| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
188,566 |
172,588 |
$12.49M |
| 0241U |
|
20,503 |
19,466 |
$2.92M |
| 0202U |
|
5,296 |
5,124 |
$1.85M |
| Z7502 |
|
45,870 |
45,543 |
$1.72M |
| 99199 |
|
16,896 |
15,533 |
$1.26M |
| 74177 |
|
6,479 |
6,231 |
$1.25M |
| 87635 |
|
19,126 |
17,616 |
$1.10M |
| C9803 |
Hopd covid-19 spec collect |
36,622 |
32,867 |
$930K |
| 78815 |
|
780 |
772 |
$926K |
| 80053 |
|
75,746 |
69,739 |
$881K |
| 93005 |
|
31,496 |
29,516 |
$868K |
| 70450 |
|
6,436 |
6,253 |
$757K |
| 87633 |
|
1,887 |
1,779 |
$723K |
| 85025 |
|
78,121 |
70,634 |
$665K |
| 0949 |
|
25,222 |
21,984 |
$661K |
| U0003 |
Cov-19 amp prb hgh thruput |
12,505 |
10,845 |
$543K |
| 99285 |
|
2,747 |
2,610 |
$506K |
| 0270 |
|
60,513 |
33,034 |
$503K |
| 76700 |
|
5,878 |
5,796 |
$447K |
| 96374 |
|
9,310 |
8,521 |
$428K |
| 93975 |
|
1,977 |
1,939 |
$400K |
| 71046 |
|
17,407 |
16,886 |
$399K |
| 96372 |
|
14,043 |
12,513 |
$353K |
| 93306 |
|
1,994 |
1,967 |
$345K |
| 99283 |
|
5,005 |
4,692 |
$334K |
| 94640 |
|
11,488 |
9,445 |
$325K |
| 99281 |
|
9,342 |
8,695 |
$303K |
| 99284 |
|
3,409 |
3,253 |
$302K |
| 76801 |
|
4,598 |
4,052 |
$297K |
| 76830 |
|
4,618 |
4,548 |
$291K |
| 77067 |
|
6,408 |
6,396 |
$283K |
| 95810 |
|
1,386 |
1,378 |
$281K |
| 76856 |
|
4,493 |
4,417 |
$272K |
| 99221 |
|
11,203 |
9,774 |
$269K |
| 96375 |
|
8,777 |
6,878 |
$265K |
| 74176 |
|
2,364 |
2,296 |
$242K |
| 76705 |
|
3,652 |
3,565 |
$238K |
| 96365 |
|
4,434 |
4,035 |
$230K |
| 70551 |
|
926 |
873 |
$228K |
| G0480 |
Drug test def 1-7 classes |
3,896 |
3,586 |
$224K |
| 93976 |
|
1,124 |
1,091 |
$214K |
| 76817 |
|
3,275 |
2,906 |
$214K |
| 71045 |
|
16,049 |
15,470 |
$213K |
| 95811 |
|
949 |
937 |
$200K |
| J3490 |
Drugs unclassified injection |
60,582 |
35,109 |
$193K |
| 0360 |
|
2,116 |
1,496 |
$186K |
| 96361 |
|
6,784 |
5,602 |
$185K |
| 93971 |
|
1,608 |
1,578 |
$178K |
| 84484 |
|
15,333 |
13,654 |
$173K |
| 77063 |
|
5,043 |
5,037 |
$172K |
| 0301 |
|
1,651 |
1,441 |
$170K |
| P9016 |
Rbc leukocytes reduced |
656 |
572 |
$153K |
| 92507 |
|
2,922 |
1,131 |
$153K |
| 83690 |
|
20,986 |
20,083 |
$151K |
| 0760 |
|
6,356 |
5,066 |
$144K |
| 71260 |
|
1,170 |
1,154 |
$141K |
| H1001 |
Antepartum management |
