| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
27,194 |
24,701 |
$14.71M |
| 99285 |
|
19,012 |
17,136 |
$13.09M |
| 99283 |
|
18,840 |
17,608 |
$6.57M |
| G0378 |
Hospital observation per hr |
6,734 |
5,338 |
$5.74M |
| 59025 |
|
3,307 |
1,101 |
$1.22M |
| 93306 |
|
1,897 |
1,789 |
$883K |
| 99282 |
|
3,710 |
3,502 |
$757K |
| 76811 |
|
1,429 |
1,370 |
$637K |
| 96374 |
|
18,608 |
16,182 |
$609K |
| OP710 |
|
5,181 |
4,636 |
$576K |
| 93005 |
|
21,814 |
18,929 |
$512K |
| 74177 |
|
6,156 |
5,767 |
$489K |
| 96375 |
|
13,278 |
10,997 |
$463K |
| 11042 |
|
2,131 |
1,456 |
$379K |
| 96361 |
|
15,256 |
13,091 |
$335K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,925 |
2,789 |
$309K |
| OP279 |
|
5,992 |
5,478 |
$301K |
| 96365 |
|
5,033 |
3,941 |
$282K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
126 |
111 |
$261K |
| J1439 |
Inj ferric carboxymaltos 1mg |
242 |
166 |
$258K |
| 87633 |
|
2,710 |
2,621 |
$225K |
| 96360 |
|
5,235 |
4,900 |
$224K |
| 76816 |
|
2,446 |
2,250 |
$206K |
| OP272 |
|
4,770 |
4,315 |
$204K |
| 87631 |
|
7,978 |
7,518 |
$195K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
9,108 |
8,372 |
$193K |
| 43239 |
|
173 |
166 |
$183K |
| 87635 |
|
11,218 |
10,313 |
$170K |
| G0463 |
Hospital outpt clinic visit |
9,208 |
5,863 |
$166K |
| 97110 |
|
11,424 |
2,934 |
$166K |
| 94640 |
|
3,876 |
3,491 |
$165K |
| 70450 |
|
7,504 |
6,917 |
$165K |
| 76805 |
|
1,355 |
1,292 |
$164K |
| 76801 |
|
2,191 |
2,025 |
$162K |
| 93017 |
|
377 |
347 |
$144K |
| 87798 |
|
7,485 |
6,474 |
$138K |
| 87637 |
|
4,210 |
3,960 |
$138K |
| 77067 |
|
1,123 |
1,084 |
$137K |
| 80307 |
|
7,592 |
6,943 |
$137K |
| 76817 |
|
1,624 |
1,417 |
$136K |
| 76815 |
|
1,894 |
1,121 |
$133K |
| 93975 |
|
2,791 |
2,612 |
$132K |
| 71045 |
|
12,936 |
11,872 |
$130K |
| 97530 |
|
5,964 |
2,540 |
$128K |
| 76830 |
|
1,716 |
1,655 |
$128K |
| 76856 |
|
2,178 |
2,092 |
$124K |
| 97140 |
|
4,001 |
1,183 |
$123K |
| 96372 |
|
6,622 |
5,466 |
$121K |
| 74176 |
|
2,813 |
2,647 |
$118K |
| 71275 |
|
1,892 |
1,800 |
$112K |
| 94060 |
|
404 |
386 |
$103K |
| 71046 |
|
5,753 |
5,476 |
$100K |
| U0005 |
Infec agen detec ampli probe |
2,585 |
2,455 |
$94K |
| 80048 |
|
33,161 |
27,040 |
$91K |
| 11043 |
|
715 |
507 |
$86K |
| 93971 |
|
1,360 |
1,279 |
$82K |
| 93970 |
|
599 |
567 |
$73K |
| 85025 |
|
45,573 |
35,747 |
$72K |
| 86901 |
|
4,142 |
3,804 |
$70K |
| 36415 |
|
53,034 |
38,282 |
$66K |
| 76642 |
|
709 |
678 |
$64K |
| 93041 |
|
7,727 |
6,983 |
$64K |
| 76819 |
|
631 |
514 |
$64K |
| 87581 |
|
6,753 |
6,467 |
$64K |
| 87486 |
|
6,755 |
6,468 |
$63K |
| OP270 |
