| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
153,775 |
131,636 |
$61.48M |
| 99283 |
|
74,353 |
66,348 |
$36.37M |
| Z7502 |
|
40,681 |
39,554 |
$1.53M |
| 80307 |
|
17,620 |
16,229 |
$914K |
| U0003 |
Cov-19 amp prb hgh thruput |
9,234 |
8,873 |
$798K |
| 99284 |
|
7,240 |
6,676 |
$790K |
| 0360 |
|
5,394 |
2,916 |
$765K |
| 0241U |
|
4,657 |
4,602 |
$582K |
| 0202U |
|
1,734 |
1,720 |
$575K |
| 99499 |
|
8,233 |
6,834 |
$458K |
| G0378 |
Hospital observation per hr |
3,469 |
2,519 |
$417K |
| 0762 |
|
4,844 |
3,463 |
$402K |
| 99221 |
|
1,894 |
1,873 |
$363K |
| 99285 |
|
3,680 |
3,342 |
$359K |
| U0002 |
Covid-19 lab test non-cdc |
5,652 |
5,393 |
$349K |
| 80053 |
|
85,473 |
79,121 |
$341K |
| 76805 |
|
3,608 |
3,339 |
$293K |
| 96374 |
|
24,933 |
23,344 |
$279K |
| J0131 |
Inj, acetaminophen (nos) |
1,535 |
1,450 |
$277K |
| J3490 |
Drugs unclassified injection |
77,151 |
40,312 |
$273K |
| 70450 |
|
10,419 |
10,172 |
$272K |
| 93005 |
|
34,546 |
32,284 |
$271K |
| 0720 |
|
6,905 |
4,805 |
$270K |
| 74177 |
|
7,087 |
6,916 |
$240K |
| 99070 |
|
89,526 |
54,387 |
$227K |
| 85025 |
|
89,903 |
82,314 |
$209K |
| 96372 |
|
31,217 |
29,369 |
$205K |
| V5008 |
Hearing screening |
3,555 |
3,460 |
$188K |
| 97802 |
|
1,573 |
1,226 |
$175K |
| 99282 |
|
1,798 |
1,631 |
$166K |
| 74176 |
|
7,962 |
7,778 |
$150K |
| 96375 |
|
20,666 |
19,070 |
$143K |
| 47562 |
|
451 |
444 |
$136K |
| 59025 |
|
5,765 |
4,475 |
$129K |
| 96365 |
|
8,743 |
8,345 |
$123K |
| 71045 |
|
30,741 |
29,306 |
$122K |
| 90853 |
|
4,067 |
373 |
$122K |
| G0463 |
Hospital outpt clinic visit |
2,705 |
2,085 |
$119K |
| 99231 |
|
1,445 |
1,431 |
$112K |
| 0710 |
|
3,115 |
2,988 |
$109K |
| 76801 |
|
5,858 |
5,064 |
$100K |
| 92588 |
|
1,658 |
1,570 |
$91K |
| 76819 |
|
1,202 |
1,014 |
$88K |
| 96360 |
|
2,812 |
2,572 |
$88K |
| 87086 |
|
26,318 |
24,162 |
$86K |
| 71046 |
|
18,982 |
18,121 |
$81K |
| Z9725 |
|
1,854 |
1,822 |
$78K |
| 76705 |
|
6,417 |
6,221 |
$76K |
| Z7610 |
|
14,083 |
9,363 |
$75K |
| 76817 |
|
2,570 |
2,291 |
$74K |
| 96361 |
|
7,384 |
6,708 |
$72K |
| J7030 |
Normal saline solution infus |
36,474 |
33,597 |
$67K |
| 99218 |
|
366 |
361 |
$67K |
| 81001 |
|
54,524 |
50,775 |
$65K |
| 99238 |
|
1,829 |
1,810 |
$65K |
| 97803 |
|
911 |
673 |
$65K |
| 72125 |
|
2,051 |
2,022 |
$63K |
| 94640 |
|
11,427 |
10,023 |
$58K |
| 81025 |
|
35,431 |
33,470 |
$56K |
| 76856 |
|
4,053 |
3,947 |
$49K |
| 87635 |
|
796 |
776 |
$48K |
| 36415 |
|
15,672 |
13,682 |
$45K |
| 88305 |
|
1,883 |
1,731 |
$40K |
| J0330 |
Succinycholine chloride inj |
1,802 |
1,755 |
$39K |
| 85730 |
|
8,754 |
8,303 |
$39K |
| G0480 |