2,705 |
1,818 |
$140K |
| 97110 |
|
5,895 |
1,970 |
$136K |
| 97140 |
|
2,630 |
1,099 |
$133K |
| 76815 |
|
2,392 |
1,484 |
$129K |
| Q3014 |
Telehealth facility fee |
5,261 |
5,098 |
$126K |
| 97530 |
|
4,903 |
2,080 |
$124K |
| 96360 |
|
2,594 |
2,402 |
$123K |
| 70553 |
|
449 |
443 |
$122K |
| 87651 |
|
2,900 |
2,856 |
$117K |
| 0250 |
|
68,883 |
38,271 |
$117K |
| 76642 |
|
3,339 |
3,276 |
$114K |
| 81001 |
|
31,800 |
30,449 |
$107K |
| 73610 |
|
3,551 |
3,472 |
$104K |
| J7030 |
Normal saline solution infus |
12,961 |
10,090 |
$103K |
| A9552 |
F18 fdg |
498 |
491 |
$99K |
| 85730 |
|
15,887 |
15,265 |
$96K |
| 83880 |
|
3,267 |
3,104 |
$95K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,701 |
7,448 |
$94K |
| 87086 |
|
11,982 |
11,567 |
$93K |
| A9585 |
Gadobutrol injection |
1,828 |
1,800 |
$92K |
| 90715 |
|
2,027 |
2,003 |
$92K |
| 72125 |
|
599 |
589 |
$90K |
| G0279 |
Tomosynthesis, mammo |
2,719 |
2,683 |
$90K |
| 84703 |
|
13,945 |
13,357 |
$89K |
| 77066 |
Tomosynthesis, mammo |
1,803 |
1,782 |
$86K |
| J1100 |
Dexamethasone sodium phos |
9,845 |
8,680 |
$86K |
| 73630 |
|
3,054 |
2,991 |
$84K |
| 71275 |
|
480 |
476 |
$83K |
| 94729 |
|
1,815 |
1,798 |
$81K |
| 36415 |
|
22,996 |
19,784 |
$79K |
| 97010 |
|
2,538 |
942 |
$76K |
| 84702 |
|
5,649 |
4,989 |
$76K |
| 76770 |
|
1,176 |
1,167 |
$75K |
| 93325 |
|
661 |
649 |
$74K |
| J2704 |
Inj, propofol, 10 mg |
3,032 |
2,248 |
$74K |
| 94726 |
|
1,759 |
1,742 |
$73K |
| 87491 |
|
1,933 |
1,891 |
$72K |
| 87591 |
|
1,975 |
1,934 |
$72K |
| 0710 |
|
2,669 |
2,602 |
$72K |
| 87486 |
|
1,855 |
1,752 |
$70K |
| 93970 |
|
423 |
420 |
$69K |
| 87581 |
|
1,859 |
1,752 |
$68K |
| 87798 |
|
1,871 |
1,761 |
$67K |
| 73110 |
|
2,258 |
2,201 |
$67K |
| 85610 |
|
16,700 |
16,013 |
$65K |
| 73030 |
|
2,606 |
2,540 |
$65K |
| 94060 |
|
1,754 |
1,738 |
$64K |
| 73562 |
|
2,337 |
2,289 |
$64K |
| 96413 |
|
2,177 |
1,385 |
$63K |
| 73130 |
|
2,193 |
2,145 |
$62K |
| 93303 |
|
373 |
372 |
$62K |
| 77065 |
Tomosynthesis, mammo |
1,416 |
1,366 |
$61K |
| 70486 |
|
477 |
475 |
$60K |
| 85027 |
|
10,266 |
9,484 |
$60K |
| Z7610 |
|
23,916 |
13,325 |
$58K |
| 93798 |
|
2,311 |
444 |
$58K |
| 80048 |
|
6,412 |
5,578 |
$53K |
| J1885 |
Ketorolac tromethamine inj |
