| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
|
8,033 |
6,682 |
$995K |
| 70450 |
|
9,594 |
7,852 |
$814K |
| U0003 |
Cov-19 amp prb hgh thruput |
6,554 |
5,354 |
$486K |
| 87631 |
|
7,149 |
5,999 |
$472K |
| 80048 |
|
30,208 |
21,436 |
$415K |
| 71275 |
|
2,503 |
2,065 |
$387K |
| 72125 |
|
3,727 |
3,109 |
$387K |
| 80053 |
|
20,929 |
16,175 |
$344K |
| 93306 |
|
3,886 |
2,938 |
$318K |
| 80307 |
|
4,727 |
3,938 |
$292K |
| 85025 |
|
45,448 |
32,164 |
$285K |
| 96365 |
|
4,282 |
3,047 |
$250K |
| 96374 |
|
16,036 |
12,404 |
$210K |
| 78452 |
|
1,551 |
1,175 |
$191K |
| 97530 |
|
6,722 |
2,130 |
$172K |
| 99284 |
|
5,082 |
4,200 |
$169K |
| 99283 |
|
3,201 |
2,577 |
$167K |
| 74176 |
|
2,911 |
2,431 |
$167K |
| 59025 |
|
1,547 |
648 |
$143K |
| 96361 |
|
10,254 |
7,587 |
$139K |
| 93005 |
|
18,123 |
11,392 |
$139K |
| 11042 |
|
1,538 |
734 |
$133K |
| 99285 |
|
4,920 |
4,170 |
$121K |
| 84484 |
|
16,870 |
8,495 |
$117K |
| 71260 |
|
825 |
687 |
$112K |
| 86901 |
|
5,706 |
4,151 |
$107K |
| 71045 |
|
15,633 |
12,065 |
$106K |
| 81025 |
|
13,443 |
11,213 |
$101K |
| 80076 |
|
12,709 |
10,171 |
$93K |
| 83690 |
|
14,160 |
11,504 |
$87K |
| 83880 |
|
4,624 |
3,688 |
$84K |
| 87086 |
|
10,545 |
8,085 |
$77K |
| 70551 |
|
557 |
415 |
$77K |
| 87633 |
|
388 |
346 |
$74K |
| 70498 |
|
766 |
584 |
$67K |
| 72131 |
|
672 |
537 |
$65K |
| 96360 |
|
2,761 |
2,287 |
$64K |
| C1769 |
Guide wire |
2,479 |
1,590 |
$62K |
| 70496 |
|
669 |
517 |
$62K |
| 80320 |
|
4,332 |
3,444 |
$58K |
| 82962 |
|
11,972 |
4,471 |
$55K |
| 97110 |
|
1,496 |
505 |
$55K |
| 82565 |
|
8,992 |
7,077 |
$54K |
| 71046 |
|
3,233 |
2,715 |
$52K |
| J2405 |
Ondansetron hcl injection |
13,781 |
9,726 |
$51K |
| 87077 |
|
7,275 |
4,678 |
$51K |
| A9502 |
Tc99m tetrofosmin |
1,386 |
1,047 |
$50K |
| 85730 |
|
12,455 |
9,556 |
$48K |
| 76801 |
|
1,302 |
1,107 |
$42K |
| 84145 |
|
3,687 |
2,839 |
$41K |
| 97162 |
|
1,131 |
801 |
$40K |
| 80329 |
|
3,367 |
2,328 |
$40K |
| 85610 |
|
14,039 |
10,586 |
$40K |
| 81002 |
|
12,827 |
10,816 |
$39K |
| 85027 |
|
8,073 |
5,352 |
$39K |
| 93017 |
|
1,954 |
1,533 |
$37K |
| 81001 |
|
10,176 |
8,446 |
$36K |
| 87660 |
|
1,695 |
1,449 |
$35K |
| 87480 |
|
1,698 |
1,451 |
$34K |
| 87510 |
|
1,696 |
1,449 |
$34K |
| 87798 |
|
831 |
379 |
$33K |
| 97161 |
|
604 |
427 |
$33K |
| 70486 |
|
282 |
255 |
$33K |
| 96372 |
|
3,325 |
2,671 |
$32K |
| 83735 |
|
7,395 |
4,693 |
$32K |
| 96375 |
|
11,147 |
8,277 |
$30K |
| 83605 |
|
4,056 |
2,877 |
$29K |
| 72148 |
|
143 |
115 |
$29K |
| 87591 |
|
829 |
565 |
$27K |
| 87491 |
|
829 |
565 |
$27K |
| 86850 |
|
4,248 |
2,910 |
$26K |
| C1894 |
Intro/sheath, non-laser |
2,708 |
1,792 |
$26K |
| 87880 |
|
2,408 |
2,166 |
$25K |
| 87081 |
