| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
109,544 |
95,715 |
$5.16M |
| L8699 |
Prosthetic implant nos |
1,971 |
1,641 |
$4.47M |
| 99283 |
|
65,092 |
58,484 |
$3.79M |
| 70450 |
|
15,006 |
14,532 |
$2.17M |
| 93005 |
|
51,208 |
46,329 |
$1.40M |
| 74176 |
|
14,321 |
13,898 |
$1.33M |
| 85025 |
|
108,170 |
91,872 |
$1.28M |
| 96374 |
|
21,724 |
19,883 |
$1.26M |
| 74177 |
|
6,745 |
6,506 |
$1.17M |
| 80053 |
|
68,800 |
60,895 |
$1.17M |
| 96372 |
|
25,371 |
23,105 |
$752K |
| 78815 |
|
555 |
551 |
$750K |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
11,176 |
10,733 |
$750K |
| 99070 |
|
80,179 |
35,653 |
$674K |
| Z7502 |
|
17,808 |
17,566 |
$672K |
| 96375 |
|
16,971 |
14,702 |
$666K |
| 99284 |
|
5,665 |
5,352 |
$600K |
| 99285 |
|
4,461 |
4,229 |
$585K |
| 84484 |
|
29,377 |
24,056 |
$552K |
| 96361 |
|
9,921 |
8,426 |
$488K |
| 72125 |
|
2,715 |
2,681 |
$487K |
| 71275 |
|
2,754 |
2,665 |
$476K |
| 80048 |
|
34,377 |
30,855 |
$466K |
| 87426 |
|
12,412 |
11,917 |
$447K |
| 83690 |
|
38,063 |
34,734 |
$435K |
| G0480 |
Drug test def 1-7 classes |
5,891 |
3,886 |
$417K |
| G0378 |
Hospital observation per hr |
4,270 |
3,359 |
$402K |
| 71045 |
|
38,153 |
35,861 |
$393K |
| 99499 |
|
6,596 |
5,693 |
$372K |
| 0762 |
|
4,401 |
3,158 |
$367K |
| 96365 |
|
4,814 |
4,498 |
$348K |
| 93306 |
|
1,906 |
1,861 |
$341K |
| 80307 |
|
6,038 |
5,747 |
$328K |
| 84703 |
|
21,809 |
20,150 |
$284K |
| 71046 |
|
16,027 |
15,529 |
$278K |
| 99221 |
|
1,701 |
1,687 |
$272K |
| 87633 |
|
676 |
668 |
$259K |
| 93971 |
|
3,078 |
2,971 |
$251K |
| 76705 |
|
4,430 |
4,260 |
$226K |
| 84702 |
|
10,554 |
9,420 |
$224K |
| 70551 |
|
622 |
599 |
$219K |
| 71260 |
|
1,213 |
1,192 |
$216K |
| 81003 |
|
60,416 |
55,794 |
$215K |
| 76830 |
|
3,207 |
3,090 |
$189K |
| U0002 |
Covid-19 lab test non-cdc |
3,838 |
3,732 |
$177K |
| 93458 |
|
198 |
193 |
$165K |
| 71250 |
|
1,218 |
1,196 |
$158K |
| 96360 |
|
2,607 |
2,531 |
$153K |
| 94640 |
|
6,144 |
5,094 |
$152K |
| 76817 |
|
2,725 |
2,405 |
$149K |
| 76801 |
|
2,747 |
2,449 |
$147K |
| 97110 |
|
10,500 |
3,559 |
$139K |
| 83880 |
|
6,436 |
5,997 |
$137K |
| 84443 |
|
5,822 |
5,604 |
$132K |
| J3490 |
Drugs unclassified injection |
33,943 |
17,756 |
$129K |
| 70486 |
|
726 |
707 |
$124K |
| 87591 |
|
2,051 |
2,006 |
$120K |
| 87491 |
|
2,052 |
2,004 |
$119K |
| A9552 |
F18 fdg |
513 |
510 |
$112K |
| P9016 |
Rbc leukocytes reduced |
543 |
433 |
$109K |
| J0131 |
Inj, acetaminophen (nos) |
