| Code | Description | Claims | Beneficiaries | Total Paid |
| 74176 |
|
18,737 |
16,458 |
$1.36M |
| A0429 |
Bls-emergency |
30,343 |
17,525 |
$1.21M |
| 0450 |
|
111,342 |
94,815 |
$1.13M |
| 96374 |
|
21,491 |
17,400 |
$720K |
| 87633 |
|
3,113 |
2,964 |
$596K |
| 70450 |
|
14,356 |
12,831 |
$593K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
2,669 |
1,920 |
$592K |
| U0002 |
Covid-19 lab test non-cdc |
27,057 |
21,682 |
$589K |
| 87636 |
|
4,927 |
4,611 |
$484K |
| 93005 |
|
34,406 |
28,430 |
$365K |
| 96375 |
|
16,089 |
12,563 |
$338K |
| 71045 |
|
40,218 |
34,720 |
$267K |
| 80053 |
|
49,379 |
40,254 |
$263K |
| 80307 |
|
6,407 |
5,312 |
$260K |
| 96361 |
|
15,689 |
12,331 |
$258K |
| 96372 |
|
15,390 |
12,410 |
$246K |
| 96365 |
|
5,120 |
4,219 |
$221K |
| 99199 |
|
4,387 |
3,890 |
$213K |
| 78452 |
|
2,952 |
2,544 |
$189K |
| 76705 |
|
6,238 |
5,568 |
$181K |
| 93306 |
|
2,453 |
2,237 |
$173K |
| 96360 |
|
4,951 |
4,102 |
$165K |
| 72125 |
|
2,498 |
2,263 |
$159K |
| L8699 |
Prosthetic implant nos |
170 |
136 |
$148K |
| J3490 |
Drugs unclassified injection |
50,454 |
33,950 |
$146K |
| C1776 |
Joint device (implantable) |
171 |
102 |
$145K |
| 83880 |
|
9,127 |
7,642 |
$141K |
| Z7502 |
|
3,695 |
3,626 |
$139K |
| 85025 |
|
37,990 |
30,585 |
$137K |
| J2785 |
Regadenoson injection |
1,772 |
1,485 |
$133K |
| J0131 |
Inj, acetaminophen (nos) |
4,902 |
3,929 |
$132K |
| 76815 |
|
4,407 |
2,436 |
$130K |
| J7030 |
Normal saline solution infus |
26,795 |
20,298 |
$124K |
| Z9725 |
|
2,754 |
2,721 |
$119K |
| 72131 |
|
1,867 |
1,637 |
$117K |
| 85027 |
|
38,303 |
32,098 |
$113K |
| 93971 |
|
1,534 |
1,384 |
$110K |
| J2405 |
Ondansetron hcl injection |
32,148 |
25,005 |
$108K |
| 59025 |
|
7,606 |
2,283 |
$106K |
| 76856 |
|
2,741 |
2,485 |
$102K |
| 84484 |
|
21,818 |
17,395 |
$100K |
| J2704 |
Inj, propofol, 10 mg |
19,962 |
16,070 |
$98K |
| 76801 |
|
2,473 |
2,128 |
$96K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,241 |
2,419 |
$86K |
| 0270 |
|
43,840 |
27,119 |
$83K |
| 71250 |
|
1,297 |
1,156 |
$81K |
| J0330 |
Succinycholine chloride inj |
4,912 |
4,052 |
$80K |
| J1170 |
Hydromorphone injection |
13,407 |
7,763 |
$78K |
| J0690 |
Cefazolin sodium injection |
15,854 |
12,325 |
$75K |
| 83690 |
|
21,830 |
18,518 |
$74K |
| 97597 |
|
2,925 |
1,590 |
$74K |
| J7120 |
Ringers lactate infusion |
15,235 |
11,592 |
$74K |
| 99285 |
|
3,263 |
2,693 |
$72K |
| 71275 |
|
620 |
514 |
$72K |
| J2270 |
Morphine sulfate injection |
13,483 |
9,651 |
$71K |
| J3010 |
Fentanyl citrate injection |
20,632 |
16,868 |
$71K |
| J1885 |
Ketorolac tromethamine inj |
18,672 |
14,884 |
$71K |
| 80048 |
|
17,709 |
14,075 |
$70K |
