| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
|
7,785 |
5,869 |
$6.27M |
| 99285 |
|
20,735 |
16,021 |
$3.67M |
| 99284 |
|
21,890 |
18,727 |
$3.12M |
| 99283 |
|
26,153 |
22,856 |
$2.66M |
| 93306 |
|
4,612 |
3,979 |
$2.34M |
| 97110 |
|
22,994 |
7,933 |
$1.89M |
| 97530 |
|
19,251 |
7,001 |
$1.77M |
| 70450 |
|
5,914 |
4,580 |
$1.54M |
| 87633 |
|
4,180 |
3,849 |
$1.49M |
| 74176 |
|
2,609 |
1,872 |
$1.48M |
| 92507 |
|
15,536 |
5,693 |
$1.37M |
| 78452 |
|
3,221 |
1,668 |
$1.29M |
| 96365 |
|
12,396 |
8,601 |
$1.10M |
| 96375 |
|
15,059 |
11,853 |
$1.07M |
| G0378 |
Hospital observation per hr |
9,006 |
3,335 |
$938K |
| 71275 |
|
2,337 |
1,734 |
$928K |
| 96374 |
|
16,662 |
13,070 |
$787K |
| 43239 |
|
2,925 |
2,260 |
$768K |
| 71045 |
|
17,543 |
11,134 |
$676K |
| 47563 |
|
442 |
319 |
$672K |
| 94640 |
|
3,218 |
2,427 |
$652K |
| 96413 |
|
4,492 |
2,107 |
$644K |
| 93005 |
|
16,006 |
13,126 |
$632K |
| 80053 |
|
72,475 |
49,708 |
$628K |
| 72148 |
|
1,622 |
1,464 |
$591K |
| 71260 |
|
1,394 |
1,069 |
$583K |
| 99211 |
|
10,928 |
7,644 |
$579K |
| 76705 |
|
3,242 |
2,859 |
$570K |
| 80307 |
|
11,358 |
9,722 |
$563K |
| 88305 |
|
10,697 |
9,325 |
$553K |
| 69436 |
|
454 |
441 |
$538K |
| 93017 |
|
2,190 |
1,998 |
$512K |
| 96361 |
|
15,052 |
7,564 |
$450K |
| 72125 |
|
1,728 |
1,314 |
$443K |
| 77067 |
|
4,244 |
4,104 |
$427K |
| 87631 |
|
3,916 |
3,436 |
$427K |
| 85025 |
|
57,368 |
43,812 |
$405K |
| G0480 |
Drug test def 1-7 classes |
5,639 |
4,745 |
$400K |
| 42820 |
|
323 |
275 |
$393K |
| 71250 |
|
1,361 |
1,160 |
$389K |
| 87798 |
|
13,710 |
7,537 |
$378K |
| 36415 |
|
91,183 |
40,543 |
$345K |
| 70553 |
|
586 |
484 |
$331K |
| 95810 |
|
370 |
335 |
$318K |
| 0241U |
|
4,367 |
3,237 |
$317K |
| 97140 |
|
4,317 |
1,755 |
$314K |
| 96360 |
|
3,529 |
2,145 |
$303K |
| 45378 |
|
895 |
845 |
$298K |
| 92526 |
|
3,191 |
1,489 |
$293K |
| 96366 |
|
5,325 |
3,330 |
$290K |
| 76830 |
|
1,237 |
1,137 |
$269K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
285 |
227 |
$250K |
| 71046 |
|
5,121 |
4,117 |
$244K |
| 87486 |
|
8,447 |
7,554 |
$238K |
| 76642 |
|
2,246 |
1,889 |
$234K |
| 87581 |
|
8,193 |
7,511 |
$232K |
| 99282 |
|
3,253 |
2,954 |
$196K |
| 87507 |
|
579 |
539 |
$193K |
| 96372 |
|
13,419 |
6,520 |
$178K |
| 78227 |
|
439 |
371 |
$176K |
| 84484 |
|
13,443 |
8,335 |
$175K |
| 45385 |
|
753 |
585 |
$171K |
| 96376 |
|
4,774 |
2,527 |
$168K |
| 84443 |
|
10,542 |
9,455 |
$163K |
| 97162 |
|
2,882 |
2,317 |
$162K |
| 97113 |
|
1,844 |
600 |
$160K |
| 73630 |
|
2,384 |
