| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
|
3,536 |
2,944 |
$3.76M |
| 99284 |
|
22,392 |
17,463 |
$3.63M |
| 99283 |
|
28,248 |
24,207 |
$3.51M |
| 74176 |
|
3,402 |
2,838 |
$3.08M |
| 99285 |
|
18,897 |
10,269 |
$2.67M |
| 0202U |
|
4,431 |
4,225 |
$1.77M |
| 97110 |
|
45,233 |
11,529 |
$1.66M |
| 70450 |
|
3,942 |
2,997 |
$1.62M |
| 97140 |
|
39,122 |
9,698 |
$1.24M |
| 0225U |
|
3,040 |
2,870 |
$1.20M |
| 96361 |
|
22,495 |
8,763 |
$937K |
| 97035 |
|
33,743 |
8,660 |
$816K |
| 87636 |
|
8,122 |
5,999 |
$746K |
| U0003 |
Cov-19 amp prb hgh thruput |
10,350 |
8,988 |
$725K |
| G0378 |
Hospital observation per hr |
6,662 |
2,724 |
$665K |
| 78452 |
|
1,816 |
762 |
$573K |
| 93306 |
|
1,841 |
1,467 |
$550K |
| 93005 |
|
15,095 |
11,366 |
$548K |
| 96375 |
|
10,980 |
7,360 |
$514K |
| 76705 |
|
2,413 |
2,057 |
$511K |
| 71045 |
|
13,572 |
8,681 |
$500K |
| 80053 |
|
57,801 |
39,648 |
$497K |
| 97010 |
|
27,379 |
7,867 |
$490K |
| 43239 |
|
1,328 |
875 |
$477K |
| 99282 |
|
5,400 |
4,887 |
$436K |
| 96374 |
|
21,553 |
10,153 |
$428K |
| 71046 |
|
8,120 |
6,129 |
$424K |
| 96365 |
|
10,192 |
4,485 |
$421K |
| 80307 |
|
7,936 |
6,701 |
$420K |
| 72148 |
|
889 |
778 |
$417K |
| 85025 |
|
59,879 |
41,800 |
$377K |
| 80050 |
|
9,539 |
9,090 |
$375K |
| 72100 |
|
5,123 |
4,128 |
$352K |
| 77067 |
|
1,935 |
1,846 |
$350K |
| 73562 |
|
3,790 |
2,707 |
$275K |
| 36415 |
|
110,565 |
51,271 |
$273K |
| 11042 |
|
3,431 |
1,027 |
$270K |
| 96360 |
|
9,747 |
3,551 |
$268K |
| 82306 |
|
11,750 |
10,632 |
$249K |
| 97014 |
|
27,773 |
7,701 |
$242K |
| 96372 |
|
14,249 |
8,824 |
$232K |
| 80061 |
|
20,240 |
18,051 |
$217K |
| 87637 |
|
1,980 |
1,741 |
$207K |
| 73630 |
|
2,583 |
2,114 |
$205K |
| 84443 |
|
15,103 |
13,308 |
$204K |
| 96366 |
|
1,799 |
973 |
$202K |
| 73610 |
|
2,565 |
2,096 |
$196K |
| 45380 |
|
540 |
382 |
$189K |
| 97535 |
|
10,016 |
5,892 |
$164K |
| 73130 |
|
2,166 |
1,733 |
$159K |
| 96376 |
|
3,012 |
1,706 |
$155K |
| 73030 |
|
2,734 |
2,100 |
$153K |
| 82607 |
|
11,657 |
10,704 |
$152K |
| 97161 |
|
4,337 |
3,292 |
$147K |
| 72040 |
|
2,191 |
1,835 |
$147K |
| 76830 |
|
794 |
728 |
$144K |
| 87086 |
|
21,083 |
16,817 |
$144K |
| 72125 |
|
355 |
319 |
$142K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
9,998 |
5,266 |
$134K |
| 99213 |
|
1,868 |
1,090 |
$134K |
| 73110 |
|
1,836 |
1,407 |
$131K |
| 80074 |
|
3,868 |
3,552 |
$130K |
| 84484 |
|
12,242 |
7,232 |
$130K |
| 83036 |
|
16,563 |
15,013 |
$128K |
| 59025 |
|
2,533 |
1,169 |
$122K |
| 93017 |
|
783 |
640 |
$121K |
| 97112 |
|
7,974 |
2,758 |
$113K |
| 97162 |
|
2,981 |
2,620 |
$112K |
| 71260 |
|
215 |
171 |
$100K |
| 71250 |
|
390 |
282 |
$98K |
| 83880 |
|
3,637 |
2,873 |
$97K |
| 73502 |
|
1,801 |
1,380 |
$91K |
| 72072 |
|
990 |
797 |
$90K |
| 99212 |
|
1,555 |
815 |
$90K |
| 94640 |
