| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
50,237 |
44,668 |
$12.06M |
| 99283 |
|
25,298 |
23,384 |
$3.66M |
| 99499 |
|
12,943 |
11,580 |
$2.67M |
| 80053 |
|
56,530 |
49,637 |
$2.35M |
| 81003 |
|
16,960 |
16,117 |
$1.02M |
| 96374 |
|
9,195 |
8,463 |
$962K |
| 96372 |
|
9,671 |
8,139 |
$940K |
| J3490 |
Drugs unclassified injection |
26,661 |
19,836 |
$925K |
| 70450 |
|
7,564 |
7,115 |
$914K |
| 74177 |
|
4,975 |
4,772 |
$824K |
| 86769 |
|
9,191 |
8,943 |
$784K |
| 93005 |
|
34,130 |
30,421 |
$704K |
| 76805 |
|
5,414 |
5,182 |
$678K |
| 71046 |
|
15,127 |
14,185 |
$619K |
| 96365 |
|
5,464 |
4,682 |
$572K |
| 99284 |
|
3,391 |
3,141 |
$531K |
| G0480 |
Drug test def 1-7 classes |
8,400 |
7,375 |
$523K |
| 99285 |
|
2,310 |
2,127 |
$438K |
| 71045 |
|
15,717 |
14,768 |
$399K |
| 74176 |
|
3,176 |
3,063 |
$373K |
| G0299 |
Hhs/hospice of rn ea 15 min |
2,233 |
557 |
$345K |
| 81025 |
|
8,831 |
8,252 |
$339K |
| 93306 |
|
1,161 |
1,126 |
$339K |
| 99199 |
|
5,273 |
4,731 |
$330K |
| 84484 |
|
23,230 |
20,160 |
$327K |
| 76801 |
|
3,426 |
3,127 |
$311K |
| 0710 |
|
1,389 |
1,315 |
$292K |
| 85025 |
|
52,069 |
46,336 |
$291K |
| 83880 |
|
5,275 |
4,878 |
$283K |
| 80307 |
|
7,065 |
6,505 |
$277K |
| 72125 |
|
2,703 |
2,577 |
$273K |
| Z7502 |
|
6,758 |
6,695 |
$260K |
| 77067 |
|
3,855 |
3,826 |
$256K |
| J0690 |
Cefazolin sodium injection |
554 |
426 |
$247K |
| 99291 |
|
935 |
920 |
$225K |
| 97110 |
|
6,481 |
3,092 |
$204K |
| J1100 |
Dexamethasone sodium phos |
2,425 |
2,053 |
$203K |
| 87880 |
|
2,728 |
2,402 |
$192K |
| 76700 |
|
3,916 |
3,731 |
$190K |
| 76856 |
|
3,511 |
3,313 |
$189K |
| 96361 |
|
2,498 |
2,260 |
$182K |
| 96360 |
|
1,293 |
1,193 |
$180K |
| 86900 |
|
4,196 |
3,847 |
$177K |
| 73564 |
|
1,986 |
1,813 |
$176K |
| 76830 |
|
2,732 |
2,572 |
$175K |
| 96375 |
|
8,832 |
7,175 |
$171K |
| 71275 |
|
1,328 |
1,275 |
$170K |
| 0761 |
|
2,770 |
1,977 |
$158K |
| 93970 |
|
1,280 |
1,215 |
$156K |
| 73610 |
|
1,755 |
1,655 |
$151K |
| 93971 |
|
1,994 |
1,902 |
$148K |
| 76642 |
|
1,329 |
1,312 |
$143K |
| 73030 |
|
1,911 |
1,808 |
$137K |
| 73630 |
|
2,190 |
2,060 |
$135K |
| 99282 |
|
1,546 |
1,393 |
$116K |
| 70498 |
|
856 |
830 |
$115K |
| 0270 |
|
3,798 |
3,071 |
$114K |
| 76813 |
|
878 |
870 |
$111K |
| 76815 |
|
928 |
615 |
$110K |
| 87502 |
|
2,783 |
2,516 |
$105K |
| 82553 |
|
12,735 |
11,762 |
$102K |
| 83690 |
|
18,937 |
17,436 |
$99K |
| 0250 |
|
7,033 |
5,414 |
$96K |
| 81001 |
|
19,143 |
16,782 |
$95K |
| 82948 |
|
7,192 |
4,476 |
$89K |
| 73130 |
|
1,289 |
1,203 |
