| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96361 |
|
12,160 |
9,438 |
$3.28M |
| 99283 |
|
28,281 |
25,731 |
$3.07M |
| 99284 |
|
24,946 |
21,478 |
$2.93M |
| 99285 |
|
9,838 |
8,433 |
$1.26M |
| 97110 |
|
13,180 |
3,562 |
$880K |
| 74177 |
|
3,776 |
2,971 |
$830K |
| 70450 |
|
2,534 |
2,053 |
$599K |
| 99282 |
|
5,317 |
4,685 |
$489K |
| 0241U |
|
4,167 |
3,355 |
$443K |
| 43239 |
|
1,306 |
1,134 |
$361K |
| G0378 |
Hospital observation per hr |
4,807 |
1,685 |
$315K |
| 71260 |
|
1,561 |
1,204 |
$279K |
| G0463 |
Hospital outpt clinic visit |
2,762 |
1,810 |
$270K |
| 74176 |
|
1,097 |
823 |
$252K |
| 11042 |
|
2,833 |
1,302 |
$237K |
| 94640 |
|
2,997 |
1,419 |
$234K |
| 80053 |
|
22,977 |
19,351 |
$226K |
| 96360 |
|
954 |
738 |
$149K |
| 78452 |
|
336 |
270 |
$134K |
| 96365 |
|
1,717 |
1,331 |
$131K |
| 90791 |
|
637 |
502 |
$127K |
| 96366 |
|
801 |
429 |
$126K |
| 45380 |
|
353 |
307 |
$118K |
| 93306 |
|
429 |
359 |
$93K |
| 45385 |
|
179 |
124 |
$88K |
| 70496 |
|
368 |
273 |
$85K |
| 97140 |
|
4,267 |
1,366 |
$85K |
| 97530 |
|
2,811 |
1,284 |
$65K |
| 70553 |
|
255 |
204 |
$63K |
| 43249 |
|
228 |
180 |
$60K |
| 84484 |
|
11,791 |
7,208 |
$57K |
| 71046 |
|
2,997 |
2,638 |
$50K |
| 76705 |
|
689 |
538 |
$47K |
| 97162 |
|
1,315 |
1,123 |
$39K |
| 77063 |
|
755 |
635 |
$38K |
| 97112 |
|
1,423 |
458 |
$35K |
| 80048 |
|
9,009 |
6,207 |
$34K |
| 93017 |
|
409 |
327 |
$33K |
| 72131 |
|
492 |
407 |
$31K |
| 80307 |
|
2,073 |
1,690 |
$31K |
| U0003 |
Cov-19 amp prb hgh thruput |
162 |
159 |
$31K |
| 93970 |
|
257 |
204 |
$30K |
| 93971 |
|
501 |
397 |
$30K |
| C8929 |
Tte w or wo fol wcon,doppler |
135 |
115 |
$26K |
| 93005 |
|
14,471 |
11,617 |
$23K |
| 74018 |
|
513 |
424 |
$22K |
| 97014 |
|
603 |
223 |
$22K |
| 72125 |
|
1,043 |
835 |
$20K |
| 80320 |
|
1,715 |
1,271 |
$18K |
| 76642 |
|
154 |
117 |
$18K |
| 83605 |
|
2,408 |
1,738 |
$18K |
| 78815 |
|
32 |
28 |
$17K |
| 71250 |
|
268 |
243 |
$17K |
| 97161 |
|
417 |
358 |
$15K |
| 70486 |
|
291 |
228 |
$15K |
| 76830 |
|
273 |
208 |
$15K |
| 97012 |
|
317 |
96 |
$13K |
| 73130 |
|
757 |
579 |
$12K |
| 85025 |
|
33,415 |
27,167 |
$11K |
| 0001A |
|
351 |
326 |
$11K |
| 0002A |
|
299 |
294 |
$10K |
| 87040 |
|
1,555 |
753 |
$10K |
| 71045 |
|
8,744 |
7,322 |
$10K |
| 36415 |
|
33,527 |
28,443 |
$9K |
| 77067 |
|
759 |
644 |
$9K |
| 97166 |
|
249 |
208 |
$9K |
| 73630 |
|
827 |
683 |
$8K |
| 86850 |
|
471 |
355 |
$7K |
| 73030 |
|
559 |
433 |
$7K |
| 95810 |
|
14 |
13 |
$7K |
| 72148 |
|
47 |
40 |
$7K |
| 70551 |
|
48 |
39 |
$7K |
| 73110 |
|
422 |
339 |
$7K |
| 86900 |
|
598 |
438 |
$6K |
| 96372 |
|
6,195 |
4,286 |
$6K |
| 70491 |
|
19 |
12 |
$6K |
| 83880 |
|
1,405 |
1,211 |
$6K |
| 12001 |
|
33 |
32 |
$5K |
| 73560 |
|
591 |
444 |
$5K |
| J3490 |
Drugs unclassified injection |
3,555 |
2,144 |
$5K |
| 87086 |
|
4,390 |
3,854 |
$5K |
| 80061 |
