| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
27,359 |
21,993 |
$6.70M |
| 99283 |
|
30,806 |
26,037 |
$4.73M |
| 74177 |
|
6,935 |
5,558 |
$4.38M |
| 99285 |
|
7,958 |
5,641 |
$2.59M |
| 87633 |
|
7,011 |
6,313 |
$2.30M |
| 74176 |
|
3,317 |
2,661 |
$1.90M |
| 99282 |
|
15,164 |
13,698 |
$1.46M |
| 96374 |
|
13,403 |
10,055 |
$1.25M |
| 70450 |
|
5,488 |
4,075 |
$1.07M |
| 43239 |
|
3,471 |
2,685 |
$935K |
| 93005 |
|
15,745 |
12,747 |
$934K |
| G0378 |
Hospital observation per hr |
2,458 |
1,709 |
$934K |
| 96365 |
|
7,195 |
3,998 |
$679K |
| 71045 |
|
13,439 |
9,117 |
$665K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
14,587 |
9,538 |
$660K |
| 96375 |
|
10,373 |
7,594 |
$643K |
| 80053 |
|
59,392 |
34,524 |
$547K |
| 93306 |
|
1,250 |
1,038 |
$543K |
| 97110 |
|
11,706 |
3,103 |
$516K |
| 71046 |
|
7,516 |
6,379 |
$478K |
| 97530 |
|
10,868 |
3,764 |
$459K |
| 96361 |
|
17,881 |
7,978 |
$433K |
| 71275 |
|
1,570 |
1,193 |
$387K |
| 96372 |
|
10,523 |
6,471 |
$333K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
343 |
284 |
$300K |
| 76705 |
|
1,625 |
1,455 |
$250K |
| 85025 |
|
39,215 |
30,386 |
$243K |
| 99281 |
|
4,055 |
3,645 |
$236K |
| 87486 |
|
9,886 |
6,493 |
$206K |
| 96360 |
|
4,338 |
2,058 |
$186K |
| 87581 |
|
6,977 |
6,315 |
$186K |
| 87798 |
|
7,067 |
6,321 |
$184K |
| 72125 |
|
819 |
706 |
$183K |
| 73562 |
|
2,574 |
1,941 |
$182K |
| 72100 |
|
1,929 |
1,541 |
$181K |
| 80307 |
|
5,309 |
4,362 |
$168K |
| 73630 |
|
2,277 |
1,981 |
$161K |
| 74018 |
|
2,767 |
2,406 |
$157K |
| 77067 |
|
2,335 |
2,257 |
$151K |
| J7120 |
Ringers lactate infusion |
10,910 |
6,489 |
$149K |
| 72131 |
|
574 |
445 |
$144K |
| 73610 |
|
2,075 |
1,738 |
$144K |
| 36415 |
|
34,867 |
16,757 |
$141K |
| J2704 |
Inj, propofol, 10 mg |
9,256 |
8,084 |
$135K |
| 72148 |
|
295 |
261 |
$133K |
| 92507 |
|
6,513 |
2,138 |
$133K |
| 73130 |
|
1,933 |
1,653 |
$124K |
| 73030 |
|
1,943 |
1,416 |
$118K |
| J1885 |
Ketorolac tromethamine inj |
14,763 |
12,145 |
$118K |
| J7030 |
Normal saline solution infus |
13,584 |
7,508 |
$116K |
| 84484 |
|
9,780 |
7,476 |
$108K |
| 73721 |
|
231 |
213 |
$102K |
| 96376 |
|
2,745 |
1,445 |
$102K |
| 87635 |
|
2,846 |
2,313 |
$99K |
| 93971 |
|
613 |
530 |
$99K |
| 96366 |
|
1,708 |
1,190 |
$98K |
| 71250 |
|
460 |
332 |
$90K |
| 87804 |
|
3,975 |
3,424 |
$88K |
| 97140 |
|
3,789 |
1,428 |
$83K |
| 81025 |
|
8,060 |
6,959 |
$77K |
| J1100 |
Dexamethasone sodium phos |
8,380 |
7,029 |
$75K |
| 41899 |
|
115 |
88 |
$73K |
| 84443 |
|
4,621 |
4,104 |
$72K |
| 45378 |
|
267 |
216 |
$70K |
| 78452 |
|
185 |
93 |
$70K |
| 73110 |
|
1,129 |
916 |
$68K |
| U0002 |
Covid-19 lab test non-cdc |
1,755 |
