| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
48,754 |
42,622 |
$4.50M |
| 99283 |
|
36,184 |
32,514 |
$2.50M |
| 97530 |
|
26,410 |
8,339 |
$2.33M |
| 92507 |
|
26,714 |
7,829 |
$2.10M |
| 99285 |
|
30,423 |
24,339 |
$2.05M |
| 97110 |
|
25,380 |
7,353 |
$1.88M |
| 74177 |
|
6,301 |
5,488 |
$858K |
| 70450 |
|
7,607 |
6,247 |
$796K |
| 96361 |
|
15,420 |
11,462 |
$721K |
| 74176 |
|
2,785 |
2,383 |
$382K |
| J7030 |
Normal saline solution infus |
30,563 |
20,566 |
$333K |
| 99282 |
|
4,407 |
4,075 |
$306K |
| 96365 |
|
5,969 |
4,516 |
$229K |
| G0378 |
Hospital observation per hr |
12,234 |
5,175 |
$197K |
| J1885 |
Ketorolac tromethamine inj |
6,855 |
5,596 |
$190K |
| 96360 |
|
5,342 |
4,624 |
$189K |
| 80048 |
|
34,697 |
25,950 |
$188K |
| 71275 |
|
1,429 |
1,260 |
$183K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
10,208 |
8,655 |
$178K |
| 80053 |
|
28,785 |
23,294 |
$171K |
| 99213 |
|
7,398 |
5,433 |
$171K |
| 97162 |
|
2,316 |
2,025 |
$160K |
| 72125 |
|
2,046 |
1,561 |
$152K |
| J0696 |
Ceftriaxone sodium injection |
4,567 |
3,599 |
$146K |
| 0202U |
|
5,718 |
5,449 |
$139K |
| J1100 |
Dexamethasone sodium phos |
4,647 |
3,847 |
$129K |
| J1170 |
Hydromorphone injection |
4,865 |
3,159 |
$120K |
| 87502 |
|
6,353 |
5,857 |
$113K |
| Q0162 |
Ondansetron oral |
3,580 |
3,254 |
$108K |
| 97140 |
|
5,894 |
1,724 |
$108K |
| 59025 |
|
1,339 |
967 |
$105K |
| A6216 |
Non-sterile gauze<=16 sq in |
7,125 |
2,205 |
$96K |
| 36415 |
|
26,113 |
18,908 |
$95K |
| 71046 |
|
11,093 |
10,146 |
$92K |
| U0002 |
Covid-19 lab test non-cdc |
6,802 |
6,177 |
$88K |
| J1200 |
Diphenhydramine hcl injectio |
3,706 |
2,907 |
$84K |
| 87088 |
|
16,885 |
13,731 |
$82K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
1,593 |
1,370 |
$81K |
| J0690 |
Cefazolin sodium injection |
2,419 |
1,611 |
$80K |
| 93306 |
|
1,603 |
1,354 |
$79K |
| 87486 |
|
2,048 |
1,898 |
$79K |
| 0241U |
|
4,143 |
3,565 |
$78K |
| 97161 |
|
1,722 |
1,434 |
$76K |
| 94640 |
|
5,444 |
3,851 |
$71K |
| G0463 |
Hospital outpt clinic visit |
2,987 |
2,005 |
$71K |
| 97166 |
|
765 |
687 |
$67K |
| 11042 |
|
1,963 |
993 |
$65K |
| 43239 |
|
417 |
376 |
$65K |
| J7050 |
Normal saline solution infus |
5,389 |
3,233 |
$65K |
| 97014 |
|
396 |
124 |
$63K |
| J2270 |
Morphine sulfate injection |
3,402 |
2,521 |
$59K |
| J7510 |
Prednisolone oral per 5 mg |
1,086 |
1,027 |
$55K |
| 85025 |
|
57,316 |
43,553 |
$54K |
| J7620 |
Albuterol ipratrop non-comp |
2,824 |
2,269 |
$48K |
| 70553 |
|
796 |
722 |
$47K |
| 92523 |
|
568 |
537 |
$47K |
| 71045 |
|
16,831 |
14,412 |
$46K |
| 87070 |
