| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
32,780 |
30,626 |
$5.76M |
| 99283 |
|
36,897 |
34,875 |
$5.61M |
| 43239 |
|
5,166 |
5,072 |
$1.79M |
| 74177 |
|
3,675 |
3,546 |
$1.63M |
| 74176 |
|
5,096 |
4,834 |
$1.41M |
| 70450 |
|
6,587 |
6,299 |
$1.37M |
| 80053 |
|
56,913 |
51,662 |
$1.35M |
| 99285 |
|
6,695 |
6,267 |
$1.32M |
| 93005 |
|
17,355 |
15,345 |
$992K |
| 93306 |
|
2,848 |
2,797 |
$959K |
| 45380 |
|
2,352 |
2,311 |
$936K |
| G0378 |
Hospital observation per hr |
2,586 |
2,389 |
$935K |
| 96375 |
|
15,543 |
14,254 |
$770K |
| 85025 |
|
59,187 |
51,779 |
$767K |
| 71045 |
|
15,895 |
14,905 |
$729K |
| 96374 |
|
22,075 |
20,206 |
$700K |
| 45378 |
|
1,563 |
1,544 |
$688K |
| 99282 |
|
5,867 |
5,714 |
$578K |
| 80307 |
|
10,081 |
9,263 |
$470K |
| 69436 |
|
361 |
360 |
$434K |
| 87276 |
|
12,130 |
11,782 |
$422K |
| 72125 |
|
1,723 |
1,666 |
$398K |
| 96372 |
|
12,097 |
11,200 |
$366K |
| 96365 |
|
4,009 |
3,077 |
$356K |
| 93458 |
|
189 |
183 |
$296K |
| 94640 |
|
1,779 |
1,228 |
$291K |
| 87426 |
|
11,508 |
11,103 |
$290K |
| 84443 |
|
15,990 |
15,511 |
$288K |
| 81001 |
|
30,527 |
28,252 |
$280K |
| 96361 |
|
6,880 |
6,495 |
$254K |
| 42820 |
|
206 |
204 |
$245K |
| 99281 |
|
3,917 |
3,789 |
$240K |
| 76705 |
|
2,087 |
2,025 |
$209K |
| G0382 |
Lev 3 hosp type b ed visit |
2,194 |
2,129 |
$185K |
| C9803 |
Hopd covid-19 spec collect |
9,650 |
9,317 |
$179K |
| 80061 |
|
13,127 |
12,950 |
$172K |
| 77067 |
|
1,067 |
1,065 |
$166K |
| 71046 |
|
2,613 |
2,529 |
$165K |
| 87040 |
|
3,121 |
2,883 |
$161K |
| 83690 |
|
9,837 |
9,141 |
$154K |
| 87070 |
|
8,721 |
8,462 |
$150K |
| 91200 |
|
1,293 |
1,282 |
$150K |
| 87430 |
|
5,644 |
5,529 |
$146K |
| 87086 |
|
8,782 |
8,297 |
$139K |
| 93880 |
|
1,206 |
1,185 |
$137K |
| 72100 |
|
1,653 |
1,630 |
$137K |
| 71260 |
|
410 |
401 |
$130K |
| 82150 |
|
7,743 |
7,250 |
$129K |
| 84484 |
|
10,840 |
9,538 |
$127K |
| 86756 |
|
2,080 |
2,017 |
$116K |
| 80048 |
|
5,562 |
4,769 |
$114K |
| 82077 |
|
2,618 |
2,428 |
$110K |
| 97110 |
|
3,789 |
1,070 |
$110K |
| 82550 |
|
9,545 |
8,595 |
$109K |
| 96360 |
|
1,592 |
1,524 |
$107K |
| J1885 |
Ketorolac tromethamine inj |
12,674 |
11,558 |
$104K |
| A9270 |
Non-covered item or service |
22,161 |
18,784 |
$103K |
| 87635 |
|
3,392 |
3,304 |
$99K |
| 73562 |
|
1,225 |
1,190 |
$99K |
| 87491 |
|
3,817 |
3,727 |
$97K |
| 87591 |
|
3,813 |
3,723 |
$97K |
| 85610 |
|
10,593 |
9,621 |
$96K |
