| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
146,072 |
135,274 |
$7.01M |
| 80053 |
|
62,296 |
54,622 |
$5.36M |
| 99281 |
|
17,251 |
16,481 |
$3.42M |
| 76816 |
|
7,885 |
6,994 |
$3.24M |
| 80048 |
|
33,581 |
28,414 |
$2.62M |
| 99282 |
|
44,083 |
42,351 |
$2.61M |
| 99284 |
|
80,060 |
71,257 |
$1.95M |
| 87081 |
|
21,661 |
21,125 |
$1.66M |
| 76811 |
|
4,108 |
3,941 |
$1.50M |
| 36415 |
|
7,291 |
6,947 |
$1.33M |
| 87275 |
|
26,574 |
25,690 |
$1.31M |
| 81001 |
|
68,763 |
62,441 |
$1.25M |
| 97110 |
|
12,947 |
4,114 |
$1.23M |
| 11042 |
|
8,124 |
3,842 |
$837K |
| 71046 |
|
20,799 |
19,886 |
$718K |
| 76819 |
|
5,445 |
3,092 |
$682K |
| 96372 |
|
21,326 |
19,430 |
$673K |
| 87210 |
|
6,808 |
6,537 |
$599K |
| 87086 |
|
16,034 |
15,271 |
$548K |
| 96361 |
|
4,870 |
4,325 |
$528K |
| 87635 |
|
19,829 |
18,811 |
$527K |
| G0463 |
Hospital outpt clinic visit |
10,912 |
8,374 |
$492K |
| 96374 |
|
44,939 |
39,931 |
$470K |
| 97530 |
|
5,373 |
2,162 |
$413K |
| 81025 |
|
41,698 |
38,665 |
$396K |
| 12001 |
|
2,111 |
2,059 |
$371K |
| 77063 |
|
3,299 |
3,256 |
$368K |
| 81002 |
|
2,904 |
2,583 |
$355K |
| 12011 |
|
1,821 |
1,782 |
$353K |
| 71045 |
|
30,400 |
27,588 |
$330K |
| J7030 |
Normal saline solution infus |
34,019 |
28,100 |
$326K |
| 10060 |
|
1,897 |
1,807 |
$313K |
| 73610 |
|
4,089 |
3,938 |
$309K |
| 74018 |
|
4,033 |
3,862 |
$306K |
| 99285 |
|
16,467 |
13,779 |
$304K |
| 73562 |
|
5,405 |
5,201 |
$303K |
| 73130 |
|
4,060 |
3,914 |
$298K |
| 70450 |
|
12,109 |
11,500 |
$295K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,708 |
2,615 |
$290K |
| 87491 |
|
9,902 |
9,550 |
$275K |
| 73630 |
|
4,784 |
4,596 |
$272K |
| 82565 |
|
1,423 |
1,191 |
$263K |
| J3490 |
Drugs unclassified injection |
2,206 |
1,977 |
$249K |
| 84702 |
|
6,169 |
5,286 |
$249K |
| 84112 |
|
1,060 |
996 |
$247K |
| 92507 |
|
4,208 |
1,509 |
$236K |
| 96360 |
|
1,467 |
1,378 |
$232K |
| 76805 |
|
828 |
794 |
$220K |
| 74176 |
|
4,330 |
4,139 |
$206K |
| 73030 |
|
3,867 |
3,680 |
$195K |
| 73140 |
|
1,842 |
1,792 |
$195K |
| 76801 |
|
3,488 |
3,202 |
$178K |
| 73110 |
|
2,841 |
2,742 |
$175K |
| G0279 |
Tomosynthesis, mammo |
1,179 |
1,152 |
$171K |
| 76705 |
|
4,607 |
4,408 |
$170K |
| 88305 |
|
5,748 |
5,465 |
$169K |
| 85027 |
|
97,750 |
80,896 |
$168K |
| 87880 |
|
20,556 |
20,032 |
$167K |
| 72100 |
|
4,125 |
4,005 |
$165K |
| 84484 |
|
27,924 |
22,811 |
$164K |
| 80307 |
|
14,234 |
12,647 |
$155K |
| 74019 |
|
2,592 |
2,519 |
$151K |
| 87070 |
|
1,794 |
1,688 |
$150K |
| 93306 |
|
1,741 |
1,681 |
$145K |
| 76825 |
|
845 |
815 |
$143K |
| 77067 |
|
3,994 |
3,951 |
$136K |
| 76642 |
|
1,741 |
1,702 |
$121K |
| 87420 |
|
3,963 |
3,800 |
$117K |
| A9552 |
F18 fdg |
119 |
