| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
17,346 |
14,292 |
$964K |
| 80053 |
|
10,897 |
8,842 |
$528K |
| 80048 |
|
11,291 |
8,888 |
$494K |
| 94010 |
|
1,754 |
1,697 |
$414K |
| 36415 |
|
7,880 |
4,443 |
$374K |
| 96372 |
|
7,447 |
4,255 |
$346K |
| 81001 |
|
13,028 |
11,371 |
$315K |
| 99282 |
|
3,238 |
2,698 |
$312K |
| 99284 |
|
14,780 |
12,588 |
$292K |
| 96361 |
|
6,496 |
4,958 |
$226K |
| 96374 |
|
7,149 |
6,166 |
$189K |
| 99285 |
|
7,669 |
6,662 |
$178K |
| 70553 |
|
192 |
188 |
$173K |
| 0241U |
|
2,427 |
2,207 |
$155K |
| 81025 |
|
7,387 |
6,661 |
$147K |
| 84702 |
|
2,527 |
2,140 |
$122K |
| 86900 |
|
1,607 |
1,417 |
$113K |
| 96365 |
|
2,048 |
1,701 |
$103K |
| 87086 |
|
3,044 |
2,768 |
$81K |
| 70450 |
|
2,608 |
2,366 |
$73K |
| 96360 |
|
2,320 |
2,070 |
$72K |
| 87210 |
|
845 |
778 |
$67K |
| 70551 |
|
176 |
166 |
$60K |
| 71046 |
|
3,046 |
2,691 |
$52K |
| 99281 |
|
337 |
275 |
$52K |
| 71250 |
|
343 |
336 |
$50K |
| 76642 |
|
1,061 |
937 |
$48K |
| 74177 |
|
2,644 |
2,454 |
$43K |
| 85027 |
|
4,668 |
3,723 |
$43K |
| 80307 |
|
1,956 |
1,747 |
$42K |
| 87804 |
|
735 |
545 |
$39K |
| 86850 |
|
823 |
737 |
$38K |
| 77067 |
|
1,257 |
1,206 |
$36K |
| 76830 |
|
356 |
327 |
$35K |
| 82565 |
|
138 |
131 |
$33K |
| 85025 |
|
18,854 |
14,713 |
$31K |
| 86901 |
|
1,732 |
1,542 |
$30K |
| 71045 |
|
4,326 |
3,699 |
$27K |
| G0463 |
Hospital outpt clinic visit |
866 |
702 |
$26K |
| C9803 |
Hopd covid-19 spec collect |
344 |
304 |
$25K |
| 93005 |
|
9,793 |
7,941 |
$25K |
| A4649 |
Surgical supplies |
202 |
142 |
$23K |
| 87077 |
|
994 |
904 |
$21K |
| 77063 |
|
238 |
225 |
$20K |
| U0005 |
Infec agen detec ampli probe |
320 |
292 |
$20K |
| 77066 |
Tomosynthesis, mammo |
259 |
242 |
$19K |
| 74176 |
|
474 |
447 |
$19K |
| 76801 |
|
1,185 |
976 |
$15K |
| 71275 |
|
593 |
542 |
$15K |
| 73560 |
|
453 |
388 |
$14K |
| 88305 |
|
3,185 |
2,933 |
$12K |
| 96375 |
|
4,823 |
3,824 |
$11K |
| 87637 |
|
179 |
167 |
$10K |
| J7120 |
Ringers lactate infusion |
9,915 |
8,029 |
$10K |
| G0378 |
Hospital observation per hr |
3,236 |
2,079 |
$10K |
| 73721 |
|
14 |
14 |
$10K |
| 87491 |
|
994 |
919 |
$10K |
| 87081 |
|
79 |
68 |
$9K |
| 84112 |
|
42 |
38 |
$8K |
| 94060 |
|
28 |
27 |
$7K |
| J0330 |
Succinycholine chloride inj |
2,145 |
1,666 |
$7K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,095 |
3,778 |
$7K |
| 95810 |
|
15 |
15 |
$7K |
| J3490 |
Drugs unclassified injection |
6,237 |
3,373 |
$7K |
| J2550 |
Promethazine hcl injection |
801 |
618 |
$6K |
| 73630 |
|
104 |
89 |
$6K |
| J2405 |
Ondansetron hcl injection |
8,658 |
6,857 |
$6K |
| 76937 |
|
784 |
651 |
$6K |
| 81003 |
|
438 |
410 |
$6K |
| J2250 |
Inj midazolam hydrochloride |
4,369 |
3,781 |
$5K |
| 94761 |
|
249 |
243 |
$5K |
| 76856 |
|
414 |
382 |
$5K |
| 72148 |
|
14 |
14 |
$4K |
| J7030 |
Normal saline solution infus |
6,826 |
5,242 |
$4K |
| 84484 |
|
5,219 |
3,974 |
$3K |
| U0003 |
Cov-19 amp prb hgh thruput |
684 |
593 |
$3K |
| 76705 |
|
150 |
143 |
$3K |
| 72125 |
|
133 |
121 |
$3K |
| J1815 |
Insulin injection |
769 |
252 |
$3K |
| 73030 |
|
80 |
75 |
$3K |
| 73502 |
|
58 |
50 |
$3K |
| 77065 |
Tomosynthesis, mammo |
84 |
78 |
$2K |
| 85610 |
|
2,049 |
1,662 |
$2K |
| 94640 |
|
1,788 |
1,051 |
$2K |
| 93971 |
|
52 |
50 |
$2K |
| 96366 |
|
254 |
170 |
$2K |
| 76817 |
|
847 |
725 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
5,330 |
4,493 |
$2K |
| J2270 |
Morphine sulfate injection |
3,259 |
2,513 |
$2K |
| 76819 |
|
18 |
14 |
$1K |
| 76641 |
|
17 |
12 |
$1K |
| C1769 |
Guide wire |
182 |
164 |
$1K |
| 83735 |
|
6,462 |
4,811 |
$1K |
| 43239 |
|
996 |
965 |
$1K |
| 72100 |
|
95 |
91 |
$1K |
| 94664 |
|
63 |
17 |
$1K |
| 84703 |
|
159 |
135 |
$1K |
| 76770 |
|
15 |
12 |
$1K |
| 87651 |
|
139 |
122 |
$980.77 |
| 87635 |
|
15 |
13 |
$958.00 |
| J1100 |
Dexamethasone sodium phos |
3,099 |
2,520 |
