| Code | Description | Claims | Beneficiaries | Total Paid |
| H2018 |
Psysoc rehab svc, per diem |
2,001 |
1,935 |
$8.45M |
| H2019 |
Ther behav svc, per 15 min |
4,344 |
4,339 |
$3.65M |
| 90832 |
|
39,698 |
18,196 |
$3.44M |
| 99212 |
|
23,320 |
20,382 |
$2.58M |
| 99285 |
|
17,133 |
16,107 |
$2.48M |
| 43239 |
|
3,093 |
3,085 |
$2.32M |
| 96361 |
|
9,378 |
8,074 |
$1.83M |
| 99284 |
|
11,876 |
11,517 |
$1.79M |
| 99283 |
|
9,831 |
9,489 |
$1.50M |
| G0378 |
Hospital observation per hr |
3,635 |
3,524 |
$1.17M |
| 95810 |
|
1,325 |
1,322 |
$834K |
| 74177 |
|
3,595 |
3,534 |
$760K |
| 96365 |
|
5,194 |
4,658 |
$722K |
| 70450 |
|
3,442 |
3,381 |
$701K |
| H2036 |
A/d tx program, per diem |
4,088 |
442 |
$591K |
| 99213 |
|
4,886 |
4,458 |
$588K |
| T1015 |
Clinic service |
1,635 |
1,634 |
$552K |
| 99282 |
|
3,510 |
3,331 |
$544K |
| 90853 |
|
8,434 |
1,296 |
$496K |
| 80053 |
|
27,938 |
25,104 |
$495K |
| U0003 |
Cov-19 amp prb hgh thruput |
5,841 |
5,613 |
$425K |
| 76856 |
|
962 |
939 |
$387K |
| 96360 |
|
2,258 |
2,177 |
$382K |
| 76700 |
|
652 |
647 |
$265K |
| 36415 |
|
46,206 |
35,763 |
$254K |
| 76816 |
|
5,639 |
4,778 |
$232K |
| 99202 |
|
2,099 |
2,095 |
$220K |
| 93975 |
|
562 |
554 |
$218K |
| 71275 |
|
923 |
917 |
$216K |
| 74176 |
|
1,045 |
1,030 |
$213K |
| 86850 |
|
9,682 |
8,616 |
$195K |
| 76817 |
|
3,970 |
3,352 |
$182K |
| 95806 |
|
1,754 |
1,728 |
$179K |
| 99281 |
|
1,126 |
1,076 |
$175K |
| 97110 |
|
3,214 |
743 |
$168K |
| 76818 |
|
3,680 |
1,644 |
$167K |
| 76801 |
|
2,146 |
1,859 |
$163K |
| 0202U |
|
4,521 |
4,424 |
$157K |
| 86900 |
|
9,697 |
8,633 |
$154K |
| 86901 |
|
9,694 |
8,629 |
$152K |
| 93306 |
|
870 |
866 |
$147K |
| U0002 |
Covid-19 lab test non-cdc |
3,351 |
3,245 |
$146K |
| 96366 |
|
1,880 |
1,446 |
$142K |
| 80307 |
|
5,232 |
5,042 |
$135K |
| 45378 |
|
158 |
158 |
$133K |
| U0005 |
Infec agen detec ampli probe |
5,568 |
5,351 |
$130K |
| 95811 |
|
212 |
212 |
$126K |
| 70551 |
|
581 |
576 |
$113K |
| 96372 |
|
9,984 |
8,137 |
$110K |
| 90791 |
|
639 |
602 |
$100K |
| 99214 |
|
793 |
731 |
$99K |
| 76819 |
|
2,305 |
2,010 |
$98K |
| 88305 |
|
4,007 |
3,960 |
$93K |
| 96367 |
|
1,648 |
1,353 |
$93K |
| 76815 |
|
2,355 |
1,501 |
$84K |
| 95715 |
|
422 |
234 |
$80K |
| 76805 |
|
865 |
818 |
$71K |
| 97802 |
|
988 |
985 |
$69K |
