| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
57,030 |
50,256 |
$19.83M |
| 99283 |
|
66,541 |
60,548 |
$19.72M |
| J3490 |
Drugs unclassified injection |
104,493 |
47,217 |
$18.72M |
| 80048 |
|
72,006 |
63,095 |
$9.04M |
| 80053 |
|
36,296 |
33,513 |
$8.99M |
| 99284 |
|
18,315 |
16,998 |
$4.86M |
| 99285 |
|
12,964 |
11,963 |
$3.87M |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
11,686 |
11,279 |
$3.48M |
| 0250 |
|
47,759 |
17,962 |
$2.72M |
| J7030 |
Normal saline solution infus |
14,173 |
12,615 |
$2.64M |
| 70450 |
|
16,338 |
15,596 |
$2.52M |
| 74177 |
|
10,593 |
10,256 |
$2.40M |
| 99499 |
|
18,767 |
14,097 |
$2.03M |
| 87636 |
|
10,959 |
10,756 |
$1.91M |
| 96372 |
|
5,716 |
4,627 |
$1.42M |
| 93005 |
|
52,731 |
47,823 |
$1.36M |
| 71045 |
|
36,630 |
34,597 |
$1.28M |
| 80307 |
|
15,601 |
13,519 |
$1.16M |
| 76815 |
|
9,965 |
3,751 |
$1.08M |
| 74176 |
|
8,073 |
7,856 |
$1.04M |
| 72125 |
|
7,255 |
6,995 |
$1.03M |
| 85025 |
|
80,084 |
72,128 |
$999K |
| 71046 |
|
9,391 |
9,069 |
$928K |
| G0480 |
Drug test def 1-7 classes |
16,367 |
13,820 |
$904K |
| 99282 |
|
3,383 |
3,180 |
$903K |
| 97139 |
|
18,438 |
2,761 |
$870K |
| 81001 |
|
41,847 |
39,434 |
$712K |
| 80076 |
|
31,845 |
29,359 |
$657K |
| 0206 |
|
413 |
395 |
$629K |
| 84703 |
|
25,307 |
23,710 |
$609K |
| 0300 |
|
1,428 |
1,399 |
$607K |
| 96374 |
|
5,734 |
5,292 |
$603K |
| 59025 |
|
10,824 |
4,128 |
$578K |
| 73562 |
|
3,339 |
3,154 |
$511K |
| J7040 |
Normal saline solution infus |
3,309 |
3,138 |
$511K |
| 72131 |
|
3,491 |
3,415 |
$502K |
| 0121 |
|
291 |
282 |
$495K |
| 84702 |
|
6,244 |
5,445 |
$494K |
| 76811 |
|
2,704 |
2,538 |
$488K |
| 76801 |
|
5,202 |
4,529 |
$476K |
| 73610 |
|
2,642 |
2,550 |
$466K |
| 0270 |
|
9,999 |
4,672 |
$465K |
| 84484 |
|
33,980 |
29,944 |
$463K |
| 87086 |
|
15,131 |
14,484 |
$458K |
| 73630 |
|
3,032 |
2,905 |
$449K |
| 73030 |
|
2,444 |
2,385 |
$444K |
| 73130 |
|
2,163 |
2,065 |
$414K |
| 0171 |
Inj, epinephrine (belcher) |
666 |
661 |
$406K |
| 83690 |
|
36,584 |
34,051 |
$405K |
| 87651 |
|
1,983 |
1,960 |
$399K |
| J7120 |
Ringers lactate infusion |
3,340 |
2,903 |
$394K |
| 0762 |
|
895 |
863 |
$393K |
| 76705 |
|
6,039 |
5,838 |
$391K |
| 72128 |
|
2,867 |
2,806 |
$378K |
| 0761 |
|
5,114 |
3,940 |
$369K |
| G0378 |
Hospital observation per hr |
1,324 |
1,261 |
$362K |
| 71260 |
|
2,291 |
2,238 |
$360K |
| 0241U |
|
3,004 |
2,917 |
$353K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,414 |
