| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
121,568 |
109,187 |
$16.72M |
| 0250 |
|
34,333 |
19,316 |
$3.06M |
| 80048 |
|
45,663 |
42,122 |
$2.56M |
| 70450 |
|
11,494 |
11,151 |
$2.49M |
| 99199 |
|
11,544 |
10,817 |
$2.48M |
| 74177 |
|
6,307 |
6,134 |
$2.06M |
| 99281 |
|
16,770 |
13,712 |
$1.70M |
| 80053 |
|
27,734 |
25,833 |
$1.64M |
| 71045 |
|
31,409 |
29,851 |
$1.26M |
| 96374 |
|
22,928 |
21,179 |
$1.18M |
| 74176 |
|
5,527 |
5,387 |
$1.14M |
| 0241U |
|
8,421 |
7,925 |
$1.14M |
| 99285 |
|
4,800 |
4,578 |
$1.12M |
| 0301 |
|
4,721 |
4,117 |
$974K |
| 85025 |
|
65,942 |
59,826 |
$960K |
| 99284 |
|
6,867 |
6,471 |
$904K |
| 93005 |
|
33,976 |
31,025 |
$897K |
| 76705 |
|
7,373 |
7,037 |
$726K |
| G0480 |
Drug test def 1-7 classes |
13,122 |
9,609 |
$720K |
| 71046 |
|
8,515 |
8,135 |
$595K |
| 72125 |
|
3,688 |
3,603 |
$593K |
| 96375 |
|
16,182 |
14,642 |
$578K |
| Z7502 |
|
14,739 |
14,274 |
$553K |
| 84484 |
|
26,753 |
23,049 |
$516K |
| 80307 |
|
11,290 |
10,334 |
$474K |
| J3490 |
Drugs unclassified injection |
35,894 |
23,042 |
$458K |
| 99283 |
|
3,650 |
3,465 |
$401K |
| 80076 |
|
18,672 |
17,701 |
$368K |
| 71275 |
|
1,535 |
1,499 |
$366K |
| 96372 |
|
11,940 |
10,990 |
$333K |
| 84703 |
|
20,423 |
18,954 |
$330K |
| 76856 |
|
3,673 |
3,525 |
$323K |
| 83690 |
|
25,871 |
24,116 |
$321K |
| 36415 |
|
47,215 |
41,342 |
$318K |
| 81001 |
|
29,190 |
27,437 |
$296K |
| 93971 |
|
2,238 |
2,169 |
$286K |
| 87086 |
|
12,034 |
11,281 |
$269K |
| 76830 |
|
2,426 |
2,342 |
$268K |
| 76801 |
|
2,229 |
1,881 |
$255K |
| 99291 |
|
487 |
480 |
$214K |
| 73130 |
|
2,316 |
2,232 |
$205K |
| 73562 |
|
2,514 |
2,400 |
$205K |
| 73030 |
|
2,548 |
2,432 |
$204K |
| 87040 |
|
9,173 |
6,468 |
$193K |
| 72100 |
|
1,922 |
1,877 |
$191K |
| 73610 |
|
2,586 |
2,483 |
$186K |
| 71260 |
|
714 |
698 |
$181K |
| 85730 |
|
17,112 |
16,255 |
$181K |
| 73630 |
|
2,560 |
2,462 |
$169K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,847 |
2,448 |
$167K |
| 0762 |
|
1,077 |
673 |
$163K |
| 83880 |
|
6,546 |
6,200 |
$159K |
| 70486 |
|
865 |
846 |
$149K |
| 85610 |
|
18,979 |
17,877 |
$142K |
| 83605 |
|
9,315 |
8,280 |
$140K |
| 0214 |
|
182 |
178 |
$137K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
9,391 |
8,825 |
$136K |
| 96361 |
|
4,091 |
3,668 |
$130K |
| 94640 |
|
6,112 |
5,216 |
$128K |
| 96365 |
|
2,427 |
2,177 |
$122K |
| 72131 |
|
584 |
574 |
$120K |
| 73110 |
|
1,552 |
1,503 |
$120K |
| 93970 |
|
611 |
599 |
$117K |
