| Code | Description | Claims | Beneficiaries | Total Paid |
| 36415 |
|
68,898 |
44,492 |
$4.18M |
| 99283 |
|
48,985 |
43,447 |
$1.54M |
| 96372 |
|
20,435 |
12,728 |
$1.41M |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
12,832 |
10,541 |
$1.39M |
| 85025 |
|
77,571 |
53,300 |
$1.15M |
| J7040 |
Normal saline solution infus |
7,933 |
4,528 |
$1.12M |
| 81001 |
|
43,089 |
36,235 |
$1.01M |
| 87070 |
|
11,473 |
10,767 |
$937K |
| 99213 |
|
14,488 |
13,381 |
$666K |
| C9803 |
Hopd covid-19 spec collect |
6,795 |
5,886 |
$637K |
| 88305 |
|
2,628 |
2,287 |
$591K |
| 99284 |
|
41,130 |
35,319 |
$551K |
| 99282 |
|
6,459 |
5,925 |
$510K |
| 96374 |
|
19,262 |
15,515 |
$454K |
| 87804 |
|
25,327 |
12,372 |
$411K |
| 96375 |
|
12,147 |
8,232 |
$408K |
| 87635 |
|
6,229 |
5,630 |
$373K |
| 84703 |
|
19,014 |
16,828 |
$373K |
| J1642 |
Inj heparin sodium per 10 u |
1,437 |
747 |
$346K |
| 87430 |
|
13,723 |
12,989 |
$297K |
| 36592 |
|
11,113 |
8,548 |
$262K |
| 78452 |
|
1,456 |
1,310 |
$244K |
| 97110 |
|
8,899 |
2,521 |
$210K |
| 71046 |
|
11,259 |
10,144 |
$193K |
| 93306 |
|
2,182 |
1,955 |
$173K |
| 70450 |
|
8,412 |
7,253 |
$172K |
| 93970 |
|
1,367 |
1,194 |
$165K |
| 85730 |
|
13,917 |
11,289 |
$162K |
| 73610 |
|
2,119 |
1,957 |
$156K |
| 93971 |
|
1,652 |
1,425 |
$154K |
| 99214 |
|
6,671 |
6,009 |
$151K |
| 73630 |
|
2,593 |
2,358 |
$148K |
| 86756 |
|
1,789 |
1,678 |
$140K |
| 93005 |
|
31,090 |
25,304 |
$132K |
| 87591 |
|
3,923 |
3,629 |
$130K |
| 87426 |
|
3,864 |
3,407 |
$126K |
| 73560 |
|
2,612 |
2,365 |
$123K |
| 99285 |
|
16,914 |
13,902 |
$120K |
| 73130 |
|
1,627 |
1,517 |
$115K |
| 85027 |
|
1,580 |
1,352 |
$111K |
| 96361 |
|
4,341 |
3,087 |
$110K |
| G0463 |
Hospital outpt clinic visit |
15,885 |
13,113 |
$103K |
| Q0162 |
Ondansetron oral |
1,500 |
1,195 |
$102K |
| 71045 |
|
18,423 |
14,726 |
$101K |
| 87651 |
|
1,506 |
1,414 |
$101K |
| 99211 |
|
3,553 |
2,898 |
$99K |
| 86901 |
|
3,306 |
2,660 |
$98K |
| 99212 |
|
1,524 |
1,450 |
$91K |
| 80053 |
|
58,825 |
44,129 |
$91K |
| 99152 |
|
338 |
320 |
$91K |
| 96376 |
|
6,047 |
3,158 |
$90K |
| 82565 |
|
956 |
857 |
$86K |
| 73110 |
|
1,154 |
1,059 |
$85K |
| 10060 |
|
531 |
497 |
$83K |
| 0241U |
|
5,289 |
4,609 |
$81K |
| 96360 |
|
1,329 |
1,073 |
$79K |
| 73030 |
|
2,101 |
1,873 |
$78K |
| J7050 |
Normal saline solution infus |
