| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
26,698 |
24,852 |
$22.80M |
| 99283 |
|
23,039 |
22,013 |
$11.82M |
| 99285 |
|
8,862 |
8,297 |
$7.41M |
| 99282 |
|
27,575 |
26,578 |
$7.36M |
| G0378 |
Hospital observation per hr |
7,661 |
5,809 |
$7.07M |
| 99281 |
|
42,491 |
40,273 |
$5.61M |
| 74177 |
|
9,670 |
9,432 |
$3.65M |
| 71046 |
|
20,109 |
19,491 |
$1.49M |
| 78815 |
|
1,176 |
1,165 |
$1.49M |
| 0450 |
|
29,029 |
26,153 |
$1.46M |
| 70450 |
|
9,630 |
9,339 |
$1.23M |
| 74176 |
|
4,077 |
4,011 |
$952K |
| 71045 |
|
12,956 |
12,163 |
$796K |
| 76705 |
|
6,190 |
6,043 |
$788K |
| 71260 |
|
3,415 |
3,359 |
$755K |
| 99199 |
|
14,115 |
12,299 |
$716K |
| 70551 |
|
2,272 |
2,243 |
$695K |
| 87637 |
|
13,005 |
12,641 |
$586K |
| 72148 |
|
1,490 |
1,477 |
$452K |
| 76856 |
|
3,553 |
3,460 |
$441K |
| 70553 |
|
920 |
913 |
$436K |
| 76830 |
|
3,511 |
3,408 |
$432K |
| 59025 |
|
2,588 |
2,089 |
$392K |
| 85025 |
|
87,212 |
70,153 |
$356K |
| 73630 |
|
4,163 |
3,823 |
$311K |
| 0270 |
|
13,105 |
9,380 |
$305K |
| 71275 |
|
1,142 |
1,135 |
$300K |
| 70491 |
|
1,231 |
1,217 |
$295K |
| 96374 |
|
19,912 |
18,125 |
$277K |
| 73610 |
|
3,565 |
3,369 |
$275K |
| 36415 |
|
82,328 |
64,479 |
$257K |
| 86900 |
|
4,389 |
4,028 |
$256K |
| 74022 |
|
2,153 |
2,123 |
$253K |
| 76815 |
|
1,845 |
1,772 |
$243K |
| 93005 |
|
27,470 |
24,826 |
$243K |
| 72125 |
|
1,458 |
1,441 |
$220K |
| 72141 |
|
626 |
620 |
$216K |
| 73560 |
|
3,176 |
2,905 |
$209K |
| 96361 |
|
12,457 |
11,710 |
$206K |
| 73130 |
|
2,687 |
2,469 |
$203K |
| 87635 |
|
12,600 |
12,030 |
$197K |
| 73110 |
|
2,468 |
2,315 |
$192K |
| 42820 |
|
52 |
50 |
$188K |
| 73721 |
|
551 |
521 |
$187K |
| 74018 |
|
2,345 |
2,192 |
$183K |
| 93971 |
|
2,155 |
2,092 |
$182K |
| 72100 |
|
1,672 |
1,645 |
$165K |
| 73030 |
|
2,262 |
2,106 |
$165K |
| 76770 |
|
1,266 |
1,250 |
$164K |
| 80051 |
|
54,533 |
46,769 |
$163K |
| 83880 |
|
11,753 |
10,794 |
$153K |
| 96375 |
|
15,378 |
14,123 |
$153K |
| 76817 |
|
1,142 |
1,060 |
$153K |
| 99499 |
|
1,823 |
1,583 |
$146K |
| 82565 |
|
62,684 |
52,189 |
$132K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,365 |
4,274 |
$121K |
| 73080 |
|
1,539 |
1,472 |
$119K |
| 73140 |
|
1,489 |
1,439 |
$112K |
| 84702 |
|
13,628 |
11,667 |
$110K |
| 70486 |
|
593 |
590 |
$108K |
| 81001 |
|
41,270 |
38,108 |
$108K |
| 94640 |
|
1,303 |
