| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
213,960 |
189,153 |
$54.79M |
| 80053 |
|
106,388 |
96,918 |
$13.70M |
| 0250 |
|
133,189 |
63,422 |
$10.74M |
| 99284 |
|
11,242 |
10,472 |
$3.65M |
| 99283 |
|
8,822 |
8,108 |
$2.77M |
| 99285 |
|
8,675 |
8,098 |
$2.37M |
| 71046 |
|
21,054 |
20,492 |
$2.16M |
| 0762 |
|
3,251 |
1,762 |
$2.05M |
| G0480 |
Drug test def 1-7 classes |
11,273 |
10,098 |
$1.59M |
| 80048 |
|
10,073 |
9,099 |
$1.42M |
| 83880 |
|
12,771 |
11,761 |
$1.25M |
| 71045 |
|
35,116 |
33,331 |
$970K |
| 0206 |
|
342 |
326 |
$930K |
| 87631 |
|
4,102 |
4,040 |
$802K |
| 86850 |
|
5,692 |
5,469 |
$760K |
| 0241U |
|
16,311 |
15,909 |
$754K |
| 77067 |
|
7,381 |
7,359 |
$730K |
| 99282 |
|
2,388 |
2,202 |
$711K |
| Z7502 |
|
17,696 |
17,345 |
$667K |
| U0003 |
Cov-19 amp prb hgh thruput |
10,936 |
10,618 |
$659K |
| 74177 |
|
8,571 |
8,419 |
$651K |
| 70450 |
|
10,905 |
10,553 |
$642K |
| 77386 |
|
1,678 |
163 |
$605K |
| 0510 |
|
3,594 |
2,636 |
$550K |
| 99213 |
|
1,404 |
904 |
$537K |
| 0160 |
|
968 |
657 |
$470K |
| 97139 |
|
19,965 |
4,184 |
$451K |
| 85025 |
|
105,841 |
94,908 |
$429K |
| 77300 |
|
613 |
546 |
$405K |
| 93005 |
|
62,327 |
56,439 |
$315K |
| 73562 |
|
2,857 |
2,820 |
$311K |
| 73610 |
|
2,240 |
2,215 |
$309K |
| 84484 |
|
33,503 |
29,413 |
$301K |
| Z9725 |
|
6,798 |
6,652 |
$292K |
| 73030 |
|
2,941 |
2,903 |
$275K |
| 87186 |
|
5,753 |
5,365 |
$259K |
| 99211 |
|
2,058 |
1,395 |
$246K |
| 86780 |
|
32,317 |
30,793 |
$246K |
| 76700 |
|
4,452 |
4,431 |
$243K |
| 73630 |
|
2,668 |
2,640 |
$243K |
| 73130 |
|
2,016 |
1,994 |
$237K |
| 93458 |
|
202 |
200 |
$234K |
| J3490 |
Drugs unclassified injection |
71,112 |
36,922 |
$229K |
| 97750 |
|
5,195 |
2,705 |
$225K |
| 76856 |
|
5,547 |
5,469 |
$216K |
| 74018 |
|
2,389 |
2,320 |
$212K |
| 96374 |
|
23,757 |
22,085 |
$208K |
| 72100 |
|
1,584 |
1,575 |
$208K |
| 83605 |
|
16,643 |
15,231 |
$206K |
| 0761 |
|
1,155 |
823 |
$201K |
| G0299 |
Hhs/hospice of rn ea 15 min |
724 |
172 |
$198K |
| 76830 |
|
4,390 |
4,335 |
$186K |
| 74176 |
|
4,543 |
4,441 |
$184K |
| 70551 |
|
937 |
930 |
$169K |
| 73110 |
|
1,294 |
1,277 |
$164K |
| 96365 |
|
5,236 |
4,128 |
$164K |
| 81003 |
|
16,113 |
15,330 |
$150K |
| 96372 |
|
23,839 |
21,671 |
$144K |
| 96375 |
|
18,624 |
16,679 |
$140K |
| 77301 |
|
162 |
156 |
$135K |
| 76705 |
|
4,429 |
4,354 |
$135K |
| 81001 |
|
45,892 |
43,892 |
$135K |
| 82962 |
|
14,107 |
10,540 |
$133K |
| 87086 |
|
22,839 |
21,903 |
$130K |
| 80307 |
|
13,225 |
