| Code | Description | Claims | Beneficiaries | Total Paid |
| 80307 |
|
15,651 |
9,467 |
$965K |
| 87651 |
|
22,170 |
13,063 |
$911K |
| 70450 |
|
7,347 |
6,669 |
$706K |
| 74177 |
|
5,156 |
4,677 |
$689K |
| 80053 |
|
58,927 |
46,930 |
$635K |
| 87633 |
|
2,410 |
2,244 |
$507K |
| 97110 |
|
24,184 |
4,899 |
$492K |
| 87491 |
|
11,454 |
10,428 |
$474K |
| 87591 |
|
11,466 |
10,438 |
$474K |
| 87661 |
|
10,951 |
9,944 |
$439K |
| 87426 |
|
13,868 |
12,451 |
$409K |
| 96365 |
|
5,048 |
4,113 |
$406K |
| 96374 |
|
24,102 |
20,597 |
$401K |
| 85025 |
|
57,133 |
44,642 |
$387K |
| 87804 |
|
31,991 |
17,082 |
$386K |
| 93306 |
|
3,554 |
3,107 |
$345K |
| 71260 |
|
2,477 |
2,276 |
$340K |
| 93005 |
|
32,386 |
24,777 |
$256K |
| G0463 |
Hospital outpt clinic visit |
21,629 |
17,857 |
$254K |
| 93010 |
|
39,613 |
24,005 |
$247K |
| 96372 |
|
17,696 |
13,320 |
$241K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
10,750 |
9,531 |
$216K |
| 99285 |
|
9,245 |
7,737 |
$207K |
| T1015 |
Clinic service |
18,579 |
16,795 |
$196K |
| 72148 |
|
923 |
792 |
$191K |
| 73721 |
|
784 |
639 |
$186K |
| 78452 |
|
1,191 |
1,053 |
$163K |
| 72125 |
|
1,163 |
1,065 |
$162K |
| 86901 |
|
6,335 |
5,426 |
$155K |
| 71045 |
|
19,493 |
16,815 |
$148K |
| J2704 |
Inj, propofol, 10 mg |
6,482 |
5,674 |
$129K |
| 43239 |
|
967 |
827 |
$127K |
| 84484 |
|
17,315 |
12,239 |
$118K |
| 11042 |
|
1,894 |
884 |
$115K |
| 80048 |
|
12,523 |
10,507 |
$115K |
| 96413 |
|
1,829 |
854 |
$114K |
| 83880 |
|
5,676 |
4,723 |
$113K |
| 87088 |
|
14,277 |
12,552 |
$113K |
| 87486 |
|
2,415 |
2,247 |
$109K |
| 74176 |
|
1,840 |
1,679 |
$109K |
| 87581 |
|
2,413 |
2,246 |
$109K |
| 77067 |
|
2,373 |
2,277 |
$109K |
| 96375 |
|
14,617 |
11,541 |
$108K |
| J7040 |
Normal saline solution infus |
3,381 |
2,543 |
$107K |
| 87798 |
|
2,416 |
2,248 |
$106K |
| 85027 |
|
21,422 |
18,139 |
$103K |
| 99282 |
|
2,405 |
2,076 |
$103K |
| 81001 |
|
34,110 |
28,877 |
$101K |
| 84443 |
|
11,208 |
9,848 |
$98K |
| 99283 |
|
1,885 |
1,610 |
$95K |
| 82553 |
|
11,677 |
8,776 |
$94K |
| J7030 |
Normal saline solution infus |
7,825 |
6,594 |
$93K |
| A9502 |
Tc99m tetrofosmin |
1,241 |
1,096 |
$87K |
| 36415 |
|
66,556 |
50,263 |
$81K |
| 82550 |
|
16,812 |
12,657 |
$79K |
| U0002 |
Covid-19 lab test non-cdc |
2,110 |
2,003 |
$79K |
| 99281 |
|
2,144 |
1,584 |
$78K |
| 80061 |
|
8,682 |
7,817 |
$77K |
| J2785 |
Regadenoson injection |
1,171 |
1,034 |
$74K |
| 71046 |
|
5,536 |
4,972 |
$74K |
| 80050 |
|
1,537 |
1,508 |
$71K |
| J0696 |
Ceftriaxone sodium injection |
6,798 |
5,909 |
$70K |
| J1100 |
Dexamethasone sodium phos |
9,681 |
7,835 |
$69K |
| 83735 |
|
15,270 |
12,074 |
$68K |
| J2405 |
Ondansetron hcl injection |
