| Code | Description | Claims | Beneficiaries | Total Paid |
| 36415 |
|
36,672 |
29,560 |
$5.04M |
| 97110 |
|
51,490 |
12,962 |
$2.39M |
| 80053 |
|
32,146 |
26,689 |
$1.83M |
| 96375 |
|
11,280 |
7,190 |
$1.64M |
| 96372 |
|
8,222 |
6,579 |
$1.46M |
| 99283 |
|
34,857 |
33,142 |
$1.36M |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,945 |
4,418 |
$1.10M |
| 99284 |
|
26,113 |
24,650 |
$995K |
| 99282 |
|
11,606 |
10,938 |
$715K |
| 87070 |
|
6,750 |
6,443 |
$652K |
| 96365 |
|
6,618 |
3,394 |
$642K |
| 81025 |
|
6,730 |
6,310 |
$607K |
| 87081 |
|
3,274 |
3,185 |
$493K |
| 96367 |
|
2,028 |
1,007 |
$430K |
| 87426 |
|
8,685 |
8,157 |
$315K |
| 87491 |
|
5,339 |
5,165 |
$277K |
| 87804 |
|
8,211 |
5,797 |
$263K |
| 88305 |
|
3,363 |
2,966 |
$252K |
| 99285 |
|
9,247 |
8,376 |
$248K |
| 96413 |
|
7,187 |
3,764 |
$245K |
| 87400 |
|
3,501 |
3,000 |
$243K |
| 97530 |
|
14,171 |
3,974 |
$235K |
| 96402 |
|
265 |
233 |
$227K |
| 87481 |
|
810 |
803 |
$211K |
| J1642 |
Inj heparin sodium per 10 u |
8,284 |
4,030 |
$196K |
| 71046 |
|
7,098 |
6,674 |
$184K |
| 92507 |
|
6,014 |
1,778 |
$184K |
| 96361 |
|
6,960 |
5,188 |
$174K |
| 70450 |
|
4,181 |
3,903 |
$165K |
| 80048 |
|
7,248 |
6,236 |
$160K |
| 87086 |
|
9,555 |
8,828 |
$159K |
| 99214 |
|
4,213 |
3,405 |
$151K |
| 96523 |
|
2,022 |
1,475 |
$144K |
| 97140 |
|
15,211 |
5,299 |
$142K |
| 99213 |
|
2,653 |
1,767 |
$141K |
| 81003 |
|
17,912 |
16,219 |
$130K |
| 93306 |
|
925 |
882 |
$130K |
| 74018 |
|
1,634 |
1,395 |
$130K |
| 76830 |
|
1,091 |
1,055 |
$124K |
| 97035 |
|
2,013 |
818 |
$118K |
| 80081 |
|
1,070 |
968 |
$111K |
| G0463 |
Hospital outpt clinic visit |
8,831 |
5,135 |
$107K |
| 77063 |
|
1,142 |
1,132 |
$106K |
| 73562 |
|
1,886 |
1,669 |
$105K |
| 96360 |
|
2,672 |
2,301 |
$101K |
| 99212 |
|
488 |
286 |
$94K |
| J3490 |
Drugs unclassified injection |
1,366 |
1,025 |
$91K |
| 73630 |
|
1,675 |
1,560 |
$82K |
| 97535 |
|
2,243 |
1,345 |
$81K |
| 73610 |
|
1,239 |
1,153 |
$78K |
| 85025 |
|
33,039 |
27,278 |
$77K |
| 71045 |
|
6,421 |
5,819 |
$75K |
| 11042 |
|
3,639 |
2,061 |
$71K |
| 97161 |
|
4,599 |
4,431 |
$71K |
| 99232 |
|
1,748 |
506 |
$69K |
| 72110 |
|
1,210 |
1,168 |
$69K |
| J1200 |
Diphenhydramine hcl injectio |
3,745 |
2,167 |
$69K |
| J1100 |
Dexamethasone sodium phos |
9,457 |
6,120 |
$67K |
| 87653 |
|
1,590 |
1,545 |
$64K |
| 73030 |
|
1,136 |
1,032 |
$63K |
| 76811 |
|
205 |
193 |
$58K |
