| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
|
7,497 |
6,608 |
$644K |
| 74177 |
|
5,341 |
4,571 |
$607K |
| 80053 |
|
16,106 |
12,113 |
$347K |
| 80048 |
|
31,295 |
23,651 |
$338K |
| 72125 |
|
3,089 |
2,775 |
$331K |
| 97110 |
|
9,216 |
2,912 |
$311K |
| 85025 |
|
44,202 |
32,625 |
$303K |
| 96365 |
|
4,189 |
2,565 |
$303K |
| 80307 |
|
4,695 |
3,881 |
$293K |
| 87502 |
|
3,923 |
3,519 |
$257K |
| 99283 |
|
4,926 |
4,084 |
$232K |
| 72148 |
|
979 |
810 |
$206K |
| 74176 |
|
3,500 |
3,072 |
$194K |
| 93005 |
|
19,155 |
14,705 |
$188K |
| 87636 |
|
3,163 |
2,406 |
$188K |
| U0002 |
Covid-19 lab test non-cdc |
4,178 |
3,724 |
$187K |
| 93306 |
|
1,569 |
1,373 |
$170K |
| 99284 |
|
4,806 |
4,176 |
$152K |
| 70553 |
|
525 |
376 |
$147K |
| 71260 |
|
1,398 |
1,195 |
$140K |
| 87426 |
|
4,810 |
4,420 |
$139K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,722 |
4,820 |
$121K |
| 73721 |
|
534 |
396 |
$120K |
| 96375 |
|
4,960 |
3,489 |
$113K |
| 83880 |
|
5,122 |
4,477 |
$109K |
| 99285 |
|
4,173 |
3,671 |
$108K |
| J2405 |
Ondansetron hcl injection |
13,011 |
9,545 |
$99K |
| 96374 |
|
4,146 |
3,443 |
$98K |
| 84484 |
|
12,919 |
9,367 |
$95K |
| 96372 |
|
3,566 |
2,508 |
$93K |
| 69436 |
|
389 |
374 |
$88K |
| 36415 |
|
14,682 |
10,441 |
$82K |
| 87634 |
|
1,796 |
1,584 |
$81K |
| 84443 |
|
5,957 |
4,971 |
$74K |
| 71045 |
|
12,217 |
10,400 |
$71K |
| 71046 |
|
5,805 |
5,107 |
$68K |
| 80050 |
|
1,416 |
1,288 |
$64K |
| 96361 |
|
2,672 |
1,766 |
$63K |
| 82550 |
|
11,982 |
8,542 |
$62K |
| J1100 |
Dexamethasone sodium phos |
4,531 |
3,183 |
$59K |
| 80076 |
|
8,620 |
7,357 |
$58K |
| 97161 |
|
902 |
743 |
$58K |
| 81001 |
|
19,665 |
15,955 |
$56K |
| 84703 |
|
7,369 |
6,156 |
$55K |
| 70486 |
|
512 |
454 |
$51K |
| 83690 |
|
8,628 |
7,213 |
$50K |
| 71275 |
|
254 |
206 |
$46K |
| 96413 |
|
451 |
251 |
$43K |
| 86901 |
|
1,784 |
1,531 |
$42K |
| 71250 |
|
552 |
477 |
$40K |
| J0696 |
Ceftriaxone sodium injection |
2,939 |
2,360 |
$39K |
| 80320 |
|
2,818 |
2,342 |
$38K |
| G0463 |
Hospital outpt clinic visit |
4,401 |
3,449 |
$36K |
| 73630 |
|
1,630 |
1,392 |
$30K |
| 80061 |
|
2,512 |
2,239 |
$29K |
| J1650 |
Inj enoxaparin sodium |
869 |
641 |
$28K |
| 85027 |
|
6,475 |
5,151 |
$28K |
| 87491 |
|
717 |
635 |
$27K |
| 87591 |
|
715 |
636 |
$27K |
| 72141 |
|
113 |
98 |
$27K |
| 80329 |
|
3,543 |
1,873 |
$26K |
| 87040 |
|
2,163 |
1,923 |
$25K |
| 78815 |
|
63 |
52 |
$25K |
| 87086 |
|
4,211 |
3,674 |
$24K |
| J1885 |
Ketorolac tromethamine inj |
6,271 |
4,724 |
$24K |
| 82948 |
|
6,108 |
4,173 |
$21K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
471 |
385 |
$21K |
| 82728 |
|
2,378 |
2,125 |
$20K |
| 97001 |
|
602 |
469 |
$20K |
| 73130 |
|
1,207 |
1,024 |
$20K |
| 73610 |
|
1,526 |
1,293 |
$20K |
| 73562 |
|
887 |
739 |
$20K |
| 85730 |
|
4,742 |
4,206 |
$19K |
| 72110 |
|
619 |
552 |
$17K |
| 73030 |
|
1,100 |
940 |
$16K |
| 82607 |
|
