| Code | Description | Claims | Beneficiaries | Total Paid |
| 96361 |
|
15,379 |
12,056 |
$4.37M |
| 99284 |
|
28,006 |
23,658 |
$4.22M |
| 99285 |
|
27,336 |
22,819 |
$3.95M |
| 99283 |
|
26,963 |
23,518 |
$3.87M |
| 74177 |
|
6,238 |
5,479 |
$1.35M |
| 70450 |
|
5,843 |
4,999 |
$765K |
| 96365 |
|
7,782 |
6,002 |
$696K |
| 0241U |
|
11,326 |
10,442 |
$629K |
| 99282 |
|
3,963 |
3,600 |
$541K |
| 96360 |
|
4,223 |
3,640 |
$448K |
| 96366 |
|
2,487 |
1,764 |
$390K |
| 74176 |
|
2,294 |
1,956 |
$386K |
| G0378 |
Hospital observation per hr |
2,619 |
2,103 |
$359K |
| 71275 |
|
1,579 |
1,421 |
$331K |
| 59025 |
|
1,499 |
1,043 |
$289K |
| 80307 |
|
6,642 |
5,635 |
$283K |
| 94640 |
|
4,172 |
2,895 |
$245K |
| G0463 |
Hospital outpt clinic visit |
3,599 |
2,787 |
$209K |
| 80053 |
|
36,880 |
29,442 |
$203K |
| 43239 |
|
568 |
493 |
$192K |
| 45385 |
|
393 |
367 |
$191K |
| 76705 |
|
1,932 |
1,745 |
$169K |
| 76856 |
|
1,476 |
1,334 |
$154K |
| 36415 |
|
13,703 |
9,378 |
$151K |
| 71046 |
|
9,213 |
7,949 |
$135K |
| 93971 |
|
1,519 |
1,326 |
$119K |
| 93306 |
|
442 |
400 |
$95K |
| 70496 |
|
422 |
385 |
$88K |
| 77067 |
|
2,062 |
2,020 |
$84K |
| 99214 |
|
647 |
562 |
$84K |
| 99291 |
|
481 |
425 |
$82K |
| 96413 |
|
639 |
348 |
$81K |
| 71250 |
|
1,190 |
1,094 |
$73K |
| 87635 |
|
3,118 |
2,693 |
$69K |
| 85025 |
|
42,071 |
31,584 |
$63K |
| 99281 |
|
611 |
557 |
$61K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,014 |
1,810 |
$54K |
| Q9957 |
Inj perflutren lip micros,ml |
1,635 |
1,129 |
$53K |
| 93010 |
|
13,832 |
11,524 |
$49K |
| 71260 |
|
1,267 |
1,108 |
$43K |
| 72125 |
|
2,039 |
1,803 |
$41K |
| 83880 |
|
5,441 |
4,551 |
$41K |
| 45380 |
|
110 |
99 |
$37K |
| 72148 |
|
181 |
174 |
$37K |
| 77063 |
|
692 |
684 |
$36K |
| 76801 |
|
825 |
675 |
$36K |
| 71271 |
|
334 |
320 |
$35K |
| 80048 |
|
6,938 |
5,422 |
$32K |
| 71045 |
|
13,694 |
11,562 |
$31K |
| 78452 |
|
56 |
50 |
$29K |
| 74018 |
|
1,439 |
1,287 |
$28K |
| 45378 |
|
29 |
26 |
$22K |
| 80329 |
|
2,028 |
1,281 |
$20K |
| 73564 |
|
2,367 |
1,970 |
$20K |
| G0480 |
Drug test def 1-7 classes |
2,650 |
2,196 |
$20K |
| 87040 |
|
3,243 |
2,221 |
$20K |
| 87591 |
|
2,226 |
1,949 |
$20K |
| 90715 |
|
1,179 |
1,091 |
$18K |
| 73610 |
|
1,922 |
1,694 |
$18K |
| 93017 |
|
150 |
130 |
$18K |
| 29125 |
|
128 |
112 |
$17K |
| 76641 |
|
105 |
101 |
$16K |
| 73721 |
|
67 |
65 |
$16K |
| 84484 |
|
17,018 |
12,857 |
$16K |
| 73630 |
|
1,905 |
1,644 |
$14K |
| 99213 |
|
95 |
87 |
$13K |
| 85380 |
|
3,071 |
2,692 |
$13K |
| 93000 |
|
5,808 |
4,694 |
$12K |
| 96375 |
|
14,824 |
11,484 |
$11K |
| 96372 |
|