108 |
$111K |
| 87426 |
|
2,554 |
2,482 |
$110K |
| Q0162 |
Ondansetron oral |
3,743 |
3,637 |
$110K |
| 87077 |
|
4,290 |
4,096 |
$110K |
| 93971 |
|
2,582 |
2,468 |
$108K |
| 76817 |
|
5,733 |
4,969 |
$106K |
| 72050 |
|
1,490 |
1,457 |
$105K |
| 12002 |
|
712 |
691 |
$99K |
| 73080 |
|
1,887 |
1,812 |
$98K |
| 76830 |
|
1,715 |
1,639 |
$96K |
| 80047 |
|
1,183 |
1,089 |
$95K |
| 77066 |
Tomosynthesis, mammo |
1,024 |
1,003 |
$95K |
| 72125 |
|
4,504 |
4,308 |
$93K |
| J7050 |
Normal saline solution infus |
1,144 |
919 |
$91K |
| 74177 |
|
10,818 |
10,321 |
$91K |
| 76820 |
|
1,790 |
780 |
$91K |
| 76815 |
|
1,405 |
1,291 |
$90K |
| 73090 |
|
1,744 |
1,647 |
$87K |
| 15853 |
|
228 |
216 |
$86K |
| U0002 |
Covid-19 lab test non-cdc |
685 |
674 |
$82K |
| 73502 |
|
1,801 |
1,727 |
$73K |
| 72072 |
|
1,592 |
1,546 |
$72K |
| G0378 |
Hospital observation per hr |
8,822 |
5,981 |
$70K |
| 76770 |
|
939 |
905 |
$69K |
| 73590 |
|
1,773 |
1,647 |
$66K |
| 96375 |
|
19,056 |
16,495 |
$63K |
| 93005 |
|
39,639 |
34,339 |
$60K |
| 80076 |
|
1,997 |
1,946 |
$59K |
| 81003 |
|
4,255 |
4,067 |
$58K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
17,865 |
15,781 |
$57K |
| 76856 |
|
2,330 |
2,243 |
$57K |
| 29125 |
|
925 |
903 |
$56K |
| 84703 |
|
8,282 |
7,883 |
$52K |
| 78452 |
|
455 |
445 |
$51K |
| 16020 |
|
661 |
462 |
$50K |
| 43239 |
|
1,953 |
1,910 |
$50K |
| 96365 |
|
396 |
291 |
$44K |
| 82731 |
|
225 |
210 |
$44K |
| 71250 |
|
501 |
471 |
$43K |
| 86850 |
|
3,319 |
3,105 |
$42K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
279 |
272 |
$40K |
| J0696 |
Ceftriaxone sodium injection |
9,649 |
8,382 |
$38K |
| 87633 |
|
425 |
416 |
$37K |
| 71275 |
|
3,925 |
3,772 |
$36K |
| J2405 |
Ondansetron hcl injection |
24,040 |
20,672 |
$35K |
| 77336 |
|
403 |
142 |
$35K |
| 99152 |
|
819 |
745 |
$35K |
| J2270 |
Morphine sulfate injection |
10,991 |
8,711 |
$34K |
| 70486 |
|
1,225 |
1,195 |
$32K |
| J1885 |
Ketorolac tromethamine inj |
42,550 |
24,601 |
$32K |
| J1170 |
Hydromorphone injection |
6,158 |
4,689 |
$32K |
| J7120 |
Ringers lactate infusion |
9,520 |
8,333 |
$27K |
| 70551 |
|
174 |
167 |
$26K |
| 93970 |
|
605 |
578 |
$26K |
| 72131 |
|
741 |
719 |
$24K |
| J1650 |
Inj enoxaparin sodium |
1,520 |
913 |
$24K |
| J1100 |
Dexamethasone sodium phos |
20,389 |
15,848 |
$23K |
| 71101 |
|
367 |
349 |
$23K |
| 82247 |
|
1,224 |
846 |
$22K |
| 72148 |
|
102 |
97 |
$22K |
| 82306 |
|
1,315 |
1,297 |
$21K |
| 83036 |
|
5,697 |
5,479 |
$20K |
| 77065 |
Tomosynthesis, mammo |
565 |
504 |
$19K |
| 83880 |
|
6,818 |
6,201 |
$19K |
| J1200 |
Diphenhydramine hcl injectio |
7,174 |
5,894 |
$18K |
| 85007 |
|
774 |
756 |
$17K |
| 71260 |
|
1,297 |
1,238 |
$17K |
| 80061 |
