| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
76,097 |
65,701 |
$1.22M |
| A0429 |
Bls-emergency |
17,374 |
10,073 |
$807K |
| 74176 |
|
6,926 |
6,169 |
$617K |
| 74177 |
|
3,525 |
3,108 |
$540K |
| 96365 |
|
9,412 |
7,911 |
$479K |
| 70450 |
|
9,701 |
8,843 |
$472K |
| 93458 |
|
522 |
467 |
$411K |
| 96374 |
|
15,131 |
12,963 |
$407K |
| J3490 |
Drugs unclassified injection |
71,314 |
26,807 |
$402K |
| 93005 |
|
27,461 |
23,614 |
$371K |
| 87811 |
|
10,469 |
9,413 |
$363K |
| 96360 |
|
9,720 |
8,198 |
$345K |
| 96375 |
|
11,926 |
9,553 |
$307K |
| G0480 |
Drug test def 1-7 classes |
5,613 |
4,705 |
$302K |
| Z7502 |
|
7,023 |
6,915 |
$264K |
| 85025 |
|
52,775 |
42,926 |
$237K |
| 71045 |
|
26,298 |
23,186 |
$236K |
| 83880 |
|
11,878 |
10,340 |
$224K |
| 96372 |
|
10,980 |
8,850 |
$210K |
| 80048 |
|
40,902 |
33,869 |
$198K |
| U0003 |
Cov-19 amp prb hgh thruput |
6,743 |
5,803 |
$195K |
| 0270 |
|
91,032 |
37,423 |
$183K |
| 71275 |
|
898 |
810 |
$151K |
| J7030 |
Normal saline solution infus |
25,117 |
17,364 |
$150K |
| 72125 |
|
1,876 |
1,749 |
$138K |
| 84484 |
|
21,885 |
18,319 |
$127K |
| 76705 |
|
3,420 |
3,044 |
$125K |
| U0002 |
Covid-19 lab test non-cdc |
4,732 |
4,150 |
$124K |
| J1815 |
Insulin injection |
2,499 |
1,646 |
$116K |
| 99199 |
|
1,966 |
1,810 |
$111K |
| 76856 |
|
2,456 |
2,227 |
$110K |
| 93971 |
|
1,414 |
1,289 |
$110K |
| 96361 |
|
4,994 |
3,867 |
$105K |
| 93306 |
|
845 |
781 |
$104K |
| 80076 |
|
24,835 |
21,454 |
$101K |
| 80053 |
|
13,411 |
11,494 |
$91K |
| S3620 |
Newborn metabolic screening |
607 |
440 |
$89K |
| A4217 |
Sterile water/saline, 500 ml |
13,739 |
9,162 |
$84K |
| 76830 |
|
1,700 |
1,556 |
$83K |
| 83690 |
|
19,569 |
16,867 |
$82K |
| 93970 |
|
767 |
722 |
$82K |
| L8699 |
Prosthetic implant nos |
369 |
332 |
$81K |
| 76700 |
|
1,811 |
1,651 |
$81K |
| 76817 |
|
1,612 |
1,384 |
$80K |
| 88312 |
|
1,630 |
1,522 |
$78K |
| 76801 |
|
1,640 |
1,408 |
$78K |
| 0272 |
|
10,486 |
9,198 |
$76K |
| Z7610 |
|
4,435 |
2,658 |
$70K |
| 99283 |
|
6,033 |
5,460 |
$68K |
| 87804 |
|
6,482 |
5,930 |
$63K |
| 94640 |
|
5,095 |
4,064 |
$60K |
| 76805 |
|
719 |
672 |
$60K |
| J2270 |
Morphine sulfate injection |
9,037 |
6,453 |
$59K |
| J2785 |
Regadenoson injection |
437 |
408 |
$57K |
| J0131 |
Inj, acetaminophen (nos) |
