| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
39,312 |
33,666 |
$6.36M |
| 99283 |
|
24,763 |
21,287 |
$3.28M |
| 99285 |
|
20,578 |
17,297 |
$2.98M |
| 96361 |
|
10,266 |
7,932 |
$2.64M |
| 74177 |
|
6,702 |
5,930 |
$1.31M |
| 70450 |
|
6,697 |
5,740 |
$1.06M |
| 99282 |
|
7,980 |
7,200 |
$970K |
| 74176 |
|
4,215 |
3,700 |
$836K |
| 0241U |
|
14,526 |
12,955 |
$797K |
| 96366 |
|
3,299 |
2,197 |
$726K |
| 93306 |
|
2,456 |
2,198 |
$704K |
| 96413 |
|
5,969 |
3,019 |
$687K |
| 97110 |
|
16,032 |
3,695 |
$626K |
| 64493 |
|
624 |
510 |
$530K |
| 96365 |
|
6,691 |
4,919 |
$529K |
| G0378 |
Hospital observation per hr |
3,868 |
2,832 |
$470K |
| 62323 |
|
940 |
831 |
$424K |
| 80307 |
|
9,877 |
8,158 |
$416K |
| 64635 |
|
336 |
248 |
$356K |
| 27096 |
|
523 |
506 |
$323K |
| 72148 |
|
1,742 |
1,617 |
$294K |
| 96360 |
|
2,700 |
2,300 |
$289K |
| 78815 |
|
360 |
326 |
$273K |
| 71275 |
|
1,236 |
1,118 |
$266K |
| 43239 |
|
594 |
540 |
$250K |
| 94640 |
|
5,121 |
3,844 |
$223K |
| G0463 |
Hospital outpt clinic visit |
2,704 |
1,953 |
$222K |
| 99291 |
|
1,076 |
920 |
$220K |
| J2505 |
Injection, pegfilgrastim 6mg |
114 |
64 |
$205K |
| 76705 |
|
1,924 |
1,766 |
$182K |
| 77067 |
|
3,618 |
3,454 |
$176K |
| 80053 |
|
42,557 |
34,258 |
$173K |
| 76536 |
|
1,635 |
1,513 |
$160K |
| 97162 |
|
1,638 |
1,470 |
$152K |
| 96415 |
|
992 |
583 |
$151K |
| 73721 |
|
785 |
737 |
$150K |
| 70553 |
|
475 |
447 |
$143K |
| 71260 |
|
1,773 |
1,547 |
$132K |
| 99281 |
|
1,462 |
1,299 |
$132K |
| 71046 |
|
8,303 |
7,440 |
$118K |
| J2469 |
Palonosetron hcl |
1,813 |
911 |
$117K |
| J9271 |
Inj pembrolizumab |
15 |
14 |
$113K |
| 78452 |
|
244 |
215 |
$113K |
| 76700 |
|
970 |
900 |
$108K |
| 45378 |
|
109 |
105 |
$93K |
| 93971 |
|
1,050 |
917 |
$91K |
| G0283 |
Elec stim other than wound |
5,747 |
1,518 |
$90K |
| 95886 |
|
723 |
695 |
$89K |
| 71250 |
|
1,610 |
1,409 |
$88K |
| 96523 |
|
1,761 |
1,448 |
$86K |
| 99211 |
|
542 |
515 |
$77K |
| 72141 |
|
422 |
401 |
$77K |
| P9016 |
Rbc leukocytes reduced |
274 |
177 |
$72K |
| 77412 |
|
392 |
36 |
$71K |
| 36591 |
|
2,506 |
1,899 |
$68K |
| 92507 |
|
351 |
76 |
$66K |
| 29581 |
|
450 |
145 |
$66K |
| 12001 |
|
350 |
319 |
$65K |
| 99213 |
|
681 |
515 |
$61K |
| 76641 |
|
530 |
472 |
$55K |
| 87040 |
|
9,478 |
4,645 |
$53K |
| J1439 |
Inj ferric carboxymaltos 1mg |
465 |
240 |
$52K |
| J1453 |
Fosaprepitant injection |
650 |
348 |
$51K |
| 93005 |
|
22,468 |
17,341 |
$48K |
| 0202U |
|
632 |
602 |
$48K |
| 73221 |
|
278 |
253 |
$47K |
| 84443 |
|
8,166 |
7,374 |
$47K |
| 74018 |
|
2,833 |
2,550 |
$47K |
| 85025 |
|
47,721 |