| 81001 |
|
47,325 |
40,916 |
$69K |
| A9502 |
Tc99m tetrofosmin |
2,893 |
2,474 |
$69K |
| 76805 |
|
1,265 |
1,148 |
$68K |
| 76830 |
|
1,698 |
1,553 |
$67K |
| J2710 |
Neostigmine methylslfte inj |
3,644 |
2,954 |
$59K |
| 76817 |
|
1,418 |
1,218 |
$58K |
| C1769 |
Guide wire |
444 |
331 |
$55K |
| A9270 |
Non-covered item or service |
5,793 |
3,709 |
$54K |
| P9016 |
Rbc leukocytes reduced |
335 |
258 |
$52K |
| 94664 |
|
7,371 |
6,228 |
$49K |
| S0020 |
Injection, bupivicaine hydro |
7,356 |
5,928 |
$46K |
| J1100 |
Dexamethasone sodium phos |
12,246 |
9,819 |
$45K |
| 99283 |
|
8,450 |
7,583 |
$45K |
| 0160 |
|
5,538 |
2,561 |
$43K |
| 81025 |
|
20,138 |
17,439 |
$43K |
| 11042 |
|
8,518 |
3,726 |
$41K |
| 93017 |
|
3,234 |
2,785 |
$40K |
| 73564 |
|
2,480 |
2,294 |
$40K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,189 |
4,158 |
$38K |
| 85610 |
|
22,513 |
18,559 |
$38K |
| C1781 |
Mesh (implantable) |
1,105 |
833 |
$38K |
| 90715 |
|
1,555 |
1,439 |
$34K |
| J7050 |
Normal saline solution infus |
10,899 |
7,446 |
$33K |
| 73630 |
|
2,461 |
2,238 |
$33K |
| 87088 |
|
9,760 |
8,512 |
$33K |
| J2175 |
Meperidine hydrochl /100 mg |
4,350 |
3,520 |
$32K |
| 99284 |
|
3,870 |
3,225 |
$32K |
| G0378 |
Hospital observation per hr |
231 |
89 |
$32K |
| J2370 |
Phenylephrine hcl injection |
979 |
749 |
$32K |
| J0696 |
Ceftriaxone sodium injection |
6,742 |
5,230 |
$31K |
| 93458 |
|
167 |
131 |
$29K |
| 73610 |
|
2,104 |
1,985 |
$29K |
| J2250 |
Inj midazolam hydrochloride |
9,623 |
7,654 |
$28K |
| 29881 |
|
572 |
457 |
$27K |
| 87040 |
|
4,664 |
3,255 |
$27K |
| G0108 |
Diab manage trn per indiv |
444 |
442 |
$27K |
| 87077 |
|
5,314 |
4,557 |
$27K |
| 73030 |
|
2,133 |
1,966 |
$26K |
| J2765 |
Metoclopramide hcl injection |
6,756 |
5,183 |
$26K |
| 83605 |
|
5,254 |
4,180 |
$26K |
| 74018 |
|
2,735 |
2,502 |
$24K |
| 80047 |
|
8,192 |
7,125 |
$24K |
| 36561 |
|
358 |
291 |
$23K |
| 70551 |
|
262 |
235 |
$23K |
| 93970 |
|
275 |
249 |
$22K |
| 97802 |
|
332 |
331 |
$22K |
| 96366 |
|
563 |
397 |
$21K |
| J1644 |
Inj heparin sodium per 1000u |
5,640 |
3,314 |
$21K |
| 87400 |
|
4,833 |
3,143 |
$21K |
| 47562 |
|
303 |
254 |
$21K |
| 97803 |
|
1,320 |
783 |
$21K |
| 82962 |
|
15,173 |
6,877 |
$21K |
| 87070 |
|
4,977 |
4,394 |
$20K |
| A4217 |
Sterile water/saline, 500 ml |
4,871 |
3,643 |
$19K |
| 85730 |
|
8,360 |
6,989 |
$19K |
| J7040 |
Normal saline solution infus |
5,503 |
4,397 |
$19K |
| 73110 |
|
1,392 |
1,322 |
$19K |
| 84702 |
|
2,795 |
2,365 |
$18K |
| 87186 |
|
4,026 |
3,541 |
$18K |
| 73130 |
|
1,298 |
1,224 |
$18K |
| 72110 |
|
844 |
787 |
$17K |
| 80306 |
|
1,794 |
1,494 |
$17K |
| 84443 |
|
2,293 |
1,947 |
$16K |
