| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
27,736 |
24,074 |
$9.21M |
| 74177 |
|
9,082 |
8,362 |
$4.98M |
| 99284 |
|
26,735 |
24,257 |
$4.34M |
| 99283 |
|
15,824 |
14,707 |
$2.82M |
| 70450 |
|
11,696 |
10,469 |
$1.02M |
| 74176 |
|
4,200 |
3,766 |
$746K |
| G0378 |
Hospital observation per hr |
22,585 |
11,475 |
$635K |
| 72125 |
|
3,341 |
3,008 |
$473K |
| 49083 |
|
887 |
385 |
$375K |
| 71275 |
|
3,744 |
3,499 |
$367K |
| 99282 |
|
3,623 |
3,408 |
$348K |
| 99291 |
|
220 |
211 |
$199K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
121 |
106 |
$172K |
| 43239 |
|
697 |
657 |
$143K |
| 11042 |
|
918 |
620 |
$128K |
| 93306 |
|
1,345 |
1,221 |
$123K |
| C1769 |
Guide wire |
2,260 |
1,933 |
$86K |
| 80053 |
|
57,232 |
45,184 |
$80K |
| 88305 |
|
4,760 |
2,933 |
$73K |
| 93971 |
|
1,914 |
1,748 |
$69K |
| 96365 |
|
9,012 |
7,301 |
$46K |
| 93970 |
|
214 |
197 |
$40K |
| 93005 |
|
31,195 |
25,393 |
$34K |
| 71250 |
|
784 |
709 |
$34K |
| 96366 |
|
3,125 |
2,141 |
$33K |
| 36430 |
|
176 |
121 |
$32K |
| 96361 |
|
5,875 |
4,897 |
$30K |
| 93458 |
|
26 |
19 |
$28K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,017 |
1,868 |
$28K |
| 74174 |
|
43 |
41 |
$27K |
| 45380 |
|
70 |
66 |
$26K |
| 70551 |
|
505 |
463 |
$24K |
| 97110 |
|
573 |
155 |
$24K |
| 71046 |
|
3,212 |
2,948 |
$22K |
| 70496 |
|
48 |
45 |
$22K |
| 96375 |
|
22,870 |
17,521 |
$19K |
| 78452 |
|
15 |
15 |
$16K |
| 70486 |
|
622 |
574 |
$15K |
| 80320 |
|
5,055 |
4,656 |
$14K |
| G0463 |
Hospital outpt clinic visit |
1,718 |
1,255 |
$12K |
| 96374 |
|
25,538 |
22,227 |
$12K |
| 96376 |
|
11,166 |
6,478 |
$11K |
| 76705 |
|
1,731 |
1,583 |
$10K |
| 88341 |
|
125 |
79 |
$10K |
| 96413 |
|
374 |
189 |
$10K |
| 71260 |
|
181 |
164 |
$8K |
| 72131 |
|
29 |
25 |
$7K |
| 80048 |
|
12,776 |
9,348 |
$7K |
| C1887 |
Catheter, guiding |
185 |
149 |
$6K |
| 71045 |
|
25,140 |
21,887 |
$5K |
| 75574 |
|
44 |
41 |
$5K |
| 70491 |
|
12 |
12 |
$5K |
| 85025 |
|
60,494 |
47,038 |
$5K |
| J8597 |
Antiemetic drug oral nos |
2,255 |
1,868 |
$4K |
| 80307 |
|
6,849 |
6,248 |
$4K |
| 86850 |
|
3,321 |
2,949 |
$3K |
| 96372 |
|
9,747 |
6,452 |
$3K |
| J3490 |
Drugs unclassified injection |
29,588 |
12,895 |
$3K |
| C1894 |
Intro/sheath, non-laser |
696 |
594 |
$3K |
| 87631 |
|
2,572 |
2,476 |
$3K |
| J1756 |
Iron sucrose injection |
30 |
12 |
$3K |
| 82728 |
|
363 |
315 |
$3K |
| 72100 |
|
2,067 |
1,939 |
$3K |
| 87636 |
|
5,750 |
5,355 |
$3K |
| 84484 |
|
29,248 |
15,529 |
$2K |
| 86920 |
|
19 |
12 |
$2K |
| 96360 |
|
1,792 |
1,572 |
$2K |
| 83690 |
|
18,130 |
15,911 |
$2K |
| 84443 |
|
5,030 |
4,462 |
$1K |
| 73630 |
|
1,702 |
1,512 |
$1K |
| 73562 |
|
2,133 |
1,838 |
$1K |
| 99211 |
|
474 |
371 |
$1K |
| 83880 |
|
6,640 |
5,932 |
$1K |
| 99213 |
|
98 |
78 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
