| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
20,363 |
18,039 |
$4.70M |
| 74177 |
|
5,194 |
4,621 |
$3.08M |
| 99283 |
|
14,840 |
13,631 |
$2.88M |
| C1713 |
Anchor/screw bn/bn,tis/bn |
891 |
788 |
$2.15M |
| 99285 |
|
10,756 |
8,761 |
$1.83M |
| G0378 |
Hospital observation per hr |
6,852 |
4,015 |
$1.44M |
| 11042 |
|
4,492 |
1,729 |
$1.04M |
| 70450 |
|
5,459 |
4,723 |
$986K |
| 74176 |
|
1,864 |
1,722 |
$873K |
| 72125 |
|
2,368 |
2,101 |
$605K |
| 71260 |
|
2,147 |
1,895 |
$601K |
| 99282 |
|
4,389 |
4,161 |
$478K |
| 77067 |
|
3,231 |
3,195 |
$378K |
| 99281 |
|
3,769 |
3,541 |
$220K |
| 80053 |
|
8,926 |
6,460 |
$198K |
| 97110 |
|
2,483 |
671 |
$194K |
| 93971 |
|
635 |
577 |
$132K |
| 78452 |
|
162 |
144 |
$109K |
| 42820 |
|
26 |
25 |
$95K |
| 71046 |
|
4,826 |
4,516 |
$90K |
| 80307 |
|
6,446 |
4,918 |
$87K |
| 76641 |
|
578 |
565 |
$78K |
| 93005 |
|
13,819 |
11,176 |
$56K |
| 45380 |
|
85 |
80 |
$56K |
| 45378 |
|
119 |
115 |
$46K |
| U0003 |
Cov-19 amp prb hgh thruput |
719 |
662 |
$43K |
| 72100 |
|
667 |
620 |
$29K |
| 43239 |
|
74 |
74 |
$28K |
| C9803 |
Hopd covid-19 spec collect |
4,443 |
4,051 |
$27K |
| 96365 |
|
3,794 |
3,036 |
$23K |
| 72148 |
|
144 |
141 |
$22K |
| 76700 |
|
176 |
163 |
$21K |
| 96374 |
|
10,982 |
9,324 |
$21K |
| J1100 |
Dexamethasone sodium phos |
5,123 |
4,310 |
$20K |
| 77080 |
|
197 |
194 |
$20K |
| 80048 |
|
28,124 |
22,185 |
$20K |
| 80076 |
|
20,866 |
17,299 |
$19K |
| 97530 |
|
548 |
342 |
$19K |
| 99391 |
|
234 |
210 |
$19K |
| 96375 |
|
9,707 |
7,672 |
$17K |
| 73030 |
|
921 |
807 |
$17K |
| 71045 |
|
10,401 |
8,844 |
$17K |
| 93306 |
|
216 |
175 |
$17K |
| 96366 |
|
705 |
570 |
$17K |
| 99213 |
|
325 |
272 |
$16K |
| 96361 |
|
8,900 |
7,264 |
$16K |
| 76705 |
|
1,037 |
936 |
$15K |
| 85025 |
|
36,989 |
27,442 |
$15K |
| 73562 |
|
622 |
501 |
$13K |
| 72131 |
|
59 |
52 |
$13K |
| 73110 |
|
259 |
221 |
$12K |
| 77066 |
Tomosynthesis, mammo |
130 |
128 |
$11K |
| 0241U |
|
2,161 |
2,026 |
$10K |
| 70553 |
|
40 |
38 |
$9K |
| 71250 |
|
155 |
144 |
$9K |
| 73130 |
|
769 |
623 |
$9K |
| 73610 |
|
649 |
584 |
$9K |
| 96360 |
|
2,541 |
2,245 |
$8K |
| 74022 |
|
113 |
107 |
$8K |
| 84484 |
|
8,733 |
6,329 |
$8K |
| 72110 |
|
78 |
73 |
$8K |
| 84443 |
|
3,479 |
2,955 |
$7K |
| 73630 |
|
818 |
725 |
$7K |
| 88305 |
|
570 |
495 |
$6K |
| 96372 |
|
6,489 |
5,057 |
$6K |
| 82803 |
|
766 |
619 |
$6K |
| 74018 |
|
406 |
364 |
$6K |
| 73502 |
|
505 |
397 |