2,237 |
1,404 |
$77K |
| 36000 |
|
2,125 |
1,641 |
$73K |
| 96365 |
|
2,988 |
2,161 |
$69K |
| 88342 |
|
295 |
257 |
$68K |
| 77067 |
|
1,652 |
1,569 |
$66K |
| 96413 |
|
3,128 |
1,537 |
$62K |
| 74176 |
|
3,168 |
2,848 |
$59K |
| 80307 |
|
8,354 |
7,020 |
$58K |
| 73140 |
|
494 |
473 |
$57K |
| 72100 |
|
2,173 |
1,971 |
$55K |
| 80048 |
|
15,820 |
10,418 |
$53K |
| 87077 |
|
4,330 |
3,722 |
$50K |
| 99281 |
|
713 |
635 |
$49K |
| 97530 |
|
4,071 |
1,242 |
$49K |
| 74018 |
|
1,299 |
1,154 |
$48K |
| 71260 |
|
2,981 |
2,598 |
$46K |
| 85610 |
|
16,269 |
12,750 |
$44K |
| 72040 |
|
858 |
787 |
$43K |
| 96366 |
|
1,331 |
807 |
$43K |
| 93017 |
|
1,733 |
1,537 |
$42K |
| 12001 |
|
491 |
459 |
$40K |
| A9577 |
Inj multihance |
55 |
51 |
$40K |
| 96377 |
|
134 |
83 |
$39K |
| 94640 |
|
6,116 |
3,931 |
$38K |
| 36589 |
|
531 |
480 |
$37K |
| 66984 |
|
537 |
397 |
$35K |
| 87653 |
|
797 |
776 |
$35K |
| 96367 |
|
1,952 |
1,079 |
$35K |
| G0378 |
Hospital observation per hr |
9,581 |
4,297 |
$34K |
| G0480 |
Drug test def 1-7 classes |
2,246 |
1,313 |
$34K |
| 73502 |
|
1,284 |
1,152 |
$33K |
| A9270 |
Non-covered item or service |
59,379 |
9,783 |
$28K |
| 73590 |
|
728 |
668 |
$27K |
| 80047 |
|
5,548 |
4,252 |
$26K |
| 70486 |
|
667 |
605 |
$26K |
| 76801 |
|
1,521 |
1,308 |
$25K |
| 95810 |
|
96 |
96 |
$25K |
| 87210 |
|
2,367 |
2,204 |
$24K |
| 90471 |
|
1,456 |
1,276 |
$24K |
| J2469 |
Palonosetron hcl |
755 |
380 |
$22K |
| 45378 |
|
267 |
235 |
$21K |
| 73562 |
|
536 |
481 |
$21K |
| 74177 |
|
5,308 |
4,746 |
$21K |
| 97161 |
|
1,947 |
1,675 |
$20K |
| 73090 |
|
418 |
383 |
$20K |
| 85378 |
|
2,698 |
2,378 |
$19K |
| 76819 |
|
103 |
49 |
$19K |
| 76856 |
|
604 |
566 |
$18K |
| 99153 |
Mod sedat endo service >5yrs |
621 |
546 |
$17K |
| 96417 |
|
618 |
363 |
$16K |
| 82550 |
|
3,678 |
2,699 |
$16K |
| C1780 |
Lens, intraocular (new tech) |
713 |
542 |
$15K |
| 12011 |
|
134 |
125 |
$15K |
| J2405 |
Ondansetron hcl injection |
8,691 |
6,597 |
$15K |
| 71250 |
|
445 |
383 |
$14K |
| 76705 |
|
739 |
655 |
$14K |
| 95811 |
|
63 |
63 |
$13K |
| J1644 |
Inj heparin sodium per 1000u |
7,170 |
3,467 |
$13K |
| 73080 |
|
275 |
251 |
$13K |
| 84443 |
|
9,216 |
7,890 |
$12K |
| 77336 |
|
97 |
42 |
$12K |
| 87340 |
|
356 |
268 |
$12K |
| 88304 |
|
403 |
368 |
$12K |
| U0002 |
Covid-19 lab test non-cdc |