|
4,158 |
3,415 |
$45K |
| J2930 |
Methylprednisolone injection |
2,170 |
1,815 |
$45K |
| U0003 |
Cov-19 amp prb hgh thruput |
6,202 |
2,894 |
$45K |
| 76700 |
|
718 |
671 |
$45K |
| J7040 |
Normal saline solution infus |
2,627 |
2,137 |
$42K |
| 80307 |
|
7,024 |
5,002 |
$41K |
| 81025 |
|
16,432 |
14,413 |
$40K |
| J7120 |
Ringers lactate infusion |
1,822 |
1,326 |
$40K |
| 93005 |
|
19,304 |
15,465 |
$38K |
| 99232 |
|
2,529 |
455 |
$38K |
| 76705 |
|
1,598 |
1,415 |
$37K |
| 73610 |
|
1,704 |
1,554 |
$36K |
| J7512 |
Prednisone ir or dr oral 1mg |
1,447 |
1,150 |
$35K |
| 76830 |
|
924 |
840 |
$35K |
| 73630 |
|
2,378 |
2,096 |
$34K |
| 81003 |
|
13,397 |
11,637 |
$34K |
| 76856 |
|
1,159 |
1,075 |
$34K |
| 87651 |
|
6,441 |
6,147 |
$33K |
| 76801 |
|
1,846 |
1,567 |
$33K |
| 96374 |
|
19,645 |
16,060 |
$33K |
| 96372 |
|
10,003 |
7,307 |
$31K |
| J2250 |
Inj midazolam hydrochloride |
3,931 |
3,154 |
$29K |
| 76816 |
|
583 |
532 |
$29K |
| 97116 |
|
2,351 |
1,107 |
$29K |
| 76815 |
|
814 |
740 |
$28K |
| J3010 |
Fentanyl citrate injection |
5,505 |
3,653 |
$28K |
| 76805 |
|
469 |
450 |
$28K |
| 73564 |
|
2,177 |
1,852 |
$28K |
| 81001 |
|
26,773 |
22,246 |
$28K |
| 84484 |
|
16,487 |
9,545 |
$27K |
| J2704 |
Inj, propofol, 10 mg |
4,198 |
3,357 |
$26K |
| A6196 |
Alginate dressing <=16 sq in |
633 |
280 |
$26K |
| 76775 |
|
578 |
509 |
$26K |
| J0780 |
Prochlorperazine injection |
579 |
478 |
$26K |
| 82948 |
|
2,163 |
1,097 |
$26K |
| 96366 |
|
2,010 |
1,365 |
$25K |
| J1644 |
Inj heparin sodium per 1000u |
3,328 |
1,331 |
$25K |
| 87804 |
|
5,750 |
2,980 |
$25K |
| 85610 |
|
13,848 |
9,976 |
$25K |
| 90714 |
|
963 |
845 |
$24K |
| 73130 |
|
1,772 |
1,576 |
$24K |
| 73110 |
|
1,251 |
1,126 |
$24K |
| J2060 |
Lorazepam injection |
1,639 |
1,202 |
$24K |
| 76817 |
|
1,441 |
1,170 |
$22K |
| 99214 |
|
1,128 |
959 |
$22K |
| 71250 |
|
701 |
572 |
$22K |
| 73030 |
|
1,571 |
1,343 |
$21K |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
711 |
319 |
$21K |
| 99212 |
|
347 |
163 |
$21K |
| J2765 |
Metoclopramide hcl injection |
1,865 |
1,600 |
$21K |
| 99281 |
|
318 |
279 |
$21K |
| 85027 |
|
9,351 |
6,434 |
$21K |
| J2405 |
Ondansetron hcl injection |
14,072 |
10,757 |
$20K |
| 76641 |
|
353 |
276 |
$20K |
| 76819 |
|
378 |
316 |
$18K |
| J1642 |
Inj heparin sodium per 10 u |
961 |
573 |
$18K |
| C9803 |
Hopd covid-19 spec collect |
1,027 |
909 |
$18K |
| 82550 |
|
9,915 |
7,807 |
$18K |
| 72110 |
|
1,833 |
1,607 |
$17K |
| 85730 |
|
9,335 |
7,430 |
$17K |
| 74018 |
|
928 |
860 |
$16K |
| 96375 |
|
12,424 |
9,765 |
$16K |
| J1650 |
