| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
103,445 |
94,506 |
$5.38M |
| 99281 |
|
11,161 |
10,054 |
$1.37M |
| 70450 |
|
8,875 |
8,612 |
$953K |
| 99285 |
|
5,032 |
4,735 |
$844K |
| 80053 |
|
32,447 |
29,600 |
$757K |
| 74176 |
|
7,241 |
7,123 |
$741K |
| 74177 |
|
4,334 |
4,155 |
$719K |
| 0202U |
|
6,428 |
6,270 |
$690K |
| 99199 |
|
10,542 |
9,233 |
$512K |
| 96374 |
|
19,171 |
18,068 |
$500K |
| 93005 |
|
26,169 |
24,697 |
$481K |
| 80048 |
|
25,858 |
23,913 |
$427K |
| 85025 |
|
58,416 |
52,573 |
$406K |
| 71045 |
|
22,821 |
21,838 |
$365K |
| 96375 |
|
17,703 |
15,248 |
$334K |
| 96365 |
|
6,543 |
6,197 |
$316K |
| 99284 |
|
4,151 |
3,887 |
$314K |
| 76705 |
|
4,176 |
4,085 |
$273K |
| 96361 |
|
11,771 |
10,858 |
$257K |
| 80307 |
|
7,231 |
6,423 |
$249K |
| Z7502 |
|
6,986 |
6,885 |
$246K |
| 0160 |
|
3,027 |
1,640 |
$238K |
| 0214 |
|
108 |
99 |
$235K |
| 71046 |
|
8,696 |
8,493 |
$231K |
| 0762 |
|
3,100 |
1,748 |
$222K |
| 99283 |
|
3,753 |
3,487 |
$206K |
| 0121 |
|
194 |
188 |
$204K |
| 71275 |
|
1,354 |
1,329 |
$174K |
| 84484 |
|
21,434 |
17,736 |
$166K |
| 96372 |
|
10,821 |
9,484 |
$151K |
| 96360 |
|
3,406 |
3,297 |
$136K |
| 87635 |
|
5,796 |
5,556 |
$119K |
| 81001 |
|
21,833 |
20,836 |
$117K |
| 70496 |
|
860 |
838 |
$99K |
| 83690 |
|
14,426 |
13,727 |
$98K |
| 0250 |
|
18,855 |
11,604 |
$97K |
| Z9725 |
|
2,903 |
2,861 |
$87K |
| 83880 |
|
6,203 |
5,936 |
$87K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,315 |
7,090 |
$87K |
| 76830 |
|
2,429 |
2,369 |
$83K |
| J7030 |
Normal saline solution infus |
11,073 |
9,803 |
$74K |
| 94640 |
|
3,828 |
3,365 |
$70K |
| 70486 |
|
722 |
710 |
$66K |
| 78815 |
|
172 |
168 |
$66K |
| 81003 |
|
14,497 |
13,822 |
$65K |
| 72100 |
|
2,364 |
2,330 |
$65K |
| 70551 |
|
402 |
383 |
$64K |
| 76817 |
|
2,070 |
1,831 |
$64K |
| 87086 |
|
7,860 |
7,548 |
$61K |
| J3490 |
Drugs unclassified injection |
14,548 |
10,160 |
$59K |
| J2405 |
Ondansetron hcl injection |
14,571 |
12,747 |
$58K |
| 84703 |
|
8,951 |
8,600 |
$56K |
| 87040 |
|
6,348 |
3,465 |
$55K |
| 93971 |
|
903 |
879 |
$55K |
| J2270 |
Morphine sulfate injection |
9,466 |
7,827 |
$52K |
| 70498 |
|
601 |
588 |
$52K |
| 96376 |
|
4,681 |
3,542 |
$52K |
| 73630 |
|
2,000 |
1,897 |
$50K |
| 72125 |
|
389 |
386 |
$49K |
| G0463 |
Hospital outpt clinic visit |
2,122 |
1,995 |
$48K |
| 73610 |