37,268 |
$46K |
| 83880 |
|
5,963 |
4,871 |
$46K |
| 96374 |
|
20,052 |
16,242 |
$45K |
| G0480 |
Drug test def 1-7 classes |
5,161 |
4,247 |
$44K |
| 72125 |
|
2,051 |
1,789 |
$44K |
| J0897 |
Denosumab injection |
104 |
95 |
$43K |
| 36415 |
|
38,241 |
28,607 |
$43K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
13,640 |
11,850 |
$43K |
| 73562 |
|
2,944 |
2,598 |
$42K |
| 96372 |
|
14,111 |
10,697 |
$42K |
| 80048 |
|
11,322 |
8,716 |
$41K |
| 47562 |
|
12 |
12 |
$41K |
| 72100 |
|
2,195 |
2,007 |
$38K |
| 95810 |
|
70 |
65 |
$37K |
| 36430 |
|
397 |
246 |
$34K |
| 71271 |
|
358 |
350 |
$34K |
| 77336 |
|
653 |
244 |
$33K |
| 95811 |
|
75 |
69 |
$33K |
| 93017 |
|
337 |
305 |
$29K |
| 71045 |
|
14,980 |
12,381 |
$28K |
| 73030 |
|
2,336 |
2,041 |
$28K |
| 73630 |
|
2,725 |
2,448 |
$25K |
| 73610 |
|
2,242 |
2,050 |
$22K |
| 90715 |
|
1,160 |
1,076 |
$21K |
| 70551 |
|
111 |
101 |
$21K |
| 82306 |
|
1,501 |
1,414 |
$20K |
| 70496 |
|
74 |
64 |
$19K |
| 97530 |
|
599 |
171 |
$18K |
| 84484 |
|
17,432 |
11,994 |
$18K |
| 83036 |
|
3,944 |
3,658 |
$17K |
| 95806 |
|
25 |
24 |
$17K |
| 80061 |
|
3,307 |
3,042 |
$16K |
| 70486 |
|
401 |
350 |
$16K |
| 73130 |
|
1,920 |
1,723 |
$16K |
| 97014 |
|
513 |
170 |
$14K |
| 97140 |
|
883 |
253 |
$14K |
| 87086 |
|
7,691 |
6,655 |
$13K |
| 96416 |
|
43 |
24 |
$13K |
| 85379 |
|
3,048 |
2,682 |
$13K |
| 59025 |
|
66 |
54 |
$13K |
| 85027 |
|
5,730 |
4,760 |
$13K |
| J7030 |
Normal saline solution infus |
6,827 |
5,248 |
$12K |
| 97035 |
|
544 |
149 |
$12K |
| 73502 |
|
1,154 |
994 |
$12K |
| U0003 |
Cov-19 amp prb hgh thruput |
803 |
699 |
$12K |
| 72131 |
|
301 |
273 |
$12K |
| 45380 |
|
12 |
12 |
$12K |
| 80074 |
|
940 |
883 |
$12K |
| 97597 |
|
113 |
78 |
$11K |
| 74178 |
|
54 |
49 |
$11K |
| 73110 |
|
1,265 |
1,141 |
$11K |
| 96375 |
|
16,411 |
11,610 |
$11K |
| 84702 |
|
2,142 |
1,678 |
$11K |
| 29125 |
|
58 |
52 |
$10K |
| 64494 |
|
640 |
507 |
$10K |
| 62321 |
|
12 |
12 |
$10K |
| 84439 |
|
2,574 |
2,355 |
$10K |
| 81001 |
|
18,403 |
15,340 |
$9K |
| 70491 |
|
59 |
53 |
$9K |
| 81025 |
|
9,203 |
8,105 |
$9K |
| 97161 |
|
52 |
52 |
$8K |
| 94729 |
|
301 |
286 |
$8K |
| 84481 |
|
691 |
647 |
$8K |
| 64636 |
|
38 |
24 |
$8K |
| 83605 |
|
10,201 |
7,491 |
$8K |
| 0001A |
|
279 |
254 |
$7K |
| C8929 |
Tte w or wo fol wcon,doppler |
30 |
27 |
$7K |
| 76830 |
|
70 |
67 |
$7K |
| 86592 |
|
1,125 |
1,052 |
$7K |
| 93970 |
|
73 |
65 |
$7K |
| 72040 |
|
225 |
210 |
$7K |
| 87389 |
|
1,166 |
1,107 |
$7K |
| 81003 |
|
11,791 |
10,203 |
$7K |
| 0002A |
|
215 |
196 |
$7K |
| 99214 |
|
75 |
65 |
$6K |
| 93246 |
|
168 |
164 |
$6K |
