| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
99,245 |
87,785 |
$4.60M |
| 0682 |
|
1,113 |
1,110 |
$3.94M |
| 90999 |
|
21,665 |
1,817 |
$2.58M |
| 0510 |
|
61,701 |
53,078 |
$1.89M |
| 74177 |
|
7,428 |
7,172 |
$1.79M |
| 99213 |
|
17,106 |
14,982 |
$1.47M |
| J0882 |
Darbepoetin alfa, esrd use |
5,498 |
1,485 |
$1.17M |
| Z7502 |
|
32,605 |
32,070 |
$1.16M |
| 96365 |
|
10,225 |
9,135 |
$987K |
| 96374 |
|
12,164 |
11,272 |
$985K |
| U0003 |
Cov-19 amp prb hgh thruput |
12,815 |
12,441 |
$870K |
| G0480 |
Drug test def 1-7 classes |
7,703 |
7,218 |
$794K |
| 77067 |
|
7,701 |
7,570 |
$762K |
| 70450 |
|
8,893 |
8,432 |
$739K |
| 80053 |
|
71,048 |
65,683 |
$696K |
| 99211 |
|
24,737 |
21,479 |
$696K |
| 80307 |
|
11,659 |
11,005 |
$684K |
| 93005 |
|
28,272 |
26,145 |
$665K |
| 85025 |
|
79,522 |
72,499 |
$586K |
| 0761 |
|
19,816 |
17,184 |
$537K |
| 87591 |
|
13,323 |
13,074 |
$509K |
| 72125 |
|
3,921 |
3,781 |
$506K |
| 93306 |
|
3,187 |
3,172 |
$497K |
| 87491 |
|
12,289 |
12,056 |
$482K |
| 96375 |
|
9,847 |
8,979 |
$477K |
| 0241U |
|
2,609 |
2,563 |
$475K |
| 0250 |
|
65,028 |
31,342 |
$433K |
| 0683 |
|
691 |
644 |
$412K |
| 87811 |
|
9,698 |
9,407 |
$396K |
| 96361 |
|
8,494 |
7,587 |
$371K |
| 96372 |
|
11,111 |
10,152 |
$347K |
| 71046 |
|
17,301 |
16,367 |
$338K |
| 74176 |
|
2,550 |
2,484 |
$335K |
| 99214 |
|
7,161 |
6,976 |
$324K |
| 96360 |
|
3,891 |
3,684 |
$311K |
| 71045 |
|
26,155 |
24,164 |
$310K |
| J3490 |
Drugs unclassified injection |
30,553 |
13,241 |
$300K |
| 71260 |
|
1,886 |
1,835 |
$299K |
| Z7500 |
|
8,886 |
7,945 |
$291K |
| 97110 |
|
10,066 |
3,598 |
$281K |
| 76856 |
|
4,752 |
4,616 |
$272K |
| Z9725 |
|
6,324 |
6,210 |
$272K |
| 76705 |
|
5,318 |
5,186 |
$269K |
| 71275 |
|
1,141 |
1,122 |
$268K |
| 83880 |
|
7,404 |
6,961 |
$259K |
| 88305 |
|
3,324 |
3,034 |
$254K |
| 87502 |
|
3,097 |
2,991 |
$252K |
| 96366 |
|
4,464 |
4,013 |
$232K |
| U0002 |
Covid-19 lab test non-cdc |
4,321 |
4,176 |
$230K |
| 0360 |
|
3,337 |
3,257 |
$229K |
| 84484 |
|
18,169 |
16,569 |
$201K |
| 70486 |
|
1,773 |
1,714 |
$197K |
| 76830 |
|
3,105 |
3,002 |
$188K |
| 71250 |
|
1,378 |
1,337 |
$180K |
| 70498 |
|
834 |
826 |
$178K |
| 99204 |
|
1,920 |
1,914 |
$178K |
| J1756 |
Iron sucrose injection |
4,559 |
1,005 |
$174K |
| 72148 |
|
924 |
905 |
$167K |
| Z7610 |
|
18,325 |
11,416 |
$165K |
| 77063 |
|
5,775 |
5,729 |
$165K |