| 81003 |
|
14,802 |
14,074 |
$117K |
| 76805 |
|
806 |
727 |
$115K |
| 87631 |
|
849 |
808 |
$111K |
| 85027 |
|
9,642 |
9,028 |
$106K |
| J7030 |
Normal saline solution infus |
22,034 |
18,912 |
$102K |
| 82962 |
|
5,261 |
3,636 |
$100K |
| 76775 |
|
1,055 |
1,014 |
$92K |
| 0270 |
|
16,567 |
9,808 |
$91K |
| 87635 |
|
2,172 |
1,945 |
$90K |
| 86885 |
|
3,575 |
3,433 |
$81K |
| 73080 |
|
927 |
900 |
$68K |
| 73590 |
|
1,056 |
1,020 |
$67K |
| 87070 |
|
2,460 |
2,368 |
$60K |
| 96360 |
|
1,348 |
1,264 |
$60K |
| J2405 |
Ondansetron hcl injection |
13,623 |
11,829 |
$59K |
| 87502 |
|
1,074 |
1,048 |
$57K |
| 76817 |
|
1,178 |
1,025 |
$54K |
| 90715 |
|
2,037 |
1,988 |
$53K |
| 87491 |
|
2,175 |
2,096 |
$53K |
| 0720 |
|
1,015 |
878 |
$52K |
| 87591 |
|
2,248 |
2,161 |
$52K |
| J2270 |
Morphine sulfate injection |
11,024 |
8,981 |
$51K |
| 87186 |
|
3,353 |
3,082 |
$50K |
| 84702 |
|
2,445 |
2,064 |
$50K |
| 70496 |
|
176 |
172 |
$47K |
| 87633 |
|
275 |
271 |
$46K |
| 73564 |
|
494 |
458 |
$46K |
| J1885 |
Ketorolac tromethamine inj |
10,808 |
10,034 |
$46K |
| 0272 |
|
711 |
686 |
$46K |
| 0360 |
|
42 |
39 |
$44K |
| 73140 |
|
697 |
680 |
$43K |
| 97110 |
|
4,614 |
1,220 |
$41K |
| 76870 |
|
283 |
272 |
$40K |
| 73502 |
|
750 |
719 |
$38K |
| 0258 |
|
1,689 |
1,432 |
$37K |
| 83735 |
|
4,738 |
4,258 |
$37K |
| 72040 |
|
437 |
423 |
$36K |
| 74018 |
|
564 |
546 |
$36K |
| 96376 |
|
2,827 |
2,503 |
$34K |
| 87637 |
|
335 |
331 |
$33K |
| 99282 |
|
349 |
339 |
$32K |
| 0710 |
|
644 |
598 |
$30K |
| 86900 |
|
4,304 |
4,074 |
$29K |
| J0696 |
Ceftriaxone sodium injection |
5,451 |
5,144 |
$28K |
| J1100 |
Dexamethasone sodium phos |
4,009 |
3,765 |
$28K |
| 71250 |
|
230 |
225 |
$28K |
| 86901 |
|
4,304 |
4,079 |
$28K |
| 84443 |
|
1,894 |
1,843 |
$27K |
| Z7610 |
|
5,001 |
3,214 |
$27K |
| 85379 |
|
2,026 |
1,974 |
$26K |
| 70551 |
|
156 |
151 |
$26K |
| G0463 |
Hospital outpt clinic visit |
863 |
805 |
$25K |
| 73090 |
|
580 |
560 |
$25K |
| 96366 |
|
508 |
478 |
$25K |
| 70498 |
|
172 |
169 |
$24K |
| J1815 |
Insulin injection |
751 |
549 |
$24K |
| 12001 |
|
292 |
282 |
$24K |
| 85007 |
|
3,369 |
3,160 |
$23K |
| U0005 |
Infec agen detec ampli probe |
2,331 |
2,009 |
$19K |
| 90471 |
|
2,114 |
2,058 |
$18K |
| 87798 |
|
322 |
300 |
$18K |
| 72170 |
|
738 |
721 |
$17K |
| 93306 |
|
179 |
176 |
$16K |
| 87430 |
|
1,699 |
1,650 |
$15K |
| Z9725 |
|
348 |
345 |
$15K |
| 12011 |
|
110 |
108 |
$14K |
| 99213 |
|
378 |
341 |
$14K |
| A9270 |
