| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
42,013 |
35,226 |
$3.46M |
| 92507 |
|
26,647 |
6,610 |
$2.94M |
| 97530 |
|
26,646 |
6,666 |
$1.96M |
| 99282 |
|
24,621 |
22,528 |
$1.92M |
| 99283 |
|
23,890 |
20,655 |
$1.85M |
| 97110 |
|
13,601 |
3,848 |
$1.07M |
| 96361 |
|
13,295 |
10,204 |
$947K |
| 99281 |
|
9,954 |
7,825 |
$707K |
| 70450 |
|
6,077 |
4,918 |
$538K |
| 59025 |
|
11,765 |
8,529 |
$525K |
| 99285 |
|
9,237 |
7,197 |
$488K |
| 74177 |
|
3,036 |
2,628 |
$427K |
| 96360 |
|
4,770 |
4,007 |
$373K |
| J1885 |
Ketorolac tromethamine inj |
6,639 |
5,502 |
$370K |
| 36415 |
|
52,443 |
32,753 |
$344K |
| 92526 |
|
8,845 |
2,199 |
$332K |
| 76819 |
|
10,546 |
7,480 |
$307K |
| 74176 |
|
2,599 |
2,177 |
$287K |
| G0378 |
Hospital observation per hr |
5,753 |
4,267 |
$273K |
| J7120 |
Ringers lactate infusion |
6,094 |
4,652 |
$256K |
| 76815 |
|
12,823 |
10,454 |
$232K |
| 96374 |
|
16,014 |
13,246 |
$199K |
| 0202U |
|
1,077 |
1,037 |
$188K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,969 |
2,505 |
$134K |
| J1644 |
Inj heparin sodium per 1000u |
5,235 |
2,147 |
$131K |
| J7040 |
Normal saline solution infus |
3,217 |
2,531 |
$124K |
| 96372 |
|
9,225 |
7,028 |
$119K |
| J0696 |
Ceftriaxone sodium injection |
4,224 |
3,033 |
$100K |
| 80048 |
|
27,553 |
18,658 |
$98K |
| 71275 |
|
935 |
797 |
$96K |
| 87635 |
|
12,286 |
10,716 |
$84K |
| 87804 |
|
13,684 |
12,299 |
$84K |
| 96365 |
|
4,388 |
3,065 |
$83K |
| J2704 |
Inj, propofol, 10 mg |
2,930 |
2,389 |
$83K |
| 80053 |
|
15,976 |
12,616 |
$72K |
| 85025 |
|
41,012 |
29,801 |
$62K |
| 72125 |
|
1,586 |
1,170 |
$62K |
| 0225U |
|
616 |
591 |
$58K |
| 76705 |
|
2,207 |
1,990 |
$55K |
| J7510 |
Prednisolone oral per 5 mg |
1,051 |
988 |
$53K |
| 87086 |
|
11,346 |
9,850 |
$52K |
| 93005 |
|
12,139 |
9,560 |
$48K |
| 82731 |
|
881 |
754 |
$47K |
| 81001 |
|
26,451 |
22,411 |
$47K |
| 81025 |
|
5,486 |
4,877 |
$46K |
| J7050 |
Normal saline solution infus |
1,245 |
921 |
$42K |
| J3480 |
Inj potassium chloride |
1,280 |
845 |
$42K |
| 86850 |
|
6,973 |
5,427 |
$42K |
| 97162 |
|
482 |
422 |
$41K |
| 87070 |
|
2,995 |
2,650 |
$39K |
| 71046 |
|
5,032 |
4,574 |
$37K |
| 85610 |
|
10,276 |
7,468 |
$37K |
| 85730 |
|
9,658 |
7,180 |
$37K |
| 92523 |
|
362 |
339 |
$36K |
| J3010 |
Fentanyl citrate injection |
3,306 |
2,596 |
$36K |
| C1769 |
Guide wire |
1,613 |
1,121 |
$36K |
| 76830 |
|
1,430 |
1,274 |
$35K |
| 71045 |
|
10,922 |
8,855 |
$35K |
| 87633 |
|
888 |
842 |
