| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
30,367 |
28,308 |
$9.96M |
| 99284 |
|
14,093 |
12,909 |
$5.18M |
| G0378 |
Hospital observation per hr |
7,079 |
3,460 |
$1.06M |
| 99282 |
|
4,000 |
3,818 |
$1.05M |
| 93306 |
|
1,071 |
1,007 |
$683K |
| 99285 |
|
1,537 |
1,326 |
$577K |
| 92507 |
|
963 |
202 |
$311K |
| 87804 |
|
24,962 |
13,721 |
$265K |
| 87426 |
|
13,960 |
12,957 |
$259K |
| 72082 |
|
2,187 |
2,153 |
$252K |
| 93303 |
|
328 |
307 |
$219K |
| 41899 |
|
117 |
113 |
$216K |
| 99213 |
|
1,252 |
775 |
$201K |
| 95715 |
|
203 |
190 |
$147K |
| 93005 |
|
2,386 |
2,260 |
$137K |
| 76775 |
|
772 |
746 |
$134K |
| 0202U |
|
387 |
362 |
$130K |
| 97110 |
|
1,573 |
461 |
$130K |
| 97530 |
|
1,477 |
412 |
$128K |
| J1745 |
Infliximab not biosimil 10mg |
99 |
87 |
$127K |
| 73140 |
|
1,018 |
925 |
$115K |
| D2930 |
|
129 |
44 |
$97K |
| 96415 |
|
168 |
154 |
$85K |
| 87651 |
|
4,261 |
4,002 |
$85K |
| 71046 |
|
1,695 |
1,517 |
$65K |
| 73100 |
|
489 |
403 |
$55K |
| 85027 |
|
2,886 |
2,390 |
$53K |
| D7140 |
|
113 |
60 |
$50K |
| 72170 |
|
438 |
429 |
$48K |
| 76700 |
|
164 |
161 |
$47K |
| 87807 |
|
3,243 |
2,998 |
$46K |
| 44970 |
|
15 |
13 |
$46K |
| 95700 |
|
239 |
229 |
$45K |
| 93325 |
|
335 |
310 |
$42K |
| 96361 |
|
134 |
98 |
$42K |
| 85007 |
|
2,258 |
1,873 |
$39K |
| 73130 |
|
305 |
266 |
$34K |
| 96365 |
|
106 |
89 |
$32K |
| 87633 |
|
169 |
151 |
$31K |
| 92587 |
|
209 |
199 |
$30K |
| 96413 |
|
340 |
299 |
$28K |
| J2405 |
Ondansetron hcl injection |
1,166 |
862 |
$24K |
| J1100 |
Dexamethasone sodium phos |
1,213 |
1,027 |
$23K |
| 81001 |
|
1,161 |
1,083 |
$23K |
| J0136 |
Inj, acetaminophen (b braun) |
831 |
662 |
$20K |
| 76705 |
|
475 |
393 |
$17K |
| 80048 |
|
658 |
405 |
$17K |
| 73721 |
|
47 |
42 |
$16K |
| 86140 |
|
788 |
672 |
$16K |
| 96375 |
|
624 |
391 |
$16K |
| 94664 |
|
507 |
455 |
$14K |
| 96374 |
|
369 |
307 |
$14K |
| J7120 |
Ringers lactate infusion |
687 |
602 |
$13K |
| 92567 |
|
293 |
284 |
$13K |
| 70553 |
|
20 |
17 |
$12K |
| 87635 |
|
583 |
526 |
$12K |
| 96450 |
|
18 |
12 |
$12K |
| 87581 |
|
654 |
560 |
$12K |
| J3010 |
Fentanyl citrate injection |
583 |
518 |
$11K |
| 00170 |
|
216 |
206 |
$11K |
| 73090 |
|
81 |
65 |
$10K |
| J2704 |
Inj, propofol, 10 mg |
510 |
432 |
$9K |
| 73610 |
|
71 |
66 |
$9K |
| 77072 |
|
82 |
81 |
$9K |
| 73560 |
|
97 |
86 |
$9K |
| J1885 |
Ketorolac tromethamine inj |
395 |
328 |
$8K |
| 96376 |
|
177 |
113 |
$7K |
| 80053 |
|
283 |
250 |
$7K |
| 93320 |
|
330 |
306 |
$7K |
| 80076 |
|
292 |
143 |
$7K |
| 87086 |
|
295 |
278 |
$7K |
| D1351 |
|
78 |
31 |
$6K |
| 74018 |
|
54 |
51 |
$6K |
| 74019 |
|
77 |
75 |
$5K |
| 70551 |
|
14 |
12 |
$5K |
| 83615 |
|
246 |
111 |
$5K |
| 82784 |
|
230 |
117 |
$5K |
| 87486 |
|
167 |
149 |
$4K |
| 88305 |
|
69 |
66 |
$4K |
| 97161 |
|
13 |
13 |
$4K |
| 87798 |
|
141 |
116 |
$4K |
| 73630 |
|
32 |
27 |
$4K |
| 85652 |
|
177 |
164 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
114 |
48 |
$3K |
| S0119 |
Ondansetron 4 mg |
56 |
55 |
$3K |
| 96409 |
|
20 |
14 |
$3K |
| J3490 |
Drugs unclassified injection |
890 |
473 |
$3K |
| J3480 |
Inj potassium chloride |
451 |
317 |
$2K |
| 76536 |
|
15 |
12 |
$2K |
| 73070 |
|
18 |
15 |
$2K |
| 88312 |
|
31 |
28 |
$2K |
| 77077 |
|
13 |
12 |
$1K |
| 87040 |
|
81 |
68 |
$1K |
| 92579 |
|
15 |
15 |
$965.79 |
| 87338 |
|
29 |
26 |
$813.44 |
| 82657 |
|
13 |
12 |
$647.59 |
| J0696 |
Ceftriaxone sodium injection |
15 |
12 |
$524.96 |
| 84100 |
|
62 |
38 |
$507.32 |
| 88304 |
|
15 |
13 |
$496.88 |
| 83735 |
|
61 |
38 |
$474.11 |
| 00840 |
|
13 |
12 |
$393.29 |
| J9370 |
Vincristine sulfate 1 mg inj |
22 |
12 |
$386.49 |
| J2272 |
Inj, morphine (fresenius) |
18 |
14 |
$210.45 |
| 80047 |
|
15 |
14 |
$205.31 |
| 85014 |
|
15 |
14 |
$172.34 |
| J1642 |
Inj heparin sodium per 10 u |
33 |
24 |
$170.87 |
| 85045 |
|
23 |
15 |
$89.62 |
| 96372 |
|
13 |
12 |
$86.02 |
| A9585 |
Gadobutrol injection |
32 |
27 |
$80.02 |
| 88108 |
|
19 |
12 |
$67.89 |
| 89050 |
|
19 |
12 |
$48.41 |