| Code | Description | Claims | Beneficiaries | Total Paid |
| 8888888 |
|
77,913 |
39,100 |
$23.77M |
| 96361 |
|
16,201 |
13,441 |
$2.13M |
| 99283 |
|
34,176 |
30,539 |
$1.47M |
| 80053 |
|
37,604 |
30,942 |
$1.08M |
| 96360 |
|
4,651 |
4,173 |
$970K |
| 99284 |
|
39,597 |
33,197 |
$898K |
| G0480 |
Drug test def 1-7 classes |
8,136 |
6,999 |
$501K |
| 99282 |
|
8,753 |
8,102 |
$373K |
| U0002 |
Covid-19 lab test non-cdc |
4,046 |
3,769 |
$319K |
| 99281 |
|
3,026 |
2,803 |
$296K |
| 80048 |
|
8,773 |
6,640 |
$208K |
| 70450 |
|
5,843 |
5,097 |
$187K |
| 71046 |
|
4,980 |
4,335 |
$183K |
| 96372 |
|
7,994 |
6,354 |
$178K |
| 93306 |
|
1,093 |
929 |
$166K |
| 81001 |
|
23,140 |
19,704 |
$163K |
| G0463 |
Hospital outpt clinic visit |
5,556 |
4,185 |
$158K |
| 71045 |
|
11,553 |
9,817 |
$152K |
| 36415 |
|
8,518 |
5,837 |
$124K |
| 0241U |
|
1,502 |
1,423 |
$121K |
| 87081 |
|
2,593 |
2,418 |
$120K |
| 87400 |
|
3,334 |
2,885 |
$118K |
| 76805 |
|
1,199 |
1,139 |
$96K |
| 73130 |
|
1,353 |
1,173 |
$95K |
| 76830 |
|
1,349 |
1,243 |
$89K |
| 73610 |
|
1,492 |
1,321 |
$82K |
| 96374 |
|
22,498 |
18,593 |
$78K |
| 99285 |
|
7,321 |
6,234 |
$78K |
| 73630 |
|
1,634 |
1,426 |
$76K |
| J3490 |
Drugs unclassified injection |
243 |
216 |
$73K |
| 73030 |
|
1,166 |
968 |
$58K |
| 74177 |
|
5,573 |
4,905 |
$54K |
| 87086 |
|
3,928 |
3,416 |
$52K |
| 85027 |
|
47,120 |
36,933 |
$48K |
| 73110 |
|
883 |
777 |
$45K |
| 87635 |
|
1,595 |
1,471 |
$43K |
| 87070 |
|
1,008 |
865 |
$40K |
| 73564 |
|
749 |
624 |
$39K |
| 88305 |
|
1,981 |
1,519 |
$37K |
| 87210 |
|
1,004 |
911 |
$34K |
| 10060 |
|
497 |
456 |
$34K |
| 80307 |
|
7,601 |
6,671 |
$34K |
| 84703 |
|
11,406 |
9,991 |
$33K |
| 72100 |
|
758 |
651 |
$31K |
| 84702 |
|
1,774 |
1,485 |
$29K |
| 76801 |
|
1,314 |
1,149 |
$28K |
| 76705 |
|
1,416 |
1,287 |
$27K |
| 74176 |
|
1,674 |
1,497 |
$27K |
| 12001 |
|
393 |
369 |
$25K |
| 94640 |
|
1,783 |
1,387 |
$25K |
| 72148 |
|
260 |
241 |
$25K |
| 76856 |
|
1,584 |
1,471 |
$24K |
| 87490 |
|
1,614 |
1,512 |
$22K |
| 87880 |
|
2,807 |
2,616 |
$19K |
| 81025 |
|
2,658 |
2,451 |
$19K |
| 71275 |
|
2,400 |
2,109 |
$19K |
| 84112 |
|
118 |
105 |
$18K |
| 72125 |
|
1,983 |
1,764 |
$18K |
| 87426 |
|
1,781 |
1,618 |
$18K |
| 87077 |
|
865 |
768 |
$18K |
| 62323 |
|
54 |
49 |
$16K |
| 77067 |
|
355 |
329 |
$16K |
| 74018 |
|
350 |
301 |
$15K |
| 73080 |
|
306 |
270 |
$14K |
| 93005 |
|
15,588 |
12,254 |