1,810 |
1,716 |
$109K |
| 73130 |
|
4,375 |
4,124 |
$104K |
| 82948 |
|
13,871 |
9,800 |
$103K |
| 76857 |
|
2,847 |
2,746 |
$102K |
| 87086 |
|
10,421 |
9,921 |
$96K |
| 73630 |
|
4,302 |
4,082 |
$95K |
| 99152 |
|
2,145 |
2,079 |
$95K |
| 76700 |
|
1,610 |
1,570 |
$93K |
| 73610 |
|
3,626 |
3,474 |
$90K |
| 73564 |
|
3,754 |
3,474 |
$90K |
| 93970 |
|
714 |
692 |
$87K |
| 83605 |
|
5,165 |
4,760 |
$86K |
| 87040 |
|
3,785 |
3,177 |
$83K |
| 73030 |
|
3,732 |
3,475 |
$83K |
| 88305 |
|
3,017 |
2,949 |
$79K |
| 90715 |
|
2,728 |
2,699 |
$79K |
| 99231 |
|
1,193 |
1,184 |
$77K |
| 87804 |
|
4,983 |
4,125 |
$72K |
| 96366 |
|
1,166 |
884 |
$70K |
| 85730 |
|
8,512 |
7,835 |
$67K |
| 70496 |
|
368 |
365 |
$66K |
| 0710 |
|
2,639 |
2,514 |
$64K |
| 72100 |
|
2,473 |
2,442 |
$63K |
| 99238 |
|
1,692 |
1,680 |
$58K |
| 76856 |
|
980 |
957 |
$58K |
| 36415 |
|
17,762 |
13,814 |
$56K |
| 73110 |
|
2,397 |
2,265 |
$56K |
| 97140 |
|
4,585 |
1,535 |
$54K |
| 87186 |
|
4,178 |
4,019 |
$54K |
| J3010 |
Fentanyl citrate injection |
11,532 |
10,511 |
$54K |
| 70553 |
|
84 |
79 |
$50K |
| 84439 |
|
3,944 |
3,822 |
$49K |
| J7050 |
Normal saline solution infus |
14,730 |
13,242 |
$48K |
| 86923 |
|
464 |
398 |
$48K |
| 99232 |
|
933 |
927 |
$47K |
| 88307 |
|
1,089 |
1,079 |
$47K |
| 83735 |
|
5,136 |
4,315 |
$46K |
| 76805 |
|
548 |
524 |
$46K |
| J7030 |
Normal saline solution infus |
10,799 |
9,225 |
$45K |
| 85610 |
|
9,199 |
8,552 |
$45K |
| J2270 |
Morphine sulfate injection |
12,333 |
10,382 |
$45K |
| 87641 |
|
2,192 |
2,013 |
$45K |
| 99281 |
|
1,086 |
981 |
$45K |
| C9290 |
Inj, bupivacaine liposome |
147 |
147 |
$43K |
| 86901 |
|
6,422 |
5,907 |
$43K |
| 76770 |
|
958 |
925 |
$43K |
| 84145 |
|
2,365 |
2,281 |
$42K |
| 76870 |
|
758 |
718 |
$41K |
| 97750 |
|
751 |
740 |
$41K |
| 85378 |
|
3,493 |
3,382 |
$41K |
| 99282 |
|
703 |
681 |
$41K |
| J7120 |
Ringers lactate infusion |
6,767 |
6,283 |
$39K |
| 80061 |
|
3,882 |
3,720 |
$38K |
| 99199 |
|
845 |
771 |
$38K |
| 73080 |
|
1,539 |
1,476 |
$38K |
| 86850 |
|
3,218 |
2,975 |
$38K |
| 87635 |
|
1,119 |
1,083 |
$36K |
| 73502 |
|
1,624 |
1,546 |
$36K |
| J1885 |
Ketorolac tromethamine inj |
22,061 |
20,323 |
$36K |
| 70498 |
|
362 |
359 |
$34K |
| 80076 |
|
2,954 |
2,852 |
$33K |
| 97530 |
|
2,274 |
1,633 |
$33K |
| 87077 |
|
4,562 |
4,390 |
$32K |
| 59025 |
|
1,330 |
336 |
$31K |
| Z7506 |
|
211 |
211 |
$31K |
| J2405 |
Ondansetron hcl injection |
18,049 |