|
2,147 |
2,051 |
$47K |
| 97140 |
|
4,073 |
1,406 |
$46K |
| 73562 |
|
2,196 |
2,045 |
$45K |
| J7050 |
Normal saline solution infus |
3,132 |
2,156 |
$43K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,295 |
2,059 |
$41K |
| 90715 |
|
1,575 |
1,560 |
$38K |
| 72040 |
|
1,252 |
1,246 |
$38K |
| 59025 |
|
4,708 |
2,473 |
$38K |
| 73130 |
|
1,301 |
1,232 |
$38K |
| J1885 |
Ketorolac tromethamine inj |
9,680 |
9,065 |
$37K |
| 73030 |
|
1,772 |
1,703 |
$36K |
| 85379 |
|
3,703 |
3,614 |
$36K |
| 87804 |
|
3,460 |
3,290 |
$35K |
| 93306 |
|
273 |
267 |
$34K |
| 84443 |
|
2,712 |
2,618 |
$32K |
| 84702 |
|
3,199 |
2,800 |
$31K |
| 0710 |
|
3,024 |
2,914 |
$30K |
| 80143 |
|
1,458 |
1,400 |
$29K |
| 80179 |
|
1,440 |
1,393 |
$29K |
| 0761 |
|
1,917 |
1,596 |
$28K |
| 96366 |
|
1,409 |
1,277 |
$28K |
| 73110 |
|
942 |
903 |
$27K |
| G0480 |
Drug test def 1-7 classes |
891 |
842 |
$26K |
| J1815 |
Insulin injection |
1,974 |
1,367 |
$26K |
| 87081 |
|
3,275 |
3,140 |
$24K |
| 97110 |
|
5,399 |
2,075 |
$24K |
| 88305 |
|
1,325 |
1,295 |
$24K |
| 96367 |
|
1,084 |
985 |
$24K |
| 83605 |
|
3,957 |
3,608 |
$24K |
| 87651 |
|
1,243 |
1,233 |
$24K |
| J0696 |
Ceftriaxone sodium injection |
4,422 |
4,060 |
$24K |
| 0760 |
|
1,761 |
1,508 |
$22K |
| J7040 |
Normal saline solution infus |
685 |
635 |
$22K |
| 87636 |
|
611 |
606 |
$20K |
| 85610 |
|
4,980 |
4,598 |
$20K |
| 0122 |
|
267 |
258 |
$18K |
| 76815 |
|
1,461 |
897 |
$18K |
| 97162 |
|
667 |
650 |
$17K |
| J1200 |
Diphenhydramine hcl injectio |
3,073 |
2,714 |
$16K |
| J1642 |
Inj heparin sodium per 10 u |
1,056 |
686 |
$16K |
| 96413 |
|
1,273 |
779 |
$16K |
| 73140 |
|
714 |
697 |
$15K |
| J1100 |
Dexamethasone sodium phos |
3,898 |
3,540 |
$15K |
| 0260 |
|
205 |
153 |
$14K |
| 83735 |
|
3,390 |
2,795 |
$14K |
| 71250 |
|
238 |
235 |
$13K |
| 74018 |
|
761 |
740 |
$13K |
| J2060 |
Lorazepam injection |
2,672 |
2,332 |
$13K |
| 86901 |
|
4,651 |
4,017 |
$13K |
| 0370 |
|
701 |
680 |
$13K |
| 71101 |
|
365 |
358 |
$12K |
| 84145 |
|
1,292 |
1,232 |
$12K |
| 87077 |
|
1,879 |
1,832 |
$12K |
| J1170 |
Hydromorphone injection |
2,132 |
1,652 |
$12K |
| 87186 |
|
2,147 |
2,098 |
$12K |
| 87491 |
|
2,079 |
2,041 |
$12K |
| 77067 |
|
393 |
393 |
$11K |
| 86900 |
|
4,707 |
4,072 |
$11K |
| M0243 |
Casirivi and imdevi inj |
82 |
81 |
$11K |
| 87880 |
|
992 |
966 |
$11K |
