| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
19,430 |
15,474 |
$3.38M |
| 99285 |
|
11,967 |
8,564 |
$3.06M |
| 99283 |
|
18,638 |
16,343 |
$2.60M |
| 74177 |
|
4,798 |
3,909 |
$2.39M |
| 74176 |
|
3,243 |
2,627 |
$1.39M |
| 70450 |
|
4,468 |
3,528 |
$1.08M |
| 96365 |
|
10,312 |
4,805 |
$767K |
| 93005 |
|
12,220 |
9,530 |
$679K |
| 71045 |
|
9,359 |
6,997 |
$576K |
| 41899 |
|
277 |
235 |
$510K |
| 96374 |
|
18,973 |
10,300 |
$481K |
| 96375 |
|
14,215 |
9,581 |
$429K |
| 97110 |
|
11,163 |
2,518 |
$400K |
| G0463 |
Hospital outpt clinic visit |
11,319 |
9,705 |
$359K |
| 71046 |
|
4,323 |
3,730 |
$348K |
| G0378 |
Hospital observation per hr |
1,583 |
1,090 |
$294K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,269 |
6,582 |
$294K |
| 72125 |
|
1,146 |
954 |
$284K |
| 80053 |
|
29,713 |
22,157 |
$281K |
| 36415 |
|
63,797 |
32,165 |
$277K |
| 96360 |
|
2,968 |
1,306 |
$262K |
| 96372 |
|
14,282 |
7,247 |
$246K |
| G0480 |
Drug test def 1-7 classes |
3,194 |
2,406 |
$237K |
| 85025 |
|
34,281 |
25,195 |
$226K |
| U0002 |
Covid-19 lab test non-cdc |
6,816 |
5,121 |
$223K |
| 71260 |
|
914 |
695 |
$220K |
| 96413 |
|
996 |
424 |
$218K |
| 97530 |
|
5,184 |
1,060 |
$206K |
| 0241U |
|
2,464 |
1,661 |
$190K |
| 76705 |
|
1,052 |
966 |
$167K |
| 99282 |
|
2,367 |
2,147 |
$163K |
| 71275 |
|
874 |
687 |
$159K |
| 71250 |
|
707 |
541 |
$159K |
| D7210 |
|
222 |
103 |
$146K |
| 0240U |
|
1,975 |
1,215 |
$139K |
| 97140 |
|
3,466 |
1,121 |
$123K |
| 96361 |
|
10,538 |
4,825 |
$109K |
| 73030 |
|
932 |
747 |
$96K |
| 72148 |
|
262 |
234 |
$95K |
| 84484 |
|
8,946 |
6,410 |
$93K |
| 83880 |
|
3,352 |
2,580 |
$90K |
| 43239 |
|
285 |
243 |
$89K |
| 73630 |
|
1,050 |
891 |
$89K |
| 73564 |
|
577 |
448 |
$88K |
| 73721 |
|
200 |
185 |
$86K |
| 73130 |
|
996 |
848 |
$83K |
| 77067 |
|
1,973 |
1,882 |
$83K |
| D7140 |
|
113 |
53 |
$79K |
| Q0138 |
Ferumoxytol, non-esrd |
374 |
219 |
$73K |
| 73610 |
|
837 |
733 |
$72K |
| 80305 |
|
6,182 |
5,081 |
$62K |
| 80048 |
|
7,948 |
6,181 |
$62K |
| 72131 |
|
258 |
195 |
$58K |
| 96376 |
|
3,589 |
2,315 |
$56K |
| 84443 |
|
3,438 |
2,888 |
$50K |
| 93306 |
|
290 |
258 |
$49K |
| 78452 |
|
72 |
50 |
$48K |
| 83605 |
|
5,159 |
3,839 |
$47K |
| 94640 |
|
2,573 |
1,828 |
$47K |
| 84145 |
|
2,504 |
1,952 |
$45K |
| 83690 |
|
7,554 |
6,133 |
$42K |
| 77063 |
|
2,207 |
1,903 |
$42K |
| 59025 |
|
664 |
443 |
$41K |
| 96366 |
|
1,523 |