|
3,165 |
2,419 |
$86K |
| 87804 |
|
6,191 |
2,857 |
$84K |
| 83605 |
|
8,638 |
6,547 |
$84K |
| 80048 |
|
14,773 |
8,595 |
$81K |
| 87040 |
|
9,353 |
5,100 |
$80K |
| 81001 |
|
26,475 |
22,062 |
$79K |
| 71275 |
|
242 |
143 |
$75K |
| G0283 |
Elec stim other than wound |
15,914 |
1,212 |
$74K |
| 87389 |
|
3,878 |
3,450 |
$73K |
| 76536 |
|
426 |
393 |
$71K |
| 74018 |
|
1,255 |
1,109 |
$70K |
| 87880 |
|
4,822 |
4,483 |
$70K |
| 75574 |
|
153 |
129 |
$69K |
| J7030 |
Normal saline solution infus |
14,146 |
9,215 |
$68K |
| 87522 |
Neg quan hep c or qual rna |
1,469 |
1,264 |
$68K |
| 76700 |
|
297 |
272 |
$63K |
| A9500 |
Tc99m sestamibi |
530 |
431 |
$62K |
| J1885 |
Ketorolac tromethamine inj |
9,258 |
7,785 |
$62K |
| 87186 |
|
8,316 |
6,267 |
$60K |
| 93971 |
|
340 |
300 |
$60K |
| 83735 |
|
9,266 |
7,718 |
$54K |
| J0131 |
Inj, acetaminophen (nos) |
3,651 |
2,924 |
$54K |
| 84145 |
|
2,584 |
2,198 |
$54K |
| J2785 |
Regadenoson injection |
478 |
394 |
$50K |
| 73080 |
|
527 |
430 |
$48K |
| G0463 |
Hospital outpt clinic visit |
10,589 |
6,231 |
$47K |
| 82947 |
|
8,241 |
4,432 |
$45K |
| 90715 |
|
1,196 |
1,097 |
$44K |
| 83690 |
|
6,814 |
5,890 |
$43K |
| 85610 |
|
11,127 |
7,327 |
$43K |
| 72131 |
|
94 |
83 |
$41K |
| 74022 |
|
444 |
400 |
$40K |
| 84702 |
|
2,627 |
2,035 |
$39K |
| 84439 |
|
4,714 |
4,343 |
$37K |
| 76805 |
|
137 |
131 |
$37K |
| 76770 |
|
358 |
267 |
$34K |
| 81025 |
|
4,207 |
3,738 |
$32K |
| 82803 |
|
1,817 |
1,246 |
$31K |
| 82728 |
|
2,962 |
2,591 |
$31K |
| J2405 |
Ondansetron hcl injection |
7,543 |
6,069 |
$29K |
| 87635 |
|
540 |
503 |
$29K |
| 85730 |
|
6,002 |
4,868 |
$29K |
| 72141 |
|
88 |
67 |
$28K |
| 84481 |
|
1,679 |
1,493 |
$27K |
| 84403 |
|
1,290 |
1,163 |
$27K |
| 87077 |
|
4,199 |
2,769 |
$27K |
| J0696 |
Ceftriaxone sodium injection |
5,120 |
3,971 |
$27K |
| J7120 |
Ringers lactate infusion |
5,619 |
4,620 |
$27K |
| 84466 |
|
2,512 |
2,235 |
$26K |
| 82570 |
|
6,182 |
5,238 |
$25K |
| 86140 |
|
5,301 |
3,867 |
$24K |
| 12001 |
|
231 |
206 |
$24K |
| 97597 |
|
402 |
153 |
$23K |
| 76775 |
|
241 |
185 |
$23K |
| 85027 |
|
4,394 |
3,180 |
$23K |
| 73090 |
|
388 |
312 |
$22K |
| 87070 |
|
2,877 |
2,336 |
$22K |
| 85379 |
|
2,435 |
2,115 |
$22K |
| 82043 |
|
4,620 |
4,153 |
$21K |
| 83540 |
|
3,633 |
3,248 |
$21K |
| 73590 |
|
303 |
243 |
$20K |
| 83655 |
|
1,694 |
1,618 |
$20K |
| 84153 |
|
1,391 |
1,188 |
$19K |
| 84703 |
|
2,828 |
2,531 |
$19K |
| 83001 |
|
1,131 |
1,051 |
$19K |
| 90471 |
|
1,329 |
1,169 |
$19K |
| 86803 |
|
1,459 |
1,385 |
$19K |
| M0243 |
Casirivi and imdevi inj |
165 |
159 |
$18K |
| Q9991 |
Buprenorph xr 100 mg or less |
14 |
12 |
$18K |
| 70486 |
|
43 |
37 |
$18K |
| J1100 |
Dexamethasone sodium phos |
2,805 |
2,452 |
$17K |
| 97116 |
|
1,288 |
359 |
$17K |
| 10060 |
|
71 |
63 |
$17K |
| J7050 |
