| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
|
3,102 |
2,793 |
$5.29M |
| 99284 |
|
23,753 |
20,515 |
$4.25M |
| 99285 |
|
13,762 |
10,223 |
$4.25M |
| 99283 |
|
18,042 |
16,384 |
$1.71M |
| 70450 |
|
2,771 |
2,478 |
$1.38M |
| 80053 |
|
28,783 |
23,569 |
$1.02M |
| U0003 |
Cov-19 amp prb hgh thruput |
9,379 |
8,632 |
$927K |
| 97110 |
|
16,538 |
6,368 |
$879K |
| 85025 |
|
32,504 |
25,972 |
$801K |
| 96361 |
|
8,441 |
5,950 |
$701K |
| 96365 |
|
5,304 |
3,414 |
$659K |
| G0378 |
Hospital observation per hr |
1,250 |
934 |
$656K |
| 97530 |
|
10,891 |
4,948 |
$653K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,360 |
4,595 |
$651K |
| 93005 |
|
8,580 |
6,784 |
$642K |
| 96375 |
|
7,357 |
5,698 |
$527K |
| 92507 |
|
5,857 |
2,078 |
$493K |
| 74176 |
|
442 |
382 |
$462K |
| 84443 |
|
12,858 |
11,797 |
$455K |
| 71260 |
|
680 |
591 |
$444K |
| 71045 |
|
6,505 |
5,473 |
$433K |
| 76856 |
|
1,602 |
1,545 |
$412K |
| 36415 |
|
44,548 |
35,799 |
$411K |
| 99213 |
|
8,220 |
6,924 |
$381K |
| 80306 |
|
5,316 |
4,630 |
$378K |
| 72125 |
|
506 |
471 |
$366K |
| 71046 |
|
2,933 |
2,707 |
$357K |
| 81001 |
|
16,986 |
14,483 |
$351K |
| 99282 |
|
4,017 |
3,620 |
$321K |
| 96374 |
|
7,357 |
6,262 |
$309K |
| 97140 |
|
7,198 |
3,262 |
$273K |
| J7040 |
Normal saline solution infus |
15,775 |
9,595 |
$249K |
| 96372 |
|
4,984 |
3,599 |
$236K |
| 97112 |
|
4,284 |
2,100 |
$210K |
| 73030 |
|
1,420 |
1,277 |
$203K |
| 76830 |
|
1,319 |
1,274 |
$182K |
| J7120 |
Ringers lactate infusion |
4,259 |
3,382 |
$173K |
| J0131 |
Inj, acetaminophen (nos) |
2,523 |
2,102 |
$171K |
| 80061 |
|
6,541 |
6,326 |
$158K |
| 84484 |
|
6,323 |
4,448 |
$155K |
| 73610 |
|
1,061 |
950 |
$155K |
| G0480 |
Drug test def 1-7 classes |
2,516 |
1,952 |
$149K |
| 93306 |
|
324 |
285 |
$147K |
| 73630 |
|
1,028 |
937 |
$143K |
| 96376 |
|
2,853 |
1,752 |
$142K |
| 96360 |
|
1,917 |
1,639 |
$138K |
| 77067 |
|
1,162 |
1,152 |
$127K |
| 73110 |
|
861 |
719 |
$126K |
| 97162 |
|
1,627 |
1,532 |
$122K |
| 99214 |
|
1,833 |
1,507 |
$121K |
| 87086 |
|
5,266 |
4,727 |
$113K |
| 87186 |
|
2,663 |
2,405 |
$109K |
| 73562 |
|
742 |
692 |
$107K |
| 96366 |
|
1,232 |
734 |
$106K |
| 81025 |
|
4,197 |
3,910 |
$105K |
| 84439 |
|
3,577 |
3,252 |
$104K |
| 82728 |
|
2,830 |
2,730 |
$104K |
| 85027 |
|
4,141 |
3,670 |
$102K |
| 83036 |
|
5,237 |
4,983 |
$98K |
| 73721 |
|
98 |
91 |
$96K |
| 73130 |
|
645 |
570 |
$95K |
| 85610 |
|
6,490 |