| 82670 |
|
443 |
423 |
$6K |
| 96417 |
|
818 |
412 |
$6K |
| 87186 |
|
3,609 |
3,072 |
$5K |
| G0260 |
Inj for sacroiliac jt anesth |
42 |
37 |
$5K |
| 94726 |
|
137 |
129 |
$5K |
| 82607 |
|
979 |
920 |
$5K |
| 76000 |
|
153 |
134 |
$5K |
| 72110 |
|
124 |
115 |
$5K |
| 84403 |
|
393 |
373 |
$4K |
| U0002 |
Covid-19 lab test non-cdc |
968 |
826 |
$4K |
| 94060 |
|
87 |
81 |
$4K |
| 83001 |
|
511 |
489 |
$4K |
| 84146 |
|
481 |
454 |
$4K |
| 72050 |
|
160 |
151 |
$4K |
| 73080 |
|
539 |
472 |
$4K |
| 76805 |
|
42 |
41 |
$4K |
| J7050 |
Normal saline solution infus |
3,230 |
1,415 |
$4K |
| 80143 |
|
1,104 |
932 |
$4K |
| 87591 |
|
484 |
448 |
$4K |
| 83002 |
|
506 |
484 |
$4K |
| 97163 |
|
90 |
83 |
$4K |
| 77080 |
|
59 |
59 |
$4K |
| 87804 |
|
8,613 |
4,369 |
$4K |
| 86850 |
|
1,956 |
1,626 |
$4K |
| 95913 |
|
66 |
63 |
$4K |
| 29515 |
|
13 |
13 |
$3K |
| 86901 |
|
2,339 |
1,940 |
$3K |
| 96376 |
|
4,729 |
3,078 |
$3K |
| J2405 |
Ondansetron hcl injection |
13,339 |
10,572 |
$3K |
| 36600 |
|
2,567 |
1,951 |
$3K |
| 90471 |
|
1,275 |
1,120 |
$3K |
| 96367 |
|
3,451 |
1,883 |
$3K |
| 87635 |
|
201 |
186 |
$3K |
| 82728 |
|
450 |
408 |
$3K |
| 83735 |
|
9,926 |
7,923 |
$3K |
| A9585 |
Gadobutrol injection |
1,465 |
1,330 |
$3K |
| J1100 |
Dexamethasone sodium phos |
8,724 |
6,459 |
$3K |
| 83655 |
|
226 |
223 |
$3K |
| 72072 |
|
185 |
166 |
$3K |
| 74174 |
|
12 |
12 |
$2K |
| 82565 |
|
1,308 |
1,098 |
$2K |
| 87077 |
|
3,448 |
2,938 |
$2K |
| 87070 |
|
1,583 |
1,310 |
$2K |
| M0243 |
Casirivi and imdevi inj |
16 |
13 |
$2K |
| 86762 |
|
347 |
324 |
$2K |
| 12002 |
|
12 |
12 |
$2K |
| 86140 |
|
1,188 |
1,055 |
$2K |
| 80076 |
|
740 |
637 |
$2K |
| 73590 |
|
343 |
308 |
$2K |
| 10060 |
|
44 |
37 |
$2K |
| 93880 |
|
30 |
25 |
$2K |
| 82570 |
|
731 |
645 |
$2K |
| 76870 |
|
16 |
14 |
$2K |
| J8540 |
Oral dexamethasone |
1,750 |
842 |
$2K |
| 83525 |
|
282 |
268 |
$2K |
| 87081 |
|
5,552 |
5,094 |
$2K |
| 85018 |
|
538 |
457 |
$2K |
| 74022 |
|
523 |
467 |
$2K |
| 80179 |
|
1,063 |
913 |
$2K |
| 85652 |
|
1,445 |
1,257 |
$2K |
| 85610 |
|
3,624 |
2,925 |
$2K |
| 82950 |
|
376 |
365 |
$2K |
| 83690 |
|
11,231 |
9,405 |
$2K |
| J1642 |
Inj heparin sodium per 10 u |
8,494 |
4,224 |
$2K |
| 86900 |
|
2,330 |
1,929 |
$2K |
| 95910 |
|
12 |
12 |
$2K |
| 77280 |
|
16 |
13 |
$2K |
| 83550 |
|
328 |
302 |
$2K |
| 83540 |
|
495 |
455 |
$1K |
| 93242 |
|
26 |
25 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
10,266 |
8,495 |
$1K |
| 94664 |
|
1,081 |
850 |
$1K |
| 70498 |
|
46 |
38 |
$1K |
| 71101 |
|
141 |
122 |
$965.47 |
| 82140 |
|
1,454 |
1,164 |
$951.94 |
| 87491 |