|
341 |
287 |
$63K |
| 76705 |
|
1,697 |
1,611 |
$61K |
| 87502 |
|
3,341 |
3,158 |
$57K |
| 77063 |
|
1,110 |
1,066 |
$56K |
| 80053 |
|
13,275 |
11,245 |
$56K |
| 0001A |
|
1,711 |
1,701 |
$55K |
| 36000 |
|
6,707 |
6,306 |
$53K |
| 94760 |
|
21,811 |
17,943 |
$52K |
| 0002A |
|
1,507 |
1,494 |
$51K |
| 72125 |
|
2,403 |
2,255 |
$50K |
| 78452 |
|
207 |
184 |
$48K |
| 96413 |
|
203 |
100 |
$46K |
| 97161 |
|
1,670 |
1,490 |
$42K |
| 84484 |
|
10,498 |
8,818 |
$40K |
| 47562 |
|
19 |
15 |
$39K |
| 86850 |
|
3,297 |
3,017 |
$39K |
| OP259 |
|
32,055 |
22,619 |
$39K |
| 95816 |
|
104 |
102 |
$38K |
| 86900 |
|
4,131 |
3,800 |
$36K |
| 97112 |
|
2,147 |
780 |
$36K |
| 80076 |
|
17,680 |
15,786 |
$35K |
| 88305 |
|
1,883 |
1,723 |
$34K |
| 96366 |
|
1,242 |
1,058 |
$33K |
| 80320 |
|
6,671 |
5,493 |
$33K |
| 71250 |
|
791 |
744 |
$33K |
| 71260 |
|
478 |
451 |
$32K |
| 99291 |
|
78 |
69 |
$31K |
| 97602 |
|
500 |
340 |
$31K |
| 83880 |
|
3,533 |
3,256 |
$31K |
| 77066 |
Tomosynthesis, mammo |
125 |
119 |
$28K |
| M0245 |
Bamlan and etesev infusion |
34 |
34 |
$27K |
| J3490 |
Drugs unclassified injection |
15,324 |
10,082 |
$27K |
| 70553 |
|
41 |
39 |
$27K |
| 76818 |
|
220 |
139 |
$26K |
| 96376 |
|
2,737 |
2,322 |
$26K |
| 58558 |
|
13 |
13 |
$25K |
| 80329 |
|
2,765 |
2,531 |
$25K |
| 87491 |
|
1,694 |
1,625 |
$24K |
| 73630 |
|
1,775 |
1,675 |
$24K |
| A9502 |
Tc99m tetrofosmin |
241 |
212 |
$24K |
| 87591 |
|
1,764 |
1,690 |
$22K |
| 94729 |
|
422 |
408 |
$21K |
| 73564 |
|
1,479 |
1,407 |
$20K |
| 73610 |
|
1,592 |
1,480 |
$19K |
| 17250 |
|
211 |
168 |
$19K |
| 77065 |
Tomosynthesis, mammo |
147 |
135 |
$18K |
| 87086 |
|
8,813 |
8,196 |
$18K |
| 76770 |
|
285 |
265 |
$18K |
| 83735 |
|
12,438 |
9,959 |
$18K |
| J7030 |
Normal saline solution infus |
18,420 |
14,530 |
$17K |
| 84443 |
|
2,218 |
2,085 |
$17K |
| 73130 |
|
1,168 |
1,093 |
$17K |
| 73030 |
|
1,173 |
1,096 |
$16K |
| 92507 |
|
397 |
103 |
$16K |
| 94726 |
|
318 |
305 |
$16K |
| 70486 |
|
624 |
592 |
$16K |
| 85055 |
|
1,582 |
1,325 |
$15K |
| 83690 |
|
10,393 |
9,461 |
$15K |
| 85610 |
|
13,656 |
12,125 |
$15K |
| OP250 |
|
6,058 |
4,914 |
$13K |
| 84703 |
|
12,092 |
11,008 |
$13K |
| J2916 |
Na ferric gluconate complex |
269 |
98 |
$13K |
| 78815 |
|
15 |
13 |
$13K |
| 97803 |
|
307 |
292 |
$13K |
| 85730 |
|
11,337 |
10,424 |
$13K |
| 81003 |
|
25,134 |
22,657 |
$12K |
| M0243 |
Casirivi and imdevi inj |
20 |
20 |
$12K |
| 97162 |
|
549 |
477 |
$12K |
| 76700 |
|
109 |
103 |
$12K |
| J1885 |
Ketorolac tromethamine inj |
9,585 |
8,575 |
$11K |
| 83605 |
|
2,806 |
2,507 |
$10K |
| 97116 |