16,164 |
$31K |
| 88342 |
|
1,003 |
980 |
$30K |
| 86900 |
|
6,392 |
5,886 |
$29K |
| 83036 |
|
2,851 |
2,757 |
$27K |
| 72040 |
|
1,078 |
1,065 |
$26K |
| 93798 |
|
1,531 |
268 |
$26K |
| 87880 |
|
1,636 |
1,595 |
$26K |
| 93356 |
|
923 |
915 |
$26K |
| 72131 |
|
163 |
162 |
$25K |
| 99218 |
|
157 |
156 |
$24K |
| 0250 |
|
5,786 |
3,406 |
$24K |
| 78452 |
|
137 |
133 |
$24K |
| 73090 |
|
1,184 |
1,128 |
$23K |
| J0696 |
Ceftriaxone sodium injection |
8,004 |
7,230 |
$22K |
| 86140 |
|
2,744 |
2,624 |
$21K |
| J1100 |
Dexamethasone sodium phos |
9,154 |
8,780 |
$21K |
| J1815 |
Insulin injection |
3,548 |
2,083 |
$21K |
| 73590 |
|
1,129 |
1,076 |
$21K |
| 12001 |
|
878 |
856 |
$20K |
| 87661 |
|
592 |
563 |
$20K |
| 74018 |
|
944 |
913 |
$20K |
| J1170 |
Hydromorphone injection |
6,222 |
5,265 |
$18K |
| 76937 |
|
1,209 |
1,143 |
$18K |
| J0694 |
Cefoxitin sodium injection |
1,768 |
1,424 |
$17K |
| 99153 |
Mod sedat endo service >5yrs |
1,308 |
1,273 |
$16K |
| A9500 |
Tc99m sestamibi |
123 |
116 |
$15K |
| 29125 |
|
902 |
850 |
$14K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
827 |
809 |
$14K |
| J0690 |
Cefazolin sodium injection |
4,019 |
3,441 |
$14K |
| A9579 |
Gad-base mr contrast nos,1ml |
648 |
593 |
$14K |
| 97161 |
|
927 |
908 |
$14K |
| 76000 |
|
148 |
143 |
$13K |
| 49083 |
|
231 |
99 |
$13K |
| J2785 |
Regadenoson injection |
92 |
91 |
$12K |
| 82306 |
|
860 |
831 |
$12K |
| 90471 |
|
2,914 |
2,869 |
$12K |
| 82947 |
|
1,498 |
1,138 |
$11K |
| 0272 |
|
633 |
572 |
$11K |
| 0270 |
|
4,167 |
2,366 |
$11K |
| 87210 |
|
1,552 |
1,518 |
$11K |
| 82550 |
|
1,081 |
969 |
$11K |
| Z7610 |
|
2,329 |
1,521 |
$11K |
| Z7512 |
|
398 |
397 |
$10K |
| J2930 |
Methylprednisolone injection |
1,735 |
1,554 |
$10K |
| 12011 |
|
467 |
446 |
$10K |
| 85651 |
|
2,125 |
2,049 |
$9K |
| 10060 |
|
459 |
442 |
$9K |
| 82140 |
|
568 |
511 |
$9K |
| 76641 |
|
157 |
132 |
$9K |
| 88304 |
|
762 |
742 |
$8K |
| 99217 |
|
205 |
204 |
$8K |
| L1830 |
Ko immob canvas long pre ots |
100 |
100 |
$8K |
| 82607 |
|
527 |
505 |
$8K |
| 72170 |
|
483 |
480 |
$8K |
| 36561 |
|
41 |
41 |
$8K |
| 87807 |
|
899 |
867 |
$8K |
| 73562 |
|
426 |
395 |
$8K |
| 87081 |
|
744 |
731 |
$7K |
| 84100 |
|
1,645 |
1,345 |
$7K |
| 97116 |
|
1,162 |
890 |
$7K |
| J2250 |
Inj midazolam hydrochloride |
9,162 |
8,875 |
$7K |
| 82728 |
|
449 |
431 |
$7K |
| J2765 |
Metoclopramide hcl injection |
4,471 |
4,123 |
$7K |
| J2274 |
Inj morphine pf epid ithc |