4,186 |
$352K |
| 76817 |
|
3,936 |
3,413 |
$351K |
| Z7502 |
|
9,984 |
9,541 |
$344K |
| 85027 |
|
30,415 |
27,236 |
$340K |
| 87502 |
|
3,237 |
3,111 |
$338K |
| 71275 |
|
2,120 |
2,076 |
$334K |
| 76816 |
|
2,967 |
2,834 |
$316K |
| 81003 |
|
16,090 |
15,464 |
$312K |
| J1815 |
Insulin injection |
3,090 |
1,671 |
$312K |
| 76856 |
|
4,093 |
3,991 |
$307K |
| 97799 |
|
5,671 |
973 |
$291K |
| 93971 |
|
2,764 |
2,696 |
$261K |
| 87635 |
|
3,237 |
3,102 |
$255K |
| 0350 |
|
365 |
359 |
$250K |
| 87077 |
|
7,311 |
7,054 |
$237K |
| 76830 |
|
3,162 |
3,083 |
$224K |
| 97110 |
|
8,503 |
2,712 |
$218K |
| 96365 |
|
2,274 |
2,023 |
$213K |
| 76819 |
|
1,886 |
1,765 |
$206K |
| 94640 |
|
4,251 |
3,694 |
$203K |
| 70486 |
|
1,261 |
1,235 |
$192K |
| 93306 |
|
1,541 |
1,489 |
$192K |
| 73110 |
|
1,422 |
1,348 |
$187K |
| 93970 |
|
1,468 |
1,434 |
$186K |
| 86901 |
|
8,888 |
8,177 |
$185K |
| 70498 |
|
1,521 |
1,499 |
$184K |
| 84443 |
|
7,966 |
7,582 |
$169K |
| 0760 |
|
1,267 |
688 |
$162K |
| 70496 |
|
1,322 |
1,302 |
$156K |
| 0260 |
|
3,323 |
1,243 |
$155K |
| 99281 |
|
2,803 |
2,627 |
$153K |
| A4216 |
Sterile water/saline, 10 ml |
10,669 |
9,263 |
$151K |
| 73080 |
|
810 |
784 |
$140K |
| 97750 |
|
1,366 |
700 |
$138K |
| 74018 |
|
1,365 |
1,323 |
$134K |
| 76700 |
|
1,501 |
1,485 |
$133K |
| 87040 |
|
4,300 |
4,004 |
$123K |
| 76805 |
|
860 |
831 |
$119K |
| 73502 |
|
1,096 |
1,076 |
$115K |
| 0122 |
|
40 |
39 |
$112K |
| 93976 |
|
667 |
649 |
$112K |
| 72100 |
|
902 |
884 |
$112K |
| 0120 |
|
18 |
18 |
$102K |
| 96375 |
|
4,274 |
3,778 |
$102K |
| 87503 |
|
2,202 |
2,135 |
$102K |
| 97140 |
|
3,596 |
1,298 |
$98K |
| 99291 |
|
343 |
340 |
$94K |
| 73590 |
|
954 |
923 |
$93K |
| 83880 |
|
6,244 |
5,925 |
$92K |
| 82550 |
|
6,892 |
6,243 |
$89K |
| 87880 |
|
891 |
865 |
$85K |
| 96361 |
|
1,706 |
1,384 |
$80K |
| L1830 |
Ko immob canvas long pre ots |
253 |
251 |
$80K |
| 83605 |
|
7,310 |
6,709 |
$79K |
| 87186 |
|
5,166 |
4,984 |
$78K |
| P9016 |
Rbc leukocytes reduced |
512 |
396 |
$77K |
| 83735 |
|
10,065 |
9,008 |
$76K |
| 0410 |
|
427 |
418 |
$76K |
| 74022 |
|
887 |
875 |
$74K |
| 85610 |
|
14,440 |
13,610 |
$71K |
| 87491 |
|
1,646 |
1,624 |
$70K |
| J7050 |
Normal saline solution infus |
2,362 |
1,555 |
$69K |
| J1170 |
Hydromorphone injection |
5,162 |
4,378 |
$64K |
| 0730 |
|
422 |
417 |
$63K |
| J1885 |
Ketorolac tromethamine inj |
14,312 |
13,390 |
$63K |
| 90715 |
|
1,488 |
1,464 |
$62K |
| 85379 |
|
5,616 |
5,456 |
