| Code | Description | Claims | Beneficiaries | Total Paid |
| 99281 |
|
86,106 |
76,764 |
$6.88M |
| 74177 |
|
4,244 |
4,160 |
$1.06M |
| 77067 |
|
7,099 |
7,094 |
$1.01M |
| 70450 |
|
4,352 |
4,241 |
$806K |
| 96374 |
|
9,635 |
9,010 |
$740K |
| U0002 |
Covid-19 lab test non-cdc |
9,534 |
9,140 |
$633K |
| 93005 |
|
12,829 |
11,384 |
$503K |
| 76700 |
|
4,975 |
4,949 |
$472K |
| 96361 |
|
9,597 |
8,981 |
$452K |
| 96365 |
|
4,298 |
4,051 |
$426K |
| Z7502 |
|
9,886 |
9,684 |
$367K |
| 76805 |
|
3,149 |
3,018 |
$366K |
| 96375 |
|
6,763 |
6,281 |
$357K |
| 80053 |
|
25,565 |
23,326 |
$340K |
| 80307 |
|
4,856 |
4,175 |
$335K |
| 97530 |
|
9,294 |
2,673 |
$315K |
| 96360 |
|
3,797 |
3,703 |
$302K |
| 76856 |
|
3,560 |
3,517 |
$302K |
| 85025 |
|
28,098 |
25,258 |
$274K |
| 99213 |
|
1,653 |
1,474 |
$264K |
| 99211 |
|
6,556 |
4,304 |
$260K |
| 76830 |
|
3,018 |
2,984 |
$254K |
| 77063 |
|
6,818 |
6,813 |
$247K |
| 73721 |
|
460 |
452 |
$245K |
| 97535 |
|
7,237 |
2,200 |
$244K |
| 71046 |
|
10,766 |
10,471 |
$231K |
| 87502 |
|
2,366 |
2,335 |
$230K |
| 76705 |
|
2,855 |
2,790 |
$216K |
| 72148 |
|
316 |
316 |
$203K |
| 72125 |
|
652 |
640 |
$178K |
| 70551 |
|
280 |
280 |
$172K |
| 93976 |
|
587 |
580 |
$155K |
| 93306 |
|
785 |
784 |
$151K |
| 93971 |
|
1,069 |
1,051 |
$141K |
| 59025 |
|
2,538 |
1,877 |
$131K |
| 76770 |
|
1,428 |
1,424 |
$127K |
| 74176 |
|
1,112 |
1,100 |
$125K |
| T1999 |
Noc retail items andsupplies |
59,762 |
34,725 |
$119K |
| 87635 |
|
2,157 |
2,105 |
$116K |
| 76642 |
|
1,578 |
1,571 |
$113K |
| 76817 |
|
1,447 |
1,279 |
$112K |
| 87086 |
|
10,266 |
9,844 |
$107K |
| V5008 |
Hearing screening |
1,498 |
1,492 |
$104K |
| 96366 |
|
1,540 |
1,480 |
$91K |
| J1885 |
Ketorolac tromethamine inj |
6,557 |
6,190 |
$87K |
| 87633 |
|
180 |
167 |
$84K |
| 76816 |
|
1,133 |
1,113 |
$84K |
| 81025 |
|
8,412 |
7,972 |
$78K |
| 84484 |
|
5,634 |
4,761 |
$78K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,858 |
4,753 |
$75K |
| 83690 |
|
8,463 |
7,863 |
$73K |
| J2274 |
Inj morphine pf epid ithc |
3,270 |
2,804 |
$69K |
| 87651 |
|
1,433 |
1,412 |
$68K |
| 94640 |
|
2,317 |
1,932 |
$67K |
| 83605 |
|
4,719 |
4,215 |
$66K |
| 71275 |
|
282 |
277 |
$62K |
| 71260 |
|
220 |
220 |
$62K |
| G0279 |
Tomosynthesis, mammo |
995 |
981 |
$61K |
| 73562 |
|
2,086 |
2,037 |
$59K |
| 81001 |
|
14,372 |
13,650 |
$58K |
| 78452 |
|
206 |
206 |
$58K |
| 73610 |
