| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
27,414 |
25,139 |
$3.05M |
| 99284 |
|
16,307 |
14,368 |
$1.83M |
| 74177 |
|
2,783 |
2,367 |
$957K |
| 96361 |
|
6,434 |
4,647 |
$729K |
| 70450 |
|
3,619 |
3,028 |
$572K |
| 80053 |
|
56,016 |
44,703 |
$553K |
| 96365 |
|
5,601 |
3,679 |
$522K |
| J3490 |
Drugs unclassified injection |
120,901 |
44,922 |
$428K |
| A0430 |
Fixed wing air transport |
156 |
139 |
$384K |
| 99285 |
|
3,262 |
2,659 |
$365K |
| 96375 |
|
14,221 |
10,747 |
$250K |
| 97110 |
|
9,160 |
3,110 |
$250K |
| 85025 |
|
73,598 |
57,521 |
$232K |
| 76700 |
|
1,523 |
1,294 |
$201K |
| 71046 |
|
6,581 |
5,164 |
$192K |
| 87591 |
|
4,716 |
4,027 |
$171K |
| 0241U |
|
2,370 |
2,119 |
$157K |
| 96360 |
|
1,792 |
1,242 |
$156K |
| 11042 |
|
1,679 |
811 |
$144K |
| 96374 |
|
18,667 |
15,380 |
$143K |
| 93005 |
|
18,014 |
14,578 |
$133K |
| 87491 |
|
4,733 |
4,041 |
$131K |
| 87635 |
|
1,737 |
1,650 |
$102K |
| 80048 |
|
7,437 |
5,497 |
$95K |
| 74176 |
|
275 |
224 |
$94K |
| 76830 |
|
906 |
754 |
$94K |
| 88305 |
|
2,176 |
1,469 |
$84K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,393 |
1,301 |
$84K |
| 84443 |
|
7,255 |
6,248 |
$79K |
| 80320 |
|
1,131 |
963 |
$78K |
| 96413 |
|
880 |
457 |
$74K |
| 96376 |
|
2,618 |
1,741 |
$62K |
| 76856 |
|
939 |
784 |
$60K |
| 84484 |
|
4,176 |
2,640 |
$58K |
| 80307 |
|
2,550 |
1,615 |
$55K |
| 87502 |
|
832 |
549 |
$55K |
| 87086 |
|
4,720 |
3,953 |
$54K |
| 97140 |
|
3,633 |
1,514 |
$51K |
| A0431 |
Rotary wing air transport |
29 |
25 |
$48K |
| 36415 |
|
23,975 |
19,343 |
$48K |
| 70553 |
|
116 |
88 |
$47K |
| 72125 |
|
522 |
462 |
$47K |
| 87624 |
|
1,281 |
1,163 |
$47K |
| 87653 |
|
1,262 |
1,114 |
$47K |
| 96372 |
|
3,502 |
2,504 |
$46K |
| 70551 |
|
138 |
117 |
$45K |
| 86780 |
|
2,304 |
2,012 |
$42K |
| 81001 |
|
14,373 |
11,505 |
$42K |
| 82306 |
|
1,091 |
967 |
$39K |
| 43239 |
|
112 |
105 |
$39K |
| 80061 |
|
3,115 |
2,763 |
$39K |
| 72100 |
|
799 |
647 |
$39K |
| G0432 |
Eia hiv-1/hiv-2 screen |
2,305 |
2,026 |
$38K |
| 90715 |
|
596 |
498 |
$37K |
| 88175 |
|
3,114 |
2,769 |
$36K |
| 92507 |
|
212 |
79 |
$32K |
| 96366 |
|
570 |
395 |
$32K |
| 87536 |
|
441 |
389 |
$31K |
| 83036 |
|
2,548 |
2,300 |
$30K |
| 71260 |
|
176 |
161 |
$30K |
| 83690 |
|
8,728 |
6,964 |
$29K |
| 86762 |
|
1,337 |
1,131 |
$27K |
| 97530 |
|
1,106 |
532 |
$26K |
| 80329 |
|
672 |
576 |
$25K |
| 87340 |
|
1,926 |
1,686 |
$25K |
| 72148 |
|
84 |
74 |
$23K |
| G0472 |
Hep c screen high risk/other |
961 |
893 |
$22K |
| 81025 |
|
3,287 |
2,601 |
$21K |
| 77063 |
|
932 |
796 |
$20K |
| 73030 |
|
669 |
545 |
$20K |
| 86850 |
|
2,349 |
1,927 |
$20K |
| 84702 |
|
1,967 |
1,236 |
$20K |
| 84439 |
|
2,050 |
1,779 |
$19K |
| 71275 |
|
89 |
78 |
$19K |
| 71045 |
|
4,286 |
3,709 |
$19K |
| 86140 |
|
1,731 |
1,482 |
$18K |
| 93306 |
|
57 |
50 |
$18K |
| J1642 |
Inj heparin sodium per 10 u |
