| Code | Description | Claims | Beneficiaries | Total Paid |
| 96361 |
|
17,931 |
14,032 |
$5.26M |
| 99284 |
|
30,676 |
26,981 |
$3.63M |
| 99283 |
|
29,356 |
26,922 |
$3.28M |
| 99285 |
|
21,512 |
18,440 |
$2.67M |
| 74177 |
|
8,175 |
7,035 |
$1.73M |
| 70450 |
|
7,200 |
6,335 |
$1.52M |
| 99282 |
|
6,904 |
6,308 |
$661K |
| 96365 |
|
5,471 |
4,374 |
$660K |
| 99213 |
|
6,268 |
5,603 |
$552K |
| 71275 |
|
2,050 |
1,759 |
$424K |
| 94640 |
|
3,366 |
2,761 |
$422K |
| 96366 |
|
2,188 |
1,184 |
$421K |
| 74176 |
|
1,844 |
1,614 |
$408K |
| 96360 |
|
2,042 |
1,597 |
$403K |
| 97110 |
|
5,756 |
2,012 |
$391K |
| 80053 |
|
44,490 |
36,248 |
$285K |
| G0378 |
Hospital observation per hr |
4,369 |
2,045 |
$237K |
| 99212 |
|
2,322 |
1,937 |
$180K |
| 36415 |
|
60,622 |
46,298 |
$156K |
| 11042 |
|
1,380 |
642 |
$140K |
| 93306 |
|
487 |
432 |
$126K |
| 80307 |
|
13,917 |
11,845 |
$120K |
| 82805 |
|
3,990 |
3,144 |
$115K |
| 84484 |
|
24,438 |
19,829 |
$104K |
| 97140 |
|
3,419 |
1,222 |
$102K |
| 80048 |
|
12,911 |
10,733 |
$100K |
| 97530 |
|
1,429 |
750 |
$97K |
| 87636 |
|
8,349 |
7,284 |
$96K |
| 0202U |
|
693 |
600 |
$95K |
| 93976 |
|
744 |
565 |
$91K |
| 59025 |
|
612 |
400 |
$89K |
| 96413 |
|
701 |
338 |
$88K |
| 71260 |
|
591 |
450 |
$84K |
| 70496 |
|
357 |
284 |
$83K |
| 71046 |
|
8,593 |
7,812 |
$68K |
| 71250 |
|
712 |
627 |
$61K |
| 93010 |
|
9,755 |
8,658 |
$60K |
| 96374 |
|
19,770 |
17,095 |
$57K |
| C8929 |
Tte w or wo fol wcon,doppler |
260 |
252 |
$54K |
| 83605 |
|
18,336 |
15,101 |
$48K |
| 76705 |
|
555 |
485 |
$47K |
| 85025 |
|
60,820 |
48,779 |
$46K |
| 92507 |
|
613 |
304 |
$45K |
| G0463 |
Hospital outpt clinic visit |
2,494 |
2,299 |
$44K |
| 77063 |
|
863 |
791 |
$44K |
| 71045 |
|
16,030 |
13,762 |
$43K |
| 96367 |
|
832 |
549 |
$41K |
| 96372 |
|
10,729 |
8,226 |
$40K |
| 87502 |
|
2,350 |
2,182 |
$38K |
| 70491 |
|
139 |
90 |
$36K |
| 73630 |
|
1,048 |
947 |
$36K |
| 93005 |
|
24,164 |
20,779 |
$34K |
| 72125 |
|
1,584 |
1,324 |
$32K |
| 73721 |
|
129 |
115 |
$32K |
| 80329 |
|
2,302 |
2,068 |
$31K |
| 76536 |
|
297 |
271 |
$31K |
| 76856 |
|
179 |
143 |
$30K |
| 99214 |
|
602 |
478 |
$29K |
| 72148 |
|
172 |
153 |
$27K |
| 80320 |
|
3,484 |
3,040 |
$26K |
| 94060 |
|
309 |
278 |
$25K |
| 72100 |
|
789 |
693 |
$24K |
| 71271 |
|
132 |
127 |
$24K |
| 93971 |
|
357 |
312 |
$24K |
| J3490 |
Drugs unclassified injection |
3,375 |
1,877 |
$23K |
| 99211 |
|
427 |
276 |
$21K |
| 84443 |
|
6,412 |
5,533 |
$20K |
| 93017 |
|
236 |
206 |
$20K |
| 73130 |
|
705 |
622 |
$20K |
| 82306 |
|
987 |
902 |
$19K |
| 73610 |
|
709 |
630 |
$19K |
| 78452 |
|
43 |
38 |
$18K |
| 95810 |
|
28 |
27 |
$18K |
| U0003 |
Cov-19 amp prb hgh thruput |
99 |
96 |
$17K |
| 73030 |
|
791 |
669 |
$17K |
| 97161 |
|
672 |
570 |
$17K |
| 96368 |
|
283 |
179 |
$17K |
| 73560 |
|
833 |
738 |
$17K |
| 76642 |
|
138 |