| 86850 |
|
1,861 |
1,667 |
$50K |
| 87077 |
|
3,008 |
2,743 |
$49K |
| 97014 |
|
556 |
239 |
$48K |
| 93010 |
|
10,733 |
9,419 |
$47K |
| 87635 |
|
645 |
621 |
$45K |
| A4649 |
Surgical supplies |
101 |
72 |
$44K |
| A9577 |
Inj multihance |
65 |
62 |
$43K |
| 87880 |
|
6,026 |
5,883 |
$42K |
| 96374 |
|
8,895 |
7,770 |
$42K |
| 93971 |
|
263 |
249 |
$41K |
| 82565 |
|
505 |
440 |
$41K |
| 73130 |
|
730 |
672 |
$40K |
| 82947 |
|
2,310 |
2,162 |
$39K |
| 76815 |
|
365 |
354 |
$39K |
| 93005 |
|
12,252 |
10,397 |
$30K |
| 87807 |
|
3,136 |
3,024 |
$29K |
| 74176 |
|
1,071 |
989 |
$28K |
| 80307 |
|
2,538 |
2,344 |
$27K |
| 74177 |
|
3,401 |
3,181 |
$27K |
| J2001 |
Lidocaine injection |
210 |
166 |
$27K |
| 72050 |
|
323 |
307 |
$27K |
| 99211 |
|
695 |
589 |
$26K |
| 94640 |
|
2,966 |
2,083 |
$26K |
| 36416 |
|
305 |
222 |
$24K |
| 71260 |
|
245 |
233 |
$24K |
| J2704 |
Inj, propofol, 10 mg |
4,688 |
3,291 |
$23K |
| 86592 |
|
1,447 |
1,386 |
$23K |
| 96376 |
|
1,957 |
1,202 |
$22K |
| 76641 |
|
314 |
301 |
$22K |
| C1889 |
Implant/insert device, noc |
42 |
26 |
$20K |
| 97162 |
|
1,200 |
1,124 |
$20K |
| 84702 |
|
2,155 |
1,630 |
$18K |
| 82105 |
|
988 |
928 |
$18K |
| 85027 |
|
7,663 |
6,829 |
$18K |
| 0002A |
|
507 |
495 |
$17K |
| 59025 |
|
109 |
49 |
$17K |
| 73110 |
|
394 |
375 |
$17K |
| 97116 |
|
1,952 |
667 |
$16K |
| 73502 |
|
353 |
338 |
$16K |
| 76705 |
|
273 |
263 |
$16K |
| U0003 |
Cov-19 amp prb hgh thruput |
534 |
432 |
$15K |
| 86704 |
|
110 |
109 |
$15K |
| 0001A |
|
565 |
557 |
$13K |
| 76700 |
|
124 |
120 |
$13K |
| 97112 |
|
3,947 |
1,281 |
$13K |
| 82607 |
|
1,338 |
1,271 |
$13K |
| 87624 |
|
533 |
523 |
$12K |
| 86140 |
|
2,134 |
1,875 |
$12K |
| 73140 |
|
126 |
121 |
$12K |
| 76816 |
|
134 |
128 |
$12K |
| 71275 |
|
803 |
748 |
$11K |
| 80061 |
|
5,374 |
5,121 |
$11K |
| 82728 |
|
2,514 |
2,398 |
$11K |
| 84439 |
|
2,752 |
2,614 |
$10K |
| 87329 |
|
85 |
85 |
$9K |
| J1170 |
Hydromorphone injection |
2,887 |
1,699 |
$9K |
| 82306 |
|
1,761 |
1,673 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
138 |
53 |
$8K |
| 85652 |
|
1,805 |
1,605 |
$8K |
| 99239 |
|
128 |
117 |
$8K |
| 97113 |
|
182 |
42 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
56 |
56 |
$6K |
| 83036 |
|
4,601 |
4,413 |
$6K |
| 87210 |
|
991 |
958 |
$6K |
| J3010 |
Fentanyl citrate injection |
3,531 |
2,953 |
$6K |
| J2405 |
Ondansetron hcl injection |
7,532 |
5,926 |
$6K |
