| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96375 |
|
3,398 |
2,745 |
$885K |
| 85025 |
|
15,663 |
12,473 |
$573K |
| 96372 |
|
4,552 |
3,503 |
$559K |
| 87637 |
|
5,342 |
4,976 |
$524K |
| 80053 |
|
15,289 |
12,558 |
$502K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,886 |
2,895 |
$472K |
| 99282 |
|
4,659 |
4,436 |
$430K |
| 99283 |
|
13,850 |
12,803 |
$390K |
| 87651 |
|
3,451 |
3,316 |
$298K |
| 96374 |
|
3,961 |
3,467 |
$253K |
| 96366 |
|
867 |
568 |
$238K |
| 0241U |
|
3,720 |
3,464 |
$237K |
| J7050 |
Normal saline solution infus |
426 |
263 |
$163K |
| 81001 |
|
10,550 |
9,272 |
$137K |
| 84703 |
|
2,586 |
2,367 |
$125K |
| 99211 |
|
3,355 |
3,028 |
$123K |
| 97110 |
|
4,000 |
1,058 |
$121K |
| 99212 |
|
3,955 |
3,675 |
$110K |
| 99284 |
|
9,178 |
8,277 |
$84K |
| 80047 |
|
1,109 |
915 |
$83K |
| 36000 |
|
808 |
711 |
$79K |
| 86850 |
|
926 |
796 |
$78K |
| 85730 |
|
2,147 |
1,894 |
$75K |
| 96367 |
|
530 |
403 |
$73K |
| 80048 |
|
2,180 |
1,677 |
$70K |
| 86901 |
|
1,322 |
1,120 |
$65K |
| 87591 |
|
1,051 |
967 |
$63K |
| 85027 |
|
2,734 |
2,311 |
$61K |
| 73630 |
|
924 |
808 |
$60K |
| 82947 |
|
1,770 |
1,251 |
$59K |
| 93306 |
|
538 |
520 |
$59K |
| 96365 |
|
2,046 |
1,710 |
$57K |
| 70450 |
|
2,399 |
2,202 |
$57K |
| 99213 |
|
964 |
898 |
$57K |
| 78452 |
|
246 |
230 |
$52K |
| 88305 |
|
652 |
528 |
$52K |
| 73610 |
|
729 |
658 |
$50K |
| 93005 |
|
7,509 |
6,636 |
$50K |
| 71046 |
|
1,894 |
1,815 |
$44K |
| 86900 |
|
1,189 |
999 |
$42K |
| 96361 |
|
2,213 |
1,888 |
$41K |
| 81025 |
|
2,343 |
2,142 |
$41K |
| 96360 |
|
776 |
720 |
$40K |
| 96376 |
|
1,115 |
670 |
$40K |
| 99281 |
|
527 |
503 |
$39K |
| 73560 |
|
981 |
844 |
$39K |
| 80307 |
|
2,752 |
2,477 |
$38K |
| 81003 |
|
681 |
587 |
$34K |
| 73130 |
|
517 |
453 |
$32K |
| 97530 |
|
2,788 |
827 |
$32K |
| 93971 |
|
301 |
285 |
$28K |
| 73030 |
|
864 |
760 |
$28K |
| 74018 |
|
503 |
491 |
$28K |
| 87210 |
|
581 |
548 |
$28K |
| 71045 |
|
4,895 |
4,352 |
$26K |
| 73110 |
|
389 |
363 |
$26K |
| 99285 |
|
4,570 |
4,042 |
$24K |
| 74176 |
|
1,007 |
924 |
$23K |
| 87491 |
|
1,124 |
1,039 |
$22K |
| 87086 |
|
2,769 |
2,518 |
$21K |
| 77067 |
|
397 |
390 |
$20K |
| 77063 |
|
347 |
340 |
$20K |
| 70551 |
|
58 |
53 |
$19K |
| 84153 |
|
387 |
352 |
$17K |
| 76805 |
|
116 |
113 |
$17K |
| 99202 |
|
524 |
514 |
$17K |
| 85610 |
|
2,985 |
2,552 |
$16K |
| 76856 |
|
210 |
205 |
$15K |
| 93970 |
|
139 |
127 |
$15K |
| 73562 |
|
537 |
400 |
$15K |
| 73590 |
|
345 |
299 |
$14K |
| C1887 |
Catheter, guiding |
48 |
38 |
$14K |
| 76830 |
|
120 |
117 |
$14K |
| 72100 |
|
571 |
548 |
$13K |
| 84702 |
|
1,047 |
822 |
$12K |
| 72040 |
|
218 |
207 |
$12K |
| 70486 |
|
253 |
241 |
$11K |
| 76801 |
|
342 |
306 |
$11K |
| 73140 |
|
93 |
87 |
$11K |
| 82728 |
|
916 |
847 |
$11K |