$87K |
| 84702 |
|
4,637 |
4,187 |
$85K |
| 94640 |
|
2,551 |
2,163 |
$85K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,563 |
8,047 |
$84K |
| 70496 |
|
759 |
741 |
$83K |
| 93017 |
|
689 |
675 |
$83K |
| 97162 |
|
1,009 |
948 |
$82K |
| J7040 |
Normal saline solution infus |
7,786 |
5,701 |
$82K |
| J2250 |
Inj midazolam hydrochloride |
1,762 |
1,576 |
$79K |
| 78452 |
|
348 |
341 |
$77K |
| 87086 |
|
9,573 |
8,981 |
$71K |
| 88305 |
|
136 |
130 |
$67K |
| Z9725 |
|
1,558 |
1,545 |
$67K |
| 76705 |
|
1,093 |
1,069 |
$64K |
| 70486 |
|
400 |
395 |
$63K |
| J1885 |
Ketorolac tromethamine inj |
7,139 |
6,564 |
$63K |
| 73110 |
|
802 |
745 |
$61K |
| 80048 |
|
2,947 |
2,416 |
$59K |
| J1815 |
Insulin injection |
835 |
581 |
$59K |
| 87635 |
|
1,538 |
1,512 |
$59K |
| J0131 |
Inj, acetaminophen (nos) |
1,776 |
1,651 |
$58K |
| 90715 |
|
1,909 |
1,803 |
$57K |
| J2405 |
Ondansetron hcl injection |
5,560 |
4,834 |
$57K |
| 76816 |
|
547 |
541 |
$56K |
| 84443 |
|
4,388 |
3,935 |
$55K |
| 97140 |
|
1,788 |
986 |
$54K |
| 72110 |
|
607 |
567 |
$50K |
| 87426 |
|
640 |
619 |
$49K |
| 83605 |
|
5,983 |
5,448 |
$48K |
| 76817 |
|
610 |
577 |
$48K |
| 81015 |
|
2,913 |
2,804 |
$48K |
| 87040 |
|
3,754 |
3,255 |
$48K |
| J7050 |
Normal saline solution infus |
1,467 |
996 |
$47K |
| 82550 |
|
10,411 |
9,252 |
$46K |
| 0762 |
|
791 |
741 |
$46K |
| J7030 |
Normal saline solution infus |
2,116 |
1,867 |
$45K |
| G0151 |
Hhcp-serv of pt,ea 15 min |
283 |
88 |
$45K |
| 59025 |
|
563 |
348 |
$45K |
| 96366 |
|
1,255 |
722 |
$44K |
| 77066 |
Tomosynthesis, mammo |
535 |
533 |
$42K |
| 87804 |
|
202 |
202 |
$42K |
| J0696 |
Ceftriaxone sodium injection |
2,364 |
2,132 |
$39K |
| 97014 |
|
1,562 |
787 |
$38K |
| 87491 |
|
1,822 |
1,725 |
$38K |
| 85027 |
|
7,911 |
6,833 |
$38K |
| 84703 |
|
4,960 |
4,688 |
$37K |
| 99281 |
|
981 |
873 |
$37K |
| 0272 |
|
1,792 |
1,481 |
$36K |
| 85610 |
|
9,725 |
9,064 |
$36K |
| 36415 |
|
20,495 |
15,742 |
$36K |
| 29125 |
|
125 |
105 |
$34K |
| 73590 |
|
903 |
843 |
$33K |
| 97161 |
|
335 |
334 |
$32K |
| 97530 |
|
944 |
676 |
$31K |
| 71260 |
|
185 |
181 |
$30K |
| 11042 |
|
213 |
103 |
$29K |
| 87503 |
|
2,777 |
2,511 |
$28K |
| 73502 |
|
642 |
624 |
$26K |
| 73140 |
|
250 |
241 |
$26K |
| 83735 |
|
6,326 |
5,334 |
$25K |
| 73080 |
|
388 |
363 |
$25K |
| 87186 |
|
3,593 |
3,429 |
$24K |
| 45378 |
|
13 |
13 |
$24K |
| 86140 |
|
4,294 |
4,052 |
$24K |
| 72100 |
|
357 |
351 |
$22K |
| A9505 |
Tl201 thallium |
327 |
321 |
$22K |
| 72131 |
|
214 |
210 |
$22K |
| 85379 |
|
1,835 |
1,752 |