914 |
$105K |
| 86850 |
|
3,548 |
3,289 |
$105K |
| 73590 |
|
1,373 |
1,273 |
$101K |
| A9552 |
F18 fdg |
920 |
912 |
$97K |
| 73090 |
|
1,273 |
1,168 |
$96K |
| 82247 |
|
38,421 |
31,895 |
$95K |
| 96365 |
|
7,029 |
6,532 |
$94K |
| 84460 |
|
38,154 |
32,121 |
$94K |
| 47562 |
|
13 |
13 |
$92K |
| J0131 |
Inj, acetaminophen (nos) |
9,731 |
8,867 |
$88K |
| 84450 |
|
34,953 |
30,036 |
$83K |
| 86901 |
|
4,389 |
4,028 |
$82K |
| 82947 |
|
55,483 |
47,299 |
$81K |
| 84520 |
|
55,017 |
46,990 |
$79K |
| 87491 |
|
3,663 |
3,482 |
$78K |
| 87591 |
|
3,663 |
3,482 |
$77K |
| 80307 |
|
4,645 |
4,188 |
$77K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
10,218 |
9,906 |
$77K |
| 86923 |
|
377 |
295 |
$77K |
| 83690 |
|
28,111 |
25,917 |
$74K |
| 70496 |
|
254 |
254 |
$70K |
| 84484 |
|
19,298 |
16,721 |
$69K |
| 73502 |
|
989 |
940 |
$68K |
| 96372 |
|
5,943 |
5,570 |
$64K |
| 87651 |
|
4,481 |
4,443 |
$63K |
| 87631 |
|
1,969 |
1,926 |
$62K |
| 84075 |
|
31,069 |
27,441 |
$60K |
| J7030 |
Normal saline solution infus |
29,348 |
24,333 |
$60K |
| 87636 |
|
696 |
692 |
$58K |
| 96360 |
|
3,366 |
3,293 |
$56K |
| 0637 |
|
114,363 |
29,637 |
$56K |
| 83735 |
|
19,986 |
15,945 |
$56K |
| 72040 |
|
744 |
730 |
$55K |
| D7140 |
|
13 |
13 |
$54K |
| 93976 |
|
515 |
513 |
$53K |
| 96366 |
|
1,835 |
1,756 |
$51K |
| 71250 |
|
432 |
430 |
$51K |
| 88305 |
|
761 |
745 |
$48K |
| 93970 |
|
374 |
368 |
$47K |
| 85652 |
|
15,134 |
14,541 |
$46K |
| 96376 |
|
4,512 |
4,148 |
$45K |
| 76882 |
|
391 |
271 |
$45K |
| 81003 |
|
26,424 |
25,286 |
$43K |
| 70498 |
|
170 |
170 |
$41K |
| 76870 |
|
341 |
333 |
$41K |
| 80048 |
|
11,993 |
11,069 |
$40K |
| 87040 |
|
7,810 |
7,324 |
$40K |
| 83605 |
|
8,141 |
7,318 |
$30K |
| 73620 |
|
566 |
524 |
$29K |
| 72146 |
|
89 |
89 |
$28K |
| 80306 |
|
5,160 |
4,877 |
$28K |
| 74019 |
|
245 |
243 |
$28K |
| 41899 |
|
139 |
138 |
$27K |
| J3490 |
Drugs unclassified injection |
11,257 |
7,182 |
$27K |
| J2405 |
Ondansetron hcl injection |
17,468 |
15,148 |
$25K |
| 85610 |
|
14,093 |
11,682 |
$25K |
| 87088 |
|
8,796 |
8,465 |
$24K |
| 82248 |
|
5,303 |
3,836 |
$23K |
| 70544 |
|
73 |
71 |
$22K |
| J1885 |
Ketorolac tromethamine inj |
12,379 |
11,336 |
$22K |
| 85027 |
|
3,932 |
3,497 |
$20K |
| 0710 |
|
4,954 |
4,871 |
$19K |
| J7120 |
Ringers lactate infusion |
11,975 |
10,548 |
$19K |
| 87633 |
