| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
71,648 |
59,658 |
$8.16M |
| 99284 |
|
46,815 |
41,518 |
$4.10M |
| G0378 |
Hospital observation per hr |
27,843 |
19,923 |
$3.47M |
| 74177 |
|
13,703 |
11,802 |
$3.11M |
| 99283 |
|
45,965 |
38,516 |
$2.41M |
| 74176 |
|
8,318 |
7,253 |
$1.31M |
| 70450 |
|
14,510 |
12,565 |
$1.27M |
| 71275 |
|
4,642 |
4,023 |
$1.15M |
| 96374 |
|
57,012 |
44,905 |
$1.01M |
| 96375 |
|
46,932 |
34,330 |
$912K |
| 96361 |
|
42,394 |
31,733 |
$911K |
| 78452 |
|
1,955 |
1,683 |
$883K |
| 80307 |
|
20,597 |
16,561 |
$510K |
| 99282 |
|
12,330 |
11,210 |
$427K |
| 96372 |
|
27,322 |
18,692 |
$412K |
| 85025 |
|
113,528 |
79,467 |
$371K |
| 72125 |
|
3,443 |
3,047 |
$368K |
| 96360 |
|
10,937 |
9,596 |
$357K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
21,431 |
18,208 |
$353K |
| 80053 |
|
64,141 |
50,047 |
$312K |
| 70496 |
|
978 |
864 |
$308K |
| 87636 |
|
4,220 |
3,966 |
$299K |
| 96376 |
|
21,044 |
11,933 |
$293K |
| 96365 |
|
9,116 |
7,362 |
$286K |
| 76856 |
|
4,562 |
3,977 |
$281K |
| U0003 |
Cov-19 amp prb hgh thruput |
5,483 |
4,930 |
$275K |
| 71045 |
|
39,085 |
32,818 |
$274K |
| 93005 |
|
54,460 |
43,054 |
$273K |
| 59025 |
|
7,303 |
5,535 |
$261K |
| 84484 |
|
52,844 |
28,827 |
$252K |
| 76705 |
|
4,367 |
3,873 |
$233K |
| 93306 |
|
1,838 |
1,551 |
$231K |
| 70498 |
|
858 |
775 |
$231K |
| 43239 |
|
1,270 |
1,089 |
$230K |
| 76801 |
|
3,677 |
3,009 |
$217K |
| 36415 |
|
126,303 |
82,051 |
$198K |
| 74174 |
|
385 |
344 |
$193K |
| 72131 |
|
1,522 |
1,354 |
$192K |
| 84702 |
|
29,806 |
25,142 |
$192K |
| 0450 |
|
4,237 |
3,715 |
$189K |
| 11042 |
|
4,456 |
1,629 |
$187K |
| 71046 |
|
13,982 |
12,276 |
$184K |
| 76830 |
|
2,516 |
2,205 |
$181K |
| 70551 |
|
981 |
847 |
$168K |
| 80048 |
|
45,026 |
34,873 |
$162K |
| A9500 |
Tc99m sestamibi |
1,945 |
1,676 |
$159K |
| 96366 |
|
4,360 |
2,755 |
$150K |
| 93971 |
|
3,054 |
2,666 |
$145K |
| 70486 |
|
1,038 |
968 |
$134K |
| 93970 |
|
1,726 |
1,493 |
$132K |
| 87502 |
|
3,627 |
2,908 |
$128K |
| 76805 |
|
1,418 |
1,289 |
$124K |
| 83880 |
|
10,151 |
8,469 |
$122K |
| 87651 |
|
6,628 |
5,863 |
$121K |
| 76817 |
|
2,024 |
1,670 |
$118K |
| 83690 |
|
32,090 |
26,229 |
$101K |
| J2270 |
Morphine sulfate injection |
31,070 |
20,856 |
$88K |
| 90715 |
|
2,247 |
2,052 |
$82K |
| 83605 |
|
17,840 |
