| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
11,674 |
10,909 |
$1.86M |
| 99282 |
|
11,367 |
10,888 |
$1.07M |
| 99283 |
|
5,914 |
5,752 |
$859K |
| 99285 |
|
3,692 |
3,487 |
$610K |
| 0450 |
|
29,497 |
26,057 |
$581K |
| 74177 |
|
4,826 |
4,746 |
$501K |
| 99281 |
|
12,377 |
11,833 |
$482K |
| 87637 |
|
8,146 |
7,918 |
$373K |
| 71046 |
|
6,580 |
6,442 |
$186K |
| 70450 |
|
5,132 |
4,967 |
$182K |
| 99199 |
|
3,166 |
2,782 |
$146K |
| 76705 |
|
3,917 |
3,867 |
$113K |
| 74176 |
|
1,974 |
1,946 |
$109K |
| 87635 |
|
7,482 |
7,135 |
$94K |
| 71045 |
|
8,218 |
7,830 |
$91K |
| 93005 |
|
14,454 |
13,384 |
$84K |
| 96374 |
|
7,449 |
6,928 |
$82K |
| 76830 |
|
2,046 |
2,022 |
$81K |
| 76856 |
|
2,027 |
2,001 |
$81K |
| 71260 |
|
1,438 |
1,427 |
$69K |
| 85025 |
|
37,896 |
32,089 |
$63K |
| 70551 |
|
488 |
483 |
$53K |
| J0131 |
Inj, acetaminophen (nos) |
6,370 |
6,030 |
$50K |
| 73630 |
|
2,236 |
2,013 |
$47K |
| 80051 |
|
26,893 |
23,597 |
$44K |
| 96375 |
|
5,720 |
5,367 |
$41K |
| 73610 |
|
1,906 |
1,781 |
$40K |
| 72100 |
|
1,404 |
1,399 |
$36K |
| 36415 |
|
33,103 |
26,784 |
$32K |
| 73130 |
|
1,454 |
1,292 |
$31K |
| 82565 |
|
30,248 |
26,061 |
$31K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,324 |
1,314 |
$30K |
| 73560 |
|
1,785 |
1,589 |
$30K |
| 96365 |
|
3,027 |
2,904 |
$30K |
| 93306 |
|
124 |
124 |
$29K |
| 73030 |
|
1,496 |
1,388 |
$27K |
| 87636 |
|
532 |
527 |
$26K |
| 84702 |
|
10,052 |
9,018 |
$26K |
| 72125 |
|
397 |
395 |
$26K |
| 96361 |
|
4,193 |
4,034 |
$25K |
| 73110 |
|
1,129 |
1,049 |
$24K |
| 73564 |
|
400 |
311 |
$24K |
| 72148 |
|
283 |
282 |
$23K |
| 80307 |
|
1,632 |
1,502 |
$23K |
| G0378 |
Hospital observation per hr |
1,981 |
1,374 |
$23K |
| 84520 |
|
26,627 |
23,475 |
$22K |
| 83880 |
|
4,585 |
4,326 |
$21K |
| 82947 |
|
26,699 |
23,461 |
$21K |
| 93971 |
|
605 |
594 |
$21K |
| 84484 |
|
9,151 |
8,197 |
$21K |
| 83690 |
|
12,960 |
12,118 |
$20K |
| 71275 |
|
176 |
175 |
$20K |
| 74018 |
|
823 |
794 |
$20K |
| 82247 |
|
17,519 |
14,798 |
$19K |
| 87651 |
|
2,101 |
2,089 |
$19K |
| 84460 |
|
17,002 |
14,766 |
$19K |
| 87631 |
|
898 |
881 |
$18K |
| 0270 |
|
8,636 |
5,275 |
$17K |
| 84450 |
|
15,844 |
13,903 |
$17K |
| 70486 |
|
237 |
234 |
$17K |
| 84075 |
|
14,401 |
12,950 |
$15K |
| 87491 |
|
1,351 |
1,284 |
$15K |
| 87591 |
|
1,351 |
1,285 |
$15K |
| 96372 |
|
3,221 |
3,030 |
$15K |
| 72040 |
|
532 |
527 |
$15K |
| J7030 |
Normal saline solution infus |
11,743 |
10,287 |