|
225 |
223 |
$18K |
| 84100 |
|
9,897 |
8,648 |
$18K |
| 85379 |
|
4,813 |
4,712 |
$18K |
| 82077 |
|
4,658 |
4,166 |
$17K |
| 69436 |
|
15 |
14 |
$16K |
| A9585 |
Gadobutrol injection |
636 |
624 |
$16K |
| J1170 |
Hydromorphone injection |
6,977 |
5,412 |
$15K |
| 84132 |
|
4,714 |
3,509 |
$15K |
| 73060 |
|
193 |
182 |
$15K |
| 72070 |
|
155 |
155 |
$15K |
| 87449 |
|
1,409 |
1,381 |
$15K |
| 87324 |
|
1,370 |
1,344 |
$14K |
| 82962 |
|
9,087 |
6,418 |
$14K |
| 76801 |
|
88 |
83 |
$14K |
| Z7502 |
|
1,183 |
1,117 |
$13K |
| 71101 |
|
121 |
120 |
$13K |
| 82310 |
|
3,217 |
2,340 |
$13K |
| 73564 |
|
120 |
113 |
$13K |
| J2270 |
Morphine sulfate injection |
5,872 |
4,879 |
$13K |
| J0696 |
Ceftriaxone sodium injection |
5,418 |
4,601 |
$13K |
| 85730 |
|
2,045 |
1,963 |
$12K |
| 86140 |
|
5,724 |
5,346 |
$12K |
| 82570 |
|
1,796 |
1,630 |
$11K |
| 74183 |
|
26 |
26 |
$10K |
| 73120 |
|
133 |
121 |
$10K |
| 85378 |
|
2,495 |
2,360 |
$10K |
| 73660 |
|
143 |
137 |
$10K |
| 84443 |
|
1,872 |
1,842 |
$10K |
| 87502 |
|
361 |
359 |
$9K |
| 73552 |
|
129 |
116 |
$9K |
| 83615 |
|
1,444 |
1,243 |
$9K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
710 |
692 |
$9K |
| J1100 |
Dexamethasone sodium phos |
5,033 |
4,498 |
$9K |
| 87506 |
|
158 |
155 |
$8K |
| 80179 |
|
2,382 |
2,257 |
$8K |
| J1200 |
Diphenhydramine hcl injectio |
4,678 |
4,148 |
$8K |
| 72082 |
|
104 |
104 |
$8K |
| 82040 |
|
2,188 |
1,802 |
$8K |
| 82803 |
|
1,273 |
1,176 |
$8K |
| 72131 |
|
52 |
52 |
$7K |
| 73100 |
|
108 |
93 |
$7K |
| 10060 |
|
413 |
402 |
$7K |
| 0370 |
|
4,433 |
4,378 |
$7K |
| 84156 |
|
1,690 |
1,527 |
$7K |
| 72170 |
|
83 |
82 |
$7K |
| 84295 |
|
1,632 |
1,046 |
$6K |
| 73600 |
|
127 |
124 |
$6K |
| 70543 |
|
12 |
12 |
$6K |
| 88307 |
|
183 |
182 |
$6K |
| 93306 |
|
72 |
72 |
$6K |
| J2765 |
Metoclopramide hcl injection |
3,802 |
3,313 |
$6K |
| J0780 |
Prochlorperazine injection |
1,788 |
1,649 |
$5K |
| J2060 |
Lorazepam injection |
2,810 |
2,315 |
$5K |
| C1894 |
Intro/sheath, non-laser |
456 |
449 |
$5K |
| 76857 |
|
41 |
40 |
$5K |
| J1815 |
Insulin injection |
4,275 |
1,697 |
$5K |
| C1769 |
Guide wire |
249 |
241 |
$4K |
| 87389 |
|
446 |
442 |
$4K |
| 84550 |
|
1,060 |
841 |
$4K |
| 0250 |
|
17,438 |
9,256 |
$4K |
| J3480 |
Inj potassium chloride |
1,074 |
749 |
$4K |
| 73221 |
|
12 |
12 |
$4K |
| J3475 |