| 0011A |
|
397 |
397 |
$16K |
| 96376 |
|
3,280 |
2,373 |
$14K |
| J0171 |
Adrenalin epinephrine inject |
1,164 |
878 |
$14K |
| 71046 |
|
1,382 |
1,248 |
$14K |
| 87430 |
|
3,033 |
2,792 |
$14K |
| 0012A |
|
337 |
337 |
$13K |
| 94640 |
|
1,302 |
665 |
$13K |
| 72050 |
|
699 |
675 |
$13K |
| 77001 |
|
402 |
331 |
$13K |
| 80076 |
|
4,857 |
4,278 |
$12K |
| 49083 |
|
694 |
319 |
$11K |
| J1200 |
Diphenhydramine hcl injectio |
3,307 |
2,614 |
$11K |
| 83735 |
|
4,163 |
2,654 |
$11K |
| 85379 |
|
2,294 |
1,977 |
$11K |
| C1894 |
Intro/sheath, non-laser |
296 |
216 |
$11K |
| 97161 |
|
805 |
574 |
$10K |
| J2795 |
Ropivacaine hcl injection |
1,131 |
655 |
$10K |
| 49650 |
|
183 |
133 |
$10K |
| J0360 |
Hydralazine hcl injection |
1,907 |
1,487 |
$10K |
| 36430 |
|
617 |
377 |
$10K |
| 87081 |
|
3,241 |
2,437 |
$9K |
| Z7506 |
|
55 |
53 |
$9K |
| 72100 |
|
565 |
532 |
$9K |
| 70486 |
|
183 |
175 |
$9K |
| 86850 |
|
4,963 |
4,233 |
$8K |
| 10060 |
|
838 |
785 |
$8K |
| J2060 |
Lorazepam injection |
2,171 |
1,644 |
$8K |
| 86901 |
|
5,117 |
4,370 |
$8K |
| 86900 |
|
5,113 |
4,362 |
$8K |
| S0077 |
Injection, clindamycin phosp |
778 |
602 |
$8K |
| 83036 |
|
2,099 |
1,727 |
$7K |
| J3370 |
Vancomycin hcl injection |
867 |
521 |
$7K |
| 73080 |
|
568 |
527 |
$7K |
| 97110 |
|
643 |
333 |
$7K |
| 70490 |
|
85 |
75 |
$7K |
| 29826 |
|
151 |
119 |
$6K |
| Q9968 |
Visualization adjunct |
17 |
12 |
$6K |
| 86923 |
|
396 |
295 |
$6K |
| J1815 |
Insulin injection |
1,105 |
723 |
$6K |
| 0760 |
|
1,541 |
1,306 |
$6K |
| C1887 |
Catheter, guiding |
194 |
138 |
$6K |
| 74240 |
|
64 |
63 |
$6K |
| J7060 |
5% dextrose/water |
1,707 |
1,318 |
$5K |
| 0360 |
|
26,473 |
12,891 |
$5K |
| J2543 |
Piperacillin/tazobactam |
475 |
231 |
$5K |
| 76700 |
|
156 |
149 |
$5K |
| 73502 |
|
333 |
310 |
$5K |
| C1760 |
Closure dev, vasc |
166 |
129 |
$5K |
| 12001 |
|
784 |
752 |
$5K |
| 11045 |
|
916 |
197 |
$5K |
| J2930 |
Methylprednisolone injection |
847 |
703 |
$5K |
| J8499 |
Oral prescrip drug non chemo |
5,866 |
2,487 |
$5K |
| 88305 |
|
1,005 |
827 |
$5K |
| 88112 |
|
159 |
115 |
$5K |
| J0153 |
Adenosine inj 1mg |
467 |
381 |
$5K |
| 87426 |
|
261 |
217 |
$5K |
| 29876 |
|
105 |
91 |
$4K |
| S0164 |
Injection pantroprazole |
575 |
350 |
$4K |
| 84439 |
|
959 |
830 |
$4K |
| 36821 |
|
111 |
103 |
$4K |
| 84145 |
|
340 |
268 |
$4K |
| 0762 |
|
1,899 |
1,050 |
$3K |
| 29827 |
|
79 |
53 |
$3K |
| 76937 |
|
363 |
313 |
$3K |
| 73590 |
|
316 |
296 |
$3K |
| 86140 |
|
1,207 |
1,056 |
$3K |
| G0463 |
Hospital outpt clinic visit |
57 |
50 |
$3K |
| 90471 |
|
1,078 |
998 |
$3K |
| 73140 |
|
339 |
326 |
$3K |
| 76942 |
|
176 |
165 |
$3K |
| A9505 |
Tl201 thallium |
145 |