975 |
$40K |
| 74018 |
|
455 |
389 |
$38K |
| J7030 |
Normal saline solution infus |
11,287 |
7,699 |
$37K |
| 45380 |
|
134 |
102 |
$37K |
| 84703 |
|
4,742 |
4,173 |
$35K |
| 83735 |
|
6,701 |
4,518 |
$35K |
| 92507 |
|
1,459 |
388 |
$35K |
| 87804 |
|
2,454 |
2,218 |
$34K |
| 72100 |
|
308 |
271 |
$33K |
| 87899 |
|
2,343 |
2,160 |
$32K |
| J1885 |
Ketorolac tromethamine inj |
10,705 |
8,602 |
$32K |
| 87040 |
|
3,051 |
2,147 |
$32K |
| 93971 |
|
384 |
322 |
$31K |
| 96367 |
|
1,384 |
570 |
$31K |
| 82728 |
|
2,708 |
2,330 |
$29K |
| 99212 |
|
687 |
613 |
$29K |
| 81001 |
|
11,555 |
9,444 |
$29K |
| 87591 |
|
952 |
824 |
$28K |
| 82607 |
|
2,269 |
1,983 |
$28K |
| 87491 |
|
879 |
761 |
$26K |
| J7120 |
Ringers lactate infusion |
7,614 |
5,406 |
$25K |
| J2704 |
Inj, propofol, 10 mg |
5,307 |
4,473 |
$24K |
| 85027 |
|
4,128 |
3,326 |
$23K |
| 85379 |
|
2,985 |
2,473 |
$23K |
| 82746 |
|
1,855 |
1,620 |
$22K |
| 80320 |
|
316 |
282 |
$22K |
| 85730 |
|
4,614 |
3,748 |
$21K |
| J1100 |
Dexamethasone sodium phos |
7,248 |
5,457 |
$21K |
| 87088 |
|
2,838 |
2,371 |
$20K |
| 74022 |
|
154 |
136 |
$20K |
| 85610 |
|
5,514 |
4,411 |
$19K |
| 62323 |
|
71 |
65 |
$19K |
| 88305 |
|
256 |
215 |
$18K |
| 83550 |
|
2,493 |
2,166 |
$18K |
| 84439 |
|
2,244 |
1,842 |
$18K |
| 81003 |
|
9,182 |
7,215 |
$18K |
| J2405 |
Ondansetron hcl injection |
13,380 |
9,518 |
$17K |
| 96523 |
|
995 |
549 |
$16K |
| 99213 |
|
320 |
296 |
$16K |
| 82306 |
|
605 |
549 |
$16K |
| J3490 |
Drugs unclassified injection |
3,444 |
939 |
$15K |
| 87450 |
|
1,503 |
1,409 |
$15K |
| G0481 |
Drug test def 8-14 classes |
113 |
104 |
$15K |
| 82803 |
|
853 |
623 |
$15K |
| 81025 |
|
2,093 |
1,809 |
$15K |
| 76642 |
|
143 |
111 |
$15K |
| 80061 |
|
1,205 |
1,015 |
$14K |
| 87651 |
|
510 |
463 |
$14K |
| 83540 |
|
2,594 |
2,222 |
$14K |
| 80050 |
|
413 |
317 |
$13K |
| 73110 |
|
161 |
136 |
$13K |
| 84702 |
|
1,020 |
748 |
$13K |
| 87880 |
|
990 |
861 |
$13K |
| J1170 |
Hydromorphone injection |
6,361 |
3,661 |
$12K |
| 90715 |
|
580 |
522 |
$12K |
| 86140 |
|
3,101 |
2,464 |
$12K |
| 97112 |
|
485 |
178 |
$12K |
| J7050 |
Normal saline solution infus |
3,794 |
1,773 |
$11K |
| 36600 |
|
864 |
631 |
$11K |
| 12001 |
|
59 |
58 |
$11K |
| 82150 |
|
1,872 |
1,588 |
$11K |
| J0696 |
Ceftriaxone sodium injection |
1,649 |
1,208 |
$11K |
| 97161 |
|
177 |
159 |
$10K |
| 87186 |
|
1,144 |
958 |