2,045 |
$153K |
| 59025 |
|
3,902 |
2,525 |
$142K |
| 70486 |
|
510 |
391 |
$139K |
| 72141 |
|
378 |
302 |
$139K |
| 73560 |
|
2,231 |
1,851 |
$135K |
| 73610 |
|
1,863 |
1,664 |
$130K |
| 76815 |
|
1,018 |
846 |
$126K |
| 88304 |
|
2,945 |
2,641 |
$120K |
| 93971 |
|
1,198 |
1,087 |
$116K |
| 45380 |
|
503 |
420 |
$113K |
| 83880 |
|
3,874 |
3,289 |
$113K |
| 70498 |
|
334 |
290 |
$111K |
| 88175 |
|
4,655 |
4,427 |
$105K |
| 87491 |
|
3,002 |
2,714 |
$100K |
| 87502 |
|
1,453 |
1,303 |
$100K |
| 73130 |
|
1,463 |
1,324 |
$98K |
| 96415 |
|
373 |
224 |
$95K |
| 82306 |
|
4,810 |
3,313 |
$91K |
| 87591 |
|
2,834 |
2,665 |
$91K |
| 73030 |
|
1,367 |
1,156 |
$89K |
| 77063 |
|
5,388 |
4,624 |
$89K |
| 74018 |
|
1,607 |
1,429 |
$87K |
| 83690 |
|
9,346 |
8,118 |
$85K |
| 84703 |
|
10,674 |
9,521 |
$85K |
| 97166 |
|
1,369 |
1,217 |
$85K |
| 80061 |
|
7,121 |
6,273 |
$84K |
| 62323 |
|
225 |
170 |
$84K |
| G0463 |
Hospital outpt clinic visit |
24,479 |
16,656 |
$84K |
| 97161 |
|
1,211 |
1,129 |
$83K |
| 96367 |
|
2,870 |
1,390 |
$82K |
| 70496 |
|
196 |
153 |
$82K |
| 83605 |
|
7,150 |
6,149 |
$82K |
| 94060 |
|
361 |
303 |
$80K |
| 76536 |
|
575 |
524 |
$79K |
| 99215 |
Prolong outpt/office vis |
1,033 |
813 |
$78K |
| 81001 |
|
21,109 |
18,119 |
$76K |
| 87086 |
|
9,415 |
8,164 |
$76K |
| 36591 |
|
3,571 |
1,886 |
$74K |
| 77065 |
Tomosynthesis, mammo |
915 |
729 |
$71K |
| J0131 |
Inj, acetaminophen (nos) |
4,898 |
3,801 |
$69K |
| 83735 |
|
10,568 |
8,519 |
$69K |
| 80048 |
|
10,764 |
7,929 |
$67K |
| 87651 |
|
2,351 |
2,208 |
$67K |
| 84145 |
|
3,172 |
2,453 |
$65K |
| 70551 |
|
160 |
146 |
$62K |
| 93226 |
|
268 |
257 |
$59K |
| 97116 |
|
723 |
367 |
$58K |
| 82728 |
|
4,951 |
4,438 |
$56K |
| 73110 |
|
775 |
692 |
$55K |
| 93970 |
|
273 |
251 |
$54K |
| 95811 |
|
73 |
60 |
$52K |
| 84439 |
|
5,762 |
5,046 |
$50K |
| J1100 |
Dexamethasone sodium phos |
2,086 |
1,414 |
$50K |
| 82607 |
|
3,918 |
3,519 |
$49K |
| 85027 |
|
8,221 |
6,596 |
$49K |
| 94760 |
|
3,756 |
2,269 |
$49K |
| 87624 |
|
2,017 |
1,753 |
$48K |
| J3490 |
Drugs unclassified injection |
4,938 |
1,841 |
$46K |
| 0202U |
|
462 |
267 |
$46K |
| 80320 |
|
1,671 |
1,438 |
$45K |
| 77066 |
Tomosynthesis, mammo |
426 |
361 |
$45K |
| 99213 |
|
911 |
817 |
$45K |
| 96417 |
|
538 |
309 |
$45K |
| 80074 |
|
1,196 |
916 |
$45K |
| 88312 |
|
951 |
878 |
$44K |
| 87635 |
|
1,257 |
996 |
$43K |
| 83036 |
|
4,404 |
3,968 |
$43K |
| 74300 |
|
296 |
265 |
$42K |
| 96368 |
|
1,949 |
1,013 |
$42K |
| 84702 |
|
3,031 |
2,425 |
$40K |