1,325 |
1,038 |
$12K |
| 93990 |
|
1,335 |
1,134 |
$12K |
| J7030 |
Normal saline solution infus |
4,294 |
2,995 |
$11K |
| 76642 |
|
300 |
273 |
$11K |
| 87086 |
|
10,935 |
9,428 |
$10K |
| 99291 |
|
1,588 |
1,340 |
$10K |
| 93880 |
|
123 |
108 |
$10K |
| 76805 |
|
69 |
67 |
$10K |
| 87491 |
|
3,937 |
3,634 |
$9K |
| J1650 |
Inj enoxaparin sodium |
1,904 |
889 |
$9K |
| 76830 |
|
277 |
262 |
$9K |
| 76815 |
|
199 |
178 |
$9K |
| 86920 |
|
554 |
392 |
$8K |
| 84100 |
|
3,201 |
1,976 |
$8K |
| C1725 |
Cath, translumin non-laser |
3,090 |
2,426 |
$8K |
| 74022 |
|
709 |
647 |
$8K |
| 97116 |
|
1,012 |
372 |
$8K |
| 84702 |
|
3,166 |
2,454 |
$8K |
| 93923 |
|
47 |
41 |
$8K |
| 70551 |
|
74 |
60 |
$8K |
| 87205 |
|
1,420 |
1,108 |
$7K |
| J7060 |
5% dextrose/water |
1,383 |
535 |
$7K |
| 85045 |
|
1,421 |
1,008 |
$6K |
| 72125 |
|
2,750 |
2,429 |
$6K |
| 76700 |
|
78 |
68 |
$6K |
| 36902 |
|
1,522 |
1,346 |
$6K |
| 97140 |
|
341 |
159 |
$6K |
| 84439 |
|
6,442 |
5,516 |
$6K |
| 83880 |
|
10,902 |
8,768 |
$6K |
| 77065 |
Tomosynthesis, mammo |
175 |
152 |
$5K |
| 72148 |
|
12 |
12 |
$5K |
| 84153 |
|
631 |
545 |
$5K |
| 59025 |
|
29 |
16 |
$5K |
| 80061 |
|
4,508 |
4,140 |
$4K |
| J1100 |
Dexamethasone sodium phos |
8,670 |
6,809 |
$4K |
| J0696 |
Ceftriaxone sodium injection |
5,812 |
4,398 |
$4K |
| 77063 |
|
426 |
382 |
$4K |
| J0360 |
Hydralazine hcl injection |
1,465 |
1,065 |
$4K |
| 97165 |
|
432 |
347 |
$4K |
| G0500 |
Mod sedat endo service >5yrs |
329 |
257 |
$4K |
| 73620 |
|
75 |
65 |
$4K |
| 87147 |
|
52 |
45 |
$4K |
| 82306 |
|
2,747 |
2,520 |
$4K |
| 85018 |
|
1,090 |
780 |
$4K |
| J7120 |
Ringers lactate infusion |
1,151 |
827 |
$4K |
| 82803 |
|
1,868 |
1,420 |
$3K |
| 83036 |
|
3,749 |
3,330 |
$3K |
| 87186 |
|
4,305 |
3,655 |
$3K |
| 83735 |
|
7,943 |
4,868 |
$3K |
| J2060 |
Lorazepam injection |
2,662 |
1,862 |
$3K |
| A9502 |
Tc99m tetrofosmin |
814 |
723 |
$3K |
| J2270 |
Morphine sulfate injection |
5,226 |
4,082 |
$3K |
| 71101 |
|
50 |
44 |
$3K |
| 97112 |
|
356 |
138 |
$3K |
| J1815 |
Insulin injection |
1,780 |
1,260 |
$3K |
| J2704 |
Inj, propofol, 10 mg |
5,667 |
4,817 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
8,275 |
7,159 |
$3K |
| 94644 |
|
425 |
339 |
$3K |
| J7620 |
Albuterol ipratrop non-comp |
836 |
637 |
$3K |
| 84484 |
|
17,896 |
12,312 |
$3K |