$10K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
19 |
13 |
$9K |
| 99281 |
|
172 |
144 |
$9K |
| 83615 |
|
1,811 |
1,448 |
$8K |
| 87635 |
|
219 |
198 |
$8K |
| 82553 |
|
764 |
629 |
$8K |
| J3010 |
Fentanyl citrate injection |
4,016 |
3,006 |
$8K |
| 82550 |
|
1,341 |
1,035 |
$7K |
| 83036 |
|
841 |
771 |
$7K |
| 97535 |
|
367 |
164 |
$7K |
| J1756 |
Iron sucrose injection |
200 |
69 |
$7K |
| J7040 |
Normal saline solution infus |
3,497 |
1,602 |
$7K |
| J2930 |
Methylprednisolone injection |
1,329 |
959 |
$6K |
| M0243 |
Casirivi and imdevi inj |
71 |
41 |
$6K |
| 86756 |
|
392 |
385 |
$6K |
| 84238 |
|
158 |
145 |
$6K |
| 87086 |
|
951 |
789 |
$6K |
| 87077 |
|
635 |
521 |
$5K |
| 73502 |
|
108 |
78 |
$5K |
| 73221 |
|
16 |
14 |
$5K |
| 97162 |
|
122 |
97 |
$5K |
| 77080 |
|
107 |
70 |
$5K |
| J2270 |
Morphine sulfate injection |
3,616 |
2,465 |
$5K |
| 93017 |
|
29 |
27 |
$5K |
| 73560 |
|
75 |
52 |
$5K |
| 94760 |
|
467 |
311 |
$5K |
| J1642 |
Inj heparin sodium per 10 u |
2,925 |
1,393 |
$4K |
| J1040 |
Methylprednisolone 80 mg inj |
465 |
414 |
$4K |
| J3475 |
Inj magnesium sulfate |
856 |
571 |
$4K |
| 84481 |
|
271 |
231 |
$4K |
| 86850 |
|
599 |
458 |
$4K |
| 72110 |
|
32 |
24 |
$4K |
| 94664 |
|
691 |
558 |
$4K |
| J2250 |
Inj midazolam hydrochloride |
4,073 |
3,483 |
$3K |
| 82962 |
|
987 |
656 |
$3K |
| 85045 |
|
1,132 |
911 |
$3K |
| 87210 |
|
480 |
291 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
1,953 |
1,215 |
$3K |
| 71271 |
|
16 |
12 |
$3K |
| J2543 |
Piperacillin/tazobactam |
273 |
161 |
$3K |
| 80179 |
|
314 |
266 |
$3K |
| 76817 |
|
15 |
13 |
$3K |
| C9113 |
Inj pantoprazole sodium, via |
367 |
259 |
$2K |
| 85044 |
|
690 |
616 |
$2K |
| 87070 |
|
306 |
261 |
$2K |
| 72072 |
|
27 |
25 |
$2K |
| 82948 |
|
383 |
226 |
$2K |
| 83874 |
|
211 |
178 |
$2K |
| 82668 |
|
177 |
155 |
$2K |
| 94010 |
|
99 |
71 |
$2K |
| 87081 |
|
451 |
388 |
$2K |
| 90471 |
|
698 |
597 |
$2K |
| 82947 |
|
717 |
371 |
$2K |
| 82805 |
|
36 |
28 |
$2K |
| 86901 |
|
972 |
761 |
$2K |
| 87076 |
|
286 |
252 |
$2K |
| 86900 |
|
966 |
758 |
$2K |
| J0690 |
Cefazolin sodium injection |
381 |
309 |
$2K |
| A9500 |
Tc99m sestamibi |
16 |
14 |
$2K |
| 76536 |
|
14 |
12 |
$2K |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
331 |
297 |
$1K |
| 72040 |
|
16 |
15 |
$1K |
| U0003 |
Cov-19 amp prb hgh thruput |
44 |
22 |
$1K |
| 12011 |
|
12 |
12 |
$1K |
| 80143 |
|
85 |
76 |
$1K |
