| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
119,430 |
103,890 |
$21.79M |
| 0250 |
|
42,441 |
22,310 |
$6.25M |
| 0301 |
|
5,828 |
5,335 |
$1.75M |
| 0121 |
|
353 |
336 |
$1.44M |
| 70450 |
|
8,452 |
8,179 |
$1.12M |
| Z7502 |
|
28,171 |
27,838 |
$1.07M |
| 99284 |
|
8,577 |
7,973 |
$961K |
| 74177 |
|
3,974 |
3,859 |
$871K |
| A9150 |
Misc/exper non-prescript dru |
5,120 |
2,695 |
$829K |
| 0241U |
|
4,965 |
4,775 |
$814K |
| 99283 |
|
8,891 |
8,156 |
$795K |
| 0214 |
|
228 |
210 |
$793K |
| 99281 |
|
6,017 |
4,896 |
$787K |
| 71045 |
|
21,787 |
20,685 |
$660K |
| 99285 |
|
4,359 |
4,131 |
$622K |
| 0949 |
|
18,040 |
13,822 |
$558K |
| 96374 |
|
17,595 |
16,390 |
$548K |
| 59025 |
|
12,259 |
3,268 |
$547K |
| 99199 |
|
6,123 |
5,118 |
$546K |
| 81025 |
|
22,390 |
21,017 |
$535K |
| J3490 |
Drugs unclassified injection |
54,841 |
30,704 |
$520K |
| 80053 |
|
24,257 |
22,603 |
$516K |
| 93005 |
|
29,591 |
27,074 |
$440K |
| 80048 |
|
17,843 |
16,542 |
$438K |
| 74176 |
|
2,997 |
2,922 |
$430K |
| 76811 |
|
5,566 |
4,818 |
$419K |
| 0750 |
|
1,967 |
1,921 |
$381K |
| G0481 |
Drug test def 8-14 classes |
4,682 |
4,492 |
$380K |
| 71046 |
|
8,867 |
8,580 |
$373K |
| Z7500 |
|
10,843 |
7,619 |
$367K |
| U0003 |
Cov-19 amp prb hgh thruput |
6,193 |
5,895 |
$366K |
| 76815 |
|
7,389 |
3,851 |
$362K |
| 96372 |
|
17,931 |
16,199 |
$337K |
| 86850 |
|
4,189 |
4,039 |
$303K |
| 72125 |
|
2,743 |
2,686 |
$296K |
| 96375 |
|
12,408 |
11,437 |
$288K |
| 85025 |
|
39,168 |
35,872 |
$267K |
| 99391 |
|
3,565 |
3,396 |
$256K |
| 93971 |
|
1,803 |
1,750 |
$244K |
| G0480 |
Drug test def 1-7 classes |
4,490 |
4,152 |
$242K |
| 43239 |
|
2,070 |
1,947 |
$236K |
| 76705 |
|
3,345 |
3,244 |
$226K |
| 99221 |
|
8,820 |
7,663 |
$219K |
| 0122 |
|
107 |
106 |
$216K |
| 0360 |
|
4,220 |
4,020 |
$211K |
| Z9725 |
|
4,643 |
4,469 |
$199K |
| 76856 |
|
2,531 |
2,465 |
$198K |
| 99282 |
|
2,385 |
2,233 |
$198K |
| 76801 |
|
3,365 |
2,932 |
$188K |
| 0420 |
|
2,287 |
609 |
$167K |
| 0510 |
|
5,419 |
5,069 |
$159K |
| 0720 |
|
3,591 |
2,963 |
$145K |
| 82962 |
|
5,007 |
4,248 |
$144K |
| 45380 |
|
1,224 |
1,149 |
$139K |
| 99381 |
|
1,045 |
1,034 |
$133K |
| 36415 |
|
8,125 |
7,523 |
$133K |
| 76816 |
|
2,873 |
2,577 |
$118K |
| 0710 |
|
4,569 |
4,394 |
$115K |
| J0561 |
Penicillin g benzathine inj |
877 |
789 |
$114K |
| 73130 |