| J1170 |
Hydromorphone injection |
4,178 |
2,765 |
$3K |
| J0690 |
Cefazolin sodium injection |
3,364 |
2,243 |
$3K |
| 93925 |
|
16 |
16 |
$2K |
| C8929 |
Tte w or wo fol wcon,doppler |
522 |
449 |
$2K |
| S0164 |
Injection pantroprazole |
296 |
146 |
$2K |
| 99203 |
|
87 |
79 |
$2K |
| 83690 |
|
12,999 |
10,932 |
$2K |
| 77066 |
Tomosynthesis, mammo |
16 |
13 |
$2K |
| 93296 |
|
40 |
37 |
$2K |
| 73060 |
|
42 |
37 |
$2K |
| 12002 |
|
52 |
51 |
$2K |
| 76817 |
|
839 |
719 |
$2K |
| 82607 |
|
2,445 |
2,197 |
$2K |
| 76770 |
|
45 |
40 |
$2K |
| 76536 |
|
40 |
39 |
$2K |
| C1750 |
Cath, hemodialysis,long-term |
842 |
675 |
$2K |
| 80076 |
|
1,364 |
1,235 |
$2K |
| J3480 |
Inj potassium chloride |
317 |
203 |
$2K |
| 99215 |
Prolong outpt/office vis |
191 |
154 |
$2K |
| 85014 |
|
705 |
495 |
$2K |
| 93225 |
|
12 |
12 |
$2K |
| 43239 |
|
596 |
535 |
$2K |
| 80320 |
|
4,575 |
3,920 |
$2K |
| 70553 |
|
15 |
12 |
$2K |
| J3475 |
Inj magnesium sulfate |
856 |
583 |
$2K |
| 87040 |
|
3,787 |
2,184 |
$2K |
| 80069 |
|
1,159 |
817 |
$2K |
| J3370 |
Vancomycin hcl injection |
5,352 |
3,248 |
$1K |
| 82728 |
|
3,790 |
3,341 |
$1K |
| 73660 |
|
13 |
12 |
$1K |
| G1004 |
Cdsm ndsc |
1,043 |
843 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
8,843 |
7,199 |
$1K |
| 86140 |
|
381 |
299 |
$1K |
| 76937 |
|
369 |
286 |
$1K |
| J2001 |
Lidocaine injection |
898 |
762 |
$1K |
| 90715 |
|
1,168 |
1,083 |
$1K |
| 82570 |
|
951 |
888 |
$1K |
| 69436 |
|
51 |
51 |
$1K |
| C1769 |
Guide wire |
4,972 |
3,748 |
$1K |
| 82248 |
|
582 |
338 |
$1K |
| J2370 |
Phenylephrine hcl injection |
887 |
735 |
$1K |
| 83550 |
|
3,992 |
3,527 |
$1K |
| J2930 |
Methylprednisolone injection |
1,919 |
1,491 |
$1K |
| G0379 |
Direct refer hospital observ |
324 |
280 |
$991.36 |
| 83605 |
|
3,170 |
2,455 |
$991.30 |
| J2765 |
Metoclopramide hcl injection |
1,342 |
1,115 |
$967.04 |
| J0131 |
Inj, acetaminophen (nos) |
1,337 |
1,080 |
$928.92 |
| 83970 |
|
444 |
389 |
$895.48 |
| 97162 |
|
111 |
86 |
$739.11 |
| 73070 |
|
13 |
13 |
$719.38 |
| J2785 |
Regadenoson injection |
875 |
783 |
$673.46 |
| 77080 |
|
13 |
13 |
$673.14 |
| J2920 |
Methylprednisolone injection |
124 |
67 |
$665.84 |
| G8978 |
Mobility current status |
80 |
66 |
$638.88 |
| 72170 |
|
34 |
27 |
$635.89 |
| 82043 |
|
370 |
354 |
$634.21 |
| P9021 |
Red blood cells unit |
