| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
142,077 |
121,652 |
$52.46M |
| 99283 |
|
73,557 |
64,063 |
$30.23M |
| 0456 |
|
143,351 |
129,837 |
$17.12M |
| G0463 |
Hospital outpt clinic visit |
76,659 |
70,105 |
$9.54M |
| Z7502 |
|
35,715 |
34,874 |
$1.35M |
| L8699 |
Prosthetic implant nos |
346 |
340 |
$1.18M |
| 0360 |
|
6,917 |
3,074 |
$1.14M |
| 0241U |
|
17,463 |
17,208 |
$1.08M |
| 99284 |
|
11,034 |
10,305 |
$1.05M |
| G0378 |
Hospital observation per hr |
5,385 |
3,811 |
$1.03M |
| U0003 |
Cov-19 amp prb hgh thruput |
18,852 |
18,022 |
$921K |
| 99070 |
|
149,842 |
83,525 |
$877K |
| 99285 |
|
8,687 |
8,014 |
$840K |
| 0762 |
|
5,423 |
3,634 |
$714K |
| 93454 |
|
804 |
796 |
$603K |
| Z7500 |
|
16,824 |
15,567 |
$573K |
| 99499 |
|
9,770 |
8,008 |
$553K |
| 99221 |
|
2,665 |
2,622 |
$483K |
| J3490 |
Drugs unclassified injection |
127,090 |
67,226 |
$478K |
| 80053 |
|
95,376 |
86,415 |
$439K |
| 97110 |
|
9,528 |
2,122 |
$428K |
| 96374 |
|
31,797 |
29,379 |
$427K |
| 80307 |
|
25,026 |
23,524 |
$391K |
| 70450 |
|
15,671 |
15,089 |
$352K |
| 74177 |
|
9,398 |
9,097 |
$310K |
| 93005 |
|
59,130 |
53,470 |
$304K |
| 96372 |
|
62,747 |
57,442 |
$258K |
| 0710 |
|
3,865 |
3,751 |
$251K |
| 0949 |
|
1,622 |
1,126 |
$227K |
| G0381 |
Lev 2 hosp type b ed visit |
4,081 |
3,837 |
$214K |
| 85025 |
|
108,912 |
96,452 |
$213K |
| 74176 |
|
10,064 |
9,788 |
$211K |
| 0720 |
|
4,801 |
3,277 |
$193K |
| 99231 |
|
2,574 |
2,524 |
$188K |
| 71045 |
|
44,744 |
41,896 |
$179K |
| 11042 |
|
3,487 |
1,601 |
$165K |
| J0131 |
Inj, acetaminophen (nos) |
1,542 |
1,473 |
$160K |
| 0370 |
|
1,305 |
763 |
$157K |
| 96375 |
|
23,468 |
21,017 |
$144K |
| 76705 |
|
7,324 |
6,756 |
$140K |
| 99282 |
|
1,601 |
1,492 |
$130K |
| 97750 |
|
2,962 |
1,579 |
$130K |
| 59025 |
|
3,295 |
2,558 |
$110K |
| 99238 |
|
2,538 |
2,501 |
$109K |
| 0760 |
|
2,892 |
2,699 |
$102K |
| 99232 |
|
1,232 |
1,212 |
$97K |
| 96365 |
|
7,007 |
6,668 |
$97K |
| U0002 |
Covid-19 lab test non-cdc |
3,158 |
3,104 |
$95K |
| 71275 |
|
2,748 |
2,680 |
$95K |
| 97139 |
|
3,258 |
577 |
$95K |
| Z7610 |
|
19,168 |
13,137 |
$93K |
| 71046 |
|
18,461 |
17,728 |
$92K |
| 72125 |
|
4,081 |
3,989 |
$89K |
| G0382 |
Lev 3 hosp type b ed visit |
2,356 |
2,268 |
$89K |
| G0480 |
Drug test def 1-7 classes |
7,777 |
7,201 |
$88K |
| C1747 |