13,211 |
$78K |
| 94640 |
|
7,354 |
6,222 |
$74K |
| 99281 |
|
3,151 |
2,926 |
$72K |
| J2785 |
Regadenoson injection |
769 |
708 |
$71K |
| 99213 |
|
2,115 |
1,761 |
$70K |
| 81001 |
|
46,108 |
38,781 |
$67K |
| 95819 |
|
339 |
290 |
$65K |
| 87086 |
|
17,875 |
15,300 |
$64K |
| 87040 |
|
12,961 |
6,988 |
$63K |
| 73564 |
|
2,825 |
2,552 |
$60K |
| 99214 |
|
931 |
799 |
$59K |
| 10060 |
|
855 |
773 |
$59K |
| 97163 |
|
1,963 |
1,612 |
$54K |
| 73630 |
|
3,287 |
2,987 |
$54K |
| 87635 |
|
1,992 |
1,574 |
$52K |
| 0241U |
|
4,561 |
4,326 |
$52K |
| 97530 |
|
4,991 |
2,275 |
$50K |
| 83735 |
|
20,433 |
13,312 |
$48K |
| 73610 |
|
2,607 |
2,377 |
$48K |
| 85730 |
|
22,075 |
17,557 |
$47K |
| 73130 |
|
2,534 |
2,326 |
$46K |
| 85379 |
|
9,771 |
8,627 |
$45K |
| 76700 |
|
655 |
598 |
$44K |
| 81025 |
|
16,763 |
14,394 |
$44K |
| 70491 |
|
269 |
238 |
$43K |
| 87591 |
|
2,420 |
2,004 |
$42K |
| 87491 |
|
2,423 |
2,006 |
$41K |
| 97167 |
|
1,565 |
1,312 |
$40K |
| 99203 |
|
763 |
729 |
$39K |
| 73110 |
|
1,806 |
1,640 |
$39K |
| 85610 |
|
27,148 |
21,097 |
$37K |
| 97162 |
|
1,274 |
1,019 |
$37K |
| 93017 |
|
1,929 |
1,662 |
$34K |
| J0153 |
Adenosine inj 1mg |
585 |
478 |
$34K |
| J0696 |
Ceftriaxone sodium injection |
12,012 |
8,848 |
$34K |
| 73030 |
|
2,208 |
1,960 |
$32K |
| 12001 |
|
906 |
831 |
$32K |
| 80061 |
|
5,920 |
4,877 |
$28K |
| 97116 |
|
2,949 |
1,972 |
$27K |
| J2543 |
Piperacillin/tazobactam |
3,844 |
2,098 |
$27K |
| 97535 |
|
2,699 |
1,838 |
$26K |
| 72100 |
|
1,667 |
1,459 |
$26K |
| 84443 |
|
4,296 |
3,611 |
$26K |
| 87186 |
|
6,836 |
4,946 |
$26K |
| 90471 |
|
2,244 |
2,036 |
$26K |
| 76819 |
|
531 |
476 |
$25K |
| 80069 |
|
8,682 |
4,697 |
$24K |
| 99212 |
|
1,480 |
1,287 |
$23K |
| J2930 |
Methylprednisolone injection |
3,371 |
2,524 |
$22K |
| 87641 |
|
4,143 |
3,303 |
$22K |
| 99291 |
|
154 |
131 |
$22K |
| J1885 |
Ketorolac tromethamine inj |
17,030 |
14,205 |
$21K |
| 41899 |
|
22 |
21 |
$20K |
| J3370 |
Vancomycin hcl injection |
2,592 |
1,498 |
$20K |
| J2405 |
Ondansetron hcl injection |
42,628 |
31,679 |
$20K |
| 93880 |
|
265 |
217 |
$19K |
| 74022 |
|
862 |
721 |
$19K |
| 76775 |
|
877 |
758 |
$19K |
| C9803 |
Hopd covid-19 spec collect |
12,936 |
11,638 |
$19K |
| 82962 |
|
18,963 |
7,415 |
$19K |
| 74018 |
|
1,528 |
1,347 |
$19K |
| 96367 |
|
1,186 |
953 |
$19K |