122 |
$16K |
| 99281 |
|
160 |
137 |
$16K |
| 74018 |
|
887 |
758 |
$16K |
| 87086 |
|
7,999 |
7,046 |
$16K |
| 81001 |
|
35,592 |
30,611 |
$15K |
| 43239 |
|
42 |
26 |
$15K |
| 64483 |
|
37 |
36 |
$14K |
| 12001 |
|
99 |
69 |
$14K |
| 83036 |
|
1,581 |
1,411 |
$14K |
| 70553 |
|
45 |
36 |
$14K |
| 80061 |
|
1,475 |
1,356 |
$13K |
| 72131 |
|
221 |
191 |
$13K |
| 82248 |
|
23,111 |
19,353 |
$12K |
| 96375 |
|
18,346 |
14,711 |
$12K |
| 62323 |
|
38 |
38 |
$12K |
| 87040 |
|
6,118 |
5,224 |
$12K |
| 97162 |
|
348 |
312 |
$12K |
| U0002 |
Covid-19 lab test non-cdc |
4,645 |
4,258 |
$11K |
| 73110 |
|
392 |
330 |
$10K |
| 86900 |
|
908 |
713 |
$10K |
| 77067 |
|
878 |
806 |
$10K |
| 90715 |
|
603 |
470 |
$9K |
| 73502 |
|
403 |
346 |
$8K |
| 82077 |
|
7,019 |
5,546 |
$8K |
| 84703 |
|
15,238 |
13,182 |
$8K |
| 85610 |
|
14,953 |
12,507 |
$8K |
| 70486 |
|
171 |
144 |
$7K |
| 70498 |
|
337 |
266 |
$7K |
| 85027 |
|
2,646 |
1,952 |
$7K |
| 86850 |
|
729 |
577 |
$7K |
| 72050 |
|
130 |
119 |
$7K |
| 83735 |
|
8,471 |
6,841 |
$6K |
| 86140 |
|
4,707 |
3,985 |
$6K |
| 87154 |
|
61 |
43 |
$6K |
| 83655 |
|
198 |
197 |
$6K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
13 |
13 |
$6K |
| 73564 |
|
129 |
121 |
$6K |
| 94726 |
|
145 |
128 |
$6K |
| 73080 |
|
203 |
164 |
$6K |
| 96376 |
|
4,341 |
2,961 |
$6K |
| 82728 |
|
824 |
713 |
$6K |
| 85018 |
|
4,834 |
3,889 |
$6K |
| 87070 |
|
726 |
560 |
$6K |
| 94729 |
|
201 |
178 |
$6K |
| 36416 |
|
508 |
353 |
$6K |
| 87491 |
|
658 |
522 |
$6K |
| 97112 |
|
79 |
30 |
$5K |
| 97165 |
|
75 |
70 |
$5K |
| 82607 |
|
590 |
516 |
$5K |
| 83880 |
|
4,169 |
3,573 |
$5K |
| 87651 |
|
1,472 |
1,241 |
$5K |
| 83690 |
|
14,816 |
12,796 |
$4K |
| 87591 |
|
659 |
523 |
$4K |
| 80143 |
|
4,695 |
3,838 |
$4K |
| 64635 |
|
20 |
14 |
$4K |
| J7030 |
Normal saline solution infus |
20,122 |
15,011 |
$4K |
| 74174 |
|
37 |
25 |
$4K |
| 87077 |
|
1,535 |
1,327 |
$3K |
| J3535 |
Metered dose inhaler drug |
385 |
257 |
$3K |
| 80361 |
|
151 |
137 |
$3K |
| 88305 |
|
655 |
509 |
$3K |
| 84439 |
|
761 |
647 |
$3K |
| 72072 |
|
82 |
66 |
$3K |
| 45384 |
|
12 |
12 |
$3K |
| 80051 |
|
3,909 |
3,516 |
$3K |
| 92523 |
|
40 |
39 |
$3K |
| J1756 |
Iron sucrose injection |
85 |
39 |
$3K |
| 87661 |
|
598 |
476 |
$3K |
| 80179 |
|
4,419 |
3,614 |
$2K |
| 86703 |
|
171 |
149 |
$2K |
| J1170 |
Hydromorphone injection |
7,738 |
5,585 |
$2K |
| 83540 |
|
722 |
634 |
$2K |
| 71101 |
|
131 |
111 |
$2K |
| 90471 |
|
699 |
514 |
$2K |
| 87480 |
|
335 |
285 |
$2K |
| 93880 |
|
28 |
26 |
$2K |
| 85379 |
|
2,328 |
1,920 |
$2K |
| 76830 |
|
185 |
152 |
$2K |
| 83550 |
|
708 |
620 |
$2K |
| 87420 |
|
325 |
280 |
$2K |
| 80353 |
|
169 |
165 |
$2K |
| 80349 |
|
169 |
165 |
$2K |
| 80356 |
|
168 |
164 |
$2K |
| 80076 |
|
3,412 |
3,094 |
$2K |
| J2543 |
Piperacillin/tazobactam |
444 |
175 |
$2K |
| 83992 |
|
129 |
125 |
$2K |
