| Code | Description | Claims | Beneficiaries | Total Paid |
| 80053 |
|
30,489 |
25,561 |
$2.08M |
| 11042 |
|
4,010 |
1,732 |
$1.85M |
| 99282 |
|
8,753 |
8,392 |
$825K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,715 |
4,894 |
$588K |
| 87637 |
|
5,428 |
5,225 |
$478K |
| 80048 |
|
6,769 |
5,511 |
$405K |
| 80307 |
|
9,282 |
8,116 |
$394K |
| 97110 |
|
11,874 |
3,781 |
$377K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,704 |
3,580 |
$360K |
| 88305 |
|
3,249 |
2,444 |
$333K |
| 86850 |
|
2,731 |
2,582 |
$300K |
| 87070 |
|
1,022 |
934 |
$262K |
| 81025 |
|
10,109 |
9,357 |
$249K |
| 99283 |
|
20,079 |
18,872 |
$236K |
| 36415 |
|
29,504 |
23,366 |
$176K |
| 82947 |
|
3,838 |
2,435 |
$151K |
| 96372 |
|
6,322 |
5,167 |
$134K |
| 70450 |
|
5,013 |
4,668 |
$107K |
| 87081 |
|
3,184 |
3,000 |
$101K |
| 81001 |
|
17,059 |
15,218 |
$100K |
| 99284 |
|
15,366 |
14,520 |
$94K |
| 86900 |
|
3,312 |
3,099 |
$92K |
| 71046 |
|
5,269 |
5,051 |
$79K |
| 11043 |
|
206 |
120 |
$75K |
| 86710 |
|
982 |
949 |
$74K |
| 96365 |
|
3,673 |
3,266 |
$72K |
| A9585 |
Gadobutrol injection |
89 |
67 |
$72K |
| 74176 |
|
1,857 |
1,755 |
$69K |
| 85027 |
|
7,917 |
6,730 |
$65K |
| 87086 |
|
6,357 |
5,869 |
$63K |
| 87651 |
|
2,248 |
2,205 |
$59K |
| 73130 |
|
915 |
877 |
$57K |
| 86901 |
|
2,870 |
2,638 |
$55K |
| 73610 |
|
990 |
944 |
$53K |
| 73630 |
|
1,130 |
1,073 |
$51K |
| 99281 |
|
501 |
483 |
$49K |
| 80061 |
|
5,061 |
4,923 |
$48K |
| 82962 |
|
1,115 |
884 |
$48K |
| 87804 |
|
3,049 |
2,200 |
$47K |
| 85025 |
|
32,027 |
26,262 |
$44K |
| 84702 |
|
2,383 |
1,954 |
$42K |
| 87635 |
|
1,302 |
1,236 |
$42K |
| 0202U |
|
84 |
81 |
$41K |
| 87077 |
|
2,965 |
2,521 |
$40K |
| 99285 |
|
12,095 |
10,871 |
$40K |
| 11045 |
|
113 |
53 |
$37K |
| 70551 |
|
188 |
175 |
$36K |
| 81003 |
|
6,201 |
5,677 |
$34K |
| 73030 |
|
759 |
714 |
$34K |
| 71045 |
|
8,651 |
7,775 |
$34K |
| J2704 |
Inj, propofol, 10 mg |
4,687 |
4,375 |
$32K |
| 59025 |
|
2,143 |
1,593 |
$31K |
| 43239 |
|
790 |
784 |
$31K |
| 96374 |
|
7,486 |
6,659 |
$30K |
| 73562 |
|
769 |
698 |
$29K |
| 96361 |
|
1,965 |
1,720 |
$29K |
| 88304 |
|
489 |
485 |
$26K |
| 87491 |
|
1,209 |
1,166 |
$26K |
| 93971 |
|
335 |
312 |
$26K |
| 96375 |
|
5,926 |
4,944 |
$25K |
| 96376 |
|
2,310 |
1,468 |
$24K |
| 96366 |
|
816 |
600 |
$24K |
| 82306 |
|
1,764 |
1,718 |
$24K |
| 96360 |
|
1,028 |
961 |
$23K |
| 95816 |
|
168 |
165 |
$22K |
| 82948 |
|