|
1,578 |
955 |
$10K |
| 82962 |
|
8,526 |
5,609 |
$10K |
| 73110 |
|
658 |
619 |
$9K |
| 90471 |
|
936 |
815 |
$9K |
| 87040 |
|
2,123 |
1,897 |
$9K |
| 84702 |
|
2,340 |
1,964 |
$9K |
| 0004A |
|
292 |
284 |
$9K |
| 97802 |
|
129 |
123 |
$9K |
| C1769 |
Guide wire |
314 |
231 |
$9K |
| J2270 |
Morphine sulfate injection |
5,546 |
4,245 |
$9K |
| J2405 |
Ondansetron hcl injection |
12,957 |
10,598 |
$8K |
| 80306 |
|
425 |
405 |
$8K |
| J7040 |
Normal saline solution infus |
2,403 |
1,457 |
$8K |
| 76536 |
|
86 |
83 |
$8K |
| 70498 |
|
177 |
158 |
$8K |
| 90715 |
|
865 |
830 |
$8K |
| 97010 |
|
2,459 |
792 |
$7K |
| 11045 |
|
39 |
27 |
$7K |
| 81001 |
|
14,065 |
12,888 |
$7K |
| 87880 |
|
2,659 |
2,556 |
$7K |
| 70551 |
|
83 |
67 |
$7K |
| 87081 |
|
2,544 |
2,460 |
$7K |
| 72131 |
|
274 |
256 |
$6K |
| 82248 |
|
1,021 |
624 |
$6K |
| 0071A |
|
177 |
175 |
$6K |
| 88304 |
|
631 |
597 |
$6K |
| 73502 |
|
524 |
482 |
$6K |
| 0072A |
|
164 |
159 |
$6K |
| 87389 |
|
418 |
396 |
$6K |
| 97165 |
|
625 |
542 |
$6K |
| 73590 |
|
526 |
476 |
$6K |
| J2704 |
Inj, propofol, 10 mg |
4,507 |
4,173 |
$6K |
| J2250 |
Inj midazolam hydrochloride |
4,755 |
4,375 |
$5K |
| 70496 |
|
122 |
109 |
$5K |
| 76000 |
|
185 |
167 |
$5K |
| 87186 |
|
1,669 |
1,551 |
$5K |
| 80061 |
|
864 |
790 |
$5K |
| 76813 |
|
28 |
28 |
$5K |
| J1650 |
Inj enoxaparin sodium |
2,431 |
1,401 |
$5K |
| 81025 |
|
4,646 |
4,343 |
$5K |
| J1100 |
Dexamethasone sodium phos |
6,312 |
5,666 |
$5K |
| J3010 |
Fentanyl citrate injection |
3,975 |
3,636 |
$5K |
| 96367 |
|
203 |
145 |
$5K |
| J1170 |
Hydromorphone injection |
3,850 |
2,660 |
$5K |
| 83036 |
|
1,015 |
963 |
$4K |
| 85379 |
|
2,431 |
2,323 |
$4K |
| 0012A |
|
107 |
107 |
$4K |
| 82550 |
|
1,634 |
1,493 |
$4K |
| 87077 |
|
1,499 |
1,396 |
$4K |
| 85027 |
|
1,300 |
1,092 |
$3K |
| 82803 |
|
594 |
537 |
$3K |
| 82247 |
|
456 |
227 |
$3K |
| A4648 |
Implantable tissue marker |
48 |
41 |
$3K |
| 73080 |
|
281 |
263 |
$3K |
| 73090 |
|
246 |
223 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
3,778 |
3,094 |
$3K |
| G0480 |
Drug test def 1-7 classes |
595 |
460 |
$3K |
| G0108 |
Diab manage trn per indiv |
16 |
13 |
$3K |
| 72110 |
|
117 |
109 |
$3K |
| 88342 |
|
212 |
200 |
$3K |
| J7050 |
Normal saline solution infus |
657 |
328 |
$3K |
| 87147 |
|
2,464 |
2,386 |
$3K |
| 74022 |
|
138 |
130 |
$3K |
| J2930 |
Methylprednisolone injection |
938 |
878 |
$3K |
| J0131 |
Inj, acetaminophen (nos) |
2,502 |
2,245 |
$2K |
| J7120 |
Ringers lactate infusion |
4,457 |
3,782 |
$2K |
| 12001 |
|
69 |
65 |
$2K |
| 84100 |
|
2,271 |
1,978 |
$2K |
| J2001 |
