| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
47,554 |
43,038 |
$11.15M |
| 99285 |
|
39,797 |
35,380 |
$10.54M |
| 99283 |
|
39,933 |
36,969 |
$8.46M |
| 74177 |
|
12,097 |
11,202 |
$7.56M |
| 74176 |
|
5,618 |
5,142 |
$2.82M |
| 70450 |
|
13,473 |
12,294 |
$2.72M |
| 71275 |
|
3,542 |
3,286 |
$1.64M |
| 72125 |
|
5,947 |
5,478 |
$1.56M |
| 72131 |
|
2,363 |
2,206 |
$673K |
| 99282 |
|
8,677 |
8,117 |
$649K |
| G0378 |
Hospital observation per hr |
19,680 |
8,932 |
$554K |
| 80307 |
|
13,616 |
11,919 |
$524K |
| 59025 |
|
6,255 |
4,540 |
$466K |
| 43239 |
|
1,135 |
1,070 |
$455K |
| 93975 |
|
1,444 |
1,372 |
$389K |
| 93971 |
|
2,078 |
1,888 |
$330K |
| 76856 |
|
2,534 |
2,365 |
$324K |
| 11042 |
|
1,766 |
841 |
$268K |
| 96361 |
|
40,536 |
30,458 |
$261K |
| C1776 |
Joint device (implantable) |
29 |
27 |
$257K |
| 70486 |
|
1,719 |
1,610 |
$229K |
| G0390 |
Trauma respons w/hosp criti |
156 |
145 |
$212K |
| 70498 |
|
1,228 |
1,147 |
$211K |
| 88305 |
|
3,436 |
2,966 |
$192K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
69 |
65 |
$190K |
| 73562 |
|
1,619 |
1,469 |
$156K |
| 70551 |
|
192 |
162 |
$123K |
| 71260 |
|
2,262 |
2,089 |
$97K |
| 93970 |
|
596 |
553 |
$93K |
| 47562 |
|
24 |
24 |
$84K |
| 97597 |
|
1,701 |
906 |
$83K |
| 76817 |
|
2,026 |
1,831 |
$69K |
| 45380 |
|
266 |
241 |
$69K |
| 12001 |
|
754 |
733 |
$54K |
| 93306 |
|
1,408 |
1,266 |
$43K |
| 96366 |
|
4,045 |
2,658 |
$40K |
| 71250 |
|
223 |
213 |
$40K |
| 96375 |
|
36,283 |
28,531 |
$39K |
| 70496 |
|
927 |
866 |
$39K |
| 93798 |
|
705 |
116 |
$39K |
| 93458 |
|
14 |
14 |
$33K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,321 |
2,172 |
$31K |
| 80053 |
|
67,695 |
55,599 |
$30K |
| 99281 |
|
919 |
818 |
$28K |
| 76818 |
|
513 |
406 |
$27K |
| C1769 |
Guide wire |
1,806 |
1,622 |
$24K |
| 96374 |
|
42,104 |
37,033 |
$23K |
| 93005 |
|
34,270 |
29,578 |
$23K |
| 72128 |
|
1,525 |
1,421 |
$22K |
| 78452 |
|
26 |
26 |
$21K |
| 74174 |
|
25 |
24 |
$18K |
| 96376 |
|
12,276 |
7,594 |
$18K |
| 71046 |
|
16,825 |
15,746 |
$17K |
| 10060 |
|
299 |
282 |
$15K |
| 72100 |
|
652 |
625 |
$15K |
| 12002 |
|
272 |
254 |
$13K |
| 99213 |
|
1,374 |
1,028 |
$13K |
| 73502 |
|
432 |
400 |
$13K |
| 76775 |
|
420 |
374 |
$12K |
| 85025 |
|
79,180 |
61,958 |
$10K |
| 12011 |
|
144 |
137 |
$10K |
| 73130 |
|
1,891 |
1,731 |
$9K |
| 70491 |
|
27 |
27 |
$9K |
| 73110 |
|
1,356 |
1,250 |
$9K |
| 11043 |
|
52 |
24 |
$9K |
| 93976 |
|
2,370 |
2,202 |
$9K |
| 87636 |
|
3,539 |
3,413 |
$8K |
| 76801 |
|
2,813 |
2,463 |
$8K |
| 76705 |
|
4,304 |
3,981 |
$8K |
| 80048 |
|
16,066 |