Drug test def 1-7 classes |
3,807 |
3,576 |
$39K |
| 84484 |
|
20,693 |
18,965 |
$37K |
| 84703 |
|
8,832 |
8,144 |
$37K |
| 83690 |
|
28,702 |
27,071 |
$36K |
| 99232 |
|
434 |
429 |
$35K |
| 71275 |
|
943 |
917 |
$34K |
| 87633 |
|
972 |
902 |
$33K |
| 93971 |
|
1,976 |
1,933 |
$31K |
| 70486 |
|
1,243 |
1,220 |
$29K |
| 87637 |
|
191 |
186 |
$27K |
| 85610 |
|
9,924 |
9,351 |
$26K |
| 82962 |
|
23,190 |
19,406 |
$25K |
| J1885 |
Ketorolac tromethamine inj |
28,985 |
27,535 |
$25K |
| 99291 |
|
69 |
63 |
$24K |
| 88304 |
|
1,966 |
1,903 |
$24K |
| J0561 |
Penicillin g benzathine inj |
591 |
553 |
$23K |
| 93976 |
|
1,003 |
977 |
$22K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
9,252 |
9,004 |
$22K |
| 84702 |
|
8,136 |
6,824 |
$22K |
| L8699 |
Prosthetic implant nos |
40 |
39 |
$22K |
| 83880 |
|
4,916 |
4,615 |
$22K |
| 80048 |
|
6,680 |
6,068 |
$21K |
| 0250 |
|
4,033 |
2,502 |
$21K |
| 85027 |
|
5,750 |
5,477 |
$19K |
| 76830 |
|
1,332 |
1,302 |
$19K |
| 0949 |
|
276 |
204 |
$18K |
| J2405 |
Ondansetron hcl injection |
26,129 |
24,179 |
$17K |
| 87040 |
|
5,570 |
5,073 |
$16K |
| 99224 |
|
210 |
207 |
$16K |
| J2270 |
Morphine sulfate injection |
14,548 |
13,061 |
$15K |
| 73610 |
|
3,451 |
3,382 |
$15K |
| 72131 |
|
273 |
269 |
$14K |
| 93975 |
|
502 |
496 |
$14K |
| J3010 |
Fentanyl citrate injection |
6,855 |
5,636 |
$13K |
| 73562 |
|
3,751 |
3,661 |
$13K |
| J1100 |
Dexamethasone sodium phos |
12,852 |
12,424 |
$13K |
| 73030 |
|
2,418 |
2,367 |
$12K |
| 73630 |
|
3,686 |
3,607 |
$12K |
| 73130 |
|
3,432 |
3,363 |
$12K |
| S0020 |
Injection, bupivicaine hydro |
1,346 |
1,297 |
$12K |
| 99217 |
|
345 |
340 |
$12K |
| J2704 |
Inj, propofol, 10 mg |
4,919 |
4,772 |
$11K |
| 87077 |
|
5,466 |
5,222 |
$11K |
| 74018 |
|
2,940 |
2,856 |
$11K |
| 83605 |
|
6,393 |
5,928 |
$11K |
| J0696 |
Ceftriaxone sodium injection |
10,524 |
9,977 |
$11K |
| 97804 |
|
226 |
217 |
$11K |
| 87186 |
|
4,939 |
4,704 |
$10K |
| 81003 |
|
16,309 |
15,645 |
$10K |
| 82248 |
|
2,685 |
1,799 |
$10K |
| J1815 |
Insulin injection |
1,725 |
1,452 |
$10K |
| 93970 |
|
287 |
282 |
$10K |
| J7120 |
Ringers lactate infusion |
3,354 |
2,970 |
$10K |
| 90715 |
|
2,610 |
2,576 |
$9K |
| 73110 |
|
2,237 |
2,189 |
$9K |
| 93306 |
|
69 |
68 |
$9K |
| C1889 |
Implant/insert device, noc |
46 |
45 |
$9K |
| 84443 |
|
3,089 |
2,999 |
$9K |
| 96366 |
|
877 |
841 |
$9K |
| 72100 |
|
1,930 |
1,902 |
$9K |
| 87502 |
|
652 |
622 |
$8K |
| 86850 |
|
2,639 |
2,506 |
$8K |
| C1781 |
Mesh (implantable) |
13 |
13 |
$8K |
| J1170 |
Hydromorphone injection |
2,549 |
2,253 |
$8K |
| J2710 |
Neostigmine methylslfte inj |
