| Code | Description | Claims | Beneficiaries | Total Paid |
| J7050 |
Normal saline solution infus |
4,070 |
2,210 |
$4.41M |
| 96372 |
|
10,184 |
8,119 |
$2.97M |
| 96413 |
|
6,576 |
3,661 |
$2.80M |
| J3490 |
Drugs unclassified injection |
2,067 |
1,158 |
$2.66M |
| 80053 |
|
29,921 |
25,103 |
$2.01M |
| 36415 |
|
22,484 |
18,175 |
$1.84M |
| 99283 |
|
27,275 |
24,767 |
$1.61M |
| 96374 |
|
14,991 |
13,076 |
$1.14M |
| 80048 |
|
17,228 |
14,740 |
$1.02M |
| A9552 |
F18 fdg |
504 |
490 |
$930K |
| 96365 |
|
8,559 |
5,611 |
$786K |
| 81001 |
|
12,579 |
11,366 |
$766K |
| J7040 |
Normal saline solution infus |
945 |
554 |
$706K |
| 76816 |
|
4,905 |
4,380 |
$692K |
| 76811 |
|
3,233 |
3,045 |
$654K |
| 99282 |
|
4,423 |
4,138 |
$590K |
| 76819 |
|
4,768 |
2,742 |
$554K |
| 96360 |
|
2,796 |
2,379 |
$512K |
| 81003 |
|
11,555 |
10,686 |
$480K |
| 87636 |
|
3,884 |
3,515 |
$474K |
| 96375 |
|
15,264 |
11,073 |
$434K |
| 99284 |
|
25,503 |
22,835 |
$355K |
| 74177 |
|
5,258 |
4,935 |
$297K |
| 97110 |
|
7,853 |
1,579 |
$289K |
| 96361 |
|
7,232 |
5,684 |
$287K |
| 96402 |
|
688 |
591 |
$280K |
| 81025 |
|
10,062 |
9,371 |
$270K |
| G0463 |
Hospital outpt clinic visit |
8,189 |
6,827 |
$250K |
| 72148 |
|
580 |
547 |
$226K |
| 87086 |
|
6,045 |
5,610 |
$202K |
| 71260 |
|
1,246 |
1,188 |
$200K |
| 88305 |
|
3,394 |
3,033 |
$189K |
| 80307 |
|
4,208 |
3,528 |
$175K |
| 86901 |
|
4,066 |
3,616 |
$167K |
| 93971 |
|
1,210 |
1,151 |
$165K |
| 0241U |
|
1,040 |
937 |
$159K |
| 87210 |
|
1,526 |
1,340 |
$141K |
| 84702 |
|
3,572 |
2,809 |
$141K |
| 70450 |
|
4,597 |
4,317 |
$137K |
| 70553 |
|
148 |
146 |
$133K |
| G0498 |
Chemo extend iv infus w/pump |
391 |
201 |
$129K |
| 76817 |
|
3,488 |
2,773 |
$124K |
| 71250 |
|
737 |
699 |
$122K |
| 77063 |
|
1,873 |
1,805 |
$120K |
| 73721 |
|
168 |
162 |
$119K |
| 93306 |
|
749 |
720 |
$117K |
| 85025 |
|
35,433 |
28,938 |
$110K |
| 87430 |
|
1,903 |
1,799 |
$105K |
| 99285 |
|
13,306 |
11,841 |
$104K |
| 87635 |
|
1,968 |
1,831 |
$103K |
| 77067 |
|
2,173 |
2,104 |
$102K |
| 85027 |
|
17,503 |
15,168 |
$101K |
| 59025 |
|
2,315 |
1,925 |
$99K |
| 87426 |
|
1,688 |
1,603 |
$95K |
| 71046 |
|
5,435 |
5,123 |
$95K |
| A9609 |
F18 fdg, 15 millicuries |
125 |
111 |
$91K |
| 71275 |
|
1,543 |
1,459 |
$82K |
| 87804 |
|
4,576 |
2,249 |
$79K |
| 71045 |
|
7,598 |
6,859 |
$78K |
| 73630 |
|
1,013 |
961 |
$72K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,517 |
4,038 |
$66K |
| 74176 |
|
1,557 |
1,470 |
$66K |
| 72100 |
|
1,492 |
1,428 |
$58K |
| 99212 |
|
3,030 |
2,351 |
$56K |
| 73562 |
|
803 |
732 |
$53K |
| 78815 |
|
644 |
614 |
$51K |
| 73610 |
|
638 |
610 |
$48K |
| 73030 |
|
926 |
884 |
$48K |
| 84484 |
|
8,497 |
6,955 |
$47K |
| 87040 |
|
2,456 |
1,827 |
$45K |
| 72141 |
|
68 |
65 |
$44K |
| 87428 |
|
209 |
204 |
$42K |
| 82728 |
|
3,031 |
2,838 |
$39K |
| 76830 |
|
