| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
79,974 |
70,540 |
$1.30M |
| 74176 |
|
10,733 |
10,028 |
$1.05M |
| 97110 |
|
32,192 |
11,041 |
$834K |
| 0241U |
|
9,639 |
9,327 |
$788K |
| 74177 |
|
3,987 |
3,763 |
$740K |
| 70450 |
|
12,427 |
11,527 |
$723K |
| A0429 |
Bls-emergency |
13,484 |
9,496 |
$614K |
| 93005 |
|
32,919 |
29,083 |
$529K |
| Z7502 |
|
13,897 |
13,756 |
$525K |
| 96374 |
|
12,761 |
10,867 |
$513K |
| 96375 |
|
16,119 |
11,401 |
$497K |
| 77067 |
|
4,180 |
3,860 |
$478K |
| 80307 |
|
10,950 |
9,406 |
$469K |
| 96365 |
|
8,454 |
7,283 |
$448K |
| 85025 |
|
70,720 |
58,969 |
$404K |
| U0003 |
Cov-19 amp prb hgh thruput |
6,085 |
5,280 |
$398K |
| 80053 |
|
48,039 |
42,040 |
$387K |
| 96372 |
|
19,962 |
15,452 |
$384K |
| 87635 |
|
6,609 |
5,805 |
$307K |
| 83880 |
|
13,231 |
11,859 |
$285K |
| J3490 |
Drugs unclassified injection |
46,356 |
20,847 |
$256K |
| 97750 |
|
4,869 |
3,156 |
$254K |
| 84145 |
|
15,385 |
13,824 |
$249K |
| 99285 |
|
6,511 |
5,328 |
$238K |
| 71045 |
|
25,501 |
22,911 |
$229K |
| 97140 |
|
8,126 |
3,314 |
$225K |
| 76705 |
|
5,506 |
5,210 |
$215K |
| 99199 |
|
3,934 |
3,577 |
$207K |
| 76856 |
|
4,056 |
3,923 |
$198K |
| 76830 |
|
3,489 |
3,378 |
$194K |
| 71275 |
|
1,176 |
1,083 |
$192K |
| 84484 |
|
27,293 |
20,257 |
$190K |
| 71046 |
|
10,690 |
10,277 |
$169K |
| 93971 |
|
1,804 |
1,727 |
$167K |
| 93976 |
|
2,626 |
2,506 |
$162K |
| 78815 |
|
115 |
108 |
$159K |
| 93306 |
|
981 |
964 |
$159K |
| 76700 |
|
2,536 |
2,481 |
$153K |
| 83605 |
|
19,676 |
16,035 |
$147K |
| 87040 |
|
19,261 |
11,307 |
$146K |
| 96361 |
|
6,140 |
4,976 |
$146K |
| 72125 |
|
1,656 |
1,599 |
$144K |
| 96413 |
|
5,154 |
2,816 |
$141K |
| 71260 |
|
1,507 |
1,428 |
$127K |
| G0378 |
Hospital observation per hr |
673 |
459 |
$123K |
| 96367 |
|
3,683 |
2,497 |
$120K |
| 80048 |
|
23,125 |
19,244 |
$119K |
| 70496 |
|
689 |
641 |
$107K |
| 77063 |
|
3,456 |
3,148 |
$102K |
| 72148 |
|
694 |
679 |
$95K |
| 76817 |
|
1,647 |
1,434 |
$95K |
| 96366 |
|
2,852 |
2,123 |
$93K |
| 99283 |
|
5,511 |
4,910 |
$91K |
| 93307 |
|
980 |
845 |
$90K |
| 76801 |
|
1,641 |
1,459 |
$88K |
| 83690 |
|
17,865 |
16,101 |
$87K |
| 80061 |
|
6,457 |
6,282 |
$81K |
| 93970 |
|
537 |
515 |
$81K |
| 72100 |
|
3,527 |
3,376 |
$77K |
| 99281 |
|
1,223 |
1,052 |
$75K |
| 84443 |
|
5,603 |
5,234 |
$72K |
| 97010 |
|
2,466 |
581 |
$70K |
| 97139 |
|
3,175 |