Endo, single, urinary tract |
25 |
25 |
$87K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
16,050 |
15,471 |
$87K |
| 93306 |
|
942 |
903 |
$84K |
| 36415 |
|
22,555 |
19,216 |
$83K |
| 96361 |
|
8,578 |
7,752 |
$80K |
| C1769 |
Guide wire |
1,185 |
1,159 |
$80K |
| C9290 |
Inj, bupivacaine liposome |
187 |
182 |
$75K |
| 99218 |
|
422 |
418 |
$75K |
| J0561 |
Penicillin g benzathine inj |
1,947 |
1,724 |
$75K |
| 80048 |
|
15,092 |
13,670 |
$74K |
| 76815 |
|
1,693 |
1,561 |
$71K |
| 87635 |
|
2,055 |
1,984 |
$66K |
| 99212 |
|
3,125 |
2,948 |
$60K |
| 96360 |
|
3,846 |
3,577 |
$58K |
| 82962 |
|
31,167 |
26,036 |
$53K |
| 84484 |
|
34,485 |
30,314 |
$53K |
| 93971 |
|
2,915 |
2,826 |
$53K |
| 88305 |
|
2,385 |
2,248 |
$52K |
| 87086 |
|
18,988 |
18,080 |
$51K |
| 0001A |
|
1,351 |
1,351 |
$49K |
| 92588 |
|
857 |
808 |
$48K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
13 |
13 |
$47K |
| C1781 |
Mesh (implantable) |
44 |
44 |
$47K |
| 76801 |
|
4,361 |
3,821 |
$47K |
| 76856 |
|
4,609 |
4,477 |
$46K |
| 87081 |
|
9,619 |
9,139 |
$46K |
| 0002A |
|
1,192 |
1,192 |
$46K |
| 94729 |
|
756 |
745 |
$44K |
| 83880 |
|
10,769 |
10,055 |
$43K |
| 76817 |
|
1,628 |
1,453 |
$42K |
| 81001 |
|
52,312 |
48,837 |
$41K |
| 94060 |
|
998 |
983 |
$40K |
| S0020 |
Injection, bupivicaine hydro |
2,165 |
2,104 |
$40K |
| 47562 |
|
129 |
127 |
$40K |
| 0250 |
|
7,967 |
4,812 |
$39K |
| 52356 |
|
222 |
219 |
$39K |
| J1885 |
Ketorolac tromethamine inj |
41,634 |
39,066 |
$37K |
| C1894 |
Intro/sheath, non-laser |
1,183 |
1,163 |
$36K |
| 99199 |
|
184 |
162 |
$36K |
| 0459 |
|
1,319 |
1,236 |
$36K |
| J1815 |
Insulin injection |
3,474 |
2,281 |
$34K |
| 71260 |
|
1,205 |
1,186 |
$34K |
| 94640 |
|
12,291 |
10,752 |
$32K |
| 88307 |
|
878 |
831 |
$32K |
| 70486 |
|
1,669 |
1,638 |
$31K |
| 85730 |
|
11,603 |
11,058 |
$30K |
| 86900 |
|
8,279 |
7,774 |
$30K |
| J2405 |
Ondansetron hcl injection |
28,950 |
26,574 |
$29K |
| 83690 |
|
29,836 |
27,517 |
$28K |
| 99224 |
|
376 |
372 |
$28K |
| 90715 |
|
5,007 |
4,936 |
$28K |
| 72131 |
|
1,239 |
1,218 |
$28K |
| 94727 |
|
728 |
715 |
$28K |
| J1100 |
Dexamethasone sodium phos |
27,539 |
26,179 |
$27K |
| 99152 |
|
476 |
471 |
$26K |
| Z9725 |
|
606 |
599 |
$26K |
| J3010 |
Fentanyl citrate injection |
11,085 |
10,114 |
$25K |
| V5008 |
Hearing screening |
