| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
|
7,773 |
6,480 |
$932K |
| 97110 |
|
24,921 |
6,224 |
$848K |
| 80053 |
|
53,599 |
42,120 |
$762K |
| 70450 |
|
6,778 |
5,693 |
$571K |
| 87426 |
|
13,157 |
11,017 |
$380K |
| 85025 |
|
62,839 |
47,275 |
$359K |
| 87804 |
|
13,035 |
11,538 |
$262K |
| 80050 |
|
5,062 |
4,943 |
$236K |
| 80048 |
|
14,750 |
11,031 |
$232K |
| 99283 |
|
6,652 |
5,270 |
$222K |
| 72125 |
|
2,015 |
1,703 |
$215K |
| 93005 |
|
20,934 |
15,840 |
$196K |
| 93306 |
|
2,466 |
2,005 |
$191K |
| 80307 |
|
3,065 |
2,480 |
$185K |
| 78452 |
|
1,348 |
1,106 |
$184K |
| 99284 |
|
7,325 |
5,674 |
$150K |
| 86901 |
|
6,734 |
5,258 |
$149K |
| 87430 |
|
12,793 |
11,325 |
$140K |
| 36415 |
|
13,306 |
9,274 |
$134K |
| 74176 |
|
2,217 |
1,896 |
$133K |
| 87086 |
|
16,248 |
13,508 |
$127K |
| 81025 |
|
17,123 |
13,715 |
$117K |
| 76805 |
|
2,599 |
2,312 |
$113K |
| 84484 |
|
14,822 |
10,270 |
$112K |
| 97161 |
|
2,718 |
2,012 |
$112K |
| 87491 |
|
2,950 |
2,609 |
$112K |
| 87591 |
|
2,946 |
2,606 |
$111K |
| 71046 |
|
6,546 |
5,503 |
$100K |
| 71045 |
|
13,800 |
11,103 |
$98K |
| 83690 |
|
15,654 |
12,806 |
$98K |
| 83880 |
|
4,959 |
4,044 |
$94K |
| 84443 |
|
14,968 |
12,739 |
$92K |
| 99285 |
|
5,579 |
4,329 |
$90K |
| 93976 |
|
1,565 |
1,333 |
$83K |
| 71275 |
|
547 |
463 |
$83K |
| J1100 |
Dexamethasone sodium phos |
5,468 |
4,650 |
$82K |
| 43239 |
|
591 |
507 |
$77K |
| 71260 |
|
573 |
483 |
$73K |
| 80061 |
|
7,768 |
6,696 |
$67K |
| 87070 |
|
5,375 |
4,453 |
$66K |
| 87077 |
|
6,971 |
5,822 |
$65K |
| 96374 |
|
5,807 |
4,513 |
$65K |
| 96372 |
|
3,237 |
2,329 |
$64K |
| 76817 |
|
1,657 |
1,318 |
$63K |
| 82962 |
|
11,912 |
4,814 |
$63K |
| 83036 |
|
8,438 |
7,258 |
$61K |
| 85027 |
|
10,347 |
8,053 |
$61K |
| 72148 |
|
296 |
240 |
$60K |
| 81001 |
|
20,049 |
16,486 |
$60K |
| 80305 |
|
4,128 |
3,504 |
$58K |
| J0696 |
Ceftriaxone sodium injection |
5,316 |
4,458 |
$54K |
| 72100 |
|
1,755 |
1,476 |
$53K |
| 87040 |
|
7,086 |
3,483 |
$53K |
| 77067 |
|
1,339 |
1,212 |
$52K |
| 80306 |
|
3,474 |
2,796 |
$50K |
| J2405 |
Ondansetron hcl injection |
15,871 |
12,922 |
$49K |
| 73562 |
|
1,792 |
1,497 |
$46K |
| 96361 |
|
3,723 |
2,748 |
$46K |
| 96365 |
|
1,918 |
1,518 |
$45K |
| 99282 |
|
1,062 |
845 |
$45K |
| 82077 |
|
3,619 |
2,805 |
$43K |
| 81003 |
|
17,412 |
14,596 |
$42K |
| 73630 |
|
1,883 |
1,614 |
$41K |
| 85730 |
|
8,467 |
6,769 |
$40K |
| 76801 |
|
1,351 |
1,133 |
$40K |
| U0003 |
Cov-19 amp prb hgh thruput |
686 |
565 |
$39K |
| 96375 |
|
4,206 |
3,137 |
$39K |
| 85610 |
|
10,888 |
8,589 |
$37K |
| J1885 |
Ketorolac tromethamine inj |
11,847 |
9,894 |
