| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
54,740 |
50,374 |
$23.99M |
| G0378 |
Hospital observation per hr |
8,161 |
5,494 |
$11.61M |
| 99284 |
|
7,479 |
7,222 |
$5.52M |
| 99291 |
|
2,931 |
2,856 |
$3.55M |
| 74177 |
|
7,638 |
7,492 |
$2.43M |
| 78452 |
|
1,530 |
1,529 |
$1.85M |
| 99282 |
|
6,132 |
5,982 |
$1.47M |
| 78815 |
|
898 |
896 |
$1.34M |
| 77067 |
|
9,926 |
9,919 |
$1.08M |
| 0450 |
|
22,489 |
20,460 |
$972K |
| 70450 |
|
8,220 |
7,970 |
$852K |
| 71045 |
|
14,408 |
13,570 |
$831K |
| 71046 |
|
12,929 |
12,623 |
$715K |
| 74176 |
|
3,654 |
3,595 |
$695K |
| 78499 |
|
1,108 |
1,108 |
$607K |
| 87636 |
|
16,526 |
15,963 |
$554K |
| 70551 |
|
2,641 |
2,610 |
$539K |
| 86900 |
|
8,573 |
8,145 |
$486K |
| 76856 |
|
5,504 |
5,447 |
$480K |
| 76830 |
|
5,211 |
5,157 |
$464K |
| 76705 |
|
5,077 |
5,006 |
$454K |
| 70553 |
|
1,230 |
1,220 |
$425K |
| 93017 |
|
936 |
935 |
$412K |
| 86885 |
|
5,895 |
5,661 |
$405K |
| 85025 |
|
80,490 |
69,324 |
$370K |
| 80051 |
|
84,359 |
69,071 |
$326K |
| 82565 |
|
92,784 |
76,887 |
$309K |
| 82306 |
|
9,020 |
8,983 |
$285K |
| 71275 |
|
1,144 |
1,134 |
$274K |
| 71260 |
|
1,457 |
1,453 |
$268K |
| 76770 |
|
2,578 |
2,567 |
$251K |
| 84443 |
|
16,240 |
15,967 |
$230K |
| 73630 |
|
3,820 |
3,691 |
$222K |
| 84460 |
|
57,154 |
50,875 |
$219K |
| 76641 |
|
2,537 |
2,482 |
$218K |
| A9500 |
Tc99m sestamibi |
1,682 |
1,611 |
$210K |
| 73562 |
|
3,257 |
3,128 |
$197K |
| 83036 |
|
23,158 |
22,714 |
$196K |
| 83880 |
|
11,047 |
10,156 |
$192K |
| 80061 |
|
14,959 |
14,859 |
$188K |
| 87505 |
|
1,812 |
1,776 |
$184K |
| 73030 |
|
2,833 |
2,720 |
$180K |
| 85027 |
|
38,207 |
36,137 |
$179K |
| 72148 |
|
799 |
799 |
$178K |
| 71250 |
|
1,342 |
1,337 |
$177K |
| 76536 |
|
1,751 |
1,742 |
$175K |
| 73610 |
|
3,241 |
3,092 |
$172K |
| 76805 |
|
1,794 |
1,792 |
$171K |
| 87491 |
|
6,596 |
6,181 |
$170K |
| 87591 |
|
6,598 |
6,182 |
$170K |
| 88305 |
|
3,851 |
2,660 |
$162K |
| 74183 |
|
368 |
367 |
$161K |
| J2785 |
Regadenoson injection |
1,113 |
1,112 |
$161K |
| 72100 |
|
1,743 |
1,739 |
$156K |
| 86901 |
|
8,635 |
8,197 |
$150K |
| 82247 |
|
45,279 |
39,270 |
$146K |
| 84075 |
|
42,076 |
36,919 |
$142K |
| 83970 |
|
3,042 |
3,017 |
$141K |
| 93971 |
|
319 |
313 |
$135K |
| A9552 |
F18 fdg |
508 |
507 |
$134K |
| 96374 |
|
11,187 |
10,237 |
$131K |
| 84450 |
|
39,852 |
