesis, mammo |
14 |
13 |
$427.74 |
| 73590 |
|
27 |
26 |
$382.65 |
| J2550 |
Promethazine hcl injection |
1,584 |
1,209 |
$373.37 |
| 82805 |
|
75 |
65 |
$362.93 |
| 86762 |
|
57 |
56 |
$357.77 |
| J1200 |
Diphenhydramine hcl injectio |
1,387 |
1,204 |
$356.43 |
| 85014 |
|
83 |
73 |
$339.37 |
| 82375 |
|
92 |
78 |
$330.40 |
| 0241U |
|
120 |
116 |
$298.96 |
| J3475 |
Inj magnesium sulfate |
103 |
91 |
$275.82 |
| G0472 |
Hep c screen high risk/other |
137 |
132 |
$240.76 |
| 73080 |
|
14 |
14 |
$239.64 |
| 82570 |
|
55 |
50 |
$201.57 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
105 |
68 |
$194.12 |
| J0780 |
Prochlorperazine injection |
120 |
110 |
$173.85 |
| 84100 |
|
42 |
40 |
$138.08 |
| J3370 |
Vancomycin hcl injection |
36 |
24 |
$130.09 |
| Q0162 |
Ondansetron oral |
2,010 |
1,896 |
$127.27 |
| 82607 |
|
12 |
12 |
$116.64 |
| J0134 |
Inj acetaminophen -fresenius |
30 |
30 |
$114.24 |
| 83615 |
|
68 |
54 |
$106.43 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
64 |
56 |
$104.94 |
| J7512 |
Prednisone ir or dr oral 1mg |
869 |
763 |
$79.55 |
| 84436 |
|
17 |
13 |
$64.96 |
| 83050 |
|
36 |
28 |
$62.46 |
| 81015 |
|
26 |
26 |
$55.02 |
| S0119 |
Ondansetron 4 mg |
789 |
769 |
$52.60 |
| J1644 |
Inj heparin sodium per 1000u |
199 |
70 |
$49.23 |
| J2175 |
Meperidine hydrochl /100 mg |
26 |
17 |
$49.00 |
| J1815 |
Insulin injection |
95 |
38 |
$38.66 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
14 |
12 |
$30.04 |
| J2710 |
Neostigmine methylslfte inj |
12 |
12 |
$25.64 |
| J2919 |
Inj, methylpred sod succ 5mg |
14 |
12 |
$21.44 |
| J2370 |
Phenylephrine hcl injection |
28 |
26 |
$20.67 |
| Q0144 |
Azithromycin dihydrate, oral |
55 |
52 |
$20.29 |
| J1790 |
Droperidol injection |
15 |
13 |
$20.05 |
| J8540 |
Oral dexamethasone |
152 |
111 |
$15.18 |
| J1630 |
Haloperidol injection |
32 |
24 |
$14.38 |
| 0353U |
|
165 |
163 |
$4.31 |
| Q0244 |
Casirivi and imdevi 1200 mg |
20 |
12 |
$0.02 |
| G1004 |
Cdsm ndsc |
977 |
859 |
$0.00 |
| A9270 |
Non-covered item or service |
1,047 |
708 |
$0.00 |
| 0352U |
|
26 |
26 |
$0.00 |
| G0433 |
Elisa hiv-1/hiv-2 screen |
53 |
53 |
$0.00 |