$15K |
| 73140 |
|
670 |
641 |
$13K |
| 81001 |
|
18,451 |
17,360 |
$13K |
| 86900 |
|
2,136 |
2,039 |
$12K |
| 96360 |
|
1,302 |
1,284 |
$12K |
| 73080 |
|
412 |
390 |
$11K |
| 73502 |
|
366 |
336 |
$10K |
| 76817 |
|
270 |
251 |
$10K |
| 87040 |
|
2,675 |
2,521 |
$9K |
| 93976 |
|
374 |
373 |
$9K |
| 71250 |
|
212 |
210 |
$9K |
| 76815 |
|
324 |
311 |
$9K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,852 |
3,776 |
$7K |
| 83605 |
|
3,104 |
2,888 |
$7K |
| J1885 |
Ketorolac tromethamine inj |
5,183 |
4,817 |
$7K |
| 80306 |
|
1,792 |
1,726 |
$7K |
| 83735 |
|
6,035 |
4,911 |
$7K |
| J2405 |
Ondansetron hcl injection |
6,614 |
5,995 |
$7K |
| 86850 |
|
1,685 |
1,626 |
$6K |
| 87088 |
|
4,695 |
4,526 |
$6K |
| 85610 |
|
9,082 |
7,791 |
$6K |
| 73721 |
|
93 |
91 |
$6K |
| 82077 |
|
1,649 |
1,542 |
$6K |
| 80048 |
|
3,818 |
3,522 |
$6K |
| 81003 |
|
11,182 |
10,854 |
$5K |
| Z7502 |
|
433 |
415 |
$5K |
| J3490 |
Drugs unclassified injection |
3,167 |
2,476 |
$5K |
| 86901 |
|
2,136 |
2,039 |
$5K |
| 76536 |
|
214 |
214 |
$5K |
| 0250 |
|
6,765 |
3,985 |
$4K |
| 76770 |
|
160 |
159 |
$4K |
| 87502 |
|
146 |
143 |
$4K |
| 85652 |
|
6,504 |
6,319 |
$4K |
| J7120 |
Ringers lactate infusion |
4,028 |
3,589 |
$4K |
| J2270 |
Morphine sulfate injection |
2,192 |
1,874 |
$3K |
| 72141 |
|
24 |
24 |
$3K |
| 82248 |
|
1,634 |
1,159 |
$3K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
243 |
242 |
$3K |
| 76857 |
|
51 |
51 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
1,749 |
1,529 |
$3K |
| 82962 |
|
4,105 |
3,273 |
$3K |
| 85379 |
|
966 |
952 |
$2K |
| 85027 |
|
2,201 |
1,923 |
$2K |
| 80179 |
|
666 |
644 |
$2K |
| J1100 |
Dexamethasone sodium phos |
2,758 |
2,582 |
$2K |
| 86140 |
|
1,283 |
1,235 |
$2K |
| J2765 |
Metoclopramide hcl injection |
1,841 |
1,691 |
$2K |
| 86923 |
|
13 |
12 |
$2K |
| 84100 |
|
2,410 |
2,138 |
$2K |
| 76376 |
|
121 |
121 |
$2K |
| 73590 |
|
113 |
102 |
$2K |
| 84443 |
|
496 |
493 |
$2K |
| 73562 |
|
28 |
25 |
$2K |
| 87633 |
|
12 |
12 |
$2K |
| 72131 |
|
15 |
15 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
1,545 |
1,442 |
$2K |
| 96366 |
|
403 |
398 |
$1K |
| 0637 |
|
35,918 |
12,222 |
$1K |
| 82570 |
|
291 |
285 |
$1K |
| 71101 |
|
37 |
37 |
$1K |
| 82310 |
|
821 |
580 |
$1K |
| 84132 |
|
1,027 |
822 |
$1K |
| 94640 |
|
271 |
230 |
$1K |
| 82040 |
|
653 |
500 |
$1K |
| 85730 |
|
766 |
741 |
$1K |
| 72070 |
|
12 |
12 |
$916.12 |
| 59025 |
|
141 |
116 |
$908.27 |
| 84295 |