12,512 |
$129K |
| 77334 |
|
543 |
430 |
$128K |
| 93971 |
|
1,970 |
1,916 |
$124K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
14,754 |
14,274 |
$122K |
| 83690 |
|
37,936 |
35,725 |
$120K |
| J1756 |
Iron sucrose injection |
316 |
130 |
$119K |
| 71260 |
|
870 |
869 |
$114K |
| 77066 |
Tomosynthesis, mammo |
1,033 |
1,028 |
$113K |
| 76801 |
|
3,737 |
3,416 |
$109K |
| 73502 |
|
1,147 |
1,125 |
$104K |
| 77336 |
|
2,478 |
996 |
$103K |
| 76642 |
|
1,787 |
1,747 |
$102K |
| 71275 |
|
1,713 |
1,684 |
$100K |
| 70486 |
|
771 |
770 |
$99K |
| 70553 |
|
164 |
162 |
$94K |
| 87651 |
|
4,421 |
4,391 |
$93K |
| 77063 |
|
3,714 |
3,698 |
$91K |
| 87389 |
|
26,773 |
26,566 |
$86K |
| 96361 |
|
11,136 |
10,318 |
$84K |
| 72040 |
|
566 |
562 |
$83K |
| G0463 |
Hospital outpt clinic visit |
4,210 |
2,399 |
$82K |
| 82803 |
|
8,713 |
8,159 |
$80K |
| 94640 |
|
11,994 |
10,881 |
$78K |
| 72125 |
|
2,070 |
2,046 |
$78K |
| U0002 |
Covid-19 lab test non-cdc |
9,307 |
9,112 |
$78K |
| 78815 |
|
41 |
40 |
$76K |
| 77065 |
Tomosynthesis, mammo |
898 |
894 |
$73K |
| 87420 |
|
313 |
308 |
$73K |
| 99281 |
|
870 |
760 |
$72K |
| 84702 |
|
14,150 |
13,286 |
$72K |
| A9577 |
Inj multihance |
1,117 |
1,092 |
$72K |
| 76641 |
|
998 |
975 |
$72K |
| 86900 |
|
7,283 |
6,967 |
$69K |
| 97802 |
|
467 |
465 |
$68K |
| 93306 |
|
783 |
771 |
$67K |
| 72148 |
|
212 |
211 |
$65K |
| 71250 |
|
656 |
650 |
$64K |
| G0378 |
Hospital observation per hr |
551 |
487 |
$63K |
| 76819 |
|
380 |
284 |
$62K |
| 76770 |
|
1,135 |
1,126 |
$62K |
| 73080 |
|
652 |
647 |
$62K |
| 97799 |
|
2,242 |
498 |
$61K |
| 86803 |
|
21,297 |
21,219 |
$60K |
| 76817 |
|
2,671 |
2,431 |
$59K |
| 0272 |
|
1,082 |
1,053 |
$54K |
| 59025 |
|
6,398 |
4,854 |
$53K |
| 74183 |
|
227 |
227 |
$52K |
| 76805 |
|
537 |
527 |
$49K |
| G0151 |
Hhcp-serv of pt,ea 15 min |
175 |
68 |
$48K |
| 87428 |
|
448 |
444 |
$46K |
| 87077 |
|
6,193 |
5,779 |
$46K |
| J1644 |
Inj heparin sodium per 1000u |
3,503 |
1,850 |
$42K |
| 87491 |
|
3,544 |
3,496 |
$42K |
| 96360 |
|
3,649 |
3,467 |
$39K |
| 85730 |
|
11,900 |
11,398 |
$39K |
| 85610 |
|
23,137 |
19,386 |
$39K |
| Z7610 |
|
6,354 |
3,537 |
$37K |
| 73590 |
|
992 |
975 |
$37K |
| T1999 |
Noc retail items andsupplies |
42,044 |
20,872 |
$36K |
| 71101 |
|
185 |
184 |
$35K |
| 99199 |
|
713 |
574 |
$35K |
| 83735 |
|
11,595 |
9,974 |
$34K |
| 84443 |
|
2,058 |
2,021 |
$33K |
| J1815 |
Insulin injection |
2,306 |
1,562 |
$33K |
| 77338 |
|
194 |
185 |
$33K |
| 76870 |
|
554 |
535 |