$59K |
| 86308 |
|
418 |
415 |
$59K |
| 71250 |
|
722 |
716 |
$56K |
| 0710 |
|
675 |
659 |
$56K |
| 85730 |
|
7,456 |
7,105 |
$52K |
| 86885 |
|
4,605 |
4,356 |
$52K |
| 76770 |
|
471 |
443 |
$49K |
| C9803 |
Hopd covid-19 spec collect |
882 |
826 |
$48K |
| 73140 |
|
133 |
133 |
$44K |
| J0696 |
Ceftriaxone sodium injection |
5,441 |
4,964 |
$41K |
| 92507 |
|
707 |
274 |
$40K |
| 86140 |
|
4,602 |
4,373 |
$40K |
| 95810 |
|
60 |
60 |
$39K |
| 87070 |
|
867 |
822 |
$39K |
| J2270 |
Morphine sulfate injection |
5,504 |
4,710 |
$38K |
| J2405 |
Ondansetron hcl injection |
10,221 |
9,251 |
$37K |
| 0370 |
|
251 |
235 |
$37K |
| 88305 |
|
983 |
962 |
$36K |
| 0320 |
|
500 |
491 |
$35K |
| 97530 |
|
4,639 |
2,193 |
$34K |
| 0360 |
|
85 |
78 |
$34K |
| 0451 |
|
610 |
580 |
$33K |
| 45380 |
|
138 |
138 |
$33K |
| 94760 |
|
7,575 |
6,042 |
$32K |
| 0420 |
|
338 |
330 |
$32K |
| J1100 |
Dexamethasone sodium phos |
2,874 |
2,755 |
$32K |
| 86900 |
|
4,846 |
4,586 |
$31K |
| 82962 |
|
2,779 |
1,660 |
$31K |
| G0463 |
Hospital outpt clinic visit |
804 |
468 |
$29K |
| 0258 |
|
4,541 |
3,434 |
$28K |
| 82553 |
|
506 |
463 |
$28K |
| Z7610 |
|
3,102 |
1,809 |
$28K |
| 95811 |
|
38 |
38 |
$27K |
| 97014 |
|
224 |
60 |
$26K |
| 76870 |
|
363 |
354 |
$26K |
| 0255 |
|
2,612 |
2,391 |
$26K |
| J2060 |
Lorazepam injection |
3,869 |
3,263 |
$26K |
| 73090 |
|
320 |
305 |
$25K |
| 84100 |
|
3,270 |
2,940 |
$25K |
| 87420 |
|
285 |
268 |
$24K |
| 97116 |
|
2,725 |
1,724 |
$24K |
| 87591 |
|
1,663 |
1,641 |
$21K |
| J2920 |
Methylprednisolone injection |
123 |
100 |
$21K |
| 84145 |
|
1,483 |
1,347 |
$20K |
| 85652 |
|
3,420 |
3,268 |
$20K |
| 82805 |
|
936 |
903 |
$20K |
| 11042 |
|
861 |
372 |
$19K |
| 96376 |
|
1,032 |
801 |
$19K |
| 73560 |
|
187 |
175 |
$19K |
| J1200 |
Diphenhydramine hcl injectio |
3,768 |
3,434 |
$19K |
| 85007 |
|
2,918 |
2,785 |
$18K |
| 99213 |
|
280 |
237 |
$18K |
| 0430 |
|
160 |
159 |
$17K |
| 96360 |
|
265 |
256 |
$16K |
| 97597 |
|
185 |
112 |
$16K |
| 51701 |
|
166 |
159 |
$15K |
| 76813 |
|
126 |
126 |
$15K |
| 87081 |
|
574 |
534 |
$15K |
| 90471 |
|
1,202 |
1,116 |
$14K |
| Z9725 |
|
313 |
309 |
$13K |
| 87210 |
|
451 |
444 |
$13K |
| 71101 |
|
43 |
43 |
$13K |
| 43239 |
|
92 |
92 |
$13K |
| 45378 |
|
39 |
39 |
$13K |
| 87661 |
|
663 |
648 |
$13K |
| 70551 |
|
94 |
93 |
$12K |
| 80061 |
|
2,111 |
2,062 |
$12K |
| 73060 |
|
66 |
65 |
$11K |
| 0489 |
|
47 |
47 |
$10K |
| 0400 |
|
66 |
65 |
$10K |
| 86920 |
|
178 |