16,611 |
14,789 |
$1K |
| 97530 |
|
1,997 |
1,317 |
$1K |
| J2405 |
Ondansetron hcl injection |
22,997 |
18,183 |
$1K |
| 86923 |
|
111 |
56 |
$1K |
| 81025 |
|
7,734 |
7,089 |
$977.63 |
| 85610 |
|
27,794 |
23,688 |
$958.70 |
| 73610 |
|
1,214 |
1,098 |
$947.82 |
| 83735 |
|
25,397 |
19,793 |
$905.52 |
| 87635 |
|
1,865 |
1,800 |
$850.69 |
| 87086 |
|
8,112 |
7,313 |
$834.24 |
| 74018 |
|
414 |
376 |
$824.00 |
| 73030 |
|
1,845 |
1,625 |
$808.36 |
| 76856 |
|
610 |
589 |
$797.70 |
| 73130 |
|
1,040 |
935 |
$787.99 |
| 87040 |
|
7,173 |
3,413 |
$709.67 |
| 97140 |
|
134 |
44 |
$706.20 |
| 81001 |
|
16,109 |
14,327 |
$684.32 |
| 83605 |
|
11,217 |
8,786 |
$669.47 |
| 94640 |
|
4,326 |
2,258 |
$661.55 |
| 73502 |
|
1,024 |
910 |
$626.72 |
| 97535 |
|
377 |
234 |
$618.46 |
| 84703 |
|
6,443 |
6,115 |
$607.78 |
| 76830 |
|
512 |
492 |
$545.20 |
| 84702 |
|
1,629 |
1,503 |
$507.17 |
| 87491 |
|
854 |
830 |
$462.48 |
| 36591 |
|
780 |
465 |
$460.23 |
| M0245 |
Bamlan and etesev infusion |
139 |
136 |
$450.01 |
| 97116 |
|
1,535 |
1,056 |
$444.64 |
| J2270 |
Morphine sulfate injection |
12,260 |
8,642 |
$442.75 |
| 87591 |
|
855 |
831 |
$442.07 |
| 90715 |
|
1,333 |
1,258 |
$440.79 |
| 93880 |
|
32 |
26 |
$429.65 |
| 82947 |
|
22,808 |
10,000 |
$420.61 |
| 87880 |
|
1,016 |
983 |
$364.50 |
| 85730 |
|
931 |
780 |
$351.44 |
| J7030 |
Normal saline solution infus |
13,628 |
11,067 |
$318.35 |
| 85379 |
|
1,253 |
1,138 |
$311.17 |
| G0480 |
Drug test def 1-7 classes |
412 |
359 |
$298.51 |
| 70498 |
|
47 |
44 |
$294.43 |
| 97161 |
|
2,765 |
2,324 |
$288.65 |
| 93976 |
|
208 |
202 |
$281.76 |
| 82550 |
|
8,296 |
6,885 |
$267.33 |
| J1885 |
Ketorolac tromethamine inj |
11,823 |
10,404 |
$259.11 |
| 87088 |
|
6,142 |
5,280 |
$258.36 |
| J0696 |
Ceftriaxone sodium injection |
5,724 |
4,161 |
$252.79 |
| 88342 |
|
700 |
568 |
$241.88 |
| 85027 |
|
9,050 |
6,384 |
$226.59 |
| 77067 |
|
16 |
14 |
$225.74 |
| 73110 |
|
619 |
563 |
$211.24 |
| 87661 |
|
14 |
14 |
$200.04 |
| 82803 |
|
146 |
118 |
$185.07 |
| C9113 |
Inj pantoprazole sodium, via |
2,696 |
1,621 |
$172.50 |
| 82565 |
|
2,392 |
2,196 |
$158.51 |
| 81003 |
|
8,884 |
8,141 |
$149.31 |
| J1100 |
Dexamethasone sodium phos |
5,687 |
4,702 |
$147.67 |
| 85055 |
|
1,613 |
1,040 |
$146.18 |
| 87651 |
|
378 |
372 |
$131.57 |
| J0690 |
Cefazolin sodium injection |
4,051 |
3,070 |
$128.47 |
| 96367 |
|
848 |
552 |
$126.88 |
| 86901 |
|
3,660 |
3,298 |
$120.00 |
| 86900 |
|
3,458 |
3,119 |
$115.04 |
| 73080 |
|
143 |
134 |
$113.31 |
| J2704 |
Inj, propofol, 10 mg |
8,753 |
7,437 |
$110.49 |
| 80061 |
|
1,858 |
1,629 |
$108.93 |
| 87804 |
|
1,497 |
739 |
$105.14 |
| 73590 |
|
128 |
113 |
$97.98 |
| 87186 |
|
2,736 |
2,362 |
$94.50 |
| G0257 |
Unsched dialysis esrd pt hos |
16 |
13 |
$94.04 |
| J8499 |
Oral prescrip drug non chemo |