|
2,175 |
2,119 |
$113K |
| 0270 |
|
29,403 |
16,601 |
$113K |
| 81001 |
|
24,301 |
23,005 |
$111K |
| 83880 |
|
6,607 |
6,243 |
$111K |
| 73030 |
|
2,007 |
1,959 |
$110K |
| 73562 |
|
2,033 |
1,994 |
$107K |
| 87389 |
|
9,003 |
8,663 |
$106K |
| 84484 |
|
14,024 |
12,788 |
$104K |
| 80076 |
|
6,656 |
6,393 |
$103K |
| 73610 |
|
2,142 |
2,081 |
$101K |
| 96361 |
|
5,174 |
4,762 |
$101K |
| 73630 |
|
2,136 |
2,091 |
$101K |
| 76830 |
|
1,766 |
1,719 |
$99K |
| 0200 |
|
30 |
28 |
$96K |
| 80047 |
|
2,744 |
2,626 |
$92K |
| 70486 |
|
904 |
889 |
$91K |
| 87491 |
|
3,721 |
3,629 |
$91K |
| 93970 |
|
465 |
460 |
$90K |
| 76813 |
|
1,629 |
1,322 |
$87K |
| Z1034 |
|
1,256 |
1,024 |
$87K |
| 87591 |
|
3,718 |
3,628 |
$85K |
| 83690 |
|
14,853 |
13,991 |
$85K |
| 87086 |
|
9,282 |
8,884 |
$83K |
| 96365 |
|
2,043 |
1,960 |
$83K |
| 86803 |
|
7,376 |
7,145 |
$82K |
| 94640 |
|
4,400 |
3,845 |
$79K |
| 80307 |
|
2,599 |
2,432 |
$79K |
| J7030 |
Normal saline solution infus |
15,759 |
14,581 |
$75K |
| 0762 |
|
1,159 |
909 |
$75K |
| 71260 |
|
441 |
431 |
$75K |
| 88305 |
|
3,880 |
3,723 |
$74K |
| 77067 |
|
695 |
693 |
$74K |
| Z6304 |
|
2,414 |
2,053 |
$72K |
| 81003 |
|
14,100 |
13,125 |
$72K |
| 0760 |
|
2,556 |
2,303 |
$71K |
| G0463 |
Hospital outpt clinic visit |
2,589 |
2,316 |
$71K |
| 76817 |
|
1,905 |
1,694 |
$69K |
| 97802 |
|
1,877 |
1,829 |
$61K |
| 0636 |
|
455 |
417 |
$61K |
| 73110 |
|
1,396 |
1,362 |
$59K |
| 45378 |
|
611 |
573 |
$59K |
| 99291 |
|
234 |
226 |
$59K |
| 71275 |
|
383 |
378 |
$58K |
| 93306 |
|
290 |
279 |
$56K |
| Z7610 |
|
11,873 |
7,083 |
$53K |
| J1885 |
Ketorolac tromethamine inj |
14,081 |
13,367 |
$52K |
| Z6500 |
|
269 |
269 |
$52K |
| 0370 |
|
1,617 |
1,578 |
$50K |
| 90715 |
|
1,326 |
1,289 |
$50K |
| 84702 |
|
4,271 |
3,924 |
$48K |
| 76805 |
|
667 |
640 |
$48K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,468 |
5,128 |
$47K |
| 85520 |
|
5,138 |
4,989 |
$46K |
| 99213 |
|
1,822 |
1,689 |
$46K |
| 0160 |
|
886 |
618 |
$45K |
| 96360 |
|
1,485 |
1,411 |
$44K |
| 83605 |
|
4,413 |
4,097 |
$43K |
| J0696 |
Ceftriaxone sodium injection |
5,296 |
4,999 |
$43K |
| 96156 |
|
554 |
527 |
$40K |
| 85730 |
|
8,530 |
8,203 |
$39K |
| 87040 |
|
2,818 |
2,474 |
$39K |
| J2405 |
Ondansetron hcl injection |
11,050 |
10,262 |
$38K |
| 10060 |
|
810 |
785 |
$38K |
| 85610 |
|
10,790 |