1,654 |
1,486 |
$57K |
| J1885 |
Ketorolac tromethamine inj |
12,698 |
10,334 |
$57K |
| J2405 |
Ondansetron hcl injection |
13,840 |
11,438 |
$55K |
| Z9725 |
|
1,230 |
1,218 |
$53K |
| 99285 |
|
1,150 |
1,107 |
$52K |
| 99291 |
|
268 |
259 |
$51K |
| 96366 |
|
1,935 |
1,448 |
$51K |
| 88305 |
|
4,240 |
3,908 |
$50K |
| 80305 |
|
6,072 |
5,409 |
$49K |
| 90715 |
|
1,843 |
1,747 |
$48K |
| 99284 |
|
1,827 |
1,764 |
$47K |
| 87040 |
|
5,155 |
4,424 |
$45K |
| 71046 |
|
3,375 |
3,142 |
$45K |
| 83605 |
|
6,649 |
5,626 |
$44K |
| 85730 |
|
13,693 |
11,995 |
$42K |
| 81001 |
|
23,308 |
20,434 |
$42K |
| 87086 |
|
9,237 |
8,254 |
$40K |
| 77065 |
Tomosynthesis, mammo |
658 |
599 |
$37K |
| 0360 |
|
9,933 |
4,849 |
$37K |
| Z7500 |
|
1,054 |
454 |
$36K |
| 43239 |
|
1,484 |
1,403 |
$36K |
| 85610 |
|
16,733 |
14,678 |
$35K |
| 81025 |
|
13,328 |
11,917 |
$34K |
| 76641 |
|
646 |
529 |
$34K |
| J0696 |
Ceftriaxone sodium injection |
6,279 |
4,936 |
$33K |
| 77066 |
Tomosynthesis, mammo |
308 |
295 |
$33K |
| A9502 |
Tc99m tetrofosmin |
482 |
446 |
$32K |
| 0710 |
|
8,729 |
7,808 |
$31K |
| 73562 |
|
2,051 |
1,890 |
$31K |
| J3010 |
Fentanyl citrate injection |
7,063 |
6,303 |
$28K |
| 72100 |
|
1,439 |
1,355 |
$28K |
| 77067 |
|
185 |
185 |
$28K |
| 73630 |
|
1,867 |
1,765 |
$28K |
| 70486 |
|
386 |
361 |
$28K |
| 84702 |
|
3,738 |
3,207 |
$27K |
| J7120 |
Ringers lactate infusion |
4,256 |
3,556 |
$26K |
| 73030 |
|
1,703 |
1,592 |
$26K |
| 59025 |
|
1,599 |
511 |
$26K |
| 78454 |
|
482 |
442 |
$25K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
64 |
54 |
$24K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,705 |
6,563 |
$24K |
| 73610 |
|
1,517 |
1,424 |
$23K |
| 0160 |
|
1,569 |
823 |
$23K |
| J2250 |
Inj midazolam hydrochloride |
6,400 |
5,768 |
$22K |
| J1100 |
Dexamethasone sodium phos |
4,752 |
3,971 |
$22K |
| P9016 |
Rbc leukocytes reduced |
135 |
98 |
$22K |
| 73130 |
|
1,523 |
1,407 |
$21K |
| 81003 |
|
18,459 |
16,582 |
$21K |
| 88313 |
|
1,682 |
1,538 |
$21K |
| 99070 |
|
1,223 |
532 |
$20K |
| J1170 |
Hydromorphone injection |
2,615 |
2,071 |
$19K |
| 82962 |
|
9,822 |
7,606 |
$18K |
| J0690 |
Cefazolin sodium injection |
3,268 |
2,594 |
$17K |
| 76942 |
|
754 |
676 |
$17K |
| C1769 |
Guide wire |
662 |
595 |
$17K |
| 0250 |