|
3,675 |
3,090 |
$25K |
| J1100 |
Dexamethasone sodium phos |
5,313 |
3,533 |
$25K |
| C1725 |
Cath, translumin non-laser |
266 |
180 |
$25K |
| 93458 |
|
285 |
228 |
$24K |
| J2785 |
Regadenoson injection |
797 |
572 |
$24K |
| 87186 |
|
4,896 |
3,629 |
$23K |
| 76817 |
|
552 |
468 |
$23K |
| 84702 |
|
2,264 |
1,888 |
$23K |
| 87040 |
|
3,474 |
1,653 |
$23K |
| 73562 |
|
991 |
822 |
$22K |
| 82803 |
|
1,646 |
1,211 |
$22K |
| U0002 |
Covid-19 lab test non-cdc |
1,583 |
1,136 |
$21K |
| J0696 |
Ceftriaxone sodium injection |
3,287 |
2,201 |
$21K |
| 87070 |
|
2,857 |
1,958 |
$21K |
| 73630 |
|
1,035 |
861 |
$21K |
| 84703 |
|
2,659 |
1,829 |
$20K |
| 84132 |
|
3,065 |
2,125 |
$20K |
| 93971 |
|
655 |
522 |
$20K |
| J1885 |
Ketorolac tromethamine inj |
6,087 |
4,646 |
$19K |
| 36415 |
|
12,862 |
7,509 |
$18K |
| 76856 |
|
594 |
503 |
$18K |
| 85379 |
|
1,879 |
1,606 |
$17K |
| J3490 |
Drugs unclassified injection |
7,831 |
4,344 |
$17K |
| 87581 |
|
421 |
377 |
$17K |
| 87486 |
|
421 |
377 |
$17K |
| 76830 |
|
331 |
276 |
$17K |
| 87400 |
|
3,001 |
2,743 |
$17K |
| 97001 |
|
329 |
307 |
$15K |
| 73610 |
|
1,027 |
853 |
$15K |
| 86900 |
|
5,765 |
4,164 |
$14K |
| 87637 |
|
289 |
227 |
$14K |
| 80050 |
|
361 |
342 |
$14K |
| 84443 |
|
2,769 |
2,255 |
$14K |
| 73130 |
|
728 |
597 |
$13K |
| G0378 |
Hospital observation per hr |
1,033 |
833 |
$12K |
| 73030 |
|
835 |
670 |
$12K |
| C1887 |
Catheter, guiding |
1,920 |
1,334 |
$11K |
| 94760 |
|
1,641 |
1,010 |
$10K |
| 90715 |
|
506 |
419 |
$10K |
| 87420 |
|
957 |
902 |
$10K |
| C9803 |
Hopd covid-19 spec collect |
4,696 |
3,778 |
$9K |
| 76816 |
|
576 |
505 |
$9K |
| C1760 |
Closure dev, vasc |
172 |
115 |
$9K |
| 36430 |
|
126 |
86 |
$9K |
| 80061 |
|
863 |
705 |
$9K |
| 82330 |
|
1,170 |
807 |
$8K |
| 76705 |
|
600 |
494 |
$8K |
| 71020 |
|
935 |
876 |
$8K |
| 84100 |
|
2,794 |
1,441 |
$8K |
| 87205 |
|
2,625 |
1,804 |
$7K |
| 96376 |
|
3,446 |
2,189 |
$7K |
| 87635 |
|
498 |
424 |
$7K |
| 81003 |
|
2,676 |
2,252 |
$7K |
| G0463 |
Hospital outpt clinic visit |
676 |
519 |
$6K |
| J1650 |
Inj enoxaparin sodium |
749 |
272 |
$6K |
| 85007 |
|
2,314 |
1,696 |
$6K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
482 |
321 |
$6K |
| J7030 |
Normal saline solution infus |
1,969 |
1,480 |
$6K |
| 71250 |
|
65 |
57 |
$6K |
| 85520 |
|
1,446 |
949 |
$5K |
| 73110 |
|
309 |
260 |
$5K |
| J2250 |
Inj midazolam hydrochloride |
8,071 |
5,527 |
$5K |
| C1751 |
Cath, inf, per/cent/midline |
135 |
101 |
$4K |
| 95810 |
|
44 |
39 |
$4K |
| 83036 |
|
1,215 |
988 |
$4K |
| 85014 |
|
1,480 |
1,032 |
$4K |
| 90471 |
|
970 |
802 |
$4K |
| 88720 |
|
651 |
589 |
$3K |
| 86140 |
|
814 |
534 |
$3K |
| J7050 |
Normal saline solution infus |
