| Code | Description | Claims | Beneficiaries | Total Paid |
| 80053 |
|
55,243 |
40,033 |
$1.18M |
| 70450 |
|
9,807 |
8,334 |
$1.05M |
| 74177 |
|
6,622 |
5,666 |
$953K |
| U0002 |
Covid-19 lab test non-cdc |
14,439 |
12,536 |
$649K |
| 70553 |
|
2,288 |
1,875 |
$606K |
| 72148 |
|
2,578 |
2,169 |
$594K |
| 87804 |
|
43,878 |
20,058 |
$488K |
| 96365 |
|
7,237 |
4,825 |
$475K |
| 93306 |
|
4,696 |
3,775 |
$438K |
| 85025 |
|
59,339 |
41,383 |
$430K |
| 80307 |
|
4,759 |
4,050 |
$368K |
| 72125 |
|
2,884 |
2,456 |
$343K |
| 72141 |
|
1,474 |
1,267 |
$300K |
| 73721 |
|
1,066 |
934 |
$286K |
| 80048 |
|
14,529 |
9,801 |
$278K |
| 71260 |
|
2,087 |
1,773 |
$275K |
| 87651 |
|
5,086 |
4,637 |
$244K |
| 78452 |
|
1,665 |
1,354 |
$238K |
| 74176 |
|
3,629 |
3,101 |
$237K |
| 93005 |
|
24,993 |
17,367 |
$237K |
| 71275 |
|
1,275 |
1,050 |
$226K |
| 96372 |
|
6,840 |
4,185 |
$226K |
| 42820 |
|
742 |
568 |
$218K |
| J1100 |
Dexamethasone sodium phos |
12,213 |
8,926 |
$209K |
| 99283 |
|
4,832 |
4,400 |
$185K |
| 70486 |
|
1,414 |
1,208 |
$178K |
| 42830 |
|
623 |
513 |
$176K |
| 71045 |
|
19,854 |
16,024 |
$176K |
| 71046 |
|
10,056 |
8,718 |
$172K |
| 87635 |
|
7,305 |
6,476 |
$155K |
| 96413 |
|
4,613 |
1,743 |
$143K |
| 84484 |
|
18,090 |
10,773 |
$133K |
| 85027 |
|
15,732 |
11,626 |
$132K |
| 81001 |
|
33,980 |
27,424 |
$132K |
| 77067 |
|
2,469 |
2,350 |
$130K |
| 99284 |
|
4,846 |
4,329 |
$126K |
| 83880 |
|
5,840 |
4,563 |
$122K |
| 62323 |
|
785 |
664 |
$118K |
| 83735 |
|
20,270 |
12,846 |
$116K |
| J0696 |
Ceftriaxone sodium injection |
5,675 |
4,434 |
$115K |
| 87880 |
|
9,636 |
8,254 |
$108K |
| J2405 |
Ondansetron hcl injection |
15,951 |
11,277 |
$107K |
| 71250 |
|
1,559 |
1,304 |
$106K |
| 87807 |
|
9,142 |
8,026 |
$105K |
| 36415 |
|
12,350 |
8,523 |
$102K |
| 81025 |
|
10,500 |
8,679 |
$99K |
| 80050 |
|
1,476 |
1,255 |
$98K |
| 96375 |
|
6,214 |
3,317 |
$97K |
| 72158 |
|
438 |
368 |
$95K |
| 73560 |
|
2,978 |
2,471 |
$85K |
| J2785 |
Regadenoson injection |
1,371 |
1,100 |
$83K |
| 87086 |
|
9,085 |
7,543 |
$79K |
| 87591 |
|
1,733 |
1,496 |
$77K |
| 87491 |
|
1,734 |
1,496 |
$77K |
| 96374 |
|
4,363 |
3,636 |
$76K |
| 99285 |
|
3,760 |
3,338 |
$73K |
| 72131 |
|
645 |
551 |
$71K |
| A9579 |
Gad-base mr contrast nos,1ml |
4,168 |
3,354 |
$68K |
| 86901 |
|
3,133 |
2,471 |
$64K |
| T1015 |
Clinic service |
8,627 |
6,075 |
$64K |
| 84703 |
|
6,062 |
5,322 |
$62K |
| 83690 |
|
8,790 |
7,318 |
$60K |
| 87040 |
|
6,065 |
3,597 |
$59K |
| J1885 |
Ketorolac tromethamine inj |
9,416 |
7,342 |
$58K |
| 73630 |
|
2,114 |
1,829 |
$56K |
| 73221 |
|
248 |
227 |
$55K |
| 99281 |
|
1,683 |
1,561 |
$55K |
| 69436 |
|
254 |
214 |
$52K |
| 74018 |
|
2,836 |
2,441 |
$51K |
| J1650 |
Inj enoxaparin sodium |
2,001 |
809 |
$50K |
| 93017 |