9,229 |
8,664 |
$53K |
| G0463 |
Hospital outpt clinic visit |
2,168 |
1,910 |
$53K |
| J7050 |
Normal saline solution infus |
7,944 |
5,019 |
$53K |
| Z7514 |
|
901 |
414 |
$52K |
| 76536 |
|
939 |
928 |
$52K |
| 88305 |
|
2,316 |
2,019 |
$51K |
| J2405 |
Ondansetron hcl injection |
6,093 |
5,236 |
$51K |
| 94664 |
|
3,607 |
3,446 |
$50K |
| 82947 |
|
14,560 |
9,791 |
$49K |
| 80305 |
|
3,665 |
3,408 |
$49K |
| 76870 |
|
932 |
913 |
$47K |
| 99231 |
|
1,612 |
1,555 |
$47K |
| 96376 |
|
1,587 |
1,099 |
$47K |
| 97116 |
|
2,578 |
1,213 |
$47K |
| 0272 |
|
6,630 |
6,286 |
$44K |
| 73080 |
|
1,404 |
1,365 |
$42K |
| 86923 |
|
946 |
893 |
$42K |
| 0160 |
|
918 |
552 |
$39K |
| 73564 |
|
1,279 |
1,272 |
$39K |
| 73502 |
|
1,151 |
1,123 |
$38K |
| 87186 |
|
4,031 |
3,887 |
$37K |
| 87507 |
|
89 |
89 |
$37K |
| 84443 |
|
2,404 |
2,284 |
$37K |
| 99282 |
|
893 |
808 |
$35K |
| 87040 |
|
2,494 |
2,280 |
$35K |
| 87801 |
|
876 |
846 |
$34K |
| 86901 |
|
9,936 |
8,511 |
$34K |
| 86003 |
|
344 |
248 |
$32K |
| L3984 |
Upper ext fx orthosis wrist |
316 |
310 |
$30K |
| 93320 |
|
421 |
417 |
$30K |
| 94010 |
|
1,768 |
1,739 |
$30K |
| 86900 |
|
9,902 |
8,494 |
$30K |
| J2270 |
Morphine sulfate injection |
4,213 |
3,166 |
$29K |
| 73590 |
|
1,160 |
1,119 |
$28K |
| 81025 |
|
5,247 |
5,107 |
$28K |
| 97014 |
|
1,395 |
624 |
$27K |
| 0720 |
|
1,450 |
1,208 |
$26K |
| 87502 |
|
280 |
275 |
$26K |
| 96366 |
|
917 |
758 |
$26K |
| 83605 |
|
2,290 |
2,099 |
$26K |
| 80143 |
|
1,276 |
1,149 |
$26K |
| 80179 |
|
1,264 |
1,138 |
$25K |
| 73140 |
|
1,419 |
1,366 |
$25K |
| 87077 |
|
2,787 |
2,659 |
$25K |
| 96417 |
|
575 |
360 |
$25K |
| J0696 |
Ceftriaxone sodium injection |
3,713 |
3,299 |
$24K |
| 74018 |
|
1,080 |
1,061 |
$24K |
| 80306 |
|
1,313 |
1,221 |
$23K |
| 87088 |
|
3,143 |
3,052 |
$23K |
| 96367 |
|
793 |
702 |
$22K |
| 81003 |
|
9,373 |
9,058 |
$21K |
| 82803 |
|
1,135 |
1,073 |
$21K |
| 86850 |
|
4,882 |
4,689 |
$21K |
| 73090 |
|
908 |
872 |
$21K |
| 85007 |
|
6,662 |
6,091 |
$20K |
| 72148 |
|
162 |
162 |
$20K |
| 83735 |
|
3,125 |
2,132 |
$19K |
| 72110 |
|
590 |
584 |
$19K |
| J2001 |
Lidocaine injection |
4,844 |
3,781 |
$19K |
| J1642 |
Inj heparin sodium per 10 u |
3,384 |
1,828 |
$19K |
| 86140 |