|
5,095 |
4,944 |
$16K |
| 70360 |
|
161 |
160 |
$16K |
| 72040 |
|
188 |
183 |
$16K |
| 73660 |
|
161 |
154 |
$15K |
| A9270 |
Non-covered item or service |
11,323 |
3,368 |
$15K |
| J0690 |
Cefazolin sodium injection |
2,172 |
1,426 |
$15K |
| 82607 |
|
1,041 |
1,026 |
$13K |
| 94640 |
|
5,809 |
5,026 |
$13K |
| 84443 |
|
6,285 |
6,062 |
$12K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
1,541 |
863 |
$12K |
| J7040 |
Normal saline solution infus |
3,967 |
3,419 |
$12K |
| 73721 |
|
14 |
13 |
$12K |
| 70496 |
|
642 |
612 |
$12K |
| J1644 |
Inj heparin sodium per 1000u |
1,827 |
1,036 |
$12K |
| 36600 |
|
142 |
135 |
$11K |
| 84439 |
|
3,097 |
2,990 |
$11K |
| 73552 |
|
323 |
311 |
$10K |
| 88304 |
|
1,371 |
1,338 |
$10K |
| 97161 |
|
587 |
580 |
$10K |
| 83605 |
|
4,697 |
4,160 |
$9K |
| 82570 |
|
1,085 |
974 |
$9K |
| 83690 |
|
21,781 |
19,906 |
$9K |
| 86140 |
|
1,779 |
1,679 |
$9K |
| 70498 |
|
741 |
702 |
$9K |
| 85379 |
|
5,380 |
5,179 |
$9K |
| C1769 |
Guide wire |
1,132 |
1,002 |
$9K |
| 84156 |
|
967 |
833 |
$9K |
| J1940 |
Furosemide injection |
1,019 |
775 |
$8K |
| J3010 |
Fentanyl citrate injection |
4,528 |
4,060 |
$8K |
| 73060 |
|
227 |
217 |
$8K |
| 88307 |
|
596 |
577 |
$8K |
| 82270 |
|
112 |
106 |
$8K |
| 76870 |
|
143 |
132 |
$8K |
| 74174 |
|
124 |
118 |
$8K |
| 97162 |
|
1,025 |
987 |
$8K |
| 96376 |
|
3,131 |
2,664 |
$8K |
| J7512 |
Prednisone ir or dr oral 1mg |
3,384 |
3,049 |
$7K |
| J7644 |
Ipratropium bromide non-comp |
4,150 |
3,881 |
$7K |
| 82728 |
|
1,118 |
1,098 |
$7K |
| 86592 |
|
173 |
171 |
$7K |
| J2060 |
Lorazepam injection |
3,588 |
3,062 |
$7K |
| 86900 |
|
5,508 |
5,112 |
$7K |
| 85610 |
|
7,999 |
7,306 |
$7K |
| 73600 |
|
111 |
108 |
$7K |
| J0360 |
Hydralazine hcl injection |
185 |
157 |
$6K |
| 70491 |
|
269 |
260 |
$6K |
| 93922 |
|
25 |
25 |
$6K |
| 99211 |
|
104 |
98 |
$6K |
| J3475 |
Inj magnesium sulfate |
894 |
687 |
$6K |
| 93017 |
|
521 |
507 |
$6K |
| J0153 |
Adenosine inj 1mg |
94 |
91 |
$6K |
| 29515 |
|
149 |
145 |
$5K |
| J1815 |
Insulin injection |
3,815 |
2,064 |
$5K |
| J1953 |
Levetiracetam injection |
173 |
144 |
$5K |
| 74022 |
|
253 |
251 |
$5K |
| 84100 |
|
3,169 |
2,291 |
$5K |
| 99213 |
|
29 |
28 |
$5K |
| 70553 |
|
13 |
13 |
$5K |
| 74246 |
|
93 |
92 |
$4K |
| 97116 |
|
184 |
119 |
$4K |
| 97140 |
|
387 |
161 |
$4K |
| J7620 |
Albuterol ipratrop non-comp |
530 |
475 |
$4K |
| 87186 |
|
4,139 |
3,940 |
$4K |
| A9500 |
Tc99m sestamibi |
463 |
453 |
$4K |
| 69200 |
|
24 |
24 |
$4K |
| 45380 |
|
119 |
118 |
$3K |
| J2704 |
Inj, propofol, 10 mg |
2,710 |
2,455 |
$3K |
| 73620 |
|
57 |
50 |
$3K |
| J0780 |
Prochlorperazine injection |
518 |
470 |
$3K |
| 82330 |
|
246 |
238 |
$3K |
| J1630 |