| 82565 |
|
199 |
182 |
$11K |
| C9803 |
Hopd covid-19 spec collect |
106 |
95 |
$11K |
| 87077 |
|
1,012 |
845 |
$11K |
| 84443 |
|
2,247 |
1,980 |
$10K |
| 83036 |
|
1,485 |
1,345 |
$10K |
| 93017 |
|
355 |
324 |
$9K |
| 85378 |
|
184 |
174 |
$9K |
| 82607 |
|
549 |
515 |
$9K |
| 73502 |
|
474 |
444 |
$8K |
| 80061 |
|
1,432 |
1,297 |
$8K |
| 74177 |
|
1,582 |
1,458 |
$7K |
| 73070 |
|
151 |
131 |
$7K |
| 66984 |
|
36 |
30 |
$7K |
| 86780 |
|
457 |
434 |
$6K |
| 76815 |
|
80 |
79 |
$6K |
| G0378 |
Hospital observation per hr |
2,404 |
963 |
$6K |
| 83735 |
|
3,251 |
2,586 |
$6K |
| A0427 |
Als1-emergency |
99 |
93 |
$5K |
| 71250 |
|
97 |
95 |
$5K |
| 76705 |
|
138 |
135 |
$5K |
| 99214 |
|
202 |
181 |
$5K |
| J1644 |
Inj heparin sodium per 1000u |
1,777 |
969 |
$5K |
| C1725 |
Cath, translumin non-laser |
577 |
460 |
$4K |
| 93296 |
|
89 |
88 |
$4K |
| 73090 |
|
89 |
86 |
$4K |
| 36415 |
|
14,717 |
11,101 |
$4K |
| 12001 |
|
40 |
38 |
$4K |
| 84484 |
|
4,391 |
3,248 |
$4K |
| 94640 |
|
1,153 |
987 |
$3K |
| 87147 |
|
56 |
53 |
$3K |
| 52000 |
|
15 |
14 |
$3K |
| J1100 |
Dexamethasone sodium phos |
2,731 |
2,399 |
$3K |
| 76700 |
|
14 |
13 |
$3K |
| 97116 |
|
438 |
195 |
$3K |
| Q0162 |
Ondansetron oral |
509 |
479 |
$3K |
| 83880 |
|
3,215 |
2,803 |
$3K |
| 82306 |
|
793 |
715 |
$3K |
| C1769 |
Guide wire |
827 |
698 |
$3K |
| 73060 |
|
44 |
40 |
$3K |
| 85045 |
|
60 |
53 |
$3K |
| 71260 |
|
786 |
737 |
$3K |
| 84439 |
|
1,029 |
943 |
$2K |
| J1815 |
Insulin injection |
224 |
156 |
$2K |
| 72125 |
|
818 |
764 |
$2K |
| J2270 |
Morphine sulfate injection |
1,028 |
842 |
$2K |
| G0463 |
Hospital outpt clinic visit |
392 |
348 |
$2K |
| 76536 |
|
29 |
28 |
$2K |
| 93990 |
|
72 |
62 |
$2K |
| 84100 |
|
462 |
362 |
$2K |
| J7040 |
Normal saline solution infus |
591 |
438 |
$2K |
| 73552 |
|
46 |
41 |
$2K |
| 73620 |
|
14 |
13 |
$2K |
| 86762 |
|
13 |
13 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
1,648 |
1,460 |
$1K |
| 94644 |
|
131 |
120 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
1,559 |
1,266 |
$1K |
| 82247 |
|
48 |
26 |
$1K |
| J1170 |
Hydromorphone injection |
828 |
621 |
$1K |
| 93985 |
|
15 |
13 |
$1K |
| 80069 |
|
33 |
28 |
$1K |
| 85007 |
|
1,482 |
1,209 |
$1K |
| 97112 |
|
139 |
69 |
$1K |
| 80329 |
|
432 |
382 |
$1K |
| 83690 |
|
3,778 |
3,365 |
$1K |
| J0690 |
Cefazolin sodium injection |
1,222 |
844 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
2,045 |
1,277 |
$1K |
| J3010 |
Fentanyl citrate injection |
1,925 |
1,674 |
$974.30 |
| 99291 |
|
216 |
197 |
$927.70 |
| J1940 |
Furosemide injection |
209 |
125 |
$884.88 |
| J2785 |
Regadenoson injection |
162 |
154 |
$882.52 |
| J3480 |
Inj potassium chloride |
231 |
167 |
$849.37 |
| 12011 |
|
16 |
15 |
$844.65 |
| 93975 |
|
118 |
110 |
$841.69 |
| 76770 |
