| Code | Description | Claims | Beneficiaries | Total Paid |
| 8888888 |
|
77,548 |
40,006 |
$36.06M |
| 85025 |
|
55,828 |
45,692 |
$2.06M |
| 96374 |
|
23,838 |
19,708 |
$1.40M |
| 99283 |
|
26,605 |
23,897 |
$1.16M |
| 99284 |
|
33,571 |
29,454 |
$891K |
| 96372 |
|
6,970 |
5,500 |
$765K |
| 99285 |
|
18,271 |
15,657 |
$712K |
| 0241U |
|
4,999 |
4,622 |
$577K |
| 93306 |
|
2,688 |
2,462 |
$495K |
| 95811 |
|
598 |
556 |
$338K |
| 78431 |
|
440 |
401 |
$306K |
| 80050 |
|
3,751 |
3,452 |
$295K |
| 80307 |
|
9,946 |
8,062 |
$293K |
| 99282 |
|
5,342 |
4,988 |
$267K |
| 96375 |
|
16,905 |
13,654 |
$253K |
| 88305 |
|
6,389 |
5,660 |
$238K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,725 |
6,975 |
$227K |
| 72148 |
|
1,787 |
1,659 |
$221K |
| G0463 |
Hospital outpt clinic visit |
10,867 |
7,723 |
$212K |
| 71046 |
|
9,458 |
8,457 |
$208K |
| J1885 |
Ketorolac tromethamine inj |
14,493 |
12,299 |
$198K |
| 96365 |
|
6,308 |
4,553 |
$176K |
| 80053 |
|
48,881 |
40,150 |
$165K |
| 70450 |
|
5,516 |
4,901 |
$146K |
| 85027 |
|
5,103 |
4,375 |
$138K |
| 97110 |
|
5,294 |
2,195 |
$136K |
| 85610 |
|
10,104 |
7,464 |
$135K |
| 76816 |
|
2,240 |
1,638 |
$133K |
| 70553 |
|
794 |
734 |
$133K |
| 81001 |
|
23,535 |
20,547 |
$125K |
| J2704 |
Inj, propofol, 10 mg |
10,197 |
8,631 |
$121K |
| J3010 |
Fentanyl citrate injection |
9,678 |
6,946 |
$119K |
| 76805 |
|
1,498 |
1,267 |
$117K |
| 73721 |
|
764 |
693 |
$115K |
| J2405 |
Ondansetron hcl injection |
16,558 |
13,009 |
$107K |
| 96361 |
|
12,527 |
10,796 |
$105K |
| U0002 |
Covid-19 lab test non-cdc |
3,049 |
2,784 |
$101K |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
732 |
658 |
$100K |
| 71045 |
|
8,574 |
7,652 |
$96K |
| 77067 |
|
1,587 |
1,541 |
$96K |
| 72141 |
|
682 |
642 |
$89K |
| 76856 |
|
2,113 |
1,970 |
$79K |
| 86901 |
|
2,727 |
2,433 |
$78K |
| 87070 |
|
2,411 |
2,173 |
$76K |
| 87633 |
|
1,107 |
1,013 |
$75K |
| 76811 |
|
541 |
467 |
$73K |
| J2785 |
Regadenoson injection |
552 |
500 |
$73K |
| 76705 |
|
3,228 |
3,003 |
$72K |
| 70551 |
|
1,117 |
1,038 |
$72K |
| 59025 |
|
1,352 |
501 |
$71K |
| 87186 |
|
4,111 |
3,656 |
$68K |
| 74177 |
|
7,076 |
6,438 |
$68K |
| 73562 |
|
1,830 |
1,674 |
$67K |
| 73630 |
|
1,794 |
1,670 |
$64K |
| 74018 |
|
1,666 |
1,486 |
$64K |
| 87086 |
|
8,811 |
7,888 |
$63K |
| 78452 |
|
180 |
150 |
$61K |
| 93005 |