| J1170 |
Hydromorphone injection |
8,123 |
5,203 |
$19K |
| 45378 |
|
67 |
64 |
$18K |
| 29125 |
|
674 |
607 |
$18K |
| 80076 |
|
5,239 |
4,352 |
$18K |
| 58661 |
|
20 |
15 |
$18K |
| 12011 |
|
400 |
377 |
$17K |
| J1100 |
Dexamethasone sodium phos |
16,110 |
13,619 |
$17K |
| 83036 |
|
5,264 |
4,387 |
$17K |
| 97166 |
|
555 |
454 |
$16K |
| 73080 |
|
869 |
806 |
$16K |
| J1644 |
Inj heparin sodium per 1000u |
10,550 |
4,915 |
$15K |
| 82550 |
|
5,846 |
4,755 |
$15K |
| J0360 |
Hydralazine hcl injection |
2,949 |
2,052 |
$15K |
| P9016 |
Rbc leukocytes reduced |
257 |
185 |
$14K |
| 99204 |
|
137 |
132 |
$13K |
| 81003 |
|
13,637 |
11,538 |
$13K |
| 85027 |
|
6,081 |
3,890 |
$12K |
| 73502 |
|
760 |
656 |
$12K |
| 71101 |
|
572 |
523 |
$12K |
| 84145 |
|
1,209 |
962 |
$11K |
| 99202 |
|
299 |
280 |
$11K |
| 87077 |
|
2,448 |
1,949 |
$11K |
| 76870 |
|
380 |
324 |
$10K |
| 73590 |
|
793 |
718 |
$10K |
| G0463 |
Hospital outpt clinic visit |
484 |
389 |
$9K |
| J0780 |
Prochlorperazine injection |
1,592 |
1,285 |
$9K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
330 |
288 |
$9K |
| 84439 |
|
2,566 |
2,145 |
$9K |
| U0005 |
Infec agen detec ampli probe |
2,437 |
2,248 |
$9K |
| 86900 |
|
8,048 |
6,834 |
$8K |
| 86901 |
|
8,041 |
6,835 |
$8K |
| 82803 |
|
1,419 |
1,066 |
$8K |
| 73090 |
|
484 |
437 |
$7K |
| J2765 |
Metoclopramide hcl injection |
8,330 |
6,603 |
$7K |
| 82140 |
|
1,420 |
1,055 |
$7K |
| J1650 |
Inj enoxaparin sodium |
1,612 |
933 |
$7K |
| J1790 |
Droperidol injection |
681 |
608 |
$7K |
| 45380 |
|
36 |
26 |
$7K |
| J2704 |
Inj, propofol, 10 mg |
8,882 |
7,301 |
$7K |
| 71250 |
|
49 |
47 |
$7K |
| 86140 |
|
3,143 |
2,655 |
$7K |
| 86850 |
|
5,462 |
4,597 |
$6K |
| 72128 |
|
68 |
64 |
$6K |
| J7512 |
Prednisone ir or dr oral 1mg |
2,843 |
2,282 |
$6K |
| J2060 |
Lorazepam injection |
8,375 |
6,186 |
$6K |
| 97165 |
|
213 |
156 |
$6K |
| J1200 |
Diphenhydramine hcl injectio |
8,335 |
6,402 |
$6K |
| Z7502 |
|
161 |
145 |
$6K |
| 12002 |
|
129 |
121 |
$6K |
| J0500 |
Dicyclomine injection |
192 |
168 |
$6K |
| 82805 |
|
456 |
388 |
$5K |
| 87661 |
|
256 |
245 |
$5K |
| J2791 |
Rhophylac injection |
118 |
102 |
$5K |
| 36430 |
|
344 |
227 |
$5K |
| J2001 |
Lidocaine injection |
8,957 |
7,213 |
$5K |
| 72040 |
|
305 |
266 |
$5K |
| 97161 |
|
163 |
124 |
$5K |
| J3490 |