590 |
$69K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,979 |
7,317 |
$68K |
| 70498 |
|
694 |
646 |
$67K |
| 78452 |
|
374 |
335 |
$66K |
| 81001 |
|
30,448 |
27,643 |
$65K |
| 70553 |
|
323 |
303 |
$65K |
| 94640 |
|
4,953 |
3,649 |
$63K |
| 73630 |
|
3,470 |
3,129 |
$61K |
| 76641 |
|
935 |
869 |
$60K |
| 99284 |
|
2,692 |
2,335 |
$59K |
| 90715 |
|
1,978 |
1,899 |
$57K |
| 83036 |
|
6,118 |
5,992 |
$56K |
| 87502 |
|
1,418 |
1,309 |
$55K |
| 70551 |
|
390 |
373 |
$52K |
| 85730 |
|
14,079 |
12,134 |
$52K |
| J0897 |
Denosumab injection |
133 |
132 |
$51K |
| 96360 |
|
1,367 |
1,270 |
$51K |
| 73030 |
|
2,965 |
2,766 |
$50K |
| 76536 |
|
1,026 |
1,009 |
$49K |
| 87086 |
|
9,248 |
8,407 |
$47K |
| 85610 |
|
18,448 |
15,822 |
$46K |
| 73610 |
|
2,603 |
2,437 |
$45K |
| J1642 |
Inj heparin sodium per 10 u |
5,163 |
2,337 |
$45K |
| 88305 |
|
3,220 |
2,761 |
$45K |
| 77066 |
Tomosynthesis, mammo |
339 |
338 |
$44K |
| 72040 |
|
1,892 |
1,833 |
$43K |
| 71250 |
|
551 |
539 |
$42K |
| 73562 |
|
2,620 |
2,418 |
$41K |
| 96415 |
|
1,361 |
864 |
$41K |
| 70486 |
|
549 |
539 |
$40K |
| 73502 |
|
1,780 |
1,668 |
$39K |
| 97530 |
|
5,610 |
2,148 |
$39K |
| 73130 |
|
2,142 |
1,974 |
$37K |
| 97165 |
|
855 |
665 |
$36K |
| A9585 |
Gadobutrol injection |
1,620 |
1,521 |
$35K |
| 76815 |
|
699 |
521 |
$35K |
| 73564 |
|
1,811 |
1,675 |
$34K |
| 92507 |
|
977 |
388 |
$34K |
| J0131 |
Inj, acetaminophen (nos) |
1,659 |
1,490 |
$33K |
| 76775 |
|
1,217 |
1,177 |
$32K |
| A9502 |
Tc99m tetrofosmin |
350 |
312 |
$32K |
| 59025 |
|
1,341 |
745 |
$31K |
| 96417 |
|
743 |
436 |
$27K |
| 76642 |
|
448 |
439 |
$27K |
| J2405 |
Ondansetron hcl injection |
14,578 |
10,187 |
$26K |
| 0250 |
|
8,541 |
3,851 |
$26K |
| 83735 |
|
5,736 |
4,402 |
$25K |
| 82306 |
|
961 |
960 |
$25K |
| 73110 |
|
1,420 |
1,336 |
$24K |
| 0160 |
|
2,305 |
1,208 |
$23K |
| 0240U |
|
572 |
559 |
$22K |
| J1100 |
Dexamethasone sodium phos |
9,426 |
7,237 |
$22K |
| 84703 |
|
12,264 |
11,372 |
$22K |
| 97162 |
|
1,413 |
1,317 |
$22K |
| 85379 |
|
2,749 |
2,633 |
$22K |
| 87186 |
|
3,594 |
3,308 |
$22K |
| J2785 |
Regadenoson injection |
198 |
184 |
$21K |
| J0696 |
Ceftriaxone sodium injection |
7,786 |
6,419 |
$21K |
| 76816 |
|
446 |
407 |
$21K |
| C1769 |
Guide wire |
760 |
633 |
$20K |
| 84702 |
|
2,990 |
2,656 |
$20K |
| G0279 |
Tomosynthesis, mammo |
699 |
697 |
$19K |
| J1885 |
Ketorolac tromethamine inj |