33,725 |
11,706 |
$91.66 |
| J0330 |
Succinycholine chloride inj |
1,687 |
1,519 |
$89.04 |
| J3010 |
Fentanyl citrate injection |
11,920 |
9,888 |
$87.89 |
| 84145 |
|
690 |
643 |
$84.96 |
| 87077 |
|
3,205 |
2,629 |
$75.71 |
| J0360 |
Hydralazine hcl injection |
1,331 |
1,055 |
$67.37 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,715 |
1,304 |
$59.73 |
| 83036 |
|
2,066 |
1,856 |
$54.22 |
| U0005 |
Infec agen detec ampli probe |
1,225 |
1,123 |
$53.39 |
| U0002 |
Covid-19 lab test non-cdc |
17 |
15 |
$51.31 |
| 93017 |
|
30 |
28 |
$49.97 |
| J2060 |
Lorazepam injection |
3,066 |
2,545 |
$49.47 |
| J1170 |
Hydromorphone injection |
3,265 |
2,441 |
$48.72 |
| J2930 |
Methylprednisolone injection |
1,553 |
1,283 |
$46.07 |
| 84439 |
|
492 |
437 |
$45.40 |
| 86140 |
|
1,613 |
1,461 |
$45.24 |
| 90471 |
|
1,372 |
1,289 |
$44.90 |
| J1815 |
Insulin injection |
6,526 |
2,894 |
$44.56 |
| 51702 |
|
33 |
28 |
$44.54 |
| J7040 |
Normal saline solution infus |
2,892 |
2,634 |
$43.99 |
| J2765 |
Metoclopramide hcl injection |
3,496 |
3,109 |
$42.35 |
| 84100 |
|
1,696 |
1,303 |
$42.03 |
| J3475 |
Inj magnesium sulfate |
2,287 |
1,870 |
$39.66 |
| 82553 |
|
895 |
781 |
$39.59 |
| A9270 |
Non-covered item or service |
92,438 |
10,700 |
$38.46 |
| 76937 |
|
106 |
89 |
$38.25 |
| J1956 |
Levofloxacin injection |
1,264 |
887 |
$29.65 |
| J1642 |
Inj heparin sodium per 10 u |
2,317 |
1,032 |
$28.68 |
| J7120 |
Ringers lactate infusion |
2,532 |
2,286 |
$26.13 |
| J1200 |
Diphenhydramine hcl injectio |
5,181 |
4,234 |
$26.00 |
| J2550 |
Promethazine hcl injection |
607 |
436 |
$24.46 |
| 82010 |
|
509 |
453 |
$23.27 |
| J2795 |
Ropivacaine hcl injection |
59 |
52 |
$22.05 |
| 84466 |
|
357 |
318 |
$19.71 |
| J1790 |
Droperidol injection |
193 |
184 |
$19.56 |
| J1644 |
Inj heparin sodium per 1000u |
3,436 |
1,851 |
$16.54 |
| 83540 |
|
359 |
318 |
$13.21 |
| 87210 |
|
291 |
283 |
$13.16 |
| J2250 |
Inj midazolam hydrochloride |
5,947 |
5,322 |
$12.29 |
| 85018 |
|
887 |
620 |
$12.23 |
| J2370 |
Phenylephrine hcl injection |
505 |
449 |
$12.16 |
| 84132 |
|
2,401 |
1,931 |
$11.79 |
| 85652 |
|
947 |
834 |
$9.58 |
| 87081 |
|
185 |
175 |
$7.60 |
| J3370 |
Vancomycin hcl injection |
959 |
566 |
$7.48 |
| 85014 |
|
385 |
268 |
$5.68 |
| J2710 |
Neostigmine methylslfte inj |
601 |
514 |
$2.33 |
| J2001 |
Lidocaine injection |
1,185 |
1,050 |
$0.00 |
| 80329 |
|
656 |
594 |
$0.00 |
| J2920 |
Methylprednisolone injection |
312 |
146 |
$0.00 |
| 87205 |
|
2,016 |
1,397 |
$0.00 |
| J7999 |
Compounded drug, noc |
754 |
534 |
$0.00 |
| J1630 |
Haloperidol injection |
202 |
162 |
$0.00 |
| 72040 |
|
12 |
12 |
$0.00 |
| 87147 |
|
47 |
38 |
$0.00 |
| J7050 |
Normal saline solution infus |
522 |
210 |
$0.00 |
| 96368 |
|
218 |
156 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