|
16,234 |
13,922 |
$60K |
| 0202U |
|
548 |
526 |
$59K |
| 84702 |
|
8,732 |
7,605 |
$59K |
| 73130 |
|
1,305 |
1,214 |
$59K |
| 72100 |
|
1,045 |
955 |
$59K |
| 87389 |
|
644 |
603 |
$58K |
| 76815 |
|
745 |
436 |
$57K |
| 77066 |
Tomosynthesis, mammo |
552 |
508 |
$57K |
| 11042 |
|
629 |
387 |
$56K |
| J2250 |
Inj midazolam hydrochloride |
5,170 |
4,544 |
$56K |
| 80048 |
|
9,825 |
8,207 |
$56K |
| 76830 |
|
1,709 |
1,588 |
$55K |
| J1170 |
Hydromorphone injection |
6,019 |
4,754 |
$55K |
| 73030 |
|
1,403 |
1,237 |
$54K |
| J7120 |
Ringers lactate infusion |
3,046 |
2,588 |
$54K |
| 73610 |
|
1,528 |
1,421 |
$53K |
| 83880 |
|
5,971 |
4,910 |
$52K |
| J0696 |
Ceftriaxone sodium injection |
5,148 |
4,226 |
$52K |
| 82565 |
|
1,814 |
1,706 |
$52K |
| 96366 |
|
1,508 |
1,009 |
$52K |
| 96376 |
|
3,285 |
2,853 |
$49K |
| 95810 |
|
84 |
78 |
$47K |
| 74176 |
|
2,294 |
2,089 |
$44K |
| 82330 |
|
2,215 |
1,958 |
$44K |
| 73110 |
|
991 |
902 |
$43K |
| J1100 |
Dexamethasone sodium phos |
5,862 |
4,470 |
$39K |
| J2060 |
Lorazepam injection |
4,106 |
3,349 |
$39K |
| 84443 |
|
3,783 |
3,561 |
$39K |
| 87081 |
|
2,256 |
2,157 |
$38K |
| 76700 |
|
468 |
437 |
$37K |
| C1769 |
Guide wire |
1,436 |
1,197 |
$37K |
| J2270 |
Morphine sulfate injection |
4,163 |
3,392 |
$37K |
| 93971 |
|
1,672 |
1,510 |
$36K |
| 94729 |
|
364 |
346 |
$35K |
| J0690 |
Cefazolin sodium injection |
3,133 |
2,510 |
$35K |
| 72125 |
|
1,711 |
1,550 |
$35K |
| 93017 |
|
1,035 |
918 |
$34K |
| J1200 |
Diphenhydramine hcl injectio |
3,898 |
3,108 |
$34K |
| C1894 |
Intro/sheath, non-laser |
1,176 |
994 |
$33K |
| 84703 |
|
3,442 |
3,113 |
$33K |
| 95806 |
|
437 |
405 |
$32K |
| 88304 |
|
1,235 |
1,101 |
$32K |
| J1644 |
Inj heparin sodium per 1000u |
1,745 |
1,047 |
$32K |
| 73221 |
|
223 |
199 |
$30K |
| 96360 |
|
3,464 |
3,007 |
$30K |
| 81025 |
|
673 |
621 |
$29K |
| 94060 |
|
448 |
424 |
$29K |
| U0005 |
Infec agen detec ampli probe |
494 |
470 |
$28K |
| 97597 |
|
553 |
395 |
$28K |
| 84484 |
|
10,462 |
8,332 |
$27K |
| 94762 |
|
290 |
278 |
$26K |
| A9585 |
Gadobutrol injection |
2,090 |
1,888 |
$25K |
| 73090 |
|
408 |
385 |
$25K |
| 76770 |
|
750 |
684 |
$25K |
| 83690 |
|
14,683 |
12,725 |
$25K |
| 97162 |
|
592 |
557 |
$24K |
| J3490 |
Drugs unclassified injection |
429 |
370 |
$23K |
| J1630 |
Haloperidol injection |
1,481 |
1,257 |
