| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
113,593 |
99,994 |
$7.26M |
| 99499 |
|
40,892 |
31,526 |
$7.02M |
| 99283 |
|
90,223 |
87,154 |
$5.87M |
| 96374 |
|
56,496 |
52,831 |
$3.81M |
| 0762 |
|
1,198 |
1,124 |
$2.40M |
| 93005 |
|
86,107 |
80,577 |
$2.28M |
| 87636 |
|
14,350 |
14,168 |
$2.23M |
| 70450 |
|
17,103 |
16,144 |
$2.21M |
| Z7502 |
|
52,902 |
51,959 |
$1.97M |
| 99285 |
|
11,998 |
10,954 |
$1.97M |
| 74177 |
|
6,763 |
6,195 |
$1.54M |
| 99284 |
|
13,277 |
12,447 |
$1.41M |
| 96375 |
|
30,780 |
27,816 |
$1.28M |
| 80053 |
|
108,280 |
99,861 |
$1.27M |
| 85025 |
|
145,694 |
132,432 |
$1.04M |
| U0003 |
Cov-19 amp prb hgh thruput |
12,991 |
12,579 |
$995K |
| 74176 |
|
7,609 |
7,346 |
$989K |
| 80307 |
|
14,262 |
12,995 |
$876K |
| 72125 |
|
4,932 |
4,676 |
$787K |
| U0002 |
Covid-19 lab test non-cdc |
14,342 |
13,706 |
$711K |
| A4217 |
Sterile water/saline, 500 ml |
53,087 |
46,232 |
$667K |
| 0360 |
|
4,535 |
3,235 |
$610K |
| 71045 |
|
42,025 |
39,895 |
$591K |
| 96372 |
|
16,916 |
14,534 |
$460K |
| 77067 |
|
3,806 |
3,785 |
$432K |
| 76815 |
|
6,733 |
4,400 |
$426K |
| 96361 |
|
12,828 |
11,723 |
$400K |
| 71046 |
|
15,060 |
14,315 |
$362K |
| 84484 |
|
38,692 |
35,208 |
$359K |
| 96365 |
|
5,315 |
3,901 |
$349K |
| 71275 |
|
1,583 |
1,459 |
$343K |
| J3490 |
Drugs unclassified injection |
175,698 |
80,676 |
$330K |
| 70486 |
|
1,966 |
1,896 |
$298K |
| 83690 |
|
41,639 |
39,216 |
$291K |
| 76801 |
|
4,235 |
3,749 |
$290K |
| 71250 |
|
2,266 |
2,193 |
$264K |
| 72131 |
|
1,590 |
1,509 |
$218K |
| 96360 |
|
3,399 |
3,193 |
$216K |
| 83880 |
|
9,733 |
9,083 |
$212K |
| 76817 |
|
3,024 |
2,641 |
$210K |
| 70496 |
|
923 |
855 |
$202K |
| 93975 |
|
1,036 |
1,006 |
$196K |
| J1885 |
Ketorolac tromethamine inj |
21,840 |
20,604 |
$196K |
| 80048 |
|
23,120 |
20,924 |
$194K |
| 0710 |
|
4,049 |
3,905 |
$190K |
| 0720 |
|
5,147 |
4,347 |
$183K |
| 87502 |
|
2,618 |
2,387 |
$181K |
| 76705 |
|
3,257 |
3,105 |
$178K |
| J2405 |
Ondansetron hcl injection |
22,133 |
19,769 |
$172K |
| 76830 |
|
2,488 |
2,340 |
$171K |
| 76856 |
|
2,465 |
2,293 |
$163K |
| 70498 |
|
853 |
793 |
$161K |
| 99199 |
|
3,458 |
3,024 |
$161K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
11,509 |
10,331 |
$161K |
| 93971 |
|
1,717 |
1,657 |
$156K |
| 93970 |
|
952 |
914 |
$155K |
| 71260 |
|
933 |
876 |
$151K |
| 80306 |
|
6,293 |
5,794 |
$148K |
| 93306 |
|
1,363 |
1,322 |
$147K |
| 90715 |
|
3,512 |
3,440 |
$147K |
| 76805 |
|
1,512 |
1,495 |
$143K |
| 0510 |
|
4,760 |
3,894 |
$134K |
| 99282 |
|
3,125 |
