| Code | Description | Claims | Beneficiaries | Total Paid |
| 8888888 |
|
77,752 |
32,573 |
$45.20M |
| 85025 |
|
62,735 |
49,117 |
$1.77M |
| 99284 |
|
30,068 |
25,171 |
$1.77M |
| 96372 |
|
4,562 |
3,518 |
$1.56M |
| 99283 |
|
22,070 |
19,386 |
$1.37M |
| 96374 |
|
24,581 |
19,021 |
$1.06M |
| 99285 |
|
13,718 |
11,173 |
$1.01M |
| 74177 |
|
7,013 |
6,146 |
$780K |
| 80050 |
|
7,941 |
7,245 |
$625K |
| 0241U |
|
4,014 |
3,655 |
$389K |
| 93306 |
|
1,890 |
1,684 |
$365K |
| 78431 |
|
363 |
341 |
$323K |
| 99282 |
|
4,732 |
4,344 |
$270K |
| 96365 |
|
6,913 |
3,761 |
$234K |
| 97110 |
|
7,105 |
3,187 |
$223K |
| 80307 |
|
5,908 |
4,694 |
$222K |
| 72148 |
|
1,732 |
1,552 |
$215K |
| 74176 |
|
2,188 |
1,932 |
$202K |
| 85027 |
|
5,696 |
4,760 |
$201K |
| 87633 |
|
1,936 |
1,748 |
$193K |
| 71046 |
|
4,819 |
4,336 |
$183K |
| U0002 |
Covid-19 lab test non-cdc |
3,834 |
3,442 |
$183K |
| 70553 |
|
983 |
894 |
$180K |
| G0463 |
Hospital outpt clinic visit |
8,018 |
6,039 |
$169K |
| 80053 |
|
57,740 |
45,674 |
$169K |
| 70450 |
|
4,721 |
4,157 |
$165K |
| 88305 |
|
4,549 |
4,045 |
$161K |
| 80081 |
|
2,070 |
1,970 |
$161K |
| 71045 |
|
12,024 |
10,386 |
$154K |
| 96375 |
|
17,214 |
12,571 |
$154K |
| 92507 |
|
3,132 |
1,487 |
$139K |
| 87491 |
|
4,699 |
4,315 |
$127K |
| J1885 |
Ketorolac tromethamine inj |
13,409 |
10,616 |
$114K |
| 97530 |
|
1,814 |
935 |
$113K |
| 87086 |
|
12,795 |
11,285 |
$111K |
| J0690 |
Cefazolin sodium injection |
4,674 |
3,809 |
$110K |
| 87389 |
|
974 |
918 |
$106K |
| 81001 |
|
25,055 |
20,863 |
$104K |
| 77067 |
|
1,302 |
1,247 |
$95K |
| J1100 |
Dexamethasone sodium phos |
9,717 |
7,667 |
$95K |
| J2405 |
Ondansetron hcl injection |
23,968 |
17,131 |
$94K |
| 73630 |
|
1,612 |
1,469 |
$93K |
| 87591 |
|
4,663 |
4,281 |
$88K |
| 84443 |
|
8,499 |
7,937 |
$87K |
| 93325 |
|
534 |
491 |
$84K |
| 97602 |
|
1,596 |
846 |
$84K |
| 72141 |
|
589 |
541 |
$83K |
| 73110 |
|
1,398 |
1,304 |
$81K |
| 87624 |
|
1,621 |
1,383 |
$80K |
| 73610 |
|
1,466 |
1,349 |
$79K |
| 74018 |
|
1,627 |
1,473 |
$79K |
| 70551 |
|
835 |
753 |
$79K |
| J7120 |
Ringers lactate infusion |
3,537 |
2,701 |
$78K |
| 73130 |
|
1,166 |
1,070 |
$78K |
| J2250 |
Inj midazolam hydrochloride |
7,439 |
6,260 |
$77K |
| 96361 |
|
12,304 |
9,768 |
$75K |
| J2704 |
Inj, propofol, 10 mg |
11,424 |
8,585 |
$75K |
| G0378 |
Hospital observation per hr |
780 |
588 |
$72K |
| 76700 |
|
972 |
912 |
$72K |
| 73721 |
|
378 |
336 |
$67K |
| 76705 |
|
2,048 |
1,874 |
$67K |
| 0202U |
|
444 |
419 |
$66K |
| 71275 |
|
1,875 |
1,673 |
$65K |
| 76856 |
|
1,844 |
1,693 |
$65K |
| J1200 |
Diphenhydramine hcl injectio |
3,316 |
2,249 |
$64K |
| 95810 |