$29K |
| J2405 |
Ondansetron hcl injection |
10,958 |
8,894 |
$28K |
| 96366 |
|
1,830 |
1,149 |
$27K |
| C1894 |
Intro/sheath, non-laser |
1,356 |
927 |
$27K |
| 86900 |
|
7,961 |
6,240 |
$27K |
| J2250 |
Inj midazolam hydrochloride |
2,507 |
2,013 |
$25K |
| 82948 |
|
1,897 |
1,362 |
$25K |
| 86901 |
|
8,011 |
6,315 |
$25K |
| 76856 |
|
942 |
826 |
$23K |
| 94640 |
|
2,778 |
1,919 |
$23K |
| 74018 |
|
1,581 |
1,421 |
$23K |
| 85027 |
|
6,507 |
4,641 |
$22K |
| J0690 |
Cefazolin sodium injection |
2,527 |
1,831 |
$22K |
| 87040 |
|
4,518 |
3,609 |
$20K |
| 92610 |
|
313 |
262 |
$18K |
| 97166 |
|
131 |
125 |
$18K |
| 84484 |
|
7,937 |
5,094 |
$18K |
| 80307 |
|
2,792 |
1,888 |
$18K |
| J7030 |
Normal saline solution infus |
13,963 |
10,484 |
$18K |
| 83735 |
|
9,452 |
6,574 |
$18K |
| 87631 |
|
579 |
547 |
$17K |
| 93306 |
|
260 |
213 |
$16K |
| J3370 |
Vancomycin hcl injection |
388 |
241 |
$14K |
| 96375 |
|
10,141 |
7,487 |
$13K |
| 87880 |
|
6,626 |
6,213 |
$13K |
| C1725 |
Cath, translumin non-laser |
533 |
370 |
$12K |
| 82550 |
|
3,023 |
2,355 |
$11K |
| J1815 |
Insulin injection |
940 |
558 |
$10K |
| U0004 |
Cov-19 test non-cdc hgh thru |
266 |
228 |
$10K |
| 94664 |
|
3,446 |
2,987 |
$10K |
| J2370 |
Phenylephrine hcl injection |
141 |
110 |
$10K |
| J1170 |
Hydromorphone injection |
1,307 |
841 |
$9K |
| A6402 |
Sterile gauze <= 16 sq in |
280 |
223 |
$9K |
| J1200 |
Diphenhydramine hcl injectio |
1,920 |
1,367 |
$9K |
| 12011 |
|
319 |
284 |
$9K |
| J2001 |
Lidocaine injection |
1,179 |
970 |
$9K |
| 87426 |
|
508 |
464 |
$9K |
| 73630 |
|
865 |
744 |
$9K |
| 87077 |
|
1,951 |
1,571 |
$9K |
| 84100 |
|
2,048 |
1,239 |
$9K |
| 73562 |
|
808 |
685 |
$8K |
| J0131 |
Inj, acetaminophen (nos) |
1,991 |
1,605 |
$8K |
| 97163 |
|
54 |
51 |
$8K |
| 80076 |
|
8,943 |
7,383 |
$8K |
| 73610 |
|
693 |
620 |
$8K |
| 93971 |
|
509 |
436 |
$8K |
| 97161 |
|
829 |
603 |
$8K |
| 97165 |
|
462 |
339 |
$7K |
| 82553 |
|
788 |
589 |
$7K |
| 83690 |
|
10,072 |
8,392 |
$7K |
| 76770 |
|
184 |
162 |
$7K |
| 87205 |
|
2,015 |
1,698 |
$7K |
| 74019 |
|
389 |
367 |
$6K |
| G8979 |
Mobility goal status |
193 |
163 |
$6K |
| 73130 |
|
341 |
297 |
$6K |
| 83880 |
|
2,351 |
1,869 |
$5K |
| A4402 |
Lubricant per ounce |
78 |
75 |
$5K |
| 73030 |
|
411 |
324 |
$5K |
| 97168 |
|
33 |
30 |
$5K |
| J7042 |
5% dextrose/normal saline |
76 |
55 |
$5K |
| 36902 |
|
25 |
14 |
$5K |
| 84112 |
|
164 |
133 |
$5K |
| G8978 |
Mobility current status |
181 |
150 |
$5K |
