| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
88,030 |
77,341 |
$2.90M |
| 74176 |
|
6,772 |
6,590 |
$509K |
| 70450 |
|
6,339 |
6,161 |
$443K |
| 93005 |
|
22,969 |
20,759 |
$376K |
| 74177 |
|
2,374 |
2,314 |
$337K |
| 99285 |
|
2,164 |
2,002 |
$318K |
| 96374 |
|
8,906 |
8,274 |
$300K |
| 96372 |
|
20,114 |
18,202 |
$299K |
| 80307 |
|
6,448 |
5,521 |
$290K |
| 99199 |
|
9,442 |
8,190 |
$263K |
| 99283 |
|
3,963 |
3,671 |
$238K |
| 80053 |
|
42,343 |
38,668 |
$226K |
| 99281 |
|
6,391 |
5,558 |
$183K |
| 96365 |
|
3,934 |
3,669 |
$179K |
| 85025 |
|
48,193 |
43,439 |
$176K |
| 71045 |
|
19,793 |
18,817 |
$170K |
| 87635 |
|
4,346 |
4,207 |
$152K |
| J1100 |
Dexamethasone sodium phos |
9,231 |
7,685 |
$137K |
| 0112 |
|
190 |
188 |
$133K |
| U0002 |
Covid-19 lab test non-cdc |
3,620 |
3,525 |
$125K |
| 96375 |
|
7,250 |
6,413 |
$123K |
| 76700 |
|
2,997 |
2,931 |
$118K |
| J3490 |
Drugs unclassified injection |
30,204 |
16,346 |
$106K |
| 71275 |
|
870 |
857 |
$105K |
| 99284 |
|
1,140 |
1,079 |
$94K |
| 0270 |
|
27,067 |
16,447 |
$92K |
| 96360 |
|
2,422 |
2,339 |
$91K |
| 93971 |
|
1,353 |
1,331 |
$88K |
| 0510 |
|
4,951 |
3,989 |
$85K |
| 72125 |
|
907 |
891 |
$79K |
| 96361 |
|
6,585 |
6,025 |
$78K |
| G0480 |
Drug test def 1-7 classes |
1,276 |
1,145 |
$75K |
| 84484 |
|
13,924 |
12,435 |
$75K |
| Z7502 |
|
1,943 |
1,889 |
$72K |
| 0762 |
|
2,529 |
2,100 |
$70K |
| 87633 |
|
387 |
379 |
$64K |
| 76830 |
|
1,694 |
1,651 |
$62K |
| J1885 |
Ketorolac tromethamine inj |
13,919 |
11,604 |
$62K |
| 70551 |
|
469 |
463 |
$60K |
| J7030 |
Normal saline solution infus |
10,597 |
8,781 |
$57K |
| 0360 |
|
2,152 |
1,594 |
$55K |
| 0250 |
|
19,428 |
11,993 |
$53K |
| 83690 |
|
12,809 |
11,931 |
$52K |
| J2405 |
Ondansetron hcl injection |
6,651 |
5,781 |
$49K |
| 76815 |
|
2,383 |
2,033 |
$48K |
| J2270 |
Morphine sulfate injection |
7,932 |
5,971 |
$47K |
| 76817 |
|
1,683 |
1,503 |
$45K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,163 |
4,768 |
$44K |
| 83880 |
|
2,931 |
2,798 |
$44K |
| 76705 |
|
1,056 |
1,011 |
$43K |
| 82803 |
|
3,981 |
3,707 |
$42K |
| J0696 |
Ceftriaxone sodium injection |
4,454 |
4,138 |
$42K |
| 0301 |
|
2,784 |
2,400 |
$42K |
| 0160 |
|
1,701 |
1,370 |
$41K |
| 0171 |
Inj, epinephrine (belcher) |
339 |
336 |
$40K |
| 88305 |
|
1,852 |
1,800 |
$40K |
| 84443 |
|
10,100 |
9,693 |
$40K |
| 94640 |
|
2,637 |
2,408 |
$37K |
| 87086 |
|
11,582 |
10,994 |
$35K |
| 87040 |
|
3,832 |
2,567 |
$35K |
| 90715 |
|
1,481 |
1,466 |
$34K |
| 99221 |
|
993 |
722 |
$30K |
| 81001 |
|
19,121 |
17,910 |
$30K |
| 76856 |
|
1,188 |
1,153 |
$29K |
| 73564 |
|
1,681 |
1,647 |
$28K |
| 93970 |
|
302 |
296 |
$28K |
| 73630 |
|
1,963 |
1,919 |