$34K |
| 80143 |
|
2,445 |
1,901 |
$34K |
| 83605 |
|
4,238 |
3,185 |
$34K |
| 73610 |
|
1,876 |
1,640 |
$33K |
| 80179 |
|
2,405 |
1,879 |
$33K |
| A9502 |
Tc99m tetrofosmin |
784 |
603 |
$32K |
| 73130 |
|
1,506 |
1,308 |
$31K |
| 87186 |
|
6,279 |
5,215 |
$30K |
| 84702 |
|
3,472 |
2,568 |
$30K |
| 82306 |
|
1,397 |
1,226 |
$30K |
| 87389 |
|
1,179 |
1,047 |
$29K |
| 86900 |
|
6,744 |
5,264 |
$29K |
| 84439 |
|
3,956 |
3,423 |
$29K |
| 73110 |
|
1,431 |
1,209 |
$28K |
| 82565 |
|
2,049 |
1,591 |
$28K |
| 80047 |
|
1,252 |
1,023 |
$28K |
| 87081 |
|
3,751 |
3,312 |
$28K |
| 73030 |
|
1,545 |
1,300 |
$27K |
| 70486 |
|
229 |
201 |
$27K |
| 97001 |
|
635 |
530 |
$25K |
| 86803 |
|
1,637 |
1,421 |
$24K |
| 74018 |
|
1,508 |
1,282 |
$24K |
| 87428 |
|
964 |
814 |
$24K |
| 76830 |
|
544 |
455 |
$23K |
| 83735 |
|
5,667 |
4,092 |
$23K |
| 86403 |
|
1,861 |
1,679 |
$23K |
| 76705 |
|
1,521 |
1,330 |
$23K |
| 69436 |
|
112 |
95 |
$22K |
| 93017 |
|
1,599 |
1,305 |
$22K |
| 85379 |
|
2,612 |
2,216 |
$21K |
| 94760 |
|
2,880 |
1,587 |
$21K |
| 86850 |
|
5,349 |
4,147 |
$21K |
| 59025 |
|
241 |
104 |
$20K |
| J1650 |
Inj enoxaparin sodium |
901 |
594 |
$19K |
| T1015 |
Clinic service |
2,779 |
1,844 |
$19K |
| 94060 |
|
721 |
562 |
$19K |
| 11042 |
|
229 |
120 |
$19K |
| J2785 |
Regadenoson injection |
439 |
317 |
$19K |
| 71020 |
|
1,407 |
1,267 |
$18K |
| 86762 |
|
1,250 |
1,083 |
$18K |
| 82805 |
|
846 |
649 |
$18K |
| 87340 |
|
1,795 |
1,527 |
$17K |
| 74022 |
|
774 |
710 |
$17K |
| 95810 |
|
105 |
76 |
$17K |
| 70553 |
|
43 |
40 |
$16K |
| 96360 |
|
1,049 |
779 |
$16K |
| 87880 |
|
1,426 |
1,302 |
$16K |
| 86787 |
|
1,083 |
918 |
$15K |
| 87807 |
|
1,281 |
1,180 |
$15K |
| 42820 |
|
43 |
41 |
$14K |
| 76856 |
|
554 |
460 |
$14K |
| 90715 |
|
956 |
824 |
$14K |
| 86592 |
|
3,172 |
2,794 |
$14K |
| C9803 |
Hopd covid-19 spec collect |
4,430 |
3,596 |
$13K |
| 84480 |
|
1,128 |
1,022 |
$13K |
| 82607 |
|
1,199 |
1,069 |
$13K |
| 73721 |
|
43 |
38 |
$11K |
| 93971 |
|
335 |
282 |
$11K |
| 87806 |
|
462 |
390 |
$11K |
| 80074 |
|
236 |
210 |
$10K |
| 87210 |
|
2,121 |
1,857 |
$10K |
| 97165 |
|
290 |
214 |
$9K |
| 80076 |
|
1,197 |
942 |
$9K |
| 77063 |
|
1,068 |
946 |
$9K |
| 73502 |
|
432 |
373 |
$9K |
| 45378 |
|
62 |
54 |
$9K |
| 95811 |
|
145 |
109 |
$9K |
| 86140 |
|
1,981 |
1,572 |
$9K |
| 94729 |
|
656 |
517 |
$8K |
| 82951 |
|
547 |
479 |
$8K |
| 87147 |
|
453 |
342 |
$8K |
| 82247 |
|
1,264 |
904 |
$8K |
| 94726 |
|
640 |
506 |
$8K |
| 82570 |
|
2,158 |
1,721 |
$7K |
| 87075 |
|
538 |
427 |
$7K |
| 82728 |
|
619 |
521 |
$7K |
| A9500 |
Tc99m sestamibi |
278 |
255 |
$7K |
| 72040 |
|
307 |
