| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
11,560 |
10,941 |
$1.40M |
| 11042 |
|
13,878 |
4,908 |
$1.35M |
| 0241U |
|
10,000 |
8,410 |
$1.03M |
| U0003 |
Cov-19 amp prb hgh thruput |
9,126 |
8,338 |
$774K |
| 74177 |
|
6,215 |
5,357 |
$761K |
| 80053 |
|
36,504 |
26,891 |
$696K |
| 70450 |
|
7,746 |
6,648 |
$669K |
| 99284 |
|
6,774 |
6,244 |
$666K |
| 96413 |
|
4,080 |
2,150 |
$438K |
| 96365 |
|
6,971 |
4,151 |
$418K |
| 80048 |
|
24,708 |
18,800 |
$362K |
| 80047 |
|
12,607 |
10,458 |
$362K |
| 80307 |
|
6,167 |
5,035 |
$341K |
| 85025 |
|
50,286 |
35,269 |
$301K |
| 97110 |
|
9,745 |
2,755 |
$283K |
| 93005 |
|
26,726 |
20,331 |
$259K |
| 93306 |
|
2,319 |
1,995 |
$244K |
| 74176 |
|
3,544 |
3,019 |
$213K |
| 72125 |
|
1,768 |
1,547 |
$204K |
| 43239 |
|
2,406 |
2,030 |
$196K |
| 96372 |
|
14,331 |
9,547 |
$184K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,139 |
1,931 |
$182K |
| 88305 |
|
4,345 |
3,561 |
$176K |
| 70553 |
|
563 |
472 |
$151K |
| 71045 |
|
17,102 |
14,170 |
$149K |
| 78452 |
|
1,129 |
973 |
$147K |
| 71260 |
|
1,204 |
1,059 |
$147K |
| 80050 |
|
3,498 |
2,686 |
$134K |
| 96367 |
|
2,671 |
1,278 |
$131K |
| T1015 |
Clinic service |
10,466 |
8,271 |
$129K |
| 71250 |
|
1,795 |
1,523 |
$125K |
| 84484 |
|
13,998 |
8,430 |
$124K |
| 77067 |
|
2,426 |
2,222 |
$114K |
| 80061 |
|
10,870 |
9,381 |
$112K |
| 96375 |
|
8,419 |
5,983 |
$112K |
| 72148 |
|
521 |
446 |
$112K |
| 78815 |
|
247 |
212 |
$103K |
| 99282 |
|
1,298 |
1,257 |
$103K |
| 87637 |
|
988 |
872 |
$101K |
| 96374 |
|
10,188 |
8,492 |
$93K |
| 84443 |
|
10,415 |
8,639 |
$92K |
| 71275 |
|
494 |
437 |
$90K |
| 87651 |
|
1,904 |
1,719 |
$86K |
| 36415 |
|
26,134 |
21,276 |
$84K |
| 71046 |
|
5,286 |
4,465 |
$82K |
| G0463 |
Hospital outpt clinic visit |
3,300 |
2,824 |
$76K |
| U0002 |
Covid-19 lab test non-cdc |
1,939 |
1,582 |
$74K |
| 86901 |
|
4,249 |
3,281 |
$73K |
| 73721 |
|
278 |
227 |
$71K |
| 83880 |
|
3,455 |
2,741 |
$70K |
| 85027 |
|
12,495 |
10,143 |
$68K |
| 81025 |
|
8,644 |
7,220 |
$65K |
| 43248 |
|
814 |
696 |
$63K |
| A9502 |
Tc99m tetrofosmin |
1,006 |
851 |
$62K |
| 83735 |
|
10,101 |
6,381 |
$62K |
| 93975 |
|
853 |
729 |
$62K |
| 73560 |
|
1,498 |
1,278 |
$61K |
| 87491 |
|
1,704 |
1,391 |
$60K |
| 96361 |
|
4,189 |
2,829 |
$59K |
| 73630 |
|
2,144 |
1,772 |
$58K |
| 87591 |
|
1,704 |
1,391 |
$58K |
| 87804 |
|
3,736 |
3,088 |
$58K |
| 82306 |
|
3,300 |
2,710 |
$57K |
| 87088 |
|
6,944 |
5,724 |
$57K |
| 80081 |
|
564 |
544 |
$54K |
| 70551 |
|
285 |
260 |
$54K |
| 87389 |
|
3,162 |
2,614 |
$51K |
| 83690 |
|
8,427 |
6,733 |
$50K |
| 81001 |
|
17,410 |
14,077 |