463 |
451 |
$25K |
| 99213 |
|
1,093 |
1,040 |
$25K |
| J2270 |
Morphine sulfate injection |
18,755 |
16,015 |
$25K |
| 81003 |
|
43,660 |
41,620 |
$24K |
| J0330 |
Succinycholine chloride inj |
1,207 |
1,184 |
$24K |
| 93970 |
|
707 |
692 |
$24K |
| 85610 |
|
14,524 |
13,629 |
$23K |
| U0005 |
Infec agen detec ampli probe |
1,429 |
1,374 |
$23K |
| 87502 |
|
2,141 |
2,101 |
$22K |
| 73130 |
|
6,268 |
6,098 |
$21K |
| J2704 |
Inj, propofol, 10 mg |
7,499 |
7,275 |
$21K |
| 99281 |
|
268 |
238 |
$21K |
| 73630 |
|
6,227 |
6,081 |
$21K |
| J7030 |
Normal saline solution infus |
16,440 |
14,906 |
$21K |
| 73610 |
|
5,848 |
5,716 |
$20K |
| 87491 |
|
5,374 |
5,259 |
$20K |
| 73030 |
|
4,408 |
4,273 |
$20K |
| 88304 |
|
1,427 |
1,390 |
$19K |
| 86850 |
|
4,407 |
4,259 |
$19K |
| 97140 |
|
499 |
216 |
$18K |
| 70496 |
|
452 |
444 |
$17K |
| 99291 |
|
68 |
68 |
$17K |
| 73562 |
|
4,115 |
4,001 |
$17K |
| J0690 |
Cefazolin sodium injection |
5,808 |
5,334 |
$16K |
| 81025 |
|
18,331 |
17,587 |
$16K |
| 76819 |
|
200 |
166 |
$16K |
| J0696 |
Ceftriaxone sodium injection |
14,250 |
13,318 |
$16K |
| 82803 |
|
2,915 |
2,788 |
$16K |
| C1758 |
Catheter, ureteral |
568 |
558 |
$15K |
| 97112 |
|
670 |
277 |
$15K |
| 99217 |
|
394 |
391 |
$14K |
| 87591 |
|
2,899 |
2,817 |
$14K |
| 99225 |
|
173 |
173 |
$14K |
| 73110 |
|
3,754 |
3,663 |
$14K |
| 83605 |
|
9,520 |
8,844 |
$13K |
| 84702 |
|
6,840 |
5,921 |
$13K |
| 74018 |
|
2,030 |
1,966 |
$12K |
| 85027 |
|
4,225 |
3,886 |
$12K |
| 87040 |
|
6,308 |
5,577 |
$12K |
| J1644 |
Inj heparin sodium per 1000u |
7,698 |
3,929 |
$12K |
| 0270 |
|
3,061 |
1,773 |
$12K |
| 0761 |
|
449 |
417 |
$11K |
| 96366 |
|
1,541 |
1,470 |
$11K |
| 84443 |
|
4,777 |
4,647 |
$11K |
| 74240 |
|
98 |
97 |
$11K |
| J7120 |
Ringers lactate infusion |
4,948 |
4,382 |
$11K |
| 73564 |
|
1,981 |
1,954 |
$11K |
| J1170 |
Hydromorphone injection |
5,284 |
4,446 |
$11K |
| 71250 |
|
260 |
258 |
$10K |
| 76830 |
|
1,007 |
982 |
$10K |
| J2710 |
Neostigmine methylslfte inj |
1,062 |
1,035 |
$10K |
| 87077 |
|
6,405 |
6,158 |
$10K |
| 12001 |
|
2,701 |
2,645 |
$10K |
| 72128 |
|
254 |
252 |
$10K |
| 93458 |
|
13 |
13 |
$10K |
| 70498 |
|
489 |
480 |
$10K |
| J2765 |
Metoclopramide hcl injection |
8,509 |
8,015 |
$9K |
| 87186 |
|
5,773 |
5,549 |
$9K |
| J1953 |
Levetiracetam injection |