269 |
$6K |
| 93458 |
|
102 |
93 |
$6K |
| 84100 |
|
2,524 |
1,814 |
$6K |
| 76642 |
|
278 |
226 |
$6K |
| 82950 |
|
1,040 |
929 |
$6K |
| 83540 |
|
1,073 |
913 |
$5K |
| 73080 |
|
347 |
306 |
$5K |
| 71010 |
|
645 |
575 |
$5K |
| 70551 |
|
30 |
24 |
$5K |
| A9577 |
Inj multihance |
163 |
144 |
$5K |
| M0243 |
Casirivi and imdevi inj |
32 |
30 |
$5K |
| 73090 |
|
275 |
235 |
$4K |
| 82043 |
|
1,399 |
1,208 |
$4K |
| 83550 |
|
639 |
539 |
$4K |
| 96376 |
|
939 |
579 |
$4K |
| 90471 |
|
976 |
806 |
$4K |
| 82248 |
|
890 |
703 |
$4K |
| 82550 |
|
654 |
521 |
$4K |
| 73590 |
|
134 |
102 |
$4K |
| 70498 |
|
31 |
27 |
$3K |
| J2704 |
Inj, propofol, 10 mg |
3,423 |
2,724 |
$3K |
| 47562 |
|
13 |
13 |
$3K |
| 82746 |
|
270 |
240 |
$3K |
| J7030 |
Normal saline solution infus |
11,859 |
9,144 |
$3K |
| 94640 |
|
1,372 |
965 |
$3K |
| J2060 |
Lorazepam injection |
3,087 |
2,491 |
$3K |
| 73140 |
|
221 |
187 |
$3K |
| 97162 |
|
50 |
39 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
3,240 |
2,502 |
$3K |
| 84156 |
|
943 |
717 |
$3K |
| J0690 |
Cefazolin sodium injection |
1,969 |
1,484 |
$3K |
| 85651 |
|
904 |
722 |
$3K |
| J3010 |
Fentanyl citrate injection |
4,310 |
3,315 |
$3K |
| G0463 |
Hospital outpt clinic visit |
423 |
231 |
$3K |
| 72141 |
|
15 |
13 |
$3K |
| 93975 |
|
34 |
30 |
$2K |
| 45385 |
|
15 |
13 |
$2K |
| J2550 |
Promethazine hcl injection |
2,235 |
1,794 |
$2K |
| 87205 |
|
761 |
621 |
$2K |
| 74010 |
|
100 |
93 |
$2K |
| 82952 |
|
461 |
403 |
$2K |
| 84550 |
|
578 |
463 |
$2K |
| 82803 |
|
170 |
118 |
$2K |
| 86765 |
|
131 |
109 |
$2K |
| 77066 |
Tomosynthesis, mammo |
35 |
29 |
$2K |
| 70496 |
|
17 |
14 |
$2K |
| 74000 |
|
107 |
97 |
$2K |
| 97530 |
|
45 |
26 |
$1K |
| J1170 |
Hydromorphone injection |
3,102 |
2,355 |
$1K |
| 84112 |
|
19 |
12 |
$1K |
| 87400 |
|
143 |
85 |
$992.11 |
| G0283 |
Elec stim other than wound |
509 |
160 |
$981.02 |
| 99281 |
|
325 |
304 |
$961.59 |
| J1200 |
Diphenhydramine hcl injectio |
1,834 |
1,491 |
$940.81 |
| 84132 |
|
117 |
96 |
$920.89 |
| 82330 |
|
74 |
60 |
$920.28 |
| 82150 |
|
141 |
128 |
$918.68 |
| J2270 |
Morphine sulfate injection |
3,031 |
2,162 |
$895.14 |
| 0240U |
|
62 |
49 |
$855.78 |
| 85007 |
|
223 |
197 |
$827.10 |
| 84703 |
|
68 |
61 |
$818.63 |
| 77080 |
|
13 |
12 |
$775.40 |
| 74230 |
|
27 |
26 |
$775.37 |
| 36600 |
|
36 |
26 |
$736.48 |
| 71101 |
|
28 |
26 |
$710.25 |
| 72050 |
|
29 |
25 |
$636.11 |
| J2765 |
Metoclopramide hcl injection |
1,013 |
873 |
$632.64 |
| 84481 |
|
49 |
38 |
$621.47 |
| J2001 |
Lidocaine injection |
887 |
705 |
$621.16 |
| 87045 |
|
75 |
64 |
$606.15 |
| C1894 |
Intro/sheath, non-laser |