35,160 |
$130K |
| 76700 |
|
1,444 |
1,437 |
$126K |
| 80307 |
|
3,992 |
3,504 |
$125K |
| 76642 |
|
1,573 |
1,522 |
$122K |
| 73130 |
|
2,141 |
2,015 |
$117K |
| 77066 |
Tomosynthesis, mammo |
906 |
906 |
$116K |
| 84520 |
|
63,665 |
53,399 |
$115K |
| 73110 |
|
2,052 |
1,902 |
$115K |
| 74018 |
|
1,977 |
1,913 |
$111K |
| 77080 |
|
660 |
660 |
$103K |
| 84702 |
|
10,866 |
9,615 |
$100K |
| 77065 |
Tomosynthesis, mammo |
1,059 |
983 |
$94K |
| 85610 |
|
37,247 |
29,460 |
$94K |
| 82947 |
|
56,640 |
50,898 |
$94K |
| 86141 |
|
9,592 |
8,802 |
$92K |
| 73564 |
|
788 |
638 |
$88K |
| 73721 |
|
410 |
395 |
$86K |
| 81003 |
|
55,555 |
51,753 |
$85K |
| 82728 |
|
6,740 |
6,545 |
$85K |
| 99199 |
|
1,772 |
1,688 |
$79K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
9,842 |
8,345 |
$78K |
| J0131 |
Inj, acetaminophen (nos) |
3,051 |
2,930 |
$77K |
| 83690 |
|
24,357 |
22,596 |
$76K |
| A9585 |
Gadobutrol injection |
1,777 |
1,560 |
$76K |
| 96375 |
|
8,080 |
7,396 |
$74K |
| 82310 |
|
19,683 |
18,021 |
$71K |
| 87389 |
|
3,845 |
3,826 |
$71K |
| 73140 |
|
1,459 |
1,410 |
$70K |
| 72170 |
|
597 |
587 |
$68K |
| 73502 |
|
967 |
921 |
$67K |
| 82607 |
|
4,115 |
4,089 |
$64K |
| 76380 |
|
844 |
842 |
$61K |
| 87088 |
|
20,629 |
19,714 |
$61K |
| 84484 |
|
22,546 |
17,658 |
$60K |
| 83550 |
|
7,263 |
7,195 |
$60K |
| 83735 |
|
15,977 |
13,503 |
$54K |
| Z7502 |
|
1,695 |
1,642 |
$54K |
| 70496 |
|
234 |
231 |
$53K |
| 76870 |
|
634 |
622 |
$53K |
| 86780 |
|
4,842 |
4,807 |
$53K |
| 72125 |
|
445 |
441 |
$52K |
| 86480 |
|
854 |
850 |
$52K |
| 0637 |
|
89,696 |
28,753 |
$52K |
| 82570 |
|
8,096 |
7,653 |
$49K |
| 73080 |
|
830 |
785 |
$47K |
| 82043 |
|
6,624 |
6,578 |
$46K |
| 88342 |
|
268 |
265 |
$45K |
| 83540 |
|
7,302 |
7,232 |
$43K |
| 70498 |
|
188 |
187 |
$42K |
| 96365 |
|
3,090 |
2,897 |
$42K |
| 73221 |
|
169 |
163 |
$42K |
| 73560 |
|
570 |
443 |
$42K |
| 70544 |
|
203 |
202 |
$41K |
| 71101 |
|
364 |
363 |
$41K |
| 83520 |
|
2,174 |
1,212 |
$40K |
| 87040 |
|
14,626 |
7,386 |
$40K |
| 76816 |
|
404 |
398 |
$39K |
| 93970 |
|
57 |
57 |
$38K |
| 86803 |
|
2,989 |
2,973 |
$37K |
| 70486 |
|
291 |
290 |
$37K |
| 99281 |
|
1,348 |
1,276 |
$36K |
| 80076 |
|
4,669 |
4,485 |
$36K |
| 93005 |
|
5,429 |
5,236 |
$36K |
| 73590 |
|
586 |
523 |
$35K |
| J7030 |
Normal saline solution infus |
23,886 |
18,513 |
$35K |
