| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
11,874 |
10,592 |
$4.32M |
| 99285 |
|
7,970 |
6,942 |
$3.89M |
| 99283 |
|
10,434 |
9,549 |
$3.50M |
| 74177 |
|
2,115 |
1,983 |
$1.85M |
| 74176 |
|
1,960 |
1,823 |
$1.34M |
| 70450 |
|
3,049 |
2,798 |
$718K |
| 99282 |
|
3,185 |
2,919 |
$653K |
| 72125 |
|
961 |
905 |
$421K |
| G0378 |
Hospital observation per hr |
1,417 |
712 |
$271K |
| 71275 |
|
312 |
300 |
$195K |
| 71046 |
|
2,738 |
2,554 |
$113K |
| U0003 |
Cov-19 amp prb hgh thruput |
565 |
554 |
$96K |
| 76856 |
|
449 |
434 |
$69K |
| 96361 |
|
1,415 |
1,186 |
$64K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,945 |
3,657 |
$58K |
| 77067 |
|
1,179 |
1,132 |
$51K |
| 96365 |
|
3,966 |
3,150 |
$44K |
| 73562 |
|
900 |
777 |
$39K |
| J2704 |
Inj, propofol, 10 mg |
2,868 |
2,445 |
$33K |
| 93005 |
|
8,668 |
7,128 |
$31K |
| 73030 |
|
904 |
806 |
$31K |
| M0247 |
Sotrovimab infusion |
14 |
14 |
$30K |
| 96372 |
|
4,015 |
3,284 |
$29K |
| 76705 |
|
487 |
442 |
$29K |
| 99213 |
|
78 |
52 |
$24K |
| 71250 |
|
101 |
99 |
$20K |
| 74018 |
|
458 |
400 |
$17K |
| J0696 |
Ceftriaxone sodium injection |
1,663 |
1,425 |
$16K |
| 93971 |
|
165 |
157 |
$16K |
| 43239 |
|
24 |
24 |
$16K |
| 96366 |
|
331 |
235 |
$14K |
| 70551 |
|
51 |
49 |
$13K |
| 72131 |
|
41 |
41 |
$13K |
| 72100 |
|
67 |
65 |
$13K |
| 59025 |
|
338 |
173 |
$12K |
| 76700 |
|
68 |
67 |
$11K |
| 72148 |
|
43 |
39 |
$10K |
| 76805 |
|
45 |
45 |
$9K |
| 80307 |
|
2,755 |
2,463 |
$9K |
| 96375 |
|
7,041 |
5,638 |
$9K |
| 80320 |
|
2,526 |
2,263 |
$8K |
| 71260 |
|
56 |
49 |
$8K |
| 71045 |
|
6,366 |
5,649 |
$8K |
| 80053 |
|
16,555 |
13,645 |
$7K |
| 73630 |
|
284 |
261 |
$7K |
| 73502 |
|
189 |
160 |
$7K |
| C8929 |
Tte w or wo fol wcon,doppler |
12 |
12 |
$7K |
| 77080 |
|
66 |
61 |
$6K |
| 96374 |
|
8,086 |
6,958 |
$6K |
| 45380 |
|
12 |
12 |
$5K |
| 73610 |
|
359 |
331 |
$5K |
| 73130 |
|
282 |
251 |
$5K |
| J3490 |
Drugs unclassified injection |
10,839 |
5,198 |
$4K |
| 99212 |
|
29 |
14 |
$4K |
| 87631 |
|
804 |
780 |
$4K |
| 96360 |
|
257 |
163 |
$3K |
| 80048 |
|
2,768 |
2,278 |
$3K |
| 72110 |
|
12 |
12 |
$3K |
| 76830 |
|
256 |
248 |
$3K |
| 76801 |
|
27 |
26 |
$3K |
| 73110 |
|
78 |
70 |
$2K |
| 87636 |
|
3,362 |
3,149 |
$2K |
| 84702 |
|
1,015 |
880 |
$1K |
| 84443 |
|
841 |
757 |
$751.72 |
| A9270 |
Non-covered item or service |
10,429 |
2,531 |
$689.63 |
| 86850 |
|
170 |
155 |
$591.35 |
| 83880 |
|
1,782 |
1,566 |
$514.13 |
| 94760 |
|
563 |
334 |
$363.42 |
| 94640 |
|
1,422 |
1,023 |
$338.67 |
| 85025 |
|
17,013 |
14,167 |
$330.88 |
| 87186 |
|
747 |
638 |
$233.27 |
| 86769 |
|
196 |
194 |
$199.90 |
| 87077 |
|
1,073 |
884 |
$197.34 |
| 87086 |
|
2,604 |
2,285 |
$173.27 |
| 87040 |
|
1,950 |
947 |
$142.42 |
| J2270 |
Morphine sulfate injection |
2,241 |
1,837 |
$126.06 |
| 85027 |
|
2,037 |
1,644 |
$118.20 |
| J2405 |
Ondansetron hcl injection |
6,854 |
5,693 |
$113.10 |
| J7030 |
Normal saline solution infus |
4,113 |
3,505 |
$108.63 |
| 87635 |
|
675 |
648 |
$102.62 |
| 81001 |
|
6,110 |
5,239 |
$99.92 |
| J1170 |
Hydromorphone injection |
1,471 |
1,092 |
$94.53 |
| 83690 |
|
4,941 |
4,302 |
$93.14 |
| 82947 |
|
3,840 |
2,605 |
$67.47 |
| 81025 |
|
1,771 |
1,644 |
$54.06 |
| 83735 |