Lidocaine injection |
3,707 |
3,328 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
45 |
44 |
$2K |
| 82728 |
|
308 |
273 |
$2K |
| 87071 |
|
628 |
557 |
$2K |
| A6021 |
Collagen dressing <=16 sq in |
251 |
160 |
$2K |
| 97535 |
|
442 |
296 |
$2K |
| C9113 |
Inj pantoprazole sodium, via |
1,185 |
845 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
2,986 |
2,356 |
$2K |
| 80165 |
|
709 |
631 |
$2K |
| P9612 |
Catheterize for urine spec |
2,266 |
2,197 |
$2K |
| J2060 |
Lorazepam injection |
2,840 |
2,259 |
$2K |
| 0064A |
|
52 |
52 |
$2K |
| 82375 |
|
627 |
569 |
$2K |
| 82330 |
|
376 |
344 |
$2K |
| OP258 |
|
740 |
687 |
$2K |
| J3475 |
Inj magnesium sulfate |
874 |
714 |
$1K |
| OP637 |
|
4,155 |
2,378 |
$1K |
| 0054A |
|
44 |
42 |
$1K |
| 86140 |
|
1,199 |
1,116 |
$1K |
| 76870 |
|
54 |
50 |
$1K |
| 83540 |
|
547 |
483 |
$1K |
| 74018 |
|
82 |
80 |
$1K |
| 82150 |
|
695 |
676 |
$1K |
| 12011 |
|
25 |
25 |
$1K |
| 36600 |
|
156 |
141 |
$1K |
| 10060 |
|
16 |
14 |
$1K |
| J3360 |
Diazepam injection |
152 |
144 |
$1K |
| Q0162 |
Ondansetron oral |
2,239 |
1,978 |
$1K |
| 87661 |
|
43 |
41 |
$1K |
| J7620 |
Albuterol ipratrop non-comp |
2,682 |
2,188 |
$1K |
| 84145 |
|
167 |
165 |
$987.96 |
| A9579 |
Gad-base mr contrast nos,1ml |
14 |
13 |
$967.54 |
| 36591 |
|
295 |
167 |
$965.73 |
| 80178 |
|
328 |
292 |
$957.90 |
| 87073 |
|
328 |
276 |
$949.63 |
| 36430 |
|
36 |
28 |
$929.31 |
| 87804 |
|
260 |
256 |
$927.80 |
| 83050 |
|
629 |
569 |
$918.77 |
| 0003A |
|
36 |
36 |
$891.98 |
| J1453 |
Fosaprepitant injection |
20 |
12 |
$876.79 |
| J2765 |
Metoclopramide hcl injection |
2,640 |
2,313 |
$872.86 |
| 82607 |
|
150 |
136 |
$846.00 |
| 78580 |
|
14 |
13 |
$773.36 |
| A6197 |
Alginate drsg >16 <=48 sq in |
124 |
91 |
$763.32 |
| 85652 |
|
1,070 |
1,003 |
$718.39 |
| 0011A |
|
28 |
28 |
$664.34 |
| J2790 |
Rho d immune globulin inj |
13 |
12 |
$641.26 |
| P9016 |
Rbc leukocytes reduced |
33 |
26 |
$632.01 |
| C1894 |
Intro/sheath, non-laser |
55 |
50 |
$576.25 |
| 85018 |
|
1,039 |
911 |
$565.29 |
| J3486 |
Ziprasidone mesylate |
16 |
13 |
$528.74 |
| 86308 |
|
465 |
455 |
$521.02 |
| 82947 |
|
494 |
437 |
$509.12 |
| J8540 |
Oral dexamethasone |
602 |
558 |
$490.13 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
425 |
395 |
$489.15 |
| J1644 |
Inj heparin sodium per 1000u |
1,447 |
755 |
$484.23 |
| J2469 |
Palonosetron hcl |
20 |
12 |
$482.11 |
| 73552 |
|
38 |
36 |
$479.67 |
| J7613 |
Albuterol non-comp unit |
708 |
557 |
$425.95 |
| A6196 |
Alginate dressing <=16 sq in |
364 |
262 |
$424.96 |
| 0052A |
|
12 |
12 |
$423.07 |
| J2919 |