12,734 |
$7K |
| 73630 |
|
1,917 |
1,789 |
$7K |
| 96360 |
|
9,008 |
8,404 |
$7K |
| 84484 |
|
26,083 |
19,449 |
$7K |
| 96365 |
|
8,323 |
7,410 |
$6K |
| 96372 |
|
15,060 |
12,072 |
$6K |
| 76805 |
|
137 |
128 |
$6K |
| U0002 |
Covid-19 lab test non-cdc |
5,435 |
5,039 |
$6K |
| 99203 |
|
452 |
437 |
$6K |
| 73030 |
|
2,546 |
2,288 |
$5K |
| 71045 |
|
19,298 |
17,250 |
$5K |
| 73090 |
|
615 |
554 |
$4K |
| J8499 |
Oral prescrip drug non chemo |
5,495 |
4,876 |
$4K |
| 88342 |
|
522 |
472 |
$4K |
| 73564 |
|
1,241 |
1,126 |
$4K |
| 45385 |
|
15 |
15 |
$4K |
| 64400 |
|
14 |
13 |
$4K |
| 83690 |
|
22,398 |
19,960 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
19,206 |
17,402 |
$3K |
| 73590 |
|
813 |
736 |
$3K |
| 83735 |
|
30,753 |
25,101 |
$3K |
| 87400 |
|
12,142 |
8,222 |
$3K |
| 73610 |
|
1,860 |
1,732 |
$3K |
| 76830 |
|
1,687 |
1,570 |
$2K |
| 74018 |
|
1,972 |
1,847 |
$2K |
| 94640 |
|
5,750 |
4,030 |
$2K |
| 76819 |
|
926 |
764 |
$2K |
| 29125 |
|
629 |
596 |
$2K |
| 80061 |
|
1,490 |
1,320 |
$2K |
| 51702 |
|
74 |
63 |
$2K |
| 84443 |
|
4,728 |
4,380 |
$2K |
| 81001 |
|
36,090 |
32,424 |
$2K |
| 87081 |
|
3,795 |
3,681 |
$1K |
| 0042T |
|
18 |
13 |
$1K |
| 73700 |
|
12 |
12 |
$1K |
| 84703 |
|
15,931 |
14,794 |
$1K |
| 87186 |
|
4,227 |
3,889 |
$1K |
| 76815 |
|
1,071 |
988 |
$1K |
| 83880 |
|
5,357 |
4,739 |
$1K |
| 87430 |
|
3,938 |
3,826 |
$1K |
| 73080 |
|
764 |
708 |
$1K |
| 90715 |
|
2,966 |
2,807 |
$1K |
| 86850 |
|
3,385 |
3,050 |
$1K |
| J7030 |
Normal saline solution infus |
9,121 |
6,944 |
$1K |
| J2405 |
Ondansetron hcl injection |
31,124 |
25,722 |
$1K |
| 85730 |
|
8,446 |
7,391 |
$1K |
| 81025 |
|
8,602 |
8,141 |
$955.02 |
| 85610 |
|
13,540 |
11,936 |
$898.06 |
| 83605 |
|
9,096 |
7,461 |
$897.61 |
| 82550 |
|
5,022 |
4,397 |
$895.58 |
| J1885 |
Ketorolac tromethamine inj |
20,406 |
18,101 |
$832.28 |
| J7120 |
Ringers lactate infusion |
2,544 |
2,190 |
$826.32 |
| J3490 |
Drugs unclassified injection |
3,681 |
3,137 |
$800.99 |
| 97530 |
|
1,548 |
883 |
$796.73 |
| J2270 |
Morphine sulfate injection |
18,127 |
12,619 |
$684.54 |
| 85379 |
|
4,829 |
4,525 |
$626.51 |
| 87088 |
|
13,218 |
11,991 |
$592.94 |
| 87086 |
|
5,474 |
5,071 |
$572.41 |
| 82962 |
|
18,389 |
8,392 |
$569.42 |
| 81003 |
|
5,811 |
5,435 |
$549.04 |
| 87591 |
|
1,205 |
1,150 |
$542.36 |
| 84702 |
|
3,922 |
3,447 |
$476.48 |
| 87426 |
|
1,533 |
1,460 |
$466.94 |
| 87491 |
|
1,217 |
1,160 |
$460.34 |
| 73560 |
|
63 |
54 |
$442.23 |
| 97535 |
|
882 |
629 |
$435.32 |
| 87040 |
|
3,641 |
2,215 |
$423.55 |
| J1100 |
Dexamethasone sodium phos |