1,513 |
$68K |
| 83690 |
|
12,584 |
10,256 |
$68K |
| 81001 |
|
21,577 |
17,761 |
$67K |
| C9803 |
Hopd covid-19 spec collect |
6,677 |
4,334 |
$61K |
| 87880 |
|
4,858 |
4,515 |
$59K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,024 |
878 |
$59K |
| 82306 |
|
2,875 |
2,440 |
$55K |
| J2405 |
Ondansetron hcl injection |
11,615 |
8,863 |
$54K |
| J3010 |
Fentanyl citrate injection |
5,983 |
5,041 |
$47K |
| 86677 |
|
1,340 |
1,078 |
$46K |
| J0690 |
Cefazolin sodium injection |
3,426 |
2,211 |
$44K |
| 85027 |
|
7,006 |
6,029 |
$43K |
| 83970 |
|
1,258 |
1,100 |
$43K |
| 71260 |
|
187 |
150 |
$43K |
| 87086 |
|
6,810 |
5,618 |
$41K |
| 87070 |
|
5,518 |
4,857 |
$40K |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
1,214 |
694 |
$39K |
| 82728 |
|
3,323 |
2,914 |
$38K |
| J2270 |
Morphine sulfate injection |
4,861 |
3,741 |
$36K |
| 93017 |
|
213 |
188 |
$35K |
| 83735 |
|
6,956 |
5,293 |
$35K |
| 82962 |
|
6,484 |
3,518 |
$35K |
| 80048 |
|
4,616 |
2,941 |
$34K |
| 97535 |
|
1,864 |
1,425 |
$34K |
| 77063 |
|
2,776 |
2,466 |
$33K |
| 90715 |
|
1,024 |
800 |
$33K |
| 80061 |
|
3,059 |
2,564 |
$31K |
| 82746 |
|
2,648 |
2,405 |
$31K |
| 97162 |
|
1,072 |
874 |
$31K |
| 70486 |
|
133 |
121 |
$31K |
| 83921 |
|
1,859 |
1,681 |
$31K |
| 83880 |
|
1,323 |
1,032 |
$31K |
| 87522 |
Neg quan hep c or qual rna |
727 |
680 |
$31K |
| 84425 |
|
1,696 |
1,525 |
$30K |
| 99211 |
|
4,373 |
3,518 |
$30K |
| 76830 |
|
173 |
160 |
$29K |
| J0696 |
Ceftriaxone sodium injection |
2,160 |
1,708 |
$29K |
| J2001 |
Lidocaine injection |
10,020 |
8,465 |
$29K |
| 83605 |
|
3,340 |
2,649 |
$28K |
| J2930 |
Methylprednisolone injection |
2,036 |
1,622 |
$26K |
| 83036 |
|
3,807 |
3,374 |
$26K |
| G0330 |
Facility svs dental rehab |
26 |
25 |
$26K |
| 87507 |
|
106 |
88 |
$25K |
| J0330 |
Succinycholine chloride inj |
1,547 |
1,289 |
$25K |
| 72040 |
|
327 |
236 |
$25K |
| 97112 |
|
723 |
300 |
$24K |
| 85610 |
|
7,575 |
4,904 |
$24K |
| 84703 |
|
3,670 |
3,220 |
$23K |
| 70498 |
|
57 |
55 |
$22K |
| 87491 |
|
765 |
673 |
$22K |
| 87591 |
|
745 |
671 |
$21K |
| 99213 |
|
408 |
375 |
$21K |
| 87040 |
|
1,713 |
1,279 |
$20K |
| 84145 |
|
1,130 |
923 |
$20K |
| G0463 |
Hospital outpt clinic visit |
3,344 |
2,054 |
$19K |
| 87186 |
|
2,780 |
2,339 |
$19K |
| 87077 |
|
3,470 |
2,485 |
$19K |
| 83540 |
|
3,240 |
2,916 |
$17K |
| 85379 |
|
2,233 |
1,959 |
$17K |
| 90471 |
|
888 |
781 |
$17K |
| 20610 |
|
85 |
41 |
$16K |
| J2250 |
Inj midazolam hydrochloride |
3,453 |
2,881 |
$16K |
| 84446 |
|
1,401 |
1,259 |
$16K |
| J2710 |
Neostigmine methylslfte inj |
1,579 |
1,304 |
$16K |
| 84134 |
|
1,274 |
1,099 |
$16K |
| 97533 |
|
780 |
326 |
$15K |
| J2360 |
