| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
42,623 |
36,413 |
$6.02M |
| 99199 |
|
21,074 |
17,621 |
$1.52M |
| 80053 |
|
42,503 |
36,993 |
$919K |
| 97110 |
|
27,192 |
8,074 |
$790K |
| 0510 |
|
18,105 |
15,924 |
$730K |
| 97139 |
|
15,198 |
3,061 |
$436K |
| 87635 |
|
7,290 |
6,993 |
$405K |
| 96361 |
|
7,333 |
6,647 |
$402K |
| 96374 |
|
11,160 |
10,072 |
$389K |
| 99213 |
|
14,898 |
13,887 |
$382K |
| 93306 |
|
2,458 |
2,449 |
$360K |
| 92507 |
|
5,569 |
1,994 |
$344K |
| 77067 |
|
3,409 |
3,408 |
$325K |
| 96372 |
|
6,177 |
5,483 |
$267K |
| 97750 |
|
3,975 |
2,848 |
$257K |
| J7030 |
Normal saline solution infus |
10,505 |
8,760 |
$251K |
| 96365 |
|
4,384 |
3,067 |
$241K |
| T1999 |
Noc retail items andsupplies |
4,785 |
2,487 |
$234K |
| U0003 |
Cov-19 amp prb hgh thruput |
5,264 |
5,025 |
$227K |
| 97530 |
|
9,918 |
3,763 |
$221K |
| 72148 |
|
698 |
696 |
$210K |
| 85025 |
|
46,180 |
40,110 |
$197K |
| G0463 |
Hospital outpt clinic visit |
10,254 |
8,607 |
$192K |
| 74177 |
|
3,991 |
3,883 |
$192K |
| 84443 |
|
12,784 |
12,548 |
$187K |
| 82306 |
|
6,815 |
6,767 |
$168K |
| 0760 |
|
3,893 |
3,315 |
$160K |
| 96375 |
|
8,973 |
7,372 |
$155K |
| G0378 |
Hospital observation per hr |
4,074 |
3,618 |
$151K |
| 87637 |
|
2,044 |
1,993 |
$141K |
| 96360 |
|
2,354 |
2,217 |
$140K |
| 80307 |
|
4,595 |
4,210 |
$136K |
| J2405 |
Ondansetron hcl injection |
7,123 |
6,151 |
$136K |
| J1885 |
Ketorolac tromethamine inj |
6,377 |
5,886 |
$133K |
| J3490 |
Drugs unclassified injection |
5,082 |
3,387 |
$126K |
| 80061 |
|
9,947 |
9,862 |
$115K |
| C9803 |
Hopd covid-19 spec collect |
4,051 |
3,853 |
$112K |
| 81001 |
|
24,486 |
21,579 |
$111K |
| 71046 |
|
7,224 |
6,987 |
$106K |
| 78815 |
|
92 |
92 |
$101K |
| 99283 |
|
1,567 |
1,464 |
$99K |
| 76856 |
|
2,359 |
2,302 |
$97K |
| 70450 |
|
3,213 |
3,114 |
$94K |
| U0005 |
Infec agen detec ampli probe |
3,824 |
3,636 |
$94K |
| G0480 |
Drug test def 1-7 classes |
4,266 |
3,635 |
$92K |
| 87086 |
|
7,894 |
7,417 |
$91K |
| 99284 |
|
1,588 |
1,494 |
$91K |
| 76830 |
|
2,104 |
2,057 |
$88K |
| 76805 |
|
995 |
945 |
$88K |
| 83036 |
|
8,983 |
8,907 |
$88K |
| 87491 |
|
3,057 |
2,988 |
$87K |
| 97140 |
|
2,859 |
1,243 |
$86K |
| 93005 |
|
13,649 |
12,000 |
$86K |
| 87502 |
|
4,041 |
3,891 |
$84K |
| 87591 |
|
3,057 |
2,989 |
$77K |
| 73630 |
|
2,412 |
