| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
43,667 |
35,010 |
$3.12M |
| 99285 |
|
28,406 |
21,615 |
$2.67M |
| 99283 |
|
39,822 |
34,791 |
$1.93M |
| 74177 |
|
8,407 |
6,437 |
$1.60M |
| 70450 |
|
12,214 |
9,204 |
$755K |
| G0378 |
Hospital observation per hr |
12,666 |
6,584 |
$685K |
| 71275 |
|
2,725 |
1,968 |
$528K |
| 74176 |
|
4,450 |
3,332 |
$526K |
| 96374 |
|
22,922 |
17,332 |
$313K |
| 80307 |
|
12,591 |
10,046 |
$308K |
| 72125 |
|
4,257 |
3,223 |
$279K |
| 80053 |
|
63,212 |
44,304 |
$252K |
| 99282 |
|
7,282 |
6,482 |
$244K |
| 93306 |
|
2,242 |
1,462 |
$203K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
15,874 |
11,119 |
$198K |
| 85025 |
|
71,867 |
47,958 |
$190K |
| 76705 |
|
3,628 |
2,790 |
$173K |
| G0480 |
Drug test def 1-7 classes |
4,698 |
3,768 |
$168K |
| 96375 |
|
16,137 |
11,707 |
$158K |
| 99070 |
|
10,564 |
5,526 |
$149K |
| 99291 |
|
1,134 |
914 |
$145K |
| 93005 |
|
36,461 |
26,450 |
$140K |
| 59025 |
|
5,215 |
3,448 |
$136K |
| 71045 |
|
25,370 |
18,781 |
$128K |
| 96372 |
|
15,116 |
11,016 |
$127K |
| 76856 |
|
2,218 |
1,750 |
$126K |
| 0241U |
|
9,483 |
8,016 |
$118K |
| 83880 |
|
11,992 |
8,852 |
$116K |
| 76801 |
|
2,151 |
1,532 |
$114K |
| 87635 |
|
7,030 |
4,715 |
$107K |
| 0450 |
|
2,526 |
2,292 |
$107K |
| 72131 |
|
1,292 |
994 |
$96K |
| 84484 |
|
25,582 |
17,928 |
$96K |
| 54161 |
|
250 |
232 |
$94K |
| 76830 |
|
1,386 |
1,084 |
$91K |
| 71046 |
|
8,649 |
6,909 |
$82K |
| J3490 |
Drugs unclassified injection |
33,156 |
12,095 |
$78K |
| 96361 |
|
6,378 |
4,812 |
$77K |
| 96376 |
|
5,959 |
3,630 |
$73K |
| 36415 |
|
77,401 |
48,963 |
$71K |
| 70496 |
|
290 |
204 |
$70K |
| 96365 |
|
3,855 |
2,944 |
$70K |
| 76817 |
|
1,475 |
1,022 |
$67K |
| 70486 |
|
598 |
481 |
$67K |
| 84703 |
|
21,559 |
16,711 |
$65K |
| 93971 |
|
1,606 |
1,285 |
$64K |
| J2785 |
Regadenoson injection |
859 |
557 |
$60K |
| 87040 |
|
8,121 |
6,039 |
$58K |
| 83690 |
|
21,623 |
16,360 |
$54K |
| J7030 |
Normal saline solution infus |
31,080 |
18,945 |
$53K |
| 72128 |
|
469 |
379 |
$52K |
| 71260 |
|
619 |
440 |
$51K |
| 94640 |
|
6,869 |
3,719 |
$47K |
| 70498 |
|
317 |
222 |
$45K |
| 93970 |
|
639 |
495 |
$43K |
| 87502 |
|
959 |
821 |
$37K |
| 80048 |
|
16,454 |
10,732 |
$35K |
| 96360 |
|
2,158 |
1,782 |
$34K |
| 96366 |
|
1,358 |
911 |
$33K |
| 87491 |
|
2,008 |
1,647 |
$32K |
| 87591 |
|
2,009 |
1,648 |
$32K |
| 97161 |
|
3,296 |
1,969 |
$32K |
| 90715 |
|
1,551 |
1,256 |
$30K |
| 83605 |
|
8,335 |
6,112 |
$29K |
| 87086 |
|
9,482 |
7,473 |
$29K |
| 81001 |
|
23,573 |
18,305 |
$27K |
| 85730 |
|
17,730 |
12,581 |
$26K |
| 70551 |
|
237 |
155 |
$25K |
| J2270 |
Morphine sulfate injection |
15,077 |
8,433 |
