| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36415 |
|
53,882 |
42,768 |
$3.78M |
| 99283 |
|
54,138 |
48,883 |
$3.31M |
| 97110 |
|
49,951 |
12,473 |
$2.65M |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
9,367 |
8,564 |
$1.64M |
| 99284 |
|
36,412 |
32,652 |
$1.46M |
| 0241U |
|
9,064 |
8,425 |
$997K |
| 99282 |
|
8,190 |
7,758 |
$845K |
| 99281 |
|
4,231 |
3,962 |
$536K |
| 96372 |
|
14,260 |
11,629 |
$524K |
| 87635 |
|
6,363 |
5,773 |
$524K |
| 87651 |
|
7,399 |
7,123 |
$470K |
| 81001 |
|
21,163 |
19,116 |
$456K |
| J7030 |
Normal saline solution infus |
4,009 |
3,405 |
$400K |
| 92507 |
|
10,503 |
3,499 |
$372K |
| 97530 |
|
24,766 |
7,463 |
$340K |
| 97112 |
|
11,070 |
3,687 |
$324K |
| A9585 |
Gadobutrol injection |
438 |
420 |
$315K |
| 96374 |
|
14,962 |
13,205 |
$294K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,917 |
2,742 |
$277K |
| 81025 |
|
12,987 |
11,987 |
$258K |
| 80307 |
|
5,488 |
5,053 |
$223K |
| 99285 |
|
13,484 |
12,077 |
$199K |
| 81003 |
|
7,174 |
6,748 |
$192K |
| 87804 |
|
8,296 |
5,265 |
$177K |
| 71045 |
|
16,709 |
14,999 |
$176K |
| 70450 |
|
4,936 |
4,574 |
$164K |
| 74176 |
|
2,821 |
2,671 |
$154K |
| 73610 |
|
2,029 |
1,921 |
$153K |
| 71046 |
|
7,734 |
7,373 |
$148K |
| 73130 |
|
1,463 |
1,361 |
$131K |
| 73630 |
|
2,345 |
2,179 |
$121K |
| 87070 |
|
1,545 |
1,477 |
$115K |
| 36416 |
|
6,783 |
4,205 |
$115K |
| 74177 |
|
5,467 |
5,126 |
$113K |
| 73564 |
|
2,116 |
1,893 |
$112K |
| 96361 |
|
10,390 |
8,854 |
$104K |
| 88305 |
|
2,739 |
2,275 |
$104K |
| 59025 |
|
2,463 |
1,688 |
$100K |
| J7120 |
Ringers lactate infusion |
2,345 |
2,069 |
$99K |
| 97113 |
|
1,905 |
536 |
$90K |
| 71250 |
|
544 |
523 |
$87K |
| 73030 |
|
1,661 |
1,536 |
$86K |
| 73110 |
|
1,170 |
1,091 |
$85K |
| 74018 |
|
2,080 |
1,950 |
$81K |
| 72148 |
|
167 |
159 |
$78K |
| 87086 |
|
5,333 |
4,954 |
$74K |
| 80048 |
|
20,906 |
17,676 |
$70K |
| 77063 |
|
1,008 |
1,001 |
$67K |
| 93306 |
|
688 |
663 |
$65K |
| 87210 |
|
872 |
844 |
$64K |
| 93005 |
|
19,736 |
16,945 |
$63K |
| 96365 |
|
2,735 |
2,503 |
$58K |
| 72100 |
|
1,511 |
1,459 |
$54K |
| 97161 |
|
3,101 |
2,973 |
$52K |
| 87491 |
|
1,791 |
1,715 |
$51K |
| 76705 |
|
945 |
917 |
$49K |
| 87077 |
|
2,263 |
2,091 |
$48K |
| 97116 |
|
4,923 |
2,160 |
$45K |
| G0378 |
Hospital observation per hr |
5,122 |
2,270 |
$42K |
| 76700 |
|
369 |
367 |
$41K |
| 97140 |
|
10,608 |
3,507 |
$38K |
| Q0162 |
Ondansetron oral |
370 |
342 |
$37K |
| 96375 |
|
10,261 |
8,283 |
$36K |
| 82948 |
|
4,940 |
2,251 |
$36K |
| 85025 |
|
41,759 |
35,181 |
$33K |
| 93971 |
|
394 |
364 |
$32K |
| 96360 |
|
2,845 |