Inj enoxaparin sodium |
2,403 |
1,398 |
$15K |
| G8978 |
Mobility current status |
584 |
495 |
$15K |
| 87040 |
|
8,175 |
4,354 |
$14K |
| 86850 |
|
1,906 |
1,542 |
$14K |
| 76811 |
|
241 |
233 |
$14K |
| 82962 |
|
6,376 |
2,757 |
$14K |
| 82553 |
|
7,372 |
5,860 |
$14K |
| J8540 |
Oral dexamethasone |
993 |
930 |
$14K |
| 73080 |
|
726 |
659 |
$14K |
| G8979 |
Mobility goal status |
600 |
504 |
$13K |
| 74019 |
|
1,963 |
1,759 |
$13K |
| 93971 |
|
854 |
726 |
$13K |
| 93010 |
|
8,644 |
5,591 |
$12K |
| J0360 |
Hydralazine hcl injection |
256 |
166 |
$12K |
| 71260 |
|
276 |
225 |
$12K |
| 80076 |
|
13,638 |
11,541 |
$12K |
| 84443 |
|
7,442 |
6,069 |
$11K |
| 76536 |
|
199 |
181 |
$11K |
| 84702 |
|
3,334 |
2,598 |
$11K |
| 80061 |
|
8,626 |
6,988 |
$11K |
| 87210 |
|
2,104 |
1,919 |
$10K |
| J3360 |
Diazepam injection |
394 |
331 |
$10K |
| 12011 |
|
445 |
407 |
$10K |
| 97165 |
|
443 |
356 |
$10K |
| J2543 |
Piperacillin/tazobactam |
1,262 |
562 |
$10K |
| 83735 |
|
6,632 |
4,941 |
$9K |
| J1815 |
Insulin injection |
1,695 |
742 |
$9K |
| 83690 |
|
14,645 |
12,317 |
$9K |
| 73502 |
|
905 |
760 |
$9K |
| 96376 |
|
3,076 |
2,081 |
$9K |
| Q0163 |
Diphenhydramine hcl 50mg |
671 |
606 |
$8K |
| 92567 |
|
235 |
229 |
$8K |
| 83605 |
|
12,251 |
9,366 |
$8K |
| 12001 |
|
422 |
382 |
$8K |
| 87186 |
|
6,469 |
4,560 |
$8K |
| 72131 |
|
211 |
170 |
$8K |
| C1769 |
Guide wire |
1,269 |
960 |
$8K |
| A6258 |
Transparent film >16<=48 in |
902 |
701 |
$8K |
| 88305 |
|
2,645 |
1,724 |
$7K |
| G1004 |
Cdsm ndsc |
4,894 |
2,691 |
$7K |
| 70551 |
|
77 |
73 |
$7K |
| J1756 |
Iron sucrose injection |
644 |
323 |
$7K |
| 99152 |
|
1,086 |
844 |
$7K |
| 87205 |
|
2,938 |
2,205 |
$7K |
| 83880 |
|
3,165 |
2,506 |
$7K |
| 97535 |
|
935 |
517 |
$7K |
| 87633 |
|
2,048 |
1,898 |
$7K |
| 72050 |
|
703 |
624 |
$6K |
| 85379 |
|
3,504 |
3,099 |
$6K |
| 29130 |
|
60 |
40 |
$6K |
| 99205 |
Prolong outpt/office vis |
77 |
67 |
$5K |
| 70491 |
|
45 |
40 |
$5K |
| 86140 |
|
4,847 |
4,123 |
$5K |
| 82306 |
|
2,309 |
1,884 |
$5K |
| 90471 |
|
1,210 |
1,022 |
$5K |
| 77072 |
|
120 |
117 |
$5K |
| 99204 |
|
69 |
61 |
$5K |
| J2550 |
Promethazine hcl injection |
127 |
106 |
$5K |
| 92587 |
|
294 |
281 |
$5K |
| 87491 |
|
2,245 |
2,051 |
$4K |
| 83036 |
|
4,278 |
3,440 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
177 |
110 |
$4K |
| J2370 |
Phenylephrine hcl injection |
799 |
597 |
$4K |
| A6403 |
Sterile gauze>16 <= 48 sq in |
1,962 |
727 |
$4K |
| 84100 |
|
3,461 |
2,471 |
$4K |
| C1894 |
Intro/sheath, non-laser |
581 |
446 |
$4K |
| 87591 |
|
2,243 |
2,051 |
$4K |
| 82140 |
|
1,253 |