| 36416 |
|
157 |
112 |
$1K |
| G0279 |
Tomosynthesis, mammo |
86 |
64 |
$1K |
| 73080 |
|
12 |
12 |
$1K |
| 87205 |
|
264 |
239 |
$1K |
| J2550 |
Promethazine hcl injection |
913 |
584 |
$1K |
| J2920 |
Methylprednisolone injection |
331 |
189 |
$1K |
| 84100 |
|
304 |
229 |
$1K |
| J2710 |
Neostigmine methylslfte inj |
397 |
332 |
$1K |
| 73590 |
|
14 |
12 |
$948.71 |
| 84425 |
|
40 |
39 |
$875.88 |
| J3420 |
Vitamin b12 injection |
229 |
176 |
$871.94 |
| J2060 |
Lorazepam injection |
1,172 |
815 |
$870.64 |
| 97116 |
|
67 |
25 |
$852.70 |
| Q0162 |
Ondansetron oral |
74 |
67 |
$824.12 |
| J0330 |
Succinycholine chloride inj |
237 |
205 |
$813.59 |
| 80329 |
|
30 |
29 |
$805.09 |
| A9579 |
Gad-base mr contrast nos,1ml |
26 |
24 |
$763.90 |
| 73090 |
|
14 |
13 |
$724.77 |
| 80074 |
|
18 |
15 |
$674.43 |
| J0153 |
Adenosine inj 1mg |
14 |
12 |
$645.49 |
| 77065 |
Tomosynthesis, mammo |
21 |
12 |
$616.37 |
| 83010 |
|
60 |
57 |
$607.86 |
| J1644 |
Inj heparin sodium per 1000u |
197 |
119 |
$573.25 |
| 51701 |
|
48 |
36 |
$559.05 |
| 85651 |
|
130 |
110 |
$526.94 |
| 99152 |
|
13 |
13 |
$483.36 |
| J0780 |
Prochlorperazine injection |
119 |
98 |
$469.94 |
| 94762 |
|
72 |
40 |
$442.53 |
| 77066 |
Tomosynthesis, mammo |
15 |
12 |
$435.72 |
| 88304 |
|
15 |
14 |
$415.13 |
| J0131 |
Inj, acetaminophen (nos) |
34 |
24 |
$412.60 |
| 85652 |
|
243 |
170 |
$402.82 |
| J2765 |
Metoclopramide hcl injection |
233 |
182 |
$402.24 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
358 |
309 |
$296.04 |
| J0737 |
Inj, clindamycin (baxter) |
76 |
69 |
$285.75 |
| 97166 |
|
23 |
13 |
$262.63 |
| 81015 |
|
350 |
257 |
$249.90 |
| J1030 |
Methylprednisolone 40 mg inj |
31 |
27 |
$242.30 |
| 96368 |
|
13 |
12 |
$240.96 |
| 80076 |
|
40 |
35 |
$240.32 |
| J2795 |
Ropivacaine hcl injection |
25 |
15 |
$192.91 |
| 87420 |
|
14 |
13 |
$181.81 |
| J2272 |
Inj, morphine (fresenius) |
102 |
86 |
$174.60 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
136 |
118 |
$167.02 |
| 86308 |
|
31 |
25 |
$141.29 |
| 86038 |
|
12 |
12 |
$135.27 |
| J2001 |
Lidocaine injection |
32 |
29 |
$86.82 |
| J0689 |
Inj cefazolin sodium, baxter |
18 |
12 |
$82.06 |
| 86880 |
|
13 |
13 |
$59.56 |
| 84550 |
|
13 |
12 |
$58.08 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
26 |
24 |
$47.16 |
| J1940 |
Furosemide injection |
15 |
12 |
$14.42 |
| A9270 |
Non-covered item or service |
546 |
112 |
$0.00 |