Drugs unclassified injection |
403 |
315 |
$5K |
| 87210 |
|
2,172 |
1,853 |
$5K |
| J2920 |
Methylprednisolone injection |
846 |
455 |
$4K |
| 73140 |
|
260 |
232 |
$4K |
| 80074 |
|
315 |
246 |
$4K |
| C9113 |
Inj pantoprazole sodium, via |
2,746 |
1,798 |
$4K |
| 84112 |
|
430 |
390 |
$4K |
| 71260 |
|
34 |
28 |
$4K |
| 82607 |
|
742 |
563 |
$4K |
| 0250 |
|
430 |
196 |
$4K |
| 45385 |
|
31 |
25 |
$4K |
| 84132 |
|
2,748 |
2,132 |
$4K |
| 70553 |
|
14 |
14 |
$3K |
| 29515 |
|
92 |
83 |
$3K |
| 82746 |
|
574 |
414 |
$3K |
| 87070 |
|
1,230 |
1,012 |
$3K |
| 87205 |
|
2,198 |
1,625 |
$3K |
| A9585 |
Gadobutrol injection |
180 |
157 |
$3K |
| 87631 |
|
1,724 |
1,405 |
$3K |
| J2710 |
Neostigmine methylslfte inj |
875 |
595 |
$3K |
| J3475 |
Inj magnesium sulfate |
1,004 |
811 |
$3K |
| 86923 |
|
406 |
282 |
$3K |
| 84100 |
|
1,795 |
1,399 |
$3K |
| J2919 |
Inj, methylpred sod succ 5mg |
354 |
272 |
$3K |
| J1953 |
Levetiracetam injection |
457 |
339 |
$3K |
| 11045 |
|
169 |
65 |
$3K |
| 72193 |
|
12 |
12 |
$3K |
| M0247 |
Sotrovimab infusion |
25 |
13 |
$2K |
| 97110 |
|
268 |
179 |
$2K |
| J0330 |
Succinycholine chloride inj |
611 |
503 |
$2K |
| J3480 |
Inj potassium chloride |
1,690 |
1,162 |
$2K |
| J0456 |
Azithromycin |
998 |
675 |
$2K |
| J1630 |
Haloperidol injection |
1,557 |
1,118 |
$2K |
| 82010 |
|
619 |
528 |
$2K |
| J0690 |
Cefazolin sodium injection |
3,556 |
2,710 |
$2K |
| 58571 |
|
18 |
12 |
$2K |
| 99211 |
|
391 |
354 |
$2K |
| 72072 |
|
99 |
87 |
$2K |
| 99201 |
|
104 |
95 |
$2K |
| 99070 |
|
264 |
124 |
$2K |
| G0008 |
Admin influenza virus vac |
216 |
185 |
$2K |
| J2795 |
Ropivacaine hcl injection |
1,269 |
1,086 |
$2K |
| 87276 |
|
642 |
596 |
$2K |
| 87275 |
|
642 |
596 |
$2K |
| J1940 |
Furosemide injection |
1,926 |
1,073 |
$2K |
| 85652 |
|
1,544 |
1,312 |
$2K |
| J8540 |
Oral dexamethasone |
669 |
613 |
$2K |
| 76377 |
|
44 |
43 |
$1K |
| 49083 |
|
27 |
12 |
$1K |
| 86780 |
|
192 |
171 |
$1K |
| 72170 |
|
140 |
118 |
$1K |
| 82570 |
|
527 |
452 |
$1K |
| 90686 |
|
216 |
186 |
$1K |
| 0270 |
|
156 |
81 |
$1K |
| J3010 |
Fentanyl citrate injection |
3,611 |
2,950 |
$1K |
| M0243 |
Casirivi and imdevi inj |
17 |
15 |
$1K |
| 87798 |
|
88 |
36 |
$995.74 |
| 87081 |
|
594 |
495 |
$991.91 |
| J2358 |
Olanzapine long-acting inj |
56 |
39 |
$990.58 |
| 85018 |
|
1,187 |
783 |
$900.84 |