|
2,343 |
1,910 |
$48K |
| 83605 |
|
5,192 |
3,923 |
$48K |
| 84443 |
|
3,644 |
2,939 |
$48K |
| 94760 |
|
4,765 |
2,231 |
$46K |
| 76642 |
|
1,685 |
1,444 |
$45K |
| 99282 |
|
1,433 |
1,339 |
$44K |
| A9500 |
Tc99m sestamibi |
1,806 |
1,414 |
$44K |
| 93971 |
|
1,183 |
986 |
$44K |
| 70551 |
|
216 |
180 |
$44K |
| 76817 |
|
1,123 |
946 |
$43K |
| 73030 |
|
1,836 |
1,572 |
$40K |
| M0243 |
Casirivi and imdevi inj |
200 |
190 |
$39K |
| 77066 |
Tomosynthesis, mammo |
586 |
488 |
$39K |
| 73610 |
|
2,077 |
1,797 |
$38K |
| 85610 |
|
5,988 |
4,741 |
$36K |
| 73130 |
|
1,518 |
1,298 |
$35K |
| 82565 |
|
2,200 |
1,724 |
$35K |
| 74022 |
|
1,238 |
1,111 |
$35K |
| 76705 |
|
2,052 |
1,779 |
$35K |
| 73502 |
|
1,160 |
934 |
$35K |
| 80061 |
|
2,069 |
1,669 |
$34K |
| 84702 |
|
3,295 |
2,672 |
$34K |
| 77063 |
|
2,426 |
2,313 |
$31K |
| 93458 |
|
323 |
266 |
$31K |
| 43235 |
|
260 |
225 |
$29K |
| 86140 |
|
5,439 |
4,331 |
$28K |
| 73110 |
|
1,294 |
1,078 |
$28K |
| 82803 |
|
1,832 |
1,390 |
$27K |
| 82728 |
|
2,234 |
1,774 |
$27K |
| 72100 |
|
1,168 |
1,026 |
$26K |
| 85379 |
|
2,931 |
2,453 |
$26K |
| 93880 |
|
941 |
761 |
$25K |
| 85730 |
|
4,335 |
3,308 |
$23K |
| U0004 |
Cov-19 test non-cdc hgh thru |
374 |
304 |
$23K |
| J2250 |
Inj midazolam hydrochloride |
6,381 |
5,043 |
$23K |
| 84439 |
|
737 |
552 |
$21K |
| 84145 |
|
1,353 |
1,030 |
$21K |
| 97530 |
|
1,511 |
722 |
$20K |
| C9803 |
Hopd covid-19 spec collect |
15,886 |
13,824 |
$20K |
| 94640 |
|
6,265 |
3,919 |
$19K |
| 82375 |
|
1,822 |
1,387 |
$17K |
| 64493 |
|
94 |
87 |
$16K |
| 78815 |
|
75 |
50 |
$16K |
| 85007 |
|
4,006 |
3,358 |
$15K |
| G0463 |
Hospital outpt clinic visit |
5,778 |
4,268 |
$15K |
| 88305 |
|
548 |
418 |
$14K |
| 96361 |
|
2,107 |
1,238 |
$14K |
| G0378 |
Hospital observation per hr |
2,281 |
996 |
$13K |
| 70491 |
|
83 |
67 |
$13K |
| 92507 |
|
249 |
55 |
$13K |
| J2704 |
Inj, propofol, 10 mg |
7,549 |
6,047 |
$13K |
| 83036 |
|
1,228 |
995 |
$12K |
| 86850 |
|
2,210 |
1,663 |
$11K |
| 96360 |
|
848 |
596 |
$10K |
| 86900 |
|
2,764 |
2,150 |
$10K |
| 87210 |
|
1,975 |
1,568 |
$10K |
| 77336 |
|
283 |
92 |
$10K |
| J2469 |
Palonosetron hcl |
230 |
100 |
$10K |
| 96366 |
|
1,315 |
518 |
$10K |
| 97161 |
|
494 |
394 |
$9K |
| 97162 |
|
186 |
147 |
$8K |
| 97166 |
|
223 |
184 |
$8K |
| 76830 |
|
134 |
121 |
$8K |
| 81003 |
|
1,326 |
913 |
$8K |
| 90715 |
|
540 |
462 |
$8K |
| 83050 |
|
1,828 |
1,387 |
$8K |
| 83615 |
|
1,579 |
1,050 |
$7K |
| 97110 |
|
128 |
24 |
$7K |
| 76536 |
|
213 |
178 |
$7K |
| 76801 |
|
215 |
196 |
$7K |
| 73590 |
|
261 |
225 |
$6K |
| 12001 |
|
41 |
28 |
$6K |
| 74178 |
|
80 |
70 |
$6K |
| 83550 |
|
954 |
772 |
$6K |
| 83655 |
|
341 |
303 |
$6K |
| 83540 |
|
1,101 |
899 |
$6K |
| 82150 |
|
890 |
762 |
$6K |
| 84550 |
|
1,451 |