| 0270 |
|
10,045 |
6,079 |
$10K |
| 45380 |
|
73 |
72 |
$10K |
| 86850 |
|
2,696 |
2,573 |
$10K |
| 85055 |
|
977 |
906 |
$10K |
| 77336 |
|
368 |
153 |
$10K |
| 87591 |
|
2,052 |
2,018 |
$10K |
| 85730 |
|
2,388 |
2,242 |
$10K |
| 80061 |
|
1,283 |
1,151 |
$9K |
| 0335 |
|
395 |
265 |
$9K |
| 97530 |
|
1,815 |
1,061 |
$9K |
| J2765 |
Metoclopramide hcl injection |
2,759 |
2,483 |
$9K |
| 43239 |
|
99 |
95 |
$8K |
| 90471 |
|
1,702 |
1,665 |
$8K |
| 86140 |
|
1,918 |
1,862 |
$8K |
| 36415 |
|
6,351 |
4,709 |
$8K |
| 87631 |
|
197 |
197 |
$8K |
| 0360 |
|
797 |
748 |
$7K |
| 76870 |
|
150 |
147 |
$7K |
| J2704 |
Inj, propofol, 10 mg |
1,778 |
1,698 |
$7K |
| 73502 |
|
339 |
320 |
$7K |
| 76856 |
|
151 |
151 |
$7K |
| 85652 |
|
1,635 |
1,578 |
$6K |
| 80076 |
|
550 |
532 |
$6K |
| J3370 |
Vancomycin hcl injection |
573 |
479 |
$6K |
| J2250 |
Inj midazolam hydrochloride |
2,074 |
1,995 |
$6K |
| 73590 |
|
203 |
190 |
$6K |
| 99282 |
|
130 |
127 |
$6K |
| J2001 |
Lidocaine injection |
1,964 |
1,859 |
$6K |
| 97161 |
|
163 |
155 |
$5K |
| 73080 |
|
163 |
160 |
$5K |
| P9016 |
Rbc leukocytes reduced |
62 |
51 |
$5K |
| 0272 |
|
1,112 |
1,069 |
$5K |
| 86141 |
|
856 |
846 |
$5K |
| G0378 |
Hospital observation per hr |
207 |
140 |
$5K |
| J2930 |
Methylprednisolone injection |
757 |
687 |
$5K |
| 0171 |
Inj, epinephrine (belcher) |
330 |
329 |
$5K |
| 85027 |
|
1,881 |
1,606 |
$4K |
| 76801 |
|
143 |
138 |
$4K |
| Z7610 |
|
555 |
442 |
$4K |
| 97116 |
|
763 |
583 |
$4K |
| 0023 |
Pin srv add 30 min pr m |
22 |
16 |
$4K |
| J0690 |
Cefazolin sodium injection |
1,329 |
1,117 |
$4K |
| 87807 |
|
976 |
943 |
$4K |
| U0005 |
Infec agen detec ampli probe |
1,445 |
1,330 |
$4K |
| 82550 |
|
586 |
536 |
$3K |
| S0164 |
Injection pantroprazole |
357 |
286 |
$3K |
| 77063 |
|
299 |
299 |
$3K |
| J1650 |
Inj enoxaparin sodium |
717 |
494 |
$3K |
| 93970 |
|
42 |
42 |
$3K |
| 0301 |
|
1,314 |
1,185 |
$3K |
| 99291 |
|
14 |
13 |
$3K |
| 73560 |
|
148 |
136 |
$3K |
| J1953 |
Levetiracetam injection |
175 |
150 |
$3K |
| J3010 |
Fentanyl citrate injection |
1,876 |
1,689 |
$3K |
| 84439 |
|
455 |
451 |
$3K |
| 76641 |
|
69 |
69 |
$3K |
| J3475 |
Inj magnesium sulfate |
359 |
336 |
$3K |
| J2175 |
Meperidine hydrochl /100 mg |
441 |
429 |
$3K |
| 0324 |
|
659 |
634 |
$3K |
| 77300 |
|
26 |
26 |
$2K |
| 86920 |
|
62 |
57 |
$2K |
| 83036 |
|