10,245 |
$37K |
| 86900 |
|
5,270 |
5,044 |
$35K |
| Z1032 |
|
171 |
170 |
$34K |
| J2270 |
Morphine sulfate injection |
8,037 |
7,121 |
$33K |
| 93798 |
|
986 |
190 |
$33K |
| U0002 |
Covid-19 lab test non-cdc |
827 |
795 |
$32K |
| 73140 |
|
824 |
814 |
$32K |
| 73080 |
|
686 |
670 |
$29K |
| 86780 |
|
2,575 |
2,463 |
$29K |
| 99392 |
|
2,520 |
2,321 |
$28K |
| 73590 |
|
739 |
719 |
$27K |
| 87502 |
|
739 |
718 |
$27K |
| Z6400 |
|
919 |
898 |
$27K |
| 71250 |
|
197 |
191 |
$26K |
| 87631 |
|
439 |
418 |
$26K |
| 85027 |
|
5,486 |
5,193 |
$25K |
| 73502 |
|
467 |
454 |
$25K |
| 87077 |
|
3,160 |
3,037 |
$25K |
| 0761 |
|
977 |
787 |
$23K |
| 90714 |
|
1,358 |
1,337 |
$23K |
| 76642 |
|
613 |
605 |
$23K |
| 0171 |
Inj, epinephrine (belcher) |
67 |
67 |
$22K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
101 |
91 |
$22K |
| J1100 |
Dexamethasone sodium phos |
3,143 |
3,025 |
$21K |
| 83735 |
|
4,418 |
3,910 |
$21K |
| 90471 |
|
4,348 |
4,243 |
$21K |
| 12001 |
|
418 |
403 |
$20K |
| 87635 |
|
392 |
378 |
$20K |
| 87210 |
|
2,166 |
2,094 |
$19K |
| 96376 |
|
1,681 |
1,518 |
$19K |
| 74018 |
|
306 |
297 |
$19K |
| Z6406 |
|
925 |
760 |
$19K |
| 77066 |
Tomosynthesis, mammo |
255 |
255 |
$18K |
| 12011 |
|
293 |
282 |
$18K |
| 81002 |
|
7,085 |
5,014 |
$17K |
| 90670 |
|
2,022 |
1,864 |
$17K |
| 73090 |
|
345 |
337 |
$17K |
| 0272 |
|
1,400 |
1,378 |
$16K |
| J1953 |
Levetiracetam injection |
353 |
311 |
$16K |
| 88312 |
|
1,795 |
1,707 |
$16K |
| 82803 |
|
1,057 |
1,026 |
$15K |
| Z7506 |
|
119 |
117 |
$15K |
| 0424 |
|
128 |
65 |
$15K |
| 73564 |
|
260 |
256 |
$15K |
| 86901 |
|
5,272 |
5,048 |
$15K |
| Z6204 |
|
1,029 |
798 |
$15K |
| 87186 |
|
1,555 |
1,492 |
$14K |
| 73620 |
|
162 |
161 |
$13K |
| 90680 |
|
1,966 |
1,863 |
$13K |
| 76870 |
|
146 |
140 |
$12K |
| 77065 |
Tomosynthesis, mammo |
170 |
166 |
$12K |
| 45385 |
|
194 |
188 |
$12K |
| U0005 |
Infec agen detec ampli probe |
3,592 |
3,412 |
$12K |
| 84443 |
|
1,023 |
1,004 |
$11K |
| 70496 |
|
59 |
58 |
$11K |
| J1815 |
Insulin injection |
585 |
457 |
$11K |
| A4649 |
Surgical supplies |
2,449 |
1,541 |
$11K |
| A9270 |
Non-covered item or service |
4,797 |
2,500 |
$10K |
| 96150 |
|
441 |
434 |
$10K |
| J2250 |
Inj midazolam hydrochloride |
2,561 |
2,470 |
$10K |
| 96366 |
|
506 |
485 |
$10K |
| 78452 |
|
41 |
41 |
$10K |
| 66984 |
|
114 |