|
86 |
85 |
$64K |
| J1170 |
Hydromorphone injection |
7,287 |
5,020 |
$64K |
| J2785 |
Regadenoson injection |
482 |
447 |
$64K |
| 88175 |
|
4,685 |
4,484 |
$59K |
| 72125 |
|
1,279 |
1,139 |
$58K |
| 96360 |
|
4,065 |
3,457 |
$57K |
| J2270 |
Morphine sulfate injection |
6,862 |
5,094 |
$56K |
| 73562 |
|
1,510 |
1,389 |
$55K |
| 97140 |
|
3,709 |
1,490 |
$55K |
| 43239 |
|
1,093 |
974 |
$54K |
| 95812 |
|
278 |
255 |
$53K |
| 76815 |
|
686 |
391 |
$53K |
| 72100 |
|
1,239 |
1,143 |
$52K |
| 73030 |
|
1,373 |
1,171 |
$52K |
| 93005 |
|
13,502 |
11,206 |
$50K |
| 87070 |
|
3,087 |
2,741 |
$49K |
| 87186 |
|
4,783 |
4,223 |
$49K |
| 76816 |
|
765 |
543 |
$48K |
| A9552 |
F18 fdg |
72 |
68 |
$48K |
| 87081 |
|
3,841 |
3,659 |
$47K |
| 86901 |
|
2,127 |
1,725 |
$46K |
| 81025 |
|
2,498 |
2,219 |
$44K |
| 96413 |
|
2,887 |
1,459 |
$43K |
| J0696 |
Ceftriaxone sodium injection |
4,749 |
3,548 |
$43K |
| 73080 |
|
538 |
499 |
$42K |
| 87880 |
|
2,956 |
2,811 |
$42K |
| 11042 |
|
473 |
229 |
$41K |
| 76770 |
|
696 |
648 |
$39K |
| 81003 |
|
2,990 |
2,648 |
$38K |
| 85610 |
|
8,391 |
6,822 |
$36K |
| 83036 |
|
7,627 |
7,076 |
$35K |
| 87507 |
|
367 |
339 |
$34K |
| J2060 |
Lorazepam injection |
3,217 |
2,393 |
$34K |
| J3010 |
Fentanyl citrate injection |
9,773 |
6,854 |
$33K |
| 97162 |
|
774 |
685 |
$32K |
| 96366 |
|
1,518 |
740 |
$32K |
| 72110 |
|
468 |
423 |
$31K |
| 84702 |
|
10,224 |
8,320 |
$30K |
| 84481 |
|
2,150 |
2,025 |
$30K |
| 96376 |
|
3,657 |
2,836 |
$29K |
| 80061 |
|
7,764 |
7,269 |
$28K |
| 94729 |
|
206 |
199 |
$26K |
| 93971 |
|
929 |
831 |
$26K |
| 73140 |
|
361 |
331 |
$26K |
| C1769 |
Guide wire |
1,267 |
1,052 |
$26K |
| 0482T |
|
59 |
53 |
$25K |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
164 |
146 |
$25K |
| 86850 |
|
1,757 |
1,400 |
$24K |
| 97161 |
|
203 |
191 |
$23K |
| 87631 |
|
379 |
355 |
$23K |
| 76811 |
|
169 |
147 |
$22K |
| 76642 |
|
616 |
535 |
$21K |
| 88342 |
|
935 |
829 |
$21K |
| 82247 |
|
3,126 |
1,517 |
$21K |
| 80048 |
|
6,400 |
5,122 |
$21K |
| 82306 |
|
4,645 |
4,282 |
$21K |
| 84439 |
|
5,111 |
4,646 |
$20K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
392 |
361 |
$19K |
| 83605 |
|
12,096 |
9,787 |
$19K |
| 71260 |
|
858 |
761 |
$19K |
| 76805 |
|
209 |
182 |
$17K |
| 73221 |
|
120 |
101 |
$17K |
| 84466 |
|
2,560 |
2,341 |
$16K |
| 73090 |
|
225 |
214 |
$16K |
| 76536 |
|
206 |
200 |
$16K |
| 84403 |
|
1,326 |
1,229 |
$15K |
| 83690 |
|
14,807 |
12,167 |
$15K |
| 83735 |
|
8,218 |
5,971 |
$15K |
| 73502 |
|
481 |
417 |
$14K |
| 45380 |
|
297 |
270 |
$14K |
| 70486 |
|
247 |
234 |
$14K |
| 76801 |
|
807 |
716 |
$14K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,584 |
