| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
30,919 |
28,082 |
$4.87M |
| J2323 |
Natalizumab injection |
447 |
416 |
$2.94M |
| 99285 |
|
13,939 |
13,115 |
$2.14M |
| 99283 |
|
10,514 |
9,953 |
$1.76M |
| 11042 |
|
2,605 |
1,320 |
$1.53M |
| 70450 |
|
6,034 |
5,660 |
$1.51M |
| 99282 |
|
8,233 |
7,091 |
$1.31M |
| 96361 |
|
5,326 |
4,747 |
$1.11M |
| 74177 |
|
4,602 |
4,489 |
$1.01M |
| G0378 |
Hospital observation per hr |
2,540 |
2,449 |
$998K |
| 96365 |
|
4,709 |
3,835 |
$972K |
| 76700 |
|
996 |
985 |
$632K |
| C1889 |
Implant/insert device, noc |
1,500 |
1,378 |
$433K |
| 43239 |
|
541 |
540 |
$378K |
| 99213 |
|
2,615 |
2,184 |
$369K |
| 76856 |
|
979 |
964 |
$361K |
| 93975 |
|
618 |
601 |
$332K |
| 74176 |
|
1,441 |
1,397 |
$319K |
| 80053 |
|
13,929 |
10,757 |
$318K |
| U0004 |
Cov-19 test non-cdc hgh thru |
3,801 |
3,660 |
$305K |
| 80048 |
|
22,777 |
19,708 |
$292K |
| 80076 |
|
13,858 |
12,462 |
$271K |
| 96360 |
|
1,272 |
1,208 |
$237K |
| 12001 |
|
470 |
467 |
$222K |
| 71275 |
|
751 |
744 |
$220K |
| 99281 |
|
1,363 |
1,309 |
$216K |
| 99291 |
|
1,036 |
1,003 |
$167K |
| 86850 |
|
4,259 |
4,115 |
$156K |
| 0241U |
|
8,612 |
7,285 |
$150K |
| 36416 |
|
6,710 |
4,880 |
$144K |
| 83880 |
|
4,392 |
4,213 |
$121K |
| 96372 |
|
8,971 |
8,263 |
$114K |
| 99214 |
|
816 |
764 |
$108K |
| 93970 |
|
161 |
159 |
$103K |
| 86900 |
|
4,277 |
4,117 |
$84K |
| G0463 |
Hospital outpt clinic visit |
841 |
613 |
$73K |
| 77067 |
|
842 |
837 |
$66K |
| 71260 |
|
566 |
555 |
$64K |
| 36415 |
|
22,041 |
19,295 |
$62K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
42 |
42 |
$61K |
| H0050 |
Alcohol/drug service 15 min |
1,070 |
923 |
$52K |
| H0049 |
Alcohol/drug screening |
1,179 |
1,017 |
$52K |
| 80307 |
|
1,424 |
1,328 |
$51K |
| 88305 |
|
1,196 |
1,171 |
$46K |
| G0480 |
Drug test def 1-7 classes |
2,275 |
2,110 |
$44K |
| 96366 |
|
288 |
280 |
$39K |
| 85610 |
|
12,479 |
11,762 |
$37K |
| 90715 |
|
1,367 |
1,356 |
$36K |
| 82803 |
|
1,528 |
1,401 |
$34K |
| 72125 |
|
2,218 |
2,110 |
$30K |
| J7050 |
Normal saline solution infus |
4,827 |
4,186 |
$29K |
| 93971 |
|
294 |
288 |
$27K |
| 86901 |
|
1,669 |
1,603 |
$27K |
| 76770 |
|
48 |
46 |
$27K |
| 96374 |
|
10,564 |
9,807 |
$26K |
| 80061 |
|
1,345 |
1,320 |
$25K |
| 93005 |
|
19,296 |
17,349 |
$25K |
| 76801 |
|
191 |
175 |
$25K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,403 |
2,267 |
$23K |
| 70496 |
|
77 |
76 |
$19K |
| J3490 |
Drugs unclassified injection |
3,021 |
2,177 |
$17K |
| 70486 |
|
712 |
700 |
$17K |
| 99212 |
|
114 |
101 |
$17K |
| 87491 |
|
413 |
406 |
$15K |
| 88304 |
|
336 |
335 |
$15K |
| 71250 |
|
230 |
224 |
$14K |
| 96375 |
|
8,296 |
7,674 |
$14K |
| 93010 |
|
1,746 |
1,382 |
$13K |
| G0396 |
Alcohol/subs interv 15-30mn |
97 |
24 |
$13K |
| 76815 |
|
112 |
104 |
$11K |
| 93306 |
|
98 |
98 |
$10K |
| 72131 |
|
197 |
194 |
$10K |
| 81025 |
|
3,102 |
3,013 |
$10K |
| 29125 |
|
51 |
51 |
$9K |
| 29580 |
|
26 |
12 |
$9K |
| J7120 |
Ringers lactate infusion |
1,777 |
1,609 |
$9K |
| 45378 |
|
12 |
12 |
$9K |
| 71045 |
|
12,172 |
11,500 |
$8K |
| 85025 |
|
26,384 |
23,564 |
$8K |
| 85730 |
|
11,417 |
10,837 |