$6K |
| 82077 |
|
2,187 |
1,840 |
$5K |
| 76856 |
|
174 |
164 |
$5K |
| 90460 |
|
158 |
154 |
$5K |
| 0450 |
|
117 |
105 |
$5K |
| 97161 |
|
312 |
267 |
$4K |
| 70551 |
|
56 |
53 |
$4K |
| 87086 |
|
5,307 |
4,584 |
$4K |
| 96413 |
|
272 |
154 |
$4K |
| 87040 |
|
2,665 |
1,955 |
$3K |
| 87186 |
|
1,758 |
1,509 |
$3K |
| 83690 |
|
9,973 |
8,284 |
$3K |
| 83735 |
|
7,418 |
4,995 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,533 |
7,469 |
$3K |
| 94640 |
|
2,263 |
1,466 |
$3K |
| 72170 |
|
125 |
109 |
$3K |
| 90715 |
|
871 |
814 |
$2K |
| 85610 |
|
7,368 |
5,860 |
$2K |
| 83880 |
|
2,236 |
1,781 |
$2K |
| 87804 |
|
3,230 |
2,802 |
$2K |
| 82728 |
|
692 |
599 |
$2K |
| 0240U |
|
613 |
553 |
$2K |
| 85730 |
|
4,731 |
4,025 |
$2K |
| 81003 |
|
18,208 |
15,435 |
$2K |
| 59025 |
|
877 |
643 |
$2K |
| 84703 |
|
4,124 |
3,740 |
$2K |
| 85379 |
|
1,836 |
1,615 |
$2K |
| 86140 |
|
2,041 |
1,788 |
$2K |
| 87430 |
|
2,010 |
1,917 |
$2K |
| 83605 |
|
3,880 |
3,010 |
$2K |
| 84702 |
|
852 |
720 |
$2K |
| 76770 |
|
60 |
54 |
$2K |
| 97140 |
|
153 |
44 |
$2K |
| 87070 |
|
1,239 |
1,095 |
$2K |
| 73721 |
|
12 |
12 |
$1K |
| 74019 |
|
40 |
37 |
$1K |
| U0002 |
Covid-19 lab test non-cdc |
368 |
326 |
$1K |
| 80061 |
|
2,163 |
1,814 |
$1K |
| 99214 |
|
14 |
14 |
$1K |
| 81025 |
|
3,572 |
3,254 |
$1K |
| J2405 |
Ondansetron hcl injection |
11,652 |
9,256 |
$1K |
| 76818 |
|
16 |
15 |
$1K |
| U0001 |
2019-ncov diagnostic p |
624 |
574 |
$1K |
| 87426 |
|
675 |
575 |
$1K |
| 83036 |
|
1,760 |
1,469 |
$1K |
| 85045 |
|
10,166 |
7,004 |
$1K |
| 87081 |
|
2,009 |
1,894 |
$1K |
| 86900 |
|
2,688 |
2,269 |
$845.89 |
| 76830 |
|
79 |
76 |
$794.35 |
| C1769 |
Guide wire |
190 |
144 |
$783.53 |
| 0011A |
|
36 |
32 |
$773.06 |
| J1650 |
Inj enoxaparin sodium |
1,212 |
528 |
$765.76 |
| 86850 |
|
2,333 |
1,986 |
$759.78 |
| J2270 |
Morphine sulfate injection |
3,434 |
2,480 |
$755.41 |
| 80143 |
|
43 |
40 |
$728.88 |
| G0500 |
Mod sedat endo service >5yrs |
1,553 |
1,431 |
$714.39 |
| 84100 |
|
1,478 |
821 |
$677.56 |
| 99212 |
|
16 |
14 |
$648.16 |
| 84439 |
|
1,299 |
1,097 |
$627.03 |
| J1885 |
Ketorolac tromethamine inj |
7,792 |
6,544 |
$624.65 |
| 96376 |
|
2,072 |
1,325 |
$620.44 |
| 84145 |
|
2,258 |
1,718 |
$616.73 |
| 87077 |
|
2,438 |
2,130 |
$614.86 |
| 82247 |
|
52 |
45 |
$593.20 |
| 82962 |
|
7,046 |
4,040 |
$577.25 |
| J0690 |
Cefazolin sodium injection |
2,256 |
1,835 |
$574.13 |
| 82248 |
|
1,472 |
1,190 |
$551.22 |