| 0160 |
|
481 |
344 |
$164K |
| 99203 |
|
2,100 |
2,095 |
$163K |
| T1999 |
Noc retail items andsupplies |
21,047 |
9,811 |
$163K |
| 92557 |
|
2,036 |
2,029 |
$160K |
| 76801 |
|
2,464 |
2,154 |
$151K |
| 0760 |
|
6,821 |
6,096 |
$147K |
| 95810 |
|
598 |
576 |
$144K |
| 93971 |
|
1,439 |
1,388 |
$144K |
| 93970 |
|
855 |
848 |
$138K |
| 70496 |
|
635 |
629 |
$134K |
| 84443 |
|
13,166 |
12,933 |
$125K |
| J1885 |
Ketorolac tromethamine inj |
10,525 |
9,963 |
$125K |
| J1644 |
Inj heparin sodium per 1000u |
9,074 |
983 |
$120K |
| U0004 |
Cov-19 test non-cdc hgh thru |
1,542 |
1,526 |
$116K |
| J0561 |
Penicillin g benzathine inj |
358 |
344 |
$115K |
| 81001 |
|
35,881 |
33,687 |
$115K |
| 73610 |
|
5,224 |
4,807 |
$109K |
| 90935 |
|
1,587 |
131 |
$108K |
| 0762 |
|
519 |
445 |
$107K |
| 73130 |
|
5,295 |
4,909 |
$106K |
| 84702 |
|
7,397 |
6,653 |
$102K |
| 86141 |
|
7,871 |
7,627 |
$100K |
| 90715 |
|
2,211 |
2,195 |
$100K |
| 83690 |
|
13,591 |
12,739 |
$99K |
| 87634 |
|
1,204 |
1,164 |
$99K |
| 76817 |
|
1,508 |
1,328 |
$97K |
| 73110 |
|
4,487 |
4,124 |
$95K |
| 78451 |
|
723 |
712 |
$94K |
| 73630 |
|
4,545 |
4,353 |
$92K |
| 87088 |
|
14,240 |
13,575 |
$92K |
| 76770 |
|
1,399 |
1,374 |
$91K |
| 76641 |
|
1,241 |
1,212 |
$90K |
| 97140 |
|
3,027 |
1,257 |
$87K |
| 83605 |
|
6,687 |
6,228 |
$83K |
| 73721 |
|
395 |
365 |
$81K |
| 87040 |
|
4,385 |
4,179 |
$81K |
| J1100 |
Dexamethasone sodium phos |
2,315 |
2,102 |
$80K |
| 76700 |
|
1,209 |
1,186 |
$78K |
| Z6006 |
|
2,490 |
212 |
$78K |
| 72170 |
|
3,867 |
3,747 |
$77K |
| 76805 |
|
1,037 |
999 |
$77K |
| 99212 |
|
3,008 |
2,890 |
$76K |
| 96413 |
|
2,079 |
1,356 |
$74K |
| J2405 |
Ondansetron hcl injection |
6,965 |
6,478 |
$74K |
| 73030 |
|
3,301 |
3,178 |
$67K |
| 94729 |
|
1,352 |
1,313 |
$67K |
| 90378 |
|
39 |
24 |
$66K |
| 73560 |
|
4,448 |
4,253 |
$66K |
| 83735 |
|
9,910 |
8,796 |
$65K |
| 72131 |
|
456 |
442 |
$63K |
| 85610 |
|
17,145 |
16,092 |
$62K |
| J0696 |
Ceftriaxone sodium injection |
3,874 |
3,696 |
$61K |
| 92588 |
|
1,034 |
1,033 |
$61K |
| 94726 |
|
1,333 |
1,291 |
$61K |
| 72141 |
|
299 |
284 |
$59K |
| 94640 |
|
2,645 |
2,440 |
$59K |
| 99202 |
|
1,134 |
1,123 |
$58K |
| 84145 |
|
2,099 |
2,044 |
$58K |
| 87635 |
|
814 |
805 |
$54K |
| 99215 |
Prolong outpt/office vis |
796 |
766 |
$53K |
| 92587 |
|
1,078 |
1,071 |
$51K |
| 85730 |
|
8,660 |
8,416 |
$51K |
| 74018 |