1,245 |
1,040 |
$9K |
| 12002 |
|
1,089 |
1,075 |
$9K |
| 99153 |
Mod sedat endo service >5yrs |
312 |
308 |
$9K |
| 76870 |
|
657 |
629 |
$9K |
| 72100 |
|
2,486 |
2,451 |
$8K |
| 87210 |
|
4,741 |
4,613 |
$8K |
| 73080 |
|
2,254 |
2,188 |
$8K |
| A9270 |
Non-covered item or service |
14,571 |
6,572 |
$8K |
| 70491 |
|
176 |
171 |
$8K |
| 71101 |
|
901 |
874 |
$8K |
| J2250 |
Inj midazolam hydrochloride |
8,622 |
7,947 |
$7K |
| 84703 |
|
1,969 |
1,921 |
$7K |
| 87389 |
|
1,905 |
1,885 |
$7K |
| 88313 |
|
237 |
222 |
$7K |
| 73590 |
|
2,170 |
2,107 |
$7K |
| 73090 |
|
1,855 |
1,810 |
$7K |
| 76805 |
|
139 |
131 |
$7K |
| 76770 |
|
412 |
392 |
$7K |
| 83735 |
|
5,967 |
5,175 |
$7K |
| 86780 |
|
2,297 |
2,207 |
$7K |
| 83036 |
|
1,911 |
1,828 |
$6K |
| 73502 |
|
1,507 |
1,479 |
$6K |
| S0077 |
Injection, clindamycin phosp |
1,814 |
1,710 |
$6K |
| 78452 |
|
41 |
40 |
$6K |
| J1200 |
Diphenhydramine hcl injectio |
7,815 |
7,332 |
$6K |
| 10060 |
|
1,524 |
1,468 |
$6K |
| 93976 |
|
130 |
127 |
$6K |
| 87631 |
|
862 |
829 |
$6K |
| 72040 |
|
1,179 |
1,163 |
$5K |
| 0004A |
|
130 |
130 |
$5K |
| 12011 |
|
1,661 |
1,630 |
$5K |
| 36600 |
|
514 |
506 |
$5K |
| J2370 |
Phenylephrine hcl injection |
364 |
337 |
$5K |
| 72132 |
|
118 |
117 |
$5K |
| 74174 |
|
50 |
46 |
$4K |
| 73140 |
|
1,950 |
1,917 |
$4K |
| Q3014 |
Telehealth facility fee |
1,286 |
1,185 |
$4K |
| 87070 |
|
1,020 |
985 |
$4K |
| 29515 |
|
1,050 |
1,013 |
$4K |
| 29125 |
|
1,552 |
1,504 |
$4K |
| J2060 |
Lorazepam injection |
4,407 |
3,997 |
$4K |
| 49083 |
|
24 |
12 |
$4K |
| 82248 |
|
1,074 |
641 |
$4K |
| A0429 |
Bls-emergency |
132 |
108 |
$4K |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
185 |
181 |
$3K |
| 86901 |
|
4,609 |
4,281 |
$3K |
| J2930 |
Methylprednisolone injection |
3,617 |
3,446 |
$3K |
| 82247 |
|
1,026 |
605 |
$3K |
| 86141 |
|
1,876 |
1,780 |
$3K |
| 71020 |
|
279 |
225 |
$3K |
| 84145 |
|
1,238 |
1,195 |
$3K |
| 49650 |
|
12 |
12 |
$3K |
| 80061 |
|
1,022 |
981 |
$3K |
| J2175 |
Meperidine hydrochl /100 mg |
447 |
411 |
$2K |
| 84100 |
|
3,133 |
2,911 |
$2K |
| J2785 |
Regadenoson injection |
27 |
26 |
$2K |
| 99234 |
|
294 |
268 |
$2K |
| 82550 |
|
2,374 |
2,208 |
$2K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
860 |
764 |
$2K |
| 0272 |
|
872 |
849 |
$2K |
| 85379 |
|
1,977 |
1,921 |
$2K |