8,371 |
7,299 |
$19K |
| 73721 |
|
108 |
101 |
$19K |
| 82948 |
|
5,859 |
3,042 |
$19K |
| 87077 |
|
3,454 |
3,189 |
$19K |
| 74018 |
|
1,675 |
1,604 |
$18K |
| 96376 |
|
5,703 |
3,355 |
$18K |
| 43239 |
|
1,131 |
959 |
$18K |
| Z7610 |
|
4,072 |
2,518 |
$18K |
| 97116 |
|
1,614 |
773 |
$17K |
| J1170 |
Hydromorphone injection |
5,748 |
3,518 |
$17K |
| 85027 |
|
4,588 |
3,669 |
$17K |
| 93017 |
|
365 |
319 |
$16K |
| 97112 |
|
1,055 |
532 |
$15K |
| A9552 |
F18 fdg |
69 |
63 |
$15K |
| J2704 |
Inj, propofol, 10 mg |
4,485 |
3,498 |
$15K |
| 82550 |
|
3,358 |
2,891 |
$14K |
| 87389 |
|
721 |
628 |
$14K |
| 84439 |
|
1,739 |
1,668 |
$14K |
| 81025 |
|
4,050 |
3,793 |
$14K |
| A4216 |
Sterile water/saline, 10 ml |
2,497 |
1,662 |
$13K |
| 82728 |
|
1,468 |
1,339 |
$13K |
| 73590 |
|
878 |
780 |
$12K |
| 87491 |
|
587 |
562 |
$12K |
| 77065 |
Tomosynthesis, mammo |
111 |
109 |
$12K |
| 87591 |
|
574 |
549 |
$11K |
| 87804 |
|
1,778 |
1,651 |
$11K |
| 80076 |
|
2,799 |
2,370 |
$11K |
| 81003 |
|
7,961 |
7,410 |
$11K |
| J1815 |
Insulin injection |
2,223 |
1,334 |
$11K |
| 71101 |
|
568 |
544 |
$11K |
| 0760 |
|
2,102 |
1,723 |
$11K |
| 82962 |
|
4,992 |
2,681 |
$11K |
| J2270 |
Morphine sulfate injection |
4,091 |
2,805 |
$11K |
| 76811 |
|
97 |
97 |
$10K |
| Z9725 |
|
239 |
238 |
$10K |
| 82043 |
|
1,732 |
1,728 |
$10K |
| P9016 |
Rbc leukocytes reduced |
62 |
52 |
$10K |
| 82570 |
|
1,921 |
1,885 |
$10K |
| 86901 |
|
4,744 |
4,157 |
$10K |
| 87636 |
|
136 |
104 |
$10K |
| 85380 |
|
3,081 |
2,812 |
$10K |
| J3010 |
Fentanyl citrate injection |
6,220 |
5,100 |
$10K |
| 0270 |
|
53,950 |
22,498 |
$9K |
| J7030 |
Normal saline solution infus |
1,588 |
1,248 |
$9K |
| 86900 |
|
4,743 |
4,157 |
$9K |
| 45378 |
|
304 |
290 |
$9K |
| J2250 |
Inj midazolam hydrochloride |
5,404 |
4,220 |
$9K |
| 82746 |
|
665 |
621 |
$8K |
| J1200 |
Diphenhydramine hcl injectio |
4,804 |
3,480 |
$8K |
| 87081 |
|
2,229 |
2,051 |
$8K |
| 86803 |
|
522 |
522 |
$8K |
| 90471 |
|
2,003 |
1,894 |
$8K |
| 73080 |
|
474 |
447 |
$8K |
| J7050 |
Normal saline solution infus |
2,093 |
1,086 |
$7K |
| 94760 |
|
1,849 |
1,025 |
$7K |
| 36415 |
|
10,667 |
6,666 |
$7K |
| J0690 |
Cefazolin sodium injection |
2,367 |
1,757 |
$7K |
| 86850 |
|
3,193 |
2,727 |
$7K |
| 84100 |
|
2,432 |
1,818 |
$7K |
| 72141 |
|
54 |
53 |
$6K |
| J3370 |
Vancomycin hcl injection |
883 |
668 |
