| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
38,706 |
35,670 |
$26.89M |
| 99283 |
|
46,240 |
43,837 |
$21.99M |
| 99282 |
|
39,698 |
38,101 |
$10.42M |
| 99285 |
|
13,768 |
12,616 |
$9.14M |
| G0378 |
Hospital observation per hr |
7,617 |
5,485 |
$5.23M |
| 0450 |
|
94,749 |
84,147 |
$4.70M |
| 74177 |
|
13,185 |
12,795 |
$3.93M |
| 71046 |
|
36,750 |
35,569 |
$2.27M |
| 99281 |
|
16,561 |
16,012 |
$2.16M |
| 70450 |
|
17,693 |
16,885 |
$2.01M |
| 88305 |
|
18,797 |
18,468 |
$1.75M |
| 99199 |
|
33,060 |
28,428 |
$1.71M |
| 99291 |
|
1,425 |
1,390 |
$1.50M |
| 74176 |
|
6,960 |
6,799 |
$1.34M |
| 76705 |
|
10,984 |
10,732 |
$1.15M |
| 71045 |
|
25,708 |
23,780 |
$1.12M |
| 71260 |
|
4,979 |
4,856 |
$1.01M |
| 77067 |
|
8,696 |
8,657 |
$977K |
| 87637 |
|
13,374 |
13,043 |
$866K |
| 85025 |
|
133,768 |
110,291 |
$687K |
| 70551 |
|
2,597 |
2,555 |
$656K |
| 76830 |
|
5,752 |
5,598 |
$656K |
| 76856 |
|
5,806 |
5,667 |
$648K |
| 99499 |
|
8,820 |
7,276 |
$644K |
| 72125 |
|
4,536 |
4,439 |
$633K |
| 73630 |
|
8,759 |
7,817 |
$576K |
| 93005 |
|
47,369 |
42,636 |
$575K |
| 73564 |
|
5,058 |
3,924 |
$557K |
| 76815 |
|
4,331 |
4,130 |
$533K |
| 96374 |
|
24,553 |
22,426 |
$504K |
| 72100 |
|
4,642 |
4,606 |
$497K |
| 73610 |
|
6,887 |
6,454 |
$470K |
| 73030 |
|
7,128 |
6,575 |
$460K |
| 73130 |
|
7,071 |
6,066 |
$449K |
| 93971 |
|
3,980 |
3,880 |
$440K |
| 80051 |
|
95,988 |
82,013 |
$429K |
| 87635 |
|
16,442 |
15,684 |
$429K |
| 36415 |
|
126,070 |
99,811 |
$420K |
| 73560 |
|
6,133 |
5,524 |
$359K |
| 78452 |
|
545 |
528 |
$350K |
| 73110 |
|
5,029 |
4,662 |
$323K |
| 0270 |
|
27,178 |
15,480 |
$314K |
| 93970 |
|
1,814 |
1,749 |
$312K |
| J0131 |
Inj, acetaminophen (nos) |
15,654 |
14,537 |
$310K |
| 83880 |
|
19,405 |
17,692 |
$309K |
| 82565 |
|
105,820 |
88,277 |
$309K |
| 86900 |
|
8,958 |
8,290 |
$304K |
| 59025 |
|
1,889 |
1,550 |
$298K |
| 66984 |
|
301 |
218 |
$296K |
| 74018 |
|
4,083 |
3,863 |
$293K |
| 96375 |
|
19,417 |
17,834 |
$287K |
| 70491 |
|
1,387 |
1,299 |
$287K |
| 70486 |
|
1,862 |
1,842 |
$280K |
| 80307 |
|
8,951 |
8,119 |
$278K |
| U0003 |
Cov-19 amp prb hgh thruput |
5,375 |
5,220 |
$272K |
| 71275 |
|
1,189 |
1,177 |
$265K |
| 76817 |
|
2,264 |
2,139 |
$253K |
| 93976 |
|
1,245 |
1,237 |
$245K |
| 87491 |
|
7,693 |
7,366 |