| 84156 |
|
7,976 |
7,541 |
$34K |
| 82040 |
|
7,792 |
7,383 |
$34K |
| 82746 |
|
2,147 |
2,140 |
$32K |
| 81220 |
|
153 |
153 |
$31K |
| 87536 |
|
317 |
314 |
$31K |
| 0250 |
|
11,541 |
6,798 |
$30K |
| 87340 |
|
3,620 |
3,580 |
$30K |
| 87449 |
|
2,369 |
2,294 |
$29K |
| 83605 |
|
9,813 |
7,634 |
$29K |
| 83615 |
|
5,422 |
4,846 |
$28K |
| 82248 |
|
12,878 |
12,145 |
$27K |
| 86762 |
|
2,008 |
2,003 |
$26K |
| 83021 |
|
1,497 |
1,495 |
$26K |
| 76801 |
|
288 |
272 |
$25K |
| 72141 |
|
108 |
108 |
$25K |
| 76817 |
|
290 |
275 |
$25K |
| 84153 |
|
1,269 |
1,238 |
$25K |
| 84439 |
|
3,334 |
3,199 |
$25K |
| 72197 |
|
55 |
55 |
$24K |
| 84100 |
|
7,181 |
6,472 |
$24K |
| 86787 |
|
2,051 |
2,046 |
$23K |
| 72040 |
|
349 |
348 |
$23K |
| 93306 |
|
415 |
415 |
$22K |
| 84165 |
|
1,749 |
1,691 |
$22K |
| 82784 |
|
1,009 |
985 |
$22K |
| 93880 |
|
24 |
24 |
$22K |
| A9609 |
F18 fdg, 15 millicuries |
287 |
287 |
$21K |
| J0696 |
Ceftriaxone sodium injection |
7,258 |
5,876 |
$21K |
| U0003 |
Cov-19 amp prb hgh thruput |
980 |
953 |
$20K |
| 85652 |
|
9,635 |
9,074 |
$20K |
| 90674 |
|
1,263 |
1,251 |
$18K |
| 84403 |
|
679 |
664 |
$18K |
| 73100 |
|
248 |
222 |
$17K |
| J2405 |
Ondansetron hcl injection |
11,914 |
10,562 |
$17K |
| 87324 |
|
1,643 |
1,617 |
$16K |
| 87502 |
|
527 |
516 |
$15K |
| 86923 |
|
139 |
113 |
$14K |
| J1885 |
Ketorolac tromethamine inj |
7,754 |
6,226 |
$14K |
| 72050 |
|
123 |
123 |
$14K |
| 70491 |
|
58 |
58 |
$14K |
| 86038 |
|
1,294 |
1,286 |
$14K |
| 83655 |
|
2,005 |
2,005 |
$14K |
| 73660 |
|
227 |
225 |
$14K |
| 85730 |
|
3,934 |
3,685 |
$13K |
| 86880 |
|
292 |
288 |
$13K |
| 96361 |
|
1,485 |
1,451 |
$13K |
| 73090 |
|
237 |
209 |
$12K |
| 82950 |
|
2,996 |
2,990 |
$12K |
| 85379 |
|
3,317 |
3,119 |
$12K |
| J2270 |
Morphine sulfate injection |
5,937 |
4,997 |
$12K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
856 |
596 |
$12K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
726 |
721 |
$12K |
| 87210 |
|
3,423 |
3,338 |
$12K |
| 96372 |
|
2,552 |
2,409 |
$11K |
| 76881 |
|
104 |
104 |
$11K |
| 87637 |
|
477 |
473 |
$10K |
| 84550 |
|
2,712 |
2,644 |
$10K |
| J0134 |
Inj acetaminophen -fresenius |
2,065 |
1,932 |
$10K |
| 86704 |
|
991 |
983 |
$10K |
| 86765 |
|
755 |
754 |
$10K |
| 82378 |
|
524 |
479 |
$10K |
| 80306 |
|
1,419 |
1,331 |
$9K |
| 82550 |
|
2,426 |
2,222 |
$9K |