2,249 |
$75K |
| 87651 |
|
1,961 |
1,910 |
$72K |
| 73562 |
|
2,454 |
2,270 |
$68K |
| 73610 |
|
2,205 |
2,060 |
$67K |
| 11042 |
|
2,113 |
1,251 |
$64K |
| 76705 |
|
2,175 |
2,121 |
$63K |
| 97597 |
|
2,726 |
1,660 |
$62K |
| 0360 |
|
330 |
307 |
$62K |
| 73030 |
|
2,196 |
2,040 |
$61K |
| 80048 |
|
4,751 |
4,379 |
$61K |
| 0250 |
|
9,204 |
4,826 |
$57K |
| 73110 |
|
1,891 |
1,713 |
$55K |
| 84484 |
|
10,319 |
8,287 |
$55K |
| 87880 |
|
3,499 |
3,416 |
$55K |
| 70553 |
|
104 |
104 |
$55K |
| 82962 |
|
1,643 |
1,410 |
$54K |
| 73130 |
|
1,712 |
1,579 |
$54K |
| 97799 |
|
2,125 |
493 |
$53K |
| 72100 |
|
1,927 |
1,914 |
$52K |
| 99285 |
|
986 |
914 |
$52K |
| J7120 |
Ringers lactate infusion |
3,024 |
2,883 |
$51K |
| 76815 |
|
584 |
525 |
$51K |
| 71260 |
|
458 |
457 |
$50K |
| S0119 |
Ondansetron 4 mg |
1,150 |
1,102 |
$47K |
| 99282 |
|
469 |
449 |
$46K |
| 87389 |
|
2,714 |
2,693 |
$45K |
| 84439 |
|
5,229 |
5,155 |
$45K |
| 77063 |
|
1,733 |
1,732 |
$42K |
| 73721 |
|
131 |
126 |
$41K |
| 76700 |
|
569 |
568 |
$40K |
| 73502 |
|
1,122 |
1,111 |
$39K |
| 96367 |
|
889 |
500 |
$38K |
| 99281 |
|
806 |
716 |
$37K |
| J0696 |
Ceftriaxone sodium injection |
2,393 |
2,113 |
$37K |
| 84145 |
|
946 |
922 |
$36K |
| 72141 |
|
119 |
119 |
$36K |
| 93971 |
|
889 |
868 |
$34K |
| 76770 |
|
716 |
710 |
$34K |
| J2060 |
Lorazepam injection |
2,180 |
1,621 |
$34K |
| J1100 |
Dexamethasone sodium phos |
2,162 |
1,756 |
$33K |
| 0270 |
|
8,980 |
4,904 |
$33K |
| 99070 |
|
12,798 |
6,769 |
$31K |
| 82728 |
|
3,222 |
3,161 |
$31K |
| 99291 |
|
275 |
112 |
$31K |
| Z7500 |
|
885 |
856 |
$30K |
| 59025 |
|
575 |
259 |
$30K |
| 82607 |
|
3,355 |
3,337 |
$30K |
| 83690 |
|
8,860 |
7,995 |
$29K |
| 81025 |
|
7,074 |
6,682 |
$28K |
| 93010 |
|
6,561 |
5,923 |
$28K |
| 99203 |
|
547 |
545 |
$27K |
| 83735 |
|
6,494 |
5,364 |
$26K |
| 99214 |
|
903 |
879 |
$26K |
| 87400 |
|
1,693 |
1,580 |
$26K |
| 83880 |
|
4,523 |
4,208 |
$26K |
| 72125 |
|
756 |
742 |
$25K |
| 84481 |
|
1,769 |
1,757 |
$25K |
| 76801 |
|
655 |
601 |
$25K |
| 84153 |
|
1,335 |
1,317 |
$25K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,663 |
6,458 |
$24K |
| 84466 |
|
2,033 |
2,004 |
$23K |
| 80143 |
|
1,248 |
1,121 |
$23K |
| 96366 |
|
822 |
536 |
$23K |
| 74176 |
|
1,007 |
994 |
$23K |
| 72050 |
|
517 |
514 |
$22K |
| 86140 |
|
5,660 |
5,313 |