|
17,018 |
5,979 |
$16K |
| 85379 |
|
2,397 |
2,169 |
$16K |
| J1644 |
Inj heparin sodium per 1000u |
4,397 |
2,755 |
$15K |
| 83735 |
|
4,451 |
3,789 |
$15K |
| 45380 |
|
717 |
665 |
$15K |
| 93017 |
|
481 |
443 |
$15K |
| G0378 |
Hospital observation per hr |
152 |
106 |
$14K |
| S0020 |
Injection, bupivicaine hydro |
1,335 |
1,164 |
$14K |
| 82550 |
|
3,183 |
2,845 |
$13K |
| J2765 |
Metoclopramide hcl injection |
2,800 |
2,364 |
$13K |
| 84443 |
|
1,460 |
1,325 |
$13K |
| 72040 |
|
692 |
669 |
$12K |
| 36415 |
|
5,972 |
5,195 |
$12K |
| 87186 |
|
2,488 |
2,239 |
$11K |
| 73110 |
|
709 |
679 |
$11K |
| 76937 |
|
745 |
686 |
$11K |
| 99282 |
|
974 |
854 |
$11K |
| J2060 |
Lorazepam injection |
2,392 |
1,894 |
$10K |
| 76642 |
|
236 |
216 |
$10K |
| 85027 |
|
2,919 |
2,487 |
$9K |
| 74018 |
|
656 |
620 |
$9K |
| J1200 |
Diphenhydramine hcl injectio |
2,234 |
1,764 |
$9K |
| 87088 |
|
2,616 |
2,325 |
$9K |
| 96367 |
|
293 |
251 |
$9K |
| 78452 |
|
39 |
36 |
$8K |
| 71250 |
|
84 |
83 |
$8K |
| 94664 |
|
4,158 |
3,718 |
$8K |
| S0164 |
Injection pantroprazole |
951 |
624 |
$8K |
| 45378 |
|
309 |
288 |
$7K |
| 87070 |
|
1,699 |
1,568 |
$7K |
| J0330 |
Succinycholine chloride inj |
420 |
377 |
$7K |
| 36430 |
|
165 |
128 |
$7K |
| J2930 |
Methylprednisolone injection |
1,039 |
867 |
$7K |
| 73502 |
|
376 |
351 |
$6K |
| 99292 |
|
43 |
43 |
$6K |
| 72131 |
|
68 |
65 |
$6K |
| 86901 |
|
3,495 |
3,056 |
$6K |
| 83874 |
|
1,126 |
1,061 |
$6K |
| 86900 |
|
3,492 |
3,053 |
$6K |
| 82150 |
|
1,339 |
1,237 |
$6K |
| 86920 |
|
289 |
239 |
$5K |
| 82553 |
|
781 |
692 |
$5K |
| 73590 |
|
387 |
372 |
$5K |
| J7060 |
5% dextrose/water |
1,206 |
1,068 |
$5K |
| 87631 |
|
108 |
100 |
$5K |
| 71010 |
|
324 |
310 |
$5K |
| 87077 |
|
1,252 |
1,123 |
$5K |
| 87491 |
|
333 |
280 |
$5K |
| 85007 |
|
2,722 |
2,329 |
$4K |
| 88304 |
|
788 |
740 |
$4K |
| 87591 |
|
286 |
244 |
$4K |
| J2704 |
Inj, propofol, 10 mg |
1,549 |
1,442 |
$4K |
| 94760 |
|
1,345 |
864 |
$4K |
| 99281 |
|
284 |
201 |
$4K |
| 0762 |
|
1,033 |
740 |
$4K |
| 74022 |
|
247 |
230 |
$4K |
| J7050 |
Normal saline solution infus |
1,862 |
1,644 |
$4K |
| 0258 |
|
2,724 |
2,231 |
$4K |
| 80061 |
|
589 |
523 |
$4K |
| 84703 |
|
1,140 |
1,045 |
$3K |
| 86850 |
|
2,148 |
1,844 |
$3K |
| J2710 |
Neostigmine methylslfte inj |
