| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
128,088 |
116,397 |
$5.15M |
| 74177 |
|
9,733 |
9,395 |
$1.68M |
| 0270 |
|
42,319 |
26,369 |
$891K |
| 70450 |
|
9,910 |
9,553 |
$866K |
| 96374 |
|
19,749 |
18,443 |
$855K |
| 99281 |
|
9,764 |
8,448 |
$779K |
| 99284 |
|
6,570 |
6,190 |
$713K |
| 93005 |
|
38,034 |
34,043 |
$691K |
| 0250 |
|
33,987 |
20,623 |
$536K |
| 93975 |
|
3,476 |
3,328 |
$501K |
| 99283 |
|
4,719 |
4,461 |
$450K |
| J3490 |
Drugs unclassified injection |
53,284 |
29,485 |
$430K |
| 80048 |
|
59,892 |
54,679 |
$417K |
| 0214 |
|
181 |
170 |
$412K |
| 71045 |
|
38,083 |
35,854 |
$405K |
| 85025 |
|
71,481 |
64,921 |
$404K |
| 97110 |
|
21,592 |
7,840 |
$364K |
| 96375 |
|
12,948 |
12,014 |
$354K |
| Z7502 |
|
9,731 |
9,551 |
$343K |
| 0360 |
|
2,579 |
2,407 |
$323K |
| 74176 |
|
3,036 |
2,949 |
$294K |
| 87635 |
|
7,738 |
7,371 |
$289K |
| 76705 |
|
6,362 |
6,026 |
$285K |
| 99199 |
|
8,874 |
8,286 |
$267K |
| 93306 |
|
1,654 |
1,625 |
$238K |
| 0300 |
|
640 |
594 |
$237K |
| 76856 |
|
3,423 |
3,285 |
$208K |
| 72125 |
|
1,697 |
1,670 |
$208K |
| 99285 |
|
574 |
553 |
$202K |
| 88305 |
|
1,776 |
1,751 |
$189K |
| 96372 |
|
10,859 |
10,259 |
$187K |
| 0279 |
|
21,144 |
15,831 |
$186K |
| 84484 |
|
24,946 |
22,224 |
$176K |
| 73721 |
|
477 |
446 |
$174K |
| 76830 |
|
2,945 |
2,828 |
$173K |
| 80307 |
|
4,116 |
3,879 |
$152K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
12,848 |
12,336 |
$147K |
| 71275 |
|
1,010 |
980 |
$144K |
| 96365 |
|
2,641 |
2,445 |
$134K |
| G0480 |
Drug test def 1-7 classes |
2,852 |
2,556 |
$133K |
| 87502 |
|
2,638 |
2,581 |
$132K |
| 76801 |
|
3,037 |
2,649 |
$129K |
| 70553 |
|
307 |
293 |
$123K |
| 80076 |
|
18,986 |
17,803 |
$118K |
| 76817 |
|
2,718 |
2,374 |
$113K |
| 87634 |
|
2,632 |
2,574 |
$110K |
| 0121 |
|
38 |
36 |
$104K |
| 93971 |
|
1,439 |
1,397 |
$104K |
| 83690 |
|
21,143 |
19,592 |
$102K |
| 0710 |
|
3,496 |
3,385 |
$100K |
| 97161 |
|
3,732 |
3,695 |
$93K |
| 84703 |
|
15,424 |
14,462 |
$84K |
| 80053 |
|
10,448 |
9,395 |
$83K |
| 92507 |
|
3,466 |
1,451 |
$80K |
| 96361 |
|
4,777 |
4,522 |
$78K |
| 72148 |
|
254 |
253 |
$76K |
| 81003 |
|
42,106 |
36,635 |
$71K |
| 96360 |
|
1,433 |
1,371 |
$67K |
| J2704 |
Inj, propofol, 10 mg |
2,783 |
2,690 |
$66K |
| 72100 |
|
2,790 |
2,723 |
$66K |
| 0160 |
|
811 |
594 |
$66K |
| J2405 |
Ondansetron hcl injection |
11,335 |
10,442 |
$64K |
| 90715 |
|
2,214 |
2,178 |
$64K |
| J7030 |
Normal saline solution infus |
10,164 |
9,224 |
$64K |