| 76811 |
|
933 |
931 |
$65K |
| 80061 |
|
5,129 |
5,063 |
$59K |
| 70544 |
|
200 |
197 |
$59K |
| 71046 |
|
6,544 |
6,472 |
$57K |
| 96413 |
|
540 |
329 |
$54K |
| 76820 |
|
2,726 |
1,542 |
$54K |
| 83880 |
|
2,196 |
2,110 |
$52K |
| 87631 |
|
1,076 |
1,059 |
$51K |
| 80048 |
|
3,769 |
3,537 |
$49K |
| 76821 |
|
1,364 |
746 |
$47K |
| 81025 |
|
18,433 |
17,066 |
$45K |
| 85610 |
|
13,258 |
12,694 |
$45K |
| 90834 |
|
382 |
261 |
$44K |
| 87491 |
|
1,415 |
1,393 |
$40K |
| 93005 |
|
14,514 |
12,563 |
$38K |
| 90670 |
|
1,807 |
1,736 |
$35K |
| 96375 |
|
8,499 |
6,461 |
$35K |
| 82306 |
|
1,202 |
1,201 |
$34K |
| 87633 |
|
685 |
679 |
$34K |
| 85025 |
|
25,326 |
22,811 |
$34K |
| 97112 |
|
1,407 |
297 |
$33K |
| 70547 |
|
174 |
173 |
$30K |
| J3490 |
Drugs unclassified injection |
4,963 |
3,480 |
$29K |
| 95700 |
|
244 |
241 |
$28K |
| 88342 |
|
410 |
408 |
$28K |
| G0463 |
Hospital outpt clinic visit |
832 |
262 |
$27K |
| 96374 |
|
7,252 |
6,989 |
$26K |
| 76813 |
|
613 |
612 |
$24K |
| 85730 |
|
11,064 |
10,682 |
$24K |
| 90680 |
|
1,716 |
1,656 |
$24K |
| 87636 |
|
923 |
864 |
$23K |
| 76830 |
|
859 |
816 |
$22K |
| M0243 |
Casirivi and imdevi inj |
67 |
66 |
$21K |
| 87591 |
|
1,412 |
1,390 |
$21K |
| U0004 |
Cov-19 test non-cdc hgh thru |
268 |
267 |
$19K |
| 70496 |
|
82 |
82 |
$19K |
| M0245 |
Bamlan and etesev infusion |
98 |
67 |
$18K |
| 83036 |
|
6,204 |
6,165 |
$18K |
| 99051 |
|
1,349 |
822 |
$18K |
| 90648 |
|
1,250 |
1,197 |
$17K |
| G0009 |
Admin pneumococcal vaccine |
1,435 |
1,431 |
$17K |
| 93970 |
|
39 |
39 |
$17K |
| 90715 |
|
847 |
843 |
$17K |
| 87798 |
|
539 |
534 |
$16K |
| 76641 |
|
431 |
399 |
$14K |
| 84443 |
|
5,521 |
5,454 |
$14K |
| 99211 |
|
1,602 |
571 |
$14K |
| 90686 |
|
769 |
751 |
$12K |
| 87486 |
|
694 |
688 |
$12K |
| G0008 |
Admin influenza virus vac |
984 |
980 |
$12K |
| 59025 |
|
134 |
122 |
$12K |
| 85027 |
|
5,634 |
5,224 |
$12K |
| 90460 |
|
2,150 |
2,136 |
$12K |
| 45380 |
|
14 |
14 |
$11K |
| 72125 |
|
515 |
511 |
$11K |
| 12001 |
|
26 |
25 |
$11K |
| 83655 |
|
857 |
853 |
$11K |
| 80050 |
|
427 |
423 |
$10K |
| C1889 |
Implant/insert device, noc |
163 |
159 |
$10K |
| 90677 |
|
587 |
584 |
$10K |
| 87581 |
|
693 |
687 |
$10K |
| 64483 |
|
13 |
13 |
$10K |
| 95816 |
|
64 |
63 |
$10K |
| 90723 |
|
856 |
813 |
$9K |
| 82607 |