| 76937 |
|
135 |
106 |
$5K |
| A4314 |
Cath w/drainage 2-way latex |
590 |
466 |
$5K |
| 84702 |
|
5,198 |
3,905 |
$4K |
| 70486 |
|
112 |
99 |
$4K |
| 96367 |
|
565 |
405 |
$4K |
| J2270 |
Morphine sulfate injection |
3,491 |
2,496 |
$4K |
| 76805 |
|
84 |
75 |
$4K |
| 84443 |
|
1,646 |
1,282 |
$4K |
| J3475 |
Inj magnesium sulfate |
559 |
406 |
$4K |
| 84703 |
|
4,228 |
3,632 |
$4K |
| 10060 |
|
111 |
99 |
$4K |
| 73110 |
|
262 |
228 |
$3K |
| J7121 |
5% dextrose in lac ringers |
87 |
65 |
$3K |
| 87632 |
|
630 |
599 |
$3K |
| J1100 |
Dexamethasone sodium phos |
2,998 |
2,535 |
$3K |
| 83986 |
|
53 |
38 |
$3K |
| G0463 |
Hospital outpt clinic visit |
545 |
157 |
$3K |
| J7512 |
Prednisone ir or dr oral 1mg |
813 |
675 |
$3K |
| 90471 |
|
619 |
504 |
$3K |
| J2765 |
Metoclopramide hcl injection |
2,015 |
1,622 |
$3K |
| 93970 |
|
139 |
120 |
$3K |
| 51701 |
|
1,304 |
1,173 |
$3K |
| 81003 |
|
2,773 |
2,337 |
$2K |
| 71250 |
|
63 |
54 |
$2K |
| 97116 |
|
320 |
197 |
$2K |
| 29125 |
|
254 |
231 |
$2K |
| 87186 |
|
2,146 |
1,767 |
$2K |
| 88305 |
|
1,073 |
740 |
$2K |
| 87591 |
|
1,082 |
939 |
$2K |
| 86141 |
|
4,405 |
3,911 |
$2K |
| J0360 |
Hydralazine hcl injection |
151 |
103 |
$2K |
| 74022 |
|
115 |
102 |
$2K |
| 87807 |
|
3,095 |
2,904 |
$2K |
| 87075 |
|
317 |
240 |
$2K |
| 80061 |
|
413 |
319 |
$2K |
| G8987 |
Self care current status |
49 |
41 |
$1K |
| G8988 |
Self care goal status |
49 |
41 |
$1K |
| 88304 |
|
374 |
312 |
$1K |
| 72100 |
|
160 |
145 |
$1K |
| 97535 |
|
248 |
161 |
$1K |
| J1650 |
Inj enoxaparin sodium |
1,368 |
669 |
$1K |
| 87491 |
|
1,074 |
932 |
$1K |
| J2791 |
Rhophylac injection |
129 |
108 |
$948.60 |
| 82150 |
|
1,060 |
925 |
$917.64 |
| A6222 |
Gauze <=16 in no w/sal w/o b |
107 |
100 |
$902.43 |
| J2720 |
Inj protamine sulfate/10 mg |
55 |
42 |
$852.43 |
| 76801 |
|
13 |
13 |
$834.08 |
| 83036 |
|
437 |
357 |
$820.37 |
| 59050 |
|
168 |
113 |
$782.67 |
| 76700 |
|
24 |
24 |
$779.37 |
| 96376 |
|
1,660 |
1,084 |
$755.17 |
| 90715 |
|
349 |
290 |
$751.47 |
| A4550 |
Surgical trays |
13 |
13 |
$653.59 |
| 85652 |
|
948 |
805 |
$633.45 |
| P9016 |
Rbc leukocytes reduced |
35 |
25 |
$606.78 |
| 73080 |
|
72 |
65 |
$575.42 |
| 84132 |
|
75 |
55 |
$537.72 |
| J2920 |
Methylprednisolone injection |
423 |
293 |
$537.26 |
| C1729 |
Cath, drainage |
216 |
181 |
$431.75 |
| 97164 |
|
12 |
12 |
$419.17 |
| J2930 |
Methylprednisolone injection |
313 |
260 |
$417.48 |
| J0456 |
Azithromycin |
17 |
14 |
$417.48 |
| 83605 |
