| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
1,965 |
1,822 |
$1.69M |
| 99285 |
|
683 |
625 |
$926K |
| 99283 |
|
1,135 |
1,101 |
$642K |
| 74177 |
|
1,994 |
1,947 |
$448K |
| 99282 |
|
924 |
895 |
$312K |
| 0450 |
|
18,864 |
16,797 |
$224K |
| 70450 |
|
1,778 |
1,713 |
$171K |
| 99199 |
|
3,335 |
2,903 |
$152K |
| 71045 |
|
3,819 |
3,586 |
$149K |
| 36415 |
|
18,524 |
15,089 |
$148K |
| 71046 |
|
2,621 |
2,568 |
$119K |
| 87637 |
|
2,379 |
2,304 |
$113K |
| 74176 |
|
630 |
619 |
$88K |
| 99281 |
|
586 |
562 |
$84K |
| 85025 |
|
19,409 |
16,328 |
$70K |
| 77067 |
|
458 |
458 |
$65K |
| 70551 |
|
211 |
210 |
$62K |
| 71260 |
|
273 |
269 |
$59K |
| 84443 |
|
3,669 |
3,587 |
$57K |
| 72148 |
|
168 |
168 |
$52K |
| 73630 |
|
578 |
494 |
$51K |
| 76705 |
|
537 |
530 |
$50K |
| 82565 |
|
19,746 |
17,155 |
$47K |
| 83036 |
|
5,213 |
5,169 |
$44K |
| 73030 |
|
408 |
370 |
$41K |
| 80061 |
|
3,138 |
3,119 |
$38K |
| 76830 |
|
473 |
467 |
$37K |
| 87635 |
|
2,498 |
2,360 |
$37K |
| 80051 |
|
13,693 |
11,972 |
$35K |
| 71275 |
|
133 |
132 |
$35K |
| 96374 |
|
3,105 |
2,843 |
$35K |
| 71250 |
|
189 |
189 |
$34K |
| 88305 |
|
411 |
405 |
$34K |
| 87491 |
|
1,049 |
884 |
$34K |
| 84460 |
|
11,876 |
10,597 |
$33K |
| 93005 |
|
5,632 |
5,120 |
$33K |
| 72100 |
|
283 |
282 |
$33K |
| 87591 |
|
1,046 |
883 |
$33K |
| 76856 |
|
424 |
420 |
$32K |
| 73564 |
|
207 |
143 |
$30K |
| G0378 |
Hospital observation per hr |
1,177 |
493 |
$30K |
| 86900 |
|
811 |
760 |
$29K |
| 82306 |
|
872 |
862 |
$28K |
| 83880 |
|
1,764 |
1,604 |
$27K |
| 73610 |
|
308 |
283 |
$27K |
| 78452 |
|
16 |
16 |
$27K |
| 80307 |
|
1,086 |
986 |
$26K |
| 74018 |
|
210 |
198 |
$23K |
| 73130 |
|
272 |
239 |
$22K |
| 84450 |
|
8,922 |
7,953 |
$21K |
| 73502 |
|
209 |
201 |
$21K |
| 82947 |
|
14,957 |
13,097 |
$21K |
| 93971 |
|
154 |
149 |
$20K |
| 73560 |
|
236 |
213 |
$20K |
| 82247 |
|
8,254 |
7,080 |
$19K |
| 84520 |
|
14,341 |
12,536 |
$19K |
| 96375 |
|
2,240 |
2,093 |
$18K |
| G0480 |
Drug test def 1-7 classes |
164 |
156 |
$18K |
| 82728 |
|
1,216 |
1,194 |
$17K |
| 84132 |
|
3,724 |
3,364 |
$17K |
| 87389 |
|
622 |
618 |
$16K |
| 85027 |
|
3,096 |
2,988 |
$16K |
| 82607 |
|
967 |
964 |
$16K |
| 84075 |
|
7,155 |
6,515 |
$15K |
| 72125 |
|
107 |
107 |
$15K |
| 84484 |
|
4,731 |
4,095 |
$14K |
| 73562 |
|
132 |
91 |
$14K |
| 83690 |
|
5,659 |
5,275 |
$14K |
| 72040 |
|
123 |
122 |
$13K |
| 83970 |
|
294 |
283 |
$12K |
| 83735 |
|
3,966 |
3,149 |
$12K |
| 96361 |
|
1,706 |
1,624 |
$12K |
| 76770 |
|
76 |
75 |
$11K |
| 86850 |
|
465 |
447 |
$11K |
| 86235 |
|
68 |
67 |
$11K |
| 87088 |
|