Orphenadrine injection |
848 |
746 |
$14K |
| J1170 |
Hydromorphone injection |
1,598 |
1,082 |
$14K |
| U0005 |
Infec agen detec ampli probe |
873 |
774 |
$14K |
| 73080 |
|
208 |
164 |
$14K |
| 99203 |
|
251 |
228 |
$13K |
| 73502 |
|
244 |
183 |
$13K |
| 82607 |
|
1,125 |
956 |
$13K |
| 84590 |
|
1,415 |
1,272 |
$13K |
| J2550 |
Promethazine hcl injection |
2,676 |
1,720 |
$13K |
| 29125 |
|
181 |
168 |
$12K |
| M0243 |
Casirivi and imdevi inj |
66 |
55 |
$12K |
| J1200 |
Diphenhydramine hcl injectio |
1,944 |
1,566 |
$12K |
| 87389 |
|
555 |
517 |
$12K |
| C9113 |
Inj pantoprazole sodium, via |
953 |
564 |
$12K |
| 85730 |
|
2,903 |
2,418 |
$12K |
| 84702 |
|
961 |
796 |
$11K |
| J3475 |
Inj magnesium sulfate |
815 |
642 |
$11K |
| 69436 |
|
33 |
27 |
$11K |
| 76642 |
|
120 |
108 |
$11K |
| 83550 |
|
1,545 |
1,424 |
$11K |
| J1030 |
Methylprednisolone 40 mg inj |
809 |
647 |
$10K |
| 86140 |
|
2,527 |
1,926 |
$10K |
| 70496 |
|
30 |
29 |
$10K |
| J1650 |
Inj enoxaparin sodium |
642 |
386 |
$10K |
| 12001 |
|
111 |
102 |
$10K |
| 84439 |
|
1,049 |
954 |
$9K |
| G0483 |
Drug test def 22+ classes |
51 |
39 |
$9K |
| 94760 |
|
237 |
192 |
$8K |
| C1726 |
Cath, bal dil, non-vascular |
89 |
52 |
$8K |
| A9502 |
Tc99m tetrofosmin |
61 |
51 |
$8K |
| 42820 |
|
12 |
12 |
$7K |
| J2785 |
Regadenoson injection |
60 |
50 |
$7K |
| A9579 |
Gad-base mr contrast nos,1ml |
147 |
137 |
$7K |
| 84100 |
|
1,932 |
1,446 |
$7K |
| 73590 |
|
123 |
90 |
$7K |
| 99212 |
|
133 |
119 |
$7K |
| J2765 |
Metoclopramide hcl injection |
1,063 |
886 |
$7K |
| 97161 |
|
183 |
175 |
$6K |
| J0592 |
Buprenorphine hydrochloride |
520 |
435 |
$6K |
| 70551 |
|
13 |
12 |
$6K |
| 62323 |
|
18 |
14 |
$5K |
| 86850 |
|
759 |
553 |
$5K |
| 72141 |
|
14 |
13 |
$5K |
| 73090 |
|
82 |
67 |
$5K |
| 87902 |
|
15 |
15 |
$5K |
| 85652 |
|
2,034 |
1,653 |
$4K |
| 80074 |
|
132 |
108 |
$4K |
| 87420 |
|
383 |
359 |
$4K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
69 |
37 |
$4K |
| 86706 |
|
380 |
366 |
$4K |
| J1815 |
Insulin injection |
112 |
64 |
$4K |
| J2919 |
Inj, methylpred sod succ 5mg |
228 |
174 |
$4K |
| 86900 |
|
1,470 |
1,191 |
$4K |
| J1010 |
Inj, methylpred acetate 1 mg |
196 |
180 |
$4K |
| 86901 |
|
1,456 |
1,191 |
$4K |
| J1171 |
Inj, hydromorphone, 0.1 mg |
54 |
44 |
$3K |
| Q0162 |
Ondansetron oral |
379 |
333 |
$3K |
| J0780 |
Prochlorperazine injection |
274 |
200 |
$3K |
| 45385 |
|
14 |
13 |
$3K |
| 73140 |
|
43 |
41 |
$3K |
| 82550 |
|
586 |
444 |
$3K |
| J2060 |
Lorazepam injection |
600 |
478 |
$3K |
| 87340 |
|
282 |
272 |
$3K |
| J3490 |
Drugs unclassified injection |
1,009 |
824 |
$3K |
| 74240 |
|
15 |
12 |
$3K |
| 86704 |
|
253 |
226 |
$3K |