596 |
313 |
$21K |
| 87186 |
|
2,270 |
2,014 |
$20K |
| 72100 |
|
791 |
766 |
$20K |
| 0001A |
|
371 |
370 |
$18K |
| 73110 |
|
284 |
278 |
$18K |
| 94640 |
|
609 |
448 |
$17K |
| 93005 |
|
13,804 |
11,749 |
$17K |
| 74018 |
|
490 |
479 |
$17K |
| 87430 |
|
2,682 |
2,592 |
$16K |
| 0002A |
|
317 |
315 |
$16K |
| 97597 |
|
758 |
432 |
$15K |
| G0378 |
Hospital observation per hr |
6,521 |
2,771 |
$14K |
| 87807 |
|
389 |
375 |
$13K |
| 84439 |
|
1,612 |
1,550 |
$13K |
| 76705 |
|
629 |
613 |
$13K |
| 74177 |
|
3,307 |
3,143 |
$13K |
| 86780 |
|
794 |
772 |
$12K |
| 86803 |
|
1,092 |
1,071 |
$11K |
| 86756 |
|
252 |
238 |
$10K |
| 87205 |
|
608 |
540 |
$10K |
| 83036 |
|
4,208 |
4,026 |
$10K |
| 87210 |
|
324 |
318 |
$10K |
| 73721 |
|
17 |
16 |
$9K |
| 81220 |
|
94 |
94 |
$9K |
| 93306 |
|
779 |
729 |
$9K |
| 84443 |
|
8,027 |
7,637 |
$9K |
| 82607 |
|
1,247 |
1,205 |
$9K |
| 93970 |
|
81 |
77 |
$8K |
| 72125 |
|
1,573 |
1,522 |
$7K |
| 76856 |
|
458 |
443 |
$7K |
| 97140 |
|
4,257 |
1,609 |
$7K |
| 85007 |
|
3,024 |
2,575 |
$7K |
| 83735 |
|
11,776 |
9,315 |
$7K |
| J2405 |
Ondansetron hcl injection |
7,750 |
6,637 |
$6K |
| 76700 |
|
86 |
85 |
$6K |
| J2250 |
Inj midazolam hydrochloride |
3,348 |
3,108 |
$6K |
| 82728 |
|
515 |
498 |
$6K |
| G0463 |
Hospital outpt clinic visit |
151 |
97 |
$5K |
| 84484 |
|
13,934 |
8,897 |
$5K |
| 73560 |
|
107 |
107 |
$5K |
| 86140 |
|
621 |
568 |
$5K |
| 74022 |
|
667 |
634 |
$5K |
| 73564 |
|
138 |
133 |
$4K |
| 76801 |
|
602 |
547 |
$4K |
| 0003A |
|
88 |
84 |
$4K |
| 12001 |
|
39 |
39 |
$4K |
| 83690 |
|
7,707 |
6,954 |
$3K |
| 99213 |
|
674 |
547 |
$3K |
| 82043 |
|
1,194 |
1,040 |
$3K |
| 97162 |
|
973 |
932 |
$3K |
| 85610 |
|
8,553 |
7,585 |
$3K |
| 77062 |
|
24 |
24 |
$3K |
| J1170 |
Hydromorphone injection |
1,844 |
1,297 |
$3K |
| 87426 |
|
65 |
60 |
$3K |
| 71260 |
|
1,633 |
1,560 |
$3K |
| 87420 |
|
442 |
427 |
$2K |
| 87899 |
|
217 |
211 |
$2K |
| 73502 |
|
171 |
157 |
$2K |
| 82550 |
|
3,195 |
2,885 |
$2K |
| 76770 |
|
31 |
28 |
$2K |
| 82803 |
|
362 |
315 |
$2K |
| 87150 |
|
28 |
28 |
$2K |
| 45385 |
|
65 |
61 |
$2K |
| 72050 |
|
25 |
25 |
$2K |
| 69436 |
|
18 |
18 |
$2K |
| 76010 |
|
48 |
46 |
$2K |
| 77067 |
|
44 |
44 |
$1K |
| J2270 |
Morphine sulfate injection |
4,186 |
3,074 |
$1K |
| 76830 |
|
13 |
13 |
$1K |
| 82951 |
|
83 |
79 |
$1K |
| 71250 |
|
56 |
54 |
$1K |
| 76641 |
|
23 |
19 |
$1K |
| 0011A |
|
25 |
25 |
$1K |
| 87040 |