| 83721 |
|
1,067 |
1,063 |
$9K |
| 90686 |
|
847 |
843 |
$9K |
| 73501 |
|
104 |
100 |
$9K |
| 96367 |
|
409 |
393 |
$9K |
| J3490 |
Drugs unclassified injection |
5,596 |
4,158 |
$8K |
| 74022 |
|
69 |
69 |
$8K |
| 82077 |
|
1,907 |
1,770 |
$8K |
| 96360 |
|
716 |
705 |
$8K |
| 74181 |
|
12 |
12 |
$8K |
| 86317 |
|
703 |
695 |
$8K |
| J0248 |
Inj, remdesivir, 1 mg |
52 |
28 |
$8K |
| 81513 |
|
88 |
88 |
$7K |
| 86225 |
|
453 |
449 |
$7K |
| 84134 |
|
572 |
548 |
$7K |
| 87635 |
|
406 |
393 |
$7K |
| 87205 |
|
2,565 |
2,314 |
$7K |
| 73552 |
|
86 |
84 |
$7K |
| 83718 |
|
1,017 |
1,012 |
$7K |
| 0258 |
|
2,955 |
2,560 |
$6K |
| 81015 |
|
1,753 |
1,721 |
$6K |
| 74019 |
|
47 |
46 |
$6K |
| 82105 |
|
334 |
329 |
$6K |
| 87633 |
|
153 |
153 |
$6K |
| 87081 |
|
3,112 |
3,017 |
$6K |
| 87497 |
|
124 |
109 |
$6K |
| 97161 |
|
901 |
881 |
$6K |
| 86665 |
|
300 |
151 |
$6K |
| 82951 |
|
412 |
411 |
$6K |
| 84146 |
|
334 |
332 |
$6K |
| 84132 |
|
1,557 |
1,417 |
$5K |
| 74174 |
|
12 |
12 |
$5K |
| 78306 |
|
13 |
13 |
$5K |
| 80197 |
|
306 |
290 |
$5K |
| 73120 |
|
47 |
45 |
$5K |
| J1100 |
Dexamethasone sodium phos |
2,784 |
2,342 |
$5K |
| 85046 |
|
900 |
861 |
$5K |
| J1815 |
Insulin injection |
3,860 |
1,785 |
$5K |
| 85014 |
|
2,065 |
2,011 |
$5K |
| 86677 |
|
551 |
544 |
$5K |
| 87186 |
|
1,932 |
1,904 |
$5K |
| 73060 |
|
62 |
59 |
$4K |
| 80179 |
|
1,172 |
1,121 |
$4K |
| J1170 |
Hydromorphone injection |
2,276 |
1,618 |
$4K |
| 86160 |
|
164 |
160 |
$4K |
| 87481 |
|
125 |
124 |
$4K |
| 72070 |
|
42 |
42 |
$4K |
| 82465 |
|
1,121 |
1,115 |
$4K |
| G0008 |
Admin influenza virus vac |
1,312 |
1,308 |
$4K |
| J3475 |
Inj magnesium sulfate |
1,702 |
1,589 |
$4K |
| J2060 |
Lorazepam injection |
2,368 |
2,048 |
$4K |
| 83993 |
|
177 |
176 |
$4K |
| 86003 |
|
87 |
75 |
$4K |
| 74170 |
|
13 |
13 |
$3K |
| 87661 |
|
88 |
88 |
$3K |
| 90656 |
|
445 |
443 |
$3K |
| 0710 |
|
928 |
918 |
$3K |
| P9021 |
Red blood cells unit |
113 |
78 |
$3K |
| 86364 |
|
245 |
243 |
$3K |
| 76706 |
|
25 |
25 |
$3K |
| J1650 |
Inj enoxaparin sodium |
1,995 |
1,230 |
$3K |
| 94640 |
|
110 |
70 |
$3K |
| J7120 |
Ringers lactate infusion |
1,992 |
1,659 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
2,145 |
1,891 |
$3K |
| J2765 |
Metoclopramide hcl injection |
2,348 |
2,163 |
$2K |
| 84145 |
|
754 |
694 |
$2K |
| 70547 |
|
12 |
12 |
$2K |
