| Code | Description | Claims | Beneficiaries | Total Paid |
| 36415 |
|
37,133 |
25,201 |
$2.72M |
| J7030 |
Normal saline solution infus |
11,815 |
9,084 |
$2.33M |
| 80053 |
|
39,987 |
33,757 |
$1.61M |
| 99283 |
|
20,394 |
18,697 |
$871K |
| J7050 |
Normal saline solution infus |
8,912 |
4,444 |
$845K |
| 86900 |
|
6,298 |
5,651 |
$737K |
| J7040 |
Normal saline solution infus |
4,154 |
3,532 |
$634K |
| 80048 |
|
19,014 |
14,109 |
$477K |
| A9577 |
Inj multihance |
552 |
470 |
$442K |
| 87491 |
|
13,362 |
12,638 |
$415K |
| 81001 |
|
27,676 |
23,976 |
$361K |
| 84439 |
|
10,392 |
9,854 |
$299K |
| 99284 |
|
22,047 |
19,232 |
$269K |
| 87480 |
|
3,139 |
3,008 |
$242K |
| 87086 |
|
18,194 |
16,469 |
$225K |
| 86703 |
|
7,087 |
6,734 |
$225K |
| 86695 |
|
1,178 |
1,132 |
$218K |
| 80307 |
|
7,392 |
6,218 |
$215K |
| 82565 |
|
1,073 |
995 |
$196K |
| 87081 |
|
11,995 |
11,709 |
$189K |
| 87077 |
|
7,732 |
7,025 |
$185K |
| 99282 |
|
1,639 |
1,560 |
$154K |
| U0002 |
Covid-19 lab test non-cdc |
2,806 |
2,526 |
$151K |
| 71250 |
|
854 |
788 |
$150K |
| 93971 |
|
993 |
920 |
$141K |
| 82306 |
|
4,857 |
4,655 |
$140K |
| 72148 |
|
484 |
453 |
$133K |
| 83021 |
|
1,080 |
1,009 |
$126K |
| G0463 |
Hospital outpt clinic visit |
4,212 |
3,305 |
$124K |
| 71046 |
|
5,491 |
5,057 |
$122K |
| 87804 |
|
2,439 |
2,256 |
$121K |
| 88305 |
|
3,640 |
3,305 |
$114K |
| 70450 |
|
6,157 |
5,541 |
$112K |
| 82962 |
|
5,160 |
2,934 |
$103K |
| 96372 |
|
10,232 |
5,274 |
$102K |
| 99285 |
|
15,341 |
12,743 |
$99K |
| 97110 |
|
3,693 |
1,179 |
$97K |
| 70551 |
|
575 |
520 |
$95K |
| 88175 |
|
6,916 |
6,592 |
$90K |
| 84702 |
|
6,268 |
4,852 |
$90K |
| Q0162 |
Ondansetron oral |
1,514 |
1,316 |
$89K |
| 74177 |
|
4,597 |
4,167 |
$86K |
| 71260 |
|
924 |
848 |
$83K |
| 87624 |
|
2,460 |
2,361 |
$82K |
| 71045 |
|
11,271 |
9,576 |
$71K |
| 80061 |
|
8,737 |
8,383 |
$70K |
| 72141 |
|
180 |
167 |
$69K |
| 82950 |
|
3,599 |
3,541 |
$69K |
| 87210 |
|
1,518 |
1,411 |
$65K |
| 95810 |
|
216 |
205 |
$65K |
| 77336 |
|
533 |
223 |
$62K |
| 99211 |
|
1,636 |
1,320 |
$57K |
| 87070 |
|
1,890 |
1,717 |
$57K |
| 73030 |
|
1,070 |
966 |
$56K |
| 85025 |
|
45,488 |
36,287 |
$55K |
| U0001 |
2019-ncov diagnostic p |
677 |
636 |
$54K |
| 84443 |
|
17,800 |
16,726 |
$53K |
| 82607 |
|
2,166 |
2,032 |
$49K |
| 77062 |
|
258 |
245 |
$49K |
| 73610 |
|
801 |
726 |
$48K |
| 71275 |
|
1,589 |
1,467 |
$48K |
| 77300 |
|
61 |
52 |
$46K |
| 93970 |
|
384 |
355 |
$45K |
| 77066 |
Tomosynthesis, mammo |
819 |
790 |
$45K |
| 93306 |
|
449 |
393 |
$43K |
| 85027 |
|
17,683 |
14,277 |
$42K |
| 73630 |
|
1,030 |
871 |
$42K |
| 72100 |
|
1,435 |
1,341 |
$42K |
| 96374 |
|
13,586 |
11,532 |