| 82553 |
|
8,409 |
7,543 |
$95K |
| 83605 |
|
3,397 |
3,092 |
$92K |
| 84703 |
|
5,270 |
5,028 |
$91K |
| 73030 |
|
1,241 |
1,196 |
$91K |
| 83036 |
|
10,383 |
10,225 |
$90K |
| 82306 |
|
4,002 |
3,952 |
$89K |
| 88305 |
|
1,302 |
1,277 |
$86K |
| J0696 |
Ceftriaxone sodium injection |
5,268 |
4,556 |
$84K |
| 78452 |
|
247 |
244 |
$83K |
| 71250 |
|
503 |
483 |
$80K |
| 84439 |
|
6,367 |
6,287 |
$78K |
| 71275 |
|
236 |
229 |
$77K |
| 99291 |
|
259 |
251 |
$77K |
| 85730 |
|
7,366 |
6,782 |
$76K |
| 70486 |
|
329 |
319 |
$74K |
| 83880 |
|
3,150 |
2,920 |
$69K |
| 87186 |
|
4,129 |
3,934 |
$66K |
| 80074 |
|
1,252 |
1,231 |
$64K |
| 83735 |
|
5,228 |
4,674 |
$64K |
| G0383 |
Lev 4 hosp type b ed visit |
541 |
529 |
$63K |
| 88312 |
|
846 |
837 |
$63K |
| S5000 |
Prescription drug, generic |
9,359 |
6,347 |
$63K |
| 80143 |
|
1,616 |
1,515 |
$62K |
| 36415 |
|
15,782 |
13,838 |
$60K |
| 73610 |
|
702 |
682 |
$59K |
| 76856 |
|
569 |
565 |
$57K |
| 70553 |
|
102 |
102 |
$52K |
| J2704 |
Inj, propofol, 10 mg |
8,942 |
8,502 |
$52K |
| 73630 |
|
858 |
835 |
$51K |
| 96366 |
|
1,273 |
891 |
$51K |
| J7030 |
Normal saline solution infus |
8,343 |
7,356 |
$50K |
| 81025 |
|
5,067 |
4,909 |
$48K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,913 |
5,594 |
$47K |
| U0004 |
Cov-19 test non-cdc hgh thru |
568 |
551 |
$46K |
| 74018 |
|
797 |
773 |
$46K |
| 99152 |
|
547 |
528 |
$45K |
| 59025 |
|
380 |
311 |
$44K |
| 97140 |
|
1,640 |
583 |
$43K |
| 87077 |
|
4,233 |
4,033 |
$43K |
| 72040 |
|
461 |
456 |
$41K |
| 82607 |
|
2,805 |
2,774 |
$39K |
| G0381 |
Lev 2 hosp type b ed visit |
650 |
642 |
$39K |
| 84702 |
|
1,522 |
1,248 |
$38K |
| M0243 |
Casirivi and imdevi inj |
172 |
172 |
$37K |
| 85027 |
|
3,514 |
3,383 |
$35K |
| 86850 |
|
2,775 |
2,527 |
$33K |
| 84481 |
|
1,927 |
1,907 |
$33K |
| 87428 |
|
729 |
708 |
$31K |
| G0463 |
Hospital outpt clinic visit |
417 |
321 |
$30K |
| G0121 |
Colon ca scrn not hi rsk ind |
76 |
75 |
$30K |
| 92507 |
|
505 |
126 |
$29K |
| 90471 |
|
1,322 |
1,296 |
$29K |
| 73130 |
|
493 |
479 |
$29K |
| 82105 |
|
1,154 |
1,140 |
$28K |
| 87324 |
|
1,302 |
1,275 |
$28K |
| 86703 |
|
1,709 |
1,676 |
$28K |
| 73620 |
|
413 |
409 |
$27K |
| 95816 |
|
144 |
143 |
$27K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
95 |
72 |
$26K |
| J2405 |
Ondansetron hcl injection |
12,670 |
11,500 |
$25K |
| 93971 |
|
359 |
343 |
$25K |
| 73120 |
|
254 |
246 |
$25K |
| 86920 |
|