$235K |
| 87591 |
|
7,693 |
7,367 |
$234K |
| G0390 |
Trauma respons w/hosp criti |
246 |
238 |
$234K |
| 70553 |
|
586 |
585 |
$230K |
| 96361 |
|
14,987 |
13,993 |
$227K |
| 82947 |
|
96,392 |
82,064 |
$219K |
| 84520 |
|
96,086 |
81,805 |
$219K |
| 73080 |
|
3,257 |
3,067 |
$214K |
| 72148 |
|
968 |
964 |
$213K |
| 76642 |
|
2,300 |
1,915 |
$210K |
| 73502 |
|
3,244 |
3,141 |
$206K |
| 76770 |
|
1,799 |
1,762 |
$203K |
| 84460 |
|
61,285 |
51,496 |
$198K |
| 96372 |
|
15,852 |
15,036 |
$197K |
| 82247 |
|
61,384 |
51,041 |
$196K |
| 47562 |
|
40 |
39 |
$196K |
| 83690 |
|
46,196 |
42,522 |
$195K |
| 73140 |
|
2,848 |
2,734 |
$192K |
| 96365 |
|
9,238 |
8,611 |
$191K |
| 84450 |
|
58,153 |
49,548 |
$184K |
| 84702 |
|
16,681 |
14,237 |
$181K |
| 73590 |
|
3,140 |
2,832 |
$181K |
| 88142 |
|
9,235 |
9,197 |
$179K |
| 81001 |
|
62,154 |
57,550 |
$171K |
| 77065 |
Tomosynthesis, mammo |
1,375 |
1,259 |
$170K |
| 84075 |
|
53,862 |
46,549 |
$168K |
| 84484 |
|
27,540 |
24,259 |
$159K |
| 77080 |
|
2,321 |
2,300 |
$155K |
| 87651 |
|
6,240 |
6,177 |
$154K |
| 76805 |
|
908 |
907 |
$149K |
| 73090 |
|
2,599 |
2,357 |
$141K |
| 72040 |
|
1,895 |
1,884 |
$139K |
| 87631 |
|
3,101 |
3,061 |
$134K |
| 76870 |
|
1,305 |
1,267 |
$131K |
| 86850 |
|
7,441 |
6,925 |
$130K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
11,140 |
10,807 |
$129K |
| 70544 |
|
677 |
672 |
$128K |
| 74022 |
|
1,336 |
1,289 |
$120K |
| 88307 |
|
701 |
691 |
$119K |
| 76536 |
|
1,037 |
1,030 |
$115K |
| 86901 |
|
8,956 |
8,290 |
$113K |
| 71250 |
|
851 |
844 |
$110K |
| 88304 |
|
2,344 |
2,321 |
$107K |
| 0762 |
|
416 |
253 |
$102K |
| 83735 |
|
29,222 |
22,947 |
$102K |
| 80048 |
|
21,197 |
18,940 |
$99K |
| J7030 |
Normal saline solution infus |
29,771 |
25,133 |
$98K |
| J3490 |
Drugs unclassified injection |
19,116 |
11,547 |
$91K |
| 72170 |
|
1,261 |
1,241 |
$90K |
| 86923 |
|
935 |
819 |
$88K |
| 72070 |
|
799 |
798 |
$86K |
| 94640 |
|
5,845 |
4,629 |
$83K |
| 96360 |
|
3,927 |
3,812 |
$82K |
| 80306 |
|
9,694 |
9,139 |
$81K |
| 72141 |
|
351 |
349 |
$80K |
| 71101 |
|
725 |
719 |
$73K |
| 76857 |
|
655 |
646 |
$71K |
| J1885 |
Ketorolac tromethamine inj |
22,215 |
20,462 |
$68K |
| 73660 |
|
994 |
954 |
$68K |
| 72082 |
|
443 |
441 |
$66K |
| 73552 |
|
1,028 |
955 |
$63K |
| J7120 |