844 |
$6K |
| M0245 |
Bamlan and etesev infusion |
35 |
27 |
$5K |
| J0690 |
Cefazolin sodium injection |
3,734 |
2,388 |
$5K |
| 96367 |
|
239 |
101 |
$5K |
| 85652 |
|
2,148 |
1,744 |
$5K |
| 77062 |
|
62 |
50 |
$5K |
| 76700 |
|
135 |
117 |
$5K |
| 76770 |
|
188 |
152 |
$5K |
| 77080 |
|
131 |
128 |
$5K |
| J0561 |
Penicillin g benzathine inj |
137 |
114 |
$5K |
| J3010 |
Fentanyl citrate injection |
5,274 |
4,074 |
$5K |
| J2930 |
Methylprednisolone injection |
1,503 |
1,131 |
$4K |
| J1644 |
Inj heparin sodium per 1000u |
4,137 |
1,644 |
$4K |
| 82550 |
|
712 |
576 |
$4K |
| 99214 |
|
674 |
452 |
$4K |
| 12011 |
|
43 |
24 |
$4K |
| 90471 |
|
648 |
555 |
$4K |
| 86308 |
|
703 |
590 |
$4K |
| 76815 |
|
327 |
271 |
$4K |
| A9552 |
F18 fdg |
60 |
39 |
$4K |
| J1626 |
Granisetron hcl injection |
150 |
39 |
$4K |
| 93922 |
|
212 |
157 |
$4K |
| M0239 |
Bamlanivimab-xxxx infusion |
40 |
35 |
$4K |
| 73090 |
|
176 |
163 |
$3K |
| J2270 |
Morphine sulfate injection |
7,003 |
4,752 |
$3K |
| 87070 |
|
256 |
181 |
$3K |
| 82607 |
|
304 |
233 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
2,893 |
1,834 |
$3K |
| 36591 |
|
134 |
93 |
$3K |
| J2550 |
Promethazine hcl injection |
2,014 |
1,352 |
$3K |
| 80320 |
|
206 |
182 |
$3K |
| 70496 |
|
13 |
12 |
$3K |
| 73080 |
|
125 |
115 |
$3K |
| 29125 |
|
12 |
12 |
$3K |
| 29515 |
|
12 |
12 |
$3K |
| 43239 |
|
21 |
18 |
$2K |
| 93970 |
|
114 |
89 |
$2K |
| 64483 |
|
13 |
12 |
$2K |
| 84100 |
|
499 |
262 |
$2K |
| J3475 |
Inj magnesium sulfate |
1,175 |
456 |
$2K |
| J2360 |
Orphenadrine injection |
1,193 |
1,026 |
$2K |
| 73140 |
|
97 |
84 |
$2K |
| 80329 |
|
107 |
81 |
$2K |
| 85045 |
|
479 |
375 |
$1K |
| G0279 |
Tomosynthesis, mammo |
105 |
95 |
$1K |
| 87205 |
|
358 |
261 |
$1K |
| J1170 |
Hydromorphone injection |
2,260 |
1,327 |
$1K |
| 77065 |
Tomosynthesis, mammo |
59 |
49 |
$1K |
| 82746 |
|
150 |
116 |
$1K |
| 92508 |
|
77 |
27 |
$1K |
| 71271 |
|
32 |
28 |
$1K |
| J2175 |
Meperidine hydrochl /100 mg |
2,590 |
2,023 |
$1K |
| 82270 |
|
409 |
325 |
$1K |
| 73521 |
|
74 |
52 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
10,480 |
8,648 |
$1K |
| 82009 |
|
276 |
222 |
$1K |
| 96376 |
|
540 |
274 |
$991.56 |
| 70498 |
|
20 |
12 |
$950.44 |
| 76870 |
|
28 |
24 |
$918.78 |
| C1769 |
Guide wire |
59 |
51 |
$821.63 |
| J2765 |
Metoclopramide hcl injection |
540 |
411 |
$815.14 |
| G0480 |
Drug test def 1-7 classes |
952 |
835 |
$779.02 |
| C1894 |
Intro/sheath, non-laser |
44 |
36 |
$764.21 |
| 77085 |
|
43 |
41 |
$652.13 |
| J1030 |
Methylprednisolone 40 mg inj |
894 |
719 |
$645.41 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
276 |
208 |
$638.02 |
| J0330 |
Succinycholine chloride inj |
478 |
366 |
$600.99 |
| 93320 |
|
16 |
13 |
$588.36 |
| 71101 |
|
15 |
15 |
$586.51 |