Inj, methylpred sod succ 5mg |
186 |
150 |
$417.94 |
| 86592 |
|
301 |
286 |
$397.97 |
| J1790 |
Droperidol injection |
123 |
113 |
$385.98 |
| J3370 |
Vancomycin hcl injection |
262 |
176 |
$374.70 |
| 85008 |
|
1,629 |
1,524 |
$348.37 |
| 87426 |
|
42 |
41 |
$331.67 |
| 82746 |
|
43 |
39 |
$321.03 |
| 77062 |
|
62 |
54 |
$319.13 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
206 |
194 |
$301.83 |
| J1630 |
Haloperidol injection |
1,126 |
879 |
$300.59 |
| 80354 |
|
58 |
54 |
$298.64 |
| 73620 |
|
15 |
15 |
$287.87 |
| 86787 |
|
13 |
13 |
$265.56 |
| 84132 |
|
387 |
347 |
$228.01 |
| J2710 |
Neostigmine methylslfte inj |
309 |
271 |
$204.31 |
| 86923 |
|
15 |
14 |
$190.84 |
| 96368 |
|
16 |
12 |
$188.00 |
| 72100 |
|
16 |
16 |
$175.23 |
| 97164 |
|
32 |
26 |
$172.93 |
| A9540 |
Tc99m maa |
17 |
13 |
$157.91 |
| 84295 |
|
297 |
267 |
$154.64 |
| 87340 |
|
53 |
51 |
$147.97 |
| J7512 |
Prednisone ir or dr oral 1mg |
834 |
679 |
$137.27 |
| 91300 |
|
3,188 |
2,802 |
$135.01 |
| J0780 |
Prochlorperazine injection |
61 |
52 |
$131.29 |
| 82435 |
|
282 |
254 |
$123.71 |
| 29530 |
|
12 |
12 |
$113.45 |
| 83615 |
|
92 |
79 |
$107.50 |
| J1642 |
Inj heparin sodium per 10 u |
889 |
331 |
$100.24 |
| J1953 |
Levetiracetam injection |
95 |
69 |
$93.44 |
| J3480 |
Inj potassium chloride |
67 |
50 |
$83.52 |
| J2920 |
Methylprednisolone injection |
70 |
41 |
$78.39 |
| J0690 |
Cefazolin sodium injection |
1,801 |
1,399 |
$76.11 |
| 89220 |
|
13 |
13 |
$71.26 |
| 86618 |
|
14 |
12 |
$59.97 |
| A6457 |
Tubular dressing |
17 |
14 |
$59.92 |
| 84156 |
|
157 |
128 |
$55.96 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
74 |
64 |
$35.92 |
| J3411 |
Thiamine hcl 100 mg |
14 |
13 |
$35.66 |
| J1836 |
Inj, metronidazole, 10 mg |
42 |
31 |
$34.59 |
| 82140 |
|
33 |
29 |
$30.64 |
| 87070 |
|
14 |
13 |
$28.24 |
| J0360 |
Hydralazine hcl injection |
25 |
19 |
$21.33 |
| J2470 |
Inj pantoprazole sodium 40mg |
53 |
39 |
$18.17 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
12 |
12 |
$13.12 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
12 |
12 |
$11.93 |
| 84550 |
|
38 |
36 |
$10.67 |
| 91307 |
|
314 |
264 |
$9.01 |
| J2370 |
Phenylephrine hcl injection |
13 |
13 |
$7.40 |
| 85007 |
|
381 |
317 |
$6.05 |
| 88311 |
|
17 |
14 |
$5.68 |
| 91306 |
|
51 |
51 |
$5.00 |
| J1940 |
Furosemide injection |
30 |
12 |
$5.00 |
| 85045 |
|
16 |
12 |
$4.00 |
| 91305 |
|
115 |
108 |
$2.00 |
| 91301 |
|
102 |
99 |
$2.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
17 |
17 |
$1.00 |
| OP450 |
|
675 |
587 |
$0.00 |
| Q0245 |
Bamlanivimab and etesevima |
28 |
28 |
$0.00 |