10,592 |
9,691 |
$352.83 |
| 76870 |
|
63 |
54 |
$327.41 |
| J3010 |
Fentanyl citrate injection |
12,283 |
10,101 |
$325.54 |
| J1200 |
Diphenhydramine hcl injectio |
9,447 |
8,230 |
$314.65 |
| 84112 |
|
265 |
238 |
$257.57 |
| J1170 |
Hydromorphone injection |
5,738 |
4,019 |
$227.04 |
| 72170 |
|
551 |
478 |
$226.56 |
| 86901 |
|
5,406 |
4,901 |
$222.61 |
| 87077 |
|
3,059 |
2,761 |
$216.32 |
| J0696 |
Ceftriaxone sodium injection |
7,178 |
5,762 |
$215.70 |
| J1790 |
Droperidol injection |
3,802 |
3,372 |
$214.90 |
| 87420 |
|
1,735 |
1,694 |
$202.80 |
| 29505 |
|
38 |
38 |
$192.22 |
| 85027 |
|
5,147 |
4,286 |
$181.73 |
| 97162 |
|
941 |
825 |
$178.93 |
| 86900 |
|
5,410 |
4,900 |
$170.30 |
| 90471 |
|
3,011 |
2,827 |
$156.38 |
| 87631 |
|
68 |
68 |
$125.90 |
| J0780 |
Prochlorperazine injection |
1,529 |
1,380 |
$125.47 |
| J2930 |
Methylprednisolone injection |
1,658 |
1,422 |
$119.72 |
| 82803 |
|
53 |
49 |
$112.26 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,100 |
1,028 |
$110.70 |
| J2765 |
Metoclopramide hcl injection |
5,488 |
4,938 |
$107.66 |
| J2060 |
Lorazepam injection |
5,273 |
4,355 |
$103.56 |
| 83036 |
|
1,388 |
1,241 |
$101.21 |
| J2272 |
Inj, morphine (fresenius) |
1,530 |
1,218 |
$100.92 |
| A9270 |
Non-covered item or service |
12,985 |
7,080 |
$99.33 |
| J0690 |
Cefazolin sodium injection |
3,651 |
2,972 |
$92.01 |
| 87210 |
|
1,976 |
1,867 |
$90.34 |
| 97166 |
|
411 |
359 |
$79.68 |
| 84145 |
|
110 |
96 |
$77.27 |
| J2704 |
Inj, propofol, 10 mg |
8,701 |
7,813 |
$71.34 |
| J1630 |
Haloperidol injection |
1,583 |
1,344 |
$61.92 |
| J7050 |
Normal saline solution infus |
1,662 |
1,126 |
$60.26 |
| J3475 |
Inj magnesium sulfate |
365 |
318 |
$59.28 |
| J3370 |
Vancomycin hcl injection |
1,047 |
672 |
$54.10 |
| 84100 |
|
1,561 |
1,189 |
$48.09 |
| 36415 |
|
6,524 |
4,120 |
$46.44 |
| 82009 |
|
1,717 |
1,610 |
$44.85 |
| 88304 |
|
980 |
912 |
$43.72 |
| 97167 |
|
47 |
37 |
$40.42 |
| 72040 |
|
68 |
64 |
$37.27 |
| 87205 |
|
819 |
585 |
$34.64 |
| 96367 |
|
385 |
326 |
$31.05 |
| G0008 |
Admin influenza virus vac |
302 |
267 |
$30.40 |
| 83615 |
|
244 |
191 |
$27.84 |
| J1953 |
Levetiracetam injection |
115 |
68 |
$27.00 |
| U0005 |
Infec agen detec ampli probe |
44 |
43 |
$25.00 |
| 90686 |
|
228 |
210 |
$24.04 |
| 82570 |
|
314 |
247 |
$20.53 |
| J2920 |
Methylprednisolone injection |
190 |
71 |
$18.39 |
| 85651 |
|
374 |
345 |
$17.37 |
| 97116 |
|
568 |
420 |
$17.28 |
| 94760 |
|
261 |
179 |
$16.53 |
| J0360 |
Hydralazine hcl injection |
860 |
603 |
$15.72 |
| J3360 |
Diazepam injection |
58 |
41 |
$15.51 |
| 86141 |
