| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
59,292 |
53,818 |
$8.23M |
| 0250 |
|
14,113 |
7,673 |
$1.75M |
| 99284 |
|
7,484 |
7,054 |
$1.19M |
| 74177 |
|
4,378 |
4,285 |
$963K |
| 70450 |
|
6,289 |
6,135 |
$744K |
| 99281 |
|
6,092 |
5,306 |
$582K |
| 0272 |
|
1,522 |
1,473 |
$554K |
| 74176 |
|
3,690 |
3,625 |
$540K |
| 80053 |
|
27,383 |
25,193 |
$528K |
| 71045 |
|
17,195 |
16,568 |
$505K |
| A9150 |
Misc/exper non-prescript dru |
4,275 |
2,617 |
$429K |
| 99283 |
|
7,829 |
7,376 |
$423K |
| 36415 |
|
21,501 |
18,854 |
$420K |
| 99285 |
|
2,534 |
2,456 |
$405K |
| 96374 |
|
13,400 |
12,598 |
$355K |
| 0949 |
|
10,623 |
5,567 |
$337K |
| 0241U |
|
3,509 |
3,396 |
$333K |
| 0360 |
|
3,248 |
3,027 |
$330K |
| 93005 |
|
21,072 |
19,826 |
$320K |
| 0750 |
|
1,201 |
1,126 |
$284K |
| 71046 |
|
5,028 |
4,921 |
$254K |
| 76700 |
|
2,706 |
2,656 |
$248K |
| 88305 |
|
4,344 |
4,117 |
$240K |
| J3490 |
Drugs unclassified injection |
16,091 |
9,891 |
$237K |
| 0710 |
|
4,937 |
4,741 |
$217K |
| 76801 |
|
2,543 |
2,220 |
$206K |
| Z7500 |
|
6,096 |
4,224 |
$204K |
| 59025 |
|
3,277 |
1,287 |
$179K |
| 0301 |
|
1,442 |
1,348 |
$175K |
| 96375 |
|
8,342 |
7,736 |
$174K |
| 85025 |
|
31,949 |
28,872 |
$173K |
| Z7502 |
|
4,330 |
4,250 |
$163K |
| Z9725 |
|
3,715 |
3,657 |
$160K |
| 97110 |
|
9,960 |
2,582 |
$158K |
| 96372 |
|
7,411 |
6,964 |
$158K |
| 81025 |
|
8,289 |
7,917 |
$158K |
| 99282 |
|
3,514 |
3,319 |
$144K |
| 82962 |
|
4,874 |
3,334 |
$143K |
| 99199 |
|
12,420 |
8,959 |
$122K |
| 73564 |
|
1,316 |
1,280 |
$122K |
| 72125 |
|
1,026 |
1,005 |
$119K |
| 73610 |
|
1,460 |
1,417 |
$119K |
| U0002 |
Covid-19 lab test non-cdc |
2,303 |
2,181 |
$117K |
| 0762 |
|
963 |
553 |
$112K |
| 76856 |
|
1,683 |
1,650 |
$112K |
| 72100 |
|
1,178 |
1,163 |
$110K |
| G0480 |
Drug test def 1-7 classes |
2,002 |
1,846 |
$99K |
| 80307 |
|
2,248 |
2,153 |
$99K |
| 76830 |
|
1,239 |
1,220 |
$99K |
| 76805 |
|
1,393 |
1,308 |
$98K |
| 11043 |
|
1,481 |
498 |
$98K |
| 0760 |
|
11,987 |
8,491 |
$97K |
| 84484 |
|
13,181 |
12,070 |
$90K |
| 73030 |
|
1,370 |
1,342 |
$89K |
| 0214 |
|
250 |
244 |
$88K |
| 83880 |
|
7,310 |
7,007 |
$86K |
| A4217 |
Sterile water/saline, 500 ml |
794 |
638 |
$85K |
| 93458 |
|
77 |
64 |
$84K |
| 11044 |
|
309 |
98 |
$84K |
| 81001 |
|
16,773 |
15,961 |
$78K |
| 76817 |
|
1,646 |
1,469 |
$77K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,656 |
4,467 |
$73K |
| 93971 |
|
927 |
900 |
$72K |
| 96361 |
|
2,597 |
2,478 |
$70K |
| G0463 |
Hospital outpt clinic visit |
2,892 |
2,131 |
$69K |
| 73630 |
|
1,508 |
1,476 |
$68K |
| J2704 |
Inj, propofol, 10 mg |
3,331 |
3,186 |
$65K |
| 0121 |
|
159 |
156 |
$65K |
| 71275 |
|
410 |
399 |
$64K |
| 80048 |
|
5,218 |
4,791 |
$62K |
| 73130 |
|
1,140 |
1,117 |
$61K |
| 0510 |
|
10,110 |