$23K |
| 73080 |
|
395 |
370 |
$23K |
| 87880 |
|
1,540 |
1,452 |
$23K |
| 73502 |
|
738 |
659 |
$22K |
| 87591 |
|
2,501 |
2,360 |
$22K |
| 76642 |
|
1,417 |
1,136 |
$22K |
| 70486 |
|
586 |
546 |
$21K |
| 74019 |
|
578 |
541 |
$20K |
| 83605 |
|
13,051 |
10,878 |
$20K |
| 93970 |
|
410 |
381 |
$19K |
| 87636 |
|
164 |
157 |
$19K |
| 87077 |
|
1,904 |
1,640 |
$18K |
| J2765 |
Metoclopramide hcl injection |
902 |
755 |
$17K |
| 80061 |
|
3,761 |
3,497 |
$17K |
| 97140 |
|
1,375 |
721 |
$17K |
| 87491 |
|
2,495 |
2,355 |
$17K |
| 82805 |
|
767 |
634 |
$16K |
| A9552 |
F18 fdg |
39 |
36 |
$16K |
| 43239 |
|
1,896 |
1,788 |
$16K |
| 71260 |
|
968 |
891 |
$15K |
| 80081 |
|
136 |
130 |
$15K |
| 97530 |
|
825 |
336 |
$15K |
| 76801 |
|
1,336 |
1,144 |
$14K |
| 87502 |
|
755 |
682 |
$14K |
| 83036 |
|
3,303 |
3,103 |
$13K |
| 94640 |
|
3,764 |
2,987 |
$13K |
| 87631 |
|
355 |
335 |
$13K |
| 0001A |
|
461 |
447 |
$12K |
| 12001 |
|
501 |
476 |
$12K |
| 0002A |
|
434 |
402 |
$12K |
| 86850 |
|
1,844 |
1,641 |
$12K |
| 73590 |
|
495 |
455 |
$12K |
| 45380 |
|
952 |
885 |
$12K |
| 77065 |
Tomosynthesis, mammo |
188 |
171 |
$11K |
| 97602 |
|
348 |
198 |
$11K |
| J0780 |
Prochlorperazine injection |
933 |
828 |
$11K |
| 0482T |
|
40 |
37 |
$11K |
| 86140 |
|
7,255 |
6,157 |
$11K |
| 76817 |
|
960 |
800 |
$10K |
| 87660 |
|
273 |
260 |
$10K |
| 82728 |
|
1,696 |
1,505 |
$10K |
| J2550 |
Promethazine hcl injection |
1,426 |
1,205 |
$10K |
| 82247 |
|
1,352 |
684 |
$9K |
| 87040 |
|
4,696 |
3,292 |
$9K |
| 71275 |
|
2,249 |
2,048 |
$9K |
| 73140 |
|
93 |
87 |
$9K |
| 87088 |
|
3,348 |
3,034 |
$9K |
| 84439 |
|
2,313 |
2,099 |
$8K |
| G0480 |
Drug test def 1-7 classes |
4,689 |
4,077 |
$8K |
| 71250 |
|
168 |
160 |
$8K |
| 97161 |
|
66 |
65 |
$8K |
| 85379 |
|
3,520 |
3,204 |
$8K |
| 83540 |
|
1,398 |
1,289 |
$7K |
| 78434 |
|
437 |
399 |
$7K |
| 93225 |
|
123 |
108 |
$6K |
| 88307 |
|
143 |
127 |
$6K |
| 72131 |
|
211 |
203 |
$6K |
| 93922 |
|
199 |
177 |
$6K |
| 82306 |
|
1,826 |
1,729 |
$6K |
| 72040 |
|
172 |
159 |
$6K |
| 85018 |
|
89 |
65 |
$5K |
| 82803 |
|
2,002 |
1,732 |
$5K |
| J1815 |
Insulin injection |
1,548 |
929 |
$5K |
| 87426 |
|
257 |
242 |
$5K |
| 45385 |
|
424 |
390 |
$5K |
| 87075 |
|
731 |
629 |
$5K |
| 84156 |
|
876 |
773 |
$5K |
| A9500 |
Tc99m sestamibi |
225 |
188 |
$5K |
| 84466 |
|
1,354 |
1,249 |