111 |
$10K |
| 90723 |
|
1,379 |
1,314 |
$9K |
| 97804 |
|
1,159 |
1,142 |
$9K |
| J2704 |
Inj, propofol, 10 mg |
2,258 |
2,188 |
$8K |
| A0429 |
Bls-emergency |
251 |
207 |
$8K |
| 84100 |
|
2,348 |
2,090 |
$8K |
| 90648 |
|
1,263 |
1,183 |
$8K |
| 29125 |
|
334 |
327 |
$7K |
| J1200 |
Diphenhydramine hcl injectio |
2,809 |
2,658 |
$7K |
| 99214 |
|
571 |
541 |
$7K |
| J3010 |
Fentanyl citrate injection |
2,905 |
2,804 |
$7K |
| 99212 |
|
835 |
805 |
$7K |
| J2060 |
Lorazepam injection |
2,352 |
2,144 |
$7K |
| D0150 |
|
114 |
114 |
$7K |
| 94726 |
|
229 |
217 |
$7K |
| 72131 |
|
48 |
48 |
$6K |
| 84145 |
|
397 |
387 |
$6K |
| J0131 |
Inj, acetaminophen (nos) |
280 |
258 |
$6K |
| 72110 |
|
102 |
100 |
$6K |
| J2765 |
Metoclopramide hcl injection |
2,107 |
2,012 |
$6K |
| 94729 |
|
192 |
189 |
$6K |
| 36821 |
|
50 |
50 |
$6K |
| 86762 |
|
336 |
336 |
$5K |
| 36600 |
|
224 |
209 |
$5K |
| 72170 |
|
108 |
108 |
$5K |
| 85014 |
|
2,798 |
2,680 |
$5K |
| 0721 |
|
93 |
90 |
$5K |
| 70498 |
|
59 |
58 |
$5K |
| 72100 |
|
82 |
82 |
$5K |
| 82550 |
|
904 |
858 |
$5K |
| J2785 |
Regadenoson injection |
29 |
29 |
$5K |
| 93017 |
|
72 |
68 |
$5K |
| 90710 |
|
713 |
686 |
$5K |
| 96151 |
|
273 |
177 |
$4K |
| 83036 |
|
462 |
454 |
$4K |
| D0210 |
|
86 |
86 |
$4K |
| J2930 |
Methylprednisolone injection |
561 |
520 |
$4K |
| 90647 |
|
1,129 |
1,073 |
$4K |
| J7120 |
Ringers lactate infusion |
752 |
627 |
$4K |
| 77063 |
|
181 |
179 |
$4K |
| 82950 |
|
677 |
676 |
$4K |
| J1170 |
Hydromorphone injection |
1,024 |
840 |
$4K |
| 90700 |
|
1,635 |
1,534 |
$4K |
| 12002 |
|
81 |
80 |
$4K |
| 70551 |
|
29 |
29 |
$4K |
| J0690 |
Cefazolin sodium injection |
1,627 |
1,470 |
$3K |
| 97803 |
|
169 |
134 |
$3K |
| Z6308 |
|
109 |
101 |
$3K |
| J7040 |
Normal saline solution infus |
1,003 |
979 |
$3K |
| 90713 |
|
1,042 |
974 |
$3K |
| 76770 |
|
78 |
78 |
$3K |
| 0430 |
|
56 |
42 |
$3K |
| G0378 |
Hospital observation per hr |
131 |
105 |
$3K |
| J7050 |
Normal saline solution infus |
823 |
816 |
$3K |
| 87400 |
|
184 |
168 |
$3K |
| 90750 |
|
41 |
40 |
$2K |
| 85379 |
|
382 |
369 |
$2K |
| 81000 |
|
836 |
558 |
$2K |
| J2919 |
Inj, methylpred sod succ 5mg |
47 |
44 |
$2K |
| 73600 |
|
26 |
25 |
$2K |
| 90734 |
|
100 |
94 |
$2K |
| 84439 |
|
206 |
201 |
$2K |
| 80061 |
|
261 |
247 |
$2K |
| 0258 |
|
199 |
194 |
$2K |
| 97110 |
|
169 |