$20K |
| A9502 |
Tc99m tetrofosmin |
338 |
330 |
$20K |
| 83520 |
|
2,609 |
2,514 |
$20K |
| 96367 |
|
451 |
386 |
$19K |
| J3010 |
Fentanyl citrate injection |
1,540 |
1,378 |
$19K |
| 86901 |
|
4,192 |
3,842 |
$18K |
| 82805 |
|
280 |
263 |
$18K |
| 87070 |
|
1,129 |
1,042 |
$17K |
| J7120 |
Ringers lactate infusion |
1,275 |
1,189 |
$17K |
| 85730 |
|
4,343 |
4,084 |
$16K |
| 87591 |
|
907 |
825 |
$15K |
| 76770 |
|
249 |
236 |
$15K |
| 76819 |
|
140 |
110 |
$15K |
| J1170 |
Hydromorphone injection |
1,772 |
1,342 |
$14K |
| G0463 |
Hospital outpt clinic visit |
378 |
248 |
$14K |
| 86850 |
|
1,769 |
1,657 |
$14K |
| J1644 |
Inj heparin sodium per 1000u |
545 |
371 |
$14K |
| 85007 |
|
3,444 |
3,175 |
$14K |
| J2270 |
Morphine sulfate injection |
1,014 |
819 |
$13K |
| 97172 |
|
319 |
308 |
$13K |
| 73090 |
|
334 |
314 |
$13K |
| J1200 |
Diphenhydramine hcl injectio |
1,560 |
1,356 |
$12K |
| 80061 |
|
1,033 |
984 |
$12K |
| 87077 |
|
1,940 |
1,887 |
$12K |
| 90471 |
|
1,150 |
1,027 |
$12K |
| 80306 |
|
1,779 |
1,553 |
$12K |
| A9270 |
Non-covered item or service |
5,750 |
2,079 |
$11K |
| J2785 |
Regadenoson injection |
93 |
93 |
$11K |
| 85651 |
|
3,344 |
3,185 |
$10K |
| J7060 |
5% dextrose/water |
388 |
281 |
$10K |
| J1642 |
Inj heparin sodium per 10 u |
306 |
170 |
$10K |
| 96376 |
|
1,871 |
1,237 |
$9K |
| G0378 |
Hospital observation per hr |
247 |
239 |
$9K |
| 97113 |
|
183 |
96 |
$9K |
| 77065 |
Tomosynthesis, mammo |
125 |
121 |
$9K |
| J2060 |
Lorazepam injection |
1,718 |
1,478 |
$9K |
| 96413 |
|
102 |
73 |
$8K |
| 86756 |
|
562 |
517 |
$8K |
| 97139 |
|
245 |
112 |
$7K |
| 84100 |
|
2,571 |
2,220 |
$7K |
| 87210 |
|
520 |
492 |
$7K |
| 87147 |
|
528 |
500 |
$7K |
| 0241U |
|
173 |
171 |
$7K |
| 72050 |
|
72 |
71 |
$6K |
| 71250 |
|
42 |
42 |
$6K |
| 97112 |
|
178 |
82 |
$6K |
| J2765 |
Metoclopramide hcl injection |
1,206 |
1,115 |
$6K |
| 83036 |
|
1,290 |
1,205 |
$6K |
| 29515 |
|
37 |
37 |
$6K |
| 0320 |
|
68 |
64 |
$5K |
| 94644 |
|
185 |
166 |
$5K |
| C1769 |
Guide wire |
71 |
69 |
$5K |
| 12001 |
|
39 |
39 |
$5K |
| 12011 |
|
14 |
14 |
$5K |
| J0360 |
Hydralazine hcl injection |
14 |
13 |
$5K |
| 82375 |
|
691 |
653 |
$5K |
| 77063 |
|
92 |
85 |
$4K |
| 99070 |
|
310 |
261 |
$4K |
| J2930 |
Methylprednisolone injection |
158 |
125 |
$3K |
| C1894 |
Intro/sheath, non-laser |
116 |
108 |
$3K |
| U0002 |
Covid-19 lab test non-cdc |
130 |
127 |
$3K |
| 82330 |
|
339 |
320 |
$3K |
| 71020 |
|
178 |
95 |
$3K |
| 76870 |
|
54 |
50 |
$3K |
| 82962 |
|
217 |
192 |
$3K |
| 73562 |
|
51 |
50 |