| 70486 |
|
542 |
534 |
$63K |
| 71260 |
|
381 |
377 |
$63K |
| J2270 |
Morphine sulfate injection |
9,557 |
8,251 |
$62K |
| E0114 |
Crutch underarm pair no wood |
2,640 |
2,597 |
$59K |
| 73610 |
|
2,878 |
2,759 |
$58K |
| 87086 |
|
9,658 |
9,054 |
$58K |
| 93970 |
|
506 |
500 |
$57K |
| 77067 |
|
2,565 |
2,564 |
$56K |
| 73630 |
|
2,975 |
2,775 |
$56K |
| 73562 |
|
3,065 |
2,785 |
$54K |
| 73130 |
|
2,578 |
2,383 |
$54K |
| 0301 |
|
952 |
849 |
$54K |
| 87591 |
|
2,311 |
2,227 |
$53K |
| 87491 |
|
2,314 |
2,230 |
$53K |
| J1885 |
Ketorolac tromethamine inj |
11,214 |
10,540 |
$51K |
| 94640 |
|
3,696 |
3,381 |
$50K |
| 83880 |
|
2,727 |
2,541 |
$49K |
| 73030 |
|
2,630 |
2,406 |
$46K |
| 76815 |
|
1,112 |
1,003 |
$45K |
| 71046 |
|
2,519 |
2,433 |
$45K |
| 87633 |
|
201 |
194 |
$44K |
| A9577 |
Inj multihance |
1,184 |
912 |
$44K |
| 81025 |
|
10,934 |
10,361 |
$43K |
| 0762 |
|
679 |
603 |
$43K |
| 76700 |
|
860 |
809 |
$42K |
| 76642 |
|
640 |
638 |
$39K |
| 84702 |
|
3,793 |
3,266 |
$38K |
| 73110 |
|
1,894 |
1,811 |
$37K |
| J0696 |
Ceftriaxone sodium injection |
4,124 |
3,900 |
$37K |
| 76641 |
|
286 |
286 |
$36K |
| 87040 |
|
4,823 |
3,005 |
$35K |
| 87426 |
|
1,107 |
1,051 |
$29K |
| 82947 |
|
9,373 |
7,557 |
$28K |
| J1100 |
Dexamethasone sodium phos |
2,731 |
2,494 |
$28K |
| 82805 |
|
1,141 |
988 |
$27K |
| 84443 |
|
2,378 |
2,295 |
$27K |
| 87804 |
|
4,140 |
3,929 |
$26K |
| 77063 |
|
2,577 |
2,576 |
$26K |
| 73080 |
|
1,225 |
1,177 |
$25K |
| 0320 |
|
790 |
725 |
$25K |
| 0750 |
|
183 |
161 |
$25K |
| 70551 |
|
142 |
141 |
$24K |
| 45380 |
|
360 |
356 |
$23K |
| 74018 |
|
1,365 |
1,317 |
$22K |
| Z7610 |
|
3,377 |
2,314 |
$22K |
| 99282 |
|
241 |
230 |
$22K |
| J0690 |
Cefazolin sodium injection |
797 |
724 |
$19K |
| 87186 |
|
2,941 |
2,806 |
$19K |
| 83735 |
|
4,435 |
4,063 |
$19K |
| 76775 |
|
552 |
521 |
$18K |
| 76805 |
|
248 |
246 |
$17K |
| 77066 |
Tomosynthesis, mammo |
386 |
385 |
$16K |
| 83605 |
|
2,187 |
1,914 |
$15K |
| 73502 |
|
675 |
653 |
$15K |
| 0730 |
|
344 |
319 |
$14K |
| 43239 |
|
272 |
272 |
$14K |
| 45385 |
|
212 |
210 |
$13K |
| 45378 |
|
269 |
269 |
$13K |
| 73564 |
|
528 |
485 |
$13K |
| 85730 |
|
3,434 |
3,214 |
$13K |
| 12001 |
|
1,108 |
1,084 |
$12K |
| 88312 |
|
214 |
214 |
$12K |
| S3620 |
Newborn metabolic screening |
88 |
88 |
$12K |
| 73140 |
|
931 |
903 |
$12K |
| 82948 |
|
3,973 |
3,458 |
$12K |
| 84100 |
|
3,888 |
3,565 |
$11K |
| 76870 |
|
324 |
314 |
$11K |
| J7050 |
Normal saline solution infus |
2,866 |
2,483 |