428 |
416 |
$2K |
| G1004 |
Cdsm ndsc |
6,175 |
5,402 |
$2K |
| 0258 |
|
799 |
737 |
$2K |
| 0940 |
|
335 |
237 |
$2K |
| 80047 |
|
301 |
294 |
$2K |
| 85014 |
|
338 |
325 |
$2K |
| J1630 |
Haloperidol injection |
266 |
247 |
$2K |
| 87210 |
|
297 |
289 |
$2K |
| 0300 |
|
2,168 |
1,762 |
$2K |
| 72170 |
|
91 |
90 |
$2K |
| U0004 |
Cov-19 test non-cdc hgh thru |
162 |
139 |
$2K |
| A9585 |
Gadobutrol injection |
129 |
125 |
$2K |
| 0042T |
|
15 |
15 |
$2K |
| 29125 |
|
29 |
29 |
$1K |
| 0510 |
|
614 |
590 |
$1K |
| J1644 |
Inj heparin sodium per 1000u |
571 |
303 |
$1K |
| 82077 |
|
42 |
39 |
$1K |
| 87147 |
|
111 |
111 |
$1K |
| 87205 |
|
414 |
369 |
$1K |
| J2919 |
Inj, methylpred sod succ 5mg |
124 |
98 |
$1K |
| J1453 |
Fosaprepitant injection |
21 |
12 |
$1K |
| 96417 |
|
171 |
111 |
$1K |
| 0352 |
|
629 |
613 |
$1K |
| 72131 |
|
13 |
13 |
$1K |
| J1836 |
Inj, metronidazole, 10 mg |
124 |
102 |
$1K |
| A9552 |
F18 fdg |
12 |
12 |
$971.54 |
| J2543 |
Piperacillin/tazobactam |
263 |
206 |
$925.55 |
| 76700 |
|
24 |
24 |
$924.28 |
| 88342 |
|
103 |
103 |
$848.69 |
| 92610 |
|
52 |
52 |
$833.93 |
| A9270 |
Non-covered item or service |
936 |
290 |
$814.66 |
| 12001 |
|
124 |
124 |
$787.46 |
| 93880 |
|
12 |
12 |
$753.28 |
| 93017 |
|
28 |
27 |
$722.35 |
| 29515 |
|
115 |
114 |
$710.61 |
| 86308 |
|
161 |
159 |
$708.32 |
| J7120 |
Ringers lactate infusion |
207 |
180 |
$687.86 |
| 76376 |
|
47 |
43 |
$676.31 |
| 76770 |
|
16 |
15 |
$661.26 |
| 87070 |
|
154 |
145 |
$635.95 |
| J0780 |
Prochlorperazine injection |
173 |
168 |
$625.49 |
| 0361 |
|
35 |
27 |
$613.50 |
| 72072 |
|
15 |
15 |
$601.23 |
| 77066 |
Tomosynthesis, mammo |
13 |
13 |
$587.73 |
| C1769 |
Guide wire |
12 |
12 |
$566.61 |
| 92526 |
|
28 |
25 |
$533.32 |
| 82803 |
|
35 |
33 |
$523.72 |
| 0637 |
|
963 |
415 |
$518.25 |
| 0350 |
|
62 |
62 |
$502.90 |
| 71260 |
|
13 |
13 |
$480.80 |
| 0636 |
|
3,607 |
2,762 |
$474.17 |
| 97112 |
|
293 |
118 |
$469.30 |
| 86592 |
|
90 |
89 |
$464.92 |
| A9500 |
Tc99m sestamibi |
12 |
12 |
$403.88 |
| J0689 |
Inj cefazolin sodium, baxter |
53 |
40 |
$403.28 |
| Z9727 |
|
13 |
13 |
$390.00 |
| J0360 |
Hydralazine hcl injection |
127 |
109 |
$377.82 |
| A4649 |
Surgical supplies |
413 |
293 |
$367.49 |
| 84100 |
|
191 |
143 |
$363.58 |
| 77080 |
|
12 |
12 |
$322.95 |
| 12011 |
|
28 |
28 |
$321.60 |
| 96415 |
|
37 |
26 |