$6K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
111 |
103 |
$6K |
| 97535 |
|
715 |
508 |
$6K |
| 87070 |
|
1,142 |
1,041 |
$6K |
| 87880 |
|
1,042 |
1,007 |
$5K |
| 85652 |
|
2,737 |
2,558 |
$5K |
| 84153 |
|
311 |
310 |
$5K |
| J2543 |
Piperacillin/tazobactam |
1,241 |
777 |
$5K |
| 74022 |
|
248 |
242 |
$5K |
| 85007 |
|
2,966 |
2,359 |
$5K |
| J1644 |
Inj heparin sodium per 1000u |
2,277 |
1,141 |
$5K |
| J2060 |
Lorazepam injection |
2,113 |
1,457 |
$5K |
| 97161 |
|
769 |
688 |
$5K |
| 83550 |
|
720 |
693 |
$4K |
| 88304 |
|
701 |
635 |
$4K |
| 86141 |
|
659 |
614 |
$4K |
| J2765 |
Metoclopramide hcl injection |
2,293 |
1,936 |
$4K |
| 77049 |
|
12 |
12 |
$4K |
| 82378 |
|
228 |
193 |
$4K |
| 87205 |
|
1,514 |
1,363 |
$4K |
| 83540 |
|
740 |
711 |
$4K |
| 82140 |
|
427 |
339 |
$4K |
| 76870 |
|
128 |
125 |
$3K |
| J0171 |
Adrenalin epinephrine inject |
575 |
523 |
$3K |
| 86140 |
|
868 |
850 |
$3K |
| 93880 |
|
26 |
24 |
$3K |
| 71020 |
|
206 |
192 |
$3K |
| 72070 |
|
173 |
164 |
$3K |
| 83615 |
|
638 |
566 |
$3K |
| G0202 |
Scr mammo bi incl cad |
41 |
41 |
$3K |
| 73140 |
|
325 |
312 |
$3K |
| 0637 |
|
4,311 |
2,247 |
$3K |
| J7120 |
Ringers lactate infusion |
589 |
543 |
$3K |
| J2930 |
Methylprednisolone injection |
606 |
523 |
$3K |
| 82553 |
|
407 |
372 |
$3K |
| 45380 |
|
390 |
353 |
$3K |
| 73090 |
|
227 |
220 |
$3K |
| 74178 |
|
12 |
12 |
$3K |
| U0005 |
Infec agen detec ampli probe |
3,630 |
3,422 |
$3K |
| 66984 |
|
62 |
62 |
$3K |
| 87147 |
|
840 |
776 |
$3K |
| 12001 |
|
140 |
138 |
$2K |
| G0500 |
Mod sedat endo service >5yrs |
1,198 |
1,015 |
$2K |
| 93975 |
|
13 |
12 |
$2K |
| 97597 |
|
76 |
36 |
$2K |
| 97113 |
|
72 |
24 |
$2K |
| 80074 |
|
57 |
54 |
$2K |
| J2001 |
Lidocaine injection |
2,291 |
2,128 |
$2K |
| 82607 |
|
936 |
887 |
$2K |
| 88307 |
|
44 |
38 |
$2K |
| G0480 |
Drug test def 1-7 classes |
153 |
133 |
$2K |
| J1650 |
Inj enoxaparin sodium |
523 |
322 |
$2K |
| 0258 |
|
3,504 |
2,212 |
$2K |
| G0463 |
Hospital outpt clinic visit |
91 |
78 |
$2K |
| 71010 |
|
178 |
172 |
$2K |
| 83874 |
|
220 |
214 |
$2K |
| 70491 |
|
13 |
12 |
$2K |
| 82010 |
|
273 |
236 |
$1K |
| 97166 |
|
27 |
27 |
$1K |
| 0272 |
|
3,528 |
2,744 |
$1K |
| V2632 |
Post chmbr intraocular lens |
12 |
12 |
$1K |
| C1729 |
Cath, drainage |
127 |
91 |
$1K |
| 87430 |
|
405 |
399 |
$1K |
| 99070 |
|
754 |
368 |
$1K |
| J3480 |
Inj potassium chloride |
446 |
353 |