| 84550 |
|
383 |
348 |
$877.64 |
| 85014 |
|
1,160 |
767 |
$875.09 |
| 87430 |
|
269 |
251 |
$836.55 |
| J0131 |
Inj, acetaminophen (nos) |
517 |
477 |
$830.57 |
| 88305 |
|
879 |
588 |
$830.39 |
| J2370 |
Phenylephrine hcl injection |
248 |
210 |
$773.61 |
| C1729 |
Cath, drainage |
607 |
384 |
$772.06 |
| J2250 |
Inj midazolam hydrochloride |
4,225 |
3,513 |
$647.98 |
| 87486 |
|
49 |
37 |
$594.35 |
| 82728 |
|
179 |
145 |
$585.97 |
| 83550 |
|
294 |
246 |
$580.82 |
| 87581 |
|
48 |
36 |
$569.69 |
| 87563 |
|
34 |
34 |
$565.31 |
| J2470 |
Inj pantoprazole sodium 40mg |
214 |
148 |
$528.10 |
| 83540 |
|
290 |
249 |
$500.49 |
| J2800 |
Methocarbamol injection |
277 |
236 |
$478.73 |
| 36600 |
|
106 |
88 |
$440.20 |
| J0692 |
Cefepime hcl for injection |
94 |
43 |
$439.37 |
| J7510 |
Prednisolone oral per 5 mg |
76 |
67 |
$372.93 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
245 |
176 |
$336.25 |
| 82248 |
|
146 |
135 |
$330.10 |
| 84156 |
|
212 |
181 |
$329.06 |
| J3105 |
Terbutaline sulfate inj |
107 |
94 |
$307.28 |
| 87420 |
|
76 |
74 |
$279.17 |
| J3411 |
Thiamine hcl 100 mg |
62 |
50 |
$275.35 |
| 83615 |
|
102 |
84 |
$274.33 |
| 70360 |
|
13 |
13 |
$270.98 |
| 84300 |
|
99 |
94 |
$211.25 |
| 97597 |
|
43 |
24 |
$193.55 |
| J0171 |
Adrenalin epinephrine inject |
45 |
38 |
$149.35 |
| J1836 |
Inj, metronidazole, 10 mg |
205 |
139 |
$134.50 |
| 73552 |
|
15 |
15 |
$121.07 |
| 87389 |
|
14 |
13 |
$82.15 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
869 |
715 |
$74.86 |
| J1920 |
Inj, labetalol hcl, 5mg |
197 |
126 |
$68.21 |
| 84295 |
|
41 |
37 |
$65.87 |
| J0736 |
Inj, clindamycin phosp 300mg |
63 |
56 |
$65.12 |
| 85046 |
|
34 |
24 |
$49.72 |
| A9270 |
Non-covered item or service |
24,050 |
3,770 |
$18.35 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
27 |
24 |
$12.78 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
254 |
237 |
$9.90 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
187 |
162 |
$1.03 |
| Q0247 |
Sotrovimab |
25 |
13 |
$0.06 |
| C1769 |
Guide wire |
79 |
55 |
$0.00 |
| C1781 |
Mesh (implantable) |
29 |
25 |
$0.00 |
| 0353U |
|
630 |
584 |
$0.00 |
| G8978 |
Mobility current status |
31 |
25 |
$0.00 |
| 88312 |
|
75 |
52 |
$0.00 |
| G8979 |
Mobility goal status |
31 |
25 |
$0.00 |
| 87075 |
|
22 |
18 |
$0.00 |
| 87633 |
|
48 |
36 |
$0.00 |