|
2,399 |
2,328 |
$51K |
| 0710 |
|
2,164 |
2,133 |
$50K |
| 87880 |
|
5,603 |
5,517 |
$49K |
| A9502 |
Tc99m tetrofosmin |
628 |
618 |
$49K |
| 72100 |
|
1,905 |
1,874 |
$48K |
| 97530 |
|
2,196 |
1,117 |
$48K |
| 0361 |
|
368 |
355 |
$47K |
| J3301 |
Triamcinolone acet inj nos |
1,339 |
1,314 |
$46K |
| G0279 |
Tomosynthesis, mammo |
1,542 |
1,541 |
$45K |
| 82306 |
|
4,167 |
4,142 |
$45K |
| 94060 |
|
1,232 |
1,195 |
$44K |
| 80048 |
|
5,843 |
5,672 |
$44K |
| 73590 |
|
2,494 |
2,325 |
$44K |
| 81025 |
|
12,280 |
11,716 |
$44K |
| 87070 |
|
5,141 |
5,061 |
$43K |
| 92550 |
|
1,919 |
1,912 |
$43K |
| 82948 |
|
8,891 |
5,806 |
$43K |
| 70551 |
|
257 |
256 |
$43K |
| J2270 |
Morphine sulfate injection |
4,461 |
3,888 |
$42K |
| 73502 |
|
1,276 |
1,230 |
$42K |
| 73562 |
|
2,082 |
2,022 |
$40K |
| 73070 |
|
2,250 |
2,068 |
$40K |
| 99243 |
|
493 |
486 |
$38K |
| 73090 |
|
1,831 |
1,693 |
$36K |
| 86481 |
|
616 |
613 |
$34K |
| 95811 |
|
162 |
135 |
$34K |
| 72040 |
|
1,391 |
1,332 |
$34K |
| 96367 |
|
677 |
632 |
$34K |
| 86780 |
|
2,906 |
2,723 |
$33K |
| 0700 |
|
769 |
682 |
$31K |
| J3010 |
Fentanyl citrate injection |
4,552 |
4,086 |
$31K |
| 87077 |
|
3,616 |
3,513 |
$29K |
| 87186 |
|
3,443 |
3,340 |
$29K |
| 93000 |
|
661 |
620 |
$29K |
| 0750 |
|
250 |
247 |
$29K |
| 76536 |
|
537 |
529 |
$28K |
| 86703 |
|
4,429 |
4,404 |
$27K |
| 80061 |
|
9,350 |
9,289 |
$26K |
| 59025 |
|
1,665 |
1,453 |
$26K |
| 84439 |
|
5,402 |
5,310 |
$25K |
| J2785 |
Regadenoson injection |
408 |
401 |
$25K |
| 80143 |
|
1,207 |
1,141 |
$25K |
| 73552 |
|
1,007 |
972 |
$25K |
| 96415 |
|
549 |
366 |
$24K |
| 82728 |
|
3,144 |
3,054 |
$24K |
| 0270 |
|
1,689 |
1,454 |
$24K |
| 86803 |
|
3,959 |
3,929 |
$23K |
| 83036 |
|
10,283 |
10,199 |
$23K |
| 73140 |
|
1,475 |
1,365 |
$22K |
| 85379 |
|
1,963 |
1,940 |
$21K |
| 86850 |
|
5,926 |
5,687 |
$21K |
| 90471 |
|
2,210 |
1,980 |
$20K |
| J0636 |
Inj calcitriol per 0.1 mcg |
1,760 |
179 |
$19K |
| U0001 |
2019-ncov diagnostic p |
641 |
636 |
$19K |
| 99205 |
Prolong outpt/office vis |
168 |
168 |
$18K |
| 86901 |
|
6,030 |
5,782 |
$18K |
| 73221 |
|
91 |
87 |
$18K |
| 0272 |
|
820 |
798 |
$18K |
| J2469 |
Palonosetron hcl |
138 |
84 |
$18K |
| 86900 |
|
6,036 |
5,787 |
$18K |
| J1200 |
Diphenhydramine hcl injectio |
2,849 |
2,033 |
$17K |
| 97750 |
|
394 |
199 |
$17K |
| 77066 |
Tomosynthesis, mammo |
130 |
130 |
$17K |
| 90686 |