$41K |
| 76642 |
|
1,144 |
973 |
$41K |
| 86038 |
|
1,441 |
1,382 |
$41K |
| 72040 |
|
653 |
612 |
$41K |
| 77063 |
|
398 |
390 |
$38K |
| 93005 |
|
19,053 |
15,772 |
$37K |
| 73564 |
|
1,204 |
1,022 |
$35K |
| G0378 |
Hospital observation per hr |
18,275 |
5,109 |
$34K |
| 73130 |
|
743 |
633 |
$33K |
| 70553 |
|
81 |
76 |
$33K |
| 87502 |
|
481 |
457 |
$32K |
| 80076 |
|
2,366 |
2,174 |
$31K |
| 81025 |
|
11,904 |
10,759 |
$31K |
| 74176 |
|
2,374 |
2,228 |
$30K |
| 83036 |
|
4,212 |
3,982 |
$30K |
| 76705 |
|
1,130 |
1,054 |
$29K |
| 81511 |
|
339 |
322 |
$28K |
| 73110 |
|
413 |
386 |
$28K |
| Q0163 |
Diphenhydramine hcl 50mg |
1,103 |
824 |
$26K |
| 76830 |
|
740 |
702 |
$23K |
| 72125 |
|
1,387 |
1,281 |
$22K |
| 77067 |
|
995 |
965 |
$21K |
| 82728 |
|
2,124 |
1,921 |
$21K |
| J1650 |
Inj enoxaparin sodium |
2,329 |
436 |
$21K |
| 70486 |
|
422 |
400 |
$21K |
| 84112 |
|
248 |
237 |
$21K |
| J2270 |
Morphine sulfate injection |
8,998 |
6,298 |
$20K |
| 74018 |
|
820 |
752 |
$18K |
| 78306 |
|
37 |
25 |
$17K |
| 86140 |
|
3,430 |
3,003 |
$17K |
| 96365 |
|
4,959 |
3,513 |
$17K |
| C1729 |
Cath, drainage |
124 |
68 |
$17K |
| J1815 |
Insulin injection |
1,949 |
777 |
$16K |
| 73502 |
|
755 |
685 |
$16K |
| 83735 |
|
6,415 |
5,051 |
$16K |
| 76815 |
|
932 |
847 |
$15K |
| 94640 |
|
7,161 |
2,856 |
$15K |
| 85610 |
|
12,580 |
10,502 |
$15K |
| J3010 |
Fentanyl citrate injection |
9,360 |
5,331 |
$15K |
| 88142 |
|
1,262 |
1,176 |
$15K |
| 76700 |
|
199 |
186 |
$14K |
| 83001 |
|
481 |
457 |
$14K |
| 86225 |
|
875 |
852 |
$14K |
| J2405 |
Ondansetron hcl injection |
14,531 |
10,922 |
$14K |
| 86850 |
|
5,307 |
4,835 |
$14K |
| 83690 |
|
11,218 |
9,702 |
$14K |
| J7120 |
Ringers lactate infusion |
8,141 |
6,484 |
$14K |
| 76536 |
|
190 |
179 |
$13K |
| 96361 |
|
6,124 |
5,323 |
$13K |
| J2001 |
Lidocaine injection |
17,498 |
5,555 |
$12K |
| 88304 |
|
1,257 |
1,076 |
$12K |
| 82550 |
|
1,539 |
1,225 |
$12K |
| 83540 |
|
2,453 |
2,265 |
$11K |
| 84550 |
|
1,144 |
1,034 |
$11K |
| 10060 |
|
46 |
43 |
$10K |
| 87880 |
|
1,364 |
1,291 |
$10K |
| 76770 |
|
272 |
247 |
$9K |
| 87633 |
|
289 |
271 |
$9K |
| 87045 |
|
177 |
170 |
$9K |
| 84146 |
|
387 |
373 |
$9K |
| 87507 |
|
42 |
39 |
$9K |
| 82731 |
|
102 |
99 |
$9K |
| 82570 |
|
1,907 |
1,748 |
$9K |
| 96376 |
|
7,399 |
3,257 |
$8K |
| 97161 |
|
1,433 |
1,079 |
$8K |
| 86704 |
|
2,116 |
2,034 |
$8K |
| 96366 |
|
1,329 |
879 |
$8K |
| 85378 |
|
3,364 |
3,092 |
$8K |
| 96375 |
|
11,391 |
8,505 |
$8K |
| J2704 |
Inj, propofol, 10 mg |
5,825 |
4,814 |
$7K |
| 76801 |
|
1,927 |
1,672 |
$7K |
| 87426 |
|
439 |
395 |
$7K |
| J2550 |
Promethazine hcl injection |
3,179 |
2,534 |
$7K |
| 73080 |
|
103 |