341 |
130 |
$633.64 |
| 85652 |
|
397 |
350 |
$584.93 |
| 86592 |
|
205 |
194 |
$577.74 |
| C1887 |
Catheter, guiding |
3,605 |
2,819 |
$574.25 |
| 73552 |
|
26 |
24 |
$567.70 |
| 84550 |
|
849 |
738 |
$567.36 |
| J2550 |
Promethazine hcl injection |
718 |
534 |
$479.57 |
| Q0163 |
Diphenhydramine hcl 50mg |
600 |
299 |
$455.43 |
| J3010 |
Fentanyl citrate injection |
6,859 |
5,589 |
$447.70 |
| 80329 |
|
4,491 |
2,450 |
$443.29 |
| J0171 |
Adrenalin epinephrine inject |
1,348 |
1,050 |
$420.23 |
| 84403 |
|
12 |
12 |
$399.54 |
| G0257 |
Unsched dialysis esrd pt hos |
193 |
98 |
$345.80 |
| 99292 |
|
110 |
96 |
$345.80 |
| 84156 |
|
428 |
382 |
$332.38 |
| J7512 |
Prednisone ir or dr oral 1mg |
514 |
414 |
$325.50 |
| 77001 |
|
664 |
535 |
$321.05 |
| 93985 |
|
147 |
132 |
$273.52 |
| 96523 |
|
13 |
12 |
$264.60 |
| C1788 |
Port, indwelling, imp |
124 |
79 |
$256.52 |
| 82947 |
|
623 |
567 |
$211.00 |
| 86850 |
|
2,074 |
1,606 |
$187.14 |
| 97597 |
|
18 |
12 |
$173.62 |
| 72070 |
|
14 |
14 |
$157.72 |
| 80055 |
|
476 |
427 |
$139.34 |
| 82247 |
|
92 |
60 |
$138.36 |
| 72131 |
|
29 |
26 |
$110.79 |
| 83540 |
|
4,007 |
3,541 |
$101.16 |
| 74021 |
|
41 |
38 |
$83.46 |
| 86703 |
|
821 |
737 |
$70.16 |
| 80164 |
|
337 |
284 |
$59.32 |
| 80177 |
|
110 |
93 |
$45.23 |
| 82150 |
|
635 |
583 |
$41.85 |
| 82378 |
|
1,068 |
821 |
$27.83 |
| J1200 |
Diphenhydramine hcl injectio |
3,501 |
2,530 |
$17.82 |
| 82950 |
|
953 |
894 |
$15.70 |
| S0028 |
Injection, famotidine, 20 mg |
144 |
111 |
$15.24 |
| 36600 |
|
1,329 |
1,066 |
$9.66 |
| 82310 |
|
172 |
144 |
$6.24 |
| 87158 |
|
275 |
225 |
$5.38 |
| 86900 |
|
2,562 |
2,026 |
$4.28 |
| J7613 |
Albuterol non-comp unit |
443 |
335 |
$2.54 |
| J1630 |
Haloperidol injection |
502 |
297 |
$0.48 |
| P9016 |
Rbc leukocytes reduced |
86 |
54 |
$0.00 |
| C1874 |
Stent, coated/cov w/del sys |
568 |
487 |
$0.00 |
| J1953 |
Levetiracetam injection |
1,095 |
744 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
3,982 |
3,121 |
$0.00 |
| J1453 |
Fosaprepitant injection |
202 |
121 |
$0.00 |
| 36905 |
|
703 |
564 |
$0.00 |
| 36906 |
|
30 |
28 |
$0.00 |
| C1757 |
Cath, thrombectomy/embolect |
1,421 |
1,058 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
452 |
402 |
$0.00 |
| 82010 |
|
152 |
122 |
$0.00 |
| 88312 |
|
314 |
283 |
$0.00 |
| 51702 |
|
92 |