|
521 |
470 |
$5K |
| 72100 |
|
92 |
80 |
$5K |
| 73610 |
|
627 |
509 |
$5K |
| 72128 |
|
176 |
143 |
$5K |
| 81003 |
|
15,259 |
13,737 |
$4K |
| 97116 |
|
278 |
118 |
$4K |
| 70498 |
|
355 |
271 |
$4K |
| 87591 |
|
375 |
312 |
$4K |
| 96376 |
|
2,639 |
1,215 |
$4K |
| 87491 |
|
373 |
310 |
$4K |
| 85027 |
|
1,499 |
850 |
$4K |
| 90715 |
|
288 |
217 |
$4K |
| 82565 |
|
431 |
368 |
$3K |
| 87070 |
|
3,123 |
2,874 |
$3K |
| 73721 |
|
16 |
13 |
$3K |
| 76536 |
|
26 |
24 |
$3K |
| J0500 |
Dicyclomine injection |
95 |
84 |
$3K |
| 82248 |
|
12,678 |
10,465 |
$3K |
| 81001 |
|
4,883 |
3,914 |
$2K |
| 73590 |
|
164 |
117 |
$2K |
| 97535 |
|
137 |
96 |
$2K |
| 96374 |
|
14,517 |
11,981 |
$2K |
| 87510 |
|
86 |
83 |
$2K |
| 76815 |
|
49 |
40 |
$2K |
| 87661 |
|
138 |
124 |
$2K |
| 81025 |
|
7,742 |
6,538 |
$2K |
| 96367 |
|
106 |
66 |
$2K |
| G0279 |
Tomosynthesis, mammo |
62 |
54 |
$2K |
| 73502 |
|
127 |
112 |
$2K |
| 96375 |
|
12,734 |
9,825 |
$2K |
| 84443 |
|
725 |
600 |
$2K |
| 87480 |
|
86 |
83 |
$2K |
| 85379 |
|
1,248 |
974 |
$2K |
| 88341 |
|
39 |
26 |
$2K |
| 74178 |
|
22 |
16 |
$2K |
| 87660 |
|
99 |
95 |
$1K |
| 85610 |
|
3,160 |
2,520 |
$1K |
| 95819 |
|
13 |
12 |
$1K |
| 83735 |
|
2,069 |
1,449 |
$1K |
| 83036 |
|
387 |
308 |
$1K |
| 73562 |
|
45 |
40 |
$1K |
| 83690 |
|
10,935 |
9,116 |
$1K |
| 97163 |
|
15 |
15 |
$827.00 |
| J2270 |
Morphine sulfate injection |
3,306 |
2,417 |
$797.62 |
| 87088 |
|
2,609 |
2,208 |
$797.30 |
| 87804 |
|
5,397 |
2,722 |
$742.08 |
| 87430 |
|
3,194 |
2,896 |
$695.88 |
| J1170 |
Hydromorphone injection |
1,831 |
938 |
$614.18 |
| 82803 |
|
1,145 |
853 |
$604.67 |
| J1650 |
Inj enoxaparin sodium |
1,363 |
607 |
$566.83 |
| 83655 |
|
12 |
12 |
$484.68 |
| J1815 |
Insulin injection |
497 |
158 |
$435.62 |
| J7030 |
Normal saline solution infus |
5,898 |
3,686 |
$427.25 |
| 85730 |
|
2,113 |
1,767 |
$410.79 |
| 90471 |
|
326 |
245 |
$379.08 |
| 88142 |
|
27 |
27 |
$377.16 |
| 00731 |
|
666 |
561 |
$371.70 |
| 77066 |
Tomosynthesis, mammo |
15 |
13 |
$357.05 |
| 73090 |
|
58 |
49 |
$321.07 |
| 84439 |
|
252 |
194 |
$291.60 |
| 86901 |
|
598 |
438 |
$280.73 |
| J2785 |
Regadenoson injection |
180 |
141 |
$274.03 |
| 88305 |
|
2,762 |
2,107 |
$268.11 |
| U0002 |
Covid-19 lab test non-cdc |
527 |
481 |
$252.63 |
| J7120 |
Ringers lactate infusion |
2,777 |
2,035 |
$237.29 |
| 86140 |
|
181 |
118 |
$205.35 |
| 87077 |
|
698 |
502 |
$197.59 |
| 84100 |
|
286 |
174 |
$185.11 |
| 80329 |
|
14 |
13 |
$163.11 |
| 88342 |
|
1,252 |
989 |
$137.61 |
| 87186 |
|
649 |
470 |
$136.16 |
| 82550 |
|
382 |
249 |
$119.93 |
| J1885 |
Ketorolac tromethamine inj |
6,251 |
4,825 |
$118.62 |
| J0696 |
Ceftriaxone sodium injection |
931 |
621 |
$96.19 |
| J2550 |
Promethazine hcl injection |
1,298 |
863 |
$88.23 |
| 84702 |
|
379 |
255 |
$78.17 |
| 87147 |
|
64 |
52 |
$72.42 |
| J2405 |
Ondansetron hcl injection |