18,386 |
14,595 |
$63K |
| 82306 |
|
3,539 |
3,172 |
$63K |
| 74018 |
|
4,346 |
3,840 |
$62K |
| 82805 |
|
2,828 |
2,320 |
$62K |
| 84703 |
|
7,055 |
5,916 |
$61K |
| 36430 |
|
810 |
637 |
$60K |
| 87040 |
|
7,336 |
4,227 |
$60K |
| 87077 |
|
6,623 |
5,297 |
$60K |
| 82948 |
|
13,714 |
7,068 |
$59K |
| 81025 |
|
7,563 |
6,651 |
$58K |
| 97161 |
|
1,787 |
1,491 |
$57K |
| 87653 |
|
1,266 |
1,209 |
$56K |
| 86703 |
|
3,580 |
3,261 |
$56K |
| 96367 |
|
1,846 |
943 |
$56K |
| 59025 |
|
374 |
279 |
$55K |
| 83690 |
|
8,093 |
6,945 |
$52K |
| 99284 |
|
1,367 |
1,215 |
$49K |
| 86885 |
|
5,566 |
4,939 |
$48K |
| 86922 |
|
1,428 |
887 |
$47K |
| 88305 |
|
1,201 |
973 |
$46K |
| 87807 |
|
3,875 |
3,488 |
$45K |
| 84439 |
|
7,255 |
6,391 |
$44K |
| A9579 |
Gad-base mr contrast nos,1ml |
885 |
748 |
$44K |
| 94640 |
|
7,964 |
5,110 |
$44K |
| 83605 |
|
5,418 |
4,343 |
$44K |
| 73564 |
|
1,814 |
1,430 |
$44K |
| 84702 |
|
4,355 |
3,415 |
$43K |
| J1885 |
Ketorolac tromethamine inj |
11,019 |
9,491 |
$42K |
| 82150 |
|
7,004 |
6,068 |
$42K |
| 84145 |
|
2,827 |
2,569 |
$42K |
| 87070 |
|
4,248 |
3,834 |
$41K |
| 86762 |
|
2,296 |
2,089 |
$38K |
| 73630 |
|
1,987 |
1,637 |
$37K |
| 72141 |
|
174 |
138 |
$37K |
| 85730 |
|
8,735 |
7,659 |
$37K |
| 73030 |
|
2,291 |
1,955 |
$37K |
| 83036 |
|
5,947 |
5,392 |
$36K |
| 82677 |
|
1,066 |
1,010 |
$32K |
| 87340 |
|
2,779 |
2,535 |
$32K |
| 82105 |
|
1,583 |
1,482 |
$32K |
| 87186 |
|
5,471 |
4,358 |
$32K |
| 85610 |
|
11,121 |
9,261 |
$31K |
| 94760 |
|
3,605 |
1,945 |
$31K |
| 78815 |
|
85 |
63 |
$31K |
| 73130 |
|
1,799 |
1,370 |
$30K |
| 94664 |
|
9,578 |
6,595 |
$30K |
| 70486 |
|
219 |
214 |
$29K |
| 72100 |
|
1,609 |
1,453 |
$28K |
| 74022 |
|
1,449 |
1,313 |
$27K |
| 86900 |
|
6,336 |
5,426 |
$26K |
| 73610 |
|
1,605 |
1,383 |
$26K |
| 83615 |
|
5,296 |
4,444 |
$24K |
| 77063 |
|
2,366 |
2,270 |
$24K |
| 73221 |
|
117 |
98 |
$23K |
| 76700 |
|
778 |
689 |
$23K |
| 93017 |
|
1,260 |
1,117 |
$23K |
| 96361 |
|
5,966 |
5,095 |
$22K |
| 85379 |
|
2,720 |
2,460 |
$22K |
| 73562 |
|
952 |
749 |
$21K |
| 86336 |
|
1,065 |
1,009 |
$20K |
| 77066 |
Tomosynthesis, mammo |
377 |
361 |
$20K |
| 82565 |
|
2,505 |
2,011 |
$19K |
| 82728 |
|
2,077 |
1,763 |
$19K |
| J1642 |
Inj heparin sodium per 10 u |
3,492 |
1,924 |
$19K |
| 76642 |
|
846 |
700 |
$19K |
| 93458 |
|
280 |
232 |
$18K |
| 86592 |
|
3,739 |
3,426 |
$18K |
| 82607 |
|
1,882 |
1,625 |
$18K |
| 95819 |
|
482 |
398 |
$18K |
| 70551 |
|
99 |
80 |
$18K |
| 96360 |
|
2,154 |
1,963 |
$17K |
| 20610 |
|
466 |
403 |
$17K |
| 70553 |
|
79 |
66 |
$17K |
| 73502 |
|
1,258 |
1,036 |
$17K |
| 93971 |
|
511 |
449 |
$16K |
| J0885 |
Epoetin alfa, non-esrd |
570 |