7,426 |
$13K |
| 72170 |
|
268 |
245 |
$13K |
| 92526 |
|
235 |
132 |
$13K |
| 73590 |
|
258 |
243 |
$13K |
| 86003 |
|
682 |
321 |
$13K |
| J2550 |
Promethazine hcl injection |
1,747 |
1,271 |
$12K |
| 72040 |
|
306 |
278 |
$12K |
| 84550 |
|
1,362 |
1,183 |
$12K |
| 87804 |
|
518 |
494 |
$11K |
| 0001A |
|
377 |
367 |
$11K |
| 0002A |
|
350 |
336 |
$11K |
| 82330 |
|
955 |
818 |
$11K |
| 80076 |
|
808 |
749 |
$11K |
| 77066 |
Tomosynthesis, mammo |
88 |
84 |
$10K |
| 82784 |
|
1,720 |
1,119 |
$10K |
| 83516 |
|
1,030 |
904 |
$10K |
| C1894 |
Intro/sheath, non-laser |
886 |
730 |
$10K |
| 76830 |
|
499 |
466 |
$10K |
| 93303 |
|
75 |
70 |
$10K |
| A9585 |
Gadobutrol injection |
1,936 |
1,746 |
$9K |
| 87077 |
|
1,617 |
1,418 |
$9K |
| 85379 |
|
4,209 |
3,673 |
$9K |
| 94060 |
|
139 |
131 |
$8K |
| 71250 |
|
133 |
122 |
$8K |
| 70491 |
|
58 |
55 |
$8K |
| 72082 |
|
90 |
87 |
$8K |
| 93017 |
|
548 |
512 |
$8K |
| G0480 |
Drug test def 1-7 classes |
2,516 |
2,119 |
$7K |
| 84484 |
|
8,962 |
7,080 |
$7K |
| 88304 |
|
805 |
725 |
$7K |
| 82607 |
|
4,176 |
3,877 |
$7K |
| 12001 |
|
273 |
246 |
$7K |
| J0330 |
Succinycholine chloride inj |
312 |
262 |
$7K |
| 97112 |
|
239 |
102 |
$7K |
| 59025 |
|
355 |
150 |
$7K |
| 94640 |
|
2,371 |
1,940 |
$7K |
| 86140 |
|
5,824 |
4,941 |
$6K |
| 87502 |
|
187 |
175 |
$6K |
| 12011 |
|
148 |
137 |
$6K |
| 78227 |
|
29 |
24 |
$6K |
| 85651 |
|
5,207 |
4,458 |
$6K |
| 83880 |
|
3,022 |
2,577 |
$6K |
| J2795 |
Ropivacaine hcl injection |
32 |
25 |
$5K |
| 86480 |
|
331 |
313 |
$5K |
| 70498 |
|
96 |
86 |
$5K |
| 42820 |
|
76 |
71 |
$5K |
| J3490 |
Drugs unclassified injection |
395 |
327 |
$5K |
| 86364 |
|
88 |
85 |
$5K |
| 0450 |
|
127 |
105 |
$5K |
| 84703 |
|
2,786 |
2,491 |
$5K |
| 82570 |
|
2,563 |
2,272 |
$5K |
| 87040 |
|
2,914 |
2,176 |
$4K |
| 86431 |
|
745 |
693 |
$4K |
| 89060 |
|
68 |
61 |
$4K |
| 82550 |
|
1,972 |
1,685 |
$4K |
| T1015 |
Clinic service |
214 |
95 |
$4K |
| 92523 |
|
30 |
26 |
$4K |
| 78452 |
|
14 |
12 |
$4K |
| 87522 |
Neg quan hep c or qual rna |
154 |
141 |
$4K |
| 82670 |
|
631 |
582 |
$4K |
| 82805 |
|
278 |
210 |
$4K |
| 82728 |
|
2,879 |
2,625 |
$4K |
| 83970 |
|
1,048 |
920 |
$4K |
| 69436 |
|
27 |
25 |
$4K |
| J2930 |
Methylprednisolone injection |
1,396 |
1,040 |
$4K |
| 87088 |
|
3,877 |
3,439 |
$4K |
| 84100 |
|
1,933 |
1,517 |
$3K |
| 88307 |
|
198 |
169 |
$3K |
| 86803 |
|
1,341 |
1,273 |
$3K |
| 82565 |
|
1,104 |
892 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
1,478 |
893 |
$3K |
| 72146 |
|
41 |
38 |
$3K |
| A9555 |
Rb82 rubidium |
431 |
403 |
$3K |
| 84144 |
|
430 |
398 |
$3K |
| 83520 |
|
217 |
148 |
$3K |
| 82043 |