|
483 |
447 |
$912.53 |
| 83050 |
|
623 |
505 |
$904.38 |
| 87205 |
|
1,435 |
1,118 |
$904.21 |
| 64495 |
|
128 |
106 |
$852.53 |
| 87651 |
|
3,584 |
3,348 |
$785.73 |
| 95912 |
|
14 |
14 |
$781.80 |
| J3301 |
Triamcinolone acet inj nos |
1,326 |
1,175 |
$772.21 |
| 84703 |
|
2,898 |
2,615 |
$756.16 |
| 82803 |
|
2,061 |
1,477 |
$721.58 |
| 87880 |
|
5,845 |
5,358 |
$720.66 |
| J7040 |
Normal saline solution infus |
1,768 |
1,135 |
$671.60 |
| 77065 |
Tomosynthesis, mammo |
14 |
12 |
$651.48 |
| 84100 |
|
1,202 |
907 |
$618.11 |
| 73090 |
|
158 |
137 |
$609.93 |
| 82043 |
|
292 |
267 |
$584.61 |
| J2930 |
Methylprednisolone injection |
2,556 |
1,999 |
$579.42 |
| 85730 |
|
1,751 |
1,474 |
$577.57 |
| J0696 |
Ceftriaxone sodium injection |
5,540 |
4,277 |
$569.99 |
| J2270 |
Morphine sulfate injection |
3,465 |
2,561 |
$550.54 |
| 72128 |
|
28 |
25 |
$527.53 |
| J1200 |
Diphenhydramine hcl injectio |
3,712 |
2,726 |
$513.68 |
| 84520 |
|
414 |
338 |
$512.61 |
| 88305 |
|
1,570 |
1,422 |
$505.29 |
| 94727 |
|
29 |
25 |
$503.07 |
| Q9950 |
Inj sulf hexa lipid microsph |
32 |
28 |
$480.90 |
| 77066 |
Tomosynthesis, mammo |
16 |
12 |
$470.68 |
| 82166 |
|
26 |
24 |
$469.49 |
| 85007 |
|
1,756 |
1,438 |
$413.96 |
| J3480 |
Inj potassium chloride |
1,161 |
655 |
$409.80 |
| J2250 |
Inj midazolam hydrochloride |
3,559 |
3,086 |
$398.26 |
| J2060 |
Lorazepam injection |
1,035 |
779 |
$347.03 |
| 84156 |
|
143 |
118 |
$341.09 |
| J2360 |
Orphenadrine injection |
1,421 |
1,238 |
$320.72 |
| J3420 |
Vitamin b12 injection |
1,140 |
806 |
$311.03 |
| J3490 |
Drugs unclassified injection |
2,340 |
1,394 |
$291.93 |
| 84112 |
|
18 |
15 |
$280.24 |
| 84550 |
|
205 |
179 |
$279.49 |
| 82550 |
|
563 |
476 |
$275.21 |
| C9113 |
Inj pantoprazole sodium, via |
1,566 |
1,051 |
$274.48 |
| 82150 |
|
1,419 |
1,226 |
$253.52 |
| J0690 |
Cefazolin sodium injection |
1,708 |
1,448 |
$251.37 |
| J1756 |
Iron sucrose injection |
475 |
181 |
$251.02 |
| J3010 |
Fentanyl citrate injection |
4,279 |
3,456 |
$249.28 |
| 94761 |
|
3,667 |
2,748 |
$234.25 |
| 94762 |
|
43 |
31 |
$232.72 |
| 87641 |
|
91 |
83 |
$221.20 |
| J1170 |
Hydromorphone injection |
1,999 |
1,423 |
$220.05 |
| J7620 |
Albuterol ipratrop non-comp |
1,111 |
913 |
$205.82 |
| J1940 |
Furosemide injection |
562 |
349 |
$205.74 |
| 82805 |
|
615 |
497 |
$195.80 |
| J1030 |
Methylprednisolone 40 mg inj |
468 |
417 |
$185.27 |
| J1650 |
Inj enoxaparin sodium |
1,041 |
661 |
$184.11 |
| J7120 |
Ringers lactate infusion |
1,882 |
1,505 |
$179.69 |
| 96368 |
|
634 |
396 |
$175.29 |
| 0011A |
|
29 |
25 |
$158.57 |
| J3475 |
Inj magnesium sulfate |
