| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
87,609 |
83,037 |
$44.36M |
| 99285 |
|
20,721 |
19,263 |
$9.57M |
| 99283 |
|
69,464 |
67,584 |
$8.50M |
| 80053 |
|
48,926 |
44,444 |
$2.50M |
| 85025 |
|
103,588 |
90,625 |
$2.35M |
| 93005 |
|
22,866 |
21,120 |
$2.14M |
| 71045 |
|
41,465 |
39,582 |
$2.01M |
| 81001 |
|
64,376 |
60,809 |
$1.51M |
| 87635 |
|
36,397 |
35,389 |
$1.50M |
| 80048 |
|
37,147 |
31,083 |
$1.19M |
| 87400 |
|
30,850 |
15,364 |
$1.11M |
| 74177 |
|
3,884 |
3,689 |
$891K |
| 83690 |
|
15,161 |
14,138 |
$404K |
| 76801 |
|
3,755 |
3,338 |
$388K |
| 93975 |
|
1,825 |
1,714 |
$365K |
| 84484 |
|
17,170 |
12,398 |
$336K |
| 70450 |
|
5,657 |
5,389 |
$322K |
| 84703 |
|
9,003 |
8,518 |
$305K |
| 76817 |
|
2,492 |
2,244 |
$293K |
| 97530 |
|
5,921 |
2,517 |
$241K |
| 93306 |
|
811 |
795 |
$182K |
| 71046 |
|
4,298 |
4,178 |
$173K |
| 96374 |
|
7,596 |
6,898 |
$165K |
| 96361 |
|
3,405 |
2,978 |
$164K |
| 80076 |
|
8,749 |
8,187 |
$163K |
| 97110 |
|
6,180 |
1,684 |
$155K |
| 74176 |
|
1,279 |
1,238 |
$144K |
| 99282 |
|
2,041 |
1,977 |
$132K |
| 71275 |
|
1,084 |
1,052 |
$116K |
| 76816 |
|
389 |
361 |
$105K |
| 87804 |
|
3,674 |
1,828 |
$103K |
| J7030 |
Normal saline solution infus |
15,082 |
13,500 |
$99K |
| 76705 |
|
1,289 |
1,246 |
$96K |
| 87807 |
|
3,580 |
3,520 |
$94K |
| 72125 |
|
1,843 |
1,789 |
$90K |
| 84702 |
|
6,041 |
5,391 |
$90K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,381 |
6,056 |
$88K |
| 80307 |
|
2,242 |
2,116 |
$79K |
| 96375 |
|
5,269 |
4,318 |
$72K |
| 84450 |
|
2,389 |
2,151 |
$66K |
| 84075 |
|
2,408 |
2,157 |
$58K |
| 76830 |
|
614 |
598 |
$57K |
| 88305 |
|
1,517 |
1,316 |
$53K |
| 71260 |
|
698 |
679 |
$51K |
| 96372 |
|
4,431 |
2,658 |
$49K |
| 87880 |
|
2,174 |
2,123 |
$48K |
| 87651 |
|
1,752 |
1,725 |
$48K |
| J3490 |
Drugs unclassified injection |
6,662 |
4,070 |
$48K |
| 76856 |
|
585 |
571 |
$46K |
| 83880 |
|
3,386 |
3,139 |
$42K |
| 11042 |
|
964 |
487 |
$40K |
| 84145 |
|
3,222 |
3,059 |
$39K |
| 96365 |
|
1,247 |
1,185 |
$38K |
| 82247 |
|
2,430 |
2,174 |
$37K |
| 97535 |
|
806 |
510 |
$36K |
| 76815 |
|
386 |
363 |
$35K |
| 97112 |
|
2,152 |
699 |
$34K |
| 87086 |
|
4,826 |
4,583 |
$34K |
| 76811 |
|
85 |
83 |
$34K |
| 97162 |
|
1,092 |
1,057 |
$33K |
| 96360 |
|
1,199 |
1,164 |
$32K |
| 82550 |
|
5,779 |
5,325 |
$32K |
| 93971 |
|
493 |
475 |
$30K |
| 84155 |
|
2,399 |
2,156 |
$29K |
| 92507 |
|
232 |
62 |
$28K |
| 86850 |
|
3,323 |
3,123 |
$27K |
| G0257 |
Unsched dialysis esrd pt hos |
493 |
318 |
$27K |
| 59025 |
|
222 |
193 |
$26K |
| 83605 |
|
4,293 |
3,709 |
$21K |
| 82803 |
|
1,938 |
1,771 |
$20K |
| J7120 |
Ringers lactate infusion |
4,051 |
3,507 |
$20K |
| 96366 |
|
271 |
193 |
$20K |
| 85730 |
|
7,396 |
6,799 |
$18K |
| 70551 |
|
207 |
203 |
$18K |
| 71250 |
|
501 |
492 |
$18K |
| 85610 |
|
8,573 |
7,816 |
$17K |
| 36000 |
|
1,745 |
1,694 |
$17K |
| 76805 |
|
45 |
44 |
$16K |
| 96376 |
|
3,033 |
1,840 |
$16K |
| P9016 |
Rbc leukocytes reduced |
185 |