2,678 |
$32K |
| 12001 |
|
213 |
206 |
$31K |
| 73502 |
|
938 |
887 |
$30K |
| 72125 |
|
1,626 |
1,516 |
$29K |
| J7040 |
Normal saline solution infus |
586 |
506 |
$29K |
| 73721 |
|
32 |
28 |
$27K |
| 97162 |
|
1,199 |
1,147 |
$27K |
| 80053 |
|
20,075 |
17,750 |
$23K |
| 72040 |
|
418 |
402 |
$23K |
| 97535 |
|
3,783 |
1,380 |
$21K |
| 73140 |
|
151 |
147 |
$20K |
| 70553 |
|
97 |
93 |
$19K |
| 88304 |
|
442 |
413 |
$18K |
| 96376 |
|
3,887 |
2,129 |
$17K |
| 77067 |
|
1,386 |
1,369 |
$17K |
| 87807 |
|
735 |
707 |
$16K |
| 87430 |
|
1,205 |
1,173 |
$15K |
| 76642 |
|
327 |
304 |
$13K |
| 71260 |
|
399 |
384 |
$13K |
| J2405 |
Ondansetron hcl injection |
14,190 |
11,982 |
$13K |
| 73080 |
|
188 |
181 |
$13K |
| J1100 |
Dexamethasone sodium phos |
8,153 |
7,612 |
$13K |
| J0690 |
Cefazolin sodium injection |
5,168 |
4,263 |
$13K |
| 86850 |
|
1,811 |
1,669 |
$11K |
| 73090 |
|
98 |
90 |
$9K |
| 76536 |
|
97 |
97 |
$9K |
| 73560 |
|
306 |
266 |
$8K |
| 76770 |
|
85 |
83 |
$8K |
| J2704 |
Inj, propofol, 10 mg |
5,693 |
5,255 |
$7K |
| 87591 |
|
1,924 |
1,842 |
$7K |
| 82565 |
|
1,255 |
1,192 |
$7K |
| C9113 |
Inj pantoprazole sodium, via |
1,088 |
747 |
$7K |
| 70551 |
|
24 |
24 |
$6K |
| 85027 |
|
3,322 |
2,926 |
$6K |
| J2001 |
Lidocaine injection |
2,793 |
2,631 |
$6K |
| 10060 |
|
68 |
63 |
$6K |
| 72141 |
|
17 |
15 |
$6K |
| 80047 |
|
2,009 |
1,867 |
$6K |
| 94640 |
|
4,433 |
3,477 |
$6K |
| M0243 |
Casirivi and imdevi inj |
106 |
105 |
$6K |
| 71275 |
|
747 |
706 |
$6K |
| 92523 |
|
75 |
72 |
$5K |
| J3490 |
Drugs unclassified injection |
3,449 |
2,974 |
$5K |
| 74022 |
|
195 |
183 |
$5K |
| C1894 |
Intro/sheath, non-laser |
1,819 |
1,640 |
$5K |
| J2270 |
Morphine sulfate injection |
4,500 |
3,626 |
$5K |
| 83735 |
|
10,843 |
9,217 |
$5K |
| J2250 |
Inj midazolam hydrochloride |
4,983 |
4,597 |
$4K |
| 71101 |
|
53 |
50 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
12,101 |
10,846 |
$4K |
| 97533 |
|
4,831 |
2,022 |
$4K |
| G8978 |
Mobility current status |
241 |
203 |
$4K |
| 71271 |
|
37 |
37 |
$4K |
| 97165 |
|
142 |
138 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
4,059 |
3,657 |
$3K |
| J1170 |
Hydromorphone injection |
4,147 |
3,150 |
$3K |
| 70486 |
|
73 |
65 |
$3K |
| 77062 |
|
14 |
14 |
$3K |
| 84484 |
|
11,070 |
8,375 |
$3K |
| 97150 |
|
549 |
291 |
$3K |
| 87040 |
|
3,466 |
1,981 |
$3K |
| C1751 |
Cath, inf, per/cent/midline |
852 |
776 |
$3K |
| J3370 |
Vancomycin hcl injection |
372 |
282 |
$2K |
| J2550 |
Promethazine hcl injection |
2,490 |
1,931 |
$2K |
| 85610 |
|
5,788 |
5,019 |
$2K |
| 84443 |
|
4,190 |
3,932 |
$2K |
| J7050 |