| 80348 |
|
155 |
137 |
$2K |
| 87186 |
|
1,265 |
1,090 |
$2K |
| 80373 |
|
151 |
137 |
$2K |
| 80365 |
|
152 |
137 |
$2K |
| 82043 |
|
190 |
176 |
$2K |
| 80358 |
|
151 |
137 |
$2K |
| 82570 |
|
554 |
476 |
$2K |
| 73140 |
|
41 |
37 |
$2K |
| 20552 |
|
13 |
12 |
$2K |
| 80354 |
|
150 |
136 |
$2K |
| 80321 |
|
140 |
136 |
$2K |
| 80324 |
|
141 |
137 |
$1K |
| 80372 |
|
136 |
122 |
$1K |
| 86901 |
|
907 |
713 |
$1K |
| 80359 |
|
129 |
125 |
$1K |
| 80346 |
|
128 |
124 |
$1K |
| 80360 |
|
126 |
122 |
$1K |
| J1815 |
Insulin injection |
781 |
411 |
$1K |
| 82565 |
|
3,992 |
3,584 |
$1K |
| 85652 |
|
511 |
430 |
$1K |
| 84702 |
|
559 |
399 |
$1K |
| 85730 |
|
4,188 |
3,474 |
$1K |
| 80362 |
|
114 |
110 |
$1K |
| 87205 |
|
951 |
758 |
$1K |
| 82550 |
|
1,366 |
1,083 |
$1K |
| 20610 |
|
13 |
12 |
$1K |
| 86803 |
|
140 |
124 |
$985.27 |
| 82746 |
|
250 |
221 |
$970.66 |
| 82947 |
|
3,931 |
3,533 |
$950.73 |
| 85007 |
|
708 |
556 |
$949.45 |
| J2405 |
Ondansetron hcl injection |
14,944 |
12,051 |
$915.36 |
| 87510 |
|
335 |
285 |
$910.04 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
16,958 |
14,583 |
$879.73 |
| 82140 |
|
500 |
372 |
$824.71 |
| J0690 |
Cefazolin sodium injection |
765 |
555 |
$814.69 |
| J1885 |
Ketorolac tromethamine inj |
8,823 |
7,458 |
$786.18 |
| J1650 |
Inj enoxaparin sodium |
1,077 |
572 |
$776.42 |
| 84153 |
|
99 |
93 |
$770.51 |
| 76870 |
|
17 |
13 |
$678.72 |
| 76801 |
|
25 |
16 |
$676.14 |
| 87880 |
|
619 |
570 |
$635.46 |
| 83921 |
|
126 |
118 |
$626.52 |
| 84520 |
|
3,911 |
3,519 |
$617.85 |
| 80055 |
|
33 |
33 |
$593.19 |
| 73552 |
|
13 |
13 |
$585.22 |
| J2770 |
Quinupristin/dalfopristin |
34 |
27 |
$564.02 |
| G0481 |
Drug test def 8-14 classes |
12 |
12 |
$556.86 |
| J3010 |
Fentanyl citrate injection |
2,497 |
1,528 |
$520.23 |
| 87899 |
|
35 |
35 |
$519.00 |
| 84100 |
|
416 |
324 |
$481.71 |
| J7120 |
Ringers lactate infusion |
2,125 |
1,249 |
$472.32 |
| 80074 |
|
93 |
72 |
$464.37 |
| J0696 |
Ceftriaxone sodium injection |
1,070 |
728 |
$461.49 |
| 76817 |
|
23 |
15 |
$450.76 |
| 87653 |
|
14 |
13 |
$444.32 |
| Q0162 |
Ondansetron oral |
300 |
278 |
$419.74 |
| 86308 |
|
408 |
301 |
$405.20 |
| 80305 |
|
27 |
14 |
$389.60 |
| 86592 |
|
79 |
71 |
$358.40 |
| 94727 |
|
31 |
29 |
$357.12 |
| 36600 |
|
225 |
178 |
$351.30 |
| 87798 |
|
17 |
12 |
$349.75 |
| 87075 |
|
300 |
231 |
$346.91 |
| 87660 |
|
47 |
41 |
$336.58 |
| 73090 |
|
48 |
38 |
$334.30 |
| 73590 |
|
66 |
60 |
$333.10 |
| J2704 |
Inj, propofol, 10 mg |
2,041 |
1,469 |
$332.66 |
| J2270 |
Morphine sulfate injection |
901 |
659 |
$317.44 |
| J3360 |
Diazepam injection |
394 |
284 |
$295.88 |
| 51701 |
|
177 |
141 |
$287.04 |
| J7999 |
Compounded drug, noc |
67 |
43 |
$250.37 |
| J2930 |
Methylprednisolone injection |
1,027 |
791 |
$244.50 |
| C9113 |
Inj pantoprazole sodium, via |
262 |
156 |
$236.84 |
| J0780 |