1,758 |
1,570 |
$16K |
| 99282 |
|
239 |
185 |
$15K |
| 83735 |
|
2,597 |
1,899 |
$15K |
| 73110 |
|
981 |
839 |
$15K |
| 42820 |
|
43 |
42 |
$14K |
| 85610 |
|
5,575 |
4,838 |
$14K |
| 76705 |
|
818 |
715 |
$14K |
| 96376 |
|
1,240 |
893 |
$14K |
| 76830 |
|
273 |
218 |
$12K |
| 84145 |
|
986 |
888 |
$12K |
| 82553 |
|
1,309 |
1,183 |
$12K |
| A9579 |
Gad-base mr contrast nos,1ml |
563 |
425 |
$11K |
| 87430 |
|
1,540 |
1,406 |
$11K |
| 85378 |
|
1,867 |
1,727 |
$11K |
| 83036 |
|
1,362 |
1,203 |
$11K |
| 83605 |
|
1,348 |
1,143 |
$11K |
| 82746 |
|
1,265 |
1,123 |
$11K |
| 82805 |
|
474 |
395 |
$11K |
| 83550 |
|
1,987 |
1,778 |
$10K |
| J1642 |
Inj heparin sodium per 10 u |
3,871 |
2,159 |
$9K |
| 84702 |
|
920 |
740 |
$9K |
| 97162 |
|
99 |
84 |
$8K |
| 73502 |
|
501 |
422 |
$8K |
| 76856 |
|
340 |
280 |
$8K |
| 90715 |
|
525 |
468 |
$8K |
| 96360 |
|
273 |
225 |
$8K |
| 83540 |
|
1,998 |
1,786 |
$8K |
| 96367 |
|
287 |
174 |
$7K |
| 82565 |
|
1,116 |
907 |
$7K |
| J2250 |
Inj midazolam hydrochloride |
5,983 |
4,893 |
$7K |
| 86900 |
|
1,785 |
1,532 |
$7K |
| 81003 |
|
4,156 |
3,641 |
$7K |
| 76700 |
|
207 |
172 |
$7K |
| 95810 |
|
91 |
67 |
$6K |
| 93971 |
|
180 |
156 |
$6K |
| 87088 |
|
1,242 |
1,097 |
$6K |
| 87186 |
|
1,467 |
1,320 |
$5K |
| 74022 |
|
284 |
264 |
$5K |
| 87420 |
|
779 |
722 |
$5K |
| J0690 |
Cefazolin sodium injection |
2,931 |
2,477 |
$5K |
| 86140 |
|
1,066 |
926 |
$5K |
| 87400 |
|
1,065 |
991 |
$5K |
| 94640 |
|
2,021 |
1,282 |
$5K |
| 87428 |
|
405 |
312 |
$4K |
| 85379 |
|
482 |
376 |
$4K |
| 73560 |
|
280 |
246 |
$4K |
| 87880 |
|
465 |
366 |
$4K |
| 94060 |
|
154 |
131 |
$4K |
| 84100 |
|
789 |
585 |
$4K |
| 72100 |
|
218 |
170 |
$4K |
| 82150 |
|
601 |
532 |
$3K |
| J2270 |
Morphine sulfate injection |
6,616 |
4,952 |
$3K |
| 85651 |
|
1,159 |
1,016 |
$3K |
| J2930 |
Methylprednisolone injection |
513 |
385 |
$3K |
| 83615 |
|
563 |
465 |
$3K |
| 84439 |
|
368 |
320 |
$3K |
| J3010 |
Fentanyl citrate injection |
4,315 |
3,763 |
$3K |
| J0330 |
Succinycholine chloride inj |
1,327 |
1,162 |
$2K |
| 99499 |
|
175 |
138 |
$2K |
| 87210 |
|
540 |
485 |
$2K |
| 74018 |
|
225 |
203 |
$2K |
| 95811 |
|
27 |
16 |
$2K |
| 70551 |
|
12 |
12 |
$2K |
| J3490 |
Drugs unclassified injection |
1,823 |
1,175 |
$2K |
| M0239 |
Bamlanivimab-xxxx infusion |
14 |
13 |
$2K |
| 87081 |
|
302 |
226 |
$2K |
| 74178 |
|
28 |
27 |
$2K |
| 90471 |
|
285 |
238 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
2,596 |
1,774 |
$2K |
| J1815 |
Insulin injection |
1,142 |
546 |
$2K |
| 45378 |
|
13 |
12 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
4,188 |
3,687 |
$2K |
| 72131 |
|
19 |
15 |
$2K |
| 86885 |
|
322 |
288 |
$2K |
| J2060 |
Lorazepam injection |
973 |
776 |
$2K |
| 12002 |
|
15 |
14 |
$2K |
| 87070 |
|
256 |
222 |
$2K |
| 76801 |
|
39 |
37 |
$1K |
| 87276 |
|
188 |
182 |
$1K |
| 73090 |
|
90 |
81 |
$1K |
| 76536 |
|
32 |
26 |
$1K |