3,367 |
1,427 |
$18K |
| 73630 |
|
638 |
507 |
$16K |
| 77067 |
|
932 |
796 |
$16K |
| 99211 |
|
902 |
668 |
$15K |
| U0005 |
Infec agen detec ampli probe |
1,163 |
1,100 |
$15K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,618 |
5,281 |
$15K |
| 85610 |
|
4,641 |
3,408 |
$14K |
| 82570 |
|
1,455 |
1,131 |
$14K |
| 99212 |
|
3,120 |
2,470 |
$13K |
| 76801 |
|
154 |
111 |
$13K |
| J7050 |
Normal saline solution infus |
11,252 |
5,560 |
$13K |
| 82728 |
|
1,003 |
919 |
$12K |
| 73562 |
|
449 |
349 |
$12K |
| 73610 |
|
470 |
345 |
$12K |
| 73130 |
|
445 |
341 |
$10K |
| 76817 |
|
160 |
115 |
$10K |
| 97161 |
|
70 |
68 |
$10K |
| J2405 |
Ondansetron hcl injection |
8,211 |
6,078 |
$9K |
| 85027 |
|
2,099 |
1,580 |
$9K |
| 99282 |
|
92 |
79 |
$8K |
| 87081 |
|
553 |
481 |
$8K |
| 87186 |
|
1,055 |
884 |
$8K |
| J1170 |
Hydromorphone injection |
3,905 |
2,580 |
$8K |
| 80306 |
|
1,339 |
1,182 |
$8K |
| J0131 |
Inj, acetaminophen (nos) |
809 |
565 |
$8K |
| 83540 |
|
1,047 |
949 |
$8K |
| 83550 |
|
999 |
909 |
$7K |
| 82565 |
|
2,880 |
2,510 |
$7K |
| 70498 |
|
17 |
13 |
$7K |
| 76770 |
|
52 |
32 |
$7K |
| 76642 |
|
85 |
70 |
$7K |
| 86900 |
|
2,401 |
1,954 |
$6K |
| 86901 |
|
2,404 |
1,954 |
$6K |
| 87088 |
|
652 |
569 |
$6K |
| J1885 |
Ketorolac tromethamine inj |
8,690 |
6,769 |
$6K |
| 82607 |
|
484 |
415 |
$5K |
| 99213 |
|
550 |
431 |
$5K |
| 83735 |
|
999 |
706 |
$5K |
| J2250 |
Inj midazolam hydrochloride |
2,130 |
1,690 |
$5K |
| 82962 |
|
3,923 |
1,611 |
$5K |
| J7120 |
Ringers lactate infusion |
11,349 |
9,435 |
$5K |
| 83880 |
|
186 |
152 |
$5K |
| 83605 |
|
516 |
356 |
$5K |
| 85379 |
|
480 |
415 |
$4K |
| 96367 |
|
157 |
111 |
$4K |
| 84156 |
|
708 |
477 |
$4K |
| J3010 |
Fentanyl citrate injection |
3,750 |
2,628 |
$4K |
| 85652 |
|
1,438 |
1,202 |
$4K |
| 82950 |
|
780 |
696 |
$4K |
| 97162 |
|
161 |
140 |
$3K |
| 76536 |
|
30 |
24 |
$3K |
| 0202U |
|
43 |
42 |
$3K |
| J7030 |
Normal saline solution infus |
4,214 |
2,699 |
$3K |
| 36591 |
|
200 |
125 |
$3K |
| 83615 |
|
644 |
400 |
$3K |
| 83516 |
|
119 |
109 |
$3K |
| 87070 |
|
292 |
231 |
$2K |
| 70496 |
|
14 |
12 |
$2K |
| 88342 |
|
124 |
108 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
3,630 |
2,715 |
$2K |
| J0690 |
Cefazolin sodium injection |
1,486 |
1,091 |
$2K |
| 73110 |
|
86 |
69 |
$2K |
| 76705 |
|
27 |
25 |
$2K |
| J1100 |
Dexamethasone sodium phos |
2,347 |
1,836 |
$2K |
| 82947 |
|
1,073 |
757 |
$2K |
| 80076 |
|
401 |
347 |
$2K |
| 80325 |
|
17 |
12 |
$2K |
| 85730 |
|
459 |
358 |
$2K |
| 82670 |
|
214 |
173 |
$2K |
| 87147 |
|
345 |
248 |
$2K |
| 87880 |
|
132 |
84 |
$2K |
| J2560 |
Phenobarbital sodium inj |
137 |
104 |
$2K |
| 82784 |
|
94 |
68 |
$2K |
| J2270 |
Morphine sulfate injection |
749 |
465 |
$1K |
| 88304 |
|
46 |
37 |
$1K |
| 97163 |
|
27 |
26 |
$1K |
| 73502 |
|
40 |
37 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