| G0283 |
Elec stim other than wound |
2,499 |
888 |
$6K |
| 78452 |
|
72 |
69 |
$5K |
| 84443 |
|
9,346 |
8,665 |
$5K |
| A9270 |
Non-covered item or service |
17,253 |
12,924 |
$5K |
| 93017 |
|
194 |
180 |
$5K |
| 36592 |
|
4,224 |
2,217 |
$5K |
| 87150 |
|
101 |
97 |
$5K |
| 43239 |
|
507 |
458 |
$5K |
| 76856 |
|
439 |
432 |
$4K |
| 72125 |
|
518 |
497 |
$4K |
| G0378 |
Hospital observation per hr |
1,960 |
1,263 |
$4K |
| J2469 |
Palonosetron hcl |
3,751 |
1,733 |
$4K |
| 0003A |
|
110 |
110 |
$4K |
| 0071A |
|
100 |
99 |
$4K |
| 71250 |
|
24 |
24 |
$4K |
| J2550 |
Promethazine hcl injection |
683 |
499 |
$3K |
| 96366 |
|
952 |
540 |
$3K |
| 80074 |
|
54 |
51 |
$3K |
| 93880 |
|
26 |
25 |
$3K |
| 0072A |
|
80 |
77 |
$3K |
| 72148 |
|
20 |
20 |
$3K |
| L4350 |
Ankle control ortho pre ots |
13 |
13 |
$3K |
| 96415 |
|
1,230 |
721 |
$3K |
| 97165 |
|
165 |
154 |
$3K |
| 99215 |
Prolong outpt/office vis |
141 |
116 |
$3K |
| 87430 |
|
346 |
316 |
$3K |
| J0690 |
Cefazolin sodium injection |
1,150 |
814 |
$3K |
| 88175 |
|
960 |
939 |
$3K |
| 87661 |
|
2,596 |
2,522 |
$3K |
| 86900 |
|
2,366 |
2,144 |
$2K |
| 86803 |
|
806 |
753 |
$2K |
| G0481 |
Drug test def 8-14 classes |
683 |
628 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
2,725 |
2,250 |
$2K |
| 85730 |
|
3,447 |
3,136 |
$2K |
| 92523 |
|
13 |
12 |
$2K |
| J2060 |
Lorazepam injection |
400 |
314 |
$2K |
| 99281 |
|
61 |
58 |
$2K |
| 10060 |
|
85 |
77 |
$2K |
| A7003 |
Nebulizer administration set |
31 |
29 |
$2K |
| 83001 |
|
42 |
42 |
$2K |
| L3908 |
Who cock-up nonmolde pre ots |
12 |
12 |
$2K |
| 80076 |
|
114 |
103 |
$2K |
| G0480 |
Drug test def 1-7 classes |
467 |
386 |
$2K |
| 82950 |
|
161 |
151 |
$2K |
| 85651 |
|
564 |
520 |
$2K |
| 82042 |
|
168 |
162 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
6,246 |
4,932 |
$2K |
| 87389 |
|
1,295 |
1,235 |
$2K |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
20 |
19 |
$2K |
| 87798 |
|
910 |
895 |
$1K |
| 73080 |
|
34 |
29 |
$1K |
| 87186 |
|
3,726 |
3,466 |
$1K |
| 83735 |
|
8,039 |
6,253 |
$1K |
| J7512 |
Prednisone ir or dr oral 1mg |
721 |
619 |
$1K |
| 99204 |
|
25 |
25 |
$1K |
| 72100 |
|
12 |
12 |
$1K |
| 81001 |
|
771 |
683 |
$964.39 |
| 85379 |
|
1,886 |
1,785 |
$952.88 |
| 82570 |
|
618 |
576 |
$939.48 |
| P9612 |
Catheterize for urine spec |
227 |
202 |
$929.05 |
| 93000 |
|
104 |
89 |
$909.47 |
| 84703 |
|
278 |
266 |
$876.41 |
| 83540 |