254 |
$16K |
| Q0247 |
Sotrovimab |
13 |
12 |
$16K |
| 94729 |
|
981 |
851 |
$16K |
| 86677 |
|
1,391 |
1,253 |
$15K |
| 99152 |
|
2,850 |
2,468 |
$15K |
| 82248 |
|
3,332 |
2,658 |
$15K |
| 94726 |
|
996 |
862 |
$14K |
| 87880 |
|
1,310 |
1,194 |
$14K |
| 71250 |
|
176 |
160 |
$14K |
| J2001 |
Lidocaine injection |
10,217 |
8,956 |
$14K |
| 94060 |
|
975 |
832 |
$14K |
| 83550 |
|
3,064 |
2,495 |
$14K |
| 90714 |
|
1,539 |
1,399 |
$13K |
| J7060 |
5% dextrose/water |
1,276 |
905 |
$13K |
| 96366 |
|
2,035 |
1,485 |
$13K |
| 72040 |
|
665 |
602 |
$13K |
| 96376 |
|
4,748 |
3,319 |
$13K |
| 84153 |
|
994 |
916 |
$13K |
| 76937 |
|
541 |
465 |
$13K |
| 86803 |
|
773 |
719 |
$12K |
| M0243 |
Casirivi and imdevi inj |
51 |
50 |
$12K |
| 80177 |
|
988 |
823 |
$12K |
| C1725 |
Cath, translumin non-laser |
407 |
259 |
$11K |
| 76000 |
|
809 |
747 |
$11K |
| 83540 |
|
3,303 |
2,709 |
$11K |
| 88342 |
|
372 |
310 |
$11K |
| 76801 |
|
320 |
288 |
$11K |
| 82950 |
|
1,813 |
1,736 |
$11K |
| 73110 |
|
618 |
538 |
$11K |
| 85660 |
|
1,634 |
1,485 |
$11K |
| 80076 |
|
1,842 |
1,573 |
$10K |
| J0690 |
Cefazolin sodium injection |
4,128 |
3,443 |
$9K |
| 97016 |
|
7,028 |
1,419 |
$9K |
| 80164 |
|
729 |
597 |
$9K |
| 81002 |
|
2,255 |
2,046 |
$8K |
| 85652 |
|
4,312 |
3,819 |
$8K |
| 71010 |
|
3,988 |
3,406 |
$8K |
| 97530 |
|
227 |
61 |
$8K |
| J3010 |
Fentanyl citrate injection |
8,267 |
7,176 |
$8K |
| J0171 |
Adrenalin epinephrine inject |
1,275 |
925 |
$8K |
| 76536 |
|
284 |
256 |
$8K |
| G0283 |
Elec stim other than wound |
4,583 |
1,179 |
$7K |
| 45380 |
|
183 |
151 |
$7K |
| A9552 |
F18 fdg |
85 |
63 |
$7K |
| 74220 |
|
181 |
169 |
$7K |
| J2930 |
Methylprednisolone injection |
3,705 |
3,160 |
$7K |
| 71020 |
|
1,091 |
979 |
$7K |
| 84550 |
|
2,274 |
2,024 |
$7K |
| 95885 |
|
339 |
275 |
$7K |
| 82746 |
|
701 |
568 |
$7K |
| 69436 |
|
33 |
30 |
$7K |
| 83970 |
|
465 |
417 |
$7K |
| 90471 |
|
1,583 |
1,434 |
$7K |
| 86140 |
|
1,566 |
1,301 |
$7K |
| J1953 |
Levetiracetam injection |
259 |
213 |
$6K |
| 73560 |
|
399 |
313 |
$6K |
| 80069 |
|
1,406 |
1,170 |
$6K |
| 83021 |
|
312 |
279 |
$6K |
| 99153 |
Mod sedat endo service >5yrs |
1,358 |
1,184 |
$6K |
| 80074 |
|
126 |
113 |
$6K |
| J2250 |
Inj midazolam hydrochloride |
7,974 |
6,899 |
$5K |
| 74420 |
|
225 |
207 |
$5K |
| J1650 |
Inj enoxaparin sodium |
273 |
161 |
$5K |
| 76856 |
|
212 |
195 |
$5K |
| 41899 |
|
282 |
253 |
$5K |
| 74000 |
|
1,344 |
1,192 |
$5K |
| 82947 |
|
1,100 |
987 |
$5K |
| 82570 |
|
1,285 |
1,074 |
$5K |
| 99214 |
|
244 |
187 |
$4K |
| 73590 |
|
220 |
196 |
$4K |
| 36600 |
|
2,558 |
2,184 |
$4K |
| 87624 |
|
129 |
110 |
$4K |
| 99215 |
Prolong outpt/office vis |
95 |
54 |
$4K |