$4K |
| 87210 |
|
333 |
299 |
$4K |
| 29581 |
|
36 |
13 |
$4K |
| 96413 |
|
1,615 |
812 |
$4K |
| 0031A |
|
196 |
174 |
$4K |
| 82570 |
|
1,855 |
1,712 |
$4K |
| 82607 |
|
1,499 |
1,394 |
$4K |
| 87480 |
|
273 |
260 |
$4K |
| 83735 |
|
4,923 |
3,752 |
$4K |
| 83516 |
|
329 |
298 |
$4K |
| 80069 |
|
463 |
408 |
$4K |
| 80076 |
|
696 |
664 |
$4K |
| 85651 |
|
3,616 |
2,917 |
$4K |
| 97163 |
|
40 |
39 |
$3K |
| 90471 |
|
1,540 |
1,406 |
$3K |
| 86900 |
|
1,907 |
1,615 |
$3K |
| 99281 |
|
111 |
99 |
$3K |
| 70498 |
|
382 |
357 |
$3K |
| 89060 |
|
45 |
40 |
$3K |
| 12002 |
|
114 |
110 |
$3K |
| 77063 |
|
125 |
123 |
$3K |
| 76820 |
|
36 |
14 |
$3K |
| 12011 |
|
175 |
157 |
$3K |
| J1940 |
Furosemide injection |
61 |
43 |
$3K |
| L3908 |
Who cock-up nonmolde pre ots |
28 |
25 |
$3K |
| 77062 |
|
106 |
103 |
$2K |
| 87807 |
|
14 |
13 |
$2K |
| 72170 |
|
74 |
69 |
$2K |
| 87804 |
|
169 |
159 |
$2K |
| 10060 |
|
143 |
136 |
$2K |
| 87522 |
Neg quan hep c or qual rna |
165 |
156 |
$2K |
| 82550 |
|
1,319 |
1,070 |
$2K |
| A9555 |
Rb82 rubidium |
480 |
439 |
$2K |
| 82731 |
|
28 |
24 |
$2K |
| 85730 |
|
1,445 |
1,254 |
$2K |
| 84100 |
|
1,405 |
1,068 |
$2K |
| 90715 |
|
1,033 |
954 |
$2K |
| 83655 |
|
137 |
136 |
$2K |
| J1650 |
Inj enoxaparin sodium |
95 |
67 |
$2K |
| 86364 |
|
13 |
12 |
$2K |
| 83615 |
|
650 |
579 |
$2K |
| 89050 |
|
46 |
39 |
$2K |
| 99291 |
|
40 |
36 |
$2K |
| 87449 |
|
129 |
112 |
$2K |
| 82784 |
|
437 |
299 |
$1K |
| 84132 |
|
792 |
673 |
$1K |
| 88342 |
|
43 |
39 |
$1K |
| 82010 |
|
563 |
482 |
$1K |
| 82043 |
|
815 |
768 |
$1K |
| 86803 |
|
671 |
644 |
$1K |
| 93242 |
|
26 |
25 |
$1K |
| M0243 |
Casirivi and imdevi inj |
27 |
24 |
$1K |
| 0100U |
|
28 |
27 |
$1K |
| J2930 |
Methylprednisolone injection |
924 |
778 |
$1K |
| 83970 |
|
375 |
346 |
$1K |
| 76536 |
|
16 |
14 |
$1K |
| J3475 |
Inj magnesium sulfate |
1,013 |
783 |
$1K |
| 87147 |
|
420 |
381 |
$1K |
| 80074 |
|
56 |
51 |
$1K |
| 72146 |
|
12 |
12 |
$1K |
| 80164 |
|
176 |
155 |
$1K |
| L1830 |
Ko immob canvas long pre ots |
13 |
13 |
$995.18 |
| 70496 |
|
391 |
367 |
$923.69 |
| 82140 |
|
417 |
345 |
$915.88 |
| 82950 |
|
306 |
300 |
$883.61 |
| 84478 |
|
173 |
156 |
$879.57 |
| 73552 |
|
27 |
25 |
$827.02 |
| 96367 |
|
291 |
147 |
$707.90 |
| Q0162 |
Ondansetron oral |
47 |
46 |
$692.34 |
| 10061 |
|
25 |
24 |
$612.18 |
| 84481 |
|