1,206 |
838 |
$143.10 |
| 80320 |
|
272 |
239 |
$127.34 |
| 51702 |
|
14 |
12 |
$117.95 |
| 82272 |
|
314 |
274 |
$111.30 |
| J0780 |
Prochlorperazine injection |
1,371 |
1,156 |
$102.22 |
| J3370 |
Vancomycin hcl injection |
717 |
340 |
$96.31 |
| 87209 |
|
15 |
15 |
$95.43 |
| J2785 |
Regadenoson injection |
168 |
144 |
$93.26 |
| 73552 |
|
17 |
14 |
$85.78 |
| 86038 |
|
14 |
12 |
$82.79 |
| 94760 |
|
1,770 |
1,386 |
$81.28 |
| 82375 |
|
617 |
500 |
$79.34 |
| 87210 |
|
57 |
55 |
$73.80 |
| 87807 |
|
468 |
443 |
$71.87 |
| J9190 |
Fluorouracil injection |
119 |
24 |
$71.16 |
| J2765 |
Metoclopramide hcl injection |
908 |
776 |
$62.60 |
| 87177 |
|
15 |
15 |
$58.20 |
| J2920 |
Methylprednisolone injection |
48 |
39 |
$57.28 |
| J1644 |
Inj heparin sodium per 1000u |
348 |
205 |
$55.01 |
| J1815 |
Insulin injection |
756 |
361 |
$47.36 |
| J2550 |
Promethazine hcl injection |
565 |
443 |
$39.95 |
| J2780 |
Ranitidine hydrochloride inj |
259 |
88 |
$32.12 |
| J2543 |
Piperacillin/tazobactam |
609 |
216 |
$31.75 |
| J7613 |
Albuterol non-comp unit |
259 |
223 |
$26.37 |
| J2704 |
Inj, propofol, 10 mg |
3,310 |
2,887 |
$25.90 |
| J7512 |
Prednisone ir or dr oral 1mg |
757 |
658 |
$22.43 |
| J2471 |
Inj pantoprazole(hikma) 40mg |
108 |
86 |
$19.58 |
| 82010 |
|
117 |
95 |
$17.99 |
| 86308 |
|
59 |
54 |
$16.31 |
| J2001 |
Lidocaine injection |
265 |
115 |
$15.80 |
| 88312 |
|
468 |
433 |
$14.24 |
| A9500 |
Tc99m sestamibi |
247 |
217 |
$6.77 |
| J2175 |
Meperidine hydrochl /100 mg |
185 |
128 |
$6.63 |
| J0171 |
Adrenalin epinephrine inject |
80 |
54 |
$5.90 |
| J7510 |
Prednisolone oral per 5 mg |
79 |
75 |
$4.99 |
| J1020 |
Methylprednisolone 20 mg inj |
69 |
57 |
$2.74 |
| 88304 |
|
308 |
283 |
$1.97 |
| J0456 |
Azithromycin |
31 |
24 |
$1.58 |
| J1956 |
Levofloxacin injection |
33 |
27 |
$1.42 |
| J2919 |
Inj, methylpred sod succ 5mg |
254 |
206 |
$1.28 |
| A9270 |
Non-covered item or service |
7,176 |
1,899 |
$0.59 |
| 96377 |
|
42 |
24 |
$0.00 |
| 76801 |
|
50 |
40 |
$0.00 |
| 96411 |
|
23 |
14 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
613 |
508 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
97 |
78 |
$0.00 |
| A9552 |
F18 fdg |
382 |
346 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
392 |
294 |
$0.00 |
| A9537 |
Tc99m mebrofenin |
30 |
26 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
56 |
41 |
$0.00 |
| G8979 |
Mobility goal status |
19 |
14 |
$0.00 |
| J0737 |
Inj, clindamycin (baxter) |
23 |
21 |
$0.00 |
| A4216 |
Sterile water/saline, 10 ml |
34 |
22 |
$0.00 |
| G8978 |
Mobility current status |
19 |
14 |
$0.00 |