869 |
827 |
$37K |
| 83036 |
|
3,595 |
3,387 |
$35K |
| 62323 |
|
556 |
519 |
$32K |
| 86850 |
|
2,701 |
2,380 |
$32K |
| 76705 |
|
788 |
757 |
$29K |
| 80076 |
|
3,411 |
3,206 |
$29K |
| 96366 |
|
2,439 |
1,694 |
$28K |
| 84132 |
|
894 |
817 |
$27K |
| 72050 |
|
331 |
328 |
$26K |
| 96401 |
|
68 |
26 |
$25K |
| 99202 |
|
681 |
657 |
$25K |
| 76825 |
|
236 |
228 |
$25K |
| J7120 |
Ringers lactate infusion |
644 |
592 |
$24K |
| 73221 |
|
38 |
37 |
$23K |
| 99211 |
|
495 |
432 |
$23K |
| 93005 |
|
12,508 |
11,075 |
$22K |
| 82607 |
|
1,441 |
1,346 |
$21K |
| 99213 |
|
436 |
407 |
$21K |
| 77300 |
|
13 |
12 |
$21K |
| G0378 |
Hospital observation per hr |
3,910 |
2,459 |
$21K |
| 97530 |
|
685 |
366 |
$21K |
| 84439 |
|
1,935 |
1,826 |
$20K |
| 76642 |
|
539 |
476 |
$19K |
| 76820 |
|
1,899 |
891 |
$19K |
| 77066 |
Tomosynthesis, mammo |
168 |
159 |
$18K |
| 96367 |
|
2,528 |
1,543 |
$18K |
| 73130 |
|
239 |
226 |
$18K |
| 96376 |
|
3,617 |
2,736 |
$18K |
| 85610 |
|
3,395 |
2,885 |
$16K |
| 73502 |
|
463 |
438 |
$16K |
| 84112 |
|
47 |
46 |
$15K |
| 76815 |
|
233 |
207 |
$14K |
| 84703 |
|
224 |
210 |
$13K |
| 87633 |
|
118 |
103 |
$13K |
| 73560 |
|
350 |
341 |
$13K |
| 84443 |
|
5,541 |
5,205 |
$11K |
| 76536 |
|
123 |
118 |
$10K |
| 99281 |
|
152 |
150 |
$10K |
| 99214 |
|
417 |
341 |
$10K |
| 72125 |
|
785 |
731 |
$10K |
| 87591 |
|
2,005 |
1,889 |
$9K |
| 87491 |
|
2,029 |
1,912 |
$9K |
| 77336 |
|
69 |
27 |
$9K |
| A9585 |
Gadobutrol injection |
132 |
125 |
$9K |
| 97161 |
|
954 |
890 |
$8K |
| J1642 |
Inj heparin sodium per 10 u |
1,925 |
921 |
$8K |
| 93976 |
|
405 |
384 |
$8K |
| C1769 |
Guide wire |
61 |
57 |
$8K |
| 82306 |
|
1,856 |
1,790 |
$8K |
| 73110 |
|
116 |
107 |
$7K |
| U0003 |
Cov-19 amp prb hgh thruput |
43 |
41 |
$7K |
| 76805 |
|
44 |
39 |
$7K |
| 86900 |
|
3,887 |
3,454 |
$7K |
| 70551 |
|
13 |
12 |
$6K |
| 82570 |
|
1,677 |
1,468 |
$6K |
| 84156 |
|
1,548 |
1,280 |
$6K |
| 83605 |
|
4,624 |
4,031 |
$5K |
| 87077 |
|
1,839 |
1,667 |
$5K |
| A9270 |
Non-covered item or service |
5,691 |
4,265 |
$5K |
| 93970 |
|
25 |
25 |
$5K |
| 74019 |
|
314 |
304 |
$5K |
| 80061 |
|
2,854 |
2,751 |
$5K |
| A4216 |
Sterile water/saline, 10 ml |
186 |
128 |
$5K |
| 0240U |
|
28 |
28 |
$4K |
| 83735 |
|
4,663 |
3,822 |
$4K |
| 85379 |
|
2,286 |
2,133 |
$3K |
| 78452 |
|
13 |
13 |
$3K |
| 86592 |
|
872 |
810 |
$3K |
| 82746 |
|
959 |
888 |
$3K |
| A9577 |
Inj multihance |
13 |
12 |
$3K |
| 74018 |
|
116 |
108 |
$2K |
| 77065 |
Tomosynthesis, mammo |
43 |
37 |
$2K |
| 96523 |
|
100 |
81 |
$2K |
| 87807 |
|
196 |
189 |
$2K |
| 82950 |
|
756 |
743 |
$2K |
| 82378 |
|
495 |
379 |
$2K |
| 99203 |
|
41 |
40 |
$2K |
| 83880 |
|
2,785 |
2,474 |
$2K |
| 83520 |
|
791 |
731 |
$2K |
| J0690 |
Cefazolin sodium injection |
672 |
568 |
$1K |
| 99204 |
|
38 |
34 |
$1K |
| 88304 |
|
98 |
96 |
$1K |
| 83021 |
|
159 |
145 |