2,827 |
$132K |
| 59025 |
|
6,974 |
3,084 |
$123K |
| 72128 |
|
903 |
852 |
$121K |
| Z7610 |
|
20,057 |
14,063 |
$119K |
| 81001 |
|
36,748 |
34,815 |
$112K |
| 73630 |
|
3,707 |
3,520 |
$109K |
| 97110 |
|
6,110 |
2,796 |
$107K |
| 73130 |
|
3,085 |
2,956 |
$102K |
| 0270 |
|
13,500 |
9,386 |
$101K |
| 73610 |
|
3,060 |
2,905 |
$97K |
| 73562 |
|
3,421 |
3,236 |
$96K |
| 97140 |
|
3,089 |
1,452 |
$95K |
| 77066 |
Tomosynthesis, mammo |
694 |
690 |
$92K |
| 73030 |
|
2,962 |
2,804 |
$91K |
| 76811 |
|
820 |
803 |
$85K |
| 93976 |
|
431 |
388 |
$82K |
| 87491 |
|
2,490 |
2,411 |
$80K |
| 87591 |
|
2,500 |
2,416 |
$80K |
| 99291 |
|
352 |
335 |
$78K |
| 87086 |
|
10,851 |
10,177 |
$77K |
| 43239 |
|
491 |
467 |
$76K |
| 94640 |
|
4,013 |
3,187 |
$74K |
| 76816 |
|
1,342 |
1,261 |
$73K |
| 96379 |
|
4,683 |
3,724 |
$71K |
| J1756 |
Iron sucrose injection |
308 |
138 |
$67K |
| J2270 |
Morphine sulfate injection |
7,937 |
6,793 |
$66K |
| J2704 |
Inj, propofol, 10 mg |
4,737 |
4,242 |
$63K |
| 73110 |
|
2,017 |
1,916 |
$63K |
| 83605 |
|
7,053 |
6,233 |
$62K |
| 76819 |
|
978 |
836 |
$61K |
| 88305 |
|
2,478 |
2,241 |
$59K |
| J0696 |
Ceftriaxone sodium injection |
5,591 |
5,066 |
$58K |
| G0463 |
Hospital outpt clinic visit |
856 |
638 |
$57K |
| 72100 |
|
1,785 |
1,739 |
$55K |
| 87040 |
|
4,131 |
3,544 |
$54K |
| J0690 |
Cefazolin sodium injection |
4,265 |
3,518 |
$53K |
| J1100 |
Dexamethasone sodium phos |
4,314 |
3,941 |
$51K |
| J3010 |
Fentanyl citrate injection |
8,000 |
6,427 |
$49K |
| 85730 |
|
10,479 |
9,743 |
$49K |
| 0259 |
|
10,874 |
6,927 |
$47K |
| 85610 |
|
15,101 |
13,896 |
$47K |
| 97139 |
|
1,397 |
492 |
$45K |
| 84703 |
|
7,916 |
7,320 |
$44K |
| 73502 |
|
1,461 |
1,388 |
$43K |
| 81025 |
|
7,012 |
6,692 |
$43K |
| J7120 |
Ringers lactate infusion |
4,977 |
3,851 |
$42K |
| 84702 |
|
3,172 |
2,662 |
$42K |
| 84443 |
|
5,883 |
5,653 |
$42K |
| 94060 |
|
951 |
929 |
$42K |
| 90471 |
|
3,836 |
3,682 |
$39K |
| J1200 |
Diphenhydramine hcl injectio |
4,961 |
4,419 |
$39K |
| 29125 |
|
983 |
941 |
$38K |
| J1170 |
Hydromorphone injection |
4,108 |
3,186 |
$37K |
| 76641 |
|
513 |
511 |
$36K |
| 73590 |
|
1,420 |
1,319 |
$35K |
| 83735 |
|
7,238 |
6,194 |
$34K |
| 77065 |
Tomosynthesis, mammo |
301 |
297 |
$31K |
| J2250 |
Inj midazolam hydrochloride |
4,686 |
4,366 |
$29K |
| 86900 |
|
4,241 |
3,864 |
$29K |
| 87077 |
|
4,447 |
4,195 |
$29K |
| 87186 |
|
4,042 |
3,818 |
$28K |
| 0750 |
|
186 |
180 |
$28K |
| 94644 |
|
1,209 |
1,034 |
$28K |
| J2765 |
Metoclopramide hcl injection |
4,148 |
3,943 |