148 |
$10K |
| 97161 |
|
738 |
725 |
$10K |
| 97166 |
|
397 |
374 |
$9K |
| 93017 |
|
145 |
143 |
$9K |
| L4350 |
Ankle control ortho pre ots |
24 |
24 |
$9K |
| 82140 |
|
884 |
820 |
$9K |
| 94644 |
|
604 |
446 |
$9K |
| 0272 |
|
2,160 |
1,867 |
$8K |
| 83036 |
|
2,544 |
2,484 |
$8K |
| J1630 |
Haloperidol injection |
1,358 |
1,155 |
$8K |
| J2765 |
Metoclopramide hcl injection |
2,103 |
1,968 |
$7K |
| 82010 |
|
871 |
799 |
$7K |
| 97535 |
|
930 |
677 |
$7K |
| 97162 |
|
457 |
449 |
$6K |
| J2550 |
Promethazine hcl injection |
1,021 |
922 |
$6K |
| J0780 |
Prochlorperazine injection |
600 |
570 |
$6K |
| 93798 |
|
120 |
25 |
$6K |
| 0949 |
|
67 |
65 |
$6K |
| 72110 |
|
26 |
25 |
$6K |
| J1644 |
Inj heparin sodium per 1000u |
1,880 |
896 |
$6K |
| J2930 |
Methylprednisolone injection |
494 |
452 |
$6K |
| 94645 |
|
658 |
444 |
$5K |
| 96366 |
|
74 |
53 |
$5K |
| 85576 |
|
284 |
280 |
$5K |
| J2250 |
Inj midazolam hydrochloride |
660 |
624 |
$5K |
| 84439 |
|
821 |
798 |
$5K |
| J3010 |
Fentanyl citrate injection |
804 |
758 |
$4K |
| 97163 |
|
48 |
26 |
$4K |
| 92526 |
|
194 |
144 |
$4K |
| 82248 |
|
727 |
693 |
$4K |
| 87205 |
|
726 |
679 |
$4K |
| 0301 |
|
82 |
66 |
$4K |
| G0288 |
Recon, cta for surg plan |
78 |
78 |
$4K |
| 82728 |
|
731 |
725 |
$4K |
| 97112 |
|
172 |
92 |
$4K |
| 84550 |
|
526 |
500 |
$3K |
| J0131 |
Inj, acetaminophen (nos) |
283 |
276 |
$3K |
| 0324 |
|
43 |
40 |
$3K |
| 70491 |
|
29 |
29 |
$3K |
| 12001 |
|
39 |
38 |
$3K |
| 80164 |
|
166 |
144 |
$3K |
| 82306 |
|
387 |
386 |
$3K |
| 10060 |
|
28 |
25 |
$3K |
| 71020 |
|
49 |
31 |
$3K |
| 87147 |
|
102 |
97 |
$3K |
| 72050 |
|
12 |
12 |
$3K |
| L3908 |
Who cock-up nonmolde pre ots |
29 |
28 |
$3K |
| 88342 |
|
91 |
91 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
194 |
188 |
$2K |
| 85384 |
|
220 |
206 |
$2K |
| 97165 |
|
134 |
134 |
$2K |
| 87324 |
|
146 |
145 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
50 |
50 |
$2K |
| 83615 |
|
428 |
423 |
$2K |
| 88313 |
|
113 |
113 |
$2K |
| 29125 |
|
30 |
27 |
$2K |
| 86780 |
|
239 |
235 |
$2K |
| A9502 |
Tc99m tetrofosmin |
24 |
24 |
$2K |
| 87801 |
|
68 |
64 |
$2K |
| 82607 |
|
365 |
362 |
$2K |
| 82247 |
|
95 |
76 |
$2K |
| J7512 |
Prednisone ir or dr oral 1mg |
932 |
878 |
$2K |
| 87449 |
|
126 |
125 |
$2K |
| 87177 |
|
112 |
112 |
$2K |
| Z7500 |
|
52 |
49 |
$2K |
| 86141 |
|
72 |
69 |
$2K |
| 71010 |
|
47 |
30 |
$2K |
| J0690 |
Cefazolin sodium injection |
199 |
174 |
$2K |
| 82570 |
|
328 |