| 90471 |
|
5,362 |
5,263 |
$2K |
| J2795 |
Ropivacaine hcl injection |
107 |
103 |
$2K |
| 72129 |
|
71 |
71 |
$2K |
| C1887 |
Catheter, guiding |
84 |
80 |
$2K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
478 |
464 |
$2K |
| J0360 |
Hydralazine hcl injection |
791 |
718 |
$2K |
| 83615 |
|
491 |
442 |
$2K |
| 87205 |
|
768 |
736 |
$2K |
| 73060 |
|
503 |
482 |
$2K |
| 0054A |
|
47 |
47 |
$2K |
| 73620 |
|
647 |
631 |
$2K |
| J0171 |
Adrenalin epinephrine inject |
300 |
292 |
$2K |
| 87400 |
|
1,174 |
1,081 |
$2K |
| 82140 |
|
1,265 |
1,208 |
$2K |
| C2617 |
Stent, non-cor, tem w/o del |
150 |
148 |
$2K |
| 82365 |
|
53 |
52 |
$2K |
| 73600 |
|
340 |
329 |
$2K |
| 84132 |
|
771 |
736 |
$2K |
| 80076 |
|
1,257 |
1,236 |
$1K |
| J7040 |
Normal saline solution infus |
1,424 |
1,358 |
$1K |
| 96376 |
|
1,549 |
1,327 |
$1K |
| 88342 |
|
55 |
53 |
$1K |
| A9500 |
Tc99m sestamibi |
53 |
52 |
$1K |
| J0694 |
Cefoxitin sodium injection |
128 |
119 |
$1K |
| C1889 |
Implant/insert device, noc |
109 |
107 |
$1K |
| 73552 |
|
367 |
361 |
$1K |
| 93017 |
|
85 |
81 |
$1K |
| 11045 |
|
30 |
14 |
$1K |
| 84439 |
|
1,281 |
1,265 |
$1K |
| J1630 |
Haloperidol injection |
1,455 |
1,281 |
$1K |
| J1940 |
Furosemide injection |
1,167 |
966 |
$1K |
| J3475 |
Inj magnesium sulfate |
669 |
616 |
$987.02 |
| 97162 |
|
74 |
73 |
$963.08 |
| 73100 |
|
177 |
174 |
$939.84 |
| 97799 |
|
82 |
56 |
$905.82 |
| 82731 |
|
14 |
13 |
$898.10 |
| 0301 |
|
158 |
144 |
$895.30 |
| 86803 |
|
271 |
269 |
$885.81 |
| 29105 |
|
439 |
418 |
$828.11 |
| J7050 |
Normal saline solution infus |
950 |
847 |
$822.41 |
| 93350 |
|
13 |
12 |
$773.97 |
| S0164 |
Injection pantroprazole |
466 |
411 |
$730.46 |
| 97165 |
|
35 |
29 |
$673.27 |
| 88300 |
|
209 |
206 |
$624.23 |
| 99211 |
|
13 |
13 |
$622.21 |
| 73120 |
|
234 |
230 |
$583.27 |
| 80074 |
|
126 |
125 |
$558.94 |
| J0780 |
Prochlorperazine injection |
430 |
424 |
$554.93 |
| 85652 |
|
1,524 |
1,457 |
$523.78 |
| 0052A |
|
13 |
13 |
$520.00 |
| 90658 |
|
44 |
39 |
$519.31 |
| 92950 |
|
48 |
28 |
$494.88 |
| J3370 |
Vancomycin hcl injection |
243 |
213 |
$493.55 |
| 73560 |
|
97 |
94 |
$488.79 |
| 85384 |
|
57 |
49 |
$486.50 |
| 0031A |
|
12 |
12 |
$480.00 |
| 82010 |
|
642 |
616 |
$474.39 |
| 82553 |
|
377 |
347 |
$459.49 |
| 80185 |
|
64 |
51 |
$441.87 |
| J1650 |
Inj enoxaparin sodium |