Ringers lactate infusion |
20,246 |
17,261 |
$62K |
| 77066 |
Tomosynthesis, mammo |
376 |
368 |
$61K |
| 73562 |
|
1,224 |
913 |
$60K |
| 73060 |
|
1,124 |
1,072 |
$60K |
| 70547 |
|
349 |
348 |
$58K |
| 73522 |
|
449 |
448 |
$56K |
| 88312 |
|
607 |
597 |
$56K |
| 83605 |
|
9,151 |
8,054 |
$55K |
| 87088 |
|
13,106 |
12,474 |
$54K |
| 81003 |
|
28,950 |
27,711 |
$53K |
| 87040 |
|
6,382 |
6,001 |
$52K |
| 82570 |
|
10,536 |
9,397 |
$51K |
| 82077 |
|
7,393 |
6,827 |
$51K |
| 87636 |
|
1,448 |
1,423 |
$50K |
| 85610 |
|
21,075 |
15,733 |
$50K |
| 96366 |
|
2,169 |
2,068 |
$48K |
| J2405 |
Ondansetron hcl injection |
20,247 |
17,986 |
$48K |
| J2785 |
Regadenoson injection |
726 |
669 |
$46K |
| 85652 |
|
15,301 |
14,763 |
$46K |
| 96376 |
|
4,371 |
3,957 |
$43K |
| 76882 |
|
427 |
371 |
$42K |
| 0160 |
|
759 |
573 |
$41K |
| 84100 |
|
19,193 |
16,422 |
$41K |
| 82248 |
|
9,052 |
7,322 |
$41K |
| 85027 |
|
7,921 |
6,909 |
$39K |
| 0637 |
|
146,757 |
47,563 |
$39K |
| Z7502 |
|
2,135 |
1,987 |
$39K |
| 90715 |
|
1,099 |
1,083 |
$35K |
| 93306 |
|
549 |
546 |
$35K |
| 84156 |
|
10,337 |
9,190 |
$34K |
| 82962 |
|
16,568 |
11,497 |
$33K |
| 87389 |
|
2,003 |
1,975 |
$30K |
| 80179 |
|
4,246 |
3,968 |
$30K |
| 74183 |
|
68 |
67 |
$30K |
| A9502 |
Tc99m tetrofosmin |
347 |
337 |
$29K |
| J0696 |
Ceftriaxone sodium injection |
8,627 |
7,412 |
$29K |
| J2270 |
Morphine sulfate injection |
6,885 |
6,086 |
$29K |
| P9016 |
Rbc leukocytes reduced |
377 |
324 |
$29K |
| 10060 |
|
1,444 |
1,409 |
$28K |
| 44970 |
|
15 |
12 |
$25K |
| 72050 |
|
246 |
246 |
$25K |
| 82803 |
|
2,696 |
2,507 |
$24K |
| 84703 |
|
6,603 |
6,378 |
$23K |
| 78451 |
|
25 |
25 |
$23K |
| J1100 |
Dexamethasone sodium phos |
6,817 |
6,453 |
$23K |
| 82310 |
|
5,902 |
3,767 |
$22K |
| 0710 |
|
4,429 |
4,252 |
$22K |
| 70496 |
|
95 |
94 |
$21K |
| 84132 |
|
6,530 |
4,505 |
$21K |
| 82040 |
|
5,200 |
3,671 |
$20K |
| J1200 |
Diphenhydramine hcl injectio |
6,291 |
5,598 |
$19K |
| 84443 |
|
2,294 |
2,265 |
$19K |
| 87449 |
|
1,785 |
1,751 |
$18K |
| A9585 |
Gadobutrol injection |
698 |
681 |
$17K |
| 87324 |
|
1,740 |
1,708 |
$17K |
| J1170 |
Hydromorphone injection |
4,700 |
3,744 |
$17K |
| 86780 |
|
1,794 |
1,752 |
$16K |
| 84295 |
|
4,353 |
2,849 |
$16K |
| 86140 |
|
4,612 |
4,214 |
$15K |
| 93923 |
