| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11042 |
|
8,448 |
3,611 |
$913K |
| 74177 |
|
4,865 |
3,962 |
$490K |
| 70450 |
|
5,829 |
4,787 |
$445K |
| 80307 |
|
6,982 |
5,623 |
$406K |
| 85025 |
|
44,182 |
31,642 |
$312K |
| 0241U |
|
3,664 |
2,915 |
$297K |
| 78452 |
|
1,782 |
1,508 |
$278K |
| 96365 |
|
5,844 |
3,437 |
$258K |
| 93306 |
|
3,602 |
3,026 |
$204K |
| 80053 |
|
25,479 |
19,969 |
$202K |
| 72125 |
|
1,874 |
1,561 |
$181K |
| 36415 |
|
24,280 |
18,419 |
$166K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,393 |
2,006 |
$165K |
| G0463 |
Hospital outpt clinic visit |
19,014 |
16,974 |
$149K |
| 74176 |
|
2,573 |
2,148 |
$142K |
| 93005 |
|
22,256 |
16,576 |
$130K |
| C1769 |
Guide wire |
1,788 |
1,346 |
$128K |
| 80048 |
|
23,273 |
16,037 |
$115K |
| 96375 |
|
7,917 |
4,397 |
$111K |
| 87491 |
|
2,996 |
2,588 |
$110K |
| 87591 |
|
2,988 |
2,580 |
$108K |
| 83880 |
|
4,420 |
3,543 |
$107K |
| 96372 |
|
5,560 |
3,599 |
$99K |
| 71275 |
|
769 |
629 |
$95K |
| 84484 |
|
11,781 |
8,344 |
$92K |
| 71046 |
|
6,414 |
5,422 |
$85K |
| 83690 |
|
9,745 |
7,747 |
$84K |
| 81025 |
|
10,838 |
8,820 |
$83K |
| 83735 |
|
9,762 |
6,957 |
$79K |
| 99283 |
|
4,911 |
3,760 |
$77K |
| 81001 |
|
14,123 |
11,522 |
$72K |
| 59025 |
|
427 |
341 |
$71K |
| 29581 |
|
1,904 |
643 |
$70K |
| 99284 |
|
7,596 |
5,704 |
$68K |
| 71045 |
|
10,540 |
8,241 |
$67K |
| 86901 |
|
4,584 |
3,507 |
$63K |
| 80047 |
|
6,468 |
4,634 |
$61K |
| 71260 |
|
721 |
588 |
$61K |
| 96374 |
|
6,456 |
4,742 |
$60K |
| 82962 |
|
14,007 |
7,328 |
$60K |
| 99285 |
|
6,815 |
5,334 |
$54K |
| C1894 |
Intro/sheath, non-laser |
1,845 |
1,420 |
$47K |
| 83605 |
|
3,937 |
3,018 |
$46K |
| 43239 |
|
673 |
485 |
$45K |
| T1015 |
Clinic service |
3,915 |
3,433 |
$42K |
| 80061 |
|
3,369 |
2,829 |
$42K |
| 83036 |
|
7,542 |
6,592 |
$41K |
| G0480 |
Drug test def 1-7 classes |
2,735 |
2,085 |
$39K |
| 99282 |
|
1,199 |
891 |
$36K |
| 93296 |
|
4,422 |
4,158 |
$35K |
| 87077 |
|
3,701 |
2,958 |
$35K |
| J2405 |
Ondansetron hcl injection |
21,419 |
12,263 |
$33K |
| J1100 |
Dexamethasone sodium phos |
10,045 |
6,189 |
$33K |
| 81003 |
|
9,443 |
7,693 |
$32K |
| 96413 |
|
387 |
206 |
$32K |
| 87086 |
|
5,104 |
4,251 |
$32K |
| 96361 |
|
2,722 |
1,810 |
$31K |
| 85610 |
|
14,629 |
11,002 |
$31K |
| 84443 |
|
4,204 |
3,594 |
$30K |
| 70553 |
|
170 |
129 |
$29K |
| 82550 |
|