|
1,820 |
1,811 |
$9K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,755 |
4,500 |
$9K |
| 82947 |
|
6,847 |
4,280 |
$8K |
| G0480 |
Drug test def 1-7 classes |
357 |
331 |
$8K |
| 90697 |
|
396 |
395 |
$7K |
| 99203 |
|
63 |
63 |
$7K |
| 94729 |
|
256 |
256 |
$7K |
| 94060 |
|
262 |
262 |
$7K |
| 76705 |
|
288 |
287 |
$6K |
| 84425 |
|
1,213 |
1,213 |
$6K |
| 82746 |
|
1,570 |
1,568 |
$6K |
| 90792 |
|
28 |
27 |
$6K |
| 0241U |
|
1,087 |
1,073 |
$6K |
| 71045 |
|
6,517 |
6,285 |
$6K |
| 87088 |
|
8,107 |
7,780 |
$5K |
| 84439 |
|
1,653 |
1,622 |
$5K |
| 90461 |
|
1,273 |
1,270 |
$5K |
| 94727 |
|
259 |
259 |
$5K |
| 87502 |
|
171 |
170 |
$5K |
| 77067 |
|
76 |
76 |
$4K |
| 72131 |
|
29 |
29 |
$4K |
| 84702 |
|
3,457 |
3,211 |
$4K |
| 97140 |
|
240 |
69 |
$4K |
| 87389 |
|
943 |
933 |
$4K |
| 86780 |
|
990 |
954 |
$4K |
| 90698 |
|
261 |
251 |
$4K |
| 90685 |
|
288 |
287 |
$4K |
| 96376 |
|
1,841 |
1,400 |
$4K |
| 90471 |
|
978 |
950 |
$4K |
| 81003 |
|
13,233 |
12,526 |
$4K |
| 90633 |
|
245 |
244 |
$4K |
| 97161 |
|
39 |
37 |
$3K |
| J7030 |
Normal saline solution infus |
15,777 |
13,724 |
$3K |
| 94640 |
|
2,060 |
1,512 |
$3K |
| 76825 |
|
41 |
36 |
$3K |
| 99204 |
|
22 |
22 |
$3K |
| 93971 |
|
40 |
39 |
$3K |
| 80076 |
|
303 |
298 |
$3K |
| 90474 |
|
540 |
539 |
$3K |
| 71250 |
|
29 |
29 |
$3K |
| M0239 |
Bamlanivimab-xxxx infusion |
15 |
14 |
$3K |
| 82652 |
|
83 |
83 |
$2K |
| 87641 |
|
126 |
126 |
$2K |
| 81015 |
|
4,470 |
3,555 |
$2K |
| 70498 |
|
51 |
51 |
$2K |
| 90656 |
|
143 |
143 |
$2K |
| 83735 |
|
7,003 |
6,351 |
$2K |
| 86480 |
|
26 |
26 |
$2K |
| 90716 |
|
76 |
71 |
$1K |
| 83615 |
|
755 |
511 |
$1K |
| 83540 |
|
1,534 |
1,523 |
$1K |
| 84481 |
|
154 |
153 |
$1K |
| 84484 |
|
7,831 |
5,382 |
$1K |
| 90707 |
|
78 |
73 |
$1K |
| 83550 |
|
1,493 |
1,480 |
$1K |
| J0131 |
Inj, acetaminophen (nos) |
1,555 |
1,484 |
$1K |
| 76827 |
|
41 |
36 |
$1K |
| 99173 |
|
13 |
13 |
$1K |
| 93325 |
|
15 |
13 |
$1K |
| 90674 |
|
75 |
75 |
$1K |
| 88304 |
|
128 |
126 |
$987.73 |
| S0028 |
Injection, famotidine, 20 mg |
2,173 |
1,843 |
$943.98 |
| C1769 |
Guide wire |
40 |
38 |
$936.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
387 |
357 |
$923.16 |
| 87077 |
|
1,050 |
1,025 |
$897.41 |
| J3010 |
Fentanyl citrate injection |
2,148 |
2,119 |
$889.80 |
| 77063 |