$22K |
| 86803 |
|
1,368 |
1,356 |
$22K |
| 71275 |
|
770 |
759 |
$21K |
| J2704 |
Inj, propofol, 10 mg |
591 |
556 |
$20K |
| 94060 |
|
659 |
496 |
$20K |
| 71045 |
|
6,052 |
5,688 |
$20K |
| 82746 |
|
1,157 |
1,149 |
$20K |
| 85610 |
|
10,094 |
8,883 |
$19K |
| J0131 |
Inj, acetaminophen (nos) |
1,122 |
1,074 |
$19K |
| 93017 |
|
367 |
363 |
$18K |
| 83655 |
|
1,169 |
1,148 |
$18K |
| 90714 |
|
811 |
803 |
$18K |
| Z7502 |
|
494 |
485 |
$18K |
| 80074 |
|
317 |
316 |
$17K |
| 73140 |
|
632 |
582 |
$17K |
| 73221 |
|
65 |
62 |
$17K |
| 94729 |
|
653 |
470 |
$17K |
| 86901 |
|
1,127 |
1,029 |
$16K |
| 87081 |
|
3,482 |
3,409 |
$16K |
| J2270 |
Morphine sulfate injection |
2,448 |
2,130 |
$16K |
| 80055 |
|
327 |
326 |
$16K |
| 85027 |
|
3,056 |
2,834 |
$16K |
| A9579 |
Gad-base mr contrast nos,1ml |
687 |
679 |
$16K |
| 83540 |
|
2,677 |
2,636 |
$16K |
| 76642 |
|
311 |
306 |
$16K |
| 94726 |
|
636 |
468 |
$16K |
| 86900 |
|
1,070 |
984 |
$16K |
| 84403 |
|
641 |
624 |
$15K |
| 80305 |
|
1,148 |
1,079 |
$15K |
| 36415 |
|
1,187 |
1,101 |
$15K |
| 87806 |
|
510 |
503 |
$14K |
| 87186 |
|
2,800 |
2,692 |
$14K |
| 97112 |
|
725 |
412 |
$13K |
| 97016 |
|
774 |
249 |
$12K |
| 99212 |
|
653 |
628 |
$12K |
| 11043 |
|
149 |
94 |
$12K |
| 97010 |
|
243 |
108 |
$12K |
| 83605 |
|
5,327 |
4,621 |
$12K |
| 84703 |
|
2,159 |
2,084 |
$12K |
| 86038 |
|
1,051 |
1,036 |
$12K |
| 87798 |
|
3,080 |
2,978 |
$12K |
| 45380 |
|
136 |
110 |
$11K |
| 73080 |
|
352 |
327 |
$11K |
| 76536 |
|
209 |
205 |
$11K |
| 43239 |
|
171 |
152 |
$11K |
| 96413 |
|
322 |
185 |
$11K |
| 86592 |
|
1,519 |
1,476 |
$10K |
| 84702 |
|
660 |
545 |
$10K |
| 94640 |
|
2,051 |
1,801 |
$10K |
| J7050 |
Normal saline solution infus |
1,118 |
671 |
$10K |
| A9552 |
F18 fdg |
51 |
49 |
$10K |
| 74018 |
|
579 |
549 |
$10K |
| 82948 |
|
1,046 |
855 |
$10K |
| 70551 |
|
40 |
40 |
$10K |
| 85018 |
|
3,343 |
3,306 |
$10K |
| 87077 |
|
2,042 |
1,960 |
$9K |
| J7040 |
Normal saline solution infus |
547 |
479 |
$9K |
| 81003 |
|
2,469 |
2,391 |
$8K |
| 76817 |
|
129 |
120 |
$8K |
| 87804 |
|
650 |
602 |
$8K |
| J2765 |
Metoclopramide hcl injection |
718 |
658 |
$8K |
| 82043 |
|
1,368 |
1,361 |
$8K |
| J1200 |
Diphenhydramine hcl injectio |
2,205 |
1,868 |
$8K |
| J3475 |
Inj magnesium sulfate |
718 |
495 |
$7K |
| 87040 |
|
3,613 |
2,458 |
$7K |
| 85652 |