$28K |
| 81025 |
|
8,807 |
8,251 |
$26K |
| 73610 |
|
1,793 |
1,728 |
$25K |
| 73030 |
|
1,551 |
1,502 |
$22K |
| 80048 |
|
4,636 |
4,329 |
$20K |
| 96366 |
|
810 |
656 |
$20K |
| 87491 |
|
2,601 |
2,491 |
$20K |
| 73130 |
|
1,208 |
1,176 |
$19K |
| 0637 |
|
5,154 |
3,145 |
$19K |
| 71046 |
|
1,759 |
1,718 |
$16K |
| 83735 |
|
4,072 |
3,824 |
$15K |
| 87591 |
|
2,270 |
2,165 |
$15K |
| J1200 |
Diphenhydramine hcl injectio |
3,742 |
3,234 |
$14K |
| 81003 |
|
11,730 |
11,223 |
$14K |
| 85730 |
|
4,530 |
4,262 |
$14K |
| 83605 |
|
2,104 |
1,909 |
$13K |
| 85610 |
|
6,078 |
5,622 |
$13K |
| 93306 |
|
143 |
138 |
$13K |
| 84702 |
|
2,237 |
1,982 |
$13K |
| 87186 |
|
3,078 |
2,966 |
$12K |
| 82550 |
|
3,234 |
3,067 |
$11K |
| 85379 |
|
1,855 |
1,828 |
$11K |
| 73110 |
|
815 |
797 |
$11K |
| J1815 |
Insulin injection |
476 |
270 |
$10K |
| 97530 |
|
652 |
178 |
$10K |
| J2765 |
Metoclopramide hcl injection |
2,751 |
2,472 |
$10K |
| 36415 |
|
30,662 |
27,409 |
$10K |
| 0272 |
|
4,129 |
2,605 |
$10K |
| 70486 |
|
124 |
122 |
$9K |
| 59025 |
|
1,233 |
1,028 |
$9K |
| 72131 |
|
128 |
125 |
$9K |
| 84439 |
|
3,315 |
3,185 |
$8K |
| 96376 |
|
1,044 |
844 |
$7K |
| 77067 |
|
1,905 |
1,860 |
$7K |
| J2060 |
Lorazepam injection |
1,743 |
1,428 |
$7K |
| 0710 |
|
1,544 |
1,499 |
$7K |
| G0108 |
Diab manage trn per indiv |
587 |
387 |
$7K |
| J2704 |
Inj, propofol, 10 mg |
1,112 |
847 |
$7K |
| 72100 |
|
412 |
409 |
$7K |
| 87276 |
|
1,698 |
1,647 |
$6K |
| 99282 |
|
170 |
163 |
$6K |
| 93798 |
|
262 |
52 |
$6K |
| J3010 |
Fentanyl citrate injection |
2,114 |
1,796 |
$6K |
| A4649 |
Surgical supplies |
1,855 |
820 |
$6K |
| 99070 |
|
1,696 |
976 |
$6K |
| 80051 |
|
1,712 |
1,653 |
$6K |
| 73590 |
|
430 |
425 |
$6K |
| 84703 |
|
1,925 |
1,856 |
$5K |
| J2250 |
Inj midazolam hydrochloride |
3,078 |
2,487 |
$5K |
| J7060 |
5% dextrose/water |
2,172 |
1,853 |
$5K |
| 87275 |
|
1,698 |
1,645 |
$5K |
| 71250 |
|
100 |
100 |
$5K |
| J7120 |
Ringers lactate infusion |
2,002 |
1,602 |
$5K |
| 73562 |
|
349 |
344 |
$5K |
| 97116 |
|
505 |
125 |
$5K |
| 86900 |
|
3,480 |
3,294 |
$5K |
| 76801 |
|
224 |
203 |
$4K |
| 86850 |
|
1,923 |
1,844 |
$4K |
| G0109 |
Diab manage trn ind/group |
186 |
157 |
$4K |
| 99499 |
|
312 |
114 |
$4K |
| 90471 |
|
1,653 |
1,631 |
$4K |
| 87070 |
|
2,090 |
1,971 |
$4K |
| 73502 |
|
246 |
238 |
$4K |
| J0131 |
Inj, acetaminophen (nos) |
198 |
185 |
$4K |
| 80061 |
|
7,080 |
6,823 |
$4K |
| 0121 |
|
105 |
97 |
$4K |
| 0760 |
|
6,905 |
5,726 |
$4K |
| 87804 |
|
686 |
680 |
$4K |
| 72148 |
|
29 |
29 |
$3K |
| 73080 |
|
187 |
185 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
460 |
240 |
$3K |
| 97139 |
|
419 |
73 |
$3K |
| 96367 |
|
112 |
102 |
$3K |
| 87084 |