|
244 |
227 |
$15.50 |
| J2550 |
Promethazine hcl injection |
1,190 |
935 |
$15.11 |
| 87147 |
|
1,117 |
837 |
$13.08 |
| 87070 |
|
728 |
572 |
$11.37 |
| 90674 |
|
110 |
93 |
$11.13 |
| J2250 |
Inj midazolam hydrochloride |
7,294 |
6,512 |
$10.72 |
| J1940 |
Furosemide injection |
259 |
141 |
$10.50 |
| J2919 |
Inj, methylpred sod succ 5mg |
162 |
138 |
$7.50 |
| 84156 |
|
173 |
124 |
$3.26 |
| 82270 |
|
90 |
81 |
$0.80 |
| J1815 |
Insulin injection |
1,882 |
1,432 |
$0.00 |
| A9150 |
Misc/exper non-prescript dru |
271 |
231 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
452 |
411 |
$0.00 |
| 89060 |
|
257 |
226 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
110 |
101 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
128 |
114 |
$0.00 |
| J3590 |
Unclassified biologics |
29 |
27 |
$0.00 |
| 82150 |
|
14 |
13 |
$0.00 |
| 96368 |
|
112 |
102 |
$0.00 |
| 74420 |
|
119 |
109 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
198 |
177 |
$0.00 |
| 88307 |
|
27 |
25 |
$0.00 |
| G0463 |
Hospital outpt clinic visit |
17 |
13 |
$0.00 |
| 71101 |
|
72 |
71 |
$0.00 |
| J0687 |
Inj cefazolin (wg crit care) |
108 |
104 |
$0.00 |
| 82360 |
|
15 |
13 |
$0.00 |
| 85018 |
|
15 |
12 |
$0.00 |
| 73060 |
|
32 |
27 |
$0.00 |
| 51798 |
|
27 |
25 |
$0.00 |
| 74022 |
|
41 |
37 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
15 |
12 |
$0.00 |
| J2785 |
Regadenoson injection |
14 |
14 |
$0.00 |
| 73552 |
|
16 |
13 |
$0.00 |
| 97165 |
|
28 |
24 |
$0.00 |
| 74019 |
|
12 |
12 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
601 |
559 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
556 |
523 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
929 |
597 |
$0.00 |
| J1956 |
Levofloxacin injection |
360 |
196 |
$0.00 |
| J0744 |
Ciprofloxacin iv |
342 |
226 |
$0.00 |
| 80076 |
|
180 |
164 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
26 |
26 |
$0.00 |
| 84550 |
|
155 |
122 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
40 |
13 |
$0.00 |
| J7040 |
Normal saline solution infus |
106 |
91 |
$0.00 |
| 82731 |
|
49 |
49 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
165 |
164 |
$0.00 |
| 93017 |
|
26 |
26 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
44 |
36 |
$0.00 |
| 76937 |
|
86 |
70 |
$0.00 |
| 29515 |
|
62 |
59 |
$0.00 |
| 73140 |
|
26 |
25 |
$0.00 |
| C1758 |
Catheter, ureteral |
82 |
70 |
$0.00 |
| 93880 |
|
27 |
24 |
$0.00 |
| 97163 |
|
12 |
12 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
12 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
75 |
56 |
$0.00 |
| 84439 |
|
16 |
13 |
$0.00 |