Normal saline solution infus |
3,687 |
2,181 |
$17K |
| 82077 |
|
918 |
768 |
$15K |
| 87591 |
|
458 |
414 |
$15K |
| 86038 |
|
1,469 |
1,306 |
$15K |
| J3010 |
Fentanyl citrate injection |
3,874 |
3,234 |
$14K |
| 84146 |
|
854 |
803 |
$14K |
| 87491 |
|
441 |
411 |
$14K |
| 83002 |
|
864 |
818 |
$13K |
| J2270 |
Morphine sulfate injection |
2,434 |
1,876 |
$13K |
| U0002 |
Covid-19 lab test non-cdc |
269 |
240 |
$12K |
| J0690 |
Cefazolin sodium injection |
2,089 |
1,445 |
$12K |
| 86850 |
|
1,704 |
1,516 |
$12K |
| 86317 |
|
841 |
802 |
$12K |
| 96367 |
|
232 |
170 |
$12K |
| 87340 |
|
1,106 |
1,048 |
$12K |
| J1170 |
Hydromorphone injection |
1,944 |
1,533 |
$11K |
| 87081 |
|
1,932 |
1,654 |
$11K |
| 36600 |
|
1,274 |
650 |
$11K |
| J1335 |
Ertapenem injection |
358 |
177 |
$10K |
| 84550 |
|
2,529 |
2,075 |
$10K |
| 86592 |
|
2,601 |
2,431 |
$10K |
| U0005 |
Infec agen detec ampli probe |
798 |
375 |
$9K |
| 82670 |
|
370 |
340 |
$9K |
| 82550 |
|
1,591 |
1,286 |
$9K |
| 86431 |
|
1,868 |
1,143 |
$9K |
| 76856 |
|
55 |
53 |
$8K |
| 82150 |
|
1,276 |
1,176 |
$8K |
| J2930 |
Methylprednisolone injection |
697 |
628 |
$8K |
| G0480 |
Drug test def 1-7 classes |
110 |
85 |
$8K |
| 82746 |
|
676 |
632 |
$8K |
| J2250 |
Inj midazolam hydrochloride |
3,051 |
2,593 |
$8K |
| 85652 |
|
3,066 |
2,587 |
$7K |
| 84270 |
|
448 |
418 |
$7K |
| J3370 |
Vancomycin hcl injection |
882 |
502 |
$7K |
| 84156 |
|
2,533 |
1,607 |
$7K |
| J2704 |
Inj, propofol, 10 mg |
1,338 |
1,139 |
$7K |
| 74019 |
|
104 |
100 |
$7K |
| 76642 |
|
78 |
74 |
$6K |
| 45385 |
|
13 |
12 |
$6K |
| 77063 |
|
600 |
539 |
$6K |
| 73721 |
|
17 |
13 |
$6K |
| 99291 |
|
15 |
13 |
$6K |
| 71101 |
|
81 |
61 |
$6K |
| 99214 |
|
83 |
54 |
$6K |
| J1650 |
Inj enoxaparin sodium |
556 |
336 |
$6K |
| 84402 |
|
290 |
272 |
$5K |
| 76815 |
|
30 |
25 |
$5K |
| 86787 |
|
469 |
422 |
$5K |
| 86901 |
|
1,967 |
1,698 |
$5K |
| J2360 |
Orphenadrine injection |
497 |
449 |
$5K |
| 86900 |
|
1,913 |
1,693 |
$5K |
| 80348 |
|
241 |
191 |
$5K |
| J0136 |
Inj, acetaminophen (b braun) |
769 |
613 |
$5K |
| 77066 |
Tomosynthesis, mammo |
17 |
14 |
$4K |
| 87420 |
|
330 |
304 |
$4K |
| 84100 |
|
1,072 |
897 |
$4K |
| J2550 |
Promethazine hcl injection |
673 |
561 |
$4K |
| 97530 |
|
232 |
74 |
$4K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
520 |
420 |
$4K |
| 73564 |
|
45 |
39 |
$4K |
| 86703 |
|
228 |
219 |
$4K |
| 84436 |
|
684 |
648 |
$4K |
| M0245 |
Bamlan and etesev infusion |
25 |
24 |
$3K |
| J0558 |
Peng benzathine/procaine inj |
32 |
29 |
$3K |
| M0239 |
Bamlanivimab-xxxx infusion |
52 |
49 |
$3K |
| 94760 |
|
241 |
143 |
$3K |
| 85018 |
|
1,144 |
1,042 |
$3K |
| 76000 |
|
70 |
40 |
$3K |
| 83970 |
|
106 |
81 |
$3K |
| 36416 |
|
647 |
617 |
$3K |
| 82248 |
|
509 |
430 |
$3K |
| 99281 |
|
43 |
40 |
$2K |
| 80076 |
|