7,019 |
$59K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,350 |
1,272 |
$58K |
| 70496 |
|
302 |
296 |
$57K |
| 94640 |
|
2,945 |
2,520 |
$56K |
| 99221 |
|
2,730 |
2,352 |
$56K |
| 46600 |
|
2,337 |
2,113 |
$54K |
| 45380 |
|
675 |
658 |
$54K |
| 97140 |
|
7,151 |
2,032 |
$53K |
| 83690 |
|
10,758 |
10,259 |
$52K |
| J7030 |
Normal saline solution infus |
10,036 |
9,311 |
$48K |
| 87086 |
|
4,622 |
4,469 |
$47K |
| 71250 |
|
430 |
426 |
$46K |
| 72131 |
|
361 |
358 |
$46K |
| 93306 |
|
356 |
345 |
$41K |
| 93798 |
|
1,239 |
211 |
$41K |
| 43239 |
|
749 |
707 |
$38K |
| 85730 |
|
8,452 |
8,097 |
$36K |
| 90715 |
|
1,599 |
1,555 |
$35K |
| Z6500 |
|
177 |
177 |
$34K |
| 85610 |
|
10,110 |
9,658 |
$33K |
| 73110 |
|
719 |
702 |
$33K |
| Z6410 |
|
2,483 |
1,722 |
$33K |
| 0720 |
|
1,375 |
1,112 |
$32K |
| 45378 |
|
389 |
349 |
$32K |
| 70498 |
|
328 |
320 |
$29K |
| 0270 |
|
10,850 |
5,969 |
$29K |
| J0696 |
Ceftriaxone sodium injection |
2,269 |
2,027 |
$28K |
| 87040 |
|
1,661 |
1,452 |
$27K |
| 96365 |
|
914 |
888 |
$26K |
| 99153 |
Mod sedat endo service >5yrs |
550 |
514 |
$26K |
| J1885 |
Ketorolac tromethamine inj |
8,784 |
8,345 |
$24K |
| 97162 |
|
712 |
694 |
$24K |
| J1644 |
Inj heparin sodium per 1000u |
1,488 |
1,009 |
$23K |
| 93970 |
|
226 |
223 |
$23K |
| 73562 |
|
312 |
310 |
$22K |
| 70486 |
|
207 |
202 |
$22K |
| 0370 |
|
1,240 |
1,220 |
$21K |
| 87426 |
|
467 |
452 |
$20K |
| J2405 |
Ondansetron hcl injection |
8,082 |
7,502 |
$20K |
| 87502 |
|
440 |
425 |
$20K |
| J1815 |
Insulin injection |
448 |
292 |
$17K |
| 96360 |
|
711 |
693 |
$17K |
| 72040 |
|
307 |
306 |
$17K |
| 71101 |
|
84 |
84 |
$15K |
| 76815 |
|
232 |
206 |
$15K |
| 83605 |
|
2,709 |
2,533 |
$14K |
| S9445 |
Pt education noc individ |
9,973 |
6,240 |
$14K |
| 86850 |
|
1,036 |
986 |
$14K |
| 0761 |
|
906 |
722 |
$13K |
| J2270 |
Morphine sulfate injection |
4,622 |
4,021 |
$13K |
| 81003 |
|
3,437 |
3,329 |
$13K |
| 0420 |
|
1,165 |
466 |
$13K |
| 99212 |
|
136 |
130 |
$12K |
| 97803 |
|
2,543 |
2,295 |
$12K |
| 99401 |
|
2,599 |
2,235 |
$12K |
| 0160 |
|
444 |
213 |
$11K |
| H1002 |
Carecoordination prenatal |
503 |
496 |
$11K |
| 87186 |
|
631 |
601 |
$11K |
| 87804 |
|
1,477 |
1,445 |
$11K |
| A9270 |
Non-covered item or service |
3,540 |
1,669 |
$11K |
| 87635 |
|
245 |
232 |
$10K |
| 70551 |
|
54 |
51 |
$10K |
| 83735 |
|
2,255 |
2,015 |
$10K |
| J1100 |
Dexamethasone sodium phos |
3,034 |
2,938 |
$10K |
| Z6400 |
|
443 |
441 |
$10K |
| J0690 |
Cefazolin sodium injection |
1,606 |
1,339 |
$10K |
| 36821 |
|
14 |
13 |
$10K |
| 99152 |
|
470 |
448 |
$9K |
| G0500 |
Mod sedat endo service >5yrs |
284 |
267 |
$9K |
| 74018 |
|
232 |
224 |
$9K |
| 87077 |
|
1,679 |
1,584 |
$9K |
| 73140 |
|
255 |
250 |
$8K |
| 84443 |
|
934 |
904 |
$8K |
| G0283 |