2,817 |
2,707 |
$11K |
| 73110 |
|
131 |
118 |
$11K |
| 76642 |
|
98 |
60 |
$11K |
| 73221 |
|
27 |
26 |
$10K |
| 87506 |
|
56 |
56 |
$10K |
| 81001 |
|
5,747 |
5,396 |
$10K |
| J7030 |
Normal saline solution infus |
6,086 |
5,206 |
$10K |
| J2785 |
Regadenoson injection |
76 |
76 |
$10K |
| 96372 |
|
1,700 |
1,556 |
$9K |
| 84295 |
|
1,841 |
1,673 |
$9K |
| 86780 |
|
632 |
628 |
$9K |
| 86803 |
|
587 |
585 |
$9K |
| 86901 |
|
810 |
760 |
$9K |
| 82043 |
|
1,382 |
1,365 |
$8K |
| 82310 |
|
1,581 |
1,348 |
$8K |
| Z7502 |
|
1,216 |
1,129 |
$8K |
| 83550 |
|
824 |
807 |
$8K |
| 82570 |
|
1,179 |
1,133 |
$7K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,890 |
1,835 |
$7K |
| 85610 |
|
2,732 |
2,332 |
$7K |
| 84153 |
|
346 |
341 |
$7K |
| 84702 |
|
1,276 |
1,119 |
$6K |
| 84439 |
|
624 |
572 |
$6K |
| 0270 |
|
6,313 |
2,958 |
$6K |
| 82040 |
|
1,289 |
1,111 |
$6K |
| 73080 |
|
63 |
60 |
$6K |
| 87651 |
|
368 |
366 |
$6K |
| 73590 |
|
60 |
55 |
$5K |
| 83540 |
|
847 |
829 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
3,553 |
3,380 |
$5K |
| 70486 |
|
28 |
28 |
$5K |
| 76815 |
|
44 |
41 |
$5K |
| 71101 |
|
50 |
50 |
$5K |
| U0003 |
Cov-19 amp prb hgh thruput |
145 |
138 |
$5K |
| 76882 |
|
34 |
26 |
$4K |
| A9502 |
Tc99m tetrofosmin |
37 |
37 |
$4K |
| 84703 |
|
3,079 |
2,916 |
$4K |
| J2405 |
Ondansetron hcl injection |
3,395 |
3,111 |
$4K |
| 84100 |
|
1,841 |
1,563 |
$4K |
| 80048 |
|
1,592 |
1,469 |
$4K |
| 77063 |
|
111 |
111 |
$4K |
| 87340 |
|
300 |
300 |
$4K |
| J0131 |
Inj, acetaminophen (nos) |
942 |
843 |
$4K |
| 87536 |
|
40 |
40 |
$3K |
| 96376 |
|
394 |
323 |
$3K |
| 81003 |
|
3,672 |
3,522 |
$3K |
| 82248 |
|
731 |
531 |
$3K |
| 85652 |
|
1,192 |
1,100 |
$3K |
| 96365 |
|
600 |
572 |
$3K |
| 83605 |
|
1,014 |
917 |
$3K |
| 76817 |
|
24 |
24 |
$3K |
| 86140 |
|
671 |
627 |
$3K |
| 82077 |
|
629 |
560 |
$3K |
| 87040 |
|
565 |
523 |
$3K |
| 86480 |
|
43 |
43 |
$3K |
| 93976 |
|
58 |
58 |
$3K |
| 80306 |
|
600 |
565 |
$3K |
| 77066 |
Tomosynthesis, mammo |
16 |
16 |
$2K |
| 96360 |
|
311 |
306 |
$2K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
147 |
143 |
$2K |
| 84165 |
|
202 |
189 |
$2K |
| 76536 |
|
17 |
17 |
$2K |
| J2270 |
Morphine sulfate injection |
1,109 |
986 |
$2K |
| 84156 |
|
555 |
520 |
$2K |
| 84403 |
|
78 |
77 |
$2K |
| 82746 |
|
166 |
166 |
$2K |
| 73140 |
|
30 |
28 |
$2K |
| J3490 |
Drugs unclassified injection |
1,730 |
864 |
$2K |
| 85379 |
|
797 |
774 |
$2K |
| 93970 |
|
29 |
29 |
$2K |
| 80047 |
|
614 |
590 |
$2K |
| 84550 |
|
332 |
327 |
$2K |
| J7120 |
Ringers lactate infusion |
1,179 |
1,035 |
$2K |