145 |
$3K |
| 12011 |
|
268 |
262 |
$2K |
| 0710 |
|
16,971 |
13,924 |
$2K |
| 76770 |
|
87 |
79 |
$2K |
| 73560 |
|
235 |
183 |
$2K |
| 74177 |
|
26 |
24 |
$2K |
| 86920 |
|
93 |
81 |
$2K |
| 97001 |
|
139 |
136 |
$2K |
| 73090 |
|
253 |
239 |
$2K |
| 0232T |
|
156 |
107 |
$2K |
| C1725 |
Cath, translumin non-laser |
80 |
63 |
$2K |
| 76870 |
|
55 |
51 |
$2K |
| 84100 |
|
1,049 |
660 |
$2K |
| 80061 |
|
605 |
501 |
$2K |
| 87591 |
|
264 |
248 |
$2K |
| 0250 |
|
5,539 |
4,018 |
$2K |
| 36415 |
|
401 |
351 |
$2K |
| Z7512 |
|
55 |
53 |
$2K |
| 71101 |
|
97 |
89 |
$2K |
| 88313 |
|
197 |
157 |
$1K |
| 85014 |
|
5,904 |
5,272 |
$1K |
| 0272 |
|
7,388 |
6,507 |
$1K |
| 72128 |
|
20 |
14 |
$1K |
| 84703 |
|
560 |
498 |
$1K |
| 12002 |
|
175 |
170 |
$1K |
| 97162 |
|
70 |
53 |
$1K |
| 87420 |
|
777 |
617 |
$1K |
| 88314 |
|
57 |
52 |
$1K |
| 0370 |
|
1,480 |
1,158 |
$1K |
| 70498 |
|
12 |
12 |
$1K |
| C1750 |
Cath, hemodialysis,long-term |
76 |
61 |
$989.93 |
| 27447 |
|
18 |
12 |
$962.90 |
| 94760 |
|
480 |
280 |
$952.79 |
| 80305 |
|
174 |
166 |
$933.66 |
| 94060 |
|
194 |
192 |
$916.80 |
| 29125 |
|
392 |
380 |
$915.38 |
| 87491 |
|
141 |
136 |
$898.53 |
| J1650 |
Inj enoxaparin sodium |
92 |
52 |
$881.32 |
| 94729 |
|
169 |
167 |
$864.59 |
| 82550 |
|
310 |
254 |
$836.74 |
| 74241 |
|
12 |
12 |
$817.04 |
| 97139 |
|
43 |
30 |
$790.83 |
| J2550 |
Promethazine hcl injection |
240 |
209 |
$763.73 |
| J2274 |
Inj morphine pf epid ithc |
121 |
102 |
$756.55 |
| 87147 |
|
224 |
185 |
$701.51 |
| J7042 |
5% dextrose/normal saline |
238 |
195 |
$681.66 |
| 94727 |
|
183 |
181 |
$661.60 |
| 58563 |
|
18 |
18 |
$660.00 |
| 64721 |
|
30 |
25 |
$643.78 |
| 51702 |
|
156 |
137 |
$580.18 |
| J1940 |
Furosemide injection |
181 |
116 |
$575.34 |
| J1030 |
Methylprednisolone 40 mg inj |
84 |
75 |
$560.43 |
| 58558 |
|
30 |
24 |
$522.24 |
| 77012 |
|
38 |
37 |
$513.48 |
| 71010 |
|
241 |
232 |
$479.72 |
| J3360 |
Diazepam injection |
33 |
25 |
$455.88 |
| 99281 |
|
1,144 |
623 |
$404.78 |
| J3486 |
Ziprasidone mesylate |
20 |
12 |
$382.34 |
| 82805 |
|
47 |
39 |
$347.52 |
| 84550 |
|
184 |
164 |
$347.21 |
| 85384 |
|
82 |
62 |
$347.13 |
| 72170 |
|
75 |
68 |
$344.53 |
| 72040 |
|
18 |
15 |
$339.60 |
| 87116 |
|
80 |
62 |
$334.55 |
| 82140 |
|
53 |
44 |
$297.29 |
| 83518 |
|
72 |
66 |
$290.64 |
| J1956 |
Levofloxacin injection |
48 |
25 |
$279.20 |
| 71020 |
|
21 |
19 |
$274.67 |
| 82728 |
|
91 |
66 |
$269.71 |
| 87210 |
|
168 |
123 |
$265.38 |
| 88304 |
|
64 |
46 |
$246.86 |
| 76098 |
|
44 |
38 |
$230.21 |
| 88331 |
|
55 |
52 |
$217.35 |
| 87205 |
|
148 |
107 |
$202.99 |
| 87102 |
|
60 |
41 |
$192.50 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