| J7050 |
Normal saline solution infus |
1,400 |
1,012 |
$1K |
| 82306 |
|
69 |
67 |
$1K |
| 76775 |
|
59 |
45 |
$1K |
| 93041 |
|
124 |
76 |
$1K |
| J1644 |
Inj heparin sodium per 1000u |
389 |
294 |
$1K |
| 97032 |
|
541 |
209 |
$1K |
| 87635 |
|
543 |
469 |
$965.46 |
| 93880 |
|
39 |
39 |
$935.75 |
| 96366 |
|
111 |
67 |
$928.87 |
| 81025 |
|
180 |
134 |
$922.55 |
| J2550 |
Promethazine hcl injection |
1,577 |
1,283 |
$911.80 |
| 76817 |
|
18 |
15 |
$877.50 |
| 84520 |
|
392 |
300 |
$821.37 |
| 72072 |
|
28 |
28 |
$821.05 |
| 84436 |
|
51 |
36 |
$809.31 |
| 73590 |
|
63 |
41 |
$778.50 |
| G0480 |
Drug test def 1-7 classes |
131 |
114 |
$706.29 |
| A4606 |
Oxygen probe used w oximeter |
25 |
25 |
$664.48 |
| J0885 |
Epoetin alfa, non-esrd |
20 |
12 |
$597.30 |
| G0378 |
Hospital observation per hr |
2,248 |
1,989 |
$586.11 |
| 86850 |
|
241 |
186 |
$576.84 |
| 72170 |
|
54 |
52 |
$574.64 |
| 82009 |
|
147 |
130 |
$560.86 |
| 76805 |
|
14 |
12 |
$560.00 |
| 82270 |
|
251 |
222 |
$528.81 |
| 73070 |
|
31 |
31 |
$501.40 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
144 |
117 |
$492.99 |
| 86304 |
|
34 |
24 |
$488.95 |
| J1630 |
Haloperidol injection |
258 |
178 |
$473.08 |
| J1170 |
Hydromorphone injection |
1,310 |
762 |
$420.26 |
| 94726 |
|
29 |
26 |
$365.70 |
| J2175 |
Meperidine hydrochl /100 mg |
1,655 |
1,260 |
$354.75 |
| 82010 |
|
48 |
38 |
$316.56 |
| 82378 |
|
45 |
39 |
$316.21 |
| 97010 |
|
790 |
304 |
$313.47 |
| 94729 |
|
16 |
15 |
$302.21 |
| 88305 |
|
29 |
25 |
$292.64 |
| J1580 |
Garamycin gentamicin inj |
834 |
730 |
$259.63 |
| 84155 |
|
14 |
12 |
$257.06 |
| 87503 |
|
16 |
16 |
$233.76 |
| 93922 |
|
17 |
14 |
$182.58 |
| 36600 |
|
151 |
136 |
$119.00 |
| 87077 |
|
31 |
26 |
$115.30 |
| 86677 |
|
15 |
12 |
$103.60 |
| 83010 |
|
12 |
12 |
$96.71 |
| J7040 |
Normal saline solution infus |
1,372 |
1,104 |
$92.80 |
| 85045 |
|
59 |
55 |
$85.80 |
| J2765 |
Metoclopramide hcl injection |
65 |
51 |
$51.54 |
| J0780 |
Prochlorperazine injection |
63 |
51 |
$44.67 |
| C1769 |
Guide wire |
15 |
13 |
$37.96 |
| J0171 |
Adrenalin epinephrine inject |
12 |
12 |
$32.80 |
| 97140 |
|
62 |
32 |
$27.10 |
| J1940 |
Furosemide injection |
40 |
28 |
$14.68 |
| A9270 |
Non-covered item or service |
4,609 |
867 |
$12.54 |
| J2919 |
Inj, methylpred sod succ 5mg |
34 |
30 |
$5.73 |
| J7030 |
Normal saline solution infus |
245 |
182 |
$0.12 |
| J0131 |
Inj, acetaminophen (nos) |
257 |
203 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
49 |
38 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
15 |
14 |
$0.00 |
| J1817 |
Insulin for insulin pump use |
42 |
25 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
106 |
98 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
43 |
40 |
$0.00 |
| 99152 |
|
54 |
48 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
26 |
14 |
$0.00 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
14 |
14 |
$0.00 |