| 86901 |
|
2,697 |
2,270 |
$512.85 |
| 80179 |
|
55 |
52 |
$512.46 |
| J2930 |
Methylprednisolone injection |
1,045 |
859 |
$510.62 |
| 0012A |
|
22 |
17 |
$477.63 |
| 87491 |
|
146 |
141 |
$437.94 |
| 82306 |
|
38 |
37 |
$421.74 |
| 72040 |
|
15 |
12 |
$409.62 |
| 97535 |
|
176 |
105 |
$391.13 |
| J1170 |
Hydromorphone injection |
3,147 |
2,278 |
$384.46 |
| 81001 |
|
2,101 |
1,928 |
$370.06 |
| 85027 |
|
589 |
426 |
$356.91 |
| 96523 |
|
15 |
12 |
$341.07 |
| J0696 |
Ceftriaxone sodium injection |
2,589 |
2,060 |
$336.53 |
| 76801 |
|
88 |
81 |
$334.53 |
| J3010 |
Fentanyl citrate injection |
8,341 |
7,072 |
$300.23 |
| 36415 |
|
10,887 |
9,222 |
$296.78 |
| J2785 |
Regadenoson injection |
64 |
53 |
$290.75 |
| 87591 |
|
134 |
129 |
$278.43 |
| 82140 |
|
229 |
188 |
$270.00 |
| 73090 |
|
29 |
24 |
$224.16 |
| 97165 |
|
40 |
29 |
$223.00 |
| 87807 |
|
927 |
884 |
$220.32 |
| J1644 |
Inj heparin sodium per 1000u |
2,230 |
880 |
$197.14 |
| J2360 |
Orphenadrine injection |
1,575 |
1,417 |
$182.60 |
| J2001 |
Lidocaine injection |
8,540 |
4,713 |
$161.07 |
| 12001 |
|
55 |
52 |
$158.61 |
| J7030 |
Normal saline solution infus |
2,070 |
1,071 |
$157.78 |
| 90472 |
|
26 |
20 |
$156.00 |
| 87635 |
|
70 |
66 |
$152.90 |
| J2060 |
Lorazepam injection |
2,626 |
1,902 |
$144.93 |
| 96110 |
|
22 |
13 |
$140.00 |
| 90471 |
|
213 |
195 |
$123.15 |
| 82550 |
|
489 |
404 |
$119.69 |
| 84132 |
|
225 |
191 |
$119.68 |
| J3370 |
Vancomycin hcl injection |
389 |
261 |
$109.05 |
| 84030 |
|
57 |
55 |
$95.84 |
| 85651 |
|
593 |
518 |
$87.19 |
| J2550 |
Promethazine hcl injection |
834 |
647 |
$82.29 |
| J1200 |
Diphenhydramine hcl injectio |
2,832 |
2,136 |
$81.55 |
| J2250 |
Inj midazolam hydrochloride |
3,037 |
2,606 |
$72.02 |
| 82607 |
|
60 |
54 |
$71.02 |
| 73080 |
|
14 |
13 |
$69.93 |
| J1815 |
Insulin injection |
268 |
119 |
$67.74 |
| J0171 |
Adrenalin epinephrine inject |
109 |
100 |
$63.86 |
| 96367 |
|
701 |
395 |
$62.10 |
| C9113 |
Inj pantoprazole sodium, via |
1,103 |
808 |
$59.35 |
| 77063 |
|
2,521 |
2,489 |
$55.59 |
| J2704 |
Inj, propofol, 10 mg |
4,298 |
3,881 |
$50.52 |
| 99152 |
|
494 |
429 |
$46.65 |
| 87205 |
|
654 |
547 |
$44.20 |
| J2765 |
Metoclopramide hcl injection |
1,459 |
1,243 |
$41.35 |
| 36600 |
|
404 |
322 |
$34.12 |
| U0005 |
Infec agen detec ampli probe |
612 |
562 |
$31.93 |
| 99153 |
Mod sedat endo service >5yrs |
1,322 |
1,154 |
$30.26 |
| 87075 |
|
17 |
12 |
$28.62 |
| J7120 |
