| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80047 |
|
33,361 |
28,175 |
$995K |
| 70450 |
|
8,353 |
7,434 |
$720K |
| 0241U |
|
6,610 |
6,045 |
$688K |
| 74177 |
|
5,235 |
4,701 |
$654K |
| 11042 |
|
4,591 |
2,087 |
$606K |
| 72148 |
|
2,141 |
1,779 |
$444K |
| 93306 |
|
4,406 |
3,769 |
$432K |
| 71275 |
|
2,073 |
1,889 |
$379K |
| 85025 |
|
46,888 |
37,973 |
$333K |
| 80048 |
|
13,217 |
10,567 |
$315K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,719 |
2,411 |
$287K |
| 93005 |
|
27,463 |
22,488 |
$272K |
| 36415 |
|
53,309 |
44,379 |
$267K |
| 97110 |
|
8,418 |
3,124 |
$260K |
| 96365 |
|
6,070 |
5,283 |
$256K |
| 80307 |
|
4,288 |
3,748 |
$238K |
| 74176 |
|
3,555 |
3,212 |
$230K |
| 72125 |
|
1,895 |
1,716 |
$210K |
| 71046 |
|
14,285 |
12,519 |
$209K |
| 93975 |
|
2,720 |
2,414 |
$196K |
| J2785 |
Regadenoson injection |
1,319 |
1,087 |
$181K |
| 87631 |
|
2,158 |
1,978 |
$162K |
| 87637 |
|
1,981 |
1,668 |
$157K |
| 78452 |
|
1,632 |
1,343 |
$156K |
| 87651 |
|
3,031 |
2,808 |
$137K |
| 80076 |
|
12,762 |
11,140 |
$133K |
| T1015 |
Clinic service |
11,436 |
9,236 |
$128K |
| 70551 |
|
592 |
502 |
$122K |
| 84703 |
|
13,026 |
11,465 |
$119K |
| 80051 |
|
6,059 |
5,357 |
$108K |
| 77067 |
|
2,200 |
2,108 |
$108K |
| 96374 |
|
12,635 |
11,149 |
$106K |
| 86901 |
|
4,793 |
4,062 |
$104K |
| 83880 |
|
4,786 |
4,052 |
$104K |
| 84484 |
|
14,292 |
10,726 |
$100K |
| 70553 |
|
367 |
306 |
$100K |
| 97530 |
|
3,714 |
1,545 |
$94K |
| 72141 |
|
506 |
397 |
$91K |
| G0463 |
Hospital outpt clinic visit |
5,238 |
4,235 |
$83K |
| 96372 |
|
10,433 |
8,603 |
$82K |
| 96361 |
|
6,951 |
5,403 |
$79K |
| 71260 |
|
680 |
603 |
$78K |
| 82550 |
|
13,889 |
10,887 |
$73K |
| 73560 |
|
2,488 |
2,158 |
$69K |
| 87633 |
|
337 |
315 |
$69K |
| U0003 |
Cov-19 amp prb hgh thruput |
925 |
857 |
$62K |
| 97161 |
|
1,119 |
1,004 |
$61K |
| 82962 |
|
7,929 |
4,108 |
$60K |
| 83690 |
|
9,379 |
8,238 |
$60K |
| 70486 |
|
516 |
461 |
$60K |
| 84132 |
|
2,569 |
2,255 |
$59K |
| 71250 |
|
729 |
661 |
$57K |
| 87591 |
|
1,314 |
1,222 |
$55K |
| 87491 |
|
1,314 |
1,222 |
$55K |
| 74022 |
|
2,867 |
2,542 |
$55K |
| 72100 |
|
2,281 |
2,036 |
$53K |
| 81001 |
|
16,968 |
14,826 |
$51K |
| 85027 |
|
7,697 |
6,338 |
$51K |
| 36430 |
|
636 |
477 |
$51K |
| 86900 |
|
4,794 |
4,062 |
$49K |
| 87070 |
|
1,915 |
1,565 |
$48K |
| 93971 |
|
1,292 |
1,141 |
$47K |
| 76801 |
|
1,398 |
1,240 |
$47K |
| 80306 |
|
3,025 |
2,538 |