|
3,292 |
3,130 |
$7K |
| 78452 |
|
37 |
37 |
$7K |
| 93016 |
|
239 |
236 |
$7K |
| A9502 |
Tc99m tetrofosmin |
50 |
49 |
$6K |
| 85730 |
|
2,679 |
2,586 |
$6K |
| 72072 |
|
198 |
198 |
$6K |
| S0028 |
Injection, famotidine, 20 mg |
77 |
74 |
$6K |
| 82570 |
|
1,345 |
1,269 |
$6K |
| 86787 |
|
436 |
351 |
$6K |
| 80076 |
|
712 |
696 |
$5K |
| 93018 |
|
239 |
236 |
$5K |
| 87340 |
|
420 |
416 |
$5K |
| 85379 |
|
1,559 |
1,512 |
$5K |
| 83516 |
|
480 |
374 |
$4K |
| 71271 |
|
54 |
54 |
$4K |
| 86850 |
|
342 |
318 |
$4K |
| 87070 |
|
417 |
394 |
$4K |
| 73564 |
|
123 |
120 |
$4K |
| 97162 |
|
845 |
844 |
$4K |
| 86317 |
|
247 |
247 |
$4K |
| 93000 |
|
1,162 |
996 |
$4K |
| 85007 |
|
1,721 |
1,503 |
$3K |
| 82950 |
|
589 |
585 |
$3K |
| 0729 |
|
90 |
72 |
$3K |
| 99211 |
|
296 |
250 |
$3K |
| 93880 |
|
27 |
27 |
$3K |
| 73590 |
|
122 |
111 |
$3K |
| 93922 |
|
127 |
120 |
$3K |
| 81002 |
|
1,049 |
1,010 |
$3K |
| 62323 |
|
36 |
26 |
$3K |
| 82784 |
|
337 |
325 |
$3K |
| 71250 |
|
29 |
28 |
$2K |
| 80179 |
|
1,212 |
1,102 |
$2K |
| 86376 |
|
222 |
222 |
$2K |
| 83970 |
|
66 |
66 |
$2K |
| 76857 |
|
311 |
303 |
$2K |
| 70496 |
|
114 |
114 |
$2K |
| 0259 |
|
212 |
144 |
$2K |
| J3010 |
Fentanyl citrate injection |
484 |
421 |
$2K |
| 87088 |
|
717 |
698 |
$2K |
| 82565 |
|
399 |
364 |
$2K |
| 90686 |
|
77 |
76 |
$2K |
| 86800 |
|
158 |
158 |
$2K |
| 87807 |
|
399 |
378 |
$2K |
| 73620 |
|
98 |
64 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
29 |
14 |
$2K |
| 82550 |
|
560 |
527 |
$2K |
| J2930 |
Methylprednisolone injection |
108 |
101 |
$2K |
| 99215 |
Prolong outpt/office vis |
33 |
28 |
$2K |
| 29581 |
|
361 |
110 |
$2K |
| 84100 |
|
538 |
458 |
$2K |
| 97165 |
|
26 |
24 |
$2K |
| 77080 |
|
75 |
75 |
$1K |
| 52000 |
|
37 |
24 |
$1K |
| 90471 |
|
446 |
444 |
$1K |
| 99152 |
|
222 |
209 |
$1K |
| 87661 |
|
17 |
17 |
$1K |
| 76870 |
|
46 |
43 |
$1K |
| 74022 |
|
169 |
164 |
$1K |
| J1170 |
Hydromorphone injection |
312 |
240 |
$1K |
| 86160 |
|
60 |
55 |
$1K |
| 83615 |
|
175 |
154 |
$1K |
| 86430 |
|
173 |
172 |
$941.33 |
| 0636 |
|
226 |
222 |
$941.26 |
| 76816 |
|
13 |
13 |
$934.53 |
| 70498 |
|
104 |
104 |
$914.76 |
| 87205 |
|
289 |
275 |
$803.27 |
| J2550 |
Promethazine hcl injection |
120 |
60 |
$768.50 |
| 86431 |
|
151 |
145 |
$684.00 |
| 87522 |
Neg quan hep c or qual rna |
17 |
17 |