|
727 |
710 |
$3K |
| 0278 |
|
282 |
260 |
$3K |
| J0690 |
Cefazolin sodium injection |
986 |
841 |
$3K |
| 82306 |
|
2,680 |
2,584 |
$3K |
| J7050 |
Normal saline solution infus |
1,947 |
1,613 |
$3K |
| 82962 |
|
2,619 |
1,933 |
$3K |
| J1170 |
Hydromorphone injection |
529 |
355 |
$3K |
| G0463 |
Hospital outpt clinic visit |
133 |
105 |
$3K |
| 73090 |
|
217 |
215 |
$3K |
| 87430 |
|
516 |
509 |
$2K |
| 83036 |
|
5,170 |
4,970 |
$2K |
| J7040 |
Normal saline solution infus |
453 |
427 |
$2K |
| 99204 |
|
57 |
57 |
$2K |
| 87880 |
|
450 |
443 |
$2K |
| 70491 |
|
13 |
13 |
$2K |
| 76870 |
|
79 |
75 |
$2K |
| 85018 |
|
1,725 |
1,665 |
$2K |
| 74018 |
|
188 |
176 |
$2K |
| 11042 |
|
303 |
198 |
$2K |
| 92507 |
|
132 |
54 |
$2K |
| 86140 |
|
1,129 |
1,085 |
$2K |
| 71101 |
|
87 |
86 |
$2K |
| 82553 |
|
210 |
197 |
$1K |
| 0324 |
|
505 |
483 |
$1K |
| G0500 |
Mod sedat endo service >5yrs |
855 |
847 |
$1K |
| 76805 |
|
37 |
37 |
$1K |
| 99153 |
Mod sedat endo service >5yrs |
381 |
371 |
$1K |
| 99214 |
|
55 |
51 |
$1K |
| 76641 |
|
114 |
113 |
$976.67 |
| H1001 |
Antepartum management |
27 |
14 |
$971.60 |
| 0370 |
|
904 |
851 |
$960.76 |
| Z7610 |
|
258 |
151 |
$930.78 |
| 76642 |
|
103 |
103 |
$904.27 |
| 85652 |
|
1,450 |
1,376 |
$876.14 |
| 87205 |
|
568 |
531 |
$852.61 |
| A9270 |
Non-covered item or service |
1,078 |
891 |
$797.38 |
| 71010 |
|
51 |
29 |
$767.46 |
| J2930 |
Methylprednisolone injection |
107 |
105 |
$744.22 |
| 88313 |
|
299 |
292 |
$698.55 |
| 86703 |
|
1,080 |
1,051 |
$689.32 |
| G0279 |
Tomosynthesis, mammo |
115 |
115 |
$668.97 |
| 99213 |
|
43 |
42 |
$642.72 |
| 77063 |
|
1,850 |
1,809 |
$606.97 |
| 86901 |
|
491 |
466 |
$592.68 |
| 87420 |
|
284 |
268 |
$586.62 |
| 81000 |
|
409 |
402 |
$584.32 |
| 82607 |
|
914 |
881 |
$580.37 |
| 0636 |
|
2,357 |
1,947 |
$566.05 |
| 99152 |
|
27 |
27 |
$554.82 |
| 43239 |
|
223 |
220 |
$552.12 |
| 97799 |
|
105 |
33 |
$551.22 |
| 82043 |
|
1,641 |
1,567 |
$518.63 |
| 12001 |
|
50 |
50 |
$511.72 |
| 45378 |
|
37 |
37 |
$509.27 |
| 86592 |
|
1,342 |
1,300 |
$488.19 |
| 80076 |
|
122 |
116 |
$467.06 |
| 0420 |
|
140 |
131 |
$451.28 |
| S0020 |
Injection, bupivicaine hydro |
142 |
131 |
$402.80 |
| 82728 |
|
657 |
632 |
$398.35 |
| 73060 |
|
30 |
30 |
$376.16 |
| 72110 |
|
37 |
37 |
$362.34 |
| J2001 |
Lidocaine injection |
84 |
78 |
$350.08 |
| 82746 |
|
486 |
475 |
$335.99 |
| J2175 |
Meperidine hydrochl /100 mg |
701 |
615 |
$300.24 |
| 88312 |
|
252 |
246 |
$271.25 |
| 80074 |
|
71 |
71 |
$242.81 |
| 87081 |
|
544 |
531 |
$242.02 |
| 73120 |
|
24 |
24 |
$224.82 |
| 29125 |
|
65 |
63 |
$223.67 |
| J1630 |
Haloperidol injection |
68 |
61 |
$222.00 |
| 83540 |
|
529 |
508 |
$217.59 |
| A9577 |