$1K |
| 12001 |
|
14 |
13 |
$1K |
| 72072 |
|
25 |
25 |
$1K |
| 86140 |
|
603 |
521 |
$1K |
| 97162 |
|
103 |
98 |
$979.48 |
| 87486 |
|
12 |
12 |
$964.33 |
| J1650 |
Inj enoxaparin sodium |
186 |
100 |
$962.90 |
| 82105 |
|
220 |
212 |
$899.10 |
| 36430 |
|
129 |
98 |
$873.98 |
| 97140 |
|
103 |
24 |
$772.15 |
| 82784 |
|
84 |
72 |
$638.15 |
| 83690 |
|
9,055 |
8,104 |
$525.49 |
| J1170 |
Hydromorphone injection |
874 |
639 |
$521.22 |
| 84153 |
|
125 |
106 |
$505.68 |
| J1885 |
Ketorolac tromethamine inj |
3,020 |
2,567 |
$495.65 |
| J2405 |
Ondansetron hcl injection |
4,075 |
3,168 |
$480.50 |
| 86803 |
|
247 |
229 |
$434.41 |
| J1756 |
Iron sucrose injection |
1,462 |
684 |
$413.91 |
| 82550 |
|
1,689 |
1,563 |
$383.32 |
| 86300 |
|
90 |
77 |
$353.44 |
| 96415 |
|
1,833 |
1,146 |
$321.67 |
| 83540 |
|
1,904 |
1,772 |
$294.19 |
| 83615 |
|
624 |
541 |
$287.09 |
| 76821 |
|
343 |
179 |
$272.34 |
| 87389 |
|
1,599 |
1,505 |
$204.70 |
| 85045 |
|
804 |
737 |
$196.98 |
| 86780 |
|
119 |
110 |
$163.57 |
| 84165 |
|
72 |
68 |
$149.75 |
| 83550 |
|
1,807 |
1,682 |
$140.22 |
| J1040 |
Methylprednisolone 80 mg inj |
209 |
196 |
$129.48 |
| 87070 |
|
74 |
65 |
$121.06 |
| 0098U |
|
21 |
19 |
$115.45 |
| 96368 |
|
842 |
488 |
$105.34 |
| 97165 |
|
50 |
48 |
$92.21 |
| 90686 |
|
42 |
39 |
$59.01 |
| 85652 |
|
334 |
316 |
$54.42 |
| 83970 |
|
12 |
12 |
$54.27 |
| 90471 |
|
153 |
130 |
$42.21 |
| J2704 |
Inj, propofol, 10 mg |
2,396 |
1,351 |
$38.81 |
| J1200 |
Diphenhydramine hcl injectio |
1,717 |
1,093 |
$32.94 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
591 |
565 |
$32.08 |
| G8978 |
Mobility current status |
68 |
55 |
$31.79 |
| 85018 |
|
106 |
90 |
$25.62 |
| 85730 |
|
1,081 |
1,024 |
$15.79 |
| J1100 |
Dexamethasone sodium phos |
4,020 |
2,652 |
$12.86 |
| J0696 |
Ceftriaxone sodium injection |
734 |
615 |
$10.98 |
| J2270 |
Morphine sulfate injection |
1,262 |
1,041 |
$10.98 |
| J3420 |
Vitamin b12 injection |
696 |
571 |
$10.76 |
| 84100 |
|
347 |
262 |
$2.71 |
| J1940 |
Furosemide injection |
35 |
26 |
$1.47 |
| J2469 |
Palonosetron hcl |
2,075 |
1,069 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
1,172 |
1,066 |
$0.00 |
| 87340 |
|
1,099 |
1,019 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
379 |
351 |
$0.00 |
| J1439 |
Inj ferric carboxymaltos 1mg |
480 |
316 |
$0.00 |
| P9612 |
Catheterize for urine spec |
78 |
75 |
$0.00 |
| 96411 |
|
474 |
261 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
164 |
158 |
$0.00 |
| 86762 |
|
478 |
433 |
$0.00 |
| J2060 |
Lorazepam injection |
463 |
379 |
$0.00 |
| 88342 |
|
280 |
263 |
$0.00 |
| J9045 |
Carboplatin injection |
385 |
188 |
$0.00 |
| 86706 |
|
13 |
13 |
$0.00 |
| J0461 |
Atropine sulfate injection |
198 |
107 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
1,353 |
1,274 |
$0.00 |
| 88307 |
|
72 |