Haloperidol injection |
1,632 |
1,299 |
$3K |
| 73560 |
|
79 |
72 |
$3K |
| J0456 |
Azithromycin |
105 |
99 |
$3K |
| 99212 |
|
47 |
46 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
3,989 |
2,996 |
$2K |
| 00731 |
|
444 |
436 |
$2K |
| 76700 |
|
13 |
12 |
$2K |
| 83735 |
|
12,421 |
9,911 |
$2K |
| 86308 |
|
78 |
75 |
$2K |
| J8540 |
Oral dexamethasone |
1,999 |
1,930 |
$2K |
| 87276 |
|
26,576 |
25,692 |
$2K |
| C9113 |
Inj pantoprazole sodium, via |
79 |
60 |
$2K |
| S0119 |
Ondansetron 4 mg |
10,378 |
9,941 |
$2K |
| 86141 |
|
254 |
252 |
$2K |
| 86780 |
|
103 |
100 |
$2K |
| 72170 |
|
58 |
55 |
$2K |
| 82784 |
|
164 |
158 |
$2K |
| 83540 |
|
1,015 |
993 |
$2K |
| 85018 |
|
1,282 |
1,036 |
$2K |
| 80164 |
|
478 |
412 |
$2K |
| 97166 |
|
222 |
210 |
$2K |
| 87040 |
|
4,023 |
3,400 |
$2K |
| 72128 |
|
38 |
38 |
$1K |
| 86701 |
|
65 |
64 |
$1K |
| 87591 |
|
9,796 |
9,446 |
$1K |
| 87389 |
|
174 |
173 |
$1K |
| J1642 |
Inj heparin sodium per 10 u |
117 |
78 |
$1K |
| 85014 |
|
862 |
706 |
$1K |
| 11045 |
|
1,807 |
557 |
$1K |
| J0330 |
Succinycholine chloride inj |
84 |
79 |
$1K |
| 93325 |
|
951 |
919 |
$1K |
| 85046 |
|
1,367 |
906 |
$1K |
| G0283 |
Elec stim other than wound |
19 |
12 |
$1K |
| 86703 |
|
268 |
265 |
$1K |
| 82803 |
|
399 |
351 |
$1K |
| 77080 |
|
12 |
12 |
$972.40 |
| Q0169 |
Promethazine hcl 12.5mg oral |
252 |
223 |
$966.93 |
| 97597 |
|
263 |
186 |
$916.12 |
| 36000 |
|
325 |
319 |
$892.46 |
| J2765 |
Metoclopramide hcl injection |
3,747 |
3,500 |
$859.85 |
| A9577 |
Inj multihance |
88 |
61 |
$801.60 |
| 82150 |
|
445 |
429 |
$754.35 |
| 11043 |
|
39 |
26 |
$673.30 |
| 85730 |
|
6,125 |
5,654 |
$669.38 |
| 82950 |
|
27 |
27 |
$619.64 |
| 83655 |
|
42 |
41 |
$614.05 |
| 82248 |
|
2,352 |
2,031 |
$593.69 |
| 97165 |
|
56 |
54 |
$552.55 |
| 90714 |
|
2,601 |
2,526 |
$550.98 |
| 87147 |
|
2,973 |
2,845 |
$509.31 |
| 86038 |
|
13 |
13 |
$454.00 |
| 87205 |
|
2,425 |
2,241 |
$452.86 |
| 84550 |
|
575 |
527 |
$418.59 |
| 84132 |
|
269 |
244 |
$349.81 |
| 85651 |
|
2,193 |
2,083 |
$322.82 |
| 83993 |
|
26 |
25 |
$318.89 |
| 73521 |
|
12 |
12 |
$308.86 |
| J2930 |
Methylprednisolone injection |
1,823 |
1,623 |
$297.16 |
| 82746 |
|
142 |
142 |
$252.00 |
| J2550 |
Promethazine hcl injection |
2,719 |
2,296 |
$236.64 |
| J0500 |
Dicyclomine injection |
585 |
561 |
$226.11 |
| 90471 |
|
2,268 |
2,070 |
$189.01 |
| 00840 |
|
366 |
362 |
$171.24 |
| 82550 |
|
2,282 |
2,130 |
$170.69 |
| 94644 |
|
202 |
197 |
$131.72 |
| 88302 |
|
12 |
12 |
$113.84 |
| 99153 |
Mod sedat endo service >5yrs |
322 |
290 |
$80.85 |
| C1894 |
Intro/sheath, non-laser |
871 |
771 |
$68.91 |
| 86901 |
|
5,500 |
5,105 |
$68.12 |
| 94664 |
|
147 |
142 |
$51.56 |
| 86803 |
|