Prochlorperazine injection |
858 |
668 |
$229.12 |
| 87081 |
|
87 |
84 |
$217.62 |
| Q9957 |
Inj perflutren lip micros,ml |
413 |
385 |
$205.40 |
| J1100 |
Dexamethasone sodium phos |
2,355 |
1,582 |
$186.15 |
| J0736 |
Inj, clindamycin phosp 300mg |
90 |
61 |
$181.28 |
| U0005 |
Infec agen detec ampli probe |
99 |
96 |
$181.01 |
| 82010 |
|
190 |
122 |
$176.58 |
| 87486 |
|
17 |
12 |
$174.88 |
| 80164 |
|
19 |
12 |
$159.04 |
| J1030 |
Methylprednisolone 40 mg inj |
450 |
394 |
$154.20 |
| J7040 |
Normal saline solution infus |
1,874 |
1,408 |
$147.02 |
| J7050 |
Normal saline solution infus |
1,631 |
895 |
$142.09 |
| J1200 |
Diphenhydramine hcl injectio |
1,808 |
1,351 |
$132.96 |
| J2250 |
Inj midazolam hydrochloride |
1,364 |
1,009 |
$124.52 |
| 87147 |
|
162 |
126 |
$123.52 |
| J2272 |
Inj, morphine (fresenius) |
119 |
74 |
$117.99 |
| 84156 |
|
108 |
82 |
$102.97 |
| 87581 |
|
17 |
12 |
$100.92 |
| 80202 |
|
16 |
12 |
$99.48 |
| 87633 |
|
17 |
12 |
$89.92 |
| J3370 |
Vancomycin hcl injection |
310 |
164 |
$87.42 |
| 88304 |
|
44 |
24 |
$86.77 |
| J1642 |
Inj heparin sodium per 10 u |
319 |
115 |
$68.75 |
| 80069 |
|
13 |
13 |
$68.26 |
| J1630 |
Haloperidol injection |
343 |
224 |
$56.39 |
| J7512 |
Prednisone ir or dr oral 1mg |
645 |
451 |
$47.03 |
| 85014 |
|
14 |
12 |
$45.77 |
| J2360 |
Orphenadrine injection |
95 |
92 |
$41.87 |
| J0703 |
Inj, cefepime hcl (b braun) |
103 |
54 |
$41.76 |
| 82150 |
|
89 |
80 |
$39.31 |
| 83615 |
|
17 |
16 |
$34.14 |
| J2060 |
Lorazepam injection |
581 |
442 |
$33.90 |
| J2765 |
Metoclopramide hcl injection |
436 |
337 |
$33.13 |
| 87807 |
|
137 |
129 |
$33.00 |
| 84550 |
|
24 |
12 |
$28.45 |
| J3480 |
Inj potassium chloride |
327 |
175 |
$25.96 |
| 86618 |
|
16 |
13 |
$23.99 |
| J3475 |
Inj magnesium sulfate |
69 |
45 |
$17.25 |
| J2919 |
Inj, methylpred sod succ 5mg |
247 |
196 |
$14.16 |
| J1040 |
Methylprednisolone 80 mg inj |
247 |
217 |
$12.59 |
| 82962 |
|
97 |
66 |
$11.78 |
| J1644 |
Inj heparin sodium per 1000u |
216 |
101 |
$11.20 |
| J1940 |
Furosemide injection |
116 |
79 |
$11.09 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
416 |
346 |
$7.34 |
| J1790 |
Droperidol injection |
16 |
12 |
$6.42 |
| J0456 |
Azithromycin |
22 |
13 |
$2.88 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
329 |
202 |
$1.50 |
| J7510 |
Prednisolone oral per 5 mg |
14 |
12 |
$1.44 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
47 |
38 |
$0.45 |
| 64636 |
|
20 |
14 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
20 |
16 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
16 |
13 |
$0.00 |
| A9500 |
Tc99m sestamibi |
61 |
52 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
78 |
74 |
$0.00 |
| J2001 |
Lidocaine injection |
19 |
18 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
16 |
12 |
$0.00 |
| J2785 |
Regadenoson injection |
15 |
12 |
$0.00 |