2,655 |
2,050 |
$27K |
| 80076 |
|
2,794 |
2,224 |
$27K |
| 73564 |
|
913 |
721 |
$25K |
| 87070 |
|
2,287 |
1,737 |
$25K |
| 80320 |
|
2,049 |
1,772 |
$24K |
| 85730 |
|
7,422 |
5,764 |
$23K |
| 70551 |
|
125 |
108 |
$22K |
| 86850 |
|
3,967 |
2,974 |
$21K |
| 87804 |
|
1,522 |
1,052 |
$21K |
| 87040 |
|
3,114 |
1,429 |
$21K |
| 82565 |
|
1,713 |
1,297 |
$19K |
| 72131 |
|
212 |
179 |
$19K |
| 36430 |
|
282 |
199 |
$18K |
| 80050 |
|
389 |
367 |
$17K |
| 97530 |
|
1,974 |
887 |
$17K |
| 85379 |
|
2,272 |
1,918 |
$17K |
| 93458 |
|
585 |
459 |
$17K |
| 96376 |
|
2,777 |
1,505 |
$15K |
| 84145 |
|
1,269 |
1,013 |
$15K |
| 87430 |
|
1,380 |
1,172 |
$14K |
| 85027 |
|
2,852 |
2,087 |
$12K |
| 96360 |
|
400 |
261 |
$12K |
| 86900 |
|
4,584 |
3,506 |
$12K |
| 82553 |
|
1,725 |
1,318 |
$11K |
| 87210 |
|
2,808 |
2,283 |
$11K |
| 93017 |
|
1,950 |
1,628 |
$11K |
| 73030 |
|
558 |
446 |
$11K |
| 87081 |
|
1,631 |
1,374 |
$11K |
| 87186 |
|
2,881 |
2,305 |
$10K |
| J0696 |
Ceftriaxone sodium injection |
4,882 |
3,735 |
$10K |
| 72148 |
|
72 |
63 |
$10K |
| 82306 |
|
794 |
743 |
$10K |
| 71250 |
|
126 |
101 |
$9K |
| 84702 |
|
967 |
829 |
$9K |
| 80074 |
|
264 |
237 |
$9K |
| 85014 |
|
8,346 |
5,843 |
$9K |
| 73630 |
|
328 |
276 |
$8K |
| J1650 |
Inj enoxaparin sodium |
988 |
438 |
$8K |
| 88305 |
|
702 |
556 |
$8K |
| 76801 |
|
242 |
219 |
$8K |
| A9576 |
Inj prohance multipack |
554 |
441 |
$7K |
| 87205 |
|
2,868 |
2,009 |
$7K |
| J1885 |
Ketorolac tromethamine inj |
7,919 |
5,742 |
$7K |
| 80329 |
|
741 |
672 |
$7K |
| J0690 |
Cefazolin sodium injection |
6,773 |
3,713 |
$6K |
| C1725 |
Cath, translumin non-laser |
32 |
25 |
$6K |
| 90715 |
|
327 |
281 |
$6K |
| 73610 |
|
279 |
245 |
$5K |
| 70486 |
|
43 |
38 |
$5K |
| A9500 |
Tc99m sestamibi |
1,323 |
1,142 |
$5K |
| C1887 |
Catheter, guiding |
216 |
155 |
$5K |
| 86703 |
|
401 |
368 |
$5K |
| 87635 |
|
646 |
525 |
$5K |
| 84703 |
|
561 |
429 |
$5K |
| 84439 |
|
995 |
907 |
$4K |
| J2250 |
Inj midazolam hydrochloride |
9,619 |
6,890 |
$4K |
| 82607 |
|
482 |
449 |
$4K |
| 93880 |
|
230 |
210 |
$3K |
| J2785 |
Regadenoson injection |
1,575 |
1,321 |
$3K |
| 86780 |
|
232 |
220 |
$3K |
| 70496 |
|
46 |
38 |
$3K |
| 70498 |
|
39 |
36 |
$3K |
| 72110 |
|
107 |
95 |
$3K |
| J0330 |
Succinycholine chloride inj |
4,218 |
2,984 |
$3K |
| A9270 |
Non-covered item or service |
17,275 |
9,226 |