5,024 |
$93K |
| J1885 |
Ketorolac tromethamine inj |
5,654 |
4,880 |
$93K |
| 80048 |
|
5,527 |
4,583 |
$92K |
| 99203 |
|
1,281 |
1,182 |
$89K |
| 94640 |
|
2,013 |
1,204 |
$89K |
| 84703 |
|
2,675 |
2,517 |
$88K |
| 87637 |
|
1,226 |
1,119 |
$88K |
| 87071 |
|
3,322 |
3,112 |
$88K |
| 86140 |
|
3,705 |
3,324 |
$88K |
| 85379 |
|
3,390 |
2,935 |
$87K |
| 87491 |
|
2,853 |
2,747 |
$86K |
| 83880 |
|
3,179 |
2,628 |
$83K |
| 83690 |
|
5,576 |
4,780 |
$82K |
| 97161 |
|
1,249 |
1,158 |
$80K |
| J1170 |
Hydromorphone injection |
3,192 |
2,281 |
$79K |
| J2405 |
Ondansetron hcl injection |
7,230 |
5,954 |
$78K |
| 83605 |
|
6,075 |
4,880 |
$78K |
| J0696 |
Ceftriaxone sodium injection |
1,945 |
1,249 |
$77K |
| 85730 |
|
4,529 |
3,835 |
$73K |
| 87591 |
|
2,685 |
2,593 |
$72K |
| 82948 |
|
3,819 |
2,100 |
$68K |
| 87040 |
|
2,876 |
1,864 |
$65K |
| 86703 |
|
1,949 |
1,904 |
$61K |
| 82785 |
|
301 |
297 |
$61K |
| 76805 |
|
240 |
235 |
$61K |
| 72100 |
|
362 |
347 |
$60K |
| 83735 |
|
3,937 |
2,921 |
$56K |
| 87507 |
|
263 |
237 |
$54K |
| 0202U |
|
2,875 |
2,642 |
$53K |
| 87880 |
|
1,904 |
1,826 |
$49K |
| 71275 |
|
59 |
52 |
$48K |
| J2250 |
Inj midazolam hydrochloride |
3,690 |
3,178 |
$46K |
| J3010 |
Fentanyl citrate injection |
3,909 |
3,388 |
$46K |
| J2001 |
Lidocaine injection |
5,096 |
3,353 |
$43K |
| 76700 |
|
170 |
164 |
$43K |
| G0463 |
Hospital outpt clinic visit |
1,287 |
1,080 |
$42K |
| 76705 |
|
258 |
234 |
$41K |
| J2704 |
Inj, propofol, 10 mg |
2,201 |
1,896 |
$40K |
| 85652 |
|
2,172 |
1,941 |
$39K |
| A9577 |
Inj multihance |
355 |
321 |
$39K |
| 82150 |
|
1,474 |
1,331 |
$38K |
| 87077 |
|
2,934 |
2,657 |
$38K |
| 86885 |
|
1,640 |
1,480 |
$38K |
| 77063 |
|
1,050 |
1,042 |
$37K |
| 99291 |
|
146 |
93 |
$31K |
| 87801 |
|
197 |
192 |
$31K |
| 73564 |
|
191 |
178 |
$31K |
| 73502 |
|
216 |
195 |
$30K |
| 83540 |
|
1,790 |
1,705 |
$29K |
| 84702 |
|
1,232 |
886 |
$28K |
| 86803 |
|
1,416 |
1,382 |
$26K |
| 74018 |
|
218 |
206 |
$26K |
| 87804 |
|
1,362 |
756 |
$25K |
| 88305 |
|
758 |
681 |
$25K |
| 97113 |
|
297 |
127 |
$25K |
| 83550 |
|
1,478 |
1,402 |
$24K |
| 90715 |
|
244 |
228 |
$24K |
| 82607 |
|
820 |
785 |
$23K |
| J2060 |
Lorazepam injection |
1,694 |
1,378 |
$23K |
| 87635 |
|
335 |
302 |
$23K |
| 86900 |
|
1,959 |
1,630 |
$23K |
| J1200 |
Diphenhydramine hcl injectio |
1,451 |
1,201 |
$22K |
| 82306 |
|
1,959 |
1,905 |
$21K |
| 86901 |
|
1,797 |
1,515 |
$21K |