351 |
318 |
$2K |
| 80179 |
|
155 |
145 |
$2K |
| J1040 |
Methylprednisolone 80 mg inj |
128 |
114 |
$2K |
| J7040 |
Normal saline solution infus |
460 |
344 |
$2K |
| 82553 |
|
203 |
153 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
332 |
281 |
$2K |
| 12002 |
|
13 |
12 |
$2K |
| 86762 |
|
267 |
246 |
$2K |
| 83525 |
|
148 |
141 |
$2K |
| 73140 |
|
30 |
26 |
$1K |
| J2920 |
Methylprednisolone injection |
119 |
85 |
$1K |
| 85007 |
|
499 |
432 |
$1K |
| 81003 |
|
906 |
756 |
$1K |
| 82950 |
|
276 |
271 |
$1K |
| 51702 |
|
43 |
38 |
$1K |
| 86757 |
|
81 |
53 |
$1K |
| 81511 |
|
14 |
14 |
$1K |
| 0031A |
|
64 |
64 |
$1K |
| 99490 |
Ccm add 20min |
472 |
466 |
$1K |
| 80143 |
|
61 |
56 |
$970.04 |
| 84144 |
|
25 |
25 |
$941.58 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
15 |
15 |
$935.94 |
| 87801 |
|
13 |
13 |
$931.88 |
| 87205 |
|
286 |
247 |
$900.60 |
| 73521 |
|
23 |
12 |
$894.95 |
| J2765 |
Metoclopramide hcl injection |
127 |
108 |
$841.54 |
| C9113 |
Inj pantoprazole sodium, via |
94 |
75 |
$837.64 |
| 29125 |
|
12 |
12 |
$832.80 |
| 86430 |
|
157 |
151 |
$808.18 |
| J2543 |
Piperacillin/tazobactam |
81 |
43 |
$777.60 |
| 86618 |
|
41 |
39 |
$694.42 |
| 97033 |
|
41 |
12 |
$662.56 |
| J2919 |
Inj, methylpred sod succ 5mg |
81 |
60 |
$658.39 |
| 86003 |
|
56 |
28 |
$647.75 |
| 77080 |
|
14 |
13 |
$622.45 |
| 83615 |
|
62 |
51 |
$595.55 |
| 97602 |
|
19 |
13 |
$486.20 |
| 99202 |
|
24 |
14 |
$451.08 |
| 77062 |
|
14 |
14 |
$410.70 |
| 87476 |
|
12 |
12 |
$409.96 |
| 82140 |
|
25 |
24 |
$393.75 |
| 82247 |
|
53 |
40 |
$311.21 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
140 |
123 |
$311.08 |
| 81002 |
|
126 |
54 |
$293.23 |
| J1920 |
Inj, labetalol hcl, 5mg |
12 |
12 |
$277.98 |
| J3475 |
Inj magnesium sulfate |
23 |
18 |
$231.62 |
| 82105 |
|
12 |
12 |
$218.30 |
| 84480 |
|
15 |
15 |
$196.53 |
| J7070 |
D5w infusion |
38 |
31 |
$194.53 |
| J0280 |
Aminophyllin 250 mg inj |
14 |
13 |
$191.40 |
| J0706 |
Caffeine citrate injection |
21 |
19 |
$172.70 |
| 86308 |
|
26 |
25 |
$160.60 |
| 80177 |
|
16 |
14 |
$159.00 |
| J0780 |
Prochlorperazine injection |
12 |
12 |
$147.32 |
| 82009 |
|
29 |
27 |
$147.18 |
| J0456 |
Azithromycin |
19 |
13 |
$134.31 |
| J2175 |
Meperidine hydrochl /100 mg |
32 |
21 |
$129.19 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
15 |
14 |
$128.30 |
| J3480 |
Inj potassium chloride |
16 |
12 |
$118.50 |
| J0330 |
Succinycholine chloride inj |
18 |
13 |
$107.08 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
17 |
15 |
$106.22 |
| J2060 |
Lorazepam injection |
32 |
28 |
$89.58 |
| 82977 |
|
14 |
13 |
$70.92 |
| 85014 |
|
31 |
29 |
$59.94 |
| 86008 |
|
19 |
17 |
$53.79 |
| 84460 |
|
14 |
13 |
$42.40 |
| 84450 |
|
14 |
13 |
$41.44 |
| 85045 |
|
31 |
12 |
$23.94 |
| J3420 |
Vitamin b12 injection |
19 |
16 |
$18.27 |