521 |
470 |
$6K |
| 58571 |
|
13 |
13 |
$6K |
| 77001 |
|
124 |
124 |
$6K |
| 75574 |
|
28 |
28 |
$6K |
| J2060 |
Lorazepam injection |
4,683 |
4,180 |
$6K |
| J0134 |
Inj acetaminophen -fresenius |
946 |
924 |
$6K |
| 96376 |
|
823 |
631 |
$6K |
| 93017 |
|
128 |
123 |
$6K |
| 67311 |
|
56 |
56 |
$6K |
| 82009 |
|
782 |
753 |
$5K |
| 72148 |
|
12 |
12 |
$5K |
| J1644 |
Inj heparin sodium per 1000u |
1,702 |
1,065 |
$5K |
| S0020 |
Injection, bupivicaine hydro |
1,042 |
984 |
$5K |
| J1200 |
Diphenhydramine hcl injectio |
4,291 |
3,917 |
$5K |
| 0300 |
|
317 |
282 |
$5K |
| 96367 |
|
140 |
134 |
$5K |
| 0001A |
|
112 |
112 |
$4K |
| 87070 |
|
296 |
288 |
$4K |
| J3475 |
Inj magnesium sulfate |
729 |
639 |
$4K |
| 82746 |
|
253 |
244 |
$4K |
| 74174 |
|
14 |
14 |
$4K |
| J0171 |
Adrenalin epinephrine inject |
162 |
148 |
$4K |
| 73560 |
|
283 |
267 |
$4K |
| A9270 |
Non-covered item or service |
9,386 |
2,998 |
$4K |
| 0003A |
|
98 |
98 |
$4K |
| 77412 |
|
140 |
12 |
$4K |
| 0002A |
|
95 |
95 |
$4K |
| 85027 |
|
408 |
339 |
$4K |
| 29515 |
|
327 |
314 |
$3K |
| J1650 |
Inj enoxaparin sodium |
943 |
647 |
$3K |
| J1953 |
Levetiracetam injection |
196 |
163 |
$3K |
| 99224 |
|
52 |
52 |
$3K |
| 83540 |
|
403 |
390 |
$3K |
| 73060 |
|
162 |
156 |
$3K |
| 83550 |
|
288 |
279 |
$3K |
| Z9725 |
|
86 |
85 |
$3K |
| A0429 |
Bls-emergency |
97 |
83 |
$2K |
| 73552 |
|
130 |
123 |
$2K |
| 43239 |
|
102 |
102 |
$2K |
| 77067 |
|
29 |
29 |
$2K |
| 0160 |
|
112 |
71 |
$2K |
| 87147 |
|
188 |
183 |
$2K |
| 0013A |
|
52 |
52 |
$2K |
| G0463 |
Hospital outpt clinic visit |
669 |
630 |
$2K |
| 12002 |
|
113 |
110 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
813 |
753 |
$2K |
| 82570 |
|
425 |
394 |
$2K |
| J7040 |
Normal saline solution infus |
871 |
831 |
$2K |
| 74019 |
|
87 |
81 |
$2K |
| J0360 |
Hydralazine hcl injection |
408 |
347 |
$1K |
| J1580 |
Garamycin gentamicin inj |
342 |
331 |
$1K |
| 87493 |
|
57 |
56 |
$1K |
| 82803 |
|
49 |
39 |
$1K |
| 99225 |
|
25 |
25 |
$1K |
| 88313 |
|
39 |
39 |
$1K |
| 71010 |
|
89 |
52 |
$1K |
| J1630 |
Haloperidol injection |
804 |
709 |
$1K |
| J2550 |
Promethazine hcl injection |
579 |
550 |
$1K |
| J1940 |
Furosemide injection |
489 |
358 |
$1K |
| 45378 |
|
15 |
14 |
$1K |
| 82553 |
|
72 |
56 |
$1K |
| 88341 |
|
12 |
12 |
$1K |
| 0370 |
|
88 |
73 |
$1K |
| 71020 |
|
41 |
25 |
$1K |
| 94760 |
|
323 |
308 |
$968.21 |
| J2919 |
Inj, methylpred sod succ 5mg |
144 |
123 |
$957.78 |