$26K |
| 76700 |
|
385 |
369 |
$26K |
| 94729 |
|
807 |
793 |
$25K |
| 73080 |
|
851 |
797 |
$25K |
| J2060 |
Lorazepam injection |
3,455 |
2,957 |
$25K |
| 96366 |
|
916 |
748 |
$24K |
| 76642 |
|
430 |
428 |
$24K |
| J7050 |
Normal saline solution infus |
3,493 |
1,899 |
$24K |
| 10060 |
|
492 |
478 |
$23K |
| 73090 |
|
854 |
806 |
$22K |
| U0005 |
Infec agen detec ampli probe |
2,804 |
2,690 |
$22K |
| 36415 |
|
21,763 |
17,189 |
$22K |
| 0258 |
|
2,262 |
2,023 |
$21K |
| 72040 |
|
784 |
756 |
$21K |
| 81003 |
|
9,386 |
8,942 |
$21K |
| 29515 |
|
443 |
423 |
$21K |
| 85379 |
|
2,189 |
2,066 |
$21K |
| 12001 |
|
542 |
534 |
$20K |
| 12002 |
|
238 |
233 |
$19K |
| 96413 |
|
684 |
455 |
$19K |
| 77080 |
|
350 |
350 |
$18K |
| G0480 |
Drug test def 1-7 classes |
347 |
340 |
$18K |
| 74022 |
|
437 |
420 |
$18K |
| 0760 |
|
468 |
422 |
$18K |
| 97750 |
|
349 |
177 |
$18K |
| 70551 |
|
98 |
92 |
$17K |
| J1439 |
Inj ferric carboxymaltos 1mg |
30 |
16 |
$16K |
| 82805 |
|
804 |
700 |
$15K |
| 86901 |
|
4,344 |
3,965 |
$15K |
| 99281 |
|
350 |
314 |
$15K |
| 78264 |
|
38 |
38 |
$15K |
| 82803 |
|
1,494 |
1,335 |
$14K |
| 97161 |
|
685 |
675 |
$14K |
| 86850 |
|
2,644 |
2,331 |
$14K |
| 87651 |
|
324 |
323 |
$13K |
| 10061 |
|
405 |
388 |
$13K |
| 86140 |
|
3,338 |
3,062 |
$13K |
| 66984 |
|
55 |
55 |
$13K |
| 88304 |
|
1,058 |
963 |
$12K |
| 94726 |
|
460 |
459 |
$12K |
| 93308 |
|
164 |
164 |
$12K |
| L1830 |
Ko immob canvas long pre ots |
155 |
147 |
$12K |
| 0250 |
|
2,363 |
1,878 |
$12K |
| 87631 |
|
184 |
163 |
$12K |
| 87210 |
|
1,848 |
1,764 |
$11K |
| 82550 |
|
2,113 |
1,865 |
$11K |
| J2550 |
Promethazine hcl injection |
1,371 |
1,166 |
$11K |
| 76813 |
|
148 |
148 |
$11K |
| 87798 |
|
268 |
265 |
$11K |
| J0330 |
Succinycholine chloride inj |
469 |
421 |
$11K |
| J2560 |
Phenobarbital sodium inj |
136 |
119 |
$10K |
| 73060 |
|
457 |
428 |
$10K |
| 0272 |
|
7,115 |
6,050 |
$9K |
| J2930 |
Methylprednisolone injection |
614 |
545 |
$9K |
| 72148 |
|
39 |
39 |
$9K |
| 78452 |
|
27 |
27 |
$9K |
| 73552 |
|
364 |
348 |
$8K |
| 97112 |
|
373 |
214 |
$8K |
| 71020 |
|
276 |
145 |
$8K |
| 73721 |
|
15 |
13 |
$8K |
| 76870 |
|
150 |
141 |
$8K |
| 99211 |
|
535 |
445 |
$8K |
| 97799 |
|
260 |
62 |
$8K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
177 |
170 |
$7K |
| J1630 |
Haloperidol injection |
1,071 |
863 |
$7K |
| 0160 |
|
60 |
58 |
$7K |
| 82330 |
|
700 |
571 |
$7K |
| 90686 |
|
231 |
226 |
$7K |
| 74018 |
|
289 |
261 |
$7K |
| J1953 |
Levetiracetam injection |
87 |
72 |
$6K |
| 0681 |
|
44 |
39 |