11,287 |
8,027 |
$11K |
| 73030 |
|
1,595 |
1,369 |
$11K |
| 70498 |
|
379 |
347 |
$11K |
| 81001 |
|
28,156 |
23,070 |
$11K |
| 76700 |
|
66 |
65 |
$10K |
| 93005 |
|
15,239 |
12,259 |
$10K |
| 80320 |
|
2,387 |
2,036 |
$9K |
| 72100 |
|
1,077 |
946 |
$9K |
| 70553 |
|
25 |
25 |
$9K |
| 96374 |
|
18,477 |
15,215 |
$9K |
| 77066 |
Tomosynthesis, mammo |
220 |
209 |
$8K |
| 76770 |
|
104 |
93 |
$8K |
| 76830 |
|
87 |
79 |
$8K |
| 76642 |
|
69 |
67 |
$8K |
| J7040 |
Normal saline solution infus |
16,574 |
10,709 |
$7K |
| 73130 |
|
1,217 |
1,073 |
$7K |
| 86900 |
|
2,148 |
1,821 |
$7K |
| J3490 |
Drugs unclassified injection |
8,029 |
4,352 |
$7K |
| 12001 |
|
29 |
26 |
$6K |
| 80047 |
|
1,020 |
871 |
$6K |
| 87491 |
|
2,274 |
1,956 |
$6K |
| 87086 |
|
7,774 |
6,656 |
$6K |
| 73502 |
|
552 |
476 |
$5K |
| 83605 |
|
7,012 |
5,562 |
$5K |
| 73110 |
|
561 |
503 |
$5K |
| 87081 |
|
5,949 |
5,373 |
$5K |
| 82962 |
|
9,504 |
4,807 |
$4K |
| 96367 |
|
1,837 |
1,181 |
$4K |
| 85027 |
|
8,982 |
7,366 |
$4K |
| 76817 |
|
138 |
98 |
$4K |
| 70551 |
|
28 |
25 |
$4K |
| 82565 |
|
1,197 |
1,076 |
$4K |
| 93970 |
|
28 |
24 |
$3K |
| 80361 |
|
156 |
129 |
$3K |
| 94726 |
|
95 |
94 |
$3K |
| J7030 |
Normal saline solution infus |
6,028 |
4,583 |
$3K |
| 87880 |
|
7,604 |
6,903 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,894 |
7,137 |
$3K |
| 74021 |
|
77 |
75 |
$3K |
| 99070 |
|
1,212 |
955 |
$3K |
| 85610 |
|
7,437 |
6,172 |
$3K |
| 83690 |
|
12,408 |
10,329 |
$3K |
| J2405 |
Ondansetron hcl injection |
12,555 |
9,686 |
$2K |
| 93976 |
|
99 |
93 |
$2K |
| J7120 |
Ringers lactate infusion |
8,819 |
6,316 |
$2K |
| 84443 |
|
5,490 |
4,703 |
$2K |
| J0561 |
Penicillin g benzathine inj |
79 |
77 |
$2K |
| 87804 |
|
4,924 |
4,138 |
$2K |
| 76536 |
|
28 |
27 |
$2K |
| 87811 |
|
299 |
271 |
$2K |
| 80061 |
|
439 |
373 |
$2K |
| 81025 |
|
2,176 |
1,966 |
$2K |
| G0279 |
Tomosynthesis, mammo |
100 |
96 |
$2K |
| 93246 |
|
30 |
27 |
$2K |
| 90471 |
|
1,495 |
1,305 |
$2K |
| Q3014 |
Telehealth facility fee |
434 |
367 |
$2K |
| 73140 |
|
190 |
179 |
$2K |
| 96376 |
|
4,147 |
2,861 |
$2K |
| 83735 |
|
9,236 |
7,178 |
$1K |
| 99215 |
Prolong outpt/office vis |
19 |
17 |
$1K |
| J0881 |
Darbepoetin alfa, non-esrd |
50 |
27 |
$1K |
| 99211 |
|
13 |
12 |
$1K |
| 87186 |
|
2,162 |
1,858 |
$1K |
| 82803 |
|
3,145 |
2,479 |
$1K |
| U0005 |
Infec agen detec ampli probe |
486 |
410 |
$1K |
| 73590 |
|
150 |
135 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
12,450 |
10,356 |
$1K |
| 77065 |
Tomosynthesis, mammo |
42 |
36 |
$1K |
| 72131 |
|
25 |
24 |
$1K |
| 94729 |
|
60 |
59 |