148 |
$15K |
| 83735 |
|
5,776 |
4,529 |
$15K |
| U0003 |
Cov-19 amp prb hgh thruput |
937 |
909 |
$15K |
| 82077 |
|
1,692 |
1,590 |
$15K |
| 81025 |
|
1,879 |
1,800 |
$14K |
| 97166 |
|
434 |
414 |
$14K |
| 77067 |
|
1,383 |
1,379 |
$13K |
| 73562 |
|
792 |
778 |
$13K |
| 77063 |
|
1,049 |
1,045 |
$13K |
| 43239 |
|
170 |
167 |
$12K |
| 70498 |
|
140 |
136 |
$12K |
| 70496 |
|
144 |
141 |
$12K |
| 87081 |
|
871 |
855 |
$12K |
| 76819 |
|
35 |
13 |
$11K |
| J2270 |
Morphine sulfate injection |
4,745 |
3,882 |
$11K |
| 93970 |
|
104 |
99 |
$10K |
| 73030 |
|
666 |
649 |
$10K |
| 86900 |
|
6,067 |
5,703 |
$10K |
| 82040 |
|
2,344 |
2,098 |
$10K |
| 86901 |
|
6,058 |
5,696 |
$10K |
| 80143 |
|
1,015 |
928 |
$9K |
| 73630 |
|
554 |
533 |
$9K |
| 80179 |
|
974 |
906 |
$9K |
| 99281 |
|
200 |
190 |
$8K |
| 87591 |
|
376 |
364 |
$8K |
| 87491 |
|
368 |
357 |
$8K |
| 87040 |
|
1,681 |
1,179 |
$8K |
| 74018 |
|
451 |
436 |
$8K |
| 70486 |
|
129 |
127 |
$7K |
| G0378 |
Hospital observation per hr |
1,391 |
1,291 |
$7K |
| 73502 |
|
359 |
347 |
$6K |
| 99291 |
|
12 |
12 |
$6K |
| 87186 |
|
1,868 |
1,701 |
$6K |
| 49083 |
|
22 |
12 |
$5K |
| 85379 |
|
974 |
918 |
$5K |
| 90715 |
|
314 |
306 |
$5K |
| 90471 |
|
531 |
509 |
$5K |
| 76770 |
|
98 |
96 |
$5K |
| 73610 |
|
240 |
234 |
$5K |
| 97161 |
|
228 |
223 |
$4K |
| 97140 |
|
486 |
188 |
$4K |
| J7050 |
Normal saline solution infus |
1,162 |
1,027 |
$4K |
| 73130 |
|
174 |
172 |
$4K |
| 86923 |
|
465 |
324 |
$4K |
| 76700 |
|
78 |
78 |
$3K |
| J2405 |
Ondansetron hcl injection |
9,654 |
8,642 |
$3K |
| 83036 |
|
1,300 |
1,253 |
$3K |
| 87077 |
|
1,105 |
1,017 |
$3K |
| 80061 |
|
850 |
826 |
$3K |
| 94640 |
|
951 |
884 |
$3K |
| J7040 |
Normal saline solution infus |
1,494 |
1,414 |
$3K |
| 84443 |
|
940 |
911 |
$3K |
| 72100 |
|
169 |
165 |
$3K |
| 74174 |
|
13 |
13 |
$3K |
| J1953 |
Levetiracetam injection |
156 |
130 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
2,535 |
2,186 |
$3K |
| 82248 |
|
381 |
347 |
$2K |
| J3370 |
Vancomycin hcl injection |
473 |
408 |
$2K |
| 82947 |
|
4,310 |
2,664 |
$2K |
| 97116 |
|
807 |
562 |
$2K |
| 76641 |
|
31 |
31 |
$2K |
| 84100 |
|
2,289 |
1,905 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
3,713 |
3,550 |
$2K |
| M0243 |
Casirivi and imdevi inj |
31 |
29 |
$2K |
| 94760 |
|
531 |
433 |
$2K |
| J1650 |
Inj enoxaparin sodium |
730 |
455 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
2,513 |
2,339 |
$2K |
| 72148 |
|
30 |
30 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
1,903 |
1,252 |
$2K |
| 72170 |
|
216 |
209 |
$2K |
| J2765 |
Metoclopramide hcl injection |
1,607 |
1,471 |
$2K |
| 82140 |
|
419 |
369 |
$2K |
| J2710 |
Neostigmine methylslfte inj |
72 |
51 |
$1K |
| J2001 |
Lidocaine injection |
3,637 |
3,416 |
$1K |
| 96367 |
|
52 |
45 |
$1K |
| 73590 |
|
98 |
96 |
$1K |
| 84112 |
|
28 |
25 |
$1K |
| 77080 |
|
538 |
538 |
$1K |
| 73110 |
|
53 |
52 |
$1K |
| 82570 |
|
461 |
436 |
$1K |
| J1940 |
Furosemide injection |
621 |