Non-covered item or service |
8,498 |
3,000 |
$14K |
| J2060 |
Lorazepam injection |
3,797 |
3,112 |
$13K |
| 71101 |
|
93 |
93 |
$12K |
| J1170 |
Hydromorphone injection |
2,836 |
1,855 |
$12K |
| J2765 |
Metoclopramide hcl injection |
3,270 |
3,020 |
$12K |
| 0160 |
|
218 |
109 |
$12K |
| 87428 |
|
122 |
121 |
$11K |
| 0949 |
|
99 |
86 |
$11K |
| 10060 |
|
133 |
125 |
$10K |
| U0002 |
Covid-19 lab test non-cdc |
332 |
322 |
$10K |
| 93458 |
|
40 |
40 |
$10K |
| J1200 |
Diphenhydramine hcl injectio |
3,047 |
2,772 |
$9K |
| G0378 |
Hospital observation per hr |
78 |
73 |
$9K |
| 82150 |
|
1,195 |
1,112 |
$9K |
| 87077 |
|
890 |
827 |
$9K |
| 87147 |
|
946 |
876 |
$9K |
| 87506 |
|
28 |
28 |
$8K |
| J7040 |
Normal saline solution infus |
2,412 |
2,275 |
$8K |
| 84145 |
|
516 |
489 |
$7K |
| 12002 |
|
107 |
101 |
$7K |
| 87088 |
|
930 |
869 |
$6K |
| 29125 |
|
108 |
102 |
$6K |
| 80061 |
|
817 |
795 |
$6K |
| A4649 |
Surgical supplies |
1,843 |
1,135 |
$6K |
| 82550 |
|
901 |
862 |
$6K |
| J2930 |
Methylprednisolone injection |
932 |
886 |
$6K |
| 97140 |
|
816 |
262 |
$6K |
| 86140 |
|
1,371 |
1,325 |
$5K |
| 87210 |
|
360 |
345 |
$5K |
| 87804 |
|
692 |
652 |
$5K |
| J3010 |
Fentanyl citrate injection |
1,975 |
1,799 |
$4K |
| 72128 |
|
14 |
13 |
$4K |
| 73552 |
|
68 |
66 |
$4K |
| 73060 |
|
97 |
96 |
$3K |
| 85652 |
|
542 |
519 |
$3K |
| 85018 |
|
1,339 |
1,274 |
$3K |
| Q0138 |
Ferumoxytol, non-esrd |
21 |
14 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
1,189 |
534 |
$3K |
| A9150 |
Misc/exper non-prescript dru |
4,396 |
2,593 |
$3K |
| 82805 |
|
97 |
95 |
$2K |
| 99152 |
|
197 |
186 |
$2K |
| 84100 |
|
654 |
621 |
$2K |
| 83036 |
|
495 |
483 |
$2K |
| J7050 |
Normal saline solution infus |
777 |
659 |
$2K |
| 97162 |
|
118 |
117 |
$2K |
| J2919 |
Inj, methylpred sod succ 5mg |
111 |
106 |
$2K |
| 87420 |
|
212 |
197 |
$2K |
| 84439 |
|
341 |
333 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
90 |
80 |
$2K |
| 82010 |
|
182 |
165 |
$2K |
| 59025 |
|
23 |
12 |
$2K |
| 97530 |
|
243 |
117 |
$2K |
| G8978 |
Mobility current status |
28 |
26 |
$2K |
| 72070 |
|
14 |
13 |
$1K |
| 78452 |
|
26 |
26 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
574 |
536 |
$1K |
| S0164 |
Injection pantroprazole |
197 |
173 |
$1K |
| J0360 |
Hydralazine hcl injection |
258 |
228 |
$1K |
| 29515 |
|
26 |
25 |
$1K |
| 76770 |
|
43 |
41 |
$1K |
| J1630 |
Haloperidol injection |
221 |
198 |
$998.54 |
| 76641 |
|
13 |
12 |
$939.80 |
| 96413 |
|