$3K |
| 72141 |
|
15 |
14 |
$3K |
| J3010 |
Fentanyl citrate injection |
13,041 |
8,779 |
$3K |
| 84132 |
|
1,447 |
1,054 |
$3K |
| 97110 |
|
110 |
31 |
$3K |
| 84481 |
|
395 |
369 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
7,270 |
4,161 |
$3K |
| J1750 |
Inj iron dextran |
18 |
12 |
$3K |
| 88342 |
|
220 |
168 |
$3K |
| 94640 |
|
1,123 |
521 |
$2K |
| 84100 |
|
809 |
547 |
$2K |
| 82947 |
|
1,242 |
914 |
$2K |
| 93280 |
|
810 |
767 |
$2K |
| J1815 |
Insulin injection |
756 |
402 |
$2K |
| 85049 |
|
627 |
427 |
$2K |
| A9503 |
Tc99m medronate |
127 |
92 |
$2K |
| 76817 |
|
52 |
42 |
$2K |
| 97162 |
|
124 |
109 |
$2K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
182 |
146 |
$2K |
| 73130 |
|
80 |
68 |
$2K |
| 76937 |
|
620 |
484 |
$2K |
| J1642 |
Inj heparin sodium per 10 u |
3,955 |
1,381 |
$2K |
| J0171 |
Adrenalin epinephrine inject |
1,065 |
709 |
$2K |
| 11045 |
|
238 |
103 |
$2K |
| 74018 |
|
180 |
144 |
$1K |
| J2060 |
Lorazepam injection |
2,113 |
1,691 |
$1K |
| J2930 |
Methylprednisolone injection |
2,100 |
1,384 |
$1K |
| 82803 |
|
74 |
54 |
$1K |
| J1644 |
Inj heparin sodium per 1000u |
5,974 |
3,052 |
$1K |
| 82746 |
|
167 |
155 |
$1K |
| 96367 |
|
32 |
12 |
$1K |
| 87428 |
|
42 |
39 |
$1K |
| 72100 |
|
95 |
54 |
$1K |
| 73502 |
|
62 |
50 |
$1K |
| 78803 |
|
14 |
12 |
$1K |
| 96366 |
|
378 |
155 |
$965.07 |
| 85045 |
|
459 |
258 |
$964.60 |
| J2270 |
Morphine sulfate injection |
7,390 |
4,848 |
$954.42 |
| 83525 |
|
84 |
76 |
$874.96 |
| 97597 |
|
92 |
71 |
$839.34 |
| 82010 |
|
16 |
13 |
$832.89 |
| J1170 |
Hydromorphone injection |
7,888 |
4,504 |
$832.77 |
| 93971 |
|
55 |
50 |
$829.92 |
| J2704 |
Inj, propofol, 10 mg |
5,014 |
3,345 |
$828.36 |
| 83550 |
|
177 |
165 |
$754.42 |
| 83540 |
|
251 |
229 |
$753.71 |
| 86923 |
|
269 |
199 |
$746.64 |
| 93970 |
|
50 |
39 |
$728.89 |
| J1630 |
Haloperidol injection |
512 |
414 |
$696.52 |
| 82728 |
|
76 |
69 |
$633.54 |
| 78306 |
|
13 |
12 |
$584.52 |
| 36600 |
|
37 |
26 |
$562.96 |
| J1956 |
Levofloxacin injection |
649 |
469 |
$552.56 |
| 97001 |
|
60 |
41 |
$494.40 |
| 88304 |
|
19 |
13 |
$484.58 |
| 99281 |
|
32 |
27 |
$481.47 |
| 85651 |
|
212 |
196 |
$466.03 |
| J0780 |
Prochlorperazine injection |
1,708 |
1,294 |
$465.99 |
| J3480 |
Inj potassium chloride |
484 |
180 |
$409.95 |
| J2001 |
Lidocaine injection |
1,611 |
1,245 |