|
2,160 |
1,750 |
$47.42 |
| 84484 |
|
7,513 |
4,715 |
$47.13 |
| 83605 |
|
3,581 |
2,782 |
$39.64 |
| 88305 |
|
1,132 |
726 |
$35.71 |
| 87804 |
|
698 |
329 |
$34.21 |
| 36415 |
|
100 |
72 |
$23.78 |
| J1100 |
Dexamethasone sodium phos |
2,448 |
2,120 |
$19.10 |
| 81003 |
|
3,144 |
2,842 |
$16.07 |
| J8499 |
Oral prescrip drug non chemo |
7,949 |
4,498 |
$15.87 |
| 85014 |
|
31 |
27 |
$15.68 |
| J0690 |
Cefazolin sodium injection |
466 |
369 |
$15.48 |
| 85379 |
|
393 |
362 |
$12.32 |
| J3010 |
Fentanyl citrate injection |
2,099 |
1,800 |
$10.71 |
| J1885 |
Ketorolac tromethamine inj |
5,005 |
4,367 |
$10.68 |
| 85610 |
|
2,572 |
2,267 |
$7.43 |
| J7120 |
Ringers lactate infusion |
2,037 |
1,816 |
$7.32 |
| 84703 |
|
1,029 |
988 |
$4.81 |
| 85007 |
|
100 |
89 |
$2.71 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
105 |
71 |
$0.00 |
| 86900 |
|
214 |
198 |
$0.00 |
| 87880 |
|
493 |
472 |
$0.00 |
| 96367 |
|
217 |
159 |
$0.00 |
| J2550 |
Promethazine hcl injection |
769 |
631 |
$0.00 |
| 87502 |
|
40 |
38 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
985 |
834 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
13 |
13 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
55 |
38 |
$0.00 |
| 90715 |
|
182 |
179 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
54 |
50 |
$0.00 |
| J2930 |
Methylprednisolone injection |
130 |
120 |
$0.00 |
| 80076 |
|
14 |
13 |
$0.00 |
| 82565 |
|
26 |
26 |
$0.00 |
| J7040 |
Normal saline solution infus |
52 |
51 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
25 |
12 |
$0.00 |
| 84520 |
|
27 |
27 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
23 |
14 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
33 |
27 |
$0.00 |
| 85055 |
|
14 |
12 |
$0.00 |
| 87088 |
|
2,029 |
1,740 |
$0.00 |
| 96376 |
|
2,091 |
1,425 |
$0.00 |
| J1630 |
Haloperidol injection |
179 |
162 |
$0.00 |
| 85730 |
|
553 |
484 |
$0.00 |
| J7999 |
Compounded drug, noc |
208 |
200 |
$0.00 |
| J2001 |
Lidocaine injection |
998 |
725 |
$0.00 |
| 86901 |
|
246 |
225 |
$0.00 |
| J8597 |
Antiemetic drug oral nos |
584 |
489 |
$0.00 |
| 73090 |
|
14 |
12 |
$0.00 |
| Q0247 |
Sotrovimab |
16 |
14 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
201 |
197 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
614 |
537 |
$0.00 |
| J2060 |
Lorazepam injection |
709 |
568 |
$0.00 |
| 80329 |
|
114 |
97 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
71 |
67 |
$0.00 |
| J1815 |
Insulin injection |
74 |
39 |
$0.00 |
| 86140 |
|
608 |
556 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
52 |
50 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
99 |
68 |
$0.00 |
| 87807 |
|
133 |
127 |
$0.00 |
| 87081 |
|
151 |
147 |
$0.00 |
| J3480 |
Inj potassium chloride |
20 |
12 |
$0.00 |
| J0456 |
Azithromycin |
14 |
12 |
$0.00 |
| J2360 |
Orphenadrine injection |
105 |
100 |
$0.00 |
| 90471 |
|
224 |
214 |
$0.00 |
| 82550 |
|
45 |
42 |
$0.00 |
| 85018 |
|
31 |
27 |
$0.00 |
| 82270 |
|
12 |
12 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
18 |
12 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
16 |
16 |
$0.00 |
| 87651 |
|
31 |
30 |
$0.00 |
| 96368 |
|
16 |
12 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
12 |
12 |
$0.00 |