| 86664 |
|
151 |
151 |
$2K |
| 90715 |
|
122 |
119 |
$2K |
| 87804 |
|
748 |
374 |
$2K |
| 87070 |
|
559 |
526 |
$2K |
| 73070 |
|
30 |
28 |
$2K |
| 90662 |
|
323 |
322 |
$2K |
| 85018 |
|
680 |
655 |
$2K |
| 90688 |
|
136 |
136 |
$2K |
| 86635 |
|
206 |
103 |
$2K |
| 83935 |
|
320 |
304 |
$2K |
| 73000 |
|
31 |
30 |
$2K |
| 0370 |
|
1,009 |
997 |
$2K |
| 86360 |
|
166 |
163 |
$2K |
| 84295 |
|
484 |
448 |
$2K |
| 72081 |
|
30 |
30 |
$2K |
| 82962 |
|
1,993 |
1,412 |
$2K |
| 82952 |
|
387 |
386 |
$2K |
| 83001 |
|
130 |
130 |
$2K |
| 86769 |
|
80 |
79 |
$2K |
| 86431 |
|
319 |
316 |
$1K |
| J1940 |
Furosemide injection |
1,419 |
832 |
$1K |
| 82670 |
|
49 |
49 |
$1K |
| 77061 |
|
17 |
12 |
$1K |
| 86359 |
|
166 |
163 |
$1K |
| 83930 |
|
277 |
258 |
$1K |
| 87426 |
|
183 |
177 |
$1K |
| J2930 |
Methylprednisolone injection |
579 |
526 |
$1K |
| J3480 |
Inj potassium chloride |
1,310 |
833 |
$1K |
| 84155 |
|
315 |
288 |
$1K |
| J0136 |
Inj, acetaminophen (b braun) |
441 |
411 |
$1K |
| 82140 |
|
146 |
122 |
$1K |
| 87631 |
|
25 |
25 |
$1K |
| J2272 |
Inj, morphine (fresenius) |
744 |
690 |
$1K |
| 73600 |
|
13 |
12 |
$1K |
| J0280 |
Aminophyllin 250 mg inj |
185 |
150 |
$1K |
| 80164 |
|
112 |
106 |
$1K |
| 86308 |
|
231 |
229 |
$998.27 |
| 88304 |
|
180 |
175 |
$910.57 |
| J2919 |
Inj, methylpred sod succ 5mg |
199 |
111 |
$850.17 |
| 90935 |
|
14 |
12 |
$842.83 |
| 96366 |
|
76 |
75 |
$826.26 |
| 86256 |
|
39 |
39 |
$810.00 |
| 73650 |
|
12 |
12 |
$765.00 |
| 80162 |
|
41 |
40 |
$737.80 |
| 82627 |
|
26 |
26 |
$660.00 |
| 90791 |
|
17 |
15 |
$640.40 |
| 82150 |
|
101 |
97 |
$596.70 |
| 82390 |
|
49 |
49 |
$592.00 |
| 85384 |
|
204 |
132 |
$563.86 |
| J1836 |
Inj, metronidazole, 10 mg |
315 |
228 |
$538.00 |
| 83010 |
|
38 |
38 |
$485.33 |
| 82103 |
|
26 |
26 |
$469.00 |
| 85045 |
|
146 |
144 |
$465.01 |
| 0255 |
|
124 |
120 |
$456.18 |
| 86140 |
|
1,510 |
1,417 |
$455.24 |
| 77063 |
|
15 |
15 |
$434.00 |
| J2001 |
Lidocaine injection |
181 |
181 |
$404.22 |
| 80048 |
|
161 |
158 |
$389.22 |
| 82705 |
|
63 |
63 |
$367.00 |
| 82330 |
|
29 |
29 |
$356.38 |
| 86334 |
|
12 |
12 |
$343.00 |
| 86335 |
|
13 |
13 |
$342.00 |
| 0272 |
|
118 |
117 |
$340.24 |
| J1644 |
Inj heparin sodium per 1000u |
237 |
110 |
$328.23 |
| 90471 |
|
582 |
580 |
$318.43 |
| J0690 |
Cefazolin sodium injection |
642 |
573 |
$309.99 |
| 87807 |