$6K |
| J7030 |
Normal saline solution infus |
2,612 |
2,256 |
$6K |
| 45380 |
|
15 |
14 |
$6K |
| 12011 |
|
196 |
194 |
$6K |
| 87070 |
|
993 |
934 |
$6K |
| 83036 |
|
4,315 |
4,177 |
$6K |
| 72170 |
|
289 |
277 |
$6K |
| 93798 |
|
358 |
62 |
$6K |
| 94727 |
|
187 |
183 |
$5K |
| 87081 |
|
743 |
710 |
$5K |
| 0370 |
|
799 |
739 |
$5K |
| J3370 |
Vancomycin hcl injection |
408 |
273 |
$5K |
| Z7500 |
|
143 |
120 |
$5K |
| P9016 |
Rbc leukocytes reduced |
30 |
25 |
$4K |
| Q4051 |
Splint supplies misc |
90 |
30 |
$4K |
| 85652 |
|
2,548 |
2,367 |
$4K |
| 97116 |
|
643 |
418 |
$4K |
| 76770 |
|
69 |
67 |
$4K |
| S0164 |
Injection pantroprazole |
334 |
287 |
$4K |
| A9541 |
Tc99m sulfur colloid |
82 |
79 |
$4K |
| 99070 |
|
1,247 |
623 |
$4K |
| 87635 |
|
84 |
79 |
$4K |
| J0897 |
Denosumab injection |
20 |
15 |
$4K |
| 72070 |
|
124 |
116 |
$4K |
| 76604 |
|
129 |
129 |
$4K |
| 70491 |
|
17 |
14 |
$3K |
| 87880 |
|
359 |
340 |
$3K |
| 87205 |
|
1,230 |
1,142 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
509 |
273 |
$3K |
| J1650 |
Inj enoxaparin sodium |
975 |
524 |
$3K |
| 71010 |
|
168 |
86 |
$3K |
| 97165 |
|
157 |
144 |
$3K |
| 51702 |
|
45 |
39 |
$3K |
| 95812 |
|
38 |
38 |
$3K |
| J1940 |
Furosemide injection |
378 |
302 |
$3K |
| A9502 |
Tc99m tetrofosmin |
28 |
28 |
$3K |
| 70553 |
|
12 |
12 |
$3K |
| 84145 |
|
208 |
196 |
$2K |
| 73140 |
|
134 |
133 |
$2K |
| 36600 |
|
314 |
288 |
$2K |
| 80061 |
|
3,194 |
3,163 |
$2K |
| 70490 |
|
13 |
13 |
$2K |
| G1004 |
Cdsm ndsc |
1,360 |
1,281 |
$2K |
| 45385 |
|
12 |
12 |
$2K |
| 82306 |
|
1,668 |
1,652 |
$2K |
| 82140 |
|
173 |
151 |
$2K |
| L4361 |
Pneuma/vac walk boot pre ots |
16 |
16 |
$2K |
| J2370 |
Phenylephrine hcl injection |
73 |
72 |
$2K |
| 82010 |
|
318 |
295 |
$2K |
| 97530 |
|
492 |
243 |
$2K |
| 82570 |
|
1,988 |
1,879 |
$2K |
| 71101 |
|
56 |
55 |
$2K |
| 97162 |
|
92 |
91 |
$2K |
| 93017 |
|
57 |
57 |
$2K |
| J0780 |
Prochlorperazine injection |
146 |
143 |
$2K |
| 76536 |
|
30 |
30 |
$2K |
| 45378 |
|
15 |
15 |
$2K |
| 82553 |
|
198 |
138 |
$2K |
| 99213 |
|
234 |
222 |
$2K |
| 96376 |
|
138 |
117 |
$2K |
| G0378 |
Hospital observation per hr |
29 |
25 |
$2K |
| 73560 |
|
91 |
86 |
$2K |
| J0171 |
Adrenalin epinephrine inject |
87 |
75 |
$2K |
| 0320 |
|
32 |
31 |
$1K |
| 90632 |
|
32 |
32 |
$1K |
| 80051 |
|
279 |
247 |
$1K |
| 85018 |
|
730 |
638 |
$1K |
| 12013 |
|
19 |
19 |
$1K |
| 93356 |
|
55 |
55 |
$1K |
| 84100 |
|
871 |
637 |
$1K |
| 96367 |
|
25 |
19 |
$1K |
| T1999 |
Noc retail items andsupplies |
50 |
24 |
$1K |
| 41899 |