$47K |
| 87040 |
|
4,135 |
2,659 |
$46K |
| 76000 |
|
972 |
883 |
$46K |
| 81025 |
|
5,479 |
4,956 |
$46K |
| 82947 |
|
10,206 |
7,374 |
$45K |
| 96376 |
|
4,827 |
3,232 |
$44K |
| 71045 |
|
6,397 |
5,419 |
$43K |
| 83735 |
|
7,870 |
6,499 |
$42K |
| U0002 |
Covid-19 lab test non-cdc |
1,179 |
947 |
$42K |
| 83605 |
|
4,522 |
3,437 |
$42K |
| 73630 |
|
1,607 |
1,423 |
$41K |
| 96375 |
|
9,075 |
7,577 |
$41K |
| 82077 |
|
2,698 |
2,316 |
$40K |
| 73030 |
|
1,839 |
1,635 |
$39K |
| 84145 |
|
2,487 |
2,155 |
$38K |
| 82565 |
|
7,658 |
6,730 |
$36K |
| A9500 |
Tc99m sestamibi |
1,529 |
1,305 |
$36K |
| 73130 |
|
1,426 |
1,252 |
$34K |
| C9803 |
Hopd covid-19 spec collect |
9,122 |
8,147 |
$34K |
| 85379 |
|
3,918 |
3,518 |
$34K |
| J2405 |
Ondansetron hcl injection |
17,194 |
14,239 |
$33K |
| 76705 |
|
2,069 |
1,838 |
$32K |
| 90715 |
|
1,831 |
1,672 |
$30K |
| 87088 |
|
4,236 |
3,776 |
$30K |
| 80053 |
|
2,157 |
1,703 |
$30K |
| 81003 |
|
14,972 |
13,219 |
$30K |
| 82803 |
|
1,894 |
1,594 |
$30K |
| J0696 |
Ceftriaxone sodium injection |
7,226 |
5,864 |
$29K |
| 80143 |
|
1,615 |
1,419 |
$28K |
| J1650 |
Inj enoxaparin sodium |
2,250 |
1,413 |
$28K |
| 80179 |
|
1,593 |
1,402 |
$28K |
| 84702 |
|
2,843 |
2,400 |
$28K |
| 73721 |
|
140 |
103 |
$27K |
| 85014 |
|
3,203 |
2,575 |
$27K |
| 72040 |
|
1,119 |
1,013 |
$26K |
| 82150 |
|
4,158 |
3,743 |
$25K |
| 80320 |
|
1,979 |
1,598 |
$25K |
| 73502 |
|
1,187 |
1,047 |
$25K |
| 87077 |
|
2,804 |
2,424 |
$24K |
| 96366 |
|
2,065 |
1,358 |
$23K |
| 73610 |
|
1,236 |
1,109 |
$23K |
| 97165 |
|
449 |
402 |
$23K |
| 85610 |
|
6,632 |
5,680 |
$23K |
| 99283 |
|
3,009 |
2,664 |
$22K |
| 93017 |
|
1,731 |
1,428 |
$21K |
| 77066 |
Tomosynthesis, mammo |
340 |
302 |
$21K |
| 84520 |
|
6,230 |
5,509 |
$20K |
| J1100 |
Dexamethasone sodium phos |
5,983 |
5,234 |
$20K |
| 82375 |
|
1,970 |
1,675 |
$19K |
| 76817 |
|
410 |
366 |
$18K |
| 99284 |
|
4,744 |
4,237 |
$18K |
| 74018 |
|
1,010 |
865 |
$18K |
| 76642 |
|
634 |
576 |
$17K |
| 85730 |
|
3,752 |
3,284 |
$17K |
| 93458 |
|
252 |
220 |
$17K |
| 87426 |
|
489 |
439 |
$16K |
| 80050 |
|
516 |
434 |
$16K |
| 84443 |
|
1,589 |
1,340 |
$16K |
| 12001 |
|
85 |
77 |
$16K |
| 80061 |
|
1,230 |
1,026 |
$16K |
| 94640 |
|
4,264 |
3,534 |
$16K |
| 96360 |
|
2,250 |
1,935 |
$14K |
| 97162 |
|
279 |
244 |
$14K |
| 87486 |
|
340 |
318 |
$14K |
| 87581 |
|
339 |
317 |
$14K |
| 71020 |
|
1,158 |
1,064 |
$14K |
| J1885 |