262 |
256 |
$3K |
| 90471 |
|
1,078 |
1,030 |
$3K |
| 87081 |
|
1,238 |
1,079 |
$3K |
| 12001 |
|
242 |
242 |
$3K |
| A9500 |
Tc99m sestamibi |
34 |
27 |
$3K |
| 82010 |
|
505 |
466 |
$3K |
| J3370 |
Vancomycin hcl injection |
338 |
246 |
$3K |
| 87880 |
|
770 |
751 |
$3K |
| 93975 |
|
16 |
14 |
$3K |
| 94060 |
|
120 |
120 |
$3K |
| 83036 |
|
515 |
465 |
$3K |
| 87807 |
|
729 |
680 |
$3K |
| 73070 |
|
207 |
200 |
$2K |
| 71101 |
|
147 |
143 |
$2K |
| 82805 |
|
178 |
165 |
$2K |
| 94729 |
|
106 |
106 |
$2K |
| 70496 |
|
17 |
12 |
$2K |
| 47563 |
|
14 |
13 |
$2K |
| 94726 |
|
95 |
95 |
$2K |
| 87147 |
|
645 |
596 |
$2K |
| 93041 |
|
1,807 |
1,705 |
$2K |
| 82040 |
|
875 |
705 |
$2K |
| 96376 |
|
586 |
525 |
$2K |
| 88307 |
|
95 |
75 |
$2K |
| J0360 |
Hydralazine hcl injection |
249 |
207 |
$1K |
| 10060 |
|
124 |
113 |
$1K |
| J7042 |
5% dextrose/normal saline |
2,544 |
2,139 |
$1K |
| 80307 |
|
652 |
609 |
$1K |
| 99000 |
|
369 |
367 |
$1K |
| 86140 |
|
401 |
354 |
$1K |
| 36569 |
|
22 |
21 |
$1K |
| 76770 |
|
28 |
26 |
$1K |
| 97750 |
|
49 |
41 |
$1K |
| J0171 |
Adrenalin epinephrine inject |
192 |
172 |
$1K |
| 47562 |
|
12 |
12 |
$1K |
| 84100 |
|
417 |
354 |
$1K |
| 71020 |
|
36 |
36 |
$1K |
| 82375 |
|
176 |
163 |
$1K |
| 84132 |
|
541 |
502 |
$978.66 |
| 29881 |
|
13 |
13 |
$950.00 |
| 96368 |
|
100 |
67 |
$888.75 |
| 82140 |
|
109 |
105 |
$869.70 |
| 29125 |
|
296 |
285 |
$852.93 |
| 94761 |
|
26 |
14 |
$838.02 |
| 96379 |
|
161 |
157 |
$835.23 |
| 49083 |
|
43 |
25 |
$825.61 |
| J2720 |
Inj protamine sulfate/10 mg |
99 |
88 |
$797.88 |
| 73140 |
|
80 |
80 |
$767.35 |
| 73080 |
|
32 |
31 |
$660.82 |
| J1940 |
Furosemide injection |
183 |
106 |
$652.36 |
| J3411 |
Thiamine hcl 100 mg |
138 |
108 |
$637.29 |
| J1650 |
Inj enoxaparin sodium |
98 |
52 |
$631.99 |
| C1760 |
Closure dev, vasc |
13 |
12 |
$631.16 |
| 84439 |
|
170 |
160 |
$611.56 |
| 0459 |
|
852 |
711 |
$584.72 |
| 83050 |
|
163 |
151 |
$563.82 |
| C1751 |
Cath, inf, per/cent/midline |
28 |
25 |
$548.70 |
| 12011 |
|
72 |
72 |
$504.97 |
| 75820 |
|
13 |
12 |
$504.89 |
| 76870 |
|
16 |
14 |
$496.36 |
| 97530 |
|
79 |
54 |
$453.13 |
| 73090 |
|
39 |
38 |
$430.43 |
| 88173 |
|
37 |
36 |
$420.86 |
| 10022 |
|
37 |
37 |
$415.33 |
| 29515 |
|
120 |
114 |
$404.18 |
| C1893 |