|
3,510 |
3,401 |
$18K |
| H1000 |
Prenatal care atrisk assessm |
143 |
143 |
$18K |
| J3010 |
Fentanyl citrate injection |
3,554 |
3,257 |
$18K |
| J1200 |
Diphenhydramine hcl injectio |
2,886 |
2,399 |
$18K |
| 73560 |
|
851 |
818 |
$18K |
| A4649 |
Surgical supplies |
3,517 |
2,146 |
$18K |
| 72100 |
|
542 |
522 |
$17K |
| 97802 |
|
168 |
168 |
$17K |
| 83036 |
|
1,770 |
1,736 |
$16K |
| J0131 |
Inj, acetaminophen (nos) |
327 |
317 |
$16K |
| J7040 |
Normal saline solution infus |
2,177 |
1,595 |
$16K |
| 87808 |
|
1,578 |
1,544 |
$16K |
| 77336 |
|
254 |
105 |
$15K |
| 71250 |
|
157 |
156 |
$15K |
| 0636 |
|
2,292 |
1,716 |
$14K |
| 76775 |
|
407 |
402 |
$14K |
| 36416 |
|
4,348 |
3,736 |
$13K |
| 85379 |
|
1,097 |
1,077 |
$13K |
| 0300 |
|
804 |
579 |
$12K |
| 95813 |
|
301 |
299 |
$12K |
| 80061 |
|
1,112 |
1,096 |
$12K |
| J0475 |
Baclofen 10 mg injection |
13 |
13 |
$11K |
| 82306 |
|
463 |
458 |
$11K |
| 84145 |
|
530 |
487 |
$11K |
| 76805 |
|
126 |
125 |
$11K |
| L1830 |
Ko immob canvas long pre ots |
353 |
351 |
$11K |
| J2250 |
Inj midazolam hydrochloride |
3,407 |
3,230 |
$11K |
| 99212 |
|
186 |
119 |
$10K |
| 90471 |
|
2,216 |
2,164 |
$10K |
| 87070 |
|
1,060 |
1,027 |
$10K |
| A0429 |
Bls-emergency |
359 |
269 |
$10K |
| 97162 |
|
180 |
170 |
$10K |
| 97163 |
|
124 |
122 |
$9K |
| 99070 |
|
2,102 |
1,012 |
$9K |
| 71020 |
|
251 |
127 |
$9K |
| Z7500 |
|
259 |
238 |
$9K |
| 87147 |
|
1,634 |
1,571 |
$9K |
| 99213 |
|
280 |
231 |
$8K |
| 74178 |
|
38 |
37 |
$8K |
| J1644 |
Inj heparin sodium per 1000u |
683 |
393 |
$8K |
| J2765 |
Metoclopramide hcl injection |
1,714 |
1,565 |
$8K |
| 45378 |
|
206 |
204 |
$8K |
| 97597 |
|
164 |
114 |
$7K |
| 87503 |
|
281 |
276 |
$7K |
| 84100 |
|
1,784 |
1,146 |
$7K |
| 72197 |
|
30 |
30 |
$7K |
| 87210 |
|
1,698 |
1,662 |
$7K |
| A4217 |
Sterile water/saline, 500 ml |
657 |
524 |
$7K |
| 51701 |
|
356 |
332 |
$7K |
| 87106 |
|
236 |
223 |
$7K |
| 77080 |
|
305 |
304 |
$7K |
| 43239 |
|
212 |
211 |
$7K |
| 85652 |
|
1,979 |
1,920 |
$6K |
| 84439 |
|
761 |
728 |
$6K |
| J0690 |
Cefazolin sodium injection |
964 |
835 |
$6K |
| 0510 |
|
462 |
429 |
$5K |
| J2272 |
Inj, morphine (fresenius) |
551 |
505 |
$5K |
| A9573 |
Inj, gadopiclenol, 1 ml |
158 |
158 |