317 |
187 |
$422.79 |
| 73070 |
|
124 |
123 |
$422.63 |
| 97597 |
|
17 |
14 |
$421.10 |
| J3372 |
Inj, vancomycin hcl (xellia) |
136 |
118 |
$415.82 |
| 85007 |
|
889 |
837 |
$389.91 |
| 87147 |
|
252 |
250 |
$382.38 |
| 72070 |
|
103 |
103 |
$375.05 |
| J3360 |
Diazepam injection |
12 |
12 |
$360.91 |
| 71010 |
|
198 |
192 |
$342.47 |
| 82306 |
|
12 |
12 |
$341.40 |
| 80299 |
|
40 |
36 |
$318.40 |
| 10061 |
|
121 |
113 |
$315.59 |
| J1580 |
Garamycin gentamicin inj |
14 |
12 |
$312.01 |
| 69209 |
|
724 |
709 |
$292.02 |
| 82570 |
|
60 |
54 |
$291.84 |
| 97164 |
|
50 |
49 |
$272.23 |
| 84550 |
|
83 |
79 |
$250.57 |
| 72072 |
|
68 |
62 |
$212.85 |
| 72170 |
|
42 |
41 |
$200.02 |
| 96367 |
|
99 |
98 |
$199.79 |
| A9577 |
Inj multihance |
24 |
24 |
$183.18 |
| 73660 |
|
72 |
72 |
$167.22 |
| 87529 |
|
25 |
25 |
$161.68 |
| 87632 |
|
12 |
12 |
$154.59 |
| 87340 |
|
42 |
39 |
$154.13 |
| 74022 |
|
42 |
42 |
$152.13 |
| J3486 |
Ziprasidone mesylate |
15 |
14 |
$136.00 |
| J2359 |
Inj. olanzapine, 0.5mg |
32 |
32 |
$129.79 |
| J2550 |
Promethazine hcl injection |
92 |
87 |
$126.96 |
| 82728 |
|
63 |
60 |
$122.47 |
| 84156 |
|
31 |
27 |
$115.18 |
| 97530 |
|
36 |
25 |
$110.31 |
| 86592 |
|
188 |
178 |
$103.25 |
| 87420 |
|
271 |
242 |
$100.37 |
| 76802 |
|
39 |
39 |
$100.22 |
| 81002 |
|
645 |
635 |
$80.18 |
| 70360 |
|
60 |
60 |
$74.37 |
| 96368 |
|
29 |
28 |
$70.09 |
| J2919 |
Inj, methylpred sod succ 5mg |
49 |
46 |
$59.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
68 |
54 |
$49.23 |
| J3105 |
Terbutaline sulfate inj |
21 |
13 |
$48.00 |
| 51702 |
|
103 |
95 |
$40.74 |
| 31500 |
|
37 |
36 |
$35.86 |
| 86694 |
|
40 |
40 |
$27.00 |
| 80164 |
|
14 |
14 |
$24.84 |
| J0456 |
Azithromycin |
14 |
14 |
$20.26 |
| 82607 |
|
14 |
12 |
$19.30 |
| 82746 |
|
14 |
12 |
$18.82 |
| J1920 |
Inj, labetalol hcl, 5mg |
34 |
30 |
$14.88 |
| 11730 |
|
24 |
24 |
$14.34 |
| J2920 |
Methylprednisolone injection |
19 |
14 |
$11.83 |
| 29530 |
|
41 |
41 |
$8.61 |
| 84436 |
|
37 |
35 |
$6.56 |
| 29126 |
|
31 |
31 |
$6.05 |
| 0306 |
|
73 |
72 |
$0.00 |
| 0307 |
|
25 |
25 |
$0.00 |
| 0324 |
|
24 |
24 |
$0.00 |
| 0305 |
|
88 |
85 |
$0.00 |
| 0352 |
|
15 |
15 |
$0.00 |
| 0420 |
|
15 |
15 |
$0.00 |
| 0300 |
|
88 |
84 |
$0.00 |
| 69200 |
|
12 |
12 |
$0.00 |
| 0730 |
|
15 |
15 |
$0.00 |
| 91300 |
|
32 |
27 |
$0.00 |