$316.37 |
| 82140 |
|
42 |
39 |
$302.94 |
| J0330 |
Succinycholine chloride inj |
80 |
77 |
$270.72 |
| Q0162 |
Ondansetron oral |
90 |
69 |
$270.25 |
| 71010 |
|
40 |
30 |
$269.52 |
| 10061 |
|
12 |
12 |
$234.75 |
| 88307 |
|
25 |
25 |
$220.06 |
| 76642 |
|
12 |
12 |
$218.93 |
| 29130 |
|
39 |
39 |
$186.37 |
| 82728 |
|
43 |
40 |
$186.08 |
| 81025 |
|
51 |
51 |
$179.53 |
| 71020 |
|
17 |
15 |
$177.79 |
| 73090 |
|
12 |
12 |
$168.61 |
| 12002 |
|
24 |
24 |
$144.38 |
| J0456 |
Azithromycin |
45 |
37 |
$139.02 |
| J1920 |
Inj, labetalol hcl, 5mg |
61 |
54 |
$122.23 |
| 87899 |
|
18 |
12 |
$120.80 |
| 82247 |
|
35 |
29 |
$109.34 |
| J0688 |
Inj cefazolin sodium, hikma |
81 |
78 |
$106.66 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
39 |
37 |
$104.05 |
| 0306 |
|
1,171 |
1,101 |
$102.62 |
| J7512 |
Prednisone ir or dr oral 1mg |
539 |
494 |
$100.55 |
| 0351 |
|
336 |
331 |
$95.49 |
| J2470 |
Inj pantoprazole sodium 40mg |
40 |
29 |
$90.79 |
| A4217 |
Sterile water/saline, 500 ml |
18 |
16 |
$81.49 |
| J0692 |
Cefepime hcl for injection |
25 |
25 |
$75.93 |
| 29505 |
|
12 |
12 |
$75.19 |
| G0500 |
Mod sedat endo service >5yrs |
159 |
158 |
$73.53 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
36 |
28 |
$73.14 |
| J2710 |
Neostigmine methylslfte inj |
28 |
27 |
$62.15 |
| 99152 |
|
12 |
12 |
$56.65 |
| 83615 |
|
12 |
12 |
$49.44 |
| 84550 |
|
26 |
25 |
$48.75 |
| 96040 |
|
27 |
27 |
$34.80 |
| 82009 |
|
13 |
12 |
$32.39 |
| 0730 |
|
303 |
290 |
$29.84 |
| 82248 |
|
14 |
12 |
$21.28 |
| 99153 |
Mod sedat endo service >5yrs |
29 |
28 |
$21.12 |
| J1940 |
Furosemide injection |
17 |
14 |
$18.89 |
| 0305 |
|
1,092 |
1,023 |
$18.76 |
| 81002 |
|
13 |
12 |
$7.89 |
| 0307 |
|
461 |
446 |
$4.06 |
| Q5001 |
Hospice or home hlth in home |
34 |
26 |
$0.06 |
| G8979 |
Mobility goal status |
162 |
154 |
$0.01 |
| G8978 |
Mobility current status |
151 |
145 |
$0.01 |
| 0424 |
|
92 |
89 |
$0.00 |
| 0302 |
|
820 |
680 |
$0.00 |
| 0278 |
|
39 |
38 |
$0.00 |
| 0402 |
|
65 |
64 |
$0.00 |
| 0320 |
|
14 |
14 |
$0.00 |
| 15853 |
|
13 |
12 |
$0.00 |
| S9445 |
Pt education noc individ |
1,846 |
1,163 |
$0.00 |
| 0410 |
|
649 |
631 |
$0.00 |
| 0771 |
|
296 |
254 |
$0.00 |
| 0310 |
|
45 |
45 |
$0.00 |
| 0720 |
|
115 |
115 |
$0.00 |
| 0420 |
|
91 |
88 |
$0.00 |
| 0255 |
|
47 |
45 |
$0.00 |
| G8980 |
Mobility d/c status |
26 |
25 |
$0.00 |