|
12 |
12 |
$821.50 |
| 86140 |
|
109 |
97 |
$803.10 |
| 82105 |
|
15 |
14 |
$778.21 |
| 86920 |
|
13 |
12 |
$776.79 |
| 87389 |
|
463 |
434 |
$739.43 |
| 76642 |
|
16 |
13 |
$725.94 |
| 97162 |
|
235 |
219 |
$684.91 |
| 87340 |
|
354 |
331 |
$659.21 |
| 87205 |
|
30 |
29 |
$608.92 |
| 74019 |
|
14 |
14 |
$606.72 |
| A9502 |
Tc99m tetrofosmin |
210 |
194 |
$602.74 |
| J3475 |
Inj magnesium sulfate |
243 |
173 |
$544.13 |
| 72170 |
|
12 |
12 |
$516.55 |
| 83540 |
|
1,048 |
970 |
$516.42 |
| 97161 |
|
188 |
178 |
$498.10 |
| 72070 |
|
24 |
24 |
$494.71 |
| J0330 |
Succinycholine chloride inj |
138 |
132 |
$468.66 |
| 82570 |
|
228 |
196 |
$450.02 |
| 82043 |
|
180 |
158 |
$421.31 |
| 85379 |
|
256 |
242 |
$356.80 |
| 82550 |
|
714 |
596 |
$332.30 |
| 76817 |
|
13 |
13 |
$324.30 |
| 51702 |
|
32 |
28 |
$320.57 |
| 84403 |
|
106 |
96 |
$307.59 |
| 84550 |
|
190 |
165 |
$293.41 |
| 82803 |
|
300 |
254 |
$281.91 |
| 86803 |
|
211 |
204 |
$281.32 |
| 80143 |
|
468 |
406 |
$240.69 |
| J0131 |
Inj, acetaminophen (nos) |
411 |
378 |
$220.42 |
| 80320 |
|
710 |
640 |
$190.58 |
| 73521 |
|
13 |
13 |
$190.04 |
| J7120 |
Ringers lactate infusion |
306 |
249 |
$180.42 |
| 83550 |
|
1,025 |
950 |
$170.42 |
| C8929 |
Tte w or wo fol wcon,doppler |
121 |
112 |
$145.18 |
| 90471 |
|
335 |
298 |
$128.27 |
| 87186 |
|
786 |
672 |
$124.56 |
| G0480 |
Drug test def 1-7 classes |
31 |
27 |
$112.25 |
| 82951 |
|
89 |
84 |
$105.75 |
| 83615 |
|
31 |
26 |
$102.60 |
| 87040 |
|
765 |
475 |
$77.79 |
| 73080 |
|
14 |
13 |
$76.74 |
| 80076 |
|
44 |
42 |
$55.06 |
| 82378 |
|
116 |
82 |
$51.46 |
| J1885 |
Ketorolac tromethamine inj |
2,502 |
2,185 |
$45.36 |
| 82248 |
|
262 |
219 |
$35.19 |
| 71101 |
|
14 |
14 |
$34.22 |
| 82077 |
|
934 |
834 |
$31.09 |
| 36416 |
|
102 |
97 |
$27.92 |
| J2765 |
Metoclopramide hcl injection |
324 |
274 |
$25.17 |
| 85652 |
|
100 |
97 |
$21.72 |
| J0360 |
Hydralazine hcl injection |
275 |
209 |
$20.58 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
265 |
158 |
$20.48 |
| 80179 |
|
509 |
440 |
$18.64 |
| J7030 |
Normal saline solution infus |
1,198 |
961 |
$18.45 |
| 97140 |
|
58 |
26 |
$17.32 |
| 83605 |
|
853 |
727 |
$12.15 |
| J2405 |
Ondansetron hcl injection |
3,211 |
2,745 |
$7.29 |
| J7613 |
Albuterol non-comp unit |
104 |
85 |
$5.68 |
| J1200 |
Diphenhydramine hcl injectio |
565 |
478 |
$2.49 |
| J2060 |
Lorazepam injection |
157 |
111 |
$2.21 |
| J1642 |
Inj heparin sodium per 10 u |
735 |
483 |
$0.48 |
| 96417 |
|
77 |
60 |
$0.00 |
| 36901 |
|
64 |
54 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
73 |
63 |
$0.00 |
| C1757 |
Cath, thrombectomy/embolect |
171 |
90 |
$0.00 |
| 99152 |
|
56 |
55 |
$0.00 |
| 86923 |
|
68 |
37 |
$0.00 |
| 96413 |
|
518 |
333 |
$0.00 |
| 82010 |
|
131 |
111 |
$0.00 |
| G1004 |
Cdsm ndsc |