|
82 |
82 |
$15K |
| J2765 |
Metoclopramide hcl injection |
5,273 |
4,857 |
$15K |
| 85379 |
|
2,476 |
2,446 |
$15K |
| 87210 |
|
3,417 |
3,358 |
$14K |
| 74019 |
|
243 |
239 |
$14K |
| 12011 |
|
909 |
902 |
$14K |
| 12001 |
|
1,255 |
1,248 |
$14K |
| J1815 |
Insulin injection |
7,291 |
3,228 |
$13K |
| J2060 |
Lorazepam injection |
3,728 |
3,139 |
$13K |
| J3475 |
Inj magnesium sulfate |
5,043 |
4,499 |
$13K |
| 85730 |
|
2,251 |
2,184 |
$13K |
| 70498 |
|
73 |
72 |
$13K |
| 27502 |
|
20 |
13 |
$13K |
| 85378 |
|
2,362 |
2,255 |
$13K |
| 93458 |
|
14 |
12 |
$13K |
| 74178 |
|
38 |
38 |
$13K |
| 72131 |
|
107 |
107 |
$12K |
| 83615 |
|
2,011 |
1,571 |
$12K |
| 0370 |
|
3,816 |
3,654 |
$12K |
| 12002 |
|
603 |
593 |
$11K |
| 82140 |
|
1,396 |
1,233 |
$11K |
| 73721 |
|
31 |
29 |
$10K |
| 87502 |
|
259 |
257 |
$9K |
| J0780 |
Prochlorperazine injection |
1,769 |
1,703 |
$9K |
| 72220 |
|
108 |
106 |
$9K |
| 0250 |
|
36,598 |
17,628 |
$9K |
| J1630 |
Haloperidol injection |
3,428 |
2,867 |
$9K |
| 82550 |
|
2,059 |
1,788 |
$9K |
| 97161 |
|
1,107 |
1,077 |
$9K |
| 73000 |
|
147 |
139 |
$9K |
| 96367 |
|
836 |
821 |
$8K |
| 29125 |
|
1,009 |
968 |
$8K |
| C1894 |
Intro/sheath, non-laser |
914 |
868 |
$8K |
| 72197 |
|
12 |
12 |
$8K |
| J1953 |
Levetiracetam injection |
772 |
661 |
$8K |
| 76801 |
|
78 |
75 |
$8K |
| 84550 |
|
2,146 |
1,746 |
$8K |
| J8501 |
Oral aprepitant |
1,167 |
1,151 |
$7K |
| J3010 |
Fentanyl citrate injection |
3,720 |
3,404 |
$7K |
| 87633 |
|
75 |
75 |
$7K |
| 70460 |
|
46 |
43 |
$7K |
| C1769 |
Guide wire |
1,073 |
1,009 |
$7K |
| 77061 |
|
42 |
42 |
$6K |
| C1887 |
Catheter, guiding |
273 |
266 |
$6K |
| S0119 |
Ondansetron 4 mg |
2,167 |
2,107 |
$6K |
| J0561 |
Penicillin g benzathine inj |
25 |
24 |
$6K |
| 0121 |
|
12 |
12 |
$6K |
| 90471 |
|
1,273 |
1,237 |
$5K |
| 76000 |
|
287 |
281 |
$5K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
473 |
470 |
$5K |
| J1650 |
Inj enoxaparin sodium |
1,830 |
954 |
$5K |
| 77062 |
|
26 |
26 |
$5K |
| J1940 |
Furosemide injection |
2,230 |
1,468 |
$5K |
| 87081 |
|
1,692 |
1,585 |
$5K |
| 0301 |
|
26 |
26 |
$4K |
| 73620 |
|
111 |
99 |
$4K |
| J0690 |
Cefazolin sodium injection |
2,422 |
2,205 |
$4K |
| 75574 |
|
13 |
13 |
$4K |
| 87070 |
|
1,062 |
986 |
$4K |
| 80047 |
|
610 |
595 |
$4K |