1,000 |
$4K |
| 87634 |
|
1,328 |
1,275 |
$3K |
| 76818 |
|
39 |
25 |
$3K |
| 72148 |
|
89 |
78 |
$3K |
| 73590 |
|
330 |
299 |
$3K |
| 82150 |
|
6,856 |
5,862 |
$3K |
| 94664 |
|
2,753 |
2,418 |
$3K |
| 86900 |
|
2,971 |
2,417 |
$3K |
| 98966 |
|
110 |
43 |
$3K |
| A9579 |
Gad-base mr contrast nos,1ml |
118 |
101 |
$3K |
| 84439 |
|
2,352 |
1,957 |
$3K |
| 98967 |
|
64 |
41 |
$3K |
| 87507 |
|
211 |
190 |
$3K |
| J7613 |
Albuterol non-comp unit |
71 |
63 |
$3K |
| J0330 |
Succinycholine chloride inj |
216 |
178 |
$3K |
| 73090 |
|
223 |
203 |
$3K |
| 99153 |
Mod sedat endo service >5yrs |
263 |
202 |
$3K |
| 92557 |
|
23 |
23 |
$3K |
| 29125 |
|
463 |
424 |
$3K |
| 93970 |
|
70 |
60 |
$3K |
| J7060 |
5% dextrose/water |
3,580 |
2,045 |
$2K |
| 87581 |
|
2,049 |
1,899 |
$2K |
| 87798 |
|
2,056 |
1,903 |
$2K |
| 82607 |
|
1,916 |
1,538 |
$2K |
| 70486 |
|
80 |
66 |
$2K |
| 80069 |
|
643 |
355 |
$2K |
| 86901 |
|
2,971 |
2,417 |
$2K |
| A6212 |
Foam drg <=16 sq in w/border |
150 |
64 |
$2K |
| 82270 |
|
254 |
218 |
$2K |
| J7042 |
5% dextrose/normal saline |
169 |
114 |
$2K |
| 87880 |
|
1,465 |
1,331 |
$2K |
| 97163 |
|
13 |
13 |
$2K |
| G0283 |
Elec stim other than wound |
40 |
12 |
$2K |
| 99203 |
|
87 |
60 |
$2K |
| 85652 |
|
3,033 |
2,576 |
$2K |
| 84112 |
|
12 |
12 |
$2K |
| 36430 |
|
42 |
26 |
$2K |
| 82570 |
|
2,121 |
1,649 |
$2K |
| 86308 |
|
193 |
185 |
$2K |
| 84703 |
|
3,526 |
3,186 |
$2K |
| 71101 |
|
163 |
148 |
$2K |
| 99215 |
Prolong outpt/office vis |
70 |
60 |
$2K |
| 82247 |
|
315 |
209 |
$1K |
| A6248 |
Hydrogel drsg gel filler |
881 |
349 |
$1K |
| G8987 |
Self care current status |
102 |
85 |
$1K |
| A6219 |
Gauze <= 16 sq in w/border |
429 |
266 |
$1K |
| 87635 |
|
439 |
305 |
$1K |
| J2710 |
Neostigmine methylslfte inj |
509 |
427 |
$1K |
| 72100 |
|
198 |
174 |
$1K |
| G8988 |
Self care goal status |
100 |
83 |
$1K |
| 99222 |
|
58 |
36 |
$1K |
| 76870 |
|
33 |
28 |
$1K |
| 83540 |
|
913 |
724 |
$1K |
| 72141 |
|
26 |
25 |
$1K |
| 10060 |
|
49 |
42 |
$965.99 |
| 91300 |
|
128 |
123 |
$913.94 |
| 51701 |
|
892 |
740 |
$895.99 |
| J1940 |
Furosemide injection |
43 |
25 |
$872.37 |
| 76813 |
|
37 |
36 |
$866.16 |
| J0171 |
Adrenalin epinephrine inject |
22 |
16 |
$791.77 |
| 82728 |
|
728 |
594 |
$762.62 |
| 72170 |
|
71 |
49 |
$588.65 |
| 87807 |
|
913 |
839 |
$520.26 |
| 73140 |
|
28 |
26 |
$510.36 |
| 84481 |
|
737 |
602 |
$507.66 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
125 |
114 |
$473.55 |
| 93880 |
|
27 |
25 |
$473.36 |
| G8980 |
Mobility d/c status |
48 |
40 |
$434.14 |
| C1729 |
Cath, drainage |
114 |
76 |