$1K |
| G1004 |
Cdsm ndsc |
15,048 |
11,654 |
$1K |
| 0710 |
|
2,429 |
2,110 |
$1K |
| 70360 |
|
84 |
82 |
$985.42 |
| 0761 |
|
875 |
708 |
$980.77 |
| 96523 |
|
150 |
109 |
$971.28 |
| 72170 |
|
77 |
76 |
$948.52 |
| 84550 |
|
272 |
255 |
$940.08 |
| A9270 |
Non-covered item or service |
4,600 |
1,308 |
$924.89 |
| 72131 |
|
13 |
13 |
$908.34 |
| 96402 |
|
105 |
95 |
$878.08 |
| 84479 |
|
214 |
194 |
$831.96 |
| C1894 |
Intro/sheath, non-laser |
89 |
73 |
$807.62 |
| 99152 |
|
96 |
95 |
$750.15 |
| J1453 |
Fosaprepitant injection |
24 |
13 |
$741.45 |
| 86300 |
|
82 |
66 |
$723.12 |
| 86923 |
|
36 |
30 |
$713.15 |
| 0360 |
|
1,020 |
825 |
$686.58 |
| 96411 |
|
21 |
12 |
$682.15 |
| 87340 |
|
85 |
84 |
$673.83 |
| 45385 |
|
134 |
133 |
$630.53 |
| 73552 |
|
51 |
49 |
$624.14 |
| 82274 |
|
40 |
40 |
$585.71 |
| J1940 |
Furosemide injection |
245 |
156 |
$574.30 |
| 87807 |
|
205 |
202 |
$558.38 |
| 76882 |
|
46 |
40 |
$550.41 |
| J2272 |
Inj, morphine (fresenius) |
255 |
186 |
$542.67 |
| J0136 |
Inj, acetaminophen (b braun) |
150 |
150 |
$537.06 |
| 92610 |
|
18 |
13 |
$522.40 |
| J2710 |
Neostigmine methylslfte inj |
251 |
232 |
$512.73 |
| 86308 |
|
154 |
147 |
$498.47 |
| 10060 |
|
41 |
39 |
$472.64 |
| 0636 |
|
610 |
309 |
$378.43 |
| 84156 |
|
116 |
100 |
$371.78 |
| 99153 |
Mod sedat endo service >5yrs |
179 |
164 |
$366.07 |
| 85046 |
|
86 |
81 |
$360.09 |
| J7040 |
Normal saline solution infus |
89 |
83 |
$350.54 |
| S0020 |
Injection, bupivicaine hydro |
323 |
312 |
$349.34 |
| 86780 |
|
28 |
26 |
$332.02 |
| J2780 |
Ranitidine hydrochloride inj |
18 |
16 |
$318.23 |
| 73060 |
|
13 |
12 |
$318.08 |
| 99156 |
|
125 |
125 |
$299.37 |
| J7512 |
Prednisone ir or dr oral 1mg |
526 |
412 |
$275.81 |
| Q0144 |
Azithromycin dihydrate, oral |
31 |
29 |
$254.84 |
| 72072 |
|
12 |
12 |
$245.15 |
| 12011 |
|
13 |
13 |
$201.60 |
| 85384 |
|
30 |
29 |
$201.09 |
| 29125 |
|
65 |
65 |
$194.17 |
| J2550 |
Promethazine hcl injection |
35 |
30 |
$193.96 |
| Q0162 |
Ondansetron oral |
1,256 |
1,171 |
$187.83 |
| 74000 |
|
16 |
16 |
$177.43 |
| 84436 |
|
42 |
42 |
$177.30 |
| 82330 |
|
26 |
26 |
$168.56 |
| J3489 |
Zoledronic acid 1mg |
13 |
12 |
$162.53 |
| 82803 |
|
25 |
25 |
$160.41 |
| C9399 |
Unclassified drugs or biolog |
12 |
12 |
$146.67 |
| 88342 |
|
13 |
13 |
$135.56 |
| 84132 |
|
153 |
144 |
$131.84 |
| J3475 |
Inj magnesium sulfate |
74 |
51 |
$123.60 |