|
4,474 |
2,713 |
$1K |
| J1650 |
Inj enoxaparin sodium |
1,213 |
536 |
$1K |
| 0012A |
|
24 |
24 |
$1K |
| U0002 |
Covid-19 lab test non-cdc |
30 |
29 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
3,089 |
2,575 |
$1K |
| 87389 |
|
1,509 |
1,473 |
$1K |
| 83540 |
|
472 |
460 |
$1K |
| J3475 |
Inj magnesium sulfate |
484 |
388 |
$1K |
| 87624 |
|
37 |
36 |
$1K |
| 70486 |
|
58 |
57 |
$1K |
| 73080 |
|
12 |
12 |
$1K |
| J1644 |
Inj heparin sodium per 1000u |
338 |
150 |
$995.56 |
| 45378 |
|
14 |
13 |
$977.85 |
| 85379 |
|
1,319 |
1,254 |
$925.15 |
| 83880 |
|
3,267 |
2,938 |
$890.39 |
| 0071A |
|
18 |
18 |
$882.81 |
| 97530 |
|
1,602 |
723 |
$868.58 |
| C9113 |
Inj pantoprazole sodium, via |
318 |
147 |
$857.55 |
| 83605 |
|
4,296 |
3,555 |
$852.28 |
| 97163 |
|
304 |
297 |
$817.16 |
| 76642 |
|
19 |
16 |
$786.28 |
| J2060 |
Lorazepam injection |
681 |
507 |
$772.29 |
| 76805 |
|
36 |
30 |
$747.42 |
| 87088 |
|
856 |
813 |
$740.19 |
| J1200 |
Diphenhydramine hcl injectio |
1,355 |
1,076 |
$713.59 |
| 0072A |
|
14 |
14 |
$687.21 |
| 97161 |
|
384 |
341 |
$678.67 |
| J1940 |
Furosemide injection |
117 |
76 |
$614.38 |
| 90686 |
|
69 |
66 |
$611.63 |
| 82140 |
|
77 |
64 |
$577.41 |
| 84153 |
|
29 |
28 |
$572.76 |
| J2550 |
Promethazine hcl injection |
645 |
523 |
$568.30 |
| 82570 |
|
1,355 |
1,176 |
$546.49 |
| J2930 |
Methylprednisolone injection |
903 |
793 |
$440.92 |
| 97165 |
|
41 |
38 |
$419.29 |
| 73590 |
|
15 |
15 |
$392.92 |
| 82270 |
|
130 |
123 |
$392.40 |
| J1100 |
Dexamethasone sodium phos |
4,281 |
4,055 |
$376.73 |
| 82272 |
|
13 |
13 |
$360.34 |
| A9270 |
Non-covered item or service |
310 |
185 |
$297.80 |
| J3480 |
Inj potassium chloride |
51 |
38 |
$285.85 |
| 85730 |
|
6,790 |
6,108 |
$273.24 |
| 87591 |
|
1,171 |
1,132 |
$264.30 |
| 82247 |
|
17 |
12 |
$198.99 |
| 99212 |
|
73 |
41 |
$167.29 |
| 88175 |
|
22 |
20 |
$162.57 |
| 80320 |
|
1,785 |
1,615 |
$162.31 |
| J1885 |
Ketorolac tromethamine inj |
5,292 |
4,642 |
$147.18 |
| 87522 |
Neg quan hep c or qual rna |
26 |
25 |
$131.21 |
| 82077 |
|
635 |
588 |
$101.27 |
| 85652 |
|
164 |
152 |
$82.96 |
| 86762 |
|
476 |
462 |
$54.61 |
| 87340 |
|
557 |
540 |
$41.86 |
| 80197 |
|
35 |
28 |
$36.01 |
| J7512 |
Prednisone ir or dr oral 1mg |
108 |
98 |
$34.55 |
| 90715 |
|
259 |
257 |
$28.69 |
| 90471 |
|
540 |
514 |
$19.61 |
| J0690 |
Cefazolin sodium injection |
1,919 |
1,708 |
$16.38 |
| 85651 |
|
417 |
393 |
