| Code | Description | Claims | Beneficiaries | Total Paid |
| 8888888 |
|
70,594 |
29,716 |
$31.67M |
| 85025 |
|
38,211 |
30,362 |
$1.38M |
| 96374 |
|
15,212 |
12,304 |
$813K |
| 99283 |
|
17,946 |
15,731 |
$722K |
| 96372 |
|
4,855 |
3,961 |
$554K |
| 99284 |
|
21,659 |
18,558 |
$529K |
| 99285 |
|
13,092 |
11,110 |
$457K |
| 0241U |
|
3,589 |
3,279 |
$454K |
| 80050 |
|
4,602 |
4,197 |
$416K |
| 93306 |
|
1,335 |
1,248 |
$270K |
| 99282 |
|
4,725 |
4,186 |
$251K |
| 80307 |
|
6,402 |
5,109 |
$229K |
| J2405 |
Ondansetron hcl injection |
18,167 |
14,264 |
$186K |
| 76816 |
|
2,869 |
1,979 |
$178K |
| 76815 |
|
2,413 |
1,360 |
$177K |
| 11042 |
|
1,487 |
860 |
$175K |
| J2704 |
Inj, propofol, 10 mg |
10,741 |
9,072 |
$163K |
| G0463 |
Hospital outpt clinic visit |
9,003 |
6,628 |
$160K |
| 76811 |
|
1,144 |
999 |
$152K |
| 85027 |
|
5,667 |
4,869 |
$151K |
| 70450 |
|
4,111 |
3,664 |
$147K |
| 71046 |
|
3,888 |
3,499 |
$144K |
| 96375 |
|
10,965 |
8,993 |
$143K |
| 96365 |
|
3,951 |
3,031 |
$134K |
| 88305 |
|
3,849 |
3,507 |
$134K |
| 81025 |
|
3,239 |
2,958 |
$133K |
| J3010 |
Fentanyl citrate injection |
10,780 |
7,696 |
$132K |
| 70553 |
|
786 |
725 |
$129K |
| J1885 |
Ketorolac tromethamine inj |
10,812 |
9,115 |
$129K |
| 81001 |
|
16,566 |
14,174 |
$114K |
| 72148 |
|
1,081 |
987 |
$105K |
| 87633 |
|
975 |
904 |
$101K |
| J1170 |
Hydromorphone injection |
6,624 |
4,942 |
$93K |
| 76805 |
|
1,243 |
1,056 |
$90K |
| 80053 |
|
33,108 |
26,810 |
$87K |
| 76705 |
|
2,561 |
2,335 |
$79K |
| 73721 |
|
520 |
465 |
$78K |
| J2270 |
Morphine sulfate injection |
5,851 |
4,609 |
$78K |
| 76856 |
|
1,547 |
1,443 |
$76K |
| 74018 |
|
1,483 |
1,283 |
$74K |
| U0002 |
Covid-19 lab test non-cdc |
2,292 |
1,995 |
$73K |
| 71045 |
|
6,670 |
5,838 |
$71K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,635 |
5,066 |
$69K |
| 0202U |
|
476 |
443 |
$69K |
| 70551 |
|
1,153 |
1,046 |
$68K |
| J1100 |
Dexamethasone sodium phos |
8,590 |
7,428 |
$67K |
| 59025 |
|
3,148 |
1,178 |
$67K |
| 97110 |
|
2,407 |
1,283 |
$64K |
| 74176 |
|
1,756 |
1,575 |
$63K |
| 87086 |
|
5,691 |
5,045 |
$58K |
| 74177 |
|
5,342 |
4,770 |
$58K |
| 82947 |
|
1,385 |
1,230 |
$54K |
| 80048 |
|
7,664 |
6,146 |
$54K |
| 73610 |
|
816 |
742 |
$52K |
| 93005 |
|
11,314 |
9,589 |
$50K |
| 73630 |
|
1,060 |
952 |
$48K |
| J1200 |
Diphenhydramine hcl injectio |
2,489 |
2,078 |
$48K |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
183 |
165 |
$46K |
| 83036 |
|
4,995 |
4,542 |
$46K |
| 96361 |
|
7,668 |
6,565 |
$45K |
| 93325 |
|
596 |
558 |
$44K |
| 96376 |
|
3,460 |
2,919 |
$44K |
| 78431 |
|
103 |
90 |
$43K |
| 77067 |
|
911 |
856 |
$41K |
| J2250 |
Inj midazolam hydrochloride |
5,934 |
5,289 |