$30K |
| 81025 |
|
12,391 |
12,007 |
$30K |
| G0279 |
Tomosynthesis, mammo |
1,380 |
1,373 |
$30K |
| 85027 |
|
11,498 |
10,677 |
$30K |
| 86308 |
|
268 |
266 |
$29K |
| 87040 |
|
6,558 |
5,723 |
$29K |
| 70498 |
|
395 |
390 |
$25K |
| J1100 |
Dexamethasone sodium phos |
8,304 |
7,914 |
$24K |
| 0270 |
|
17,808 |
7,811 |
$24K |
| 72110 |
|
245 |
243 |
$23K |
| 77080 |
|
653 |
649 |
$22K |
| 87633 |
|
302 |
301 |
$21K |
| 93970 |
|
275 |
273 |
$21K |
| J0561 |
Penicillin g benzathine inj |
275 |
258 |
$21K |
| 70496 |
|
335 |
330 |
$21K |
| 74170 |
|
108 |
108 |
$21K |
| 85379 |
|
4,418 |
4,331 |
$21K |
| 87641 |
|
2,148 |
2,082 |
$20K |
| J7030 |
Normal saline solution infus |
19,336 |
17,669 |
$20K |
| 36415 |
|
12,561 |
10,770 |
$19K |
| 74178 |
|
85 |
84 |
$19K |
| 93325 |
|
189 |
186 |
$19K |
| J2405 |
Ondansetron hcl injection |
13,481 |
12,469 |
$17K |
| 76536 |
|
349 |
348 |
$17K |
| 86592 |
|
2,156 |
1,935 |
$17K |
| 82550 |
|
5,754 |
5,467 |
$17K |
| 87591 |
|
3,477 |
3,431 |
$16K |
| J3010 |
Fentanyl citrate injection |
2,765 |
2,628 |
$16K |
| J2250 |
Inj midazolam hydrochloride |
2,240 |
2,116 |
$15K |
| A9552 |
F18 fdg |
42 |
41 |
$15K |
| 72131 |
|
132 |
131 |
$15K |
| J0696 |
Ceftriaxone sodium injection |
8,381 |
7,752 |
$15K |
| 85007 |
|
9,366 |
8,713 |
$14K |
| 96366 |
|
833 |
722 |
$13K |
| J1885 |
Ketorolac tromethamine inj |
18,876 |
18,014 |
$12K |
| 73090 |
|
456 |
451 |
$12K |
| J2704 |
Inj, propofol, 10 mg |
454 |
438 |
$12K |
| 97803 |
|
166 |
166 |
$11K |
| 87502 |
|
1,741 |
1,714 |
$11K |
| 84703 |
|
3,461 |
3,409 |
$11K |
| 86901 |
|
7,279 |
6,966 |
$11K |
| 73564 |
|
292 |
292 |
$11K |
| 96376 |
|
348 |
272 |
$10K |
| J2270 |
Morphine sulfate injection |
11,065 |
9,217 |
$9K |
| 99070 |
|
1,374 |
476 |
$9K |
| 86140 |
|
5,680 |
5,550 |
$9K |
| 77470 |
|
26 |
26 |
$9K |
| 99152 |
|
541 |
522 |
$9K |
| 73721 |
|
26 |
26 |
$9K |
| 73620 |
|
223 |
219 |
$8K |
| 82330 |
|
2,685 |
2,603 |
$7K |
| 93798 |
|
282 |
64 |
$7K |
| 87522 |
Neg quan hep c or qual rna |
1,069 |
1,063 |
$7K |
| 87634 |
|
32 |
32 |
$7K |
| 90715 |
|
1,605 |
1,601 |
$6K |
| 97110 |
|
875 |
365 |
$6K |
| 74019 |
|
75 |
75 |
$6K |
| 77412 |
|
137 |
14 |
$6K |
| J7120 |
Ringers lactate infusion |
5,176 |
4,779 |
$6K |
| 86738 |
|
240 |
237 |
$6K |
| 84132 |
|
1,383 |
1,262 |
$6K |
| 84439 |
|
597 |
592 |
$6K |
| 74174 |
|
89 |
87 |
$6K |
| 87081 |
|
831 |
829 |
$5K |
| 93308 |
|
247 |
244 |
$5K |
| 93320 |
|
88 |
87 |
$5K |
| 97161 |
|
136 |
73 |
$5K |
| 84100 |
|