|
364 |
277 |
$883.12 |
| J1170 |
Hydromorphone injection |
748 |
616 |
$878.48 |
| 87324 |
|
152 |
151 |
$877.70 |
| 87449 |
|
158 |
156 |
$869.12 |
| 84156 |
|
283 |
276 |
$846.52 |
| 90715 |
|
54 |
53 |
$801.87 |
| 0710 |
|
1,461 |
1,445 |
$729.10 |
| J3475 |
Inj magnesium sulfate |
408 |
359 |
$502.24 |
| J1815 |
Insulin injection |
975 |
471 |
$453.06 |
| 0370 |
|
1,224 |
1,211 |
$437.25 |
| 85378 |
|
290 |
284 |
$433.99 |
| 85007 |
|
753 |
626 |
$425.01 |
| J2060 |
Lorazepam injection |
307 |
279 |
$420.51 |
| 73090 |
|
119 |
104 |
$391.46 |
| 82550 |
|
230 |
215 |
$337.08 |
| J0690 |
Cefazolin sodium injection |
597 |
556 |
$265.16 |
| S0119 |
Ondansetron 4 mg |
489 |
473 |
$263.60 |
| 93970 |
|
13 |
13 |
$220.37 |
| 73620 |
|
73 |
68 |
$214.78 |
| 88305 |
|
79 |
79 |
$211.44 |
| J3010 |
Fentanyl citrate injection |
1,013 |
944 |
$202.59 |
| 82803 |
|
28 |
26 |
$197.46 |
| 82272 |
|
29 |
28 |
$185.00 |
| 73600 |
|
57 |
53 |
$172.55 |
| J0134 |
Inj acetaminophen -fresenius |
25 |
24 |
$141.60 |
| 76882 |
|
33 |
27 |
$133.00 |
| J0171 |
Adrenalin epinephrine inject |
354 |
348 |
$104.27 |
| A9585 |
Gadobutrol injection |
180 |
179 |
$102.39 |
| 80069 |
|
45 |
41 |
$84.08 |
| J0137 |
Inj, acetaminophen (hikma) |
38 |
38 |
$77.42 |
| 12001 |
|
44 |
44 |
$77.21 |
| 83615 |
|
64 |
61 |
$71.82 |
| J2930 |
Methylprednisolone injection |
39 |
38 |
$71.02 |
| 96376 |
|
836 |
793 |
$70.47 |
| 83036 |
|
54 |
54 |
$50.71 |
| 76870 |
|
12 |
12 |
$47.16 |
| 82728 |
|
15 |
15 |
$43.45 |
| 87070 |
|
14 |
14 |
$40.34 |
| J8501 |
Oral aprepitant |
25 |
25 |
$40.30 |
| J2919 |
Inj, methylpred sod succ 5mg |
40 |
37 |
$35.01 |
| J1630 |
Haloperidol injection |
12 |
12 |
$23.37 |
| J0136 |
Inj, acetaminophen (b braun) |
14 |
14 |
$18.46 |
| 73660 |
|
13 |
13 |
$17.22 |
| 73120 |
|
13 |
12 |
$15.63 |
| 90471 |
|
13 |
13 |
$13.38 |
| 29125 |
|
12 |
12 |
$10.00 |
| J2250 |
Inj midazolam hydrochloride |
106 |
105 |
$4.95 |
| J7512 |
Prednisone ir or dr oral 1mg |
55 |
47 |
$3.88 |
| 85008 |
|
349 |
295 |
$3.35 |
| 0272 |
|
38 |
38 |
$0.00 |
| 80325 |
|
25 |
24 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
22 |
12 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
51 |
26 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
12 |
12 |
$0.00 |
| 76942 |
|
12 |
12 |
$0.00 |
| 80329 |
|
23 |
20 |
$0.00 |
| 80320 |
|
235 |
209 |
$0.00 |
| 0258 |
|
294 |
260 |
$0.00 |
| 87081 |
|
13 |
12 |
$0.00 |
| 80349 |
|
25 |
25 |
$0.00 |