53 |
$2K |
| J3370 |
Vancomycin hcl injection |
110 |
101 |
$2K |
| A9500 |
Tc99m sestamibi |
40 |
39 |
$2K |
| S0020 |
Injection, bupivicaine hydro |
826 |
772 |
$2K |
| 92551 |
|
1,078 |
1,028 |
$2K |
| 70360 |
|
14 |
12 |
$2K |
| J0780 |
Prochlorperazine injection |
229 |
222 |
$2K |
| 86140 |
|
381 |
367 |
$2K |
| 0305 |
|
1,068 |
999 |
$2K |
| Z6300 |
|
66 |
66 |
$2K |
| Z6200 |
|
66 |
66 |
$2K |
| 0412 |
|
116 |
108 |
$2K |
| 85007 |
|
908 |
864 |
$2K |
| Z6402 |
|
65 |
65 |
$2K |
| 87798 |
|
73 |
72 |
$2K |
| G0279 |
Tomosynthesis, mammo |
120 |
120 |
$1K |
| 90649 |
|
50 |
42 |
$1K |
| 90633 |
|
964 |
889 |
$1K |
| J7512 |
Prednisone ir or dr oral 1mg |
41 |
36 |
$1K |
| 0300 |
|
1,102 |
998 |
$1K |
| 85380 |
|
303 |
287 |
$1K |
| 99393 |
|
460 |
444 |
$1K |
| 82105 |
|
232 |
225 |
$1K |
| 0460 |
|
75 |
74 |
$1K |
| 87522 |
Neg quan hep c or qual rna |
113 |
109 |
$1K |
| J1630 |
Haloperidol injection |
237 |
221 |
$1K |
| Z7512 |
|
43 |
43 |
$1K |
| 82140 |
|
87 |
86 |
$1K |
| 90658 |
|
151 |
146 |
$1K |
| 71020 |
|
40 |
19 |
$948.83 |
| 90686 |
|
74 |
73 |
$901.30 |
| 73552 |
|
24 |
24 |
$879.97 |
| J0360 |
Hydralazine hcl injection |
128 |
115 |
$868.51 |
| J1644 |
Inj heparin sodium per 1000u |
237 |
142 |
$830.29 |
| G0109 |
Diab manage trn ind/group |
15 |
15 |
$804.33 |
| 0324 |
|
503 |
480 |
$788.64 |
| 0002A |
|
21 |
21 |
$778.39 |
| 82010 |
|
128 |
121 |
$766.11 |
| K0001 |
Standard wheelchair |
13 |
13 |
$764.10 |
| 94010 |
|
28 |
27 |
$750.71 |
| 59425 |
|
74 |
51 |
$743.88 |
| 87340 |
|
357 |
352 |
$719.75 |
| 87081 |
|
94 |
94 |
$715.34 |
| 71010 |
|
54 |
22 |
$701.13 |
| 0031A |
|
17 |
17 |
$680.00 |
| T4541 |
Large disposable underpad |
26 |
25 |
$667.00 |
| 99401 |
|
170 |
154 |
$646.78 |
| 99070 |
|
445 |
261 |
$625.83 |
| 80185 |
|
28 |
26 |
$607.69 |
| 29515 |
|
26 |
25 |
$593.07 |
| 97140 |
|
46 |
14 |
$576.20 |
| J3486 |
Ziprasidone mesylate |
20 |
17 |
$574.70 |
| 27502 |
|
36 |
30 |
$558.14 |
| 88142 |
|
153 |
153 |
$540.92 |
| 73060 |
|
27 |
27 |
$530.63 |
| 87147 |
|
132 |
131 |
$479.85 |
| 73120 |
|
12 |
12 |
$468.34 |
| E1390 |
Oxygen concentrator |
14 |
14 |
$446.01 |
| 90716 |
|
170 |
147 |
$442.60 |
| J2710 |
Neostigmine methylslfte inj |
25 |
24 |
$421.78 |
| S0164 |
Injection pantroprazole |
86 |
64 |
$415.59 |
| 0001A |
|
25 |
25 |
$398.10 |
| 84481 |
|
57 |
57 |
$378.91 |