28 |
25 |
$612.00 |
| 91300 |
|
46 |
42 |
$609.13 |
| 82105 |
|
102 |
99 |
$548.21 |
| 84480 |
|
35 |
29 |
$507.76 |
| 81003 |
|
207 |
192 |
$500.26 |
| 89051 |
|
18 |
13 |
$492.87 |
| 82248 |
|
143 |
112 |
$483.37 |
| 84460 |
|
300 |
289 |
$450.93 |
| 93226 |
|
101 |
93 |
$410.27 |
| J1756 |
Iron sucrose injection |
322 |
172 |
$405.06 |
| 84550 |
|
160 |
144 |
$390.79 |
| J3370 |
Vancomycin hcl injection |
154 |
126 |
$363.74 |
| 86780 |
|
67 |
65 |
$346.10 |
| T1015 |
Clinic service |
90 |
33 |
$271.44 |
| 76870 |
|
12 |
12 |
$258.71 |
| 88302 |
|
59 |
54 |
$250.86 |
| 87324 |
|
47 |
44 |
$247.86 |
| 94726 |
|
38 |
38 |
$238.67 |
| 85007 |
|
658 |
548 |
$220.65 |
| 29125 |
|
75 |
69 |
$216.66 |
| 84450 |
|
260 |
252 |
$196.12 |
| 84403 |
|
13 |
12 |
$195.01 |
| G0378 |
Hospital observation per hr |
375 |
330 |
$192.29 |
| 97112 |
|
44 |
29 |
$188.53 |
| 77061 |
|
14 |
12 |
$150.67 |
| 83993 |
|
12 |
12 |
$146.02 |
| 43235 |
|
13 |
12 |
$143.99 |
| 86038 |
|
49 |
46 |
$124.48 |
| G8978 |
Mobility current status |
80 |
64 |
$112.52 |
| 80197 |
|
107 |
82 |
$110.51 |
| 86706 |
|
69 |
64 |
$100.73 |
| G8979 |
Mobility goal status |
85 |
68 |
$92.35 |
| 83520 |
|
16 |
13 |
$79.93 |
| 87510 |
|
273 |
260 |
$68.22 |
| 82947 |
|
54 |
52 |
$57.17 |
| 82977 |
|
12 |
12 |
$42.00 |
| 86431 |
|
16 |
14 |
$36.27 |
| 87340 |
|
494 |
465 |
$26.88 |
| J1790 |
Droperidol injection |
917 |
818 |
$17.02 |
| 86704 |
|
27 |
27 |
$13.39 |
| J3360 |
Diazepam injection |
154 |
147 |
$0.00 |
| J2469 |
Palonosetron hcl |
149 |
68 |
$0.00 |
| 90686 |
|
221 |
203 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
59 |
50 |
$0.00 |
| 78492 |
|
27 |
25 |
$0.00 |
| 87205 |
|
15 |
12 |
$0.00 |
| 96415 |
|
34 |
24 |
$0.00 |
| 82657 |
|
35 |
35 |
$0.00 |
| 82746 |
|
12 |
12 |
$0.00 |
| 78499 |
|
27 |
25 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
164 |
154 |
$0.00 |
| 84145 |
|
97 |
91 |
$0.00 |
| 43249 |
|
315 |
293 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
32 |
28 |
$0.00 |
| 96417 |
|
21 |
12 |
$0.00 |
| 86923 |
|
20 |
12 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
15 |
14 |
$0.00 |
| C1887 |
Catheter, guiding |
12 |
12 |
$0.00 |
| 76937 |
|
26 |
25 |
$0.00 |
| J0694 |
Cefoxitin sodium injection |
65 |
43 |
$0.00 |
| 78815 |
|
27 |
26 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
21 |
14 |
$0.00 |