223 |
182 |
$24K |
| J2360 |
Orphenadrine injection |
1,664 |
1,604 |
$23K |
| J3010 |
Fentanyl citrate injection |
7,574 |
7,059 |
$22K |
| J0690 |
Cefazolin sodium injection |
2,842 |
2,509 |
$21K |
| 83704 |
|
1,552 |
1,532 |
$20K |
| 86592 |
|
2,212 |
2,176 |
$20K |
| 82962 |
|
4,569 |
3,541 |
$20K |
| 82805 |
|
584 |
524 |
$20K |
| 72131 |
|
65 |
65 |
$20K |
| 86140 |
|
2,921 |
2,758 |
$19K |
| 85362 |
|
827 |
812 |
$18K |
| 86900 |
|
2,978 |
2,702 |
$18K |
| J1100 |
Dexamethasone sodium phos |
5,119 |
4,926 |
$18K |
| 73560 |
|
305 |
298 |
$17K |
| 93017 |
|
239 |
236 |
$17K |
| 96376 |
|
1,644 |
1,565 |
$17K |
| 87340 |
|
860 |
840 |
$17K |
| 76700 |
|
141 |
139 |
$16K |
| 97530 |
|
549 |
393 |
$16K |
| 87522 |
Neg quan hep c or qual rna |
324 |
316 |
$16K |
| 85651 |
|
2,037 |
1,919 |
$15K |
| G0380 |
Lev 1 hosp type b ed visit |
351 |
339 |
$15K |
| 76641 |
|
111 |
110 |
$15K |
| 73110 |
|
249 |
246 |
$15K |
| 90715 |
|
482 |
469 |
$14K |
| 83540 |
|
1,640 |
1,606 |
$13K |
| J1170 |
Hydromorphone injection |
2,806 |
2,338 |
$13K |
| 29125 |
|
113 |
110 |
$12K |
| 86803 |
|
890 |
873 |
$12K |
| 73600 |
|
121 |
117 |
$12K |
| C9113 |
Inj pantoprazole sodium, via |
1,709 |
1,516 |
$12K |
| 82728 |
|
869 |
847 |
$12K |
| A9500 |
Tc99m sestamibi |
218 |
215 |
$11K |
| 86038 |
|
1,112 |
1,097 |
$11K |
| J2930 |
Methylprednisolone injection |
879 |
773 |
$11K |
| 86762 |
|
699 |
686 |
$11K |
| J0561 |
Penicillin g benzathine inj |
99 |
98 |
$11K |
| 94760 |
|
891 |
458 |
$10K |
| 70551 |
|
43 |
41 |
$10K |
| 87205 |
|
1,297 |
1,220 |
$10K |
| 83550 |
|
1,159 |
1,131 |
$10K |
| 86677 |
|
492 |
482 |
$10K |
| 90714 |
|
358 |
356 |
$10K |
| 94644 |
|
94 |
91 |
$10K |
| 86308 |
|
512 |
505 |
$10K |
| 82140 |
|
410 |
377 |
$10K |
| 84100 |
|
875 |
769 |
$10K |
| 36430 |
|
79 |
65 |
$9K |
| 97161 |
|
243 |
238 |
$9K |
| 84550 |
|
1,109 |
1,081 |
$9K |
| 86901 |
|
2,512 |
2,352 |
$9K |
| J2060 |
Lorazepam injection |
1,780 |
1,591 |
$9K |
| 73090 |
|
146 |
142 |
$9K |
| J2270 |
Morphine sulfate injection |
3,773 |
3,044 |
$9K |
| 74021 |
|
68 |
68 |
$8K |
| 82043 |
|
2,181 |
2,142 |
$8K |
| 12001 |
|
95 |
95 |
$8K |
| P9016 |
Rbc leukocytes reduced |
73 |
50 |
$8K |
| J2785 |
Regadenoson injection |
63 |
63 |
$7K |
| 93970 |
|
68 |
63 |
$7K |
| 51702 |
|
116 |
109 |
$7K |
| 76770 |
|
94 |
91 |
$7K |
| 86255 |
|
314 |
309 |
$7K |
| J1200 |
Diphenhydramine hcl injectio |
2,841 |
2,607 |
$7K |
| 76801 |