3,032 |
2,871 |
$5K |
| 82553 |
|
2,712 |
2,557 |
$5K |
| 83050 |
|
2,845 |
2,760 |
$5K |
| 93976 |
|
27 |
26 |
$4K |
| J3475 |
Inj magnesium sulfate |
909 |
780 |
$4K |
| 90471 |
|
1,857 |
1,770 |
$4K |
| 82375 |
|
2,762 |
2,682 |
$4K |
| C1887 |
Catheter, guiding |
55 |
52 |
$4K |
| 80061 |
|
936 |
911 |
$4K |
| 87147 |
|
1,008 |
969 |
$4K |
| 83036 |
|
1,018 |
983 |
$4K |
| 70360 |
|
43 |
43 |
$4K |
| 87661 |
|
803 |
797 |
$4K |
| 84295 |
|
807 |
772 |
$4K |
| 83615 |
|
260 |
227 |
$4K |
| U0005 |
Infec agen detec ampli probe |
449 |
439 |
$4K |
| 85652 |
|
2,442 |
2,385 |
$3K |
| 94729 |
|
64 |
64 |
$3K |
| 88720 |
|
902 |
874 |
$3K |
| A9579 |
Gad-base mr contrast nos,1ml |
44 |
44 |
$3K |
| 73560 |
|
84 |
83 |
$3K |
| 94726 |
|
62 |
62 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
4,861 |
4,519 |
$3K |
| 82947 |
|
476 |
466 |
$3K |
| J0131 |
Inj, acetaminophen (nos) |
338 |
323 |
$3K |
| 82140 |
|
1,023 |
969 |
$3K |
| 92507 |
|
109 |
88 |
$3K |
| 87637 |
|
41 |
39 |
$2K |
| 82009 |
|
1,667 |
1,551 |
$2K |
| 73600 |
|
134 |
133 |
$2K |
| 75574 |
|
12 |
12 |
$2K |
| J1953 |
Levetiracetam injection |
580 |
518 |
$2K |
| J2765 |
Metoclopramide hcl injection |
4,271 |
4,066 |
$2K |
| 99153 |
Mod sedat endo service >5yrs |
286 |
271 |
$2K |
| 84145 |
|
457 |
451 |
$2K |
| 94060 |
|
65 |
65 |
$2K |
| 71271 |
|
25 |
25 |
$2K |
| 85384 |
|
120 |
106 |
$2K |
| J0780 |
Prochlorperazine injection |
1,796 |
1,737 |
$2K |
| 82435 |
|
793 |
762 |
$2K |
| 93303 |
|
12 |
12 |
$2K |
| 0710 |
|
206 |
197 |
$2K |
| J2060 |
Lorazepam injection |
2,725 |
2,363 |
$2K |
| 0370 |
|
326 |
316 |
$1K |
| 71020 |
|
77 |
45 |
$1K |
| 73120 |
|
59 |
59 |
$1K |
| 0352 |
|
119 |
118 |
$1K |
| J7040 |
Normal saline solution infus |
1,512 |
1,470 |
$1K |
| 76937 |
|
70 |
65 |
$1K |
| J1170 |
Hydromorphone injection |
1,435 |
1,188 |
$1K |
| J0690 |
Cefazolin sodium injection |
121 |
102 |
$1K |
| 82150 |
|
1,417 |
1,382 |
$1K |
| 95819 |
|
26 |
26 |
$1K |
| J2930 |
Methylprednisolone injection |
565 |
535 |
$1K |
| 83930 |
|
280 |
264 |
$1K |
| P9016 |
Rbc leukocytes reduced |
15 |
12 |
$1K |
| 87635 |
|
129 |
126 |
$1K |
| 93312 |
|
12 |
12 |
$1K |
| 86593 |
|
875 |
868 |
$982.29 |
| 10060 |
|
41 |
41 |
$966.32 |
| 92522 |
|
13 |
12 |
$947.40 |
| 85018 |
|
962 |
927 |
$932.49 |
| 0301 |
|
595 |
555 |
$864.15 |
| 86923 |
|
31 |
27 |
$792.51 |
| 80051 |
|
188 |
184 |
$790.47 |
| J1940 |
Furosemide injection |
559 |
435 |
$772.48 |
| 84550 |
|
272 |
262 |
$729.63 |
| S0077 |