456 |
277 |
$3K |
| 94640 |
|
651 |
403 |
$3K |
| 72128 |
|
29 |
24 |
$3K |
| 77080 |
|
64 |
53 |
$3K |
| 71010 |
|
608 |
544 |
$3K |
| A9577 |
Inj multihance |
242 |
173 |
$3K |
| 87075 |
|
567 |
416 |
$3K |
| 97597 |
|
307 |
169 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
3,487 |
1,774 |
$2K |
| J7120 |
Ringers lactate infusion |
465 |
435 |
$2K |
| J1815 |
Insulin injection |
1,016 |
375 |
$2K |
| 97140 |
|
1,100 |
367 |
$2K |
| 82550 |
|
393 |
221 |
$2K |
| G0480 |
Drug test def 1-7 classes |
77 |
70 |
$2K |
| 72100 |
|
122 |
95 |
$2K |
| J3010 |
Fentanyl citrate injection |
9,575 |
6,582 |
$2K |
| 94761 |
|
229 |
133 |
$2K |
| A9573 |
Inj, gadopiclenol, 1 ml |
97 |
66 |
$2K |
| 36592 |
|
111 |
85 |
$2K |
| J0330 |
Succinycholine chloride inj |
1,048 |
696 |
$2K |
| J2270 |
Morphine sulfate injection |
5,528 |
3,883 |
$2K |
| J0690 |
Cefazolin sodium injection |
2,340 |
1,452 |
$1K |
| J2550 |
Promethazine hcl injection |
2,090 |
1,444 |
$1K |
| 84295 |
|
841 |
616 |
$1K |
| 87088 |
|
164 |
143 |
$1K |
| 73502 |
|
134 |
93 |
$1K |
| 73080 |
|
103 |
78 |
$1K |
| 88305 |
|
264 |
186 |
$1K |
| 85384 |
|
114 |
77 |
$1K |
| J1170 |
Hydromorphone injection |
4,952 |
3,120 |
$1K |
| 82010 |
|
136 |
105 |
$885.26 |
| U0005 |
Infec agen detec ampli probe |
5,848 |
4,907 |
$875.83 |
| 84550 |
|
177 |
130 |
$827.79 |
| 99282 |
|
15 |
12 |
$815.51 |
| J1200 |
Diphenhydramine hcl injectio |
1,649 |
1,165 |
$784.84 |
| J1642 |
Inj heparin sodium per 10 u |
135 |
64 |
$727.42 |
| G0379 |
Direct refer hospital observ |
2,667 |
1,707 |
$721.39 |
| 87045 |
|
84 |
64 |
$705.23 |
| 0001A |
|
18 |
14 |
$700.00 |
| J2930 |
Methylprednisolone injection |
457 |
314 |
$685.58 |
| 99212 |
|
678 |
497 |
$665.05 |
| J2060 |
Lorazepam injection |
296 |
234 |
$649.65 |
| A9270 |
Non-covered item or service |
39,543 |
13,101 |
$644.02 |
| J3370 |
Vancomycin hcl injection |
956 |
447 |
$513.10 |
| 85652 |
|
268 |
225 |
$511.05 |
| J2710 |
Neostigmine methylslfte inj |
1,275 |
792 |
$499.47 |
| 96366 |
|
752 |
354 |
$496.00 |
| 97165 |
|
22 |
12 |
$494.40 |
| 82570 |
|
102 |
84 |
$487.33 |
| C1729 |
Cath, drainage |
177 |
115 |
$455.63 |
| 87427 |
|
49 |
37 |
$403.60 |
| 97163 |
|
30 |
12 |
$395.52 |
| 74018 |
|
28 |
25 |
$385.45 |
| 73090 |
|
26 |
25 |
$370.00 |
| J1245 |
Dipyridamole injection |
190 |
137 |
$359.45 |
| 99213 |
|
626 |
396 |
$296.63 |
| 74022 |
|
13 |
12 |
$296.51 |
| 93970 |
|
15 |
14 |
$291.50 |
| J7040 |
Normal saline solution infus |
59 |
55 |
$244.20 |
| A9579 |
Gad-base mr contrast nos,1ml |
46 |
29 |
$239.74 |
| 83986 |
|
47 |
43 |
$218.50 |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
201 |
122 |
$208.85 |
| 87147 |
|
42 |
29 |
$207.18 |
| 84156 |
|
45 |