98 |
$7K |
| 77412 |
|
165 |
12 |
$7K |
| 82043 |
|
912 |
890 |
$7K |
| 83880 |
|
4,835 |
4,104 |
$7K |
| 77065 |
Tomosynthesis, mammo |
280 |
260 |
$6K |
| C1769 |
Guide wire |
1,425 |
990 |
$6K |
| 77334 |
|
17 |
14 |
$6K |
| 84484 |
|
10,064 |
7,938 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
9,573 |
7,122 |
$6K |
| 86706 |
|
2,315 |
2,210 |
$6K |
| 70491 |
|
41 |
41 |
$6K |
| 73560 |
|
182 |
127 |
$5K |
| 97530 |
|
1,141 |
298 |
$5K |
| 82784 |
|
100 |
86 |
$5K |
| 87205 |
|
1,958 |
1,730 |
$5K |
| 73090 |
|
122 |
106 |
$5K |
| 88307 |
|
458 |
381 |
$5K |
| 83655 |
|
429 |
393 |
$5K |
| 84155 |
|
333 |
310 |
$4K |
| 86235 |
|
1,094 |
772 |
$4K |
| J2250 |
Inj midazolam hydrochloride |
5,096 |
4,383 |
$4K |
| 82746 |
|
775 |
726 |
$4K |
| 93226 |
|
13 |
12 |
$4K |
| 87637 |
|
156 |
129 |
$4K |
| J1170 |
Hydromorphone injection |
4,595 |
3,137 |
$4K |
| 87040 |
|
2,649 |
1,881 |
$4K |
| 70496 |
|
13 |
12 |
$4K |
| 93225 |
|
101 |
89 |
$4K |
| 74022 |
|
468 |
431 |
$4K |
| 78452 |
|
68 |
66 |
$4K |
| J1100 |
Dexamethasone sodium phos |
3,732 |
2,804 |
$4K |
| 82951 |
|
671 |
637 |
$3K |
| 87340 |
|
6,853 |
6,453 |
$3K |
| J2930 |
Methylprednisolone injection |
1,721 |
1,286 |
$3K |
| J2765 |
Metoclopramide hcl injection |
913 |
735 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
3,802 |
2,631 |
$3K |
| 97140 |
|
155 |
64 |
$3K |
| 76819 |
|
50 |
41 |
$3K |
| 86160 |
|
622 |
501 |
$3K |
| 96360 |
|
1,827 |
1,692 |
$3K |
| 43239 |
|
324 |
287 |
$3K |
| J3480 |
Inj potassium chloride |
21 |
12 |
$3K |
| 84403 |
|
377 |
353 |
$3K |
| 88342 |
|
859 |
729 |
$3K |
| 82805 |
|
793 |
646 |
$3K |
| 85730 |
|
10,329 |
8,828 |
$3K |
| 84145 |
|
785 |
571 |
$3K |
| J2060 |
Lorazepam injection |
2,056 |
1,512 |
$3K |
| 87486 |
|
165 |
134 |
$2K |
| 82785 |
|
71 |
65 |
$2K |
| 82670 |
|
37 |
36 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
7,997 |
6,041 |
$2K |
| 86769 |
|
34 |
32 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
5,581 |
1,861 |
$2K |
| 12001 |
|
27 |
26 |
$2K |
| 97165 |
|
620 |
419 |
$2K |
| 85652 |
|
3,123 |
2,744 |
$2K |
| 85049 |
|
13 |
12 |
$2K |
| J1642 |
Inj heparin sodium per 10 u |
2,714 |
876 |
$2K |
| J2710 |
Neostigmine methylslfte inj |
1,040 |
887 |
$2K |
| J0690 |
Cefazolin sodium injection |
3,150 |
2,388 |
$2K |
| 86780 |
|
6,701 |
6,361 |
$2K |
| 83516 |
|
61 |
55 |
$2K |
| 85613 |
|
42 |
40 |
$2K |
| 87186 |
|
5,770 |
5,203 |
$2K |
| J3475 |
Inj magnesium sulfate |
714 |
527 |
$2K |
| P9016 |
Rbc leukocytes reduced |
336 |
261 |
$2K |
| 86803 |
|
7,185 |
6,818 |
$2K |
| 73590 |
|
123 |
93 |
$2K |
| 84153 |
|
187 |
176 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
1,990 |
1,603 |