Ketorolac tromethamine inj |
10,781 |
9,153 |
$13K |
| 86850 |
|
3,500 |
2,915 |
$13K |
| 97001 |
|
546 |
450 |
$13K |
| 76700 |
|
360 |
300 |
$13K |
| 77063 |
|
951 |
913 |
$13K |
| 87086 |
|
1,711 |
1,551 |
$13K |
| 76830 |
|
306 |
256 |
$13K |
| 10060 |
|
70 |
67 |
$13K |
| 85018 |
|
3,274 |
2,612 |
$13K |
| 80329 |
|
1,022 |
814 |
$13K |
| 83036 |
|
1,906 |
1,630 |
$13K |
| 87186 |
|
2,278 |
1,964 |
$12K |
| 76856 |
|
1,175 |
1,026 |
$12K |
| 85055 |
|
791 |
642 |
$12K |
| G0480 |
Drug test def 1-7 classes |
314 |
285 |
$10K |
| 87210 |
|
1,836 |
1,684 |
$10K |
| 87804 |
|
556 |
470 |
$9K |
| 82010 |
|
1,333 |
1,130 |
$9K |
| 73110 |
|
446 |
392 |
$9K |
| 90471 |
|
1,945 |
1,763 |
$9K |
| 88305 |
|
198 |
180 |
$8K |
| 70496 |
|
55 |
46 |
$7K |
| 70498 |
|
55 |
45 |
$7K |
| 76775 |
|
473 |
420 |
$7K |
| 82805 |
|
304 |
245 |
$7K |
| M0243 |
Casirivi and imdevi inj |
34 |
31 |
$7K |
| 85007 |
|
2,421 |
2,072 |
$7K |
| 80069 |
|
907 |
568 |
$7K |
| 95811 |
|
75 |
65 |
$6K |
| 82247 |
|
834 |
639 |
$6K |
| 87205 |
|
2,065 |
1,690 |
$6K |
| 94760 |
|
444 |
416 |
$6K |
| 87880 |
|
468 |
446 |
$5K |
| 86923 |
|
369 |
302 |
$5K |
| J0690 |
Cefazolin sodium injection |
5,595 |
4,338 |
$5K |
| 87075 |
|
1,062 |
846 |
$5K |
| 72131 |
|
60 |
51 |
$5K |
| A6213 |
Foam drg >16<=48 sq in w/bdr |
642 |
338 |
$5K |
| J1815 |
Insulin injection |
4,421 |
2,484 |
$4K |
| 51701 |
|
66 |
55 |
$4K |
| C1769 |
Guide wire |
145 |
133 |
$4K |
| 76536 |
|
80 |
73 |
$3K |
| 0353U |
|
531 |
486 |
$3K |
| 93296 |
|
280 |
263 |
$3K |
| J3010 |
Fentanyl citrate injection |
10,339 |
8,403 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
5,808 |
4,661 |
$3K |
| 99285 |
|
196 |
192 |
$3K |
| 97597 |
|
167 |
120 |
$3K |
| 93880 |
|
113 |
105 |
$3K |
| 82607 |
|
320 |
288 |
$3K |
| 99152 |
|
1,317 |
1,146 |
$3K |
| 82746 |
|
238 |
212 |
$2K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
325 |
299 |
$2K |
| 87502 |
|
43 |
41 |
$2K |
| G0382 |
Lev 3 hosp type b ed visit |
199 |
187 |
$2K |
| J2001 |
Lidocaine injection |
3,074 |
2,594 |
$2K |
| 72070 |
|
155 |
139 |
$2K |
| 76815 |
|
137 |
123 |
$2K |
| 73070 |
|
137 |
120 |
$2K |
| A9577 |
Inj multihance |
34 |
33 |
$2K |
| 73590 |
|
93 |
76 |
$2K |
| J2930 |
Methylprednisolone injection |
2,116 |
1,606 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
6,026 |
5,358 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
3,867 |
2,252 |
$2K |
| 93976 |
|
45 |
40 |
$2K |