37 |
$199.23 |
| Q9969 |
Non-heu tc-99m add-on/dose |
934 |
631 |
$197.10 |
| 87340 |
|
17 |
14 |
$195.73 |
| J2765 |
Metoclopramide hcl injection |
336 |
264 |
$158.39 |
| 87046 |
|
67 |
52 |
$149.49 |
| J0689 |
Inj cefazolin sodium, baxter |
759 |
492 |
$144.80 |
| J1790 |
Droperidol injection |
147 |
123 |
$143.74 |
| 86923 |
|
38 |
27 |
$106.13 |
| 82728 |
|
18 |
13 |
$102.55 |
| 83550 |
|
19 |
13 |
$94.10 |
| 82247 |
|
14 |
12 |
$93.21 |
| J0171 |
Adrenalin epinephrine inject |
182 |
101 |
$88.79 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
214 |
149 |
$87.70 |
| 90653 |
|
17 |
15 |
$83.49 |
| J2001 |
Lidocaine injection |
1,437 |
906 |
$72.39 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
11,374 |
8,255 |
$71.99 |
| 86592 |
|
14 |
13 |
$70.80 |
| J2370 |
Phenylephrine hcl injection |
283 |
195 |
$66.40 |
| 76819 |
|
17 |
12 |
$63.01 |
| 82947 |
|
12 |
12 |
$61.60 |
| 85347 |
|
58 |
38 |
$58.64 |
| 84439 |
|
33 |
26 |
$51.52 |
| 83540 |
|
17 |
12 |
$48.75 |
| A6211 |
Foam drg > 48 sq in w/o brdr |
74 |
40 |
$46.98 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
127 |
93 |
$45.00 |
| 99214 |
|
266 |
229 |
$44.68 |
| 97535 |
|
399 |
253 |
$36.91 |
| J0737 |
Inj, clindamycin (baxter) |
44 |
29 |
$34.80 |
| 99211 |
|
1,078 |
769 |
$34.22 |
| 89051 |
|
17 |
12 |
$31.44 |
| C1758 |
Catheter, ureteral |
178 |
118 |
$19.70 |
| J8499 |
Oral prescrip drug non chemo |
4,509 |
2,071 |
$17.80 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
76 |
59 |
$16.20 |
| J2919 |
Inj, methylpred sod succ 5mg |
79 |
41 |
$15.78 |
| G0008 |
Admin influenza virus vac |
35 |
30 |
$15.45 |
| J2175 |
Meperidine hydrochl /100 mg |
172 |
102 |
$7.37 |
| J1940 |
Furosemide injection |
155 |
74 |
$7.34 |
| 85018 |
|
23 |
12 |
$6.76 |
| J7510 |
Prednisolone oral per 5 mg |
16 |
16 |
$1.80 |
| 91300 |
|
18 |
14 |
$0.10 |
| G8979 |
Mobility goal status |
26 |
26 |
$0.01 |
| 90662 |
|
18 |
15 |
$0.00 |
| 97116 |
|
681 |
320 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
38 |
28 |
$0.00 |
| J7643 |
Glycopyrrolate comp unit |
87 |
57 |
$0.00 |
| 36600 |
|
18 |
17 |
$0.00 |
| P9016 |
Rbc leukocytes reduced |
31 |
24 |
$0.00 |
| L4387 |
Non-pneum walk boot pre ots |
16 |
14 |
$0.00 |
| 82055 |
|
12 |
12 |
$0.00 |
| G8978 |
Mobility current status |
14 |
14 |
$0.00 |
| J2274 |
Inj morphine pf epid ithc |
45 |
36 |
$0.00 |
| J7999 |
Compounded drug, noc |
305 |
215 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
99 |
66 |
$0.00 |
| 88304 |
|
39 |
25 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
280 |
195 |
$0.00 |
| A4217 |
Sterile water/saline, 500 ml |
17 |
12 |
$0.00 |
| 0352U |
|
18 |
16 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
75 |
44 |
$0.00 |