|
822 |
811 |
$17K |
| 76870 |
|
406 |
391 |
$16K |
| 96368 |
|
622 |
604 |
$16K |
| 99284 |
|
684 |
627 |
$16K |
| 82550 |
|
2,488 |
2,384 |
$16K |
| 93271 |
|
214 |
214 |
$16K |
| 87340 |
|
3,619 |
3,567 |
$15K |
| 85651 |
|
5,791 |
5,667 |
$15K |
| 86480 |
|
480 |
476 |
$15K |
| 92570 |
|
491 |
490 |
$14K |
| 73060 |
|
715 |
663 |
$14K |
| 80069 |
|
3,207 |
2,882 |
$14K |
| 71271 |
|
123 |
121 |
$14K |
| 72114 |
|
284 |
277 |
$14K |
| 93017 |
|
252 |
249 |
$14K |
| 94664 |
|
1,234 |
1,203 |
$13K |
| 87632 |
|
95 |
91 |
$13K |
| J1453 |
Fosaprepitant injection |
43 |
26 |
$13K |
| J0131 |
Inj, acetaminophen (nos) |
407 |
389 |
$13K |
| 85027 |
|
4,583 |
2,823 |
$13K |
| 82607 |
|
2,090 |
2,074 |
$13K |
| 70553 |
|
38 |
38 |
$12K |
| J2060 |
Lorazepam injection |
1,601 |
1,430 |
$12K |
| 86706 |
|
2,814 |
2,781 |
$11K |
| 73565 |
|
674 |
658 |
$11K |
| J3475 |
Inj magnesium sulfate |
441 |
382 |
$10K |
| G2023 |
Specimen collect covid-19 |
1,941 |
1,853 |
$10K |
| J2765 |
Metoclopramide hcl injection |
1,427 |
1,365 |
$10K |
| 83970 |
|
907 |
868 |
$10K |
| 70491 |
|
54 |
53 |
$9K |
| 74174 |
|
27 |
26 |
$9K |
| 82553 |
|
886 |
821 |
$9K |
| 97014 |
|
693 |
295 |
$9K |
| J2704 |
Inj, propofol, 10 mg |
335 |
329 |
$9K |
| 95816 |
|
95 |
91 |
$9K |
| 97010 |
|
734 |
358 |
$8K |
| G0463 |
Hospital outpt clinic visit |
3,082 |
2,553 |
$8K |
| 0636 |
|
963 |
821 |
$8K |
| 88304 |
|
307 |
293 |
$8K |
| 72128 |
|
54 |
54 |
$7K |
| 86705 |
|
1,344 |
1,329 |
$7K |
| J2930 |
Methylprednisolone injection |
488 |
454 |
$7K |
| 83550 |
|
2,269 |
2,208 |
$7K |
| 81002 |
|
3,190 |
2,999 |
$7K |
| 98966 |
|
625 |
492 |
$7K |
| 84100 |
|
1,803 |
1,670 |
$7K |
| J1815 |
Insulin injection |
717 |
441 |
$6K |
| 97112 |
|
360 |
209 |
$6K |
| 99391 |
|
49 |
49 |
$6K |
| 73020 |
|
409 |
388 |
$6K |
| 82150 |
|
885 |
868 |
$6K |
| J2250 |
Inj midazolam hydrochloride |
948 |
883 |
$6K |
| 86255 |
|
779 |
769 |
$6K |
| 86704 |
|
1,180 |
1,169 |
$6K |
| 93793 |
|
394 |
267 |
$6K |
| 92582 |
|
120 |
120 |
$5K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
11,122 |
10,851 |
$5K |
| 93226 |
|
113 |
110 |
$5K |
| 99283 |
|
294 |
261 |
$5K |
| 97139 |
|
211 |
49 |
$5K |
| 84481 |
|
586 |
573 |
$5K |
| 12002 |
|
296 |
293 |
$5K |
| 99242 |
|
65 |
64 |
$5K |
| 99000 |
|
1,600 |
1,428 |
$4K |
| 12001 |
|
276 |
274 |
$4K |
| J1953 |
Levetiracetam injection |
148 |
133 |
$4K |