213 |
194 |
$0.00 |
| 36905 |
|
63 |
53 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
153 |
143 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
210 |
164 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
655 |
558 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
74 |
53 |
$0.00 |
| J0780 |
Prochlorperazine injection |
26 |
25 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
93 |
61 |
$0.00 |
| 59025 |
|
26 |
25 |
$0.00 |
| J1953 |
Levetiracetam injection |
202 |
169 |
$0.00 |
| 80164 |
|
16 |
12 |
$0.00 |
| P9016 |
Rbc leukocytes reduced |
14 |
13 |
$0.00 |
| 90715 |
|
300 |
287 |
$0.00 |
| 36600 |
|
65 |
60 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
223 |
119 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
566 |
555 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
152 |
145 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
14 |
14 |
$0.00 |
| 78815 |
|
12 |
12 |
$0.00 |
| J2930 |
Methylprednisolone injection |
84 |
72 |
$0.00 |
| J3372 |
Inj, vancomycin hcl (xellia) |
18 |
16 |
$0.00 |
| 85046 |
|
31 |
25 |
$0.00 |
| 96402 |
|
13 |
12 |
$0.00 |
| 84481 |
|
16 |
12 |
$0.00 |
| 76937 |
|
15 |
15 |
$0.00 |
| 36830 |
|
12 |
12 |
$0.00 |
| 83970 |
|
21 |
13 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
47 |
42 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
245 |
225 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
284 |
228 |
$0.00 |
| Q9969 |
Non-heu tc-99m add-on/dose |
31 |
26 |
$0.00 |
| 96415 |
|
60 |
40 |
$0.00 |
| A9270 |
Non-covered item or service |
2,970 |
634 |
$0.00 |
| 82746 |
|
420 |
396 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
268 |
236 |
$0.00 |
| 36902 |
|
177 |
161 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
12 |
12 |
$0.00 |
| 51798 |
|
179 |
171 |
$0.00 |
| 97166 |
|
94 |
87 |
$0.00 |
| 97165 |
|
41 |
38 |
$0.00 |
| 36430 |
|
30 |
28 |
$0.00 |
| J2469 |
Palonosetron hcl |
93 |
60 |
$0.00 |
| J1630 |
Haloperidol injection |
129 |
97 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
79 |
62 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
34 |
30 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
13 |
12 |
$0.00 |
| J2001 |
Lidocaine injection |
146 |
130 |
$0.00 |
| J3360 |
Diazepam injection |
25 |
14 |
$0.00 |
| 87661 |
|
30 |
28 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
44 |
24 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
16 |
15 |
$0.00 |
| 76998 |
|
14 |
14 |
$0.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
24 |
16 |
$0.00 |
| C1750 |
Cath, hemodialysis,long-term |
16 |
14 |
$0.00 |
| J2920 |
Methylprednisolone injection |
22 |
15 |
$0.00 |
| J7060 |
5% dextrose/water |
75 |
40 |
$0.00 |
| 96368 |
|
16 |
12 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
21 |
12 |
$0.00 |