Normal saline solution infus |
1,332 |
1,014 |
$2K |
| C9803 |
Hopd covid-19 spec collect |
3,443 |
3,096 |
$2K |
| J3010 |
Fentanyl citrate injection |
6,288 |
5,674 |
$2K |
| 96366 |
|
392 |
294 |
$2K |
| J1650 |
Inj enoxaparin sodium |
624 |
212 |
$2K |
| 83880 |
|
3,652 |
3,294 |
$2K |
| A4314 |
Cath w/drainage 2-way latex |
96 |
84 |
$2K |
| 82803 |
|
496 |
429 |
$2K |
| 87798 |
|
1,778 |
1,713 |
$2K |
| J2710 |
Neostigmine methylslfte inj |
610 |
580 |
$2K |
| 97166 |
|
79 |
70 |
$1K |
| J2272 |
Inj, morphine (fresenius) |
292 |
244 |
$1K |
| 94760 |
|
1,484 |
1,045 |
$1K |
| 12011 |
|
14 |
12 |
$1K |
| J2930 |
Methylprednisolone injection |
1,396 |
1,301 |
$1K |
| 94644 |
|
729 |
649 |
$1K |
| J2765 |
Metoclopramide hcl injection |
1,102 |
930 |
$1K |
| 80076 |
|
3,792 |
3,513 |
$1K |
| 92526 |
|
59 |
12 |
$1K |
| 83690 |
|
8,329 |
7,505 |
$1K |
| U0005 |
Infec agen detec ampli probe |
1,451 |
1,377 |
$1K |
| 86900 |
|
2,671 |
2,438 |
$1K |
| 77065 |
Tomosynthesis, mammo |
27 |
26 |
$1K |
| 76817 |
|
31 |
26 |
$1K |
| 73590 |
|
29 |
25 |
$880.86 |
| 77066 |
Tomosynthesis, mammo |
39 |
39 |
$863.39 |
| 87880 |
|
52 |
52 |
$854.78 |
| 83605 |
|
3,773 |
3,240 |
$795.87 |
| 84702 |
|
1,864 |
1,555 |
$773.58 |
| 76775 |
|
13 |
13 |
$735.71 |
| A9270 |
Non-covered item or service |
4,322 |
2,665 |
$665.95 |
| J1200 |
Diphenhydramine hcl injectio |
2,534 |
2,246 |
$663.18 |
| 85730 |
|
4,232 |
3,841 |
$529.24 |
| J7512 |
Prednisone ir or dr oral 1mg |
2,164 |
1,945 |
$528.67 |
| 85018 |
|
149 |
105 |
$463.20 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
175 |
164 |
$451.99 |
| 99238 |
|
13 |
13 |
$447.20 |
| 93017 |
|
14 |
14 |
$430.59 |
| J1644 |
Inj heparin sodium per 1000u |
1,261 |
1,037 |
$424.36 |
| 97164 |
|
37 |
37 |
$421.40 |
| 90715 |
|
453 |
436 |
$395.35 |
| 83036 |
|
1,876 |
1,789 |
$375.47 |
| G0480 |
Drug test def 1-7 classes |
403 |
373 |
$370.75 |
| 80061 |
|
1,813 |
1,734 |
$365.97 |
| 85379 |
|
1,485 |
1,415 |
$335.39 |
| 82270 |
|
26 |
25 |
$333.16 |
| C1769 |
Guide wire |
2,260 |
2,046 |
$311.21 |
| J7510 |
Prednisolone oral per 5 mg |
1,080 |
1,043 |
$290.73 |
| 87186 |
|
2,704 |
2,473 |
$286.08 |
| 97168 |
|
26 |
25 |
$247.44 |
| 82077 |
|
1,464 |
1,340 |
$215.71 |
| J0330 |
Succinycholine chloride inj |
831 |
785 |
$172.29 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
99 |
96 |
$168.56 |
| 80320 |
|
556 |
493 |
$164.59 |
| 86901 |
|
2,670 |
2,439 |
$133.95 |
| 85014 |
|
75 |
51 |
$131.09 |
| 76856 |
|
13 |
12 |
$119.61 |
| 90471 |
|
378 |
361 |
$111.88 |
| 84100 |
|
285 |
243 |
$93.68 |
| 84439 |
|
1,123 |
1,074 |
$92.41 |
| 80143 |