13 |
12 |
$39.73 |
| J2543 |
Piperacillin/tazobactam |
770 |
622 |
$24.16 |
| 86920 |
|
188 |
160 |
$24.00 |
| S0077 |
Injection, clindamycin phosp |
130 |
122 |
$15.64 |
| 82553 |
|
318 |
306 |
$14.39 |
| J3480 |
Inj potassium chloride |
338 |
298 |
$1.98 |
| 90686 |
|
13 |
13 |
$0.00 |
| 88342 |
|
551 |
536 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
243 |
230 |
$0.00 |
| 84153 |
|
13 |
13 |
$0.00 |
| 86762 |
|
30 |
30 |
$0.00 |
| 97535 |
|
35 |
24 |
$0.00 |
| J7999 |
Compounded drug, noc |
123 |
103 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
367 |
338 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
17 |
12 |
$0.00 |
| J7121 |
5% dextrose in lac ringers |
18 |
14 |
$0.00 |
| G0108 |
Diab manage trn per indiv |
20 |
14 |
$0.00 |
| 83921 |
|
24 |
24 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
41 |
41 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
131 |
119 |
$0.00 |
| J2785 |
Regadenoson injection |
27 |
26 |
$0.00 |
| 87340 |
|
76 |
76 |
$0.00 |
| 00790 |
|
42 |
41 |
$0.00 |
| 00813 |
|
51 |
51 |
$0.00 |
| Q4100 |
Skin substitute, nos |
26 |
24 |
$0.00 |
| 41899 |
|
53 |
52 |
$0.00 |
| 86364 |
|
38 |
38 |
$0.00 |
| 82043 |
|
12 |
12 |
$0.00 |
| 36430 |
|
20 |
13 |
$0.00 |
| 69436 |
|
14 |
12 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
20 |
17 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
502 |
318 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
150 |
131 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
251 |
175 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
60 |
56 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
381 |
362 |
$0.00 |
| 78815 |
|
155 |
142 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
131 |
106 |
$0.00 |
| P9016 |
Rbc leukocytes reduced |
40 |
29 |
$0.00 |
| S5000 |
Prescription drug, generic |
14 |
14 |
$0.00 |
| 84450 |
|
56 |
52 |
$0.00 |
| C1758 |
Catheter, ureteral |
12 |
12 |
$0.00 |
| 00170 |
|
96 |
96 |
$0.00 |
| 47562 |
|
28 |
28 |
$0.00 |
| 84460 |
|
57 |
53 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
18 |
12 |
$0.00 |
| C1887 |
Catheter, guiding |
79 |
68 |
$0.00 |
| 83516 |
|
68 |
68 |
$0.00 |
| A6212 |
Foam drg <=16 sq in w/border |
91 |
78 |
$0.00 |
| 59409 |
|
12 |
12 |
$0.00 |
| G1003 |
Cdsm medicalis |
29 |
27 |
$0.00 |
| 82010 |
|
38 |
37 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
14 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
183 |
110 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
17 |
17 |
$0.00 |
| 45385 |
|
12 |
12 |
$0.00 |
| 83970 |
|
13 |
12 |
$0.00 |
| J0694 |
Cefoxitin sodium injection |
15 |
12 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
15 |
12 |
$0.00 |
| 0042T |
|
12 |
12 |
$0.00 |