300 |
$2K |
| 12002 |
|
12 |
12 |
$2K |
| 82565 |
|
282 |
250 |
$1K |
| J1953 |
Levetiracetam injection |
64 |
60 |
$1K |
| G0283 |
Elec stim other than wound |
107 |
25 |
$1K |
| 92610 |
|
68 |
68 |
$1K |
| J0137 |
Inj, acetaminophen (hikma) |
51 |
49 |
$1K |
| 84450 |
|
261 |
232 |
$1K |
| J1756 |
Iron sucrose injection |
25 |
12 |
$1K |
| 87088 |
|
41 |
41 |
$1K |
| 80047 |
|
48 |
40 |
$1K |
| 87633 |
|
12 |
12 |
$1K |
| 84156 |
|
299 |
268 |
$1K |
| M0239 |
Bamlanivimab-xxxx infusion |
14 |
14 |
$1K |
| 82746 |
|
172 |
171 |
$925.40 |
| 98960 |
|
83 |
80 |
$849.43 |
| U0005 |
Infec agen detec ampli probe |
413 |
396 |
$847.58 |
| 36415 |
|
895 |
824 |
$831.47 |
| 0310 |
|
14 |
14 |
$812.75 |
| 84466 |
|
209 |
208 |
$784.06 |
| 76376 |
|
50 |
50 |
$765.05 |
| 80178 |
|
61 |
54 |
$761.46 |
| 84460 |
|
133 |
120 |
$754.55 |
| M0247 |
Sotrovimab infusion |
12 |
12 |
$742.50 |
| 87075 |
|
84 |
78 |
$718.92 |
| 0100U |
|
22 |
22 |
$672.61 |
| 84132 |
|
273 |
219 |
$672.09 |
| J3475 |
Inj magnesium sulfate |
184 |
169 |
$653.85 |
| 12011 |
|
14 |
14 |
$611.84 |
| 97016 |
|
41 |
13 |
$579.75 |
| 83540 |
|
209 |
208 |
$564.24 |
| 51702 |
|
12 |
12 |
$559.81 |
| J0136 |
Inj, acetaminophen (b braun) |
50 |
50 |
$485.51 |
| 90686 |
|
47 |
47 |
$470.42 |
| J0134 |
Inj acetaminophen -fresenius |
29 |
29 |
$451.00 |
| 87045 |
|
12 |
12 |
$427.82 |
| 90853 |
|
72 |
65 |
$381.26 |
| 84520 |
|
88 |
82 |
$372.78 |
| 0271 |
|
93 |
87 |
$336.15 |
| 87427 |
|
13 |
12 |
$335.85 |
| J1940 |
Furosemide injection |
62 |
44 |
$324.41 |
| 87046 |
|
14 |
12 |
$259.92 |
| 83930 |
|
72 |
69 |
$253.85 |
| S0164 |
Injection pantroprazole |
19 |
13 |
$250.50 |
| 84146 |
|
29 |
29 |
$201.56 |
| 82947 |
|
19 |
15 |
$196.13 |
| J3370 |
Vancomycin hcl injection |
27 |
17 |
$169.89 |
| G8978 |
Mobility current status |
48 |
42 |
$137.72 |
| 84403 |
|
14 |
14 |
$136.55 |
| S0020 |
Injection, bupivicaine hydro |
12 |
12 |
$94.62 |
| J2919 |
Inj, methylpred sod succ 5mg |
88 |
80 |
$81.75 |
| J3480 |
Inj potassium chloride |
85 |
50 |
$77.18 |
| 72170 |
|
13 |
12 |
$66.50 |
| J8540 |
Oral dexamethasone |
30 |
27 |
$40.11 |
| S0028 |
Injection, famotidine, 20 mg |
57 |
40 |
$38.61 |
| Q0163 |
Diphenhydramine hcl 50mg |
12 |
12 |
$15.20 |
| 36430 |
|
19 |
13 |
$0.00 |
| 87340 |
|
14 |
14 |
$0.00 |
| 90832 |
|
14 |
14 |
$0.00 |
| 84112 |
|
12 |
12 |
$0.00 |
| G8979 |
Mobility goal status |
49 |
42 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
26 |
12 |
$0.00 |