|
61 |
57 |
$7K |
| 99214 |
|
196 |
173 |
$6K |
| 86060 |
|
253 |
249 |
$6K |
| J7040 |
Normal saline solution infus |
1,240 |
1,145 |
$6K |
| J0330 |
Succinycholine chloride inj |
631 |
612 |
$6K |
| 77080 |
|
69 |
69 |
$6K |
| 73100 |
|
76 |
75 |
$6K |
| J2250 |
Inj midazolam hydrochloride |
3,389 |
3,234 |
$5K |
| 74178 |
|
16 |
16 |
$5K |
| C1769 |
Guide wire |
309 |
258 |
$5K |
| P9047 |
Albumin (human), 25%, 50ml |
60 |
24 |
$5K |
| 36600 |
|
305 |
276 |
$5K |
| 84153 |
|
324 |
321 |
$4K |
| 99213 |
|
196 |
169 |
$4K |
| J2543 |
Piperacillin/tazobactam |
552 |
483 |
$4K |
| J2795 |
Ropivacaine hcl injection |
276 |
273 |
$4K |
| 86235 |
|
21 |
21 |
$4K |
| J1644 |
Inj heparin sodium per 1000u |
1,023 |
707 |
$4K |
| 87045 |
|
338 |
328 |
$4K |
| 84403 |
|
257 |
252 |
$4K |
| 73590 |
|
77 |
72 |
$4K |
| J1650 |
Inj enoxaparin sodium |
586 |
475 |
$4K |
| 82248 |
|
987 |
896 |
$4K |
| M0245 |
Bamlan and etesev infusion |
13 |
13 |
$3K |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
359 |
350 |
$3K |
| 80050 |
|
53 |
47 |
$3K |
| 82947 |
|
558 |
547 |
$3K |
| 73502 |
|
61 |
58 |
$3K |
| 77066 |
Tomosynthesis, mammo |
14 |
14 |
$3K |
| Q0222 |
Bebtelovimab 175 mg |
42 |
42 |
$3K |
| 73140 |
|
41 |
40 |
$3K |
| 94726 |
|
25 |
25 |
$3K |
| J3370 |
Vancomycin hcl injection |
198 |
154 |
$3K |
| 86376 |
|
219 |
217 |
$2K |
| J2765 |
Metoclopramide hcl injection |
1,236 |
1,157 |
$2K |
| 73080 |
|
42 |
40 |
$2K |
| J3475 |
Inj magnesium sulfate |
324 |
304 |
$2K |
| J7510 |
Prednisolone oral per 5 mg |
501 |
496 |
$2K |
| 94060 |
|
25 |
25 |
$2K |
| 82570 |
|
207 |
195 |
$2K |
| 86780 |
|
90 |
87 |
$2K |
| 97162 |
|
39 |
39 |
$2K |
| 95812 |
|
14 |
13 |
$2K |
| 84146 |
|
83 |
82 |
$2K |
| 87420 |
|
107 |
107 |
$2K |
| 84466 |
|
99 |
99 |
$2K |
| 87081 |
|
69 |
68 |
$2K |
| 76819 |
|
16 |
13 |
$2K |
| 0012A |
|
42 |
42 |
$2K |
| 84156 |
|
230 |
217 |
$2K |
| J0153 |
Adenosine inj 1mg |
77 |
74 |
$2K |
| J1171 |
Inj, hydromorphone, 0.1 mg |
120 |
97 |
$2K |
| 86787 |
|
211 |
211 |
$2K |
| 84402 |
|
95 |
94 |
$2K |
| 83001 |
|
70 |
68 |
$1K |
| 86336 |
|
73 |
71 |
$1K |
| 82670 |
|
55 |
54 |
$1K |
| J0171 |
Adrenalin epinephrine inject |
376 |
368 |
$1K |
| 86141 |
|
123 |
121 |
$1K |
| 76536 |
|
12 |
12 |
$1K |
| 87177 |
|
166 |
161 |
$1K |
| 87338 |
|
102 |
100 |
$1K |
| 72170 |
|
26 |
25 |
$1K |
| 82746 |
|
127 |
126 |
$1K |
| 83615 |
|
103 |
92 |
$1K |
| J0360 |
Hydralazine hcl injection |