|
64 |
64 |
$866.84 |
| 90472 |
|
137 |
136 |
$828.88 |
| J2250 |
Inj midazolam hydrochloride |
2,183 |
2,129 |
$799.33 |
| J2405 |
Ondansetron hcl injection |
5,693 |
4,953 |
$762.73 |
| 85007 |
|
829 |
795 |
$736.31 |
| 87340 |
|
199 |
197 |
$730.01 |
| 90700 |
|
54 |
54 |
$716.80 |
| J1756 |
Iron sucrose injection |
27 |
12 |
$708.60 |
| 90473 |
|
253 |
251 |
$706.07 |
| 87186 |
|
1,055 |
1,025 |
$664.05 |
| 90651 |
|
12 |
12 |
$661.22 |
| 83970 |
|
15 |
15 |
$641.04 |
| J1631 |
Haloperidol decanoate inj |
44 |
40 |
$614.14 |
| 87040 |
|
3,220 |
1,891 |
$544.66 |
| 80164 |
|
65 |
61 |
$522.97 |
| J2704 |
Inj, propofol, 10 mg |
7,136 |
5,163 |
$510.07 |
| G0108 |
Diab manage trn per indiv |
15 |
12 |
$502.23 |
| 86141 |
|
239 |
235 |
$456.84 |
| 80323 |
|
373 |
373 |
$449.50 |
| 87635 |
|
12 |
12 |
$440.54 |
| 87428 |
|
104 |
102 |
$421.81 |
| 90687 |
|
25 |
25 |
$410.55 |
| 82550 |
|
2,752 |
2,626 |
$407.85 |
| 83690 |
|
5,580 |
5,299 |
$406.88 |
| 86803 |
|
192 |
192 |
$369.75 |
| 84100 |
|
2,266 |
2,060 |
$340.02 |
| 84436 |
|
97 |
96 |
$331.31 |
| J1100 |
Dexamethasone sodium phos |
3,444 |
2,758 |
$296.97 |
| J0136 |
Inj, acetaminophen (b braun) |
1,024 |
933 |
$286.72 |
| J0696 |
Ceftriaxone sodium injection |
1,503 |
1,256 |
$254.79 |
| 82803 |
|
15 |
14 |
$248.75 |
| 87081 |
|
1,638 |
1,619 |
$243.64 |
| 73564 |
|
204 |
201 |
$220.75 |
| 73630 |
|
300 |
297 |
$216.57 |
| 87430 |
|
1,658 |
1,638 |
$215.87 |
| J7050 |
Normal saline solution infus |
2,916 |
2,020 |
$197.86 |
| 85379 |
|
1,080 |
1,064 |
$189.70 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
342 |
170 |
$188.80 |
| 82565 |
|
1,225 |
1,207 |
$188.03 |
| 82077 |
|
1,011 |
975 |
$160.04 |
| J2543 |
Piperacillin/tazobactam |
122 |
80 |
$145.76 |
| 94200 |
|
72 |
69 |
$128.48 |
| J7040 |
Normal saline solution infus |
1,877 |
1,818 |
$125.67 |
| J1200 |
Diphenhydramine hcl injectio |
1,280 |
1,003 |
$118.06 |
| J2765 |
Metoclopramide hcl injection |
2,060 |
1,880 |
$112.56 |
| J1885 |
Ketorolac tromethamine inj |
7,028 |
5,613 |
$108.61 |
| J2469 |
Palonosetron hcl |
174 |
98 |
$107.95 |
| J1642 |
Inj heparin sodium per 10 u |
603 |
399 |
$103.13 |
| J0690 |
Cefazolin sodium injection |
1,538 |
1,386 |
$101.10 |
| J0137 |
Inj, acetaminophen (hikma) |
684 |
628 |
$97.54 |
| 80179 |
|
418 |