$11K |
| 10060 |
|
768 |
736 |
$11K |
| 72040 |
|
610 |
590 |
$11K |
| 71250 |
|
84 |
83 |
$11K |
| 85610 |
|
4,467 |
4,172 |
$11K |
| 84439 |
|
1,666 |
1,613 |
$11K |
| 0272 |
|
1,146 |
1,060 |
$10K |
| U0004 |
Cov-19 test non-cdc hgh thru |
354 |
348 |
$10K |
| 86328 |
|
327 |
306 |
$10K |
| 86901 |
|
3,906 |
3,605 |
$10K |
| 87661 |
|
440 |
436 |
$9K |
| 86900 |
|
3,869 |
3,573 |
$9K |
| 73590 |
|
504 |
469 |
$9K |
| 12011 |
|
502 |
490 |
$9K |
| J1200 |
Diphenhydramine hcl injectio |
2,385 |
2,230 |
$9K |
| J2250 |
Inj midazolam hydrochloride |
1,801 |
1,742 |
$9K |
| J3010 |
Fentanyl citrate injection |
1,694 |
1,632 |
$9K |
| 70496 |
|
61 |
57 |
$9K |
| J2765 |
Metoclopramide hcl injection |
1,919 |
1,807 |
$8K |
| 81002 |
|
4,756 |
4,509 |
$8K |
| J7120 |
Ringers lactate infusion |
1,216 |
1,160 |
$8K |
| 90471 |
|
2,321 |
2,272 |
$8K |
| 99000 |
|
2,795 |
2,685 |
$7K |
| U0002 |
Covid-19 lab test non-cdc |
309 |
297 |
$7K |
| 27502 |
|
172 |
168 |
$7K |
| 73090 |
|
455 |
429 |
$7K |
| 85378 |
|
1,280 |
1,239 |
$7K |
| Z9725 |
|
156 |
155 |
$7K |
| 70498 |
|
44 |
42 |
$7K |
| 87807 |
|
838 |
782 |
$7K |
| 87077 |
|
1,236 |
1,211 |
$6K |
| 72072 |
|
298 |
295 |
$6K |
| J2930 |
Methylprednisolone injection |
700 |
650 |
$6K |
| L1830 |
Ko immob canvas long pre ots |
112 |
107 |
$6K |
| 85027 |
|
1,249 |
1,126 |
$5K |
| 93017 |
|
79 |
79 |
$5K |
| J2060 |
Lorazepam injection |
1,112 |
1,018 |
$5K |
| J1170 |
Hydromorphone injection |
715 |
608 |
$5K |
| 87210 |
|
1,534 |
1,482 |
$5K |
| 86850 |
|
1,236 |
1,146 |
$4K |
| 87486 |
|
198 |
191 |
$4K |
| J0780 |
Prochlorperazine injection |
553 |
533 |
$4K |
| 87581 |
|
197 |
190 |
$4K |
| J0131 |
Inj, acetaminophen (nos) |
55 |
54 |
$4K |
| 86140 |
|
1,132 |
1,081 |
$4K |
| 99070 |
|
1,174 |
660 |
$4K |
| 77065 |
Tomosynthesis, mammo |
95 |
95 |
$3K |
| 29515 |
|
495 |
478 |
$3K |
| 29125 |
|
555 |
534 |
$3K |
| 92523 |
|
57 |
56 |
$3K |
| 97165 |
|
162 |
162 |
$3K |
| 71101 |
|
136 |
135 |
$3K |
| 77062 |
|
229 |
229 |
$3K |
| 36415 |
|
4,508 |
3,794 |
$3K |
| J1815 |
Insulin injection |
978 |
730 |
$2K |
| 96366 |
|
155 |
140 |
$2K |
| A4649 |
Surgical supplies |
2,808 |
1,505 |
$2K |
| 29540 |
|
344 |
339 |
$2K |
| 76536 |
|
68 |
68 |
$2K |
| 71010 |
|
223 |
108 |
$2K |
| U0005 |
Infec agen detec ampli probe |
311 |
307 |
$2K |
| Q0144 |
Azithromycin dihydrate, oral |
137 |
135 |
$2K |
| 70491 |
|
13 |
13 |
$2K |
| J2919 |
Inj, methylpred sod succ 5mg |
61 |
46 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