|
668 |
614 |
$87.03 |
| J2060 |
Lorazepam injection |
1,238 |
1,021 |
$84.34 |
| J0360 |
Hydralazine hcl injection |
317 |
259 |
$72.44 |
| 87205 |
|
385 |
311 |
$64.48 |
| 86140 |
|
656 |
586 |
$59.40 |
| 80179 |
|
565 |
523 |
$51.12 |
| 83655 |
|
159 |
153 |
$50.81 |
| 85651 |
|
838 |
790 |
$45.42 |
| 72131 |
|
14 |
13 |
$40.40 |
| C1725 |
Cath, translumin non-laser |
1,308 |
1,204 |
$37.91 |
| 82550 |
|
228 |
201 |
$32.00 |
| 82607 |
|
78 |
75 |
$26.63 |
| 94664 |
|
326 |
307 |
$25.61 |
| 82746 |
|
29 |
29 |
$24.14 |
| J1790 |
Droperidol injection |
519 |
452 |
$23.75 |
| 82728 |
|
92 |
90 |
$22.36 |
| 83550 |
|
52 |
51 |
$14.35 |
| 83540 |
|
154 |
146 |
$10.65 |
| 85046 |
|
68 |
62 |
$9.17 |
| J2919 |
Inj, methylpred sod succ 5mg |
251 |
228 |
$9.00 |
| J8540 |
Oral dexamethasone |
43 |
39 |
$8.31 |
| J2795 |
Ropivacaine hcl injection |
297 |
280 |
$5.98 |
| G8979 |
Mobility goal status |
287 |
238 |
$5.63 |
| 85652 |
|
415 |
382 |
$4.76 |
| 84156 |
|
16 |
12 |
$4.73 |
| J2370 |
Phenylephrine hcl injection |
99 |
94 |
$4.30 |
| J1956 |
Levofloxacin injection |
111 |
78 |
$0.24 |
| J1940 |
Furosemide injection |
263 |
176 |
$0.17 |
| 36902 |
|
604 |
577 |
$0.00 |
| J3480 |
Inj potassium chloride |
31 |
26 |
$0.00 |
| 45380 |
|
13 |
12 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
40 |
31 |
$0.00 |
| 84703 |
|
27 |
26 |
$0.00 |
| 74420 |
|
16 |
14 |
$0.00 |
| J1815 |
Insulin injection |
115 |
25 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
242 |
206 |
$0.00 |
| J0561 |
Penicillin g benzathine inj |
12 |
12 |
$0.00 |
| 88342 |
|
41 |
40 |
$0.00 |
| 45378 |
|
31 |
31 |
$0.00 |
| 36907 |
|
14 |
13 |
$0.00 |
| J2920 |
Methylprednisolone injection |
55 |
48 |
$0.00 |
| J9047 |
Injection, carfilzomib, 1 mg |
12 |
12 |
$0.00 |
| J0456 |
Azithromycin |
17 |
14 |
$0.00 |
| 82306 |
|
15 |
15 |
$0.00 |
| J7060 |
5% dextrose/water |
17 |
14 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
35 |
32 |
$0.00 |
| 84132 |
|
37 |
32 |
$0.00 |
| 80329 |
|
35 |
22 |
$0.00 |
| C1758 |
Catheter, ureteral |
30 |
26 |
$0.00 |
| 43239 |
|
101 |
94 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
47 |
39 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
69 |
68 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
57 |
38 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
124 |
114 |
$0.00 |
| 87641 |
|
67 |
67 |
$0.00 |
| J0780 |
Prochlorperazine injection |
59 |
51 |
$0.00 |
| 29125 |
|
12 |
12 |
$0.00 |
| 36600 |
|
18 |
14 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
29 |
26 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
16 |
16 |
$0.00 |