$346.83 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,585 |
5,220 |
$309.94 |
| 85347 |
|
338 |
169 |
$306.87 |
| 87340 |
|
28 |
24 |
$298.98 |
| 90686 |
|
57 |
46 |
$283.10 |
| 76856 |
|
15 |
12 |
$275.18 |
| J2710 |
Neostigmine methylslfte inj |
2,362 |
1,729 |
$267.31 |
| 94729 |
|
18 |
14 |
$241.00 |
| 87075 |
|
94 |
71 |
$236.56 |
| 76376 |
|
30 |
25 |
$229.04 |
| 94726 |
|
18 |
14 |
$221.10 |
| G2066 |
Inter devc remote 30d |
26 |
25 |
$205.94 |
| J3370 |
Vancomycin hcl injection |
255 |
155 |
$203.14 |
| J2370 |
Phenylephrine hcl injection |
1,484 |
1,139 |
$201.65 |
| 93321 |
|
94 |
75 |
$200.26 |
| 82270 |
|
23 |
20 |
$184.40 |
| 82951 |
|
14 |
12 |
$183.90 |
| 82043 |
|
87 |
85 |
$181.16 |
| 84480 |
|
43 |
38 |
$162.00 |
| 87045 |
|
13 |
13 |
$148.17 |
| 84550 |
|
69 |
66 |
$141.24 |
| 81015 |
|
372 |
332 |
$138.61 |
| 93356 |
|
68 |
55 |
$137.73 |
| 87426 |
|
15 |
13 |
$135.69 |
| 93325 |
|
136 |
106 |
$132.32 |
| 76000 |
|
251 |
194 |
$129.47 |
| 93290 |
|
12 |
12 |
$115.24 |
| J1790 |
Droperidol injection |
648 |
482 |
$113.91 |
| 82570 |
|
51 |
49 |
$103.46 |
| G0103 |
Psa screening |
31 |
31 |
$100.68 |
| J0360 |
Hydralazine hcl injection |
752 |
559 |
$95.46 |
| 87102 |
|
51 |
42 |
$87.24 |
| J1940 |
Furosemide injection |
1,323 |
816 |
$86.80 |
| 87116 |
|
16 |
13 |
$81.32 |
| J2550 |
Promethazine hcl injection |
454 |
349 |
$54.40 |
| 93283 |
|
42 |
40 |
$46.43 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
322 |
180 |
$40.79 |
| 87206 |
|
15 |
13 |
$40.42 |
| 87046 |
|
13 |
13 |
$37.07 |
| 86140 |
|
12 |
12 |
$29.56 |
| 76942 |
|
30 |
27 |
$16.75 |
| G0378 |
Hospital observation per hr |
2,427 |
1,779 |
$7.91 |
| 89051 |
|
17 |
13 |
$7.86 |
| J2175 |
Meperidine hydrochl /100 mg |
101 |
69 |
$4.38 |
| J2919 |
Inj, methylpred sod succ 5mg |
135 |
70 |
$0.92 |
| G8979 |
Mobility goal status |
104 |
88 |
$0.01 |
| G8978 |
Mobility current status |
103 |
87 |
$0.01 |
| 36416 |
|
122 |
110 |
$0.00 |
| J7050 |
Normal saline solution infus |
61 |
40 |
$0.00 |
| 99213 |
|
57 |
41 |
$0.00 |
| G0008 |
Admin influenza virus vac |
104 |
90 |
$0.00 |
| J7030 |
Normal saline solution infus |
412 |
255 |
$0.00 |
| P9016 |
Rbc leukocytes reduced |
19 |
12 |
$0.00 |
| J7120 |
Ringers lactate infusion |
198 |
168 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
43 |
39 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
70 |
47 |
$0.00 |