$2K |
| 84156 |
|
1,576 |
1,293 |
$2K |
| 87632 |
|
87 |
76 |
$2K |
| 72070 |
|
67 |
58 |
$2K |
| 80164 |
|
325 |
277 |
$2K |
| J0330 |
Succinycholine chloride inj |
1,486 |
1,293 |
$2K |
| J1940 |
Furosemide injection |
1,356 |
670 |
$2K |
| 93017 |
|
108 |
106 |
$2K |
| Q9954 |
Oral mr contrast, 100 ml |
1,247 |
1,121 |
$1K |
| J8540 |
Oral dexamethasone |
38 |
27 |
$1K |
| 77061 |
|
14 |
14 |
$1K |
| 83605 |
|
2,199 |
1,620 |
$1K |
| 82947 |
|
105 |
94 |
$1K |
| 76856 |
|
831 |
792 |
$1K |
| 87798 |
|
521 |
460 |
$1K |
| J7510 |
Prednisolone oral per 5 mg |
57 |
56 |
$1K |
| J7512 |
Prednisone ir or dr oral 1mg |
1,487 |
747 |
$1K |
| 83550 |
|
1,664 |
1,492 |
$1K |
| 82525 |
|
215 |
209 |
$1K |
| 87631 |
|
116 |
94 |
$1K |
| 73140 |
|
26 |
26 |
$1K |
| 83520 |
|
40 |
40 |
$1K |
| 86431 |
|
998 |
968 |
$1K |
| 36430 |
|
382 |
291 |
$1K |
| 97116 |
|
730 |
237 |
$1K |
| 86200 |
|
515 |
499 |
$952.88 |
| 82533 |
|
60 |
52 |
$918.14 |
| J3370 |
Vancomycin hcl injection |
1,158 |
514 |
$845.46 |
| 87807 |
|
89 |
81 |
$822.47 |
| J2370 |
Phenylephrine hcl injection |
1,042 |
858 |
$821.75 |
| J2175 |
Meperidine hydrochl /100 mg |
766 |
633 |
$789.42 |
| Q9961 |
Hocm 250-299mg/ml iodine,1ml |
159 |
67 |
$779.86 |
| 97162 |
|
28 |
25 |
$678.07 |
| 84270 |
|
91 |
86 |
$653.14 |
| 86762 |
|
3,863 |
3,615 |
$645.44 |
| 86901 |
|
6,299 |
5,651 |
$629.39 |
| 82150 |
|
191 |
181 |
$594.97 |
| 82553 |
|
23 |
12 |
$559.47 |
| 84481 |
|
707 |
685 |
$549.10 |
| 73552 |
|
18 |
15 |
$520.66 |
| 83970 |
|
149 |
126 |
$478.58 |
| 76817 |
|
2,074 |
1,824 |
$466.24 |
| J0360 |
Hydralazine hcl injection |
937 |
653 |
$429.35 |
| 85660 |
|
1,002 |
934 |
$415.60 |
| 83615 |
|
377 |
283 |
$415.54 |
| J2543 |
Piperacillin/tazobactam |
296 |
125 |
$410.52 |
| 87591 |
|
13,354 |
12,630 |
$393.25 |
| 83013 |
|
13 |
13 |
$365.45 |
| A9270 |
Non-covered item or service |
95 |
70 |
$364.77 |
| 83525 |
|
164 |
157 |
$351.88 |
| 84144 |
|
12 |
12 |
$351.45 |
| 82103 |
|
12 |
12 |
$339.91 |
| 87493 |
|
25 |
24 |
$327.52 |
| 87641 |
|
27 |
27 |
$223.68 |
| 86787 |
|
1,845 |
1,726 |
$222.02 |
| 82747 |
|
716 |
676 |
$183.80 |
| 84132 |
|
187 |
143 |
$172.07 |
| J3486 |
Ziprasidone mesylate |
1,195 |
695 |
$162.82 |
| 82140 |
|
113 |
85 |
$155.16 |
| 85045 |
|
1,108 |
833 |
$133.71 |
| 87075 |
|
706 |
608 |
$129.76 |
| 86141 |
|
69 |
65 |
$127.47 |
| 86709 |
|
2,056 |
1,971 |
$121.91 |
| 85014 |
|
256 |
99 |
$119.22 |
| 86039 |
|
1,226 |
1,174 |
$104.04 |
| 86376 |
|
70 |
69 |
$77.39 |
| 86480 |
|
49 |
46 |
$76.49 |
| 90715 |
|
700 |
658 |
$62.02 |
| 87522 |
Neg quan hep c or qual rna |
12 |
12 |
$57.97 |
| 83883 |
|
14 |
12 |
$54.50 |
| 81015 |
|
49 |
47 |
$51.73 |
| 88173 |