$5K |
| 87205 |
|
1,185 |
1,138 |
$5K |
| 85384 |
|
511 |
505 |
$5K |
| 99001 |
|
4,580 |
4,330 |
$5K |
| 94618 |
|
334 |
329 |
$4K |
| 99234 |
|
820 |
756 |
$4K |
| 0372 |
|
92 |
92 |
$4K |
| 84460 |
|
762 |
743 |
$4K |
| 84450 |
|
765 |
745 |
$4K |
| 12001 |
|
292 |
286 |
$4K |
| J7070 |
D5w infusion |
390 |
341 |
$4K |
| 59025 |
|
685 |
251 |
$4K |
| 12011 |
|
212 |
210 |
$4K |
| 0761 |
|
130 |
118 |
$4K |
| 72040 |
|
130 |
130 |
$4K |
| 74021 |
|
129 |
125 |
$4K |
| J7120 |
Ringers lactate infusion |
509 |
458 |
$4K |
| 82150 |
|
487 |
481 |
$4K |
| 0258 |
|
821 |
721 |
$3K |
| 73660 |
|
195 |
193 |
$3K |
| 0361 |
|
33 |
30 |
$3K |
| 97113 |
|
86 |
37 |
$3K |
| 82248 |
|
584 |
485 |
$3K |
| 74183 |
|
14 |
14 |
$3K |
| J1815 |
Insulin injection |
572 |
291 |
$3K |
| 82247 |
|
546 |
439 |
$3K |
| 82550 |
|
397 |
379 |
$3K |
| 59409 |
|
12 |
12 |
$3K |
| 97124 |
|
103 |
44 |
$3K |
| 93017 |
|
52 |
49 |
$3K |
| 59430 |
|
43 |
43 |
$3K |
| 96415 |
|
82 |
64 |
$3K |
| 0324 |
|
192 |
188 |
$3K |
| 82785 |
|
155 |
154 |
$2K |
| 82728 |
|
192 |
186 |
$2K |
| 70360 |
|
127 |
127 |
$2K |
| J1170 |
Hydromorphone injection |
294 |
224 |
$2K |
| 10060 |
|
165 |
162 |
$2K |
| 0700 |
|
72 |
60 |
$2K |
| 0750 |
|
14 |
14 |
$2K |
| 73060 |
|
55 |
51 |
$2K |
| 90686 |
|
85 |
85 |
$2K |
| 86592 |
|
470 |
462 |
$2K |
| 74019 |
|
77 |
76 |
$2K |
| J0780 |
Prochlorperazine injection |
217 |
200 |
$2K |
| 88312 |
|
156 |
156 |
$2K |
| 77334 |
|
28 |
25 |
$2K |
| 87116 |
|
120 |
119 |
$2K |
| 75574 |
|
13 |
13 |
$2K |
| 87102 |
|
135 |
134 |
$2K |
| 87430 |
|
203 |
195 |
$2K |
| 95012 |
|
72 |
69 |
$2K |
| 87081 |
|
286 |
269 |
$2K |
| 72141 |
|
13 |
13 |
$2K |
| 82378 |
|
89 |
77 |
$1K |
| 29125 |
|
231 |
227 |
$1K |
| S0020 |
Injection, bupivicaine hydro |
256 |
244 |
$1K |
| 82010 |
|
193 |
182 |
$1K |
| J0171 |
Adrenalin epinephrine inject |
126 |
125 |
$1K |
| 73721 |
|
12 |
12 |
$1K |
| 71010 |
|
43 |
15 |
$1K |
| 81000 |
|
495 |
330 |
$1K |
| 99202 |
|
27 |
25 |
$1K |
| 82330 |
|
83 |
78 |
$1K |
| 76937 |
|
51 |
50 |
$1K |
| 87206 |
|
166 |
162 |
$1K |
| 87015 |
|
120 |
119 |
$1K |
| 71100 |
|
38 |
38 |
$1K |
| 72131 |
|
12 |
12 |
$1K |
| G1010 |
Cdsm stanson |
2,108 |
1,972 |
$996.87 |
| J2060 |
Lorazepam injection |