$41K |
| 97602 |
|
699 |
433 |
$40K |
| 73562 |
|
852 |
771 |
$40K |
| 84703 |
|
5,655 |
5,066 |
$38K |
| J2785 |
Regadenoson injection |
297 |
268 |
$38K |
| J0690 |
Cefazolin sodium injection |
5,704 |
4,509 |
$38K |
| 86901 |
|
2,676 |
2,336 |
$37K |
| 90686 |
|
1,722 |
1,583 |
$37K |
| J7120 |
Ringers lactate infusion |
1,949 |
1,633 |
$35K |
| 82247 |
|
5,370 |
2,734 |
$33K |
| 73130 |
|
600 |
541 |
$33K |
| 76801 |
|
1,164 |
1,004 |
$31K |
| 76817 |
|
883 |
683 |
$30K |
| 76770 |
|
503 |
452 |
$30K |
| J2060 |
Lorazepam injection |
2,116 |
1,676 |
$30K |
| 87081 |
|
979 |
907 |
$27K |
| 87070 |
|
1,349 |
1,181 |
$26K |
| 87880 |
|
1,198 |
1,109 |
$26K |
| J3490 |
Drugs unclassified injection |
622 |
570 |
$25K |
| 84702 |
|
4,699 |
4,040 |
$25K |
| 72125 |
|
1,271 |
1,116 |
$25K |
| C1769 |
Guide wire |
828 |
736 |
$24K |
| 99391 |
|
1,364 |
1,155 |
$24K |
| 84443 |
|
3,404 |
3,138 |
$24K |
| 81003 |
|
1,825 |
1,608 |
$24K |
| 72141 |
|
169 |
158 |
$22K |
| 97140 |
|
1,184 |
646 |
$22K |
| 86850 |
|
1,946 |
1,687 |
$21K |
| 93971 |
|
1,033 |
917 |
$21K |
| 84484 |
|
6,718 |
5,334 |
$20K |
| 76830 |
|
636 |
602 |
$20K |
| 73030 |
|
576 |
494 |
$19K |
| 0002A |
|
687 |
643 |
$19K |
| 76700 |
|
323 |
291 |
$19K |
| 0001A |
|
683 |
656 |
$18K |
| 85651 |
|
2,774 |
2,312 |
$18K |
| 87186 |
|
2,552 |
2,234 |
$18K |
| 96360 |
|
2,592 |
2,279 |
$18K |
| 73110 |
|
372 |
337 |
$18K |
| 95812 |
|
101 |
96 |
$18K |
| 87631 |
|
339 |
295 |
$18K |
| 97161 |
|
237 |
220 |
$17K |
| 77063 |
|
314 |
289 |
$17K |
| J1630 |
Haloperidol injection |
897 |
769 |
$16K |
| A9585 |
Gadobutrol injection |
1,748 |
1,577 |
$16K |
| 87502 |
|
408 |
362 |
$16K |
| J0696 |
Ceftriaxone sodium injection |
2,638 |
2,176 |
$15K |
| 82565 |
|
974 |
887 |
$15K |
| 90723 |
|
743 |
629 |
$15K |
| 95811 |
|
31 |
27 |
$15K |
| 80061 |
|
3,180 |
2,959 |
$13K |
| 72100 |
|
312 |
282 |
$13K |
| 83690 |
|
9,379 |
7,961 |
$13K |
| 89060 |
|
308 |
266 |
$13K |
| 96366 |
|
103 |
90 |
$12K |
| A9552 |
F18 fdg |
40 |
39 |
$12K |
| C1894 |
Intro/sheath, non-laser |
485 |
441 |
$11K |
| 73140 |
|
120 |
107 |
$11K |
| 84439 |
|
2,587 |
2,365 |
$11K |
| J2550 |
Promethazine hcl injection |
2,503 |
2,012 |
$11K |
| 90715 |
|
852 |
779 |
$10K |
| 88312 |
|
580 |
511 |
$10K |
| 82306 |
|
1,802 |
1,689 |
$10K |
| 76642 |
|
456 |
373 |
$10K |
| 86900 |
|
1,739 |
1,461 |
$10K |
| 93017 |
|
520 |
468 |
$10K |
| 90648 |
|
1,063 |
912 |
$9K |
| 83605 |
|
6,229 |
5,128 |
$9K |
| 88304 |
|
1,067 |
987 |
$9K |
| 85610 |
|
4,627 |
3,795 |
$9K |
| 76820 |
|
104 |
37 |
$8K |
| 90471 |
|
4,367 |
3,906 |
$7K |
| 94010 |
|
106 |
101 |
$7K |
| 86140 |
|
4,723 |
3,951 |
$7K |
| 71275 |
|
1,644 |
1,485 |
$7K |
| 94640 |
|
1,727 |
1,355 |