|
626 |
466 |
$408.63 |
| 85379 |
|
1,246 |
1,082 |
$390.67 |
| 87045 |
|
29 |
28 |
$358.92 |
| 86920 |
|
314 |
207 |
$334.21 |
| 82607 |
|
121 |
88 |
$312.01 |
| 82746 |
|
112 |
82 |
$307.23 |
| A9270 |
Non-covered item or service |
65 |
49 |
$298.95 |
| 86738 |
|
264 |
253 |
$280.36 |
| A4351 |
Straight tip urine catheter |
805 |
496 |
$261.32 |
| 82270 |
|
15 |
12 |
$235.77 |
| 31720 |
|
81 |
68 |
$231.97 |
| 73502 |
|
15 |
12 |
$224.32 |
| 29515 |
|
16 |
13 |
$189.00 |
| 87802 |
|
15 |
12 |
$176.50 |
| J2060 |
Lorazepam injection |
766 |
601 |
$126.55 |
| J2550 |
Promethazine hcl injection |
258 |
215 |
$103.40 |
| 12001 |
|
47 |
38 |
$98.19 |
| U0002 |
Covid-19 lab test non-cdc |
121 |
69 |
$65.57 |
| 87210 |
|
92 |
74 |
$65.34 |
| 80074 |
|
13 |
12 |
$46.85 |
| 87340 |
|
27 |
24 |
$36.76 |
| 87808 |
|
806 |
728 |
$35.17 |
| 85384 |
|
1,240 |
931 |
$19.79 |
| 83615 |
|
867 |
687 |
$16.67 |
| 86762 |
|
12 |
12 |
$15.82 |
| 84550 |
|
825 |
643 |
$12.28 |
| 85362 |
|
777 |
582 |
$10.89 |
| G0433 |
Elisa hiv-1/hiv-2 screen |
37 |
37 |
$9.28 |
| 85007 |
|
736 |
676 |
$8.37 |
| 82728 |
|
77 |
62 |
$6.68 |
| 86592 |
|
37 |
26 |
$6.61 |
| 84156 |
|
48 |
39 |
$4.79 |
| 83540 |
|
75 |
63 |
$3.36 |
| 85045 |
|
70 |
57 |
$1.76 |
| C1757 |
Cath, thrombectomy/embolect |
19 |
14 |
$0.00 |
| J2916 |
Na ferric gluconate complex |
83 |
43 |
$0.00 |
| 82805 |
|
28 |
24 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
113 |
75 |
$0.00 |
| 82375 |
|
31 |
24 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
200 |
158 |
$0.00 |
| 87899 |
|
52 |
26 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
207 |
107 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral |
102 |
91 |
$0.00 |
| J1953 |
Levetiracetam injection |
56 |
47 |
$0.00 |
| 85461 |
|
16 |
14 |
$0.00 |
| 29105 |
|
14 |
12 |
$0.00 |
| A6258 |
Transparent film >16<=48 in |
12 |
12 |
$0.00 |
| 29505 |
|
13 |
13 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
23 |
18 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
14 |
14 |
$0.00 |
| 87088 |
|
99 |
92 |
$0.00 |
| J0561 |
Penicillin g benzathine inj |
21 |
21 |
$0.00 |
| 83550 |
|
27 |
25 |
$0.00 |
| 87651 |
|
215 |
214 |
$0.00 |
| Q0162 |
Ondansetron oral |
29 |
27 |
$0.00 |
| 87046 |
|
30 |
29 |
$0.00 |
| 36430 |
|
30 |
25 |
$0.00 |
| G0257 |
Unsched dialysis esrd pt hos |
39 |
28 |
$0.00 |
| J1741 |
Ibuprofen injection |
34 |
27 |
$0.00 |
| M0244 |
Casirivi and imdevi inj hm |
21 |
20 |
$0.00 |
| 82575 |
|
13 |
13 |
$0.00 |