3,067 |
2,325 |
$1K |
| 84550 |
|
344 |
208 |
$1K |
| 84481 |
|
93 |
70 |
$1K |
| 80359 |
|
17 |
12 |
$1K |
| A9577 |
Inj multihance |
422 |
361 |
$1K |
| Q0162 |
Ondansetron oral |
2,749 |
2,042 |
$1K |
| 74018 |
|
26 |
25 |
$1K |
| 82043 |
|
27 |
25 |
$942.62 |
| A0425 |
Ground mileage |
24 |
24 |
$870.84 |
| 86360 |
|
32 |
25 |
$854.63 |
| 87205 |
|
227 |
175 |
$837.31 |
| 86359 |
|
32 |
25 |
$834.42 |
| 84703 |
|
685 |
618 |
$823.66 |
| 87040 |
|
105 |
49 |
$704.16 |
| J1630 |
Haloperidol injection |
2,247 |
1,763 |
$645.67 |
| J2550 |
Promethazine hcl injection |
1,304 |
853 |
$643.13 |
| G0463 |
Hospital outpt clinic visit |
1,326 |
916 |
$576.69 |
| 97112 |
|
32 |
14 |
$576.62 |
| 86038 |
|
41 |
39 |
$570.18 |
| 80349 |
|
30 |
24 |
$557.27 |
| 87486 |
|
12 |
12 |
$554.46 |
| 80159 |
|
90 |
73 |
$552.59 |
| 97166 |
|
15 |
12 |
$520.68 |
| 80348 |
|
15 |
12 |
$496.15 |
| 82746 |
|
40 |
36 |
$464.17 |
| 87798 |
|
24 |
12 |
$450.52 |
| 77065 |
Tomosynthesis, mammo |
19 |
13 |
$443.40 |
| 72110 |
|
13 |
12 |
$415.53 |
| 99214 |
|
16 |
12 |
$379.81 |
| 84403 |
|
90 |
85 |
$346.44 |
| 36416 |
|
210 |
113 |
$342.25 |
| J2765 |
Metoclopramide hcl injection |
1,002 |
796 |
$322.53 |
| 85007 |
|
59 |
42 |
$322.04 |
| J0696 |
Ceftriaxone sodium injection |
644 |
459 |
$291.56 |
| 80074 |
|
32 |
27 |
$285.72 |
| G0279 |
Tomosynthesis, mammo |
96 |
79 |
$283.68 |
| 87581 |
|
12 |
12 |
$277.19 |
| 86706 |
|
43 |
40 |
$268.87 |
| 87633 |
|
12 |
12 |
$225.26 |
| 87210 |
|
66 |
53 |
$208.08 |
| 82105 |
|
26 |
25 |
$182.96 |
| 97597 |
|
16 |
12 |
$167.31 |
| 87077 |
|
20 |
17 |
$152.57 |
| 86704 |
|
27 |
27 |
$151.41 |
| 84100 |
|
59 |
38 |
$133.31 |
| 86361 |
|
12 |
12 |
$131.02 |
| 85018 |
|
49 |
42 |
$113.72 |
| 88300 |
|
14 |
12 |
$103.34 |
| P9612 |
Catheterize for urine spec |
39 |
31 |
$77.92 |
| J7512 |
Prednisone ir or dr oral 1mg |
224 |
121 |
$72.23 |
| 87804 |
|
26 |
26 |
$54.67 |
| 86364 |
|
33 |
27 |
$43.28 |
| 85014 |
|
12 |
12 |
$42.42 |
| 90686 |
|
20 |
17 |
$41.03 |
| J1644 |
Inj heparin sodium per 1000u |
168 |
80 |
$21.67 |
| J0780 |
Prochlorperazine injection |
18 |
12 |
$18.88 |
| Q0163 |
Diphenhydramine hcl 50mg |
413 |
282 |
$17.22 |
| J3411 |
Thiamine hcl 100 mg |
36 |
27 |
$15.43 |
| J0461 |
Atropine sulfate injection |
30 |
26 |
$8.92 |
| J2060 |
Lorazepam injection |
285 |
210 |
$8.40 |
| J3475 |
Inj magnesium sulfate |
17 |
12 |
$6.39 |
| A9270 |
Non-covered item or service |
3,956 |
680 |
$5.13 |
| J1815 |
Insulin injection |
35 |
13 |
$1.14 |
| G1004 |
Cdsm ndsc |
257 |
208 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
13 |
12 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
91 |
78 |
$0.00 |
| 87426 |
|
148 |
127 |
$0.00 |
| A9698 |
Non-rad contrast materialnoc |
428 |
398 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
81 |
80 |
$0.00 |
| 99202 |
|
13 |
12 |
$0.00 |