86 |
76 |
$1K |
| 82390 |
|
122 |
121 |
$1K |
| 74019 |
|
13 |
13 |
$1K |
| 86430 |
|
166 |
165 |
$1K |
| 94729 |
|
25 |
25 |
$1K |
| A9579 |
Gad-base mr contrast nos,1ml |
362 |
358 |
$1K |
| J2919 |
Inj, methylpred sod succ 5mg |
86 |
83 |
$1K |
| 71111 |
|
14 |
13 |
$1K |
| J2920 |
Methylprednisolone injection |
61 |
29 |
$1K |
| 73501 |
|
14 |
12 |
$1K |
| 76010 |
|
13 |
13 |
$975.13 |
| J2550 |
Promethazine hcl injection |
328 |
305 |
$941.22 |
| 82565 |
|
107 |
104 |
$872.34 |
| J2470 |
Inj pantoprazole sodium 40mg |
166 |
158 |
$866.06 |
| J2710 |
Neostigmine methylslfte inj |
108 |
107 |
$802.25 |
| 96367 |
|
13 |
13 |
$782.80 |
| 99212 |
|
88 |
81 |
$782.25 |
| 83002 |
|
41 |
39 |
$774.77 |
| 73070 |
|
12 |
12 |
$766.86 |
| 99153 |
Mod sedat endo service >5yrs |
75 |
72 |
$730.22 |
| J1956 |
Levofloxacin injection |
147 |
128 |
$708.82 |
| 86694 |
|
28 |
28 |
$696.76 |
| 82010 |
|
68 |
63 |
$689.22 |
| C1768 |
Graft, vascular |
13 |
13 |
$652.15 |
| 87389 |
|
45 |
45 |
$648.69 |
| 81003 |
|
262 |
255 |
$580.89 |
| G0008 |
Admin influenza virus vac |
27 |
26 |
$514.46 |
| J0780 |
Prochlorperazine injection |
362 |
336 |
$493.81 |
| 73552 |
|
13 |
12 |
$486.97 |
| J3480 |
Inj potassium chloride |
118 |
107 |
$486.70 |
| 86225 |
|
32 |
32 |
$468.70 |
| J1815 |
Insulin injection |
1,126 |
613 |
$463.30 |
| 80179 |
|
69 |
67 |
$397.34 |
| 91301 |
|
58 |
58 |
$369.48 |
| 82272 |
|
87 |
82 |
$361.03 |
| J7050 |
Normal saline solution infus |
299 |
221 |
$357.75 |
| J2370 |
Phenylephrine hcl injection |
93 |
85 |
$356.76 |
| 82247 |
|
38 |
27 |
$348.93 |
| J3486 |
Ziprasidone mesylate |
14 |
14 |
$326.04 |
| 83525 |
|
25 |
25 |
$291.54 |
| 86705 |
|
21 |
20 |
$257.91 |
| 86709 |
|
43 |
42 |
$243.71 |
| 87210 |
|
18 |
16 |
$189.06 |
| G9019 |
Oseltamivir phosphate 75mg |
16 |
14 |
$187.44 |
| 89050 |
|
44 |
43 |
$164.50 |
| J3371 |
Inj, vancomycin hcl (mylan) |
13 |
12 |
$156.75 |
| 80069 |
|
15 |
15 |
$141.27 |
| J3360 |
Diazepam injection |
16 |
13 |
$85.44 |
| J1953 |
Levetiracetam injection |
13 |
13 |
$76.87 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
27 |
27 |
$72.81 |
| J1940 |
Furosemide injection |
12 |
12 |
$46.67 |
| 82950 |
|
13 |
12 |
$41.22 |
| 85379 |
|
12 |
12 |
$29.18 |
| 85007 |
|
14 |
12 |
$28.08 |
| G8979 |
Mobility goal status |
28 |
28 |
$0.00 |
| G8978 |
Mobility current status |
26 |
26 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
169 |
169 |
$0.00 |