$8K |
| 87591 |
|
413 |
406 |
$8K |
| 90832 |
|
64 |
44 |
$7K |
| 93976 |
|
12 |
12 |
$7K |
| 77063 |
|
582 |
579 |
$7K |
| 71046 |
|
2,387 |
2,358 |
$7K |
| 12002 |
|
12 |
12 |
$7K |
| 87635 |
|
922 |
873 |
$7K |
| 29515 |
|
27 |
26 |
$6K |
| 85027 |
|
5,380 |
4,711 |
$6K |
| 12011 |
|
12 |
12 |
$6K |
| J7030 |
Normal saline solution infus |
1,664 |
1,386 |
$5K |
| 70498 |
|
62 |
61 |
$5K |
| 84703 |
|
4,414 |
4,261 |
$4K |
| 86359 |
|
119 |
117 |
$4K |
| 84484 |
|
13,428 |
11,028 |
$4K |
| 97162 |
|
39 |
37 |
$4K |
| 76830 |
|
166 |
163 |
$4K |
| J0131 |
Inj, acetaminophen (nos) |
1,063 |
1,030 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
7,440 |
6,957 |
$3K |
| 83735 |
|
14,030 |
12,590 |
$3K |
| J0690 |
Cefazolin sodium injection |
1,576 |
1,522 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
1,863 |
1,256 |
$2K |
| 84702 |
|
7,221 |
6,852 |
$2K |
| 70551 |
|
13 |
13 |
$2K |
| 86360 |
|
119 |
117 |
$2K |
| 87040 |
|
2,915 |
2,137 |
$2K |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
339 |
336 |
$2K |
| 94640 |
|
3,414 |
2,550 |
$2K |
| 84443 |
|
3,425 |
3,295 |
$2K |
| 73130 |
|
1,248 |
1,176 |
$2K |
| 73630 |
|
1,251 |
1,193 |
$2K |
| 72128 |
|
27 |
25 |
$2K |
| 82948 |
|
4,325 |
2,732 |
$2K |
| 83036 |
|
827 |
806 |
$2K |
| J1170 |
Hydromorphone injection |
477 |
422 |
$2K |
| 87088 |
|
6,673 |
6,365 |
$1K |
| 87804 |
|
3,657 |
3,567 |
$1K |
| 83690 |
|
11,930 |
11,171 |
$1K |
| 99204 |
|
12 |
12 |
$1K |
| J1100 |
Dexamethasone sodium phos |
3,799 |
3,668 |
$1K |
| 90471 |
|
1,210 |
1,196 |
$1K |
| 73562 |
|
1,185 |
1,137 |
$1K |
| J3010 |
Fentanyl citrate injection |
1,259 |
1,170 |
$1K |
| J2270 |
Morphine sulfate injection |
2,611 |
2,217 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
1,284 |
1,138 |
$1K |
| 84100 |
|
6,242 |
5,828 |
$995.45 |
| 73030 |
|
923 |
890 |
$990.33 |
| 86480 |
|
15 |
15 |
$986.58 |
| J3535 |
Metered dose inhaler drug |
632 |
554 |
$968.14 |
| 96376 |
|
1,193 |
1,114 |
$944.90 |
| 82947 |
|
3,542 |
2,558 |
$930.31 |
| 84439 |
|
2,151 |
2,087 |
$858.37 |
| 73610 |
|
1,138 |
1,093 |
$849.39 |
| J2250 |
Inj midazolam hydrochloride |
1,761 |
1,640 |
$839.81 |
| 81003 |
|
9,134 |
8,673 |
$828.44 |
| J2405 |
Ondansetron hcl injection |
6,075 |
5,443 |
$802.60 |
| 76705 |
|
277 |
273 |
$762.00 |
| J2543 |
Piperacillin/tazobactam |
455 |
363 |
$748.69 |
| 76641 |
|
26 |
25 |
$692.56 |
| J0136 |
Inj, acetaminophen (b braun) |
131 |
122 |
$685.20 |
| J2765 |
Metoclopramide hcl injection |
2,306 |
2,152 |
$670.16 |
| 87070 |
|
1,875 |
1,474 |
$642.62 |
| 99406 |
|
13 |
13 |
$628.01 |
| 87186 |
|
1,387 |
1,351 |
$600.26 |
| 80305 |
|
1,384 |
1,298 |
$591.56 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
20 |
20 |
$539.44 |
| J1630 |
Haloperidol injection |
996 |
878 |
$493.20 |
| 73110 |
|
312 |
305 |
$487.65 |
| 87077 |
|
1,040 |
1,012 |
$460.78 |
| 82550 |
|
3,606 |
3,261 |
$452.29 |
| 85379 |
|
1,046 |
1,036 |
$435.71 |
| 83605 |
|
1,804 |
1,697 |
$388.99 |
| J1200 |
Diphenhydramine hcl injectio |
1,889 |
1,774 |
$386.16 |
| 76817 |
|
13 |
12 |
$369.20 |
| 76000 |
|
12 |
12 |
$363.41 |
| 87430 |
|
1,612 |
1,597 |
$350.07 |
| S0028 |