$662.24 |
| 86308 |
|
57 |
57 |
$659.27 |
| 70486 |
|
12 |
12 |
$653.97 |
| 83525 |
|
75 |
75 |
$631.25 |
| 86704 |
|
50 |
50 |
$615.81 |
| 73090 |
|
34 |
32 |
$602.73 |
| J2250 |
Inj midazolam hydrochloride |
243 |
216 |
$598.56 |
| 99001 |
|
79 |
77 |
$552.23 |
| 82747 |
|
72 |
72 |
$543.75 |
| 86481 |
|
13 |
13 |
$528.00 |
| 86235 |
|
12 |
12 |
$497.52 |
| 86705 |
|
35 |
35 |
$492.38 |
| 99204 |
|
13 |
13 |
$462.52 |
| 86039 |
|
39 |
39 |
$447.26 |
| 84550 |
|
98 |
93 |
$444.90 |
| 82533 |
|
27 |
25 |
$442.76 |
| 84270 |
|
26 |
26 |
$411.84 |
| 95117 |
|
298 |
154 |
$384.45 |
| 0761 |
|
13 |
12 |
$378.84 |
| 82670 |
|
15 |
15 |
$370.65 |
| J3301 |
Triamcinolone acet inj nos |
57 |
55 |
$286.51 |
| 71020 |
|
89 |
78 |
$274.60 |
| G0279 |
Tomosynthesis, mammo |
12 |
12 |
$266.82 |
| 82805 |
|
33 |
30 |
$257.31 |
| 82378 |
|
13 |
13 |
$245.20 |
| 82105 |
|
26 |
26 |
$240.60 |
| 83001 |
|
12 |
12 |
$229.11 |
| 84425 |
|
12 |
12 |
$226.44 |
| 80047 |
|
14 |
13 |
$218.54 |
| J1630 |
Haloperidol injection |
13 |
12 |
$190.00 |
| 86762 |
|
31 |
28 |
$175.45 |
| 71101 |
|
12 |
12 |
$165.39 |
| 93356 |
|
12 |
12 |
$162.72 |
| 82247 |
|
21 |
12 |
$107.40 |
| 82977 |
|
14 |
12 |
$105.84 |
| 86200 |
|
14 |
14 |
$99.40 |
| 90694 |
|
20 |
20 |
$95.18 |
| 82140 |
|
15 |
15 |
$86.74 |
| J8540 |
Oral dexamethasone |
121 |
119 |
$78.02 |
| 84156 |
|
28 |
27 |
$75.62 |
| 82248 |
|
13 |
12 |
$75.56 |
| 90653 |
|
18 |
18 |
$74.87 |
| S0164 |
Injection pantroprazole |
75 |
66 |
$64.21 |
| J0780 |
Prochlorperazine injection |
38 |
38 |
$51.01 |
| 86677 |
|
14 |
14 |
$47.75 |
| J2919 |
Inj, methylpred sod succ 5mg |
12 |
12 |
$37.01 |
| 71010 |
|
15 |
13 |
$31.27 |
| 87147 |
|
12 |
12 |
$25.21 |
| 85014 |
|
30 |
28 |
$6.66 |
| G2211 |
Complex e/m visit add on |
13 |
12 |
$3.32 |
| 87210 |
|
54 |
51 |
$2.85 |
| J7613 |
Albuterol non-comp unit |
15 |
14 |
$1.32 |
| 0710R |
|
83 |
73 |
$0.00 |
| 1159F |
|
789 |
771 |
$0.00 |
| 1160F |
|
427 |
418 |
$0.00 |
| G1004 |
Cdsm ndsc |
263 |
247 |
$0.00 |
| 97161 |
|
13 |
13 |
$0.00 |
| 0258R |
|
12 |
12 |
$0.00 |
| 3008F |
|
223 |
221 |
$0.00 |
| 0250R |
|
253 |
116 |
$0.00 |
| G0008 |
Admin influenza virus vac |
22 |
22 |
$0.00 |
| G0103 |
Psa screening |
45 |
45 |
$0.00 |
| A9150 |
Misc/exper non-prescript dru |
13 |
13 |
$0.00 |
| J1790 |
Droperidol injection |
16 |
13 |
$0.00 |