$14K |
| 84484 |
|
11,982 |
8,547 |
$12K |
| 96376 |
|
4,231 |
3,011 |
$12K |
| 97110 |
|
1,802 |
745 |
$12K |
| 70486 |
|
405 |
382 |
$12K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,274 |
5,837 |
$11K |
| 96375 |
|
11,384 |
9,109 |
$11K |
| 93971 |
|
1,061 |
932 |
$11K |
| 86850 |
|
1,562 |
1,355 |
$9K |
| 71260 |
|
293 |
271 |
$9K |
| 12011 |
|
126 |
119 |
$9K |
| 72170 |
|
319 |
294 |
$9K |
| 73590 |
|
179 |
150 |
$8K |
| 73090 |
|
159 |
137 |
$8K |
| 87502 |
|
2,057 |
1,827 |
$8K |
| 83690 |
|
14,725 |
12,301 |
$8K |
| 73562 |
|
108 |
84 |
$7K |
| 76817 |
|
535 |
454 |
$7K |
| 72131 |
|
285 |
265 |
$7K |
| 78452 |
|
30 |
26 |
$6K |
| 73502 |
|
138 |
119 |
$6K |
| J2270 |
Morphine sulfate injection |
4,964 |
3,957 |
$6K |
| 87389 |
|
152 |
138 |
$6K |
| J7030 |
Normal saline solution infus |
14,114 |
12,058 |
$6K |
| 96365 |
|
1,550 |
1,375 |
$5K |
| 12002 |
|
119 |
115 |
$5K |
| G0378 |
Hospital observation per hr |
2,961 |
2,455 |
$5K |
| 87040 |
|
3,563 |
2,242 |
$5K |
| 87807 |
|
470 |
434 |
$5K |
| 93975 |
|
1,430 |
1,271 |
$4K |
| 83735 |
|
8,648 |
6,859 |
$4K |
| 82550 |
|
3,796 |
3,161 |
$4K |
| 82607 |
|
175 |
141 |
$4K |
| 83036 |
|
2,015 |
1,644 |
$3K |
| 70551 |
|
86 |
79 |
$3K |
| 83605 |
|
4,739 |
3,650 |
$3K |
| 80076 |
|
1,287 |
1,033 |
$3K |
| 85610 |
|
6,419 |
5,069 |
$3K |
| 83880 |
|
3,681 |
3,042 |
$3K |
| 77063 |
|
29 |
27 |
$3K |
| 85379 |
|
3,081 |
2,711 |
$3K |
| 87634 |
|
33 |
31 |
$2K |
| 73721 |
|
13 |
12 |
$2K |
| 86900 |
|
2,255 |
2,000 |
$2K |
| 72141 |
|
16 |
14 |
$2K |
| 73120 |
|
73 |
60 |
$2K |
| 87590 |
|
1,614 |
1,512 |
$2K |
| 70553 |
|
15 |
13 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
1,884 |
1,643 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
8,207 |
7,221 |
$2K |
| 84443 |
|
7,748 |
6,648 |
$2K |
| 87631 |
|
56 |
48 |
$2K |
| 88304 |
|
88 |
80 |
$2K |
| 87205 |
|
963 |
829 |
$1K |
| 80179 |
|
3,436 |
3,039 |
$1K |
| 85007 |
|
478 |
428 |
$1K |
| 73560 |
|
13 |
13 |
$1K |
| 85014 |
|
398 |
303 |
$1K |
| 82950 |
|
98 |
80 |
$1K |
| J7512 |
Prednisone ir or dr oral 1mg |
1,221 |
1,062 |
$1K |
| L1830 |
Ko immob canvas long pre ots |
27 |
25 |
$1K |
| 87177 |
|
38 |
34 |
$1K |
| J1100 |
Dexamethasone sodium phos |
2,847 |
2,569 |
$1K |
| 76700 |
|
13 |
13 |
$1K |
| 93017 |
|
62 |
53 |
$1K |
| 87186 |
|
2,296 |
1,983 |
$1K |
| 82274 |
|
61 |
51 |
$959.65 |
| 82553 |
|
284 |
216 |
$935.69 |
| J2405 |