$45K |
| J2785 |
Regadenoson injection |
370 |
315 |
$45K |
| 70486 |
|
351 |
313 |
$42K |
| 85014 |
|
11,695 |
9,570 |
$42K |
| 73030 |
|
1,433 |
1,239 |
$42K |
| 82150 |
|
6,466 |
5,301 |
$37K |
| 83036 |
|
5,959 |
5,148 |
$35K |
| 82077 |
|
2,368 |
1,913 |
$35K |
| 72100 |
|
1,587 |
1,394 |
$35K |
| 76705 |
|
1,811 |
1,539 |
$34K |
| 12001 |
|
184 |
147 |
$33K |
| 86900 |
|
4,261 |
3,293 |
$33K |
| J1100 |
Dexamethasone sodium phos |
8,102 |
5,863 |
$32K |
| 73610 |
|
1,488 |
1,274 |
$31K |
| J2405 |
Ondansetron hcl injection |
18,739 |
13,144 |
$31K |
| 80076 |
|
2,979 |
2,464 |
$31K |
| 96376 |
|
4,358 |
2,432 |
$29K |
| 76000 |
|
450 |
344 |
$29K |
| 80074 |
|
831 |
661 |
$29K |
| 73130 |
|
1,058 |
924 |
$28K |
| 97162 |
|
601 |
492 |
$28K |
| 82962 |
|
5,410 |
2,413 |
$28K |
| 80306 |
|
1,715 |
1,428 |
$27K |
| C9803 |
Hopd covid-19 spec collect |
15,258 |
13,091 |
$27K |
| 87040 |
|
2,641 |
1,551 |
$27K |
| 84703 |
|
2,148 |
1,749 |
$26K |
| 82728 |
|
3,171 |
2,477 |
$26K |
| 87086 |
|
4,332 |
3,428 |
$26K |
| 87077 |
|
3,253 |
2,683 |
$26K |
| 77063 |
|
2,416 |
2,212 |
$25K |
| 82378 |
|
1,060 |
779 |
$25K |
| J0696 |
Ceftriaxone sodium injection |
7,062 |
5,022 |
$25K |
| 82947 |
|
5,049 |
2,349 |
$25K |
| 87081 |
|
4,074 |
3,260 |
$24K |
| 88304 |
|
615 |
495 |
$24K |
| 85730 |
|
4,142 |
3,194 |
$23K |
| 70498 |
|
246 |
206 |
$23K |
| 70496 |
|
219 |
185 |
$23K |
| 85610 |
|
7,187 |
5,476 |
$23K |
| 96366 |
|
1,855 |
1,000 |
$22K |
| 45385 |
|
369 |
313 |
$22K |
| 82565 |
|
1,449 |
1,194 |
$22K |
| 93017 |
|
1,209 |
1,042 |
$19K |
| 83605 |
|
2,156 |
1,635 |
$19K |
| 87070 |
|
1,183 |
869 |
$19K |
| 97161 |
|
445 |
355 |
$18K |
| 93971 |
|
503 |
439 |
$18K |
| 86803 |
|
1,482 |
1,286 |
$17K |
| 81003 |
|
8,055 |
6,880 |
$17K |
| 82607 |
|
2,096 |
1,673 |
$17K |
| 76642 |
|
708 |
594 |
$17K |
| 87186 |
|
2,899 |
2,391 |
$15K |
| 83550 |
|
2,859 |
2,261 |
$15K |
| 96360 |
|
1,630 |
1,342 |
$15K |
| 82550 |
|
3,060 |
1,752 |
$15K |
| 72141 |
|
64 |
53 |
$14K |
| 84439 |
|
1,900 |
1,609 |
$14K |
| 84702 |
|
1,566 |
1,155 |
$14K |
| 73502 |
|
507 |
434 |
$14K |
| J1650 |
Inj enoxaparin sodium |
2,482 |
1,341 |
$14K |
| 84153 |
|
1,065 |
925 |
$13K |
| 74018 |
|
787 |
693 |
$13K |
| 80320 |
|
890 |
733 |
$13K |
| 83540 |
|
3,036 |
2,404 |
$12K |
| 73110 |
|
416 |
374 |
$12K |
| 77066 |
Tomosynthesis, mammo |
266 |
227 |
$12K |
| 72131 |
|
111 |
91 |
$11K |
| 86780 |
|
683 |
568 |
$11K |
| 87880 |
|
937 |
811 |
$10K |
| 88312 |
|
1,501 |
1,212 |
$10K |
| 82803 |
|
555 |
441 |
$10K |
| 80143 |
|
512 |
420 |
$10K |
| 86850 |
|
3,774 |
2,914 |
$10K |
| 97001 |
|
414 |
346 |
$9K |