$25K |
| 85610 |
|
24,517 |
16,771 |
$24K |
| 83735 |
|
12,291 |
6,973 |
$23K |
| 85379 |
|
5,933 |
4,561 |
$23K |
| 87651 |
|
1,222 |
1,113 |
$22K |
| U0002 |
Covid-19 lab test non-cdc |
1,200 |
809 |
$22K |
| 84443 |
|
4,983 |
3,598 |
$21K |
| 84702 |
|
3,512 |
2,529 |
$21K |
| 73630 |
|
1,276 |
1,078 |
$20K |
| 90471 |
|
1,848 |
1,456 |
$20K |
| 87088 |
|
6,864 |
5,368 |
$20K |
| 73030 |
|
1,645 |
1,314 |
$19K |
| 97165 |
|
2,465 |
1,383 |
$19K |
| 74018 |
|
1,797 |
1,491 |
$18K |
| 73610 |
|
971 |
826 |
$17K |
| 73130 |
|
978 |
844 |
$16K |
| 78492 |
|
97 |
66 |
$16K |
| 99202 |
|
836 |
632 |
$15K |
| 82550 |
|
8,100 |
5,972 |
$15K |
| J1170 |
Hydromorphone injection |
7,972 |
4,471 |
$15K |
| 78452 |
|
55 |
38 |
$14K |
| 85027 |
|
7,633 |
4,927 |
$12K |
| 54360 |
|
13 |
13 |
$12K |
| 81025 |
|
5,320 |
4,349 |
$12K |
| 73564 |
|
580 |
501 |
$11K |
| 74174 |
|
82 |
55 |
$11K |
| 82805 |
|
1,254 |
924 |
$11K |
| 81003 |
|
13,171 |
10,025 |
$11K |
| 54300 |
|
14 |
13 |
$10K |
| J0780 |
Prochlorperazine injection |
1,616 |
1,176 |
$10K |
| A9555 |
Rb82 rubidium |
80 |
54 |
$10K |
| 99152 |
|
1,501 |
870 |
$10K |
| J0696 |
Ceftriaxone sodium injection |
5,269 |
3,285 |
$9K |
| 12011 |
|
241 |
222 |
$9K |
| 93017 |
|
870 |
588 |
$9K |
| J1885 |
Ketorolac tromethamine inj |
6,760 |
4,979 |
$9K |
| J2543 |
Piperacillin/tazobactam |
1,784 |
806 |
$9K |
| 86703 |
|
1,462 |
1,352 |
$9K |
| 72100 |
|
681 |
546 |
$9K |
| 73590 |
|
686 |
573 |
$9K |
| J1815 |
Insulin injection |
4,947 |
1,549 |
$8K |
| 11042 |
|
573 |
242 |
$8K |
| 80061 |
|
2,947 |
1,967 |
$8K |
| 99201 |
|
684 |
517 |
$8K |
| 87077 |
|
2,998 |
2,262 |
$8K |
| 87880 |
|
1,305 |
1,139 |
$7K |
| 73110 |
|
419 |
347 |
$7K |
| 97162 |
|
921 |
508 |
$7K |
| 86901 |
|
7,547 |
5,218 |
$6K |
| 73090 |
|
425 |
343 |
$6K |
| 82962 |
|
10,813 |
4,771 |
$6K |
| J2405 |
Ondansetron hcl injection |
18,688 |
11,674 |
$6K |
| J1100 |
Dexamethasone sodium phos |
8,018 |
5,946 |
$6K |
| 84100 |
|
4,973 |
2,672 |
$6K |
| 73562 |
|
352 |
295 |
$6K |
| 83036 |
|
3,202 |
2,094 |
$5K |
| 99211 |
|
3,656 |
2,516 |
$5K |
| 99281 |
|
332 |
286 |
$5K |
| J7120 |
Ringers lactate infusion |
4,304 |
2,581 |
$5K |
| 86140 |
|
2,876 |
2,105 |
$5K |
| 87081 |
|
1,522 |
1,275 |
$5K |
| 74019 |
|
311 |
268 |
$5K |
| 99153 |
Mod sedat endo service >5yrs |
1,159 |
651 |
$4K |
| 72170 |
|
468 |
382 |
$4K |
| J1650 |
Inj enoxaparin sodium |
2,110 |
709 |
$4K |
| 12001 |
|
130 |
123 |
$4K |
| J1644 |
Inj heparin sodium per 1000u |
5,752 |
1,841 |
$4K |
| 80320 |
|
2,829 |
2,182 |
$4K |
| 86850 |
|
4,791 |
3,127 |
$4K |
| 84439 |
|
1,363 |
1,024 |
$4K |
| 14040 |
|
24 |
24 |
$4K |
| 88305 |
|
1,703 |
1,038 |
$3K |