| 0250 |
|
3,142 |
1,506 |
$2K |
| 83516 |
|
57 |
53 |
$1K |
| 86704 |
|
104 |
104 |
$1K |
| 87631 |
|
93 |
93 |
$1K |
| 86706 |
|
114 |
113 |
$1K |
| 82550 |
|
272 |
251 |
$1K |
| 0637 |
|
13,366 |
3,052 |
$1K |
| 86225 |
|
70 |
69 |
$945.06 |
| 80179 |
|
211 |
183 |
$920.69 |
| 86038 |
|
68 |
67 |
$839.25 |
| J0696 |
Ceftriaxone sodium injection |
785 |
605 |
$763.78 |
| J1200 |
Diphenhydramine hcl injectio |
475 |
440 |
$664.68 |
| 80069 |
|
204 |
199 |
$657.40 |
| 87449 |
|
65 |
64 |
$607.12 |
| 86360 |
|
12 |
12 |
$577.00 |
| 85014 |
|
817 |
776 |
$561.04 |
| 82962 |
|
940 |
566 |
$559.15 |
| 86762 |
|
26 |
26 |
$556.00 |
| J1100 |
Dexamethasone sodium phos |
463 |
449 |
$547.63 |
| 80197 |
|
36 |
26 |
$538.00 |
| 82784 |
|
26 |
25 |
$489.00 |
| 97161 |
|
118 |
116 |
$464.21 |
| 82985 |
|
26 |
26 |
$463.00 |
| 87324 |
|
46 |
46 |
$457.00 |
| 82950 |
|
53 |
45 |
$449.00 |
| G0279 |
Tomosynthesis, mammo |
13 |
13 |
$429.00 |
| J1170 |
Hydromorphone injection |
376 |
303 |
$417.92 |
| 85018 |
|
200 |
184 |
$369.00 |
| 85730 |
|
89 |
89 |
$356.54 |
| 0160 |
|
28 |
27 |
$350.82 |
| 82803 |
|
80 |
76 |
$334.73 |
| Z7610 |
|
289 |
102 |
$334.67 |
| 83615 |
|
40 |
39 |
$276.00 |
| 87338 |
|
28 |
28 |
$245.60 |
| 93306 |
|
27 |
27 |
$239.76 |
| 86787 |
|
12 |
12 |
$237.00 |
| 84480 |
|
12 |
12 |
$196.06 |
| 83655 |
|
12 |
12 |
$183.00 |
| 84134 |
|
12 |
12 |
$172.00 |
| 0320 |
|
17 |
15 |
$171.14 |
| 86593 |
|
29 |
29 |
$153.90 |
| 87081 |
|
261 |
253 |
$148.80 |
| J1815 |
Insulin injection |
702 |
261 |
$144.25 |
| 85378 |
|
39 |
38 |
$140.29 |
| 90715 |
|
28 |
28 |
$130.65 |
| J2765 |
Metoclopramide hcl injection |
140 |
128 |
$129.04 |
| 96366 |
|
104 |
100 |
$122.20 |
| J3475 |
Inj magnesium sulfate |
219 |
184 |
$112.77 |
| J3010 |
Fentanyl citrate injection |
180 |
172 |
$97.71 |
| 82140 |
|
14 |
12 |
$43.20 |
| J1650 |
Inj enoxaparin sodium |
222 |
118 |
$42.12 |
| J2274 |
Inj morphine pf epid ithc |
13 |
12 |
$38.66 |
| J1644 |
Inj heparin sodium per 1000u |
162 |
71 |
$33.82 |
| J2060 |
Lorazepam injection |
48 |
45 |
$28.86 |
| J0780 |
Prochlorperazine injection |
12 |
12 |
$24.39 |
| 90471 |
|
55 |
53 |
$22.30 |
| J0360 |
Hydralazine hcl injection |
51 |
39 |
$21.17 |
| J7512 |
Prednisone ir or dr oral 1mg |
135 |
101 |
$10.89 |
| J1940 |
Furosemide injection |
61 |
28 |
$2.20 |
| 85008 |
|
13 |
13 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
21 |
14 |
$0.00 |
| 80329 |
|
13 |
12 |
$0.00 |
| 80320 |
|
14 |
13 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
33 |
29 |
$0.00 |
| 76376 |
|
74 |
74 |
$0.00 |
| 96367 |
|
13 |
13 |
$0.00 |