| 82247 |
|
74 |
56 |
$357.81 |
| J1940 |
Furosemide injection |
83 |
66 |
$351.95 |
| 90707 |
|
164 |
140 |
$322.37 |
| 99173 |
|
786 |
763 |
$316.89 |
| S0265 |
Genetic counsel 15 mins |
28 |
28 |
$315.94 |
| Z6410 |
|
13 |
13 |
$313.69 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
16 |
15 |
$305.10 |
| 87070 |
|
27 |
26 |
$282.57 |
| E0431 |
Portable gaseous 02 |
12 |
12 |
$282.05 |
| 0307 |
|
421 |
408 |
$281.03 |
| 86580 |
|
40 |
37 |
$279.78 |
| J0171 |
Adrenalin epinephrine inject |
117 |
112 |
$279.15 |
| 88304 |
|
168 |
162 |
$274.05 |
| 94060 |
|
14 |
13 |
$273.39 |
| 0730 |
|
401 |
379 |
$264.83 |
| 0302 |
|
416 |
393 |
$250.20 |
| 97112 |
|
30 |
14 |
$248.45 |
| A9698 |
Non-rad contrast materialnoc |
74 |
69 |
$223.74 |
| 85652 |
|
101 |
96 |
$213.29 |
| Z6408 |
|
12 |
12 |
$193.44 |
| 90472 |
|
112 |
109 |
$188.85 |
| 0306 |
|
679 |
648 |
$187.00 |
| V2632 |
Post chmbr intraocular lens |
24 |
24 |
$184.92 |
| J0330 |
Succinycholine chloride inj |
48 |
43 |
$176.49 |
| 85018 |
|
177 |
137 |
$161.86 |
| Z6206 |
|
12 |
12 |
$145.08 |
| S0028 |
Injection, famotidine, 20 mg |
287 |
279 |
$127.17 |
| 96040 |
|
27 |
26 |
$120.00 |
| 88342 |
|
17 |
16 |
$118.77 |
| Z6412 |
|
12 |
12 |
$96.72 |
| Z6306 |
|
12 |
12 |
$96.72 |
| J3475 |
Inj magnesium sulfate |
27 |
25 |
$95.63 |
| D0230 |
|
23 |
12 |
$93.15 |
| 86592 |
|
15 |
15 |
$75.36 |
| V5008 |
Hearing screening |
30 |
28 |
$73.03 |
| 84550 |
|
31 |
26 |
$70.66 |
| 90685 |
|
19 |
12 |
$63.00 |
| 97530 |
|
24 |
12 |
$60.18 |
| 82248 |
|
102 |
75 |
$51.50 |
| J2470 |
Inj pantoprazole sodium 40mg |
19 |
13 |
$44.10 |
| 82728 |
|
27 |
27 |
$42.24 |
| 0402 |
|
85 |
85 |
$40.76 |
| 83540 |
|
14 |
14 |
$4.58 |
| 99072 |
|
16 |
12 |
$2.00 |
| 87880 |
|
66 |
63 |
$0.00 |
| 99382 |
|
112 |
107 |
$0.00 |
| 0320 |
|
72 |
70 |
$0.00 |
| 0361 |
|
27 |
27 |
$0.00 |
| 98968 |
|
14 |
13 |
$0.00 |
| 0351 |
|
39 |
39 |
$0.00 |
| 0489 |
|
76 |
76 |
$0.00 |
| E0601 |
Cont airway pressure device |
12 |
12 |
$0.00 |
| 0682 |
|
12 |
12 |
$0.00 |
| 99172 |
|
28 |
28 |
$0.00 |
| D0120 |
|
78 |
78 |
$0.00 |
| 0352 |
|
62 |
61 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
36 |
36 |
$0.00 |
| 0410 |
|
31 |
31 |
$0.00 |
| 96110 |
|
78 |
78 |
$0.00 |
| E0570 |
Nebulizer with compression |
12 |
12 |
$0.00 |
| 0310 |
|
26 |
25 |
$0.00 |
| 99383 |
|
12 |
12 |
$0.00 |