| 87077 |
|
6,803 |
4,585 |
$40K |
| 62369 |
|
343 |
215 |
$40K |
| 99291 |
|
145 |
130 |
$40K |
| 62370 |
|
280 |
175 |
$39K |
| 74178 |
|
43 |
37 |
$39K |
| 12001 |
|
326 |
297 |
$39K |
| 87186 |
|
4,559 |
4,052 |
$37K |
| 99212 |
|
920 |
833 |
$35K |
| 76770 |
|
186 |
158 |
$35K |
| 92610 |
|
235 |
225 |
$34K |
| J7030 |
Normal saline solution infus |
5,355 |
2,562 |
$34K |
| 85610 |
|
8,614 |
6,197 |
$33K |
| 94726 |
|
175 |
168 |
$33K |
| 72100 |
|
482 |
420 |
$33K |
| 93924 |
|
189 |
160 |
$32K |
| 87070 |
|
4,004 |
3,146 |
$31K |
| J2405 |
Ondansetron hcl injection |
3,479 |
2,497 |
$31K |
| 83550 |
|
4,169 |
3,818 |
$31K |
| A9502 |
Tc99m tetrofosmin |
262 |
211 |
$30K |
| 86850 |
|
3,201 |
2,599 |
$30K |
| 84238 |
|
1,027 |
942 |
$29K |
| 87040 |
|
2,345 |
1,976 |
$29K |
| 11042 |
|
305 |
169 |
$28K |
| 71271 |
|
775 |
720 |
$28K |
| 86140 |
|
4,589 |
3,996 |
$27K |
| 97535 |
|
382 |
243 |
$27K |
| 83540 |
|
4,609 |
4,192 |
$26K |
| 82378 |
|
1,698 |
1,493 |
$26K |
| 85379 |
|
2,855 |
2,606 |
$26K |
| 84481 |
|
1,298 |
1,016 |
$26K |
| 82803 |
|
1,213 |
1,022 |
$24K |
| 47562 |
|
13 |
13 |
$24K |
| 93225 |
|
304 |
275 |
$23K |
| 66984 |
|
23 |
13 |
$22K |
| C9290 |
Inj, bupivacaine liposome |
184 |
151 |
$22K |
| 87150 |
|
512 |
473 |
$22K |
| 82962 |
|
6,430 |
2,956 |
$21K |
| 82746 |
|
1,784 |
1,625 |
$21K |
| 87661 |
|
573 |
543 |
$20K |
| 85730 |
|
3,617 |
3,005 |
$20K |
| 44970 |
|
22 |
12 |
$19K |
| 73502 |
|
279 |
237 |
$19K |
| 86300 |
|
1,038 |
920 |
$18K |
| 95806 |
|
225 |
183 |
$18K |
| 72110 |
|
162 |
134 |
$18K |
| 88307 |
|
247 |
190 |
$18K |
| 73590 |
|
250 |
219 |
$17K |
| J7120 |
Ringers lactate infusion |
2,820 |
2,122 |
$17K |
| 90715 |
|
822 |
749 |
$16K |
| 84112 |
|
199 |
162 |
$16K |
| 92523 |
|
148 |
137 |
$16K |
| 80329 |
|
226 |
211 |
$15K |
| C1781 |
Mesh (implantable) |
48 |
42 |
$15K |
| 77080 |
|
263 |
173 |
$15K |
| U0003 |
Cov-19 amp prb hgh thruput |
264 |
235 |
$15K |
| 88300 |
|
1,068 |
958 |
$14K |
| 87503 |
|
633 |
591 |
$14K |
| J2001 |
Lidocaine injection |
1,286 |
1,001 |
$13K |
| 83615 |
|
1,568 |
1,318 |
$12K |
| 84153 |
|
723 |
687 |
$12K |
| 82565 |
|
1,200 |
1,059 |
$12K |
| 82784 |
|
1,253 |
1,091 |
$11K |
| 73090 |
|
160 |
149 |
$11K |
| 90471 |
|
450 |
353 |
$11K |
| J1885 |
Ketorolac tromethamine inj |
2,326 |
1,813 |
$10K |
| 82550 |
|
1,585 |
1,236 |
$10K |
| 82077 |
|
477 |
440 |
$10K |
| 86901 |
|
3,258 |
2,790 |
$10K |
| M0243 |
Casirivi and imdevi inj |
39 |
31 |
$10K |
| 86038 |
|
955 |
865 |
$9K |
| 78264 |
|
41 |
24 |
$9K |