443 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
2,346 |
2,263 |
$1K |
| J3475 |
Inj magnesium sulfate |
114 |
97 |
$1K |
| J1815 |
Insulin injection |
241 |
162 |
$1K |
| J1100 |
Dexamethasone sodium phos |
1,544 |
1,476 |
$1K |
| 88342 |
|
90 |
87 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
1,133 |
1,024 |
$1K |
| J1170 |
Hydromorphone injection |
724 |
577 |
$994.63 |
| 87210 |
|
225 |
218 |
$851.63 |
| 45380 |
|
12 |
12 |
$844.19 |
| J0360 |
Hydralazine hcl injection |
816 |
658 |
$841.57 |
| J2250 |
Inj midazolam hydrochloride |
1,518 |
1,452 |
$797.11 |
| 87340 |
|
531 |
485 |
$758.40 |
| J2543 |
Piperacillin/tazobactam |
48 |
25 |
$751.88 |
| 85027 |
|
383 |
325 |
$739.29 |
| S0028 |
Injection, famotidine, 20 mg |
630 |
550 |
$692.78 |
| J2060 |
Lorazepam injection |
621 |
505 |
$678.88 |
| J2930 |
Methylprednisolone injection |
125 |
120 |
$677.96 |
| 84156 |
|
396 |
373 |
$668.78 |
| 88304 |
|
13 |
12 |
$562.48 |
| J0690 |
Cefazolin sodium injection |
901 |
840 |
$497.15 |
| 72131 |
|
12 |
12 |
$400.35 |
| C9113 |
Inj pantoprazole sodium, via |
200 |
146 |
$384.48 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
181 |
178 |
$313.20 |
| G0463 |
Hospital outpt clinic visit |
780 |
528 |
$299.48 |
| Q0162 |
Ondansetron oral |
803 |
775 |
$289.93 |
| 73560 |
|
17 |
16 |
$289.53 |
| 85014 |
|
702 |
608 |
$272.79 |
| 90662 |
|
53 |
50 |
$265.38 |
| J0330 |
Succinycholine chloride inj |
29 |
27 |
$182.04 |
| 85018 |
|
302 |
259 |
$155.77 |
| J2272 |
Inj, morphine (fresenius) |
48 |
40 |
$150.29 |
| 86140 |
|
82 |
77 |
$146.04 |
| 82565 |
|
122 |
120 |
$145.20 |
| 73090 |
|
13 |
13 |
$135.38 |
| J1790 |
Droperidol injection |
134 |
118 |
$121.61 |
| 90686 |
|
15 |
14 |
$115.42 |
| 88312 |
|
36 |
36 |
$105.54 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
112 |
108 |
$104.05 |
| 87147 |
|
27 |
25 |
$98.83 |
| 84132 |
|
298 |
277 |
$94.80 |
| 87070 |
|
79 |
77 |
$91.81 |
| 82728 |
|
28 |
26 |
$87.59 |
| J3480 |
Inj potassium chloride |
13 |
12 |
$73.04 |
| 87205 |
|
80 |
74 |
$60.56 |
| 87389 |
|
12 |
12 |
$59.41 |
| J2919 |
Inj, methylpred sod succ 5mg |
12 |
12 |
$48.33 |
| J0692 |
Cefepime hcl for injection |
17 |
13 |
$40.77 |
| U0005 |
Infec agen detec ampli probe |
14 |
14 |
$39.88 |
| J2470 |
Inj pantoprazole sodium 40mg |
18 |
13 |
$25.92 |
| J2550 |
Promethazine hcl injection |
13 |
13 |
$23.62 |
| 36415 |
|
420 |
381 |
$22.13 |
| 82010 |
|
15 |
15 |
$21.75 |
| J7620 |
Albuterol ipratrop non-comp |
40 |
34 |
$20.77 |
| J0610 |
Calcium glucon (fresenius) |
14 |
12 |
$16.97 |
| J1630 |
Haloperidol injection |
16 |
13 |
$16.58 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
39 |
36 |
$10.88 |
| J3010 |
Fentanyl citrate injection |
44 |
37 |
$10.75 |
| 84439 |
|
12 |
12 |
$7.58 |
| J7613 |
Albuterol non-comp unit |
12 |
12 |
$4.23 |
| G0008 |
Admin influenza virus vac |
85 |
84 |
$0.68 |
| C1769 |
Guide wire |
105 |
102 |
$0.00 |
| 80047 |
|
58 |
53 |
$0.00 |
| G0279 |
Tomosynthesis, mammo |
13 |
13 |
$0.00 |