$958.86 |
| 0012A |
|
43 |
43 |
$933.53 |
| 86850 |
|
1,617 |
1,375 |
$899.81 |
| 94664 |
|
513 |
384 |
$880.15 |
| 86901 |
|
2,142 |
1,821 |
$869.90 |
| J3010 |
Fentanyl citrate injection |
5,595 |
4,615 |
$860.09 |
| 96523 |
|
16 |
13 |
$857.94 |
| 90686 |
|
55 |
51 |
$839.89 |
| 87210 |
|
2,113 |
1,839 |
$810.67 |
| 80069 |
|
473 |
298 |
$780.83 |
| 84702 |
|
2,273 |
1,882 |
$776.29 |
| 0011A |
|
42 |
42 |
$729.06 |
| 83036 |
|
772 |
665 |
$658.00 |
| J1170 |
Hydromorphone injection |
3,621 |
2,427 |
$634.21 |
| S0164 |
Injection pantroprazole |
478 |
328 |
$610.52 |
| 85014 |
|
1,228 |
1,039 |
$536.88 |
| 82550 |
|
1,503 |
1,270 |
$455.87 |
| 85730 |
|
2,305 |
1,993 |
$422.71 |
| 36600 |
|
230 |
182 |
$418.64 |
| 73080 |
|
48 |
42 |
$392.66 |
| J2270 |
Morphine sulfate injection |
5,087 |
3,755 |
$366.48 |
| J0696 |
Ceftriaxone sodium injection |
3,322 |
2,599 |
$347.69 |
| 84703 |
|
750 |
676 |
$339.62 |
| 87807 |
|
1,027 |
865 |
$314.61 |
| J1100 |
Dexamethasone sodium phos |
5,654 |
4,476 |
$314.31 |
| 84145 |
|
319 |
295 |
$301.12 |
| 81003 |
|
1,210 |
979 |
$295.71 |
| J2001 |
Lidocaine injection |
3,365 |
2,781 |
$280.21 |
| Q0162 |
Ondansetron oral |
1,521 |
1,233 |
$271.61 |
| J2250 |
Inj midazolam hydrochloride |
3,068 |
2,676 |
$224.64 |
| J0171 |
Adrenalin epinephrine inject |
65 |
55 |
$207.86 |
| J1200 |
Diphenhydramine hcl injectio |
3,129 |
2,565 |
$193.11 |
| 85007 |
|
145 |
123 |
$169.74 |
| 96368 |
|
44 |
39 |
$167.55 |
| J7512 |
Prednisone ir or dr oral 1mg |
2,731 |
2,117 |
$163.14 |
| 72170 |
|
60 |
51 |
$152.46 |
| J2930 |
Methylprednisolone injection |
1,647 |
1,346 |
$150.58 |
| 87147 |
|
1,537 |
1,357 |
$148.93 |
| 70486 |
|
25 |
25 |
$146.98 |
| 84100 |
|
989 |
803 |
$142.51 |
| 51702 |
|
26 |
25 |
$134.28 |
| 87088 |
|
1,120 |
943 |
$119.59 |
| 85651 |
|
706 |
621 |
$112.69 |
| J1815 |
Insulin injection |
1,757 |
569 |
$111.19 |
| 87077 |
|
1,057 |
919 |
$98.62 |
| J1644 |
Inj heparin sodium per 1000u |
1,546 |
573 |
$95.39 |
| J0690 |
Cefazolin sodium injection |
1,276 |
998 |
$93.80 |
| Q0163 |
Diphenhydramine hcl 50mg |
1,340 |
1,010 |
$93.70 |
| J2550 |
Promethazine hcl injection |
1,152 |
882 |
$92.89 |
| G0008 |
Admin influenza virus vac |
16 |
16 |
$90.56 |
| 86140 |
|
440 |
404 |
$85.39 |
| 88305 |
|
182 |
140 |
$83.90 |
| J0780 |
Prochlorperazine injection |
1,020 |
859 |
$79.95 |
| S0020 |
Injection, bupivicaine hydro |
17 |
12 |
$78.89 |
| J2060 |
Lorazepam injection |
797 |
650 |
$78.16 |
| S0028 |
Injection, famotidine, 20 mg |
33 |
27 |
$78.12 |
| 80076 |
|
29 |
27 |
$75.51 |
| J2543 |
Piperacillin/tazobactam |