67 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
405 |
356 |
$0.00 |
| G8979 |
Mobility goal status |
124 |
101 |
$0.00 |
| 75774 |
|
92 |
84 |
$0.00 |
| 86038 |
|
44 |
41 |
$0.00 |
| 36901 |
|
210 |
186 |
$0.00 |
| 81220 |
|
210 |
176 |
$0.00 |
| 85049 |
|
50 |
43 |
$0.00 |
| G0390 |
Trauma respons w/hosp criti |
48 |
41 |
$0.00 |
| 36830 |
|
185 |
169 |
$0.00 |
| 84145 |
|
28 |
17 |
$0.00 |
| 86334 |
|
27 |
24 |
$0.00 |
| J0780 |
Prochlorperazine injection |
179 |
160 |
$0.00 |
| 85007 |
|
301 |
190 |
$0.00 |
| 84165 |
|
40 |
36 |
$0.00 |
| 86431 |
|
15 |
15 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
55 |
42 |
$0.00 |
| 77062 |
|
16 |
13 |
$0.00 |
| 84460 |
|
14 |
13 |
$0.00 |
| 36558 |
|
83 |
68 |
$0.00 |
| 29125 |
|
16 |
13 |
$0.00 |
| 86235 |
|
29 |
15 |
$0.00 |
| 84481 |
|
13 |
13 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral |
19 |
13 |
$0.00 |
| 90714 |
|
13 |
12 |
$0.00 |
| J7614 |
Levalbuterol non-comp unit |
16 |
12 |
$0.00 |
| 36005 |
|
14 |
14 |
$0.00 |
| J1940 |
Furosemide injection |
1,517 |
839 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
1,705 |
1,442 |
$0.00 |
| 83615 |
|
896 |
629 |
$0.00 |
| 85660 |
|
149 |
131 |
$0.00 |
| C1768 |
Graft, vascular |
457 |
368 |
$0.00 |
| 82746 |
|
2,149 |
1,941 |
$0.00 |
| 36430 |
|
408 |
271 |
$0.00 |
| Q9969 |
Non-heu tc-99m add-on/dose |
755 |
661 |
$0.00 |
| 97166 |
|
20 |
13 |
$0.00 |
| 87181 |
|
114 |
97 |
$0.00 |
| J2505 |
Injection, pegfilgrastim 6mg |
127 |
80 |
$0.00 |
| 86905 |
|
160 |
109 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
197 |
170 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
171 |
148 |
$0.00 |
| 82951 |
|
26 |
24 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
61 |
54 |
$0.00 |
| J8540 |
Oral dexamethasone |
80 |
70 |
$0.00 |
| 75710 |
|
45 |
39 |
$0.00 |
| 96415 |
|
457 |
269 |
$0.00 |
| 86300 |
|
76 |
64 |
$0.00 |
| 82553 |
|
338 |
187 |
$0.00 |
| 36832 |
|
79 |
76 |
$0.00 |
| 36581 |
|
29 |
24 |
$0.00 |
| A9500 |
Tc99m sestamibi |
39 |
38 |
$0.00 |
| 84238 |
|
190 |
169 |
$0.00 |
| J2997 |
Alteplase recombinant |
12 |
12 |
$0.00 |
| 93930 |
|
39 |
37 |
$0.00 |
| 36821 |
|
43 |
40 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
21 |
13 |
$0.00 |
| 82784 |
|
74 |
38 |
$0.00 |
| 86301 |
|
15 |
13 |
$0.00 |
| 86803 |
|
13 |
13 |
$0.00 |
| 86255 |
|
15 |
15 |
$0.00 |