$7K |
| 73590 |
|
169 |
151 |
$7K |
| 70486 |
|
194 |
171 |
$7K |
| 99392 |
|
602 |
578 |
$7K |
| G0480 |
Drug test def 1-7 classes |
2,824 |
2,440 |
$6K |
| 73090 |
|
186 |
162 |
$6K |
| 85730 |
|
1,458 |
1,271 |
$6K |
| 82805 |
|
519 |
418 |
$6K |
| 69436 |
|
145 |
142 |
$6K |
| 87591 |
|
492 |
460 |
$6K |
| J2175 |
Meperidine hydrochl /100 mg |
438 |
398 |
$6K |
| 43235 |
|
98 |
88 |
$6K |
| 88307 |
|
200 |
177 |
$5K |
| 87491 |
|
495 |
463 |
$5K |
| 72170 |
|
97 |
84 |
$5K |
| G0439 |
Ppps, subseq visit |
197 |
182 |
$5K |
| 73080 |
|
90 |
78 |
$5K |
| 85379 |
|
3,161 |
2,791 |
$5K |
| 94729 |
|
147 |
138 |
$4K |
| 12001 |
|
193 |
174 |
$4K |
| 87040 |
|
3,059 |
2,293 |
$4K |
| 93321 |
|
243 |
224 |
$4K |
| 42820 |
|
91 |
90 |
$4K |
| 87077 |
|
934 |
798 |
$4K |
| 95806 |
|
59 |
50 |
$4K |
| 87804 |
|
92 |
89 |
$3K |
| 84100 |
|
1,474 |
1,104 |
$3K |
| 88342 |
|
142 |
128 |
$3K |
| 97162 |
|
30 |
28 |
$3K |
| 87075 |
|
380 |
342 |
$3K |
| 83735 |
|
2,677 |
2,071 |
$3K |
| J0780 |
Prochlorperazine injection |
391 |
339 |
$3K |
| 97112 |
|
54 |
40 |
$3K |
| 82728 |
|
1,098 |
995 |
$3K |
| 87088 |
|
2,030 |
1,798 |
$3K |
| 83880 |
|
1,573 |
1,342 |
$3K |
| 82550 |
|
567 |
469 |
$2K |
| 84132 |
|
1,130 |
974 |
$2K |
| 82731 |
|
67 |
63 |
$2K |
| 96413 |
|
503 |
388 |
$2K |
| 76870 |
|
43 |
38 |
$2K |
| 71260 |
|
916 |
834 |
$2K |
| A9555 |
Rb82 rubidium |
116 |
104 |
$2K |
| 0482T |
|
14 |
14 |
$2K |
| 76536 |
|
32 |
30 |
$2K |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$2K |
| 73502 |
|
89 |
82 |
$2K |
| 90633 |
|
49 |
44 |
$2K |
| 97530 |
|
111 |
81 |
$2K |
| 12011 |
|
132 |
122 |
$2K |
| 85007 |
|
1,543 |
1,300 |
$2K |
| 90670 |
|
1,067 |
908 |
$2K |
| 83516 |
|
151 |
141 |
$2K |
| J1790 |
Droperidol injection |
161 |
146 |
$2K |
| 43239 |
|
390 |
364 |
$2K |
| 82570 |
|
1,258 |
1,019 |
$2K |
| 80069 |
|
159 |
137 |
$1K |
| 82248 |
|
434 |
283 |
$1K |
| 84481 |
|
51 |
50 |
$1K |
| 84156 |
|
862 |
659 |
$1K |
| 84466 |
|
425 |
393 |
$1K |
| J2790 |
Rho d immune globulin inj |
37 |
36 |
$1K |
| 72040 |
|
25 |
24 |
$1K |
| 0031A |
|
62 |
59 |
$1K |
| 91300 |
|
85 |
72 |
$1K |
| U0005 |
Infec agen detec ampli probe |
49 |
42 |
$991.32 |
| 86003 |
|
48 |
25 |
$946.33 |
| 90472 |
|
1,867 |
1,635 |
$933.49 |
| 87389 |
|
26 |
25 |
$850.06 |
| J0330 |
Succinycholine chloride inj |
73 |
68 |
$844.90 |
| J1815 |
Insulin injection |
457 |
274 |
$815.63 |
| 90474 |
|
529 |
441 |
$627.49 |
| 29125 |
|
24 |
24 |
$625.54 |
| J1644 |
Inj heparin sodium per 1000u |
1,634 |
912 |
$623.47 |
| J2765 |
Metoclopramide hcl injection |
591 |
524 |
$582.67 |
| 0450 |
|
13 |
12 |
$545.60 |
| 80164 |
|
303 |
274 |
$533.84 |
| 86769 |
|
12 |
12 |
$509.67 |
| 73560 |
|
16 |
12 |