|
2,380 |
2,273 |
$875.67 |
| 85014 |
|
733 |
675 |
$866.33 |
| 99231 |
|
26 |
12 |
$840.37 |
| 84484 |
|
7,304 |
5,922 |
$756.91 |
| 85610 |
|
7,277 |
6,468 |
$754.98 |
| J2270 |
Morphine sulfate injection |
2,098 |
1,633 |
$743.30 |
| 77067 |
|
1,161 |
1,150 |
$731.76 |
| 82550 |
|
3,415 |
2,915 |
$725.13 |
| 73590 |
|
13 |
12 |
$648.69 |
| 84481 |
|
478 |
450 |
$615.83 |
| 87040 |
|
2,259 |
1,684 |
$608.34 |
| 87591 |
|
5,208 |
5,030 |
$560.85 |
| 86317 |
|
87 |
82 |
$523.33 |
| 76817 |
|
32 |
28 |
$520.55 |
| 97542 |
|
13 |
12 |
$501.06 |
| 82043 |
|
71 |
69 |
$480.87 |
| 87205 |
|
2,058 |
1,869 |
$479.24 |
| J1650 |
Inj enoxaparin sodium |
222 |
101 |
$461.01 |
| 83880 |
|
1,908 |
1,697 |
$443.15 |
| 0012A |
|
13 |
13 |
$441.63 |
| 87651 |
|
214 |
196 |
$439.09 |
| 94760 |
|
693 |
400 |
$429.17 |
| 83690 |
|
6,051 |
5,447 |
$379.41 |
| 0011A |
|
17 |
17 |
$373.60 |
| 74019 |
|
12 |
12 |
$281.87 |
| 82247 |
|
56 |
39 |
$280.78 |
| 20610 |
|
242 |
193 |
$260.42 |
| 87340 |
|
466 |
427 |
$254.00 |
| 83021 |
|
131 |
115 |
$251.60 |
| 97150 |
|
104 |
57 |
$237.25 |
| 82150 |
|
397 |
378 |
$212.90 |
| 83020 |
|
40 |
38 |
$206.95 |
| 87076 |
|
34 |
31 |
$206.49 |
| 82378 |
|
189 |
153 |
$177.70 |
| 97164 |
|
12 |
12 |
$156.78 |
| 82465 |
|
49 |
46 |
$141.59 |
| 74022 |
|
126 |
117 |
$127.09 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
40 |
26 |
$119.06 |
| 29581 |
|
303 |
122 |
$109.85 |
| 84550 |
|
26 |
26 |
$100.83 |
| 29505 |
|
27 |
27 |
$97.01 |
| 82805 |
|
53 |
48 |
$93.74 |
| 86762 |
|
263 |
236 |
$73.14 |
| 83655 |
|
14 |
13 |
$51.34 |
| 83605 |
|
3,315 |
2,948 |
$43.86 |
| 86901 |
|
2,371 |
2,148 |
$41.57 |
| 84100 |
|
861 |
704 |
$34.33 |
| 85018 |
|
762 |
698 |
$28.79 |
| 90715 |
|
168 |
158 |
$28.68 |
| 82784 |
|
240 |
184 |
$25.18 |
| 85007 |
|
68 |
50 |
$17.75 |
| 82746 |
|
698 |
669 |
$17.22 |
| 86787 |
|
213 |
187 |
$16.94 |
| J0696 |
Ceftriaxone sodium injection |
3,130 |
2,098 |
$14.87 |
| U0005 |
Infec agen detec ampli probe |
448 |
355 |
$13.94 |
| 87075 |
|
945 |
841 |
$12.57 |
| 83615 |
|
356 |
317 |
$6.81 |
| 84156 |
|
104 |
89 |
$4.82 |
| 96417 |
|
1,806 |
1,051 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
38 |
30 |
$0.00 |
| J2930 |
Methylprednisolone injection |
602 |
440 |
$0.00 |
| 80164 |
|
16 |
12 |
$0.00 |
| 85045 |
|
513 |
449 |
$0.00 |
| 29125 |
|
12 |
12 |
$0.00 |
| 84145 |
|
864 |
773 |
$0.00 |
| 82248 |
|
55 |
41 |
$0.00 |