Inj multihance |
18 |
16 |
$207.89 |
| 73620 |
|
24 |
24 |
$206.76 |
| 84100 |
|
135 |
122 |
$186.32 |
| 82140 |
|
42 |
39 |
$181.85 |
| J3370 |
Vancomycin hcl injection |
19 |
17 |
$168.53 |
| 77066 |
Tomosynthesis, mammo |
26 |
26 |
$164.27 |
| 94664 |
|
13 |
12 |
$155.92 |
| 82010 |
|
36 |
36 |
$145.70 |
| 88304 |
|
67 |
64 |
$141.28 |
| 87210 |
|
55 |
54 |
$141.12 |
| J1940 |
Furosemide injection |
13 |
12 |
$133.71 |
| 84550 |
|
617 |
599 |
$127.00 |
| 84153 |
|
571 |
552 |
$124.32 |
| 73560 |
|
12 |
12 |
$124.09 |
| 73140 |
|
12 |
12 |
$115.46 |
| 83550 |
|
505 |
492 |
$109.96 |
| S0164 |
Injection pantroprazole |
14 |
12 |
$101.34 |
| 0258 |
|
399 |
366 |
$100.10 |
| 0300 |
|
2,333 |
1,924 |
$95.66 |
| 45380 |
|
112 |
111 |
$82.50 |
| 20610 |
|
16 |
15 |
$70.70 |
| G1004 |
Cdsm ndsc |
56 |
52 |
$61.24 |
| 87807 |
|
12 |
12 |
$59.91 |
| J2710 |
Neostigmine methylslfte inj |
27 |
25 |
$58.26 |
| 0730 |
|
342 |
328 |
$49.60 |
| 0307 |
|
993 |
956 |
$48.41 |
| 87339 |
|
95 |
93 |
$44.97 |
| 82731 |
|
13 |
13 |
$44.95 |
| 87340 |
|
172 |
171 |
$40.32 |
| 86803 |
|
123 |
123 |
$39.26 |
| 96127 |
|
73 |
73 |
$38.48 |
| 82570 |
|
82 |
80 |
$34.23 |
| 87481 |
|
173 |
161 |
$32.64 |
| 0305 |
|
1,741 |
1,634 |
$27.00 |
| 86038 |
|
57 |
57 |
$21.75 |
| 90677 |
|
91 |
91 |
$9.00 |
| 90681 |
|
16 |
14 |
$9.00 |
| 82270 |
|
189 |
184 |
$6.28 |
| 84436 |
|
197 |
183 |
$5.33 |
| 77080 |
|
57 |
57 |
$5.11 |
| 83655 |
|
84 |
84 |
$5.00 |
| 94150 |
|
39 |
39 |
$4.79 |
| 86225 |
|
29 |
25 |
$2.52 |
| G0009 |
Admin pneumococcal vaccine |
51 |
51 |
$0.00 |
| 0306 |
|
1,228 |
1,162 |
$0.00 |
| 90723 |
|
44 |
42 |
$0.00 |
| 84480 |
|
216 |
193 |
$0.00 |
| S9445 |
Pt education noc individ |
2,123 |
1,116 |
$0.00 |
| 0352 |
|
98 |
96 |
$0.00 |
| 90697 |
|
53 |
53 |
$0.00 |
| 0471 |
|
33 |
32 |
$0.00 |
| 0720 |
|
26 |
26 |
$0.00 |
| 96110 |
|
13 |
13 |
$0.00 |
| 90686 |
|
72 |
71 |
$0.00 |
| 0310 |
|
27 |
27 |
$0.00 |
| 86706 |
|
122 |
122 |
$0.00 |
| G0008 |
Admin influenza virus vac |
73 |
70 |
$0.00 |
| 0214 |
|
70 |
67 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |
| 90460 |
|
836 |
804 |
$0.00 |
| 0320 |
|
42 |
37 |
$0.00 |
| 0390 |
|
1,353 |
1,036 |
$0.00 |
| 0302 |
|
1,073 |
888 |
$0.00 |
| 0460 |
|
182 |
174 |
$0.00 |
| 96160 |
|
127 |
127 |
$0.00 |
| 90461 |
|
507 |
502 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
13 |
13 |
$0.00 |
| 99173 |
|
26 |
26 |
$0.00 |
| 0402 |
|
150 |
145 |
$0.00 |
| 0424 |
|
13 |
12 |
$0.00 |
| 90670 |
|
173 |
171 |
$0.00 |
| 90633 |
|
26 |
26 |
$0.00 |
| 90671 |
|
26 |
26 |
$0.00 |
| 90648 |
|
61 |
60 |
$0.00 |
| 0483 |
|
13 |
13 |
$0.00 |
| 77062 |
|
13 |
13 |
$0.00 |
| 84112 |
|
17 |
13 |
$0.00 |
| 0312 |
|
12 |
12 |
$0.00 |