Inj magnesium sulfate |
1,938 |
1,649 |
$4K |
| 12011 |
|
587 |
579 |
$4K |
| 82550 |
|
1,378 |
1,248 |
$3K |
| 76805 |
|
17 |
17 |
$3K |
| 97161 |
|
665 |
642 |
$3K |
| 88342 |
|
38 |
38 |
$3K |
| 12001 |
|
788 |
782 |
$3K |
| 87081 |
|
987 |
957 |
$3K |
| 76885 |
|
25 |
24 |
$3K |
| 90715 |
|
165 |
165 |
$3K |
| 70460 |
|
15 |
15 |
$3K |
| 0272 |
|
544 |
537 |
$3K |
| 82272 |
|
484 |
482 |
$3K |
| 87070 |
|
880 |
862 |
$2K |
| 86780 |
|
423 |
419 |
$2K |
| 82140 |
|
402 |
364 |
$2K |
| 87210 |
|
896 |
881 |
$2K |
| 96367 |
|
585 |
573 |
$2K |
| 29125 |
|
655 |
644 |
$2K |
| 93017 |
|
26 |
25 |
$2K |
| 83036 |
|
673 |
656 |
$2K |
| 73562 |
|
43 |
41 |
$2K |
| J2930 |
Methylprednisolone injection |
776 |
730 |
$2K |
| J0690 |
Cefazolin sodium injection |
2,234 |
2,014 |
$2K |
| 80069 |
|
488 |
443 |
$2K |
| 87205 |
|
554 |
511 |
$2K |
| J3010 |
Fentanyl citrate injection |
1,965 |
1,840 |
$2K |
| 82728 |
|
321 |
294 |
$2K |
| J1650 |
Inj enoxaparin sodium |
1,300 |
691 |
$2K |
| 0160 |
|
30 |
30 |
$2K |
| 76536 |
|
12 |
12 |
$2K |
| 76775 |
|
12 |
12 |
$1K |
| 72081 |
|
25 |
25 |
$1K |
| 86665 |
|
106 |
104 |
$1K |
| 80349 |
|
1,568 |
1,510 |
$1K |
| 99070 |
|
131 |
67 |
$1K |
| 80061 |
|
303 |
295 |
$1K |
| J8501 |
Oral aprepitant |
635 |
629 |
$977.98 |
| 29515 |
|
145 |
142 |
$977.52 |
| S0119 |
Ondansetron 4 mg |
320 |
309 |
$896.90 |
| J1630 |
Haloperidol injection |
778 |
652 |
$861.35 |
| 89051 |
|
139 |
120 |
$784.23 |
| J2543 |
Piperacillin/tazobactam |
406 |
220 |
$783.73 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
14 |
14 |
$762.50 |
| 88304 |
|
720 |
716 |
$693.43 |
| 90749 |
|
421 |
420 |
$619.43 |
| 70360 |
|
13 |
12 |
$602.06 |
| 96368 |
|
256 |
250 |
$580.77 |
| J1940 |
Furosemide injection |
644 |
400 |
$565.75 |
| 76942 |
|
50 |
50 |
$523.76 |
| 86664 |
|
106 |
104 |
$516.68 |
| D1206 |
|
55 |
55 |
$498.00 |
| 94060 |
|
40 |
12 |
$489.56 |
| 87798 |
|
13 |
13 |
$458.10 |
| J1644 |
Inj heparin sodium per 1000u |
760 |
381 |
$435.61 |
| J0134 |
Inj acetaminophen -fresenius |
145 |
138 |
$410.31 |
| 85008 |
|
403 |
370 |
$400.92 |
| 73020 |
|
13 |
12 |
$398.89 |
| J2795 |
Ropivacaine hcl injection |
733 |
726 |
$383.56 |
| 90686 |
|
45 |
44 |
$372.32 |
| 90471 |
|
229 |
225 |
$308.56 |
| 85007 |
|
156 |
142 |
$300.39 |
| Q0144 |
Azithromycin dihydrate, oral |
104 |
95 |
$293.95 |
| J2919 |