| 72110 |
|
119 |
107 |
$4K |
| 85018 |
|
2,468 |
1,868 |
$4K |
| 77062 |
|
116 |
106 |
$4K |
| J1200 |
Diphenhydramine hcl injectio |
4,861 |
3,621 |
$4K |
| 36591 |
|
335 |
215 |
$3K |
| J2795 |
Ropivacaine hcl injection |
161 |
141 |
$3K |
| 86038 |
|
331 |
293 |
$3K |
| 74178 |
|
44 |
30 |
$3K |
| 84100 |
|
1,879 |
1,455 |
$3K |
| J2270 |
Morphine sulfate injection |
8,776 |
6,970 |
$3K |
| 85014 |
|
1,697 |
1,243 |
$3K |
| 84481 |
|
240 |
217 |
$3K |
| J0330 |
Succinycholine chloride inj |
2,548 |
2,264 |
$3K |
| 85045 |
|
763 |
596 |
$3K |
| 77065 |
Tomosynthesis, mammo |
57 |
55 |
$3K |
| 84156 |
|
914 |
748 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
3,135 |
2,232 |
$2K |
| J2550 |
Promethazine hcl injection |
3,029 |
2,369 |
$2K |
| 76770 |
|
135 |
127 |
$2K |
| 85049 |
|
104 |
96 |
$2K |
| 76705 |
|
148 |
129 |
$2K |
| D2930 |
|
252 |
221 |
$2K |
| 83655 |
|
145 |
119 |
$2K |
| 45385 |
|
69 |
58 |
$2K |
| 84520 |
|
669 |
533 |
$2K |
| 93970 |
|
58 |
53 |
$2K |
| 77001 |
|
86 |
75 |
$2K |
| J1940 |
Furosemide injection |
1,482 |
1,060 |
$2K |
| 96417 |
|
56 |
25 |
$2K |
| J1750 |
Inj iron dextran |
28 |
27 |
$1K |
| 87086 |
|
295 |
227 |
$1K |
| 73140 |
|
104 |
86 |
$1K |
| 72190 |
|
60 |
52 |
$1K |
| 86696 |
|
36 |
30 |
$1K |
| C1769 |
Guide wire |
1,044 |
823 |
$1K |
| 76817 |
|
30 |
27 |
$1K |
| J2060 |
Lorazepam injection |
1,047 |
892 |
$1K |
| J2920 |
Methylprednisolone injection |
233 |
169 |
$1K |
| 84480 |
|
102 |
89 |
$1K |
| 73700 |
|
13 |
12 |
$1K |
| 97162 |
|
55 |
49 |
$1K |
| 94761 |
|
132 |
64 |
$1K |
| 77080 |
|
12 |
12 |
$1K |
| J2919 |
Inj, methylpred sod succ 5mg |
368 |
320 |
$1K |
| 52005 |
|
17 |
12 |
$1K |
| 51610 |
|
59 |
56 |
$1K |
| 73552 |
|
92 |
66 |
$990.55 |
| 72170 |
|
55 |
51 |
$989.26 |
| J0360 |
Hydralazine hcl injection |
2,182 |
1,861 |
$915.49 |
| 97035 |
|
1,154 |
396 |
$902.62 |
| J1030 |
Methylprednisolone 40 mg inj |
1,377 |
1,230 |
$862.55 |
| J1170 |
Hydromorphone injection |
3,278 |
2,820 |
$732.67 |
| 87320 |
|
81 |
73 |
$720.72 |
| J0561 |
Penicillin g benzathine inj |
16 |
13 |
$713.16 |
| 73090 |
|
44 |
37 |
$684.50 |
| 87210 |
|
176 |
152 |
$675.18 |
| J2765 |
Metoclopramide hcl injection |
940 |
777 |
$667.46 |
| 99213 |
|
80 |
59 |
$663.84 |
| 86695 |
|
36 |
30 |
$657.72 |
| J1956 |
Levofloxacin injection |
117 |
98 |
$651.58 |
| J2710 |
Neostigmine methylslfte inj |
772 |
429 |
$629.02 |
| J2175 |
Meperidine hydrochl /100 mg |
2,218 |
1,875 |
$623.43 |
| 74021 |
|
36 |
27 |
$620.76 |
| 87205 |
|
133 |
111 |
$581.49 |
| 86704 |
|
48 |
45 |
$572.00 |
| 73080 |
|
42 |
39 |
$566.25 |
| J7121 |
5% dextrose in lac ringers |
98 |
81 |
$517.23 |
| S0028 |
Injection, famotidine, 20 mg |