Injection, famotidine, 20 mg |
990 |
915 |
$340.74 |
| 80306 |
|
3,332 |
3,138 |
$333.88 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
499 |
412 |
$318.45 |
| 72100 |
|
219 |
218 |
$300.57 |
| J7512 |
Prednisone ir or dr oral 1mg |
617 |
519 |
$275.99 |
| J1650 |
Inj enoxaparin sodium |
104 |
71 |
$273.11 |
| G0008 |
Admin influenza virus vac |
20 |
20 |
$248.76 |
| 81001 |
|
2,763 |
2,690 |
$239.47 |
| 87389 |
|
317 |
312 |
$220.69 |
| 73590 |
|
144 |
141 |
$215.45 |
| 87086 |
|
920 |
901 |
$203.00 |
| J1644 |
Inj heparin sodium per 1000u |
155 |
123 |
$188.04 |
| J2060 |
Lorazepam injection |
1,132 |
1,019 |
$173.86 |
| J2800 |
Methocarbamol injection |
574 |
545 |
$166.99 |
| J1815 |
Insulin injection |
347 |
235 |
$156.60 |
| 80320 |
|
917 |
846 |
$143.39 |
| J7644 |
Ipratropium bromide non-comp |
869 |
636 |
$135.93 |
| 0012A |
|
15 |
15 |
$128.13 |
| J3475 |
Inj magnesium sulfate |
254 |
235 |
$123.21 |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
20 |
12 |
$120.36 |
| J7060 |
5% dextrose/water |
1,403 |
1,240 |
$103.04 |
| 84134 |
|
14 |
12 |
$102.48 |
| 73080 |
|
146 |
141 |
$98.33 |
| J2001 |
Lidocaine injection |
658 |
624 |
$94.49 |
| 87807 |
|
382 |
381 |
$93.10 |
| 82728 |
|
279 |
272 |
$87.38 |
| 82140 |
|
69 |
68 |
$84.27 |
| J2930 |
Methylprednisolone injection |
242 |
224 |
$77.47 |
| 80143 |
|
262 |
256 |
$71.68 |
| 73090 |
|
110 |
104 |
$66.81 |
| 80179 |
|
265 |
259 |
$63.80 |
| 74018 |
|
81 |
79 |
$61.36 |
| 0011A |
|
13 |
13 |
$59.55 |
| 86140 |
|
378 |
367 |
$46.30 |
| 72170 |
|
28 |
28 |
$41.65 |
| 86803 |
|
36 |
36 |
$36.48 |
| 87075 |
|
103 |
61 |
$32.20 |
| 87205 |
|
93 |
90 |
$29.11 |
| J0134 |
Inj acetaminophen -fresenius |
13 |
13 |
$25.13 |
| 82607 |
|
12 |
12 |
$25.00 |
| J8540 |
Oral dexamethasone |
12 |
12 |
$23.01 |
| 87340 |
|
26 |
25 |
$17.62 |
| 80164 |
|
46 |
40 |
$10.50 |
| 86704 |
|
13 |
12 |
$10.32 |
| 83615 |
|
298 |
287 |
$10.06 |
| 86706 |
|
13 |
12 |
$9.19 |
| 73140 |
|
75 |
75 |
$7.50 |
| 73502 |
|
25 |
25 |
$7.48 |
| J7040 |
Normal saline solution infus |
310 |
238 |
$7.26 |
| A4216 |
Sterile water/saline, 10 ml |
187 |
180 |
$6.61 |
| Q0162 |
Ondansetron oral |
969 |
931 |
$5.49 |
| J7613 |
Albuterol non-comp unit |
1,011 |
746 |
$4.28 |
| 85652 |
|
12 |
12 |
$2.30 |
| Q0163 |
Diphenhydramine hcl 50mg |
161 |
157 |
$1.02 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
14 |
14 |
$0.29 |
| 81002 |
|
125 |
122 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
41 |
38 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
14 |
13 |
$0.00 |
| J1956 |
Levofloxacin injection |
16 |
16 |
$0.00 |
| 82800 |
|
56 |
54 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
41 |
37 |
$0.00 |
| 76376 |
|
14 |
13 |
$0.00 |
| 99080 |
|
299 |
40 |
$0.00 |
| 99152 |
|
29 |
29 |
$0.00 |
| 86361 |
|
96 |
94 |
$0.00 |
| 80329 |
|
315 |
305 |
$0.00 |
| 84436 |
|
13 |
13 |
$0.00 |
| G0481 |
Drug test def 8-14 classes |
410 |
374 |
$0.00 |
| 74019 |
|
125 |
121 |
$0.00 |
| S2900 |
Robotic surgical system |
12 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
82 |
81 |
$0.00 |
| J3360 |
Diazepam injection |
12 |
12 |
$0.00 |
| 86617 |
|
15 |
12 |
$0.00 |