$412.77 |
| 92579 |
|
20 |
20 |
$403.68 |
| C1725 |
Cath, translumin non-laser |
88 |
65 |
$390.00 |
| 96367 |
|
199 |
94 |
$389.20 |
| U0005 |
Infec agen detec ampli probe |
5,089 |
3,170 |
$377.80 |
| 82805 |
|
16 |
14 |
$355.57 |
| A6449 |
Lt compres band >=3" <5"/yd |
147 |
51 |
$335.50 |
| 12002 |
|
25 |
24 |
$327.86 |
| 82043 |
|
896 |
705 |
$320.05 |
| A6217 |
Non-sterile gauze>16<=48 sq |
241 |
126 |
$255.45 |
| 85046 |
|
164 |
97 |
$249.56 |
| 51798 |
|
79 |
64 |
$239.29 |
| 84145 |
|
661 |
524 |
$224.57 |
| A6252 |
Absorpt drg >16 <=48 w/o bdr |
477 |
207 |
$215.12 |
| 72072 |
|
34 |
25 |
$214.50 |
| 86923 |
|
165 |
76 |
$209.26 |
| J1030 |
Methylprednisolone 40 mg inj |
96 |
82 |
$181.43 |
| 82248 |
|
575 |
405 |
$180.16 |
| 84550 |
|
717 |
563 |
$177.39 |
| C1751 |
Cath, inf, per/cent/midline |
30 |
24 |
$173.89 |
| J3475 |
Inj magnesium sulfate |
50 |
42 |
$167.06 |
| 0001A |
|
377 |
222 |
$157.54 |
| 76937 |
|
174 |
135 |
$150.00 |
| 88300 |
|
51 |
36 |
$146.01 |
| J0500 |
Dicyclomine injection |
14 |
12 |
$127.21 |
| 84156 |
|
807 |
605 |
$122.28 |
| 0002A |
|
406 |
238 |
$114.58 |
| J2360 |
Orphenadrine injection |
43 |
36 |
$109.98 |
| 82010 |
|
140 |
121 |
$106.91 |
| 82746 |
|
205 |
148 |
$100.50 |
| 80164 |
|
76 |
53 |
$99.24 |
| 70360 |
|
12 |
12 |
$97.74 |
| 73552 |
|
31 |
25 |
$55.16 |
| 1160F |
|
2,116 |
1,873 |
$48.57 |
| 80074 |
|
30 |
27 |
$37.10 |
| 94760 |
|
484 |
326 |
$33.42 |
| 83970 |
|
46 |
39 |
$29.25 |
| 83615 |
|
212 |
148 |
$26.24 |
| 83550 |
|
384 |
311 |
$20.02 |
| 87086 |
|
38 |
37 |
$18.54 |
| 88304 |
|
221 |
179 |
$13.15 |
| 80047 |
|
18 |
18 |
$11.91 |
| 3078F |
|
930 |
794 |
$0.00 |
| 1159F |
|
2,116 |
1,874 |
$0.00 |
| 0353U |
|
108 |
104 |
$0.00 |
| J0689 |
Inj cefazolin sodium, baxter |
79 |
66 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
88 |
67 |
$0.00 |
| 85014 |
|
19 |
12 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
30 |
24 |
$0.00 |
| A6021 |
Collagen dressing <=16 sq in |
27 |
12 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
76 |
51 |
$0.00 |
| G2211 |
Complex e/m visit add on |
27 |
25 |
$0.00 |
| 3077F |
|
15 |
13 |
$0.00 |
| 29515 |
|
30 |
29 |
$0.00 |
| 1125F |
|
833 |
732 |
$0.00 |
| 3079F |
|
105 |
92 |
$0.00 |
| 3074F |
|
1,246 |
1,078 |
$0.00 |
| 85018 |
|
20 |
13 |
$0.00 |
| 80177 |
|
15 |
13 |
$0.00 |
| J3490 |
Drugs unclassified injection |
300 |
174 |
$0.00 |
| J2920 |
Methylprednisolone injection |
14 |
13 |
$0.00 |
| 73060 |
|
14 |
12 |
$0.00 |
| J0561 |
Penicillin g benzathine inj |
29 |
28 |
$0.00 |
| 88307 |
|
19 |
12 |
$0.00 |
| 86780 |
|
19 |
12 |
$0.00 |