493 |
481 |
$7K |
| 71020 |
|
463 |
371 |
$7K |
| A9270 |
Non-covered item or service |
4,950 |
2,578 |
$7K |
| 71260 |
|
70 |
67 |
$7K |
| 73080 |
|
1,522 |
1,490 |
$7K |
| 12001 |
|
1,706 |
1,681 |
$7K |
| J0690 |
Cefazolin sodium injection |
3,050 |
2,911 |
$7K |
| Z7500 |
|
192 |
172 |
$7K |
| 88342 |
|
302 |
291 |
$7K |
| 29125 |
|
1,487 |
1,450 |
$6K |
| 36821 |
|
25 |
25 |
$6K |
| 87210 |
|
2,331 |
2,257 |
$6K |
| 88341 |
|
28 |
25 |
$6K |
| 0270 |
|
1,346 |
845 |
$6K |
| 72040 |
|
954 |
933 |
$6K |
| 10060 |
|
1,330 |
1,277 |
$6K |
| 86900 |
|
2,728 |
2,589 |
$6K |
| 82550 |
|
4,770 |
4,427 |
$6K |
| Q3014 |
Telehealth facility fee |
1,337 |
1,242 |
$6K |
| 84145 |
|
1,758 |
1,696 |
$5K |
| 99281 |
|
79 |
71 |
$5K |
| 82247 |
|
2,850 |
1,834 |
$5K |
| 86901 |
|
4,925 |
4,660 |
$5K |
| 83735 |
|
4,756 |
4,341 |
$5K |
| 12011 |
|
1,163 |
1,148 |
$5K |
| 87147 |
|
996 |
939 |
$5K |
| 87491 |
|
343 |
333 |
$4K |
| 29515 |
|
1,352 |
1,307 |
$4K |
| 87581 |
|
2,108 |
2,031 |
$4K |
| 87486 |
|
2,108 |
2,030 |
$4K |
| 87798 |
|
2,127 |
2,046 |
$4K |
| 85379 |
|
2,589 |
2,518 |
$3K |
| 87591 |
|
177 |
168 |
$3K |
| S0077 |
Injection, clindamycin phosp |
809 |
772 |
$3K |
| 96367 |
|
436 |
416 |
$3K |
| 0750 |
|
28 |
28 |
$3K |
| 82731 |
|
47 |
38 |
$3K |
| 85384 |
|
284 |
238 |
$3K |
| 82803 |
|
593 |
560 |
$3K |
| 73140 |
|
940 |
919 |
$3K |
| 88307 |
|
64 |
60 |
$3K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
724 |
713 |
$3K |
| 83036 |
|
473 |
460 |
$2K |
| 73590 |
|
686 |
670 |
$2K |
| 94729 |
|
50 |
50 |
$2K |
| 87400 |
|
633 |
555 |
$2K |
| J2765 |
Metoclopramide hcl injection |
4,811 |
4,583 |
$2K |
| 83615 |
|
355 |
299 |
$2K |
| 74019 |
|
546 |
536 |
$2K |
| 73090 |
|
676 |
651 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
5,432 |
5,225 |
$2K |
| 88302 |
|
154 |
151 |
$2K |
| 70491 |
|
59 |
59 |
$2K |
| 73502 |
|
502 |
486 |
$2K |
| 94060 |
|
55 |
55 |
$2K |
| 76870 |
|
346 |
333 |
$2K |
| J2930 |
Methylprednisolone injection |
2,490 |
2,323 |
$2K |
| 72128 |
|
25 |
25 |
$2K |
| 94727 |
|
38 |
38 |
$2K |
| J7040 |
Normal saline solution infus |
2,076 |
1,982 |
$1K |
| 74021 |
|
373 |
371 |
$1K |
| J7050 |
Normal saline solution infus |
2,065 |
1,947 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
3,981 |
3,748 |
$1K |
| J2175 |
Meperidine hydrochl /100 mg |
219 |
213 |
$1K |
| 42820 |
|
14 |
12 |
$1K |
| 30520 |
|
12 |
12 |
$1K |
| 86780 |
|
177 |
168 |
$1K |
| J1335 |
Ertapenem injection |
26 |
26 |
$1K |
| 71101 |
|
318 |
308 |
$1K |
| 12002 |
|
358 |
353 |
$1K |
| 74022 |
|
385 |
381 |
$983.20 |
| 29530 |
|
244 |
242 |
$982.89 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