|
1,653 |
1,613 |
$57K |
| 45380 |
|
1,663 |
1,650 |
$52K |
| 73030 |
|
1,641 |
1,602 |
$52K |
| 73630 |
|
1,474 |
1,456 |
$48K |
| 72110 |
|
733 |
733 |
$39K |
| 86141 |
|
2,569 |
2,419 |
$37K |
| 0450 |
|
888 |
755 |
$37K |
| 73130 |
|
1,020 |
1,005 |
$36K |
| 73564 |
|
1,069 |
1,061 |
$36K |
| 87040 |
|
2,522 |
1,638 |
$36K |
| 87186 |
|
2,997 |
2,884 |
$35K |
| 71045 |
|
3,442 |
3,311 |
$35K |
| Z7610 |
|
2,889 |
2,737 |
$33K |
| 84443 |
|
1,436 |
1,415 |
$30K |
| 73110 |
|
886 |
856 |
$30K |
| J2405 |
Ondansetron hcl injection |
4,263 |
4,009 |
$30K |
| 99156 |
|
473 |
455 |
$29K |
| 77066 |
Tomosynthesis, mammo |
171 |
171 |
$28K |
| 87077 |
|
2,926 |
2,818 |
$28K |
| 77065 |
Tomosynthesis, mammo |
242 |
240 |
$27K |
| 87634 |
|
281 |
277 |
$25K |
| 76815 |
|
252 |
228 |
$24K |
| 83880 |
|
872 |
820 |
$24K |
| 83735 |
|
2,835 |
2,493 |
$24K |
| 72100 |
|
667 |
666 |
$23K |
| 82962 |
|
5,670 |
4,212 |
$23K |
| 93017 |
|
441 |
439 |
$23K |
| 87591 |
|
779 |
767 |
$23K |
| 87491 |
|
781 |
769 |
$23K |
| 81002 |
|
5,066 |
4,915 |
$23K |
| 43239 |
|
785 |
784 |
$23K |
| 76801 |
|
264 |
261 |
$22K |
| 76536 |
|
279 |
279 |
$20K |
| J2785 |
Regadenoson injection |
82 |
82 |
$20K |
| 11042 |
|
2,274 |
1,037 |
$20K |
| J2765 |
Metoclopramide hcl injection |
2,254 |
2,123 |
$18K |
| J0696 |
Ceftriaxone sodium injection |
1,823 |
1,745 |
$18K |
| 80061 |
|
954 |
947 |
$17K |
| 73502 |
|
567 |
561 |
$17K |
| 84702 |
|
838 |
687 |
$17K |
| J7040 |
Normal saline solution infus |
1,938 |
1,832 |
$17K |
| 74018 |
|
665 |
652 |
$16K |
| J1200 |
Diphenhydramine hcl injectio |
2,070 |
1,920 |
$16K |
| 73080 |
|
440 |
413 |
$16K |
| 80048 |
|
1,433 |
1,330 |
$15K |
| J1170 |
Hydromorphone injection |
1,350 |
1,132 |
$15K |
| 86403 |
|
514 |
509 |
$15K |
| 85379 |
|
1,031 |
1,019 |
$13K |
| 87400 |
|
1,661 |
946 |
$11K |
| G0480 |
Drug test def 1-7 classes |
118 |
110 |
$11K |
| 90715 |
|
203 |
203 |
$10K |
| 82652 |
|
201 |
197 |
$10K |
| 85610 |
|
1,998 |
1,897 |
$10K |
| A9500 |
Tc99m sestamibi |
98 |
98 |
$9K |
| J2060 |
Lorazepam injection |
1,166 |
1,094 |
$9K |
| Z9725 |
|
189 |
181 |
$8K |
| 97110 |
|
2,115 |
732 |
$8K |
| 83036 |
|
573 |
565 |
$7K |
| 82570 |
|
950 |
838 |
$7K |
| 86901 |
|
1,709 |
1,652 |
$7K |
| 77080 |
|
153 |
153 |
$7K |
| 80069 |
|
544 |
435 |
$6K |
| 87798 |
|
66 |
66 |
$6K |
| 86850 |
|
539 |
523 |
$6K |
| 84466 |
|
330 |
312 |
$6K |
| J1100 |