| 72040 |
|
514 |
457 |
$9K |
| 94060 |
|
279 |
257 |
$9K |
| 85018 |
|
3,213 |
2,728 |
$9K |
| 80179 |
|
472 |
396 |
$9K |
| 80051 |
|
460 |
311 |
$8K |
| 87426 |
|
242 |
213 |
$8K |
| 97530 |
|
470 |
218 |
$8K |
| 82746 |
|
980 |
801 |
$8K |
| 93458 |
|
120 |
107 |
$8K |
| 87340 |
|
1,739 |
1,420 |
$8K |
| 86762 |
|
1,290 |
1,029 |
$7K |
| 83970 |
|
255 |
224 |
$7K |
| 80069 |
|
1,342 |
985 |
$7K |
| 94640 |
|
1,979 |
1,560 |
$7K |
| 87807 |
|
868 |
768 |
$6K |
| 82570 |
|
1,541 |
1,294 |
$6K |
| A9552 |
F18 fdg |
61 |
39 |
$6K |
| U0005 |
Infec agen detec ampli probe |
3,435 |
3,206 |
$5K |
| 77336 |
|
31 |
12 |
$5K |
| 12011 |
|
33 |
24 |
$5K |
| 83615 |
|
1,017 |
745 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
7,194 |
5,855 |
$5K |
| 76700 |
|
107 |
100 |
$4K |
| 84100 |
|
1,137 |
656 |
$4K |
| J1644 |
Inj heparin sodium per 1000u |
5,710 |
2,544 |
$4K |
| 82105 |
|
292 |
223 |
$4K |
| 86140 |
|
847 |
679 |
$4K |
| 99285 |
|
166 |
146 |
$4K |
| 90471 |
|
805 |
640 |
$4K |
| 99152 |
|
1,289 |
1,097 |
$4K |
| 95811 |
|
29 |
24 |
$4K |
| 88307 |
|
34 |
24 |
$3K |
| 77062 |
|
75 |
54 |
$3K |
| 82330 |
|
239 |
211 |
$3K |
| 93296 |
|
258 |
240 |
$3K |
| 94729 |
|
212 |
195 |
$3K |
| G0378 |
Hospital observation per hr |
1,012 |
844 |
$3K |
| 84145 |
|
246 |
210 |
$3K |
| 94726 |
|
214 |
196 |
$3K |
| J7050 |
Normal saline solution infus |
11,577 |
5,169 |
$3K |
| 73562 |
|
92 |
84 |
$3K |
| 90715 |
|
189 |
167 |
$3K |
| 77080 |
|
82 |
73 |
$3K |
| 45380 |
|
47 |
43 |
$3K |
| 85049 |
|
541 |
460 |
$3K |
| 77065 |
Tomosynthesis, mammo |
96 |
82 |
$3K |
| 87205 |
|
820 |
618 |
$3K |
| 73590 |
|
129 |
110 |
$3K |
| 86704 |
|
247 |
223 |
$3K |
| 76801 |
|
91 |
66 |
$3K |
| 69436 |
|
15 |
13 |
$3K |
| J2001 |
Lidocaine injection |
3,492 |
2,700 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
6,272 |
5,042 |
$2K |
| 76775 |
|
174 |
137 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
8,674 |
7,102 |
$2K |
| 84550 |
|
669 |
568 |
$2K |
| 85652 |
|
1,258 |
1,034 |
$2K |
| 80329 |
|
165 |
124 |
$2K |
| 82248 |
|
541 |
457 |
$2K |
| 74178 |
|
31 |
27 |
$2K |
| 0225U |
|
501 |
463 |
$2K |
| J0690 |
Cefazolin sodium injection |
3,663 |
2,727 |
$2K |
| 84156 |
|
860 |
712 |
$2K |
| 71271 |
|
26 |
25 |
$2K |
| 97166 |
|
62 |
48 |
$2K |
| J3010 |
Fentanyl citrate injection |
8,081 |
6,285 |
$2K |
| 82043 |
|
589 |
533 |
$2K |
| A9578 |
Inj multihance multipack |
71 |
63 |
$2K |
| C1769 |
Guide wire |
123 |
108 |
$2K |
| J1815 |
Insulin injection |
3,990 |
1,687 |
$2K |
| 82010 |
|
316 |
240 |
$2K |
| 88342 |
|
130 |
108 |
$2K |
| M0243 |
Casirivi and imdevi inj |
13 |
12 |