| 86140 |
|
363 |
309 |
$2K |
| C1894 |
Intro/sheath, non-laser |
67 |
62 |
$2K |
| 77062 |
|
28 |
28 |
$2K |
| A9270 |
Non-covered item or service |
14,044 |
3,094 |
$2K |
| 71271 |
|
26 |
26 |
$2K |
| A9541 |
Tc99m sulfur colloid |
42 |
36 |
$2K |
| J2270 |
Morphine sulfate injection |
6,721 |
5,264 |
$2K |
| 71010 |
|
260 |
242 |
$1K |
| 80349 |
|
86 |
73 |
$1K |
| J2550 |
Promethazine hcl injection |
1,940 |
1,651 |
$1K |
| J1170 |
Hydromorphone injection |
4,337 |
3,544 |
$1K |
| 82728 |
|
102 |
92 |
$1K |
| 95810 |
|
17 |
12 |
$1K |
| J2060 |
Lorazepam injection |
1,250 |
1,009 |
$1K |
| A6197 |
Alginate drsg >16 <=48 sq in |
229 |
140 |
$1K |
| 93970 |
|
44 |
41 |
$1K |
| G0378 |
Hospital observation per hr |
1,316 |
1,158 |
$1K |
| 82330 |
|
67 |
59 |
$1K |
| 73090 |
|
57 |
50 |
$1K |
| 80324 |
|
55 |
44 |
$1K |
| P9016 |
Rbc leukocytes reduced |
542 |
419 |
$1K |
| 0225U |
|
175 |
164 |
$990.83 |
| 82800 |
|
92 |
88 |
$967.94 |
| J0561 |
Penicillin g benzathine inj |
14 |
13 |
$910.13 |
| J1200 |
Diphenhydramine hcl injectio |
2,539 |
2,097 |
$898.01 |
| 82248 |
|
184 |
163 |
$893.84 |
| 97003 |
|
29 |
24 |
$889.92 |
| J1953 |
Levetiracetam injection |
40 |
26 |
$817.40 |
| 74000 |
|
60 |
47 |
$791.11 |
| 78264 |
|
28 |
24 |
$790.35 |
| 85652 |
|
302 |
270 |
$687.76 |
| J7030 |
Normal saline solution infus |
7,780 |
6,213 |
$663.59 |
| J3370 |
Vancomycin hcl injection |
387 |
292 |
$657.60 |
| 80346 |
|
28 |
26 |
$601.20 |
| 99282 |
|
12 |
12 |
$589.27 |
| 77065 |
Tomosynthesis, mammo |
19 |
15 |
$524.36 |
| 94010 |
|
13 |
13 |
$521.71 |
| 87807 |
|
40 |
39 |
$494.38 |
| 84100 |
|
143 |
103 |
$442.58 |
| 90686 |
|
54 |
48 |
$432.72 |
| A4364 |
Adhesive, liquid or equal |
43 |
38 |
$429.29 |
| J0360 |
Hydralazine hcl injection |
2,550 |
2,066 |
$395.86 |
| 94729 |
|
13 |
12 |
$385.60 |
| 83550 |
|
63 |
55 |
$379.39 |
| 83540 |
|
78 |
69 |
$358.90 |
| 36600 |
|
2,103 |
1,777 |
$336.18 |
| 93283 |
|
13 |
13 |
$313.21 |
| J7120 |
Ringers lactate infusion |
6,986 |
5,288 |
$287.23 |
| J1940 |
Furosemide injection |
1,451 |
1,073 |
$278.10 |
| 29581 |
|
103 |
38 |
$267.01 |
| Q9969 |
Non-heu tc-99m add-on/dose |
167 |
141 |
$256.35 |
| 72080 |
|
12 |
12 |
$251.77 |
| 81015 |
|
315 |
277 |
$249.89 |
| 74019 |
|
15 |
15 |
$242.60 |
| J2370 |
Phenylephrine hcl injection |
1,438 |
1,264 |
$229.09 |
| 72170 |
|
17 |
17 |
$208.84 |
| 87340 |
|
41 |
40 |
$206.50 |
| 73140 |
|
15 |
12 |
$194.42 |