Elec stim other than wound |
3,113 |
835 |
$8K |
| A4649 |
Surgical supplies |
441 |
272 |
$8K |
| 93976 |
|
40 |
39 |
$8K |
| 80076 |
|
519 |
485 |
$8K |
| 84702 |
|
1,817 |
1,626 |
$7K |
| 82805 |
|
214 |
197 |
$7K |
| J7120 |
Ringers lactate infusion |
1,635 |
1,486 |
$7K |
| 73502 |
|
152 |
149 |
$7K |
| 76705 |
|
164 |
161 |
$7K |
| 76536 |
|
24 |
24 |
$6K |
| H1003 |
Prenatal at risk education |
4,664 |
3,683 |
$6K |
| 87637 |
|
45 |
45 |
$6K |
| H1001 |
Antepartum management |
912 |
833 |
$6K |
| 86900 |
|
2,220 |
2,100 |
$6K |
| 87430 |
|
615 |
608 |
$6K |
| 87491 |
|
192 |
187 |
$6K |
| Z1034 |
|
82 |
77 |
$6K |
| 87591 |
|
197 |
192 |
$6K |
| 0278 |
|
105 |
105 |
$6K |
| 76376 |
|
174 |
171 |
$5K |
| G0378 |
Hospital observation per hr |
311 |
231 |
$5K |
| 90471 |
|
1,751 |
1,677 |
$5K |
| 51741 |
|
436 |
374 |
$5K |
| 86901 |
|
2,224 |
2,103 |
$5K |
| S3620 |
Newborn metabolic screening |
30 |
15 |
$5K |
| 73080 |
|
117 |
114 |
$5K |
| 97116 |
|
1,692 |
628 |
$5K |
| 87081 |
|
319 |
304 |
$4K |
| 84703 |
|
998 |
975 |
$4K |
| 45385 |
|
60 |
51 |
$4K |
| 71260 |
|
30 |
30 |
$4K |
| 96376 |
|
436 |
371 |
$4K |
| 11042 |
|
202 |
100 |
$4K |
| 97802 |
|
297 |
249 |
$4K |
| J7040 |
Normal saline solution infus |
1,343 |
1,257 |
$4K |
| 85379 |
|
693 |
677 |
$4K |
| J2060 |
Lorazepam injection |
2,139 |
1,973 |
$4K |
| 0514 |
|
1,030 |
455 |
$4K |
| J2765 |
Metoclopramide hcl injection |
1,887 |
1,774 |
$4K |
| 80047 |
|
146 |
143 |
$3K |
| J3010 |
Fentanyl citrate injection |
2,715 |
2,508 |
$3K |
| 82553 |
|
350 |
334 |
$3K |
| 96156 |
|
1,884 |
1,854 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
2,308 |
2,123 |
$3K |
| 87428 |
|
18 |
18 |
$3K |
| 85027 |
|
732 |
690 |
$3K |
| 80061 |
|
605 |
556 |
$3K |
| 76770 |
|
37 |
37 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
1,307 |
1,216 |
$3K |
| 82550 |
|
603 |
592 |
$3K |
| J1170 |
Hydromorphone injection |
1,675 |
1,425 |
$3K |
| 99000 |
|
3,672 |
3,363 |
$3K |
| 10060 |
|
62 |
56 |
$2K |
| 87073 |
|
226 |
193 |
$2K |
| J0131 |
Inj, acetaminophen (nos) |
306 |
298 |
$2K |
| 87070 |
|
227 |
209 |
$2K |
| 72082 |
|
26 |
26 |
$2K |
| C1894 |
Intro/sheath, non-laser |
376 |
361 |
$2K |
| 88313 |
|
628 |
605 |
$2K |
| H2000 |
Comp multidisipln evaluation |
517 |
509 |
$2K |
| 12001 |
|
89 |
88 |
$2K |
| 97530 |
|
541 |
279 |
$2K |
| 84145 |
|
313 |
293 |
$2K |
| U0005 |
Infec agen detec ampli probe |
666 |
631 |
$2K |
| 73590 |
|
66 |
62 |
$2K |
| 97112 |
|
52 |
29 |
$2K |
| 82150 |
|
318 |
309 |
$2K |
| 99395 |
|
79 |
78 |
$2K |
| 29125 |
|
82 |
79 |
$1K |
| 81002 |
|
843 |
803 |
$1K |
| 0258 |
|
321 |
298 |
$1K |
| 88304 |
|
126 |
121 |
$1K |
| 87205 |
|
508 |
454 |
$1K |
| 76870 |
|
28 |
27 |
$1K |
| J0360 |
Hydralazine hcl injection |
352 |
323 |
$1K |
| Z6304 |
|
83 |
83 |
$1K |