| 94644 |
|
175 |
147 |
$3K |
| J2930 |
Methylprednisolone injection |
767 |
506 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
5,643 |
3,611 |
$3K |
| A9579 |
Gad-base mr contrast nos,1ml |
182 |
116 |
$3K |
| 76770 |
|
68 |
50 |
$3K |
| J2060 |
Lorazepam injection |
4,840 |
3,108 |
$3K |
| 86900 |
|
4,961 |
3,243 |
$3K |
| 87070 |
|
854 |
572 |
$3K |
| 71250 |
|
53 |
40 |
$3K |
| 85007 |
|
3,100 |
2,100 |
$3K |
| 86592 |
|
1,481 |
1,373 |
$3K |
| 97166 |
|
415 |
249 |
$3K |
| 73502 |
|
218 |
189 |
$3K |
| 97530 |
|
734 |
197 |
$3K |
| J3370 |
Vancomycin hcl injection |
627 |
312 |
$3K |
| 74022 |
|
170 |
135 |
$3K |
| 70553 |
|
25 |
13 |
$3K |
| J7512 |
Prednisone ir or dr oral 1mg |
1,337 |
884 |
$3K |
| J1790 |
Droperidol injection |
462 |
397 |
$2K |
| 76815 |
|
43 |
38 |
$2K |
| J0360 |
Hydralazine hcl injection |
1,155 |
565 |
$2K |
| 84145 |
|
413 |
254 |
$2K |
| J0561 |
Penicillin g benzathine inj |
12 |
12 |
$2K |
| J2765 |
Metoclopramide hcl injection |
2,892 |
1,955 |
$2K |
| 43239 |
|
66 |
27 |
$2K |
| J0690 |
Cefazolin sodium injection |
3,604 |
2,006 |
$2K |
| J7040 |
Normal saline solution infus |
1,570 |
1,066 |
$2K |
| 87804 |
|
482 |
417 |
$2K |
| J0131 |
Inj, acetaminophen (nos) |
883 |
558 |
$2K |
| C9113 |
Inj pantoprazole sodium, via |
3,128 |
1,105 |
$2K |
| 82010 |
|
516 |
410 |
$2K |
| A9502 |
Tc99m tetrofosmin |
55 |
38 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
6,081 |
3,706 |
$2K |
| J3360 |
Diazepam injection |
121 |
85 |
$2K |
| J3486 |
Ziprasidone mesylate |
74 |
40 |
$2K |
| 85652 |
|
1,571 |
1,215 |
$1K |
| C1769 |
Guide wire |
575 |
291 |
$1K |
| 73080 |
|
85 |
73 |
$1K |
| 84112 |
|
98 |
70 |
$1K |
| J3010 |
Fentanyl citrate injection |
7,157 |
4,331 |
$1K |
| 29125 |
|
42 |
39 |
$1K |
| J7510 |
Prednisolone oral per 5 mg |
91 |
73 |
$1K |
| J7050 |
Normal saline solution infus |
837 |
553 |
$1K |
| J3475 |
Inj magnesium sulfate |
800 |
508 |
$1K |
| 76775 |
|
48 |
39 |
$1K |
| J3480 |
Inj potassium chloride |
1,336 |
566 |
$986.38 |
| 87210 |
|
595 |
479 |
$977.75 |
| 10060 |
|
12 |
12 |
$945.05 |
| 82728 |
|
236 |
154 |
$860.92 |
| 36430 |
|
64 |
52 |
$848.28 |
| P9016 |
Rbc leukocytes reduced |
28 |
24 |
$834.90 |
| C9399 |
Unclassified drugs or biolog |
195 |
107 |
$767.62 |
| 87205 |
|
1,027 |
696 |
$760.92 |
| 80069 |
|
739 |
334 |
$738.94 |
| J2250 |
Inj midazolam hydrochloride |
4,529 |
2,775 |
$729.44 |
| 87631 |
|
658 |
564 |
$711.00 |
| 87807 |
|
119 |
103 |
$699.10 |
| 12002 |
|
16 |
15 |
$673.68 |
| 71101 |
|
43 |
37 |
$672.56 |
| J1630 |
Haloperidol injection |
531 |
349 |
$626.22 |
| J8540 |
Oral dexamethasone |
293 |
240 |
$563.68 |
| 82140 |
|
161 |
115 |
$562.78 |