Intro/sheath, fixed,non-peel |
38 |
36 |
$401.68 |
| 0760 |
|
1,379 |
638 |
$363.97 |
| 76815 |
|
12 |
12 |
$325.08 |
| J0456 |
Azithromycin |
38 |
15 |
$300.12 |
| 94618 |
|
55 |
55 |
$296.49 |
| 0750 |
|
682 |
578 |
$274.20 |
| 0301 |
|
1,260 |
342 |
$250.43 |
| 74000 |
|
19 |
19 |
$248.20 |
| 51702 |
|
43 |
36 |
$246.32 |
| 97116 |
|
42 |
30 |
$244.05 |
| 82248 |
|
84 |
70 |
$224.68 |
| 76000 |
|
16 |
12 |
$222.41 |
| J3105 |
Terbutaline sulfate inj |
20 |
12 |
$189.77 |
| 36600 |
|
71 |
65 |
$160.55 |
| 0402 |
|
107 |
82 |
$138.77 |
| J9999 |
Chemotherapy drug |
18 |
16 |
$121.99 |
| 73620 |
|
13 |
13 |
$117.93 |
| 85018 |
|
166 |
153 |
$102.75 |
| J2470 |
Inj pantoprazole sodium 40mg |
37 |
29 |
$95.88 |
| J0780 |
Prochlorperazine injection |
19 |
12 |
$79.89 |
| J7040 |
Normal saline solution infus |
262 |
257 |
$77.53 |
| J2919 |
Inj, methylpred sod succ 5mg |
28 |
26 |
$73.05 |
| 0271 |
|
105 |
101 |
$58.47 |
| 87210 |
|
26 |
25 |
$58.24 |
| J1817 |
Insulin for insulin pump use |
13 |
12 |
$50.43 |
| 81002 |
|
85 |
81 |
$44.33 |
| J3480 |
Inj potassium chloride |
108 |
81 |
$28.92 |
| 86308 |
|
13 |
13 |
$28.72 |
| 84550 |
|
14 |
12 |
$25.68 |
| C9399 |
Unclassified drugs or biolog |
234 |
222 |
$25.26 |
| 0636 |
|
516 |
354 |
$17.66 |
| 0306 |
|
492 |
324 |
$15.70 |
| 0305 |
|
657 |
314 |
$12.28 |
| J1630 |
Haloperidol injection |
13 |
13 |
$11.47 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
50 |
50 |
$9.00 |
| J2001 |
Lidocaine injection |
41 |
41 |
$8.68 |
| 85651 |
|
13 |
12 |
$7.85 |
| C9290 |
Inj, bupivacaine liposome |
155 |
155 |
$5.96 |
| 0307 |
|
153 |
139 |
$5.02 |
| 29130 |
|
14 |
14 |
$1.99 |
| 99211 |
|
174 |
67 |
$0.00 |
| G8978 |
Mobility current status |
15 |
15 |
$0.00 |
| 0361 |
|
96 |
93 |
$0.00 |
| G9656 |
Pt trans from anest to pacu |
285 |
285 |
$0.00 |
| L1830 |
Ko immob canvas long pre ots |
13 |
13 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
286 |
286 |
$0.00 |
| 0302 |
|
53 |
17 |
$0.00 |
| 0351 |
|
68 |
59 |
$0.00 |
| 0320 |
|
301 |
248 |
$0.00 |
| 0300 |
|
71 |
64 |
$0.00 |
| G8979 |
Mobility goal status |
17 |
17 |
$0.00 |
| 0370 |
|
668 |
643 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
15 |
13 |
$0.00 |
| 0720 |
|
1,067 |
489 |
$0.00 |
| 0350 |
|
86 |
75 |
$0.00 |
| 0310 |
|
75 |
38 |
$0.00 |