$481.67 |
| 93226 |
|
27 |
27 |
$471.91 |
| 10060 |
|
15 |
13 |
$467.21 |
| J3475 |
Inj magnesium sulfate |
23 |
18 |
$424.67 |
| 82607 |
|
355 |
334 |
$413.72 |
| 47563 |
|
45 |
39 |
$413.01 |
| 90680 |
|
572 |
475 |
$393.08 |
| 87426 |
|
65 |
62 |
$372.67 |
| 71250 |
|
13 |
12 |
$371.70 |
| 70491 |
|
12 |
12 |
$330.14 |
| J2930 |
Methylprednisolone injection |
279 |
224 |
$304.12 |
| 0064A |
|
21 |
20 |
$260.35 |
| 88302 |
|
35 |
32 |
$254.65 |
| 85018 |
|
53 |
42 |
$227.95 |
| 84146 |
|
28 |
27 |
$226.88 |
| 82950 |
|
101 |
98 |
$221.45 |
| G8978 |
Mobility current status |
73 |
69 |
$205.30 |
| 82784 |
|
107 |
87 |
$199.48 |
| 70496 |
|
158 |
147 |
$191.53 |
| 70498 |
|
149 |
134 |
$190.93 |
| G8979 |
Mobility goal status |
74 |
70 |
$184.82 |
| 83540 |
|
554 |
520 |
$180.69 |
| 83615 |
|
462 |
398 |
$163.86 |
| 80197 |
|
172 |
130 |
$152.00 |
| 90694 |
|
15 |
14 |
$144.62 |
| 82140 |
|
132 |
113 |
$123.54 |
| G0378 |
Hospital observation per hr |
325 |
288 |
$120.94 |
| J0702 |
Betamethasone acet&sod phosp |
23 |
14 |
$109.32 |
| 72131 |
|
12 |
12 |
$109.32 |
| 83970 |
|
54 |
50 |
$87.90 |
| 87449 |
|
40 |
38 |
$86.76 |
| 74300 |
|
59 |
51 |
$54.71 |
| 80178 |
|
42 |
37 |
$49.83 |
| 88300 |
|
12 |
12 |
$45.00 |
| 86038 |
|
26 |
25 |
$39.41 |
| 36415 |
|
16 |
16 |
$37.56 |
| 87046 |
|
24 |
24 |
$35.24 |
| 84478 |
|
70 |
63 |
$26.48 |
| 84145 |
|
94 |
86 |
$25.91 |
| 87102 |
|
14 |
12 |
$21.83 |
| 80175 |
|
15 |
13 |
$17.68 |
| J0694 |
Cefoxitin sodium injection |
13 |
12 |
$8.97 |
| 87340 |
|
33 |
29 |
$7.30 |
| C1887 |
Catheter, guiding |
14 |
13 |
$0.00 |
| 87045 |
|
12 |
12 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
85 |
67 |
$0.00 |
| 93304 |
|
15 |
14 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
58 |
51 |
$0.00 |
| 99393 |
|
25 |
25 |
$0.00 |
| 78815 |
|
38 |
37 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
40 |
29 |
$0.00 |
| 96367 |
|
42 |
27 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
286 |
266 |
$0.00 |
| 82010 |
|
15 |
12 |
$0.00 |
| 78434 |
|
78 |
66 |
$0.00 |
| 76376 |
|
51 |
44 |
$0.00 |
| T1015 |
Clinic service |
34 |
17 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
12 |
12 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
42 |
41 |
$0.00 |
| 77336 |
|
58 |
25 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
29 |
26 |
$0.00 |
| 96415 |
|
103 |
93 |
$0.00 |
| G0008 |
Admin influenza virus vac |
117 |
99 |
$0.00 |
| J1940 |
Furosemide injection |
46 |
13 |
$0.00 |
| 77280 |
|
14 |
12 |
$0.00 |
| 78492 |
|
14 |
14 |
$0.00 |
| 74420 |
|
28 |
25 |
$0.00 |
| 36430 |
|
22 |
12 |
$0.00 |
| 99291 |
|
35 |
35 |
$0.00 |
| 78499 |
|
14 |
14 |
$0.00 |
| 97165 |
|
13 |
13 |
$0.00 |
| 88341 |
|
13 |
12 |
$0.00 |