| 87205 |
|
2,407 |
2,088 |
$9K |
| 85007 |
|
2,882 |
2,395 |
$9K |
| 86900 |
|
3,319 |
2,801 |
$9K |
| J2785 |
Regadenoson injection |
99 |
90 |
$8K |
| 27096 |
|
26 |
25 |
$8K |
| 43248 |
|
41 |
40 |
$8K |
| J2704 |
Inj, propofol, 10 mg |
944 |
814 |
$8K |
| 73080 |
|
137 |
118 |
$8K |
| 85652 |
|
2,518 |
2,227 |
$7K |
| 83921 |
|
430 |
409 |
$7K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
186 |
179 |
$7K |
| 77062 |
|
280 |
255 |
$7K |
| 43235 |
|
15 |
15 |
$7K |
| 84550 |
|
1,447 |
1,215 |
$7K |
| 86703 |
|
403 |
366 |
$6K |
| M0245 |
Bamlan and etesev infusion |
18 |
18 |
$6K |
| 80076 |
|
830 |
700 |
$6K |
| J2250 |
Inj midazolam hydrochloride |
1,177 |
940 |
$6K |
| 85045 |
|
1,607 |
1,478 |
$6K |
| 87430 |
|
464 |
433 |
$6K |
| 87493 |
|
404 |
236 |
$6K |
| G0379 |
Direct refer hospital observ |
41 |
36 |
$5K |
| 95819 |
|
26 |
26 |
$5K |
| U0005 |
Infec agen detec ampli probe |
225 |
215 |
$5K |
| 72131 |
|
16 |
13 |
$4K |
| J0690 |
Cefazolin sodium injection |
721 |
439 |
$4K |
| J3010 |
Fentanyl citrate injection |
1,245 |
979 |
$4K |
| 87522 |
Neg quan hep c or qual rna |
137 |
108 |
$4K |
| 97164 |
|
114 |
105 |
$4K |
| 81003 |
|
1,841 |
731 |
$4K |
| 87899 |
|
334 |
164 |
$4K |
| 84403 |
|
136 |
133 |
$4K |
| 97802 |
|
235 |
228 |
$3K |
| 97014 |
|
102 |
40 |
$3K |
| 84100 |
|
826 |
592 |
$3K |
| 93880 |
|
32 |
26 |
$3K |
| 76817 |
|
12 |
12 |
$3K |
| 82570 |
|
656 |
583 |
$3K |
| 83516 |
|
214 |
170 |
$3K |
| 87046 |
|
178 |
162 |
$3K |
| 82043 |
|
672 |
371 |
$3K |
| J1642 |
Inj heparin sodium per 10 u |
336 |
188 |
$3K |
| 77061 |
|
118 |
108 |
$2K |
| 82553 |
|
276 |
174 |
$2K |
| A9510 |
Tc99m disofenin |
28 |
27 |
$2K |
| 82150 |
|
346 |
319 |
$2K |
| J2274 |
Inj morphine pf epid ithc |
631 |
350 |
$2K |
| 97112 |
|
23 |
12 |
$2K |
| 74022 |
|
28 |
21 |
$2K |
| A9579 |
Gad-base mr contrast nos,1ml |
46 |
46 |
$2K |
| 86706 |
|
251 |
178 |
$2K |
| G0399 |
Home sleep test/type 3 porta |
26 |
24 |
$2K |
| 97010 |
|
67 |
32 |
$2K |
| 87045 |
|
174 |
162 |
$2K |
| J1756 |
Iron sucrose injection |
25 |
13 |
$2K |
| 86364 |
|
150 |
139 |
$2K |
| 76870 |
|
14 |
12 |
$2K |
| 80050 |
|
187 |
142 |
$1K |
| 93975 |
|
14 |
13 |
$1K |
| 99406 |
|
114 |
103 |
$1K |
| J2919 |
Inj, methylpred sod succ 5mg |
190 |
129 |
$1K |
| 72072 |
|
14 |
13 |
$1K |
| 86258 |
|
72 |
70 |
$1K |
| 85576 |
|
31 |
30 |
$1K |
| 86431 |
|
177 |
175 |
$1K |
| 99214 |
|
29 |
22 |
$1K |
| 87147 |
|
148 |
131 |
$1K |
| 86334 |
|
59 |
55 |
$1K |
| 95886 |
|
21 |
16 |
$978.30 |
| 83521 |
|
56 |
41 |
$926.17 |