| J1644 |
Inj heparin sodium per 1000u |
2,574 |
1,230 |
$4K |
| 73700 |
|
24 |
24 |
$4K |
| J2930 |
Methylprednisolone injection |
910 |
861 |
$4K |
| 82272 |
|
794 |
773 |
$4K |
| J0360 |
Hydralazine hcl injection |
794 |
673 |
$4K |
| 87205 |
|
1,288 |
1,171 |
$3K |
| 83036 |
|
1,050 |
999 |
$3K |
| 89051 |
|
827 |
571 |
$3K |
| 73120 |
|
35 |
33 |
$3K |
| 85014 |
|
2,353 |
1,963 |
$3K |
| 88342 |
|
47 |
43 |
$3K |
| 80349 |
|
3,088 |
2,944 |
$3K |
| 90749 |
|
934 |
924 |
$3K |
| 85007 |
|
1,169 |
974 |
$3K |
| 70360 |
|
44 |
43 |
$3K |
| Q0144 |
Azithromycin dihydrate, oral |
886 |
841 |
$3K |
| 88173 |
|
42 |
40 |
$3K |
| 73501 |
|
54 |
53 |
$2K |
| 80164 |
|
347 |
322 |
$2K |
| 87506 |
|
46 |
45 |
$2K |
| 29515 |
|
207 |
204 |
$2K |
| 80069 |
|
604 |
570 |
$2K |
| 73100 |
|
40 |
37 |
$2K |
| 94060 |
|
33 |
12 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
1,738 |
1,627 |
$2K |
| 0320 |
|
89 |
87 |
$2K |
| 73600 |
|
42 |
37 |
$2K |
| 72072 |
|
15 |
15 |
$2K |
| 90686 |
|
110 |
104 |
$2K |
| J7060 |
5% dextrose/water |
445 |
295 |
$2K |
| 96368 |
|
318 |
312 |
$2K |
| 85008 |
|
1,146 |
1,027 |
$1K |
| 87798 |
|
19 |
19 |
$1K |
| 82728 |
|
280 |
259 |
$1K |
| C1725 |
Cath, translumin non-laser |
222 |
210 |
$1K |
| 88112 |
|
43 |
43 |
$1K |
| 85018 |
|
1,126 |
868 |
$1K |
| J7512 |
Prednisone ir or dr oral 1mg |
3,032 |
2,483 |
$1K |
| 85013 |
|
324 |
324 |
$1K |
| 80061 |
|
286 |
279 |
$970.27 |
| J2543 |
Piperacillin/tazobactam |
104 |
76 |
$925.46 |
| T1999 |
Noc retail items andsupplies |
75 |
73 |
$885.08 |
| 82150 |
|
115 |
113 |
$729.82 |
| 85045 |
|
330 |
265 |
$728.50 |
| J3480 |
Inj potassium chloride |
239 |
180 |
$698.99 |
| J2001 |
Lidocaine injection |
288 |
280 |
$681.54 |
| J8540 |
Oral dexamethasone |
1,244 |
1,155 |
$658.18 |
| 86803 |
|
67 |
65 |
$454.74 |
| 87340 |
|
68 |
68 |
$453.78 |
| 84439 |
|
81 |
81 |
$440.45 |
| 99070 |
|
48 |
26 |
$439.93 |
| 80325 |
|
1,849 |
1,719 |
$431.63 |
| 76942 |
|
71 |
69 |
$389.45 |
| 87529 |
|
13 |
12 |
$373.12 |
| 64400 |
|
26 |
26 |
$372.05 |
| 0258 |
|
1,746 |
1,481 |
$369.24 |
| 80320 |
|
1,365 |
1,264 |
$358.16 |
| J7042 |
5% dextrose/normal saline |
135 |
118 |
$357.29 |
| 0305 |
|
12 |
12 |
$337.00 |
| 88300 |
|
15 |
15 |
$330.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
218 |