Inj, methylpred sod succ 5mg |
227 |
183 |
$290.26 |
| J2250 |
Inj midazolam hydrochloride |
368 |
350 |
$268.79 |
| 0636 |
|
145 |
145 |
$263.05 |
| 0258 |
|
1,349 |
1,129 |
$254.46 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
133 |
106 |
$205.24 |
| 12002 |
|
67 |
67 |
$204.00 |
| J0360 |
Hydralazine hcl injection |
130 |
99 |
$201.16 |
| A9502 |
Tc99m tetrofosmin |
13 |
13 |
$193.68 |
| J3371 |
Inj, vancomycin hcl (mylan) |
27 |
16 |
$190.90 |
| 84155 |
|
110 |
100 |
$190.41 |
| J0171 |
Adrenalin epinephrine inject |
422 |
416 |
$183.07 |
| 87340 |
|
45 |
42 |
$179.50 |
| J2785 |
Regadenoson injection |
13 |
13 |
$178.40 |
| 80325 |
|
360 |
341 |
$173.39 |
| 83935 |
|
27 |
27 |
$156.60 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,251 |
1,000 |
$149.55 |
| J7060 |
5% dextrose/water |
73 |
42 |
$146.04 |
| C1887 |
Catheter, guiding |
16 |
16 |
$138.75 |
| 84439 |
|
52 |
50 |
$125.31 |
| 89055 |
|
32 |
31 |
$104.83 |
| C9113 |
Inj pantoprazole sodium, via |
771 |
543 |
$99.15 |
| 83550 |
|
62 |
62 |
$92.44 |
| J3370 |
Vancomycin hcl injection |
37 |
27 |
$87.73 |
| J2001 |
Lidocaine injection |
241 |
213 |
$78.00 |
| J1836 |
Inj, metronidazole, 10 mg |
93 |
57 |
$76.52 |
| 83540 |
|
62 |
62 |
$73.12 |
| 85045 |
|
29 |
25 |
$72.00 |
| 80320 |
|
285 |
249 |
$57.61 |
| 82607 |
|
25 |
24 |
$51.45 |
| J2470 |
Inj pantoprazole sodium 40mg |
153 |
94 |
$48.41 |
| 97162 |
|
91 |
91 |
$47.97 |
| J2920 |
Methylprednisolone injection |
19 |
12 |
$41.85 |
| 85014 |
|
131 |
106 |
$41.09 |
| J0737 |
Inj, clindamycin (baxter) |
15 |
12 |
$40.66 |
| J2550 |
Promethazine hcl injection |
33 |
27 |
$35.53 |
| 85018 |
|
97 |
78 |
$23.35 |
| J1953 |
Levetiracetam injection |
29 |
26 |
$23.17 |
| J7510 |
Prednisolone oral per 5 mg |
62 |
51 |
$21.26 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
41 |
27 |
$20.11 |
| 86706 |
|
14 |
14 |
$19.02 |
| 29505 |
|
12 |
12 |
$12.00 |
| 0990 |
|
134 |
132 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
45 |
41 |
$0.00 |
| 80329 |
|
76 |
67 |
$0.00 |
| 80324 |
|
13 |
12 |
$0.00 |
| G0008 |
Admin influenza virus vac |
13 |
13 |
$0.00 |
| 80346 |
|
316 |
295 |
$0.00 |
| 88302 |
|
81 |
81 |
$0.00 |
| 76376 |
|
392 |
388 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
498 |
496 |
$0.00 |
| 80356 |
|
14 |
12 |
$0.00 |
| P9016 |
Rbc leukocytes reduced |
22 |
16 |
$0.00 |