Ondansetron hcl injection |
10,884 |
9,322 |
$899.53 |
| 86140 |
|
1,297 |
1,122 |
$894.53 |
| 80329 |
|
920 |
733 |
$876.46 |
| 87340 |
|
176 |
156 |
$844.48 |
| J7050 |
Normal saline solution infus |
497 |
373 |
$796.29 |
| 85651 |
|
1,044 |
878 |
$748.38 |
| J1630 |
Haloperidol injection |
646 |
563 |
$736.18 |
| 82728 |
|
50 |
44 |
$725.79 |
| 87088 |
|
127 |
117 |
$724.99 |
| 80143 |
|
3,448 |
3,042 |
$672.34 |
| 99152 |
|
1,112 |
814 |
$670.46 |
| J7120 |
Ringers lactate infusion |
3,573 |
2,916 |
$617.77 |
| C9113 |
Inj pantoprazole sodium, via |
115 |
100 |
$609.41 |
| J0696 |
Ceftriaxone sodium injection |
2,797 |
2,404 |
$580.08 |
| 80061 |
|
728 |
632 |
$564.07 |
| G1003 |
Cdsm medicalis |
136 |
105 |
$554.54 |
| 97530 |
|
1,177 |
631 |
$550.94 |
| 88307 |
|
59 |
49 |
$549.47 |
| 93970 |
|
25 |
24 |
$488.92 |
| 87147 |
|
68 |
59 |
$470.39 |
| 29125 |
|
29 |
26 |
$466.56 |
| S0119 |
Ondansetron 4 mg |
530 |
495 |
$466.23 |
| 70496 |
|
231 |
213 |
$421.26 |
| 80320 |
|
1,192 |
1,048 |
$415.30 |
| J1650 |
Inj enoxaparin sodium |
880 |
598 |
$405.59 |
| J1170 |
Hydromorphone injection |
3,706 |
2,748 |
$384.86 |
| 90715 |
|
804 |
768 |
$371.51 |
| 86762 |
|
121 |
107 |
$365.41 |
| 84439 |
|
148 |
131 |
$306.56 |
| 82043 |
|
26 |
25 |
$280.59 |
| 70498 |
|
296 |
272 |
$265.18 |
| 90471 |
|
968 |
878 |
$252.87 |
| 97163 |
|
732 |
616 |
$249.90 |
| 85730 |
|
3,790 |
3,075 |
$246.22 |
| 86780 |
|
157 |
142 |
$236.14 |
| 76770 |
|
13 |
12 |
$204.41 |
| 76642 |
|
13 |
12 |
$188.92 |
| 82306 |
|
47 |
41 |
$166.92 |
| 97112 |
|
320 |
129 |
$163.85 |
| 97032 |
|
50 |
27 |
$156.47 |
| C1769 |
Guide wire |
517 |
410 |
$155.62 |
| 84132 |
|
240 |
185 |
$135.35 |
| 82565 |
|
15 |
13 |
$112.00 |
| J2930 |
Methylprednisolone injection |
289 |
244 |
$89.30 |
| J2060 |
Lorazepam injection |
2,541 |
2,134 |
$73.55 |
| 86901 |
|
2,254 |
2,000 |
$73.36 |
| 97167 |
|
149 |
129 |
$71.98 |
| 80164 |
|
34 |
30 |
$69.88 |
| A9270 |
Non-covered item or service |
4,364 |
1,889 |
$69.15 |
| 97116 |
|
671 |
403 |
$57.06 |
| 86677 |
|
13 |
12 |
$27.86 |
| J3010 |
Fentanyl citrate injection |
2,968 |
2,581 |
$24.71 |
| J1644 |
Inj heparin sodium per 1000u |
828 |
488 |
$21.94 |
| J2704 |
Inj, propofol, 10 mg |
2,423 |
2,155 |
$19.33 |
| J0690 |
Cefazolin sodium injection |
1,516 |
1,251 |
$12.48 |
| J2550 |
Promethazine hcl injection |
1,162 |
977 |
$10.53 |
| J0780 |
Prochlorperazine injection |
473 |
443 |