241 |
160 |
$74.58 |
| A9502 |
Tc99m tetrofosmin |
56 |
50 |
$74.15 |
| J3475 |
Inj magnesium sulfate |
1,228 |
950 |
$73.68 |
| J7050 |
Normal saline solution infus |
945 |
515 |
$65.09 |
| 87661 |
|
25 |
25 |
$63.76 |
| 73090 |
|
31 |
24 |
$61.48 |
| J7613 |
Albuterol non-comp unit |
707 |
578 |
$57.64 |
| 84132 |
|
397 |
329 |
$54.27 |
| J7060 |
5% dextrose/water |
614 |
257 |
$51.06 |
| 82330 |
|
91 |
77 |
$36.72 |
| J7620 |
Albuterol ipratrop non-comp |
295 |
209 |
$36.15 |
| 85018 |
|
93 |
36 |
$35.28 |
| 82947 |
|
147 |
124 |
$33.34 |
| 94760 |
|
1,941 |
1,312 |
$32.34 |
| J2765 |
Metoclopramide hcl injection |
334 |
254 |
$32.07 |
| 87070 |
|
181 |
152 |
$25.89 |
| J7510 |
Prednisolone oral per 5 mg |
41 |
38 |
$22.12 |
| A4216 |
Sterile water/saline, 10 ml |
2,271 |
894 |
$22.02 |
| J1790 |
Droperidol injection |
562 |
482 |
$18.13 |
| C9113 |
Inj pantoprazole sodium, via |
528 |
385 |
$16.63 |
| J1650 |
Inj enoxaparin sodium |
417 |
187 |
$14.99 |
| 85652 |
|
196 |
181 |
$14.97 |
| J0330 |
Succinycholine chloride inj |
151 |
124 |
$14.65 |
| 87205 |
|
172 |
141 |
$12.93 |
| 82728 |
|
26 |
13 |
$12.68 |
| A9585 |
Gadobutrol injection |
514 |
472 |
$12.41 |
| J2704 |
Inj, propofol, 10 mg |
5,050 |
4,392 |
$11.69 |
| 87184 |
|
331 |
261 |
$8.78 |
| 84295 |
|
92 |
78 |
$8.19 |
| J3480 |
Inj potassium chloride |
100 |
64 |
$5.89 |
| 83615 |
|
20 |
15 |
$5.39 |
| J8540 |
Oral dexamethasone |
294 |
264 |
$2.60 |
| J3370 |
Vancomycin hcl injection |
40 |
26 |
$2.60 |
| J0360 |
Hydralazine hcl injection |
16 |
12 |
$2.36 |
| J1630 |
Haloperidol injection |
17 |
14 |
$1.67 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
15 |
14 |
$0.00 |
| J7799 |
Non-inhalation drug for dme |
69 |
48 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
261 |
205 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
31 |
26 |
$0.00 |
| G1011 |
Cdsm qualified nos |
15 |
14 |
$0.00 |
| J1940 |
Furosemide injection |
53 |
37 |
$0.00 |
| P9612 |
Catheterize for urine spec |
34 |
26 |
$0.00 |
| C1889 |
Implant/insert device, noc |
12 |
12 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
15 |
13 |
$0.00 |
| 99292 |
|
12 |
12 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
570 |
455 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
261 |
234 |
$0.00 |
| 80179 |
|
114 |
105 |
$0.00 |
| 84439 |
|
49 |
41 |
$0.00 |
| 80143 |
|
113 |
105 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
151 |
114 |
$0.00 |
| 82272 |
|
16 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
60 |
45 |
$0.00 |
| 84550 |
|
40 |
27 |
$0.00 |
| G1004 |
Cdsm ndsc |
14 |
13 |
$0.00 |