| 87075 |
|
20 |
14 |
$115.97 |
| J2919 |
Inj, methylpred sod succ 5mg |
31 |
28 |
$115.64 |
| 73120 |
|
12 |
12 |
$114.97 |
| J0360 |
Hydralazine hcl injection |
60 |
47 |
$110.09 |
| J0692 |
Cefepime hcl for injection |
32 |
26 |
$95.68 |
| J2370 |
Phenylephrine hcl injection |
163 |
151 |
$90.81 |
| 0324 |
|
357 |
311 |
$77.58 |
| J0456 |
Azithromycin |
35 |
26 |
$70.54 |
| J3486 |
Ziprasidone mesylate |
29 |
14 |
$62.44 |
| 85018 |
|
121 |
108 |
$50.74 |
| 85014 |
|
123 |
109 |
$49.48 |
| J0134 |
Inj acetaminophen -fresenius |
25 |
24 |
$41.25 |
| 82150 |
|
12 |
12 |
$41.22 |
| 0370 |
|
208 |
155 |
$40.93 |
| J0137 |
Inj, acetaminophen (hikma) |
34 |
31 |
$36.33 |
| 88311 |
|
12 |
12 |
$27.26 |
| 36591 |
|
752 |
506 |
$26.26 |
| S0028 |
Injection, famotidine, 20 mg |
700 |
436 |
$24.79 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
15 |
15 |
$24.54 |
| J7510 |
Prednisolone oral per 5 mg |
76 |
75 |
$23.04 |
| 82077 |
|
53 |
49 |
$20.82 |
| Q0163 |
Diphenhydramine hcl 50mg |
572 |
468 |
$19.55 |
| 94664 |
|
28 |
27 |
$16.91 |
| 84295 |
|
56 |
52 |
$14.78 |
| 82947 |
|
41 |
40 |
$14.46 |
| 85049 |
|
13 |
13 |
$12.06 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
21 |
14 |
$11.42 |
| 82435 |
|
25 |
25 |
$3.67 |
| 0305 |
|
571 |
242 |
$0.00 |
| C1889 |
Implant/insert device, noc |
34 |
34 |
$0.00 |
| 0306 |
|
711 |
361 |
$0.00 |
| Q4051 |
Splint supplies misc |
18 |
12 |
$0.00 |
| 0949 |
|
114 |
38 |
$0.00 |
| 0401 |
|
24 |
12 |
$0.00 |
| G8980 |
Mobility d/c status |
15 |
15 |
$0.00 |
| G8987 |
Self care current status |
13 |
13 |
$0.00 |
| 0307 |
|
116 |
110 |
$0.00 |
| 0301 |
|
1,855 |
510 |
$0.00 |
| 0335 |
|
76 |
17 |
$0.00 |
| 0922 |
|
34 |
34 |
$0.00 |
| 0610 |
|
20 |
20 |
$0.00 |
| 0420 |
|
193 |
70 |
$0.00 |
| 0372 |
|
30 |
17 |
$0.00 |
| 0310 |
|
70 |
44 |
$0.00 |
| 0331 |
|
22 |
12 |
$0.00 |
| 80050 |
|
29 |
26 |
$0.00 |
| G8988 |
Self care goal status |
13 |
13 |
$0.00 |
| 0352 |
|
171 |
145 |
$0.00 |
| 0351 |
|
118 |
95 |
$0.00 |
| 0300 |
|
1,277 |
507 |
$0.00 |
| G8979 |
Mobility goal status |
305 |
278 |
$0.00 |
| G8978 |
Mobility current status |
263 |
246 |
$0.00 |
| 0750 |
|
54 |
28 |
$0.00 |
| 0320 |
|
279 |
210 |
$0.00 |
| 0302 |
|
22 |
16 |
$0.00 |
| 0402 |
|
242 |
172 |
$0.00 |
| 0403 |
|
22 |
14 |
$0.00 |
| 0361 |
|
25 |
14 |
$0.00 |
| 0260 |
|
119 |
25 |
$0.00 |
| 0278 |
|
38 |
18 |
$0.00 |
| 0921 |
|
14 |
13 |
$0.00 |