136 |
109 |
$494.68 |
| 86706 |
|
48 |
45 |
$479.89 |
| 78264 |
|
17 |
12 |
$471.90 |
| C1887 |
Catheter, guiding |
107 |
80 |
$440.93 |
| 86431 |
|
92 |
80 |
$374.68 |
| 86160 |
|
25 |
13 |
$370.83 |
| 84132 |
|
175 |
141 |
$363.48 |
| 85007 |
|
351 |
304 |
$357.24 |
| 96415 |
|
104 |
66 |
$343.86 |
| J0780 |
Prochlorperazine injection |
756 |
676 |
$338.98 |
| 84450 |
|
87 |
78 |
$332.25 |
| 85347 |
|
30 |
25 |
$332.13 |
| 84460 |
|
87 |
78 |
$331.73 |
| 87075 |
|
16 |
15 |
$305.01 |
| 97014 |
|
2,119 |
530 |
$273.14 |
| J3301 |
Triamcinolone acet inj nos |
190 |
156 |
$272.00 |
| 88300 |
|
46 |
42 |
$270.00 |
| P9016 |
Rbc leukocytes reduced |
718 |
563 |
$261.93 |
| 74010 |
|
134 |
109 |
$261.84 |
| 87400 |
|
20 |
12 |
$243.30 |
| 86708 |
|
14 |
14 |
$230.83 |
| A4216 |
Sterile water/saline, 10 ml |
241 |
210 |
$205.00 |
| 86200 |
|
16 |
14 |
$198.24 |
| J3370 |
Vancomycin hcl injection |
376 |
306 |
$179.35 |
| 94618 |
|
29 |
26 |
$164.58 |
| 87635 |
|
404 |
289 |
$148.63 |
| 82010 |
|
30 |
24 |
$142.84 |
| 80320 |
|
13 |
12 |
$135.72 |
| 97166 |
|
59 |
51 |
$129.45 |
| G0257 |
Unsched dialysis esrd pt hos |
727 |
524 |
$128.10 |
| C1894 |
Intro/sheath, non-laser |
1,169 |
1,007 |
$125.15 |
| J3480 |
Inj potassium chloride |
148 |
114 |
$119.97 |
| J1630 |
Haloperidol injection |
108 |
99 |
$119.46 |
| 86705 |
|
13 |
13 |
$113.05 |
| 92611 |
|
26 |
25 |
$109.28 |
| 71101 |
|
13 |
12 |
$102.00 |
| G0279 |
Tomosynthesis, mammo |
12 |
12 |
$93.72 |
| J0744 |
Ciprofloxacin iv |
31 |
26 |
$71.56 |
| J2360 |
Orphenadrine injection |
40 |
34 |
$65.32 |
| J2300 |
Inj nalbuphine hydrochloride |
339 |
246 |
$51.85 |
| 82043 |
|
13 |
13 |
$43.47 |
| 84134 |
|
19 |
18 |
$41.66 |
| 97140 |
|
605 |
223 |
$40.45 |
| 0001A |
|
112 |
110 |
$33.11 |
| 0002A |
|
100 |
99 |
$31.60 |
| Q5105 |
Inj retacrit esrd on dialysi |
330 |
143 |
$23.07 |
| J2370 |
Phenylephrine hcl injection |
101 |
90 |
$22.02 |
| 96523 |
|
17 |
14 |
$20.94 |
| G0378 |
Hospital observation per hr |
1,256 |
1,199 |
$13.69 |
| J0610 |
Calcium glucon (fresenius) |
21 |
12 |
$12.40 |
| J3105 |
Terbutaline sulfate inj |
14 |
12 |
$8.17 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
150 |
137 |
$3.52 |
| G8979 |
Mobility goal status |
122 |
114 |
$0.29 |
| G8978 |
Mobility current status |
79 |
73 |
$0.18 |
| D7140 |
|
27 |
25 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
198 |
183 |
$0.00 |
| G0390 |
Trauma respons w/hosp criti |
14 |
13 |
$0.00 |
| G1002 |
Cdsm medcurrent |
630 |
538 |
$0.00 |
| 76942 |
|
72 |
65 |
$0.00 |
| J3260 |
Tobramycin sulfate injection |
93 |
81 |
$0.00 |
| 0003A |
|
28 |
28 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
39 |
36 |
$0.00 |