| 86235 |
|
628 |
559 |
$4K |
| 82805 |
|
146 |
144 |
$4K |
| 82746 |
|
534 |
529 |
$4K |
| 36000 |
|
798 |
789 |
$4K |
| 93225 |
|
111 |
111 |
$4K |
| 72110 |
|
98 |
98 |
$4K |
| 87661 |
|
132 |
131 |
$4K |
| 80076 |
|
849 |
839 |
$4K |
| Z7506 |
|
261 |
252 |
$4K |
| 87081 |
|
691 |
687 |
$3K |
| 87147 |
|
810 |
796 |
$3K |
| 83615 |
|
592 |
567 |
$3K |
| J3370 |
Vancomycin hcl injection |
133 |
121 |
$3K |
| 45380 |
|
111 |
108 |
$3K |
| 92551 |
|
218 |
218 |
$3K |
| 87210 |
|
672 |
659 |
$3K |
| 82565 |
|
952 |
856 |
$3K |
| 86708 |
|
607 |
604 |
$3K |
| 82009 |
|
566 |
505 |
$3K |
| 87807 |
|
236 |
234 |
$3K |
| Q3014 |
Telehealth facility fee |
94 |
94 |
$3K |
| 82946 |
|
149 |
142 |
$3K |
| 45385 |
|
101 |
101 |
$2K |
| J8597 |
Antiemetic drug oral nos |
226 |
189 |
$2K |
| 83721 |
|
1,906 |
1,894 |
$2K |
| 84520 |
|
1,930 |
1,585 |
$2K |
| 87400 |
|
292 |
288 |
$2K |
| 99392 |
|
25 |
25 |
$2K |
| 97035 |
|
248 |
135 |
$2K |
| 36600 |
|
285 |
276 |
$2K |
| 97032 |
|
206 |
117 |
$2K |
| 82951 |
|
133 |
124 |
$2K |
| 77062 |
|
15 |
13 |
$2K |
| 97116 |
|
114 |
52 |
$2K |
| 76000 |
|
94 |
76 |
$2K |
| 74022 |
|
54 |
54 |
$2K |
| 81015 |
|
782 |
755 |
$2K |
| 73700 |
|
12 |
12 |
$2K |
| 84550 |
|
763 |
751 |
$2K |
| Z7504 |
|
32 |
26 |
$2K |
| 43239 |
|
54 |
54 |
$2K |
| 87205 |
|
580 |
575 |
$2K |
| 82043 |
|
2,194 |
2,179 |
$2K |
| 12011 |
|
53 |
52 |
$1K |
| 76881 |
|
20 |
14 |
$1K |
| 29700 |
|
50 |
49 |
$1K |
| 77065 |
Tomosynthesis, mammo |
13 |
13 |
$1K |
| 86762 |
|
185 |
185 |
$1K |
| 86709 |
|
441 |
440 |
$1K |
| 97161 |
|
30 |
15 |
$1K |
| 73521 |
|
43 |
43 |
$1K |
| 10060 |
|
66 |
65 |
$1K |
| 94760 |
|
186 |
178 |
$1K |
| 29075 |
|
18 |
13 |
$1K |
| 83540 |
|
1,212 |
1,182 |
$1K |
| 86430 |
|
418 |
414 |
$1K |
| Z4300 |
|
12 |
12 |
$1K |
| 97018 |
|
106 |
39 |
$1K |
| 86787 |
|
158 |
155 |
$1K |
| J0702 |
Betamethasone acet&sod phosp |
71 |
67 |
$1K |
| 86160 |
|
412 |
406 |
$1K |
| 31575 |
|
12 |
12 |
$1K |
| 82570 |
|
464 |
438 |
$949.81 |
| 90656 |
|
103 |
103 |
$944.00 |
| 82140 |
|
68 |
66 |
$939.91 |
| 86038 |
|
88 |
88 |
$907.57 |
| 73000 |
|
54 |
51 |
$892.93 |
| J1790 |
Droperidol injection |
53 |
49 |
$880.46 |
| 93308 |
|
24 |
24 |
$821.49 |
| G0378 |
Hospital observation per hr |
341 |
288 |
$765.77 |
| 72081 |
|
27 |
26 |
$762.72 |
| 90480 |
|
19 |
19 |
$760.00 |
| 29125 |
|
79 |
77 |
$750.55 |
| 72072 |
|
26 |
26 |
$749.78 |