|
113 |
106 |
$42.01 |
| 82105 |
|
12 |
12 |
$40.77 |
| 83090 |
|
26 |
25 |
$38.60 |
| G8978 |
Mobility current status |
118 |
87 |
$38.08 |
| 86777 |
|
113 |
107 |
$37.13 |
| 84100 |
|
1,070 |
896 |
$33.23 |
| 86256 |
|
80 |
78 |
$32.54 |
| 84425 |
|
351 |
345 |
$28.74 |
| 82247 |
|
20 |
13 |
$23.98 |
| 87899 |
|
58 |
54 |
$18.62 |
| 86923 |
|
417 |
291 |
$7.85 |
| 90471 |
|
319 |
295 |
$7.00 |
| J0744 |
Ciprofloxacin iv |
449 |
301 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
762 |
518 |
$0.00 |
| J0780 |
Prochlorperazine injection |
249 |
222 |
$0.00 |
| 84630 |
|
165 |
160 |
$0.00 |
| 86696 |
|
1,171 |
1,125 |
$0.00 |
| 84165 |
|
468 |
435 |
$0.00 |
| 87660 |
|
3,146 |
3,015 |
$0.00 |
| 77012 |
|
16 |
15 |
$0.00 |
| 84597 |
|
130 |
126 |
$0.00 |
| C1887 |
Catheter, guiding |
113 |
91 |
$0.00 |
| J3105 |
Terbutaline sulfate inj |
116 |
92 |
$0.00 |
| 86147 |
|
14 |
14 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
32 |
24 |
$0.00 |
| 86334 |
|
40 |
39 |
$0.00 |
| 84460 |
|
27 |
26 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
18 |
14 |
$0.00 |
| G8979 |
Mobility goal status |
135 |
90 |
$0.00 |
| J1953 |
Levetiracetam injection |
117 |
71 |
$0.00 |
| 96367 |
|
71 |
53 |
$0.00 |
| J2300 |
Inj nalbuphine hydrochloride |
127 |
65 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
28 |
27 |
$0.00 |
| 10005 |
|
16 |
15 |
$0.00 |
| J1245 |
Dipyridamole injection |
21 |
13 |
$0.00 |
| 99291 |
|
94 |
79 |
$0.00 |
| 93458 |
|
97 |
90 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
292 |
238 |
$0.00 |
| 97535 |
|
252 |
128 |
$0.00 |
| 87510 |
|
3,139 |
3,008 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
17 |
12 |
$0.00 |
| 88341 |
|
79 |
68 |
$0.00 |
| 82952 |
|
665 |
630 |
$0.00 |
| A9500 |
Tc99m sestamibi |
92 |
89 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
171 |
97 |
$0.00 |
| 86778 |
|
113 |
107 |
$0.00 |
| 87046 |
|
165 |
158 |
$0.00 |
| G8980 |
Mobility d/c status |
14 |
13 |
$0.00 |
| 20610 |
|
26 |
24 |
$0.00 |
| 90686 |
|
53 |
38 |
$0.00 |
| J1630 |
Haloperidol injection |
42 |
37 |
$0.00 |
| 88311 |
|
26 |
25 |
$0.00 |
| 83921 |
|
73 |
72 |
$0.00 |
| 86800 |
|
66 |
64 |
$0.00 |
| 83002 |
|
66 |
64 |
$0.00 |
| 85018 |
|
187 |
81 |
$0.00 |
| 74021 |
|
36 |
36 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
67 |
34 |
$0.00 |
| 84480 |
|
14 |
14 |
$0.00 |
| 70498 |
|
14 |
13 |
$0.00 |
| 87581 |
|
165 |
134 |
$0.00 |
| G0379 |
Direct refer hospital observ |
16 |
15 |
$0.00 |
| G0008 |
Admin influenza virus vac |
22 |
12 |
$0.00 |
| J1335 |
Ertapenem injection |
46 |
24 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
46 |
26 |
$0.00 |
| G0103 |
Psa screening |
14 |
14 |
$0.00 |