44 |
31 |
$167.17 |
| 99282 |
|
29 |
26 |
$162.32 |
| 11043 |
|
49 |
26 |
$159.01 |
| 82570 |
|
58 |
45 |
$157.07 |
| 73620 |
|
27 |
25 |
$151.57 |
| J1040 |
Methylprednisolone 80 mg inj |
14 |
14 |
$150.70 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
141 |
129 |
$149.60 |
| 94200 |
|
170 |
170 |
$129.94 |
| 87206 |
|
81 |
62 |
$122.62 |
| J3105 |
Terbutaline sulfate inj |
34 |
28 |
$122.17 |
| J2919 |
Inj, methylpred sod succ 5mg |
14 |
12 |
$118.45 |
| 90686 |
|
17 |
16 |
$117.45 |
| 74000 |
|
32 |
25 |
$112.91 |
| J2920 |
Methylprednisolone injection |
25 |
14 |
$109.16 |
| 0300 |
|
20,152 |
4,359 |
$107.60 |
| 88311 |
|
75 |
57 |
$106.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
201 |
162 |
$90.90 |
| 83615 |
|
36 |
26 |
$88.41 |
| 85347 |
|
19 |
13 |
$81.62 |
| 85651 |
|
77 |
66 |
$80.90 |
| J7611 |
Albuterol non-comp con |
656 |
583 |
$80.36 |
| 84156 |
|
41 |
31 |
$72.61 |
| 0510 |
|
718 |
569 |
$71.31 |
| J0461 |
Atropine sulfate injection |
13 |
13 |
$70.18 |
| J3475 |
Inj magnesium sulfate |
13 |
12 |
$56.04 |
| 88300 |
|
59 |
51 |
$48.62 |
| A4216 |
Sterile water/saline, 10 ml |
754 |
507 |
$43.56 |
| 73060 |
|
12 |
12 |
$41.35 |
| 29515 |
|
12 |
12 |
$39.90 |
| 85652 |
|
30 |
24 |
$33.77 |
| 82248 |
|
16 |
16 |
$21.18 |
| A9150 |
Misc/exper non-prescript dru |
2,267 |
1,293 |
$18.31 |
| 81003 |
|
12 |
12 |
$13.20 |
| 99001 |
|
70 |
54 |
$10.89 |
| 85007 |
|
13 |
12 |
$8.43 |
| J1630 |
Haloperidol injection |
63 |
53 |
$4.53 |
| 89050 |
|
13 |
12 |
$2.84 |
| 0258 |
|
956 |
813 |
$0.93 |
| 0480 |
|
63 |
37 |
$0.00 |
| G9656 |
Pt trans from anest to pacu |
426 |
411 |
$0.00 |
| G8978 |
Mobility current status |
29 |
28 |
$0.00 |
| 0402 |
|
940 |
737 |
$0.00 |
| 0361 |
|
229 |
64 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
354 |
340 |
$0.00 |
| 0460 |
|
109 |
41 |
$0.00 |
| 0320 |
|
3,391 |
2,933 |
$0.00 |
| 0274 |
|
85 |
79 |
$0.00 |
| 99354 |
|
12 |
12 |
$0.00 |
| 0481 |
|
18 |
12 |
$0.00 |
| 0921 |
|
57 |
52 |
$0.00 |
| 0278 |
|
360 |
267 |
$0.00 |
| G8979 |
Mobility goal status |
29 |
29 |
$0.00 |
| 0489 |
|
54 |
37 |
$0.00 |
| S5010 |
5% dextrose and 0.45% saline |
21 |
12 |
$0.00 |
| 0636 |
|
3,642 |
1,755 |
$0.00 |
| 0761 |
|
292 |
240 |
$0.00 |
| G0008 |
Admin influenza virus vac |
14 |
13 |
$0.00 |
| 0271 |
|
213 |
195 |
$0.00 |
| 0255 |
|
237 |
222 |
$0.00 |
| 0341 |
|
42 |
23 |
$0.00 |
| 0410 |
|
658 |
512 |
$0.00 |
| 0610 |
|
19 |
16 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
62 |
55 |
$0.00 |
| 0350 |
|
1,873 |
1,620 |
$0.00 |
| 0391 |
|
14 |
13 |
$0.00 |
| 0310 |
|
35 |
15 |
$0.00 |
| 99241 |
|
19 |
17 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
236 |
180 |
$0.00 |