| 77063 |
|
29 |
29 |
$951.88 |
| 45385 |
|
42 |
42 |
$922.10 |
| 72072 |
|
37 |
37 |
$863.27 |
| J3370 |
Vancomycin hcl injection |
239 |
210 |
$857.11 |
| C1769 |
Guide wire |
104 |
101 |
$796.25 |
| L0140 |
Cervical semi-rigid adjustab |
13 |
13 |
$773.38 |
| L3908 |
Who cock-up nonmolde pre ots |
12 |
12 |
$764.67 |
| S0164 |
Injection pantroprazole |
75 |
70 |
$756.54 |
| 99213 |
|
203 |
173 |
$709.32 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
472 |
400 |
$706.13 |
| Z7508 |
|
12 |
12 |
$701.64 |
| L3650 |
So 8 abd restraint pre ots |
14 |
14 |
$670.93 |
| J1790 |
Droperidol injection |
74 |
68 |
$586.76 |
| 73100 |
|
35 |
25 |
$552.59 |
| 94060 |
|
12 |
12 |
$544.50 |
| 51701 |
|
72 |
72 |
$534.34 |
| G6040 |
Assay of ethanol |
42 |
27 |
$529.20 |
| 0071A |
|
13 |
13 |
$520.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
260 |
257 |
$451.66 |
| J1642 |
Inj heparin sodium per 10 u |
180 |
174 |
$419.70 |
| 76536 |
|
12 |
12 |
$412.28 |
| C1729 |
Cath, drainage |
23 |
12 |
$410.82 |
| 86780 |
|
29 |
26 |
$361.42 |
| 84550 |
|
95 |
92 |
$356.64 |
| J2310 |
Inj naloxone hydrochloride |
37 |
36 |
$348.01 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
138 |
111 |
$320.79 |
| 90686 |
|
23 |
22 |
$314.88 |
| A9540 |
Tc99m maa |
12 |
12 |
$291.06 |
| 93925 |
|
13 |
12 |
$268.37 |
| 82800 |
|
17 |
17 |
$230.64 |
| 0258 |
|
225 |
203 |
$229.75 |
| 97001 |
|
16 |
14 |
$212.63 |
| 73140 |
|
12 |
12 |
$205.69 |
| 85018 |
|
73 |
73 |
$195.77 |
| 84132 |
|
37 |
36 |
$188.10 |
| 72070 |
|
12 |
12 |
$186.91 |
| J0456 |
Azithromycin |
18 |
12 |
$180.72 |
| 80320 |
|
246 |
225 |
$179.61 |
| 86706 |
|
13 |
13 |
$178.36 |
| C8929 |
Tte w or wo fol wcon,doppler |
13 |
12 |
$166.66 |
| J7060 |
5% dextrose/water |
73 |
54 |
$153.22 |
| 72110 |
|
29 |
27 |
$127.52 |
| J3480 |
Inj potassium chloride |
57 |
44 |
$116.90 |
| 87071 |
|
17 |
16 |
$91.42 |
| Q0144 |
Azithromycin dihydrate, oral |
14 |
12 |
$91.19 |
| J2001 |
Lidocaine injection |
150 |
150 |
$83.78 |
| 99202 |
|
13 |
13 |
$75.73 |
| 87205 |
|
12 |
12 |
$68.80 |
| 29530 |
|
12 |
12 |
$67.83 |
| 29105 |
|
12 |
12 |
$62.61 |
| 86592 |
|
12 |
12 |
$53.69 |
| J0780 |
Prochlorperazine injection |
12 |
12 |
$32.32 |
| 99001 |
|
77 |
64 |
$27.23 |
| J7512 |
Prednisone ir or dr oral 1mg |
65 |
64 |
$24.69 |
| 80329 |
|
118 |
113 |
$0.00 |
| 76376 |
|
12 |
12 |
$0.00 |
| 0360 |
|
43 |
27 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
40 |
39 |
$0.00 |