| 80143 |
|
515 |
436 |
$20K |
| 76801 |
|
132 |
123 |
$20K |
| 86780 |
|
1,480 |
1,450 |
$20K |
| 82570 |
|
1,308 |
1,204 |
$20K |
| 80179 |
|
460 |
391 |
$19K |
| U0002 |
Covid-19 lab test non-cdc |
225 |
214 |
$19K |
| 45385 |
|
27 |
25 |
$19K |
| Q0162 |
Ondansetron oral |
1,804 |
1,667 |
$19K |
| 43239 |
|
15 |
12 |
$18K |
| J0690 |
Cefazolin sodium injection |
1,066 |
836 |
$17K |
| 0240U |
|
2,459 |
2,146 |
$17K |
| J1100 |
Dexamethasone sodium phos |
1,377 |
1,260 |
$17K |
| 87340 |
|
969 |
933 |
$16K |
| 80307 |
|
177 |
162 |
$16K |
| 87633 |
|
85 |
79 |
$16K |
| 81003 |
|
941 |
823 |
$15K |
| 76816 |
|
71 |
69 |
$15K |
| 86701 |
|
529 |
506 |
$14K |
| 76642 |
|
94 |
88 |
$12K |
| 82043 |
|
841 |
797 |
$12K |
| 80076 |
|
464 |
432 |
$12K |
| 86003 |
|
328 |
323 |
$12K |
| 87205 |
|
945 |
849 |
$11K |
| 84100 |
|
721 |
471 |
$10K |
| 59025 |
|
56 |
27 |
$9K |
| J2270 |
Morphine sulfate injection |
612 |
471 |
$9K |
| 86592 |
|
471 |
453 |
$9K |
| 94060 |
|
57 |
57 |
$8K |
| 82803 |
|
165 |
127 |
$8K |
| 84466 |
|
214 |
211 |
$8K |
| 73140 |
|
68 |
65 |
$7K |
| 72040 |
|
37 |
37 |
$7K |
| 97165 |
|
137 |
126 |
$7K |
| 96367 |
|
182 |
127 |
$7K |
| 45380 |
|
13 |
12 |
$6K |
| 84145 |
|
138 |
115 |
$6K |
| 86762 |
|
330 |
321 |
$6K |
| 93971 |
|
78 |
69 |
$5K |
| 82947 |
|
229 |
220 |
$5K |
| 90471 |
|
276 |
253 |
$5K |
| 11042 |
|
61 |
12 |
$5K |
| 99215 |
Prolong outpt/office vis |
50 |
40 |
$5K |
| 82950 |
|
126 |
122 |
$4K |
| J2550 |
Promethazine hcl injection |
556 |
440 |
$4K |
| J0171 |
Adrenalin epinephrine inject |
61 |
49 |
$4K |
| J7030 |
Normal saline solution infus |
107 |
93 |
$4K |
| 87210 |
|
217 |
210 |
$4K |
| 81015 |
|
407 |
382 |
$4K |
| J2930 |
Methylprednisolone injection |
171 |
93 |
$4K |
| 99202 |
|
252 |
210 |
$4K |
| 87420 |
|
89 |
87 |
$4K |
| 76817 |
|
28 |
27 |
$3K |
| 86038 |
|
143 |
137 |
$3K |
| J3490 |
Drugs unclassified injection |
1,459 |
945 |
$3K |
| 87798 |
|
145 |
135 |
$3K |
| 84403 |
|
124 |
123 |
$3K |
| 73080 |
|
26 |
24 |
$3K |
| 86787 |
|
193 |
190 |
$3K |
| 99152 |
|
350 |
343 |
$3K |
| 76770 |
|
12 |
12 |
$3K |
| G0108 |
Diab manage trn per indiv |
39 |
28 |
$3K |
| 87081 |
|
80 |
78 |
$3K |
| S0164 |
Injection pantroprazole |
380 |
259 |
$3K |
| 76857 |
|
15 |
14 |
$3K |
| 82784 |
|
57 |
53 |
$3K |
| 99212 |
|
86 |
83 |
$2K |
| 80047 |
|
103 |
91 |
$2K |
| 74019 |
|
13 |
13 |
$2K |
| 83655 |
|
132 |
128 |
$2K |
| 73590 |
|
13 |
13 |