| 97116 |
|
231 |
82 |
$516.23 |
| 82553 |
|
200 |
138 |
$510.96 |
| 80329 |
|
821 |
560 |
$488.62 |
| J1940 |
Furosemide injection |
354 |
143 |
$442.42 |
| 84550 |
|
240 |
183 |
$436.94 |
| 73552 |
|
27 |
25 |
$406.31 |
| 64488 |
|
243 |
138 |
$383.76 |
| 87147 |
|
55 |
51 |
$331.17 |
| 88307 |
|
103 |
49 |
$323.16 |
| 80076 |
|
168 |
111 |
$296.77 |
| 86923 |
|
97 |
74 |
$289.46 |
| 73070 |
|
17 |
15 |
$284.74 |
| 73140 |
|
17 |
13 |
$283.60 |
| 97110 |
|
48 |
12 |
$281.90 |
| 82731 |
|
13 |
12 |
$278.85 |
| 83615 |
|
139 |
98 |
$269.80 |
| 72040 |
|
14 |
13 |
$261.00 |
| A9270 |
Non-covered item or service |
12,240 |
4,840 |
$257.12 |
| 80047 |
|
102 |
81 |
$200.78 |
| 90658 |
|
81 |
57 |
$193.80 |
| 72072 |
|
24 |
13 |
$178.19 |
| G0235 |
Pet not otherwise specified |
35 |
27 |
$173.25 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
97 |
79 |
$151.25 |
| 94726 |
|
15 |
12 |
$146.60 |
| 88304 |
|
161 |
122 |
$128.20 |
| J2550 |
Promethazine hcl injection |
113 |
75 |
$126.91 |
| 86735 |
|
25 |
18 |
$106.80 |
| 82746 |
|
44 |
26 |
$95.86 |
| J3411 |
Thiamine hcl 100 mg |
36 |
25 |
$85.75 |
| J0171 |
Adrenalin epinephrine inject |
19 |
12 |
$83.00 |
| J2795 |
Ropivacaine hcl injection |
181 |
116 |
$79.80 |
| G0463 |
Hospital outpt clinic visit |
45 |
25 |
$78.44 |
| 82607 |
|
47 |
26 |
$71.96 |
| 83540 |
|
78 |
57 |
$69.13 |
| 84132 |
|
89 |
54 |
$65.99 |
| 97597 |
|
198 |
65 |
$64.23 |
| 85014 |
|
160 |
114 |
$62.20 |
| 83550 |
|
55 |
41 |
$55.44 |
| J0330 |
Succinycholine chloride inj |
182 |
125 |
$46.69 |
| 86308 |
|
15 |
14 |
$42.36 |
| 90686 |
|
25 |
14 |
$38.52 |
| 85045 |
|
31 |
24 |
$32.79 |
| 85018 |
|
77 |
43 |
$27.54 |
| J2001 |
Lidocaine injection |
546 |
328 |
$25.11 |
| J2175 |
Meperidine hydrochl /100 mg |
64 |
42 |
$15.24 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
199 |
137 |
$12.23 |
| J2919 |
Inj, methylpred sod succ 5mg |
33 |
24 |
$11.13 |
| 87340 |
|
26 |
12 |
$8.46 |
| 87633 |
|
734 |
668 |
$0.00 |
| G8979 |
Mobility goal status |
491 |
315 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
100 |
67 |
$0.00 |
| G8978 |
Mobility current status |
494 |
315 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
159 |
89 |
$0.00 |
| 00920 |
|
214 |
205 |
$0.00 |
| G8989 |
Self care d/c status |
55 |
38 |
$0.00 |
| 88312 |
|
29 |
13 |
$0.00 |
| 00840 |
|
58 |
25 |
$0.00 |
| S2900 |
Robotic surgical system |
267 |
149 |
$0.00 |
| G8980 |
Mobility d/c status |
112 |
78 |
$0.00 |
| G8988 |
Self care goal status |
279 |
189 |
$0.00 |
| 0250 |
|
34 |
28 |
$0.00 |
| G8987 |
Self care current status |
278 |
190 |
$0.00 |
| P9612 |
Catheterize for urine spec |
18 |
14 |
$0.00 |
| 97535 |
|
19 |
12 |
$0.00 |