335 |
267 |
$601.46 |
| J2930 |
Methylprednisolone injection |
1,074 |
891 |
$601.18 |
| 76700 |
|
17 |
15 |
$584.44 |
| 87493 |
|
28 |
27 |
$571.45 |
| 72110 |
|
13 |
13 |
$570.00 |
| 86038 |
|
66 |
51 |
$523.25 |
| 92611 |
|
13 |
13 |
$515.57 |
| 96366 |
|
13 |
12 |
$398.07 |
| 82947 |
|
106 |
85 |
$397.60 |
| 83721 |
|
89 |
87 |
$383.93 |
| 86780 |
|
28 |
24 |
$380.57 |
| 76815 |
|
30 |
27 |
$364.00 |
| G0378 |
Hospital observation per hr |
1,239 |
990 |
$343.79 |
| 99152 |
|
818 |
622 |
$320.35 |
| C1725 |
Cath, translumin non-laser |
24 |
12 |
$319.79 |
| 72170 |
|
31 |
27 |
$313.74 |
| 87046 |
|
76 |
64 |
$310.04 |
| J7040 |
Normal saline solution infus |
1,381 |
1,124 |
$287.22 |
| 0241U |
|
19 |
14 |
$285.26 |
| 76775 |
|
14 |
13 |
$282.00 |
| 84403 |
|
14 |
13 |
$278.36 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,343 |
3,405 |
$264.57 |
| 76819 |
|
17 |
12 |
$252.04 |
| J1953 |
Levetiracetam injection |
18 |
12 |
$227.90 |
| 86431 |
|
47 |
37 |
$180.16 |
| J1630 |
Haloperidol injection |
89 |
70 |
$176.61 |
| 86141 |
|
14 |
14 |
$161.01 |
| 87899 |
|
30 |
27 |
$159.31 |
| 87209 |
|
12 |
12 |
$155.70 |
| 97140 |
|
278 |
116 |
$135.32 |
| C1769 |
Guide wire |
140 |
103 |
$131.65 |
| 82009 |
|
26 |
24 |
$129.20 |
| 87635 |
|
630 |
509 |
$116.00 |
| 76816 |
|
17 |
14 |
$104.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
195 |
144 |
$103.50 |
| 84295 |
|
31 |
26 |
$103.05 |
| J0780 |
Prochlorperazine injection |
414 |
354 |
$88.30 |
| 82140 |
|
15 |
13 |
$87.43 |
| J0330 |
Succinycholine chloride inj |
45 |
26 |
$78.63 |
| 87177 |
|
12 |
12 |
$76.26 |
| 85652 |
|
38 |
33 |
$54.20 |
| 81000 |
|
14 |
14 |
$36.16 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
50 |
36 |
$29.70 |
| J2360 |
Orphenadrine injection |
216 |
195 |
$28.26 |
| 81002 |
|
16 |
13 |
$21.96 |
| J1030 |
Methylprednisolone 40 mg inj |
15 |
12 |
$10.72 |
| J2470 |
Inj pantoprazole sodium 40mg |
70 |
47 |
$10.38 |
| J1040 |
Methylprednisolone 80 mg inj |
13 |
12 |
$8.44 |
| 99153 |
Mod sedat endo service >5yrs |
159 |
110 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
77 |
51 |
$0.00 |
| G0103 |
Psa screening |
14 |
12 |
$0.00 |
| J1940 |
Furosemide injection |
19 |
14 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
28 |
16 |
$0.00 |
| 97035 |
|
50 |
16 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
15 |
13 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
1,110 |
897 |
$0.00 |
| 97116 |
|
19 |
13 |
$0.00 |
| C1760 |
Closure dev, vasc |
15 |
12 |
$0.00 |
| 0202U |
|
16 |
13 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
14 |
13 |
$0.00 |
| 99203 |
|
20 |
16 |
$0.00 |