358 |
342 |
$972.45 |
| 82570 |
|
147 |
124 |
$802.78 |
| J2060 |
Lorazepam injection |
2,099 |
1,903 |
$781.49 |
| J1644 |
Inj heparin sodium per 1000u |
415 |
306 |
$770.44 |
| J3105 |
Terbutaline sulfate inj |
207 |
160 |
$731.75 |
| 71010 |
|
94 |
82 |
$685.21 |
| 10061 |
|
190 |
182 |
$678.02 |
| 71250 |
|
13 |
13 |
$677.08 |
| 90471 |
|
2,736 |
2,688 |
$651.94 |
| 85007 |
|
1,943 |
1,864 |
$637.76 |
| J2919 |
Inj, methylpred sod succ 5mg |
72 |
68 |
$589.51 |
| 82553 |
|
623 |
585 |
$582.59 |
| J0360 |
Hydralazine hcl injection |
371 |
331 |
$576.73 |
| J3475 |
Inj magnesium sulfate |
627 |
578 |
$536.14 |
| 86141 |
|
391 |
378 |
$518.99 |
| 96376 |
|
1,113 |
1,000 |
$468.53 |
| 84439 |
|
408 |
401 |
$437.69 |
| J2440 |
Papaverin hcl injection |
16 |
16 |
$433.18 |
| 87081 |
|
261 |
255 |
$416.77 |
| 74000 |
|
33 |
26 |
$406.80 |
| 43239 |
|
12 |
12 |
$399.09 |
| 84156 |
|
104 |
87 |
$374.35 |
| 99001 |
|
60 |
59 |
$368.00 |
| 84550 |
|
216 |
205 |
$346.55 |
| 0370 |
|
12 |
12 |
$329.70 |
| 87070 |
|
92 |
89 |
$326.29 |
| 0001A |
|
19 |
19 |
$321.86 |
| J1953 |
Levetiracetam injection |
42 |
39 |
$292.48 |
| 99153 |
Mod sedat endo service >5yrs |
20 |
20 |
$282.52 |
| 82140 |
|
179 |
177 |
$268.22 |
| J0171 |
Adrenalin epinephrine inject |
42 |
41 |
$253.00 |
| 80061 |
|
258 |
248 |
$219.56 |
| 0272 |
|
12 |
12 |
$218.49 |
| 88313 |
|
13 |
13 |
$200.50 |
| J3370 |
Vancomycin hcl injection |
51 |
41 |
$192.88 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
42 |
42 |
$158.40 |
| 87205 |
|
148 |
140 |
$146.44 |
| 99152 |
|
14 |
13 |
$145.54 |
| 84100 |
|
408 |
352 |
$139.28 |
| 72072 |
|
43 |
43 |
$137.75 |
| 87389 |
|
13 |
13 |
$113.15 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
13 |
12 |
$88.00 |
| S0164 |
Injection pantroprazole |
136 |
126 |
$77.56 |
| J2720 |
Inj protamine sulfate/10 mg |
26 |
26 |
$75.85 |
| 85380 |
|
65 |
64 |
$68.60 |
| 85652 |
|
183 |
174 |
$55.25 |
| 73552 |
|
13 |
13 |
$48.70 |
| J2550 |
Promethazine hcl injection |
40 |
39 |
$45.51 |
| 70360 |
|
25 |
25 |
$37.79 |
| 29105 |
|
90 |
82 |
$34.68 |
| J1805 |
Inj, esmolol hcl, 10mg |
14 |
14 |
$30.00 |
| U0005 |
Infec agen detec ampli probe |
41 |
40 |
$25.00 |
| J0456 |
Azithromycin |
27 |
24 |
$23.76 |
| J1940 |
Furosemide injection |
44 |
39 |
$21.04 |
| 80076 |
|
12 |
12 |
$20.42 |
| 73060 |
|
14 |
14 |
$19.38 |
| 29130 |
|
28 |
28 |
$18.72 |
| 85014 |
|
44 |
44 |
$2.68 |
| 85018 |
|
44 |
44 |
$2.59 |
| 82009 |
|
17 |
17 |
$0.00 |
| Q4051 |
Splint supplies misc |
80 |
45 |
$0.00 |
| J1630 |
Haloperidol injection |
13 |
13 |
$0.00 |
| 76377 |
|
17 |
17 |
$0.00 |