| Z6204 |
|
83 |
83 |
$1K |
| Z6406 |
|
83 |
83 |
$1K |
| 86140 |
|
291 |
278 |
$920.22 |
| 83874 |
|
314 |
298 |
$914.05 |
| 86308 |
|
51 |
51 |
$906.93 |
| 51702 |
|
56 |
56 |
$870.49 |
| 93017 |
|
40 |
38 |
$859.41 |
| 88312 |
|
571 |
559 |
$856.32 |
| H1000 |
Prenatal care atrisk assessm |
54 |
53 |
$793.22 |
| 99211 |
|
13 |
12 |
$791.57 |
| 59425 |
|
163 |
154 |
$779.60 |
| 29130 |
|
16 |
13 |
$774.60 |
| T5999 |
Supply, nos |
171 |
166 |
$757.00 |
| 71010 |
|
48 |
21 |
$694.87 |
| 99386 |
|
44 |
43 |
$683.08 |
| 99396 |
|
96 |
96 |
$630.52 |
| 97750 |
|
31 |
25 |
$615.20 |
| C1769 |
Guide wire |
137 |
129 |
$608.75 |
| 80305 |
|
163 |
152 |
$587.69 |
| 74022 |
|
27 |
26 |
$585.91 |
| Z7610 |
|
78 |
51 |
$535.20 |
| 76813 |
|
12 |
12 |
$531.95 |
| 85007 |
|
179 |
165 |
$471.78 |
| 84100 |
|
312 |
243 |
$469.44 |
| 87147 |
|
136 |
133 |
$457.87 |
| 51701 |
|
14 |
14 |
$438.85 |
| S9452 |
Nutrition class |
387 |
381 |
$404.52 |
| 96151 |
|
375 |
369 |
$363.79 |
| E0562 |
Humidifier heated used w pap |
168 |
168 |
$346.86 |
| 73090 |
|
12 |
12 |
$346.84 |
| 87807 |
|
42 |
38 |
$336.13 |
| 83036 |
|
139 |
131 |
$332.42 |
| 84132 |
|
115 |
106 |
$317.61 |
| 99385 |
|
20 |
19 |
$236.54 |
| J2930 |
Methylprednisolone injection |
69 |
63 |
$194.27 |
| J3475 |
Inj magnesium sulfate |
41 |
38 |
$191.37 |
| 85384 |
|
13 |
13 |
$175.84 |
| 0430 |
|
287 |
164 |
$162.53 |
| S0164 |
Injection pantroprazole |
61 |
56 |
$134.44 |
| S0028 |
Injection, famotidine, 20 mg |
364 |
357 |
$134.34 |
| 0361 |
|
24 |
24 |
$124.50 |
| 85651 |
|
71 |
68 |
$115.83 |
| 0271 |
|
53 |
53 |
$84.00 |
| 96152 |
|
116 |
114 |
$77.33 |
| 0324 |
|
300 |
292 |
$69.75 |
| G8979 |
Mobility goal status |
140 |
128 |
$69.66 |
| 59430 |
|
18 |
15 |
$48.38 |
| 36600 |
|
13 |
12 |
$44.15 |
| 89055 |
|
12 |
12 |
$38.48 |
| J1940 |
Furosemide injection |
26 |
24 |
$35.80 |
| J7060 |
5% dextrose/water |
40 |
37 |
$33.11 |
| 97035 |
|
27 |
12 |
$26.25 |
| J1920 |
Inj, labetalol hcl, 5mg |
27 |
25 |
$22.89 |
| 85014 |
|
13 |
13 |
$16.40 |
| 85018 |
|
13 |
13 |
$16.19 |
| 99070 |
|
70 |
57 |
$13.95 |
| 0305 |
|
782 |
728 |
$10.96 |
| 0636 |
|
183 |
167 |
$7.09 |
| 0730 |
|
477 |
464 |
$0.00 |
| 0300 |
|
906 |
819 |
$0.00 |
| G8978 |
Mobility current status |
112 |
102 |
$0.00 |
| 0402 |
|
37 |
36 |
$0.00 |
| E0601 |
Cont airway pressure device |
93 |
93 |
$0.00 |
| 0302 |
|
139 |
126 |
$0.00 |
| 0489 |
|
70 |
70 |
$0.00 |
| T4541 |
Large disposable underpad |
272 |
272 |
$0.00 |
| C1887 |
Catheter, guiding |
13 |
12 |
$0.00 |
| 0320 |
|
15 |
15 |
$0.00 |
| 0637 |
|
19 |
17 |
$0.00 |
| 0307 |
|
262 |
256 |
$0.00 |
| 0306 |
|
575 |
538 |
$0.00 |
| 0352 |
|
73 |
73 |
$0.00 |
| T4535 |
Disposable liner/shield/pad |
190 |
185 |
$0.00 |
| 0310 |
|
121 |
117 |
$0.00 |
| 88307 |
|
13 |
12 |
$0.00 |