406 |
$86.61 |
| 80143 |
|
437 |
423 |
$86.61 |
| J1170 |
Hydromorphone injection |
1,354 |
1,081 |
$81.94 |
| 82950 |
|
27 |
27 |
$75.29 |
| 86592 |
|
70 |
68 |
$72.71 |
| J7120 |
Ringers lactate infusion |
18 |
18 |
$71.16 |
| 82465 |
|
113 |
110 |
$66.63 |
| Q0091 |
Obtaining screen pap smear |
12 |
12 |
$66.18 |
| 90647 |
|
16 |
16 |
$61.23 |
| 73610 |
|
266 |
264 |
$51.25 |
| 84145 |
|
427 |
415 |
$48.62 |
| 82728 |
|
12 |
12 |
$48.27 |
| 83605 |
|
1,122 |
1,004 |
$48.09 |
| 84156 |
|
41 |
40 |
$46.61 |
| 84550 |
|
44 |
38 |
$43.38 |
| C1894 |
Intro/sheath, non-laser |
15 |
15 |
$40.00 |
| J2270 |
Morphine sulfate injection |
1,317 |
1,117 |
$39.94 |
| J2930 |
Methylprednisolone injection |
306 |
282 |
$35.61 |
| 85008 |
|
122 |
113 |
$33.80 |
| 87880 |
|
38 |
38 |
$33.75 |
| S0020 |
Injection, bupivicaine hydro |
287 |
285 |
$31.72 |
| 82570 |
|
45 |
42 |
$30.23 |
| 82248 |
|
64 |
51 |
$26.84 |
| 73130 |
|
174 |
171 |
$25.13 |
| 73030 |
|
139 |
136 |
$24.09 |
| J1644 |
Inj heparin sodium per 1000u |
446 |
286 |
$21.11 |
| J2370 |
Phenylephrine hcl injection |
99 |
95 |
$20.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
95 |
44 |
$15.02 |
| J3475 |
Inj magnesium sulfate |
691 |
626 |
$13.60 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
42 |
31 |
$11.80 |
| J0330 |
Succinycholine chloride inj |
29 |
25 |
$11.39 |
| 74018 |
|
12 |
12 |
$10.00 |
| J2920 |
Methylprednisolone injection |
22 |
16 |
$8.14 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
282 |
202 |
$5.61 |
| 81001 |
|
13 |
12 |
$5.38 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
360 |
356 |
$5.32 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
159 |
152 |
$5.20 |
| J1650 |
Inj enoxaparin sodium |
115 |
63 |
$4.36 |
| J3411 |
Thiamine hcl 100 mg |
63 |
53 |
$2.46 |
| J3480 |
Inj potassium chloride |
40 |
26 |
$1.10 |
| S0119 |
Ondansetron 4 mg |
443 |
441 |
$1.00 |
| J2060 |
Lorazepam injection |
226 |
199 |
$0.36 |
| J7512 |
Prednisone ir or dr oral 1mg |
69 |
66 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
76 |
38 |
$0.00 |
| 86762 |
|
13 |
13 |
$0.00 |
| 87070 |
|
12 |
12 |
$0.00 |
| 99080 |
|
2,457 |
498 |
$0.00 |
| 73110 |
|
52 |
50 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
13 |
13 |
$0.00 |
| 73080 |
|
13 |
13 |
$0.00 |
| 86787 |
|
12 |
12 |
$0.00 |