76 |
49 |
$862.57 |
| 82375 |
|
97 |
95 |
$856.29 |
| 96367 |
|
23 |
15 |
$838.18 |
| J7120 |
Ringers lactate infusion |
179 |
145 |
$781.41 |
| 0370 |
|
173 |
161 |
$685.77 |
| 71020 |
|
37 |
15 |
$674.19 |
| 82306 |
|
116 |
115 |
$656.63 |
| 82248 |
|
71 |
69 |
$620.38 |
| Z7500 |
|
17 |
12 |
$579.70 |
| 83050 |
|
97 |
95 |
$551.29 |
| J0690 |
Cefazolin sodium injection |
133 |
123 |
$548.32 |
| J3370 |
Vancomycin hcl injection |
47 |
39 |
$478.24 |
| 82607 |
|
88 |
87 |
$396.75 |
| 87389 |
|
16 |
16 |
$364.67 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
22 |
19 |
$324.39 |
| 99153 |
Mod sedat endo service >5yrs |
55 |
55 |
$319.61 |
| L3807 |
Whfo w/o joints pre cst |
12 |
12 |
$309.41 |
| S0028 |
Injection, famotidine, 20 mg |
939 |
896 |
$276.32 |
| 0760 |
|
20 |
20 |
$212.44 |
| 82140 |
|
13 |
13 |
$156.12 |
| 82728 |
|
54 |
54 |
$138.61 |
| J1650 |
Inj enoxaparin sodium |
21 |
12 |
$136.68 |
| 0278 |
|
27 |
27 |
$127.51 |
| 86780 |
|
14 |
13 |
$126.92 |
| J1940 |
Furosemide injection |
35 |
25 |
$126.02 |
| J3475 |
Inj magnesium sulfate |
12 |
12 |
$120.40 |
| J2274 |
Inj morphine pf epid ithc |
16 |
14 |
$105.55 |
| 84550 |
|
69 |
67 |
$93.40 |
| S0020 |
Injection, bupivicaine hydro |
30 |
28 |
$61.89 |
| 0324 |
|
560 |
544 |
$60.54 |
| J2543 |
Piperacillin/tazobactam |
14 |
13 |
$57.51 |
| 86308 |
|
29 |
29 |
$54.48 |
| 0300 |
|
648 |
612 |
$51.59 |
| J1953 |
Levetiracetam injection |
14 |
14 |
$46.77 |
| 83540 |
|
58 |
58 |
$45.53 |
| J7512 |
Prednisone ir or dr oral 1mg |
71 |
65 |
$43.09 |
| 0305 |
|
712 |
678 |
$28.35 |
| 83550 |
|
26 |
26 |
$15.34 |
| 0306 |
|
487 |
468 |
$13.60 |
| 82040 |
|
13 |
13 |
$9.70 |
| 87081 |
|
14 |
14 |
$4.54 |
| 99072 |
|
95 |
46 |
$4.00 |
| A4218 |
Sterile saline or water |
28 |
25 |
$3.36 |
| 0307 |
|
275 |
264 |
$0.00 |
| S9445 |
Pt education noc individ |
1,930 |
1,042 |
$0.00 |
| 0310 |
|
142 |
139 |
$0.00 |
| 0420 |
|
127 |
114 |
$0.00 |
| 77063 |
|
14 |
14 |
$0.00 |
| 0352 |
|
99 |
98 |
$0.00 |
| J2785 |
Regadenoson injection |
13 |
13 |
$0.00 |
| A9500 |
Tc99m sestamibi |
15 |
15 |
$0.00 |
| Q4051 |
Splint supplies misc |
18 |
13 |
$0.00 |
| 27502 |
|
15 |
15 |
$0.00 |
| 83615 |
|
14 |
14 |
$0.00 |
| 0351 |
|
12 |
12 |
$0.00 |
| 0730 |
|
240 |
231 |
$0.00 |
| 0402 |
|
69 |
68 |
$0.00 |
| 0510 |
|
15 |
13 |
$0.00 |
| G8979 |
Mobility goal status |
29 |
26 |
$0.00 |
| 77067 |
|
14 |
14 |
$0.00 |
| 0489 |
|
13 |
13 |
$0.00 |
| 0302 |
|
13 |
13 |
$0.00 |
| 93017 |
|
14 |
14 |
$0.00 |