226 |
111 |
$0.00 |
| 87070 |
|
1,659 |
1,155 |
$0.00 |
| 88304 |
|
261 |
238 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
193 |
121 |
$0.00 |
| 12001 |
|
53 |
50 |
$0.00 |
| 86769 |
|
47 |
45 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
137 |
134 |
$0.00 |
| J3480 |
Inj potassium chloride |
621 |
425 |
$0.00 |
| 82607 |
|
209 |
187 |
$0.00 |
| 36415 |
|
537 |
459 |
$0.00 |
| J2785 |
Regadenoson injection |
14 |
14 |
$0.00 |
| 76801 |
|
77 |
69 |
$0.00 |
| J0456 |
Azithromycin |
52 |
40 |
$0.00 |
| G0008 |
Admin influenza virus vac |
58 |
52 |
$0.00 |
| J1940 |
Furosemide injection |
555 |
342 |
$0.00 |
| 72170 |
|
16 |
14 |
$0.00 |
| 77063 |
|
16 |
14 |
$0.00 |
| 97165 |
|
245 |
211 |
$0.00 |
| 87116 |
|
26 |
12 |
$0.00 |
| A9585 |
Gadobutrol injection |
100 |
85 |
$0.00 |
| 87206 |
|
56 |
24 |
$0.00 |
| 73090 |
|
15 |
14 |
$0.00 |
| 87807 |
|
13 |
13 |
$0.00 |
| 76817 |
|
41 |
37 |
$0.00 |
| 90686 |
|
68 |
62 |
$0.00 |
| 83615 |
|
48 |
41 |
$0.00 |
| 86635 |
|
105 |
52 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
117 |
106 |
$0.00 |
| 82330 |
|
28 |
24 |
$0.00 |
| 72072 |
|
13 |
13 |
$0.00 |
| G0379 |
Direct refer hospital observ |
13 |
13 |
$0.00 |
| M0243 |
Casirivi and imdevi inj |
47 |
46 |
$0.00 |
| 71101 |
|
15 |
13 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
3,554 |
1,810 |
$0.00 |
| 87075 |
|
114 |
95 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
712 |
679 |
$0.00 |
| 93041 |
|
17 |
17 |
$0.00 |
| C1760 |
Closure dev, vasc |
51 |
37 |
$0.00 |
| 84295 |
|
101 |
76 |
$0.00 |
| 99152 |
|
169 |
146 |
$0.00 |
| 82140 |
|
217 |
167 |
$0.00 |
| C1729 |
Cath, drainage |
937 |
513 |
$0.00 |
| Q0245 |
Bamlanivimab and etesevima |
148 |
139 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
209 |
168 |
$0.00 |
| G8978 |
Mobility current status |
131 |
107 |
$0.00 |
| 94664 |
|
218 |
171 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
16 |
16 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
493 |
349 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
26 |
16 |
$0.00 |
| 89051 |
|
308 |
176 |
$0.00 |
| C1758 |
Catheter, ureteral |
168 |
143 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
20 |
16 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
129 |
128 |
$0.00 |
| G8979 |
Mobility goal status |
135 |
110 |
$0.00 |
| J0780 |
Prochlorperazine injection |
96 |
64 |
$0.00 |
| J1953 |
Levetiracetam injection |
65 |
50 |
$0.00 |
| 36600 |
|
46 |
33 |
$0.00 |
| P9016 |
Rbc leukocytes reduced |
68 |
52 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
44 |
43 |
$0.00 |
| 87102 |
|
32 |
25 |
$0.00 |
| J0744 |
Ciprofloxacin iv |
24 |
18 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
54 |
38 |
$0.00 |
| 88112 |
|
29 |
12 |
$0.00 |
| 72141 |
|
12 |
12 |
$0.00 |
| 73140 |
|
13 |
12 |
$0.00 |