|
89 |
89 |
$280.99 |
| 82977 |
|
30 |
26 |
$279.00 |
| 86255 |
|
13 |
13 |
$278.00 |
| 84270 |
|
12 |
12 |
$276.00 |
| 86301 |
|
13 |
12 |
$265.00 |
| J0360 |
Hydralazine hcl injection |
276 |
238 |
$230.93 |
| A9503 |
Tc99m medronate |
14 |
14 |
$219.11 |
| J0780 |
Prochlorperazine injection |
135 |
125 |
$206.87 |
| 82274 |
|
40 |
39 |
$206.00 |
| J7060 |
5% dextrose/water |
263 |
187 |
$195.71 |
| J3371 |
Inj, vancomycin hcl (mylan) |
22 |
12 |
$193.75 |
| 90756 |
|
30 |
30 |
$192.96 |
| J0137 |
Inj, acetaminophen (hikma) |
107 |
94 |
$185.48 |
| J3370 |
Vancomycin hcl injection |
140 |
83 |
$175.09 |
| 89051 |
|
33 |
24 |
$172.00 |
| 82985 |
|
40 |
40 |
$170.00 |
| 86376 |
|
13 |
13 |
$169.00 |
| 80202 |
|
20 |
12 |
$142.25 |
| 83002 |
|
25 |
25 |
$132.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
57 |
48 |
$127.16 |
| J3010 |
Fentanyl citrate injection |
359 |
349 |
$122.85 |
| C9113 |
Inj pantoprazole sodium, via |
401 |
302 |
$114.11 |
| 86735 |
|
12 |
12 |
$102.00 |
| 82805 |
|
14 |
12 |
$92.30 |
| 87102 |
|
13 |
13 |
$90.00 |
| J7042 |
5% dextrose/normal saline |
58 |
45 |
$60.56 |
| 87045 |
|
31 |
31 |
$59.05 |
| 82272 |
|
37 |
36 |
$56.00 |
| C1769 |
Guide wire |
14 |
13 |
$38.32 |
| 80320 |
|
213 |
184 |
$37.20 |
| J2470 |
Inj pantoprazole sodium 40mg |
123 |
101 |
$35.24 |
| Q0144 |
Azithromycin dihydrate, oral |
15 |
14 |
$27.65 |
| J7512 |
Prednisone ir or dr oral 1mg |
595 |
466 |
$27.52 |
| J2250 |
Inj midazolam hydrochloride |
82 |
81 |
$26.74 |
| 90749 |
|
25 |
25 |
$25.01 |
| 84478 |
|
43 |
31 |
$21.64 |
| J1630 |
Haloperidol injection |
30 |
26 |
$17.47 |
| 87046 |
|
12 |
12 |
$16.83 |
| S0119 |
Ondansetron 4 mg |
39 |
39 |
$6.74 |
| J7040 |
Normal saline solution infus |
13 |
12 |
$5.73 |
| J8540 |
Oral dexamethasone |
132 |
66 |
$5.41 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
84 |
84 |
$2.81 |
| 3044F |
|
1,357 |
1,346 |
$0.01 |
| 47562 |
|
12 |
12 |
$0.00 |
| 3051F |
|
38 |
38 |
$0.00 |
| 87338 |
|
12 |
12 |
$0.00 |
| G0297 |
Ldct for lung ca screen |
25 |
25 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
13 |
13 |
$0.00 |
| 3046F |
|
12 |
12 |
$0.00 |
| 66984 |
|
85 |
82 |
$0.00 |
| 80324 |
|
14 |
12 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
15 |
14 |
$0.00 |
| 87624 |
|
15 |
14 |
$0.00 |
| 80359 |
|
14 |
12 |
$0.00 |
| 80329 |
|
28 |
16 |
$0.00 |