Ringers lactate infusion |
1,010 |
685 |
$27.22 |
| 87210 |
|
90 |
84 |
$26.83 |
| 99000 |
|
13 |
13 |
$22.77 |
| J0330 |
Succinycholine chloride inj |
653 |
581 |
$17.00 |
| 83540 |
|
239 |
216 |
$16.38 |
| J3475 |
Inj magnesium sulfate |
626 |
465 |
$15.74 |
| 83615 |
|
37 |
26 |
$10.90 |
| J2543 |
Piperacillin/tazobactam |
85 |
29 |
$8.10 |
| 82570 |
|
28 |
24 |
$6.51 |
| A9270 |
Non-covered item or service |
1,316 |
805 |
$5.26 |
| 84550 |
|
46 |
37 |
$2.91 |
| J1630 |
Haloperidol injection |
50 |
40 |
$1.46 |
| J7040 |
Normal saline solution infus |
123 |
74 |
$1.26 |
| J7512 |
Prednisone ir or dr oral 1mg |
113 |
83 |
$0.10 |
| G0279 |
Tomosynthesis, mammo |
89 |
84 |
$0.00 |
| J3371 |
Inj, vancomycin hcl (mylan) |
203 |
167 |
$0.00 |
| A9577 |
Inj multihance |
221 |
212 |
$0.00 |
| 85007 |
|
66 |
57 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
57 |
49 |
$0.00 |
| 90670 |
|
75 |
55 |
$0.00 |
| 90461 |
|
68 |
61 |
$0.00 |
| 76000 |
|
65 |
57 |
$0.00 |
| J0780 |
Prochlorperazine injection |
48 |
44 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
16 |
12 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
77 |
64 |
$0.00 |
| 97116 |
|
148 |
73 |
$0.00 |
| 73590 |
|
16 |
12 |
$0.00 |
| 82565 |
|
17 |
12 |
$0.00 |
| 99203 |
|
18 |
14 |
$0.00 |
| 84112 |
|
13 |
12 |
$0.00 |
| 76937 |
|
12 |
12 |
$0.00 |
| J3480 |
Inj potassium chloride |
310 |
171 |
$0.00 |
| 88304 |
|
15 |
15 |
$0.00 |
| J2920 |
Methylprednisolone injection |
85 |
45 |
$0.00 |
| A9500 |
Tc99m sestamibi |
161 |
144 |
$0.00 |
| J8540 |
Oral dexamethasone |
30 |
25 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
106 |
72 |
$0.00 |
| J7050 |
Normal saline solution infus |
353 |
177 |
$0.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
12 |
12 |
$0.00 |
| 83550 |
|
51 |
49 |
$0.00 |
| G0463 |
Hospital outpt clinic visit |
47 |
27 |
$0.00 |
| P9612 |
Catheterize for urine spec |
54 |
47 |
$0.00 |
| 90698 |
|
47 |
29 |
$0.00 |
| 94760 |
|
13 |
13 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
43 |
40 |
$0.00 |
| G0238 |
Oth resp proc, indiv |
20 |
12 |
$0.00 |
| 90744 |
|
29 |
14 |
$0.00 |
| 36416 |
|
17 |
14 |
$0.00 |
| 90656 |
|
25 |
17 |
$0.00 |
| 91301 |
|
15 |
15 |
$0.00 |
| J1940 |
Furosemide injection |
15 |
12 |
$0.00 |
| 88300 |
|
12 |
12 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
46 |
42 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
15 |
13 |
$0.00 |
| 88307 |
|
15 |
13 |
$0.00 |