| 84295 |
|
44 |
38 |
$192.36 |
| 87798 |
|
42 |
41 |
$190.00 |
| 82435 |
|
44 |
38 |
$183.68 |
| J2765 |
Metoclopramide hcl injection |
467 |
402 |
$183.14 |
| 93242 |
|
15 |
14 |
$180.21 |
| 82570 |
|
30 |
24 |
$175.63 |
| 86308 |
|
18 |
12 |
$137.26 |
| 97535 |
|
402 |
328 |
$133.94 |
| 84439 |
|
16 |
13 |
$115.92 |
| 0202U |
|
16 |
13 |
$88.50 |
| 83615 |
|
16 |
13 |
$77.67 |
| J2175 |
Meperidine hydrochl /100 mg |
322 |
253 |
$73.79 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
430 |
400 |
$68.85 |
| 83986 |
|
13 |
12 |
$62.82 |
| 84156 |
|
24 |
12 |
$60.95 |
| J7050 |
Normal saline solution infus |
13,364 |
8,606 |
$49.95 |
| J3480 |
Inj potassium chloride |
41 |
24 |
$48.60 |
| J2272 |
Inj, morphine (fresenius) |
188 |
159 |
$41.27 |
| J2305 |
Inj, nitroglycerin, 5 mg |
29 |
26 |
$36.92 |
| J3475 |
Inj magnesium sulfate |
74 |
62 |
$34.68 |
| J0171 |
Adrenalin epinephrine inject |
28 |
25 |
$34.09 |
| J1956 |
Levofloxacin injection |
25 |
19 |
$31.05 |
| J2919 |
Inj, methylpred sod succ 5mg |
170 |
128 |
$27.14 |
| G1004 |
Cdsm ndsc |
1,504 |
1,144 |
$24.81 |
| J0780 |
Prochlorperazine injection |
105 |
92 |
$18.55 |
| J0737 |
Inj, clindamycin (baxter) |
13 |
12 |
$16.31 |
| J7040 |
Normal saline solution infus |
1,851 |
1,561 |
$15.84 |
| J2470 |
Inj pantoprazole sodium 40mg |
111 |
82 |
$15.67 |
| J0736 |
Inj, clindamycin phosp 300mg |
45 |
38 |
$14.59 |
| 97116 |
|
526 |
322 |
$11.47 |
| 87635 |
|
81 |
55 |
$9.75 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
103 |
87 |
$2.38 |
| J0595 |
Butorphanol tartrate 1 mg |
14 |
14 |
$2.11 |
| C9113 |
Inj pantoprazole sodium, via |
1,409 |
900 |
$2.02 |
| J3486 |
Ziprasidone mesylate |
48 |
41 |
$1.29 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
103 |
98 |
$0.60 |
| U0005 |
Infec agen detec ampli probe |
377 |
366 |
$0.52 |
| Q0162 |
Ondansetron oral |
456 |
404 |
$0.32 |
| G8978 |
Mobility current status |
137 |
119 |
$0.19 |
| G8979 |
Mobility goal status |
137 |
119 |
$0.19 |
| 96367 |
|
15 |
14 |
$0.00 |
| 92610 |
|
34 |
26 |
$0.00 |
| J3490 |
Drugs unclassified injection |
381 |
329 |
$0.00 |
| 36416 |
|
122 |
103 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
136 |
126 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
43 |
40 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
58 |
31 |
$0.00 |
| J1805 |
Inj, esmolol hcl, 10mg |
53 |
48 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
36 |
32 |
$0.00 |