|
1,952 |
1,778 |
$3K |
| 84402 |
|
152 |
147 |
$3K |
| 80074 |
|
282 |
257 |
$3K |
| 83540 |
|
2,880 |
2,638 |
$3K |
| J2765 |
Metoclopramide hcl injection |
1,535 |
1,337 |
$3K |
| 87635 |
|
64 |
61 |
$3K |
| 86787 |
|
590 |
560 |
$2K |
| 87075 |
|
393 |
319 |
$2K |
| 45385 |
|
90 |
86 |
$2K |
| 83615 |
|
1,256 |
1,013 |
$2K |
| 86900 |
|
1,532 |
1,147 |
$2K |
| 86038 |
|
994 |
913 |
$2K |
| 72050 |
|
13 |
12 |
$2K |
| 0031A |
|
76 |
68 |
$2K |
| 84153 |
|
432 |
388 |
$2K |
| 84270 |
|
202 |
192 |
$2K |
| 86592 |
|
272 |
253 |
$2K |
| 82950 |
|
1,501 |
1,450 |
$2K |
| J2805 |
Sincalide injection |
29 |
24 |
$2K |
| C1887 |
Catheter, guiding |
85 |
62 |
$2K |
| 0064U |
|
13 |
12 |
$2K |
| 90471 |
|
733 |
664 |
$2K |
| 95806 |
|
13 |
12 |
$2K |
| 84156 |
|
380 |
316 |
$2K |
| 85007 |
|
803 |
676 |
$2K |
| 82947 |
|
189 |
178 |
$2K |
| 97166 |
|
58 |
51 |
$1K |
| 85730 |
|
1,349 |
1,169 |
$1K |
| 71101 |
|
14 |
12 |
$1K |
| 83001 |
|
439 |
417 |
$1K |
| 82731 |
|
26 |
26 |
$1K |
| 86780 |
|
279 |
265 |
$1K |
| 12002 |
|
27 |
25 |
$1K |
| 78492 |
|
59 |
53 |
$1K |
| 86235 |
|
86 |
41 |
$1K |
| 74019 |
|
14 |
13 |
$1K |
| 76870 |
|
26 |
26 |
$1K |
| 93226 |
|
27 |
26 |
$955.76 |
| 72131 |
|
73 |
71 |
$948.55 |
| 0100U |
|
29 |
27 |
$942.35 |
| 88312 |
|
13 |
12 |
$924.93 |
| 84146 |
|
189 |
180 |
$779.03 |
| J1815 |
Insulin injection |
274 |
132 |
$767.87 |
| 87660 |
|
12 |
12 |
$711.04 |
| 45378 |
|
14 |
14 |
$710.05 |
| 82746 |
|
859 |
774 |
$707.21 |
| 76817 |
|
82 |
66 |
$693.41 |
| 86812 |
|
53 |
51 |
$661.76 |
| 86376 |
|
399 |
366 |
$654.19 |
| 88331 |
|
22 |
19 |
$636.15 |
| 72072 |
|
12 |
12 |
$636.04 |
| 86160 |
|
71 |
52 |
$621.40 |
| 80047 |
|
94 |
83 |
$610.21 |
| 82140 |
|
148 |
117 |
$596.72 |
| 36591 |
|
86 |
51 |
$579.12 |
| U0005 |
Infec agen detec ampli probe |
28 |
26 |
$561.30 |
| 43235 |
|
29 |
28 |
$529.27 |
| 93970 |
|
12 |
12 |
$510.59 |
| 88341 |
|
98 |
88 |
$476.90 |
| 87340 |
|
469 |
408 |
$471.88 |
| 93321 |
|
13 |
12 |
$461.92 |
| 82785 |
|
26 |
24 |
$458.10 |
| 86800 |
|
324 |
294 |
$454.16 |
| 70496 |
|
95 |
85 |
$447.01 |
| 86200 |
|
166 |
152 |
$440.07 |
| 93320 |
|
137 |
128 |
$394.62 |
| 91300 |
|
27 |
23 |
$385.30 |
| 83002 |
|
103 |
98 |
$365.16 |
| 90715 |
|
225 |
215 |
$331.48 |
| 77063 |
|
43 |
39 |
$325.24 |
| 29125 |
|
52 |
41 |
$320.09 |
| G8978 |
Mobility current status |
137 |
112 |
$319.76 |
| 86706 |
|
71 |
66 |
$272.37 |
| 72070 |
|
12 |
12 |
$267.38 |
| 97014 |
|
424 |
155 |
$259.18 |
| 88302 |
|
36 |
32 |
$249.36 |
| 87449 |
|
98 |
87 |
$238.50 |
| J3475 |
Inj magnesium sulfate |
656 |
358 |
$237.04 |
| 82951 |
|
12 |
12 |
$233.20 |
| 86677 |
|
122 |
112 |
$224.19 |
| J0702 |