| 83525 |
|
206 |
205 |
$0.00 |
| 85046 |
|
149 |
107 |
$0.00 |
| 81220 |
|
33 |
27 |
$0.00 |
| 36600 |
|
12 |
12 |
$0.00 |
| 86677 |
|
38 |
37 |
$0.00 |
| 62323 |
|
50 |
49 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
126 |
97 |
$0.00 |
| 84165 |
|
13 |
13 |
$0.00 |
| 82785 |
|
52 |
49 |
$0.00 |
| 99152 |
|
106 |
79 |
$0.00 |
| J0897 |
Denosumab injection |
25 |
24 |
$0.00 |
| G0279 |
Tomosynthesis, mammo |
13 |
13 |
$0.00 |
| 83721 |
|
19 |
17 |
$0.00 |
| 83718 |
|
48 |
45 |
$0.00 |
| 80143 |
|
26 |
25 |
$0.00 |
| 86705 |
|
55 |
55 |
$0.00 |
| 84146 |
|
24 |
24 |
$0.00 |
| G2211 |
Complex e/m visit add on |
16 |
14 |
$0.00 |
| J9190 |
Fluorouracil injection |
41 |
12 |
$0.00 |
| 77002 |
|
18 |
16 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
54 |
30 |
$0.00 |
| J0881 |
Darbepoetin alfa, non-esrd |
36 |
25 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
16 |
14 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
21 |
12 |
$0.00 |
| 86038 |
|
13 |
13 |
$0.00 |
| 82009 |
|
85 |
77 |
$0.00 |
| 45385 |
|
34 |
25 |
$0.00 |
| 80179 |
|
25 |
24 |
$0.00 |
| J9271 |
Inj pembrolizumab |
34 |
27 |
$0.00 |
| 96411 |
|
41 |
24 |
$0.00 |
| 80320 |
|
662 |
602 |
$0.00 |
| 83550 |
|
2,272 |
2,175 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
545 |
486 |
$0.00 |
| 82553 |
|
547 |
468 |
$0.00 |
| 82077 |
|
759 |
697 |
$0.00 |
| A9500 |
Tc99m sestamibi |
71 |
68 |
$0.00 |
| 88342 |
|
283 |
232 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
94 |
70 |
$0.00 |
| 86300 |
|
333 |
280 |
$0.00 |
| 86304 |
|
14 |
12 |
$0.00 |
| 82677 |
|
70 |
70 |
$0.00 |
| 83520 |
|
71 |
71 |
$0.00 |
| J2785 |
Regadenoson injection |
39 |
38 |
$0.00 |
| Q3014 |
Telehealth facility fee |
222 |
187 |
$0.00 |
| 87147 |
|
569 |
538 |
$0.00 |
| 90471 |
|
91 |
86 |
$0.00 |
| 84153 |
|
44 |
40 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
80 |
66 |
$0.00 |
| J9045 |
Carboplatin injection |
135 |
81 |
$0.00 |
| 86706 |
|
142 |
123 |
$0.00 |
| J2505 |
Injection, pegfilgrastim 6mg |
16 |
12 |
$0.00 |
| 45380 |
|
92 |
75 |
$0.00 |
| 96368 |
|
51 |
24 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
80 |
76 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
13 |
13 |
$0.00 |
| 36591 |
|
287 |
170 |
$0.00 |
| 99291 |
|
15 |
15 |
$0.00 |
| 83002 |
|
24 |
24 |
$0.00 |
| J9267 |
Paclitaxel injection |
112 |
41 |
$0.00 |
| J1439 |
Inj ferric carboxymaltos 1mg |
18 |
12 |
$0.00 |