$15.12 |
| 87075 |
|
55 |
50 |
$12.20 |
| 83615 |
|
228 |
193 |
$8.17 |
| 85018 |
|
13 |
13 |
$3.20 |
| J3010 |
Fentanyl citrate injection |
3,994 |
3,704 |
$0.97 |
| 84100 |
|
1,060 |
717 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
354 |
349 |
$0.00 |
| 80143 |
|
119 |
115 |
$0.00 |
| 96367 |
|
115 |
101 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
305 |
243 |
$0.00 |
| 93975 |
|
13 |
12 |
$0.00 |
| 80179 |
|
103 |
100 |
$0.00 |
| 85378 |
|
213 |
195 |
$0.00 |
| 82009 |
|
13 |
12 |
$0.00 |
| 84550 |
|
27 |
27 |
$0.00 |
| 84156 |
|
75 |
70 |
$0.00 |
| 99152 |
|
37 |
30 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
313 |
304 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
45 |
38 |
$0.00 |
| 36600 |
|
36 |
32 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
49 |
31 |
$0.00 |
| J1953 |
Levetiracetam injection |
13 |
12 |
$0.00 |
| 83655 |
|
13 |
13 |
$0.00 |
| 77066 |
Tomosynthesis, mammo |
24 |
24 |
$0.00 |
| 87220 |
|
104 |
100 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
13 |
12 |
$0.00 |
| 82248 |
|
27 |
24 |
$0.00 |
| 82805 |
|
31 |
25 |
$0.00 |
| 86787 |
|
14 |
13 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
54 |
52 |
$0.00 |
| 85045 |
|
13 |
12 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
593 |
519 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
273 |
263 |
$0.00 |
| 82746 |
|
164 |
152 |
$0.00 |
| 87661 |
|
374 |
365 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
428 |
393 |
$0.00 |
| 80329 |
|
293 |
272 |
$0.00 |
| 82553 |
|
706 |
608 |
$0.00 |
| 82150 |
|
278 |
261 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
236 |
222 |
$0.00 |
| 76815 |
|
12 |
12 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
13 |
12 |
$0.00 |
| G0481 |
Drug test def 8-14 classes |
137 |
125 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
40 |
39 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
121 |
88 |
$0.00 |
| 83550 |
|
183 |
178 |
$0.00 |
| J1790 |
Droperidol injection |
13 |
13 |
$0.00 |
| 0241U |
|
22 |
22 |
$0.00 |
| 71275 |
|
35 |
35 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
27 |
27 |
$0.00 |
| C1769 |
Guide wire |
20 |
14 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
128 |
119 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
13 |
12 |
$0.00 |
| J3410 |
Hydroxyzine hcl injection |
12 |
12 |
$0.00 |
| J1815 |
Insulin injection |
14 |
12 |
$0.00 |
| 97166 |
|
13 |
13 |
$0.00 |