| A9609 |
F18 fdg, 15 millicuries |
17 |
12 |
$573.62 |
| C1889 |
Implant/insert device, noc |
80 |
72 |
$538.89 |
| 97602 |
|
22 |
12 |
$535.99 |
| 76856 |
|
15 |
12 |
$525.05 |
| 99213 |
|
101 |
65 |
$517.32 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,776 |
1,467 |
$486.99 |
| 90686 |
|
125 |
101 |
$465.44 |
| 73070 |
|
29 |
26 |
$369.00 |
| J2710 |
Neostigmine methylslfte inj |
369 |
245 |
$296.02 |
| J1010 |
Inj, methylpred acetate 1 mg |
266 |
192 |
$290.48 |
| 72170 |
|
17 |
13 |
$274.21 |
| Q0162 |
Ondansetron oral |
3,099 |
2,602 |
$263.83 |
| J2919 |
Inj, methylpred sod succ 5mg |
286 |
195 |
$253.04 |
| A9270 |
Non-covered item or service |
7,279 |
3,712 |
$235.54 |
| 96415 |
|
159 |
77 |
$232.88 |
| 77427 |
|
72 |
24 |
$217.69 |
| 84156 |
|
50 |
41 |
$207.38 |
| 82570 |
|
32 |
26 |
$206.44 |
| J1940 |
Furosemide injection |
162 |
103 |
$193.92 |
| 80076 |
|
30 |
30 |
$186.72 |
| 84165 |
|
30 |
15 |
$167.35 |
| 73552 |
|
13 |
12 |
$165.16 |
| J2060 |
Lorazepam injection |
85 |
59 |
$153.05 |
| 88342 |
|
38 |
26 |
$151.59 |
| 84132 |
|
43 |
28 |
$147.10 |
| J1040 |
Methylprednisolone 80 mg inj |
67 |
62 |
$141.80 |
| J0360 |
Hydralazine hcl injection |
299 |
215 |
$139.68 |
| J2370 |
Phenylephrine hcl injection |
507 |
358 |
$138.05 |
| J2543 |
Piperacillin/tazobactam |
76 |
24 |
$123.46 |
| C1887 |
Catheter, guiding |
15 |
12 |
$120.35 |
| 36600 |
|
1,098 |
860 |
$115.86 |
| G0008 |
Admin influenza virus vac |
71 |
61 |
$112.32 |
| J7510 |
Prednisolone oral per 5 mg |
769 |
635 |
$111.45 |
| 82248 |
|
15 |
12 |
$100.38 |
| 82140 |
|
12 |
12 |
$78.31 |
| 82947 |
|
17 |
13 |
$76.66 |
| J2305 |
Inj, nitroglycerin, 5 mg |
53 |
46 |
$62.40 |
| J0780 |
Prochlorperazine injection |
100 |
98 |
$59.32 |
| 85014 |
|
28 |
12 |
$50.70 |
| 97535 |
|
916 |
474 |
$40.96 |
| 97116 |
|
1,755 |
920 |
$28.74 |
| 96417 |
|
229 |
91 |
$18.09 |
| 92610 |
|
46 |
29 |
$12.67 |
| G1004 |
Cdsm ndsc |
4,282 |
3,273 |
$11.89 |
| Q9969 |
Non-heu tc-99m add-on/dose |
53 |
51 |
$8.00 |
| J0595 |
Butorphanol tartrate 1 mg |
94 |
88 |
$7.88 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
45 |
35 |
$5.40 |
| J1815 |
Insulin injection |
22 |
12 |
$0.29 |
| J0131 |
Inj, acetaminophen (nos) |
236 |
175 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
36 |
34 |
$0.00 |
| J3490 |
Drugs unclassified injection |
22 |
17 |
$0.00 |
| 94762 |
|
22 |
12 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
15 |
13 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
451 |
185 |
$0.00 |
| J0736 |
Inj, clindamycin phosp 300mg |
28 |
13 |
$0.00 |
| 93356 |
|
21 |
14 |
$0.00 |
| 93010 |
|
18 |
13 |
$0.00 |
| G2211 |
Complex e/m visit add on |
25 |
22 |
$0.00 |
| 76942 |
|
29 |
25 |
$0.00 |
| Q9950 |
Inj sulf hexa lipid microsph |
23 |
13 |
$0.00 |