$2K |
| J1650 |
Inj enoxaparin sodium |
109 |
39 |
$2K |
| J2765 |
Metoclopramide hcl injection |
270 |
218 |
$2K |
| 87088 |
|
106 |
97 |
$2K |
| 94729 |
|
25 |
25 |
$2K |
| 12001 |
|
16 |
14 |
$1K |
| S0119 |
Ondansetron 4 mg |
90 |
88 |
$1K |
| U0005 |
Infec agen detec ampli probe |
1,138 |
1,025 |
$1K |
| 87486 |
|
85 |
79 |
$1K |
| 82550 |
|
76 |
64 |
$1K |
| 87581 |
|
85 |
79 |
$1K |
| 99153 |
Mod sedat endo service >5yrs |
143 |
126 |
$1K |
| 73010 |
|
12 |
12 |
$1K |
| 86704 |
|
24 |
23 |
$1K |
| A9270 |
Non-covered item or service |
6,937 |
1,334 |
$1K |
| 73560 |
|
16 |
12 |
$1K |
| 84550 |
|
56 |
53 |
$936.44 |
| 86999 |
|
87 |
81 |
$809.54 |
| J2274 |
Inj morphine pf epid ithc |
137 |
103 |
$800.22 |
| 0352U |
|
341 |
334 |
$766.16 |
| 85014 |
|
114 |
102 |
$761.15 |
| 85007 |
|
229 |
204 |
$747.44 |
| 97803 |
|
16 |
12 |
$706.41 |
| 86308 |
|
28 |
28 |
$688.38 |
| 86695 |
|
43 |
39 |
$650.02 |
| J1644 |
Inj heparin sodium per 1000u |
83 |
38 |
$604.88 |
| 81220 |
|
12 |
12 |
$571.67 |
| J2919 |
Inj, methylpred sod succ 5mg |
16 |
15 |
$552.67 |
| 36000 |
|
12 |
12 |
$543.52 |
| 80178 |
|
32 |
25 |
$526.64 |
| J7050 |
Normal saline solution infus |
28 |
12 |
$514.09 |
| 84146 |
|
28 |
26 |
$509.95 |
| 83516 |
|
17 |
16 |
$499.45 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
51 |
43 |
$467.78 |
| 94726 |
|
13 |
13 |
$465.16 |
| 86696 |
|
30 |
26 |
$453.89 |
| J3475 |
Inj magnesium sulfate |
19 |
12 |
$414.43 |
| J7512 |
Prednisone ir or dr oral 1mg |
94 |
88 |
$395.59 |
| C9113 |
Inj pantoprazole sodium, via |
26 |
16 |
$386.72 |
| 97535 |
|
16 |
16 |
$367.24 |
| J7620 |
Albuterol ipratrop non-comp |
386 |
307 |
$359.26 |
| 82746 |
|
14 |
13 |
$324.38 |
| 87661 |
|
28 |
28 |
$311.21 |
| J1630 |
Haloperidol injection |
28 |
26 |
$299.53 |
| J7613 |
Albuterol non-comp unit |
181 |
141 |
$297.27 |
| 84480 |
|
15 |
15 |
$261.94 |
| 87389 |
|
20 |
19 |
$261.20 |
| 82274 |
|
15 |
14 |
$217.63 |
| 97116 |
|
17 |
12 |
$204.48 |
| 86480 |
|
12 |
12 |
$178.49 |
| Q0163 |
Diphenhydramine hcl 50mg |
24 |
24 |
$170.12 |
| 87150 |
|
136 |
127 |
$152.29 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
17 |
13 |
$111.99 |
| 85008 |
|
231 |
205 |
$104.33 |
| G0500 |
Mod sedat endo service >5yrs |
17 |
15 |
$98.61 |
| 80320 |
|
1,162 |
981 |
$77.08 |
| 93010 |
|
2,391 |
1,637 |
$8.35 |
| G8978 |
Mobility current status |
36 |
33 |
$0.00 |
| G8979 |
Mobility goal status |
69 |
59 |
$0.00 |