$856.78 |
| J0696 |
Ceftriaxone sodium injection |
1,375 |
1,063 |
$849.57 |
| J0690 |
Cefazolin sodium injection |
2,538 |
1,994 |
$838.72 |
| 85379 |
|
451 |
422 |
$777.36 |
| A9585 |
Gadobutrol injection |
942 |
876 |
$669.80 |
| 84443 |
|
953 |
847 |
$667.58 |
| 80076 |
|
173 |
162 |
$602.59 |
| 82570 |
|
132 |
114 |
$430.15 |
| 99213 |
|
13 |
12 |
$360.51 |
| 87502 |
|
15 |
12 |
$353.74 |
| 73130 |
|
26 |
24 |
$335.34 |
| A9270 |
Non-covered item or service |
4,578 |
2,409 |
$292.50 |
| 82550 |
|
879 |
605 |
$212.54 |
| 85018 |
|
31 |
25 |
$199.68 |
| 82077 |
|
48 |
45 |
$117.61 |
| 80069 |
|
33 |
28 |
$66.68 |
| 88304 |
|
68 |
60 |
$61.69 |
| J2704 |
Inj, propofol, 10 mg |
543 |
440 |
$23.35 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
388 |
325 |
$10.68 |
| J7040 |
Normal saline solution infus |
1,290 |
1,001 |
$2.28 |
| J2060 |
Lorazepam injection |
110 |
70 |
$0.00 |
| J1170 |
Hydromorphone injection |
2,669 |
1,923 |
$0.00 |
| 82553 |
|
546 |
348 |
$0.00 |
| 83036 |
|
74 |
66 |
$0.00 |
| 96376 |
|
2,084 |
1,203 |
$0.00 |
| 83690 |
|
4,602 |
4,037 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
621 |
346 |
$0.00 |
| 87661 |
|
139 |
131 |
$0.00 |
| Q9969 |
Non-heu tc-99m add-on/dose |
30 |
29 |
$0.00 |
| 86140 |
|
72 |
69 |
$0.00 |
| 36410 |
|
259 |
227 |
$0.00 |
| 85730 |
|
1,607 |
1,349 |
$0.00 |
| 83880 |
|
1,189 |
1,024 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
275 |
259 |
$0.00 |
| 87591 |
|
1,003 |
928 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
4,393 |
3,711 |
$0.00 |
| 83605 |
|
1,148 |
993 |
$0.00 |
| 88342 |
|
277 |
249 |
$0.00 |
| J7050 |
Normal saline solution infus |
480 |
311 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
563 |
455 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
283 |
217 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
415 |
318 |
$0.00 |
| 88307 |
|
83 |
80 |
$0.00 |
| J1940 |
Furosemide injection |
52 |
37 |
$0.00 |
| 83615 |
|
85 |
80 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
19 |
13 |
$0.00 |
| 87389 |
|
111 |
110 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
29 |
25 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
117 |
116 |
$0.00 |
| 90471 |
|
40 |
40 |
$0.00 |
| 87040 |
|
84 |
63 |
$0.00 |
| 86803 |
|
64 |
62 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
17 |
14 |
$0.00 |
| J1598 |
Inj glycopyrrolate fres kabi |
50 |
44 |
$0.00 |
| 94729 |
|
147 |
144 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
523 |
444 |
$0.00 |
| 84550 |
|
134 |
113 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
1,278 |
388 |
$0.00 |
| 94726 |
|
98 |
97 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
1,098 |
948 |
$0.00 |
| 93976 |
|
967 |
840 |
$0.00 |
| 87186 |
|
696 |
639 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
190 |
122 |
$0.00 |
| 84145 |
|
128 |
111 |
$0.00 |
| 84156 |
|
132 |
114 |
$0.00 |
| G0279 |
Tomosynthesis, mammo |
135 |
132 |
$0.00 |
| G1004 |
Cdsm ndsc |
3,440 |
2,880 |
$0.00 |
| 84100 |
|
492 |
291 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
226 |
190 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
162 |
106 |
$0.00 |
| 99152 |
|
31 |
25 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
177 |
78 |
$0.00 |
| J2930 |
Methylprednisolone injection |
81 |
68 |
$0.00 |
| 97161 |
|
62 |
49 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 87880 |
|
69 |
57 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
55 |
47 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
15 |
14 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
34 |
24 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
78 |
57 |
$0.00 |
| J0780 |
Prochlorperazine injection |
26 |
24 |
$0.00 |
| 85014 |
|
21 |
12 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
32 |
24 |
$0.00 |
| J2274 |
Inj morphine pf epid ithc |
34 |
26 |
$0.00 |