|
24 |
24 |
$1K |
| 74220 |
|
31 |
31 |
$1K |
| 62270 |
|
13 |
13 |
$1K |
| 29505 |
|
13 |
13 |
$1K |
| A0429 |
Bls-emergency |
40 |
32 |
$1K |
| 85014 |
|
469 |
406 |
$1K |
| 82947 |
|
229 |
202 |
$923.55 |
| 84439 |
|
867 |
850 |
$919.39 |
| 86780 |
|
55 |
52 |
$914.07 |
| 84156 |
|
535 |
469 |
$881.55 |
| 82248 |
|
215 |
205 |
$871.17 |
| A9585 |
Gadobutrol injection |
38 |
31 |
$864.65 |
| 82728 |
|
692 |
663 |
$855.59 |
| 92611 |
|
27 |
26 |
$844.17 |
| 87505 |
|
15 |
15 |
$728.78 |
| 87147 |
|
81 |
78 |
$689.75 |
| 76775 |
|
13 |
13 |
$680.12 |
| 84550 |
|
220 |
195 |
$663.73 |
| 80074 |
|
14 |
13 |
$549.56 |
| C1769 |
Guide wire |
252 |
217 |
$515.24 |
| 85027 |
|
121 |
109 |
$512.55 |
| 82607 |
|
396 |
395 |
$508.34 |
| U0001 |
2019-ncov diagnostic p |
15 |
15 |
$506.30 |
| 82375 |
|
90 |
82 |
$491.24 |
| 80164 |
|
39 |
36 |
$489.64 |
| J3475 |
Inj magnesium sulfate |
75 |
66 |
$450.96 |
| 73564 |
|
14 |
14 |
$444.65 |
| 74230 |
|
13 |
13 |
$442.32 |
| 0301 |
|
18 |
14 |
$435.76 |
| 82950 |
|
110 |
104 |
$431.05 |
| 72072 |
|
12 |
12 |
$382.98 |
| 96368 |
|
14 |
14 |
$373.87 |
| J2175 |
Meperidine hydrochl /100 mg |
26 |
26 |
$369.88 |
| 70360 |
|
27 |
26 |
$369.58 |
| 97166 |
|
16 |
12 |
$369.10 |
| 84466 |
|
623 |
613 |
$367.76 |
| 83540 |
|
709 |
697 |
$338.79 |
| 88307 |
|
13 |
13 |
$328.10 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
45 |
44 |
$312.10 |
| 82043 |
|
1,087 |
1,083 |
$282.20 |
| 87389 |
|
15 |
12 |
$282.18 |
| 87449 |
|
18 |
12 |
$272.55 |
| L3908 |
Who cock-up nonmolde pre ots |
12 |
12 |
$252.05 |
| 80185 |
|
31 |
25 |
$244.70 |
| 83050 |
|
61 |
57 |
$213.80 |
| 83970 |
|
169 |
167 |
$207.64 |
| 84132 |
|
61 |
51 |
$203.29 |
| 0255 |
|
16 |
13 |
$197.36 |
| 88342 |
|
13 |
13 |
$163.97 |
| J7040 |
Normal saline solution infus |
102 |
71 |
$128.36 |
| 88300 |
|
41 |
40 |
$113.62 |
| 94760 |
|
81 |
66 |
$110.99 |
| 87075 |
|
12 |
12 |
$95.11 |
| 0379 |
|
277 |
253 |
$88.62 |
| 87340 |
|
90 |
90 |
$72.10 |
| 86308 |
|
15 |
13 |
$66.77 |
| 82247 |
|
16 |
13 |
$56.68 |
| 83550 |
|
46 |
45 |
$56.37 |
| 86592 |
|
13 |
13 |
$53.57 |
| 97535 |
|
21 |
13 |
$48.06 |
| 89051 |
|
26 |
12 |
$44.52 |
| 83615 |
|
12 |
12 |
$41.97 |
| J7512 |
Prednisone ir or dr oral 1mg |
65 |
60 |
$15.70 |
| 36416 |
|
32 |
19 |
$15.59 |
| 81002 |
|
13 |
12 |
$8.88 |
| 80069 |
|
39 |
38 |
$7.52 |
| 99214 |
|
13 |
13 |
$0.00 |
| 0001A |
|
16 |
16 |
$0.00 |
| C1781 |
Mesh (implantable) |
12 |
12 |
$0.00 |
| G8979 |
Mobility goal status |
42 |
39 |
$0.00 |
| G8978 |
Mobility current status |
42 |
39 |
$0.00 |