$9.64 |
| J1790 |
Droperidol injection |
428 |
390 |
$5.88 |
| J2765 |
Metoclopramide hcl injection |
751 |
655 |
$5.71 |
| 82570 |
|
83 |
62 |
$4.63 |
| J2250 |
Inj midazolam hydrochloride |
2,047 |
1,820 |
$3.88 |
| J2710 |
Neostigmine methylslfte inj |
676 |
619 |
$1.44 |
| J2175 |
Meperidine hydrochl /100 mg |
19 |
15 |
$0.00 |
| 83550 |
|
39 |
35 |
$0.00 |
| G8980 |
Mobility d/c status |
16 |
12 |
$0.00 |
| 97535 |
|
283 |
202 |
$0.00 |
| 97162 |
|
81 |
74 |
$0.00 |
| 96366 |
|
264 |
234 |
$0.00 |
| 97140 |
|
561 |
219 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
33 |
29 |
$0.00 |
| J8540 |
Oral dexamethasone |
112 |
104 |
$0.00 |
| G0008 |
Admin influenza virus vac |
32 |
25 |
$0.00 |
| J3480 |
Inj potassium chloride |
109 |
90 |
$0.00 |
| J1815 |
Insulin injection |
528 |
291 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
28 |
27 |
$0.00 |
| 88342 |
|
12 |
12 |
$0.00 |
| J3360 |
Diazepam injection |
31 |
27 |
$0.00 |
| 85018 |
|
17 |
15 |
$0.00 |
| 64493 |
|
20 |
14 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
20 |
16 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
14 |
13 |
$0.00 |
| 87591 |
|
14 |
14 |
$0.00 |
| A9500 |
Tc99m sestamibi |
17 |
14 |
$0.00 |
| G8988 |
Self care goal status |
14 |
12 |
$0.00 |
| J1940 |
Furosemide injection |
16 |
12 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
15 |
12 |
$0.00 |
| 83615 |
|
12 |
12 |
$0.00 |
| 64494 |
|
30 |
14 |
$0.00 |
| G8987 |
Self care current status |
14 |
12 |
$0.00 |
| P9604 |
One-way allow prorated trip |
210 |
119 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
94 |
76 |
$0.00 |
| J7040 |
Normal saline solution infus |
637 |
594 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
151 |
136 |
$0.00 |
| 82248 |
|
16 |
12 |
$0.00 |
| 87209 |
|
37 |
33 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
28 |
28 |
$0.00 |
| G8978 |
Mobility current status |
36 |
26 |
$0.00 |
| 82010 |
|
28 |
26 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
197 |
194 |
$0.00 |
| A6203 |
Composite drsg <= 16 sq in |
26 |
24 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
26 |
25 |
$0.00 |
| G8979 |
Mobility goal status |
36 |
26 |
$0.00 |
| 93976 |
|
12 |
12 |
$0.00 |
| 83540 |
|
41 |
36 |
$0.00 |
| 87076 |
|
15 |
14 |
$0.00 |
| 64495 |
|
27 |
13 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
32 |
27 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
17 |
15 |
$0.00 |