262 |
228 |
$978.66 |
| 0515 |
|
40 |
40 |
$960.79 |
| 99499 |
|
14 |
12 |
$959.38 |
| 82784 |
|
106 |
105 |
$936.78 |
| J7060 |
5% dextrose/water |
308 |
153 |
$930.04 |
| 99244 |
|
12 |
12 |
$924.70 |
| 73552 |
|
28 |
25 |
$914.61 |
| 72170 |
|
41 |
41 |
$892.88 |
| 72072 |
|
36 |
36 |
$886.73 |
| 11042 |
|
77 |
55 |
$872.90 |
| A9541 |
Tc99m sulfur colloid |
26 |
26 |
$830.26 |
| 45385 |
|
26 |
26 |
$829.06 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
98 |
92 |
$721.66 |
| 72050 |
|
24 |
24 |
$696.39 |
| 85044 |
|
254 |
249 |
$685.32 |
| J1650 |
Inj enoxaparin sodium |
21 |
12 |
$665.99 |
| J7042 |
5% dextrose/normal saline |
93 |
66 |
$638.45 |
| J0134 |
Inj acetaminophen -fresenius |
40 |
40 |
$623.22 |
| 84156 |
|
221 |
166 |
$613.59 |
| J3370 |
Vancomycin hcl injection |
54 |
43 |
$593.31 |
| 81002 |
|
366 |
363 |
$583.87 |
| 83550 |
|
72 |
71 |
$523.11 |
| 92567 |
|
18 |
17 |
$521.90 |
| 97803 |
|
19 |
12 |
$500.52 |
| 0401 |
|
13 |
13 |
$500.48 |
| 83540 |
|
85 |
84 |
$500.01 |
| G0108 |
Diab manage trn per indiv |
21 |
13 |
$457.40 |
| 74022 |
|
13 |
12 |
$428.60 |
| 90656 |
|
15 |
15 |
$406.83 |
| 86308 |
|
70 |
70 |
$396.60 |
| J3475 |
Inj magnesium sulfate |
86 |
70 |
$395.60 |
| 99000 |
|
106 |
99 |
$393.32 |
| G0500 |
Mod sedat endo service >5yrs |
17 |
12 |
$376.87 |
| 83615 |
|
74 |
71 |
$375.62 |
| 73521 |
|
14 |
14 |
$361.42 |
| 84132 |
|
124 |
114 |
$360.38 |
| 0306 |
|
128 |
111 |
$313.22 |
| 36600 |
|
16 |
15 |
$301.30 |
| 99401 |
|
23 |
16 |
$301.01 |
| 90658 |
|
17 |
17 |
$283.53 |
| 87075 |
|
26 |
26 |
$277.94 |
| 84481 |
|
16 |
15 |
$251.92 |
| 91010 |
|
13 |
12 |
$224.85 |
| 0305 |
|
75 |
66 |
$223.55 |
| 83520 |
|
12 |
12 |
$212.86 |
| 87390 |
|
12 |
12 |
$182.21 |
| 27500 |
|
17 |
17 |
$165.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
58 |
51 |
$157.45 |
| 85014 |
|
77 |
74 |
$133.89 |
| 84295 |
|
41 |
37 |
$131.86 |
| 31720 |
|
15 |
14 |
$127.20 |
| 86703 |
|
12 |
12 |
$118.73 |
| 82570 |
|
14 |
13 |
$99.54 |
| 29515 |
|
15 |
15 |
$80.13 |
| J2469 |
Palonosetron hcl |
22 |
13 |
$35.06 |
| 84550 |
|
12 |
12 |
$25.51 |
| 86364 |
|
12 |
12 |
$20.32 |
| 99072 |
|
96 |
62 |
$8.99 |
| 0302 |
|
31 |
29 |
$0.00 |
| Q4051 |
Splint supplies misc |
33 |
12 |
$0.00 |