8,861 |
6,658 |
$65.98 |
| J2919 |
Inj, methylpred sod succ 5mg |
109 |
76 |
$64.56 |
| 74022 |
|
71 |
62 |
$58.42 |
| J2704 |
Inj, propofol, 10 mg |
4,634 |
3,747 |
$54.10 |
| J7040 |
Normal saline solution infus |
1,163 |
875 |
$45.37 |
| J8540 |
Oral dexamethasone |
18 |
18 |
$44.40 |
| J3010 |
Fentanyl citrate injection |
4,203 |
2,910 |
$43.76 |
| J2060 |
Lorazepam injection |
444 |
288 |
$43.09 |
| J3535 |
Metered dose inhaler drug |
89 |
53 |
$41.18 |
| J0690 |
Cefazolin sodium injection |
678 |
485 |
$38.62 |
| 80143 |
|
358 |
257 |
$36.07 |
| J1790 |
Droperidol injection |
563 |
401 |
$29.47 |
| J0780 |
Prochlorperazine injection |
548 |
381 |
$26.73 |
| J1200 |
Diphenhydramine hcl injectio |
1,359 |
912 |
$24.52 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
425 |
362 |
$21.48 |
| 84703 |
|
44 |
27 |
$19.45 |
| J1100 |
Dexamethasone sodium phos |
2,418 |
1,917 |
$18.17 |
| 80179 |
|
335 |
241 |
$18.03 |
| J3475 |
Inj magnesium sulfate |
175 |
111 |
$16.24 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
475 |
309 |
$15.15 |
| J2930 |
Methylprednisolone injection |
195 |
146 |
$12.15 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
55 |
43 |
$11.73 |
| J1644 |
Inj heparin sodium per 1000u |
147 |
58 |
$10.73 |
| 76376 |
|
16 |
16 |
$10.65 |
| J1642 |
Inj heparin sodium per 10 u |
35 |
24 |
$9.87 |
| J2360 |
Orphenadrine injection |
73 |
45 |
$8.72 |
| 85652 |
|
190 |
131 |
$7.93 |
| 91300 |
|
603 |
526 |
$5.21 |
| J2765 |
Metoclopramide hcl injection |
208 |
174 |
$4.41 |
| J7512 |
Prednisone ir or dr oral 1mg |
147 |
112 |
$4.39 |
| J3480 |
Inj potassium chloride |
39 |
15 |
$3.04 |
| J2250 |
Inj midazolam hydrochloride |
2,058 |
1,620 |
$2.87 |
| J8499 |
Oral prescrip drug non chemo |
23 |
12 |
$1.24 |
| J7050 |
Normal saline solution infus |
451 |
263 |
$0.35 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,269 |
3,960 |
$0.00 |
| Q9956 |
Inj octafluoropropane mic,ml |
117 |
105 |
$0.00 |
| 93356 |
|
434 |
366 |
$0.00 |
| A9552 |
F18 fdg |
49 |
40 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
48 |
16 |
$0.00 |
| 00811 |
|
126 |
101 |
$0.00 |
| 82010 |
|
20 |
13 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
108 |
93 |
$0.00 |
| A4649 |
Surgical supplies |
43 |
39 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
39 |
25 |
$0.00 |
| 82805 |
|
28 |
27 |
$0.00 |
| 00813 |
|
325 |
241 |
$0.00 |
| Q9969 |
Non-heu tc-99m add-on/dose |
576 |
471 |
$0.00 |
| 82150 |
|
389 |
357 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
175 |
146 |
$0.00 |
| 94760 |
|
409 |
121 |
$0.00 |
| 72170 |
|
36 |
27 |
$0.00 |
| J3360 |
Diazepam injection |
80 |
41 |
$0.00 |
| 88304 |
|
134 |
83 |
$0.00 |
| G0283 |
Elec stim other than wound |
156 |
45 |
$0.00 |
| 82270 |
|
19 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
33 |
31 |
$0.00 |
| 76817 |
|
21 |
12 |
$0.00 |