$2K |
| 81002 |
|
466 |
381 |
$2K |
| 86592 |
|
1,313 |
1,047 |
$2K |
| 84520 |
|
475 |
329 |
$2K |
| J2930 |
Methylprednisolone injection |
2,442 |
1,763 |
$2K |
| 85379 |
|
172 |
151 |
$2K |
| 87210 |
|
324 |
256 |
$1K |
| 95810 |
|
16 |
12 |
$1K |
| 76830 |
|
28 |
24 |
$1K |
| 73090 |
|
44 |
39 |
$1K |
| 84403 |
|
59 |
48 |
$1K |
| 76856 |
|
78 |
64 |
$1K |
| 80349 |
|
45 |
41 |
$1K |
| 76536 |
|
54 |
37 |
$1K |
| 86709 |
|
227 |
205 |
$1K |
| 93880 |
|
32 |
28 |
$962.13 |
| 87635 |
|
242 |
204 |
$939.32 |
| 86141 |
|
136 |
97 |
$926.08 |
| J2550 |
Promethazine hcl injection |
2,311 |
1,875 |
$919.14 |
| J1200 |
Diphenhydramine hcl injectio |
2,446 |
1,599 |
$916.98 |
| J2270 |
Morphine sulfate injection |
6,476 |
4,541 |
$914.91 |
| J1170 |
Hydromorphone injection |
6,515 |
4,494 |
$903.82 |
| 93225 |
|
34 |
31 |
$875.97 |
| J7030 |
Normal saline solution infus |
7,578 |
5,180 |
$847.42 |
| 96417 |
|
54 |
36 |
$826.50 |
| J2060 |
Lorazepam injection |
1,728 |
1,323 |
$823.50 |
| 76817 |
|
27 |
15 |
$760.50 |
| J0171 |
Adrenalin epinephrine inject |
159 |
126 |
$730.09 |
| 85007 |
|
636 |
510 |
$725.64 |
| J7120 |
Ringers lactate infusion |
10,630 |
8,391 |
$679.87 |
| 0353U |
|
285 |
255 |
$644.53 |
| J1940 |
Furosemide injection |
1,510 |
950 |
$638.82 |
| 84132 |
|
126 |
105 |
$610.34 |
| G0480 |
Drug test def 1-7 classes |
35 |
30 |
$590.61 |
| 36430 |
|
20 |
13 |
$572.74 |
| 82950 |
|
119 |
88 |
$568.74 |
| 82805 |
|
31 |
25 |
$568.48 |
| 93925 |
|
12 |
12 |
$552.68 |
| 83520 |
|
41 |
24 |
$540.96 |
| 86705 |
|
184 |
165 |
$528.74 |
| 82784 |
|
83 |
51 |
$499.92 |
| 73070 |
|
19 |
16 |
$479.50 |
| 87522 |
Neg quan hep c or qual rna |
13 |
12 |
$451.65 |
| 86300 |
|
54 |
51 |
$436.10 |
| 97597 |
|
19 |
13 |
$403.71 |
| A9270 |
Non-covered item or service |
7,180 |
1,082 |
$362.38 |
| 87147 |
|
54 |
33 |
$354.72 |
| 81015 |
|
271 |
236 |
$341.58 |
| 86923 |
|
12 |
12 |
$311.07 |
| 82677 |
|
24 |
13 |
$310.86 |
| 86038 |
|
47 |
43 |
$310.68 |
| M0239 |
Bamlanivimab-xxxx infusion |
14 |
12 |
$309.60 |
| 82800 |
|
41 |
37 |
$299.69 |
| 82140 |
|
57 |
48 |
$293.50 |
| 80324 |
|
13 |
13 |
$283.20 |
| G0103 |
Psa screening |
198 |
187 |
$280.38 |
| 84165 |
|
20 |
13 |
$280.32 |
| 85380 |
|
40 |
40 |
$241.74 |
| 80346 |
|
13 |
12 |
$240.48 |
| J0595 |
Butorphanol tartrate 1 mg |
483 |
388 |
$235.11 |
| 83521 |
|
14 |
12 |
$226.16 |
| J2370 |
Phenylephrine hcl injection |
950 |
757 |
$216.33 |
| 90714 |
|
16 |
15 |
$216.07 |
| J0744 |
Ciprofloxacin iv |
128 |
79 |
$212.98 |
| 0202U |
|
159 |
140 |
$207.14 |
| 0004A |
|
17 |
15 |
$200.00 |
| 86336 |
|
24 |
13 |
$195.93 |
| 90686 |
|