65 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
290 |
273 |
$0.00 |
| 82803 |
|
61 |
53 |
$0.00 |
| 86747 |
|
336 |
309 |
$0.00 |
| J1630 |
Haloperidol injection |
26 |
24 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
198 |
180 |
$0.00 |
| 85660 |
|
172 |
158 |
$0.00 |
| J3480 |
Inj potassium chloride |
99 |
53 |
$0.00 |
| J0185 |
Inj., aprepitant, 1 mg |
33 |
24 |
$0.00 |
| 86920 |
|
163 |
121 |
$0.00 |
| J9395 |
Injection, fulvestrant |
18 |
12 |
$0.00 |
| 82043 |
|
13 |
13 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
21 |
16 |
$0.00 |
| 99291 |
|
31 |
25 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
34 |
32 |
$0.00 |
| 87661 |
|
31 |
30 |
$0.00 |
| J9267 |
Paclitaxel injection |
27 |
12 |
$0.00 |
| 87205 |
|
29 |
25 |
$0.00 |
| Q0138 |
Ferumoxytol, non-esrd |
16 |
12 |
$0.00 |
| 82677 |
|
13 |
13 |
$0.00 |
| G0379 |
Direct refer hospital observ |
12 |
12 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
32 |
25 |
$0.00 |
| 87581 |
|
12 |
12 |
$0.00 |
| A9500 |
Tc99m sestamibi |
13 |
13 |
$0.00 |
| P9016 |
Rbc leukocytes reduced |
119 |
84 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
33 |
30 |
$0.00 |
| J0640 |
Leucovorin calcium injection |
992 |
264 |
$0.00 |
| J2930 |
Methylprednisolone injection |
121 |
95 |
$0.00 |
| 43239 |
|
679 |
662 |
$0.00 |
| J9271 |
Inj pembrolizumab |
675 |
467 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
206 |
198 |
$0.00 |
| 87186 |
|
827 |
773 |
$0.00 |
| 84145 |
|
696 |
627 |
$0.00 |
| 90715 |
|
165 |
158 |
$0.00 |
| J0881 |
Darbepoetin alfa, non-esrd |
268 |
197 |
$0.00 |
| J3489 |
Zoledronic acid 1mg |
242 |
195 |
$0.00 |
| 96417 |
|
1,582 |
912 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
17 |
14 |
$0.00 |
| J0897 |
Denosumab injection |
166 |
142 |
$0.00 |
| J9206 |
Irinotecan injection |
299 |
77 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
352 |
236 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
92 |
85 |
$0.00 |
| 93017 |
|
13 |
13 |
$0.00 |
| 86787 |
|
129 |
121 |
$0.00 |
| J9190 |
Fluorouracil injection |
997 |
345 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
99 |
78 |
$0.00 |
| J9263 |
Oxaliplatin |
341 |
95 |
$0.00 |
| J1453 |
Fosaprepitant injection |
1,067 |
613 |
$0.00 |
| J2550 |
Promethazine hcl injection |
175 |
138 |
$0.00 |
| G0279 |
Tomosynthesis, mammo |
102 |
100 |
$0.00 |
| G8979 |
Mobility goal status |
72 |
55 |
$0.00 |
| 84550 |
|
15 |
13 |
$0.00 |
| J0780 |
Prochlorperazine injection |
36 |
32 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
68 |
49 |
$0.00 |
| 87798 |
|
14 |
14 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$0.00 |
| 86336 |
|
13 |
13 |
$0.00 |
| Q5107 |
Inj mvasi 10 mg |
76 |
25 |
$0.00 |
| 82947 |
|
12 |
12 |
$0.00 |
| J1598 |
Inj glycopyrrolate fres kabi |
17 |
16 |
$0.00 |
| A4641 |
Radiopharm dx agent noc |
15 |
15 |
$0.00 |
| 81220 |
|
12 |
12 |
$0.00 |