Betamethasone acet&sod phosp |
16 |
12 |
$223.84 |
| 82533 |
|
77 |
65 |
$197.05 |
| 86225 |
|
33 |
28 |
$168.15 |
| A9500 |
Tc99m sestamibi |
14 |
12 |
$157.27 |
| 87338 |
|
13 |
13 |
$156.04 |
| 80069 |
|
59 |
46 |
$148.06 |
| 36415 |
|
335 |
288 |
$136.74 |
| 87147 |
|
292 |
273 |
$107.95 |
| 82248 |
|
136 |
120 |
$99.36 |
| Q9957 |
Inj perflutren lip micros,ml |
45 |
41 |
$96.54 |
| G8979 |
Mobility goal status |
161 |
121 |
$91.23 |
| 93976 |
|
46 |
42 |
$87.76 |
| 80178 |
|
46 |
41 |
$86.35 |
| G0123 |
Screen cerv/vag thin layer |
14 |
12 |
$78.85 |
| 84132 |
|
187 |
156 |
$71.99 |
| 84145 |
|
111 |
98 |
$61.84 |
| 90686 |
|
140 |
129 |
$51.74 |
| 84480 |
|
50 |
42 |
$47.21 |
| G0283 |
Elec stim other than wound |
121 |
38 |
$46.67 |
| 84460 |
|
26 |
24 |
$43.27 |
| 84478 |
|
55 |
50 |
$35.40 |
| 87426 |
|
23 |
23 |
$35.33 |
| 93010 |
|
435 |
371 |
$34.19 |
| 78434 |
|
363 |
342 |
$27.03 |
| 84436 |
|
119 |
109 |
$25.57 |
| 83721 |
|
15 |
12 |
$22.30 |
| 83525 |
|
16 |
13 |
$15.60 |
| 85014 |
|
14 |
12 |
$12.71 |
| 81015 |
|
13 |
12 |
$9.07 |
| J7042 |
5% dextrose/normal saline |
24 |
12 |
$7.02 |
| J0780 |
Prochlorperazine injection |
16 |
16 |
$1.28 |
| 86704 |
|
15 |
14 |
$0.00 |
| J2469 |
Palonosetron hcl |
348 |
151 |
$0.00 |
| 86308 |
|
14 |
12 |
$0.00 |
| G8987 |
Self care current status |
17 |
13 |
$0.00 |
| 82952 |
|
12 |
12 |
$0.00 |
| 82378 |
|
66 |
53 |
$0.00 |
| 99291 |
|
32 |
27 |
$0.00 |
| J1630 |
Haloperidol injection |
32 |
29 |
$0.00 |
| G8988 |
Self care goal status |
23 |
14 |
$0.00 |
| 78499 |
|
59 |
53 |
$0.00 |
| J3480 |
Inj potassium chloride |
19 |
12 |
$0.00 |
| 96415 |
|
20 |
12 |
$0.00 |
| 87480 |
|
12 |
12 |
$0.00 |
| 87510 |
|
12 |
12 |
$0.00 |
| G8980 |
Mobility d/c status |
15 |
13 |
$0.00 |
| 74420 |
|
13 |
12 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
13 |
12 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
20 |
12 |
$0.00 |
| 93225 |
|
13 |
12 |
$0.00 |
| 96417 |
|
102 |
53 |
$0.00 |
| 82627 |
|
12 |
12 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
55 |
40 |
$0.00 |
| 96367 |
|
114 |
78 |
$0.00 |
| J1453 |
Fosaprepitant injection |
24 |
12 |
$0.00 |
| G8989 |
Self care d/c status |
16 |
13 |
$0.00 |
| 84450 |
|
28 |
26 |
$0.00 |
| 94726 |
|
15 |
14 |
$0.00 |
| A9537 |
Tc99m mebrofenin |
30 |
25 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
69 |
39 |
$0.00 |
| 80164 |
|
28 |
24 |
$0.00 |
| 82010 |
|
14 |
12 |
$0.00 |
| 84165 |
|
13 |
12 |
$0.00 |
| 87324 |
|
29 |
26 |
$0.00 |
| J1756 |
Iron sucrose injection |
24 |
13 |
$0.00 |
| 78815 |
|
15 |
14 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
12 |
12 |
$0.00 |
| 85045 |
|
13 |
13 |
$0.00 |