27 |
27 |
$177.54 |
| J3475 |
Inj magnesium sulfate |
543 |
397 |
$158.84 |
| 87430 |
|
210 |
167 |
$141.57 |
| J2175 |
Meperidine hydrochl /100 mg |
806 |
682 |
$138.88 |
| 0001A |
|
20 |
20 |
$128.45 |
| 36600 |
|
249 |
210 |
$124.44 |
| J0360 |
Hydralazine hcl injection |
730 |
546 |
$107.20 |
| 83986 |
|
19 |
14 |
$92.16 |
| J1790 |
Droperidol injection |
144 |
123 |
$90.47 |
| G2066 |
Inter devc remote 30d |
24 |
24 |
$80.36 |
| 84295 |
|
13 |
12 |
$80.20 |
| J0780 |
Prochlorperazine injection |
76 |
54 |
$64.98 |
| Q9969 |
Non-heu tc-99m add-on/dose |
189 |
172 |
$64.53 |
| 97116 |
|
470 |
203 |
$58.36 |
| J3480 |
Inj potassium chloride |
102 |
61 |
$50.50 |
| J3489 |
Zoledronic acid 1mg |
14 |
12 |
$39.35 |
| J1920 |
Inj, labetalol hcl, 5mg |
144 |
114 |
$37.26 |
| 86334 |
|
13 |
12 |
$31.90 |
| J2765 |
Metoclopramide hcl injection |
258 |
182 |
$27.47 |
| J2360 |
Orphenadrine injection |
182 |
170 |
$25.36 |
| 85651 |
|
49 |
27 |
$25.35 |
| G1004 |
Cdsm ndsc |
2,053 |
1,614 |
$24.02 |
| J3370 |
Vancomycin hcl injection |
208 |
79 |
$18.10 |
| 76937 |
|
13 |
13 |
$17.63 |
| 97150 |
|
199 |
63 |
$12.88 |
| 97535 |
|
18 |
16 |
$12.18 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
126 |
123 |
$7.10 |
| J2272 |
Inj, morphine (fresenius) |
150 |
133 |
$6.39 |
| J2919 |
Inj, methylpred sod succ 5mg |
339 |
278 |
$6.24 |
| J2305 |
Inj, nitroglycerin, 5 mg |
34 |
31 |
$5.20 |
| Q0162 |
Ondansetron oral |
628 |
516 |
$4.80 |
| J2470 |
Inj pantoprazole sodium 40mg |
45 |
27 |
$3.71 |
| J3490 |
Drugs unclassified injection |
949 |
787 |
$2.16 |
| J2795 |
Ropivacaine hcl injection |
1,176 |
976 |
$0.04 |
| C9113 |
Inj pantoprazole sodium, via |
938 |
417 |
$0.03 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
132 |
122 |
$0.01 |
| 99153 |
Mod sedat endo service >5yrs |
145 |
132 |
$0.00 |
| 36591 |
|
88 |
65 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
553 |
474 |
$0.00 |
| 96368 |
|
37 |
25 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
151 |
98 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
17 |
16 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
14 |
12 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
23 |
12 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
35 |
26 |
$0.00 |
| J7040 |
Normal saline solution infus |
1,939 |
1,203 |
$0.00 |
| J1953 |
Levetiracetam injection |
14 |
12 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
220 |
191 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
31 |
30 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
108 |
82 |
$0.00 |
| 87400 |
|
56 |
45 |
$0.00 |
| 36592 |
|
68 |
39 |
$0.00 |