$3K |
| 74019 |
|
56 |
56 |
$3K |
| 73552 |
|
82 |
77 |
$3K |
| 84145 |
|
15 |
15 |
$3K |
| 0510 |
|
35 |
26 |
$2K |
| P9016 |
Rbc leukocytes reduced |
17 |
13 |
$2K |
| 71010 |
|
49 |
29 |
$2K |
| 0001A |
|
93 |
93 |
$2K |
| 82140 |
|
346 |
307 |
$2K |
| 74018 |
|
47 |
39 |
$2K |
| 94760 |
|
182 |
170 |
$2K |
| S0164 |
Injection pantroprazole |
172 |
126 |
$2K |
| J1630 |
Haloperidol injection |
197 |
183 |
$2K |
| 97116 |
|
95 |
68 |
$2K |
| 72128 |
|
25 |
25 |
$2K |
| 0002A |
|
81 |
81 |
$2K |
| 86308 |
|
50 |
49 |
$2K |
| 83050 |
|
477 |
452 |
$2K |
| Q4051 |
Splint supplies misc |
50 |
22 |
$2K |
| J3475 |
Inj magnesium sulfate |
183 |
168 |
$1K |
| G1004 |
Cdsm ndsc |
493 |
477 |
$1K |
| 87420 |
|
165 |
165 |
$1K |
| 74241 |
|
15 |
15 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
298 |
286 |
$1K |
| A0429 |
Bls-emergency |
64 |
46 |
$1K |
| 92507 |
|
21 |
15 |
$1K |
| S0020 |
Injection, bupivicaine hydro |
597 |
503 |
$1K |
| Z7610 |
|
82 |
78 |
$1K |
| 97802 |
|
13 |
13 |
$1K |
| A9579 |
Gad-base mr contrast nos,1ml |
54 |
52 |
$1K |
| 71111 |
|
12 |
12 |
$1K |
| J2550 |
Promethazine hcl injection |
155 |
132 |
$974.89 |
| 97750 |
|
28 |
28 |
$912.18 |
| 73620 |
|
12 |
12 |
$848.94 |
| 76536 |
|
12 |
12 |
$836.71 |
| Z7500 |
|
19 |
13 |
$647.90 |
| G0202 |
Scr mammo bi incl cad |
14 |
13 |
$630.00 |
| 87205 |
|
85 |
79 |
$614.20 |
| 87641 |
|
121 |
116 |
$567.34 |
| 74022 |
|
13 |
13 |
$511.27 |
| 77080 |
|
13 |
13 |
$511.19 |
| J1650 |
Inj enoxaparin sodium |
63 |
39 |
$501.60 |
| 82728 |
|
70 |
69 |
$440.93 |
| 82150 |
|
95 |
90 |
$427.65 |
| 82803 |
|
55 |
54 |
$404.21 |
| 82010 |
|
46 |
39 |
$346.88 |
| J8540 |
Oral dexamethasone |
87 |
65 |
$339.05 |
| 84439 |
|
43 |
37 |
$323.26 |
| 71101 |
|
12 |
12 |
$319.68 |
| 87071 |
|
50 |
41 |
$309.57 |
| 83615 |
|
70 |
70 |
$304.61 |
| 0370 |
|
652 |
603 |
$289.37 |
| 84550 |
|
30 |
28 |
$258.61 |
| 87801 |
|
14 |
14 |
$209.54 |
| 80051 |
|
135 |
128 |
$207.37 |
| A9585 |
Gadobutrol injection |
12 |
12 |
$204.51 |
| 85018 |
|
124 |
116 |
$185.45 |
| J0780 |
Prochlorperazine injection |
27 |
27 |
$166.94 |
| 86317 |
|
12 |
12 |
$151.65 |
| 85014 |
|
142 |
134 |
$120.51 |
| 84480 |
|
15 |
13 |
$116.61 |
| 86780 |
|
12 |
12 |
$115.18 |
| 84436 |
|
13 |
12 |
$64.96 |
| 82607 |
|
13 |
13 |
$59.60 |
| J3480 |
Inj potassium chloride |
12 |
12 |
$29.85 |
| G8978 |
Mobility current status |
58 |
58 |
$0.01 |
| G8979 |
Mobility goal status |
60 |
60 |
$0.01 |
| 90853 |
|
2,031 |
244 |
$0.00 |
| 90832 |
|
120 |
77 |
$0.00 |
| 91300 |
|
15 |
15 |
$0.00 |