| 74019 |
|
27 |
26 |
$691.65 |
| 87521 |
Neg quan hep c or qual rna |
120 |
120 |
$671.29 |
| 86225 |
|
456 |
449 |
$633.90 |
| 99285 |
|
346 |
301 |
$633.86 |
| S0020 |
Injection, bupivicaine hydro |
46 |
44 |
$593.19 |
| 88313 |
|
14 |
14 |
$575.68 |
| 93299 |
|
28 |
28 |
$558.54 |
| 99188 |
|
27 |
27 |
$481.68 |
| 92591 |
|
13 |
13 |
$481.02 |
| 93242 |
|
24 |
24 |
$437.76 |
| 84703 |
|
52 |
51 |
$437.21 |
| 92579 |
|
13 |
13 |
$425.14 |
| 86592 |
|
289 |
286 |
$421.57 |
| 99201 |
|
12 |
12 |
$412.20 |
| 77080 |
|
12 |
12 |
$406.44 |
| A9579 |
Gad-base mr contrast nos,1ml |
148 |
148 |
$371.71 |
| 85045 |
|
242 |
226 |
$329.21 |
| 82247 |
|
159 |
121 |
$305.74 |
| 84156 |
|
146 |
137 |
$299.52 |
| 83655 |
|
28 |
27 |
$285.88 |
| 87522 |
Neg quan hep c or qual rna |
134 |
133 |
$263.04 |
| 93246 |
|
14 |
14 |
$237.12 |
| 72200 |
|
12 |
12 |
$230.42 |
| 84153 |
|
139 |
138 |
$225.76 |
| 87338 |
|
287 |
287 |
$217.10 |
| 84466 |
|
180 |
179 |
$214.78 |
| 87045 |
|
58 |
58 |
$212.92 |
| J1642 |
Inj heparin sodium per 10 u |
26 |
19 |
$196.04 |
| 83930 |
|
26 |
25 |
$185.54 |
| D1206 |
|
13 |
13 |
$180.00 |
| J0690 |
Cefazolin sodium injection |
29 |
28 |
$159.61 |
| 86039 |
|
27 |
27 |
$153.26 |
| 84403 |
|
54 |
54 |
$147.80 |
| 90677 |
|
12 |
12 |
$108.00 |
| J8499 |
Oral prescrip drug non chemo |
159 |
32 |
$107.75 |
| 85007 |
|
40 |
33 |
$107.14 |
| 87427 |
|
12 |
12 |
$105.85 |
| 86593 |
|
77 |
76 |
$101.43 |
| 85018 |
|
30 |
30 |
$100.50 |
| 29105 |
|
12 |
12 |
$93.60 |
| J1940 |
Furosemide injection |
13 |
12 |
$83.57 |
| 87075 |
|
25 |
25 |
$74.00 |
| 82378 |
|
14 |
12 |
$72.00 |
| 99173 |
|
14 |
14 |
$66.85 |
| 82105 |
|
12 |
12 |
$57.76 |
| 82274 |
|
51 |
51 |
$57.15 |
| 82310 |
|
96 |
62 |
$49.20 |
| 82040 |
|
73 |
73 |
$49.02 |
| 80164 |
|
12 |
12 |
$43.98 |
| 84154 |
|
25 |
25 |
$22.00 |
| 84270 |
|
30 |
30 |
$20.00 |
| J7613 |
Albuterol non-comp unit |
44 |
44 |
$18.03 |
| 36415 |
|
645 |
595 |
$16.43 |
| 83520 |
|
56 |
56 |
$12.29 |
| 86200 |
|
215 |
213 |
$8.52 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
406 |
361 |
$4.60 |
| 84155 |
|
174 |
174 |
$1.98 |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
569 |
55 |
$0.00 |
| 00250 |
|
38 |
38 |
$0.00 |
| 84075 |
|
169 |
169 |
$0.00 |
| 87536 |
|
13 |
13 |
$0.00 |
| 81220 |
|
233 |
232 |
$0.00 |
| 82172 |
|
42 |
42 |
$0.00 |
| 29705 |
|
14 |
14 |
$0.00 |
| 86147 |
|
12 |
12 |
$0.00 |