| 36416 |
|
186 |
123 |
$3K |
| J1040 |
Methylprednisolone 80 mg inj |
144 |
131 |
$2K |
| 87900 |
|
15 |
15 |
$2K |
| 86705 |
|
209 |
199 |
$2K |
| 82565 |
|
132 |
92 |
$2K |
| 82248 |
|
396 |
281 |
$2K |
| 45380 |
|
16 |
16 |
$2K |
| J7050 |
Normal saline solution infus |
253 |
114 |
$2K |
| 64488 |
|
16 |
12 |
$2K |
| 10060 |
|
27 |
24 |
$2K |
| C9399 |
Unclassified drugs or biolog |
55 |
43 |
$2K |
| 86708 |
|
139 |
131 |
$2K |
| 76536 |
|
12 |
12 |
$2K |
| 82172 |
|
89 |
83 |
$2K |
| 94060 |
|
16 |
13 |
$1K |
| J2795 |
Ropivacaine hcl injection |
39 |
36 |
$1K |
| 20553 |
|
24 |
12 |
$1K |
| 92609 |
|
71 |
28 |
$1K |
| 71271 |
|
66 |
60 |
$1K |
| 94729 |
|
36 |
31 |
$1K |
| 83010 |
|
91 |
85 |
$1K |
| G0279 |
Tomosynthesis, mammo |
67 |
54 |
$1K |
| 71101 |
|
17 |
13 |
$1K |
| 82784 |
|
144 |
128 |
$1K |
| 82977 |
|
137 |
125 |
$1K |
| 83615 |
|
196 |
159 |
$1K |
| 74019 |
|
12 |
12 |
$999.88 |
| J0360 |
Hydralazine hcl injection |
71 |
63 |
$935.02 |
| 87220 |
|
198 |
169 |
$922.26 |
| J2920 |
Methylprednisolone injection |
56 |
48 |
$872.20 |
| 94726 |
|
30 |
26 |
$821.08 |
| 87210 |
|
185 |
161 |
$807.87 |
| J3480 |
Inj potassium chloride |
50 |
37 |
$806.29 |
| J3370 |
Vancomycin hcl injection |
18 |
12 |
$747.87 |
| J1790 |
Droperidol injection |
69 |
59 |
$738.63 |
| 97165 |
|
30 |
25 |
$716.53 |
| 97116 |
|
36 |
24 |
$681.91 |
| J2470 |
Inj pantoprazole sodium 40mg |
63 |
44 |
$662.44 |
| 82247 |
|
140 |
91 |
$654.89 |
| 92523 |
|
12 |
12 |
$600.49 |
| 84460 |
|
119 |
106 |
$590.30 |
| 80069 |
|
50 |
40 |
$549.65 |
| J1956 |
Levofloxacin injection |
47 |
37 |
$516.37 |
| 82785 |
|
31 |
25 |
$493.76 |
| J7040 |
Normal saline solution infus |
45 |
12 |
$474.99 |
| 84550 |
|
68 |
52 |
$426.24 |
| J7512 |
Prednisone ir or dr oral 1mg |
199 |
179 |
$378.17 |
| 99202 |
|
13 |
12 |
$355.16 |
| 82570 |
|
40 |
25 |
$317.36 |
| 84153 |
|
27 |
25 |
$262.85 |
| J2370 |
Phenylephrine hcl injection |
38 |
28 |
$252.10 |
| 84436 |
|
48 |
41 |
$247.17 |
| J2543 |
Piperacillin/tazobactam |
19 |
12 |
$238.39 |
| 83516 |
|
14 |
13 |
$219.74 |
| 82104 |
|
12 |
12 |
$207.64 |
| 82103 |
|
12 |
12 |
$202.10 |
| J1644 |
Inj heparin sodium per 1000u |
35 |
13 |
$167.04 |
| 86038 |
|
14 |
14 |
$165.72 |
| J0171 |
Adrenalin epinephrine inject |
14 |
12 |
$153.73 |
| 80076 |
|
16 |
15 |
$132.70 |
| 99406 |
|
16 |
12 |
$130.11 |
| 82553 |
|
12 |
12 |
$128.02 |
| J7510 |
Prednisolone oral per 5 mg |
152 |
142 |
$112.93 |
| 84479 |
|
17 |
12 |
$59.14 |
| 84156 |
|
19 |
13 |
$50.15 |
| 82009 |
|
13 |
12 |
$45.01 |
| 85014 |
|
18 |
12 |
$23.34 |
| J8540 |
Oral dexamethasone |
15 |
13 |
$17.74 |
| Q0244 |
Casirivi and imdevi 1200 mg |
65 |
58 |
$0.00 |