Dexamethasone sodium phos |
626 |
604 |
$6K |
| J2270 |
Morphine sulfate injection |
470 |
438 |
$5K |
| 85730 |
|
738 |
715 |
$5K |
| J7030 |
Normal saline solution infus |
471 |
456 |
$5K |
| 82728 |
|
274 |
261 |
$5K |
| 93350 |
|
53 |
53 |
$4K |
| 73140 |
|
191 |
187 |
$4K |
| 72050 |
|
94 |
94 |
$4K |
| 82247 |
|
523 |
333 |
$4K |
| 93970 |
|
25 |
25 |
$4K |
| 87420 |
|
201 |
190 |
$4K |
| 45385 |
|
187 |
183 |
$3K |
| 96372 |
|
429 |
394 |
$3K |
| 84156 |
|
718 |
651 |
$3K |
| 83540 |
|
331 |
313 |
$3K |
| 87088 |
|
225 |
223 |
$3K |
| 86900 |
|
651 |
633 |
$2K |
| 83655 |
|
147 |
146 |
$2K |
| S0164 |
Injection pantroprazole |
149 |
143 |
$2K |
| 80179 |
|
115 |
108 |
$2K |
| 82043 |
|
265 |
254 |
$2K |
| 72040 |
|
60 |
59 |
$2K |
| 87070 |
|
161 |
157 |
$2K |
| 85651 |
|
350 |
312 |
$2K |
| Z9726 |
|
40 |
38 |
$2K |
| 84100 |
|
275 |
249 |
$2K |
| 74021 |
|
49 |
46 |
$2K |
| 72072 |
|
36 |
36 |
$2K |
| 82248 |
|
209 |
167 |
$2K |
| 73590 |
|
38 |
36 |
$1K |
| J2358 |
Olanzapine long-acting inj |
91 |
62 |
$1K |
| 99283 |
|
25 |
25 |
$1K |
| J1630 |
Haloperidol injection |
131 |
110 |
$1K |
| 76775 |
|
14 |
13 |
$1K |
| 76881 |
|
15 |
15 |
$946.96 |
| 84439 |
|
81 |
77 |
$944.17 |
| 73090 |
|
31 |
29 |
$858.19 |
| 96523 |
|
38 |
37 |
$831.54 |
| J3475 |
Inj magnesium sulfate |
66 |
63 |
$678.76 |
| 87806 |
|
15 |
15 |
$609.45 |
| 84550 |
|
92 |
86 |
$553.94 |
| Z7500 |
|
15 |
13 |
$511.50 |
| J3410 |
Hydroxyzine hcl injection |
15 |
15 |
$481.92 |
| 45378 |
|
13 |
13 |
$407.00 |
| 82150 |
|
44 |
42 |
$362.49 |
| 82550 |
|
49 |
45 |
$355.30 |
| J7042 |
5% dextrose/normal saline |
42 |
40 |
$347.56 |
| 84145 |
|
12 |
12 |
$344.30 |
| 85027 |
|
38 |
36 |
$334.07 |
| 87147 |
|
27 |
26 |
$323.89 |
| 73560 |
|
12 |
12 |
$292.71 |
| 97014 |
|
66 |
27 |
$259.37 |
| 97140 |
|
42 |
27 |
$257.56 |
| 73660 |
|
12 |
12 |
$247.17 |
| J7050 |
Normal saline solution infus |
30 |
28 |
$240.00 |
| J2250 |
Inj midazolam hydrochloride |
123 |
110 |
$180.02 |
| J3490 |
Drugs unclassified injection |
33 |
28 |
$179.33 |
| J3010 |
Fentanyl citrate injection |
117 |
111 |
$174.63 |
| J0690 |
Cefazolin sodium injection |
13 |
13 |
$139.08 |
| 84703 |
|
12 |
12 |
$128.26 |
| J2550 |
Promethazine hcl injection |
13 |
12 |
$119.56 |
| 96379 |
|
1,396 |
1,019 |
$106.99 |
| G8979 |
Mobility goal status |
12 |
12 |
$0.00 |
| 36415 |
|
88 |
84 |
$0.00 |
| 88305 |
|
13 |
13 |
$0.00 |