188 |
121 |
$2K |
| 78452 |
|
13 |
13 |
$1K |
| 80061 |
|
213 |
198 |
$1K |
| P9021 |
Red blood cells unit |
15 |
12 |
$1K |
| J3370 |
Vancomycin hcl injection |
85 |
64 |
$1K |
| A9270 |
Non-covered item or service |
3,539 |
1,707 |
$1K |
| 87081 |
|
286 |
281 |
$1K |
| 87070 |
|
237 |
221 |
$1K |
| 82550 |
|
280 |
252 |
$1K |
| 0637 |
|
897 |
384 |
$1K |
| 0352 |
|
13 |
12 |
$1K |
| 83036 |
|
186 |
170 |
$1K |
| Q0162 |
Ondansetron oral |
61 |
59 |
$921.41 |
| 29530 |
|
218 |
210 |
$904.82 |
| J0360 |
Hydralazine hcl injection |
122 |
103 |
$816.28 |
| 93925 |
|
13 |
13 |
$782.53 |
| 96367 |
|
27 |
24 |
$761.26 |
| 82010 |
|
164 |
152 |
$721.35 |
| S0077 |
Injection, clindamycin phosp |
46 |
44 |
$650.82 |
| 73660 |
|
52 |
51 |
$628.74 |
| A0429 |
Bls-emergency |
20 |
13 |
$615.01 |
| 27610 |
|
45 |
42 |
$602.20 |
| 94060 |
|
12 |
12 |
$531.45 |
| A4217 |
Sterile water/saline, 500 ml |
89 |
88 |
$521.65 |
| 93041 |
|
116 |
108 |
$514.45 |
| 94729 |
|
24 |
24 |
$511.20 |
| S0164 |
Injection pantroprazole |
59 |
54 |
$501.26 |
| J2710 |
Neostigmine methylslfte inj |
38 |
36 |
$488.32 |
| 29130 |
|
83 |
81 |
$461.06 |
| C1751 |
Cath, inf, per/cent/midline |
505 |
488 |
$404.51 |
| 90375 |
|
14 |
13 |
$396.00 |
| 94726 |
|
18 |
13 |
$391.20 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
23 |
14 |
$282.28 |
| 77061 |
|
24 |
24 |
$268.05 |
| J1940 |
Furosemide injection |
68 |
54 |
$225.31 |
| J7060 |
5% dextrose/water |
64 |
58 |
$199.01 |
| 29105 |
|
15 |
15 |
$197.58 |
| J3475 |
Inj magnesium sulfate |
16 |
15 |
$196.73 |
| 81001 |
|
486 |
470 |
$186.54 |
| J7040 |
Normal saline solution infus |
50 |
47 |
$186.45 |
| 85651 |
|
93 |
90 |
$165.73 |
| 73060 |
|
12 |
12 |
$151.91 |
| 70360 |
|
12 |
12 |
$148.90 |
| 51702 |
|
15 |
12 |
$142.00 |
| J7620 |
Albuterol ipratrop non-comp |
168 |
155 |
$141.03 |
| 0370 |
|
28 |
26 |
$105.74 |
| 82140 |
|
15 |
14 |
$101.91 |
| 29505 |
|
25 |
24 |
$101.88 |
| J7510 |
Prednisolone oral per 5 mg |
12 |
12 |
$99.35 |
| S0020 |
Injection, bupivicaine hydro |
12 |
12 |
$97.15 |
| 96376 |
|
28 |
28 |
$72.90 |
| 82272 |
|
51 |
49 |
$69.09 |
| J1953 |
Levetiracetam injection |
19 |
14 |
$60.82 |
| 82553 |
|
12 |
12 |
$48.60 |
| J8540 |
Oral dexamethasone |
19 |
17 |
$42.48 |
| 0294 |
|
13 |
13 |
$32.85 |
| 99072 |
|
272 |
175 |
$4.64 |
| S9445 |
Pt education noc individ |
208 |
120 |
$0.00 |
| 0760 |
|
86 |
86 |
$0.00 |
| G8978 |
Mobility current status |
14 |
13 |
$0.00 |
| G8979 |
Mobility goal status |
15 |
14 |
$0.00 |