| 97163 |
|
12 |
12 |
$903.13 |
| 96523 |
|
40 |
25 |
$877.21 |
| 29125 |
|
16 |
15 |
$851.65 |
| 73140 |
|
14 |
13 |
$828.60 |
| 87641 |
|
36 |
29 |
$767.23 |
| 72040 |
|
16 |
12 |
$754.82 |
| J2930 |
Methylprednisolone injection |
100 |
52 |
$726.46 |
| 80069 |
|
131 |
109 |
$704.32 |
| 87328 |
|
60 |
52 |
$702.50 |
| 36416 |
|
119 |
93 |
$623.67 |
| 87329 |
|
47 |
40 |
$576.57 |
| A4648 |
Implantable tissue marker |
19 |
12 |
$575.70 |
| J1790 |
Droperidol injection |
88 |
79 |
$556.82 |
| 82010 |
|
71 |
60 |
$549.98 |
| J2270 |
Morphine sulfate injection |
95 |
58 |
$538.28 |
| 51701 |
|
25 |
13 |
$513.09 |
| 86231 |
|
59 |
58 |
$511.38 |
| 99202 |
|
17 |
14 |
$501.82 |
| 84165 |
|
59 |
55 |
$499.38 |
| 88173 |
|
14 |
12 |
$475.74 |
| 83993 |
|
36 |
26 |
$466.81 |
| J1200 |
Diphenhydramine hcl injectio |
117 |
79 |
$432.44 |
| 84480 |
|
52 |
44 |
$422.65 |
| 87210 |
|
105 |
96 |
$405.47 |
| 11721 |
|
88 |
46 |
$379.05 |
| 85014 |
|
245 |
183 |
$364.29 |
| 84207 |
|
14 |
14 |
$358.27 |
| 83525 |
|
25 |
25 |
$322.98 |
| 86376 |
|
15 |
15 |
$299.75 |
| 83883 |
|
36 |
25 |
$294.21 |
| 87340 |
|
52 |
27 |
$280.56 |
| J1170 |
Hydromorphone injection |
67 |
41 |
$276.17 |
| 82652 |
|
14 |
13 |
$269.50 |
| 90686 |
|
24 |
24 |
$264.98 |
| 82542 |
|
12 |
12 |
$253.15 |
| 85018 |
|
137 |
104 |
$225.85 |
| 87625 |
|
12 |
12 |
$211.09 |
| 82248 |
|
48 |
36 |
$202.63 |
| 82533 |
|
16 |
14 |
$193.98 |
| 84425 |
|
14 |
14 |
$181.50 |
| 86592 |
|
43 |
38 |
$172.23 |
| 86308 |
|
27 |
26 |
$166.85 |
| 86803 |
|
12 |
12 |
$166.43 |
| U0002 |
Covid-19 lab test non-cdc |
23 |
12 |
$153.67 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
77 |
47 |
$144.45 |
| J3370 |
Vancomycin hcl injection |
22 |
12 |
$142.33 |
| J0696 |
Ceftriaxone sodium injection |
13 |
12 |
$136.01 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
14 |
13 |
$133.96 |
| A4663 |
Dialysis blood pressure cuff |
68 |
24 |
$121.25 |
| J0330 |
Succinycholine chloride inj |
17 |
12 |
$116.18 |
| 84132 |
|
31 |
28 |
$113.84 |
| A9270 |
Non-covered item or service |
56 |
41 |
$85.99 |
| J1030 |
Methylprednisolone 40 mg inj |
17 |
13 |
$75.27 |
| 87075 |
|
18 |
13 |
$74.33 |
| J2470 |
Inj pantoprazole sodium 40mg |
52 |
24 |
$72.27 |
| J2765 |
Metoclopramide hcl injection |
13 |
13 |
$56.59 |
| J2060 |
Lorazepam injection |
15 |
13 |
$47.61 |
| J9055 |
Cetuximab injection |
17 |
13 |
$36.90 |
| 84156 |
|
13 |
12 |
$32.09 |
| Q0244 |
Casirivi and imdevi 1200 mg |
27 |
27 |
$0.02 |
| Q0245 |
Bamlanivimab and etesevima |
32 |
15 |
$0.00 |