185 |
$327.30 |
| J0171 |
Adrenalin epinephrine inject |
53 |
50 |
$310.60 |
| G0480 |
Drug test def 1-7 classes |
212 |
194 |
$310.19 |
| 82435 |
|
88 |
68 |
$287.00 |
| 82374 |
|
72 |
56 |
$252.00 |
| 0636 |
|
284 |
279 |
$248.36 |
| J0744 |
Ciprofloxacin iv |
32 |
29 |
$237.68 |
| 86703 |
|
48 |
48 |
$226.26 |
| 89055 |
|
77 |
77 |
$226.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
58 |
56 |
$197.90 |
| 29130 |
|
51 |
50 |
$197.55 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
73 |
53 |
$192.09 |
| C9113 |
Inj pantoprazole sodium, via |
422 |
304 |
$186.57 |
| 80178 |
|
43 |
36 |
$175.34 |
| 94660 |
|
25 |
25 |
$173.22 |
| J2280 |
Inj, moxifloxacin 100 mg |
213 |
126 |
$170.00 |
| G0143 |
Scr c/v cyto,thinlayer,rescr |
90 |
90 |
$167.04 |
| 92610 |
|
87 |
82 |
$162.80 |
| S0164 |
Injection pantroprazole |
16 |
16 |
$134.06 |
| 83930 |
|
66 |
63 |
$132.47 |
| 82607 |
|
25 |
25 |
$123.10 |
| 80329 |
|
864 |
828 |
$105.78 |
| 29105 |
|
25 |
25 |
$103.83 |
| J3360 |
Diazepam injection |
17 |
16 |
$95.04 |
| 80346 |
|
703 |
668 |
$90.90 |
| 76937 |
|
87 |
85 |
$87.76 |
| 86706 |
|
15 |
15 |
$86.92 |
| 83935 |
|
42 |
41 |
$84.02 |
| 84300 |
|
52 |
52 |
$72.02 |
| 84155 |
|
49 |
46 |
$71.26 |
| 83550 |
|
27 |
27 |
$70.20 |
| 86704 |
|
12 |
12 |
$69.71 |
| Z7610 |
|
100 |
39 |
$63.57 |
| 83540 |
|
27 |
27 |
$54.89 |
| J1920 |
Inj, labetalol hcl, 5mg |
36 |
26 |
$53.19 |
| 97530 |
|
46 |
36 |
$50.41 |
| J0737 |
Inj, clindamycin (baxter) |
32 |
28 |
$41.91 |
| 36430 |
|
66 |
51 |
$40.76 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
13 |
13 |
$35.84 |
| J2470 |
Inj pantoprazole sodium 40mg |
84 |
67 |
$34.30 |
| 80324 |
|
460 |
443 |
$30.00 |
| 80353 |
|
93 |
91 |
$18.00 |
| 80356 |
|
90 |
89 |
$18.00 |
| J0613 |
Calcium glucon (wg critical) |
13 |
12 |
$16.94 |
| G0008 |
Admin influenza virus vac |
35 |
35 |
$7.15 |
| V2632 |
Post chmbr intraocular lens |
229 |
144 |
$0.00 |
| G9754 |
Incid pulm nodule |
15 |
15 |
$0.00 |
| 0272 |
|
931 |
821 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
285 |
284 |
$0.00 |
| 76376 |
|
359 |
357 |
$0.00 |
| 80365 |
|
38 |
37 |
$0.00 |
| C1758 |
Catheter, ureteral |
12 |
12 |
$0.00 |
| 80361 |
|
39 |
38 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
29 |
23 |
$0.00 |
| 76706 |
|
12 |
12 |
$0.00 |