Injection, clindamycin phosp |
515 |
493 |
$684.81 |
| 82565 |
|
244 |
238 |
$655.76 |
| 87430 |
|
484 |
483 |
$611.58 |
| 70491 |
|
24 |
24 |
$592.17 |
| J7050 |
Normal saline solution infus |
385 |
358 |
$584.95 |
| J1650 |
Inj enoxaparin sodium |
181 |
101 |
$575.00 |
| 93880 |
|
13 |
13 |
$554.36 |
| 82010 |
|
225 |
215 |
$550.70 |
| 87070 |
|
143 |
134 |
$548.39 |
| 73060 |
|
124 |
123 |
$547.68 |
| 97530 |
|
159 |
93 |
$544.72 |
| J0171 |
Adrenalin epinephrine inject |
37 |
37 |
$504.24 |
| 84520 |
|
215 |
210 |
$481.21 |
| 84436 |
|
12 |
12 |
$475.00 |
| 73140 |
|
52 |
50 |
$450.08 |
| 0305 |
|
540 |
520 |
$282.35 |
| S0020 |
Injection, bupivicaine hydro |
12 |
12 |
$278.85 |
| J3370 |
Vancomycin hcl injection |
154 |
121 |
$273.54 |
| 80164 |
|
68 |
64 |
$257.82 |
| 85347 |
|
52 |
51 |
$249.68 |
| 71010 |
|
14 |
14 |
$248.18 |
| 0324 |
|
373 |
358 |
$244.09 |
| 73552 |
|
96 |
93 |
$221.10 |
| 87798 |
|
22 |
22 |
$217.51 |
| C1725 |
Cath, translumin non-laser |
13 |
13 |
$172.14 |
| 87529 |
|
42 |
42 |
$149.12 |
| 82570 |
|
109 |
95 |
$134.37 |
| 84156 |
|
108 |
95 |
$125.08 |
| 0300 |
|
550 |
527 |
$122.62 |
| 96367 |
|
39 |
38 |
$117.11 |
| 73100 |
|
15 |
14 |
$106.90 |
| 87210 |
|
61 |
61 |
$105.35 |
| S0164 |
Injection pantroprazole |
51 |
41 |
$88.11 |
| 0306 |
|
477 |
462 |
$87.54 |
| 82247 |
|
12 |
12 |
$85.20 |
| 73070 |
|
13 |
13 |
$71.73 |
| 92610 |
|
12 |
12 |
$61.87 |
| 36600 |
|
12 |
12 |
$57.14 |
| J2305 |
Inj, nitroglycerin, 5 mg |
12 |
12 |
$51.97 |
| 0730 |
|
385 |
371 |
$51.80 |
| C1894 |
Intro/sheath, non-laser |
20 |
18 |
$47.46 |
| 0307 |
|
272 |
263 |
$45.87 |
| 72170 |
|
36 |
36 |
$44.95 |
| 82438 |
|
41 |
41 |
$37.68 |
| Q3014 |
Telehealth facility fee |
14 |
14 |
$35.34 |
| J0360 |
Hydralazine hcl injection |
12 |
12 |
$31.41 |
| 97116 |
|
23 |
12 |
$29.99 |
| 0258 |
|
536 |
498 |
$26.31 |
| 96368 |
|
12 |
12 |
$18.79 |
| 88305 |
|
26 |
25 |
$17.28 |
| 82272 |
|
26 |
25 |
$9.72 |
| 87205 |
|
12 |
12 |
$8.66 |
| 0636 |
|
142 |
133 |
$7.59 |
| J0456 |
Azithromycin |
37 |
27 |
$7.11 |
| 82248 |
|
12 |
12 |
$1.20 |
| A9270 |
Non-covered item or service |
1,459 |
799 |
$0.80 |
| 0424 |
|
28 |
25 |
$0.00 |
| 0483 |
|
42 |
39 |
$0.00 |
| 0402 |
|
13 |
13 |
$0.00 |
| 0361 |
|
13 |
13 |
$0.00 |
| 0412 |
|
12 |
12 |
$0.00 |
| 0302 |
|
13 |
13 |
$0.00 |
| A9150 |
Misc/exper non-prescript dru |
542 |
202 |
$0.00 |
| 0420 |
|
179 |
173 |
$0.00 |
| 0250R |
|
12 |
12 |
$0.00 |
| 84479 |
|
12 |
12 |
$0.00 |
| Q4051 |
Splint supplies misc |
53 |
28 |
$0.00 |