| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
92,706 |
85,403 |
$35.26M |
| 99283 |
|
71,695 |
64,263 |
$29.75M |
| 0450 |
|
65,607 |
58,054 |
$13.80M |
| 0762 |
|
4,932 |
2,015 |
$4.98M |
| 99284 |
|
5,870 |
5,548 |
$3.05M |
| 74177 |
|
9,359 |
8,985 |
$1.37M |
| 70450 |
|
14,095 |
13,668 |
$1.15M |
| G0463 |
Hospital outpt clinic visit |
28,776 |
25,196 |
$1.13M |
| Z7502 |
|
28,714 |
28,169 |
$1.03M |
| 43239 |
|
890 |
869 |
$1.02M |
| 96374 |
|
23,506 |
21,696 |
$765K |
| 0241U |
|
15,212 |
14,986 |
$755K |
| 80053 |
|
118,781 |
109,138 |
$748K |
| 93005 |
|
52,155 |
48,476 |
$661K |
| 85025 |
|
138,458 |
123,084 |
$644K |
| 96372 |
|
40,704 |
37,018 |
$629K |
| 74176 |
|
8,184 |
7,996 |
$536K |
| 96375 |
|
21,762 |
18,762 |
$509K |
| 80307 |
|
11,903 |
11,445 |
$489K |
| G0378 |
Hospital observation per hr |
665 |
466 |
$418K |
| 0360 |
|
2,081 |
1,892 |
$402K |
| 96365 |
|
7,510 |
7,167 |
$373K |
| 71046 |
|
25,777 |
24,845 |
$367K |
| 72125 |
|
2,914 |
2,877 |
$320K |
| J3490 |
Drugs unclassified injection |
56,582 |
29,758 |
$310K |
| 0760 |
|
4,038 |
3,583 |
$279K |
| 76705 |
|
5,910 |
5,795 |
$253K |
| 96361 |
|
16,220 |
14,282 |
$246K |
| 84484 |
|
39,236 |
35,319 |
$244K |
| G0480 |
Drug test def 1-7 classes |
4,923 |
4,613 |
$238K |
| 0270 |
|
23,882 |
13,302 |
$219K |
| 71045 |
|
29,367 |
28,175 |
$212K |
| 83690 |
|
48,012 |
44,682 |
$208K |
| 96360 |
|
4,416 |
4,279 |
$198K |
| J7030 |
Normal saline solution infus |
30,509 |
26,723 |
$176K |
| 20610 |
|
5,344 |
4,486 |
$169K |
| 0761 |
|
2,373 |
1,955 |
$166K |
| Z9725 |
|
3,512 |
3,467 |
$151K |
| 93971 |
|
2,355 |
2,313 |
$148K |
| 94640 |
|
8,657 |
6,910 |
$132K |
| J1885 |
Ketorolac tromethamine inj |
28,635 |
26,601 |
$131K |
| 81001 |
|
54,156 |
50,939 |
$131K |
| 87040 |
|
10,382 |
9,225 |
$130K |
| 83880 |
|
9,194 |
8,730 |
$126K |
| 99070 |
|
164,661 |
78,308 |
$118K |
| Z7610 |
|
16,519 |
9,525 |
$114K |
| 83605 |
|
13,224 |
12,126 |
$112K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
11,213 |
10,826 |
$109K |
| 99282 |
|
518 |
493 |
$109K |
| J0561 |
Penicillin g benzathine inj |
545 |
517 |
$102K |
| 99291 |
|
226 |
222 |
$101K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,581 |
2,530 |
$99K |
| 76856 |
|
2,432 |
2,393 |
$97K |
| 73564 |
|
3,290 |
2,997 |
$95K |
| U0002 |
Covid-19 lab test non-cdc |
3,094 |
3,032 |
$93K |
| 81025 |
|
25,394 |
24,212 |
$93K |
| G0500 |
Mod sedat endo service >5yrs |
1,577 |
1,486 |
$93K |
| J3301 |
Triamcinolone acet inj nos |
4,768 |
4,086 |
$92K |
| 76801 |
|
3,192 |
2,892 |
$90K |
| 90715 |
|
2,106 |
2,085 |
$88K |
| 80048 |
|
15,042 |
12,671 |
$88K |
| 71275 |
|
1,415 |
1,396 |
$87K |
| 73030 |
|
4,156 |
3,981 |
$85K |
| 87086 |
|
16,144 |
15,463 |
$83K |
| 84703 |
|
9,128 |
8,711 |
$81K |
| 70486 |
|
882 |
874 |
$81K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
38 |
38 |
$76K |
| J2405 |
Ondansetron hcl injection |
18,890 |
16,580 |
$73K |
| 72100 |
|
3,705 |
3,623 |
$72K |
| 73130 |
|
2,926 |
2,818 |
$67K |
| 87502 |
|
1,658 |
1,620 |
$66K |
| J2270 |
Morphine sulfate injection |
10,721 |
8,736 |
$63K |
| 73610 |
|
3,052 |
2,936 |
$63K |
| 81003 |
|
29,340 |
28,143 |
$60K |
| J0696 |
Ceftriaxone sodium injection |
12,341 |
10,932 |
$60K |
| 73562 |
|
3,814 |
3,693 |
$60K |
| 0160 |
|
399 |
126 |
$58K |
| 73110 |
|
2,582 |
2,337 |
$58K |
| 93975 |
|
1,010 |
996 |
$56K |
| 88305 |
|
2,286 |
2,041 |
$56K |
| J1100 |
Dexamethasone sodium phos |
12,251 |
11,394 |
$56K |
| 0710 |
|
2,153 |
1,967 |
$54K |
| 87633 |
|
476 |
474 |
$52K |
| 84702 |
|
4,152 |
3,523 |
$50K |
| 96376 |
|
1,076 |
762 |
$50K |
| 87637 |
|
397 |
393 |
$49K |
| 87880 |
|
7,503 |
7,306 |
$49K |
| 73630 |
|
2,822 |
2,767 |
$49K |
| 85730 |
|
11,168 |
10,744 |
$48K |
| 72131 |
|
632 |
631 |
$44K |
| 85610 |
|
13,349 |
12,673 |
$41K |
| 99281 |
|
507 |
463 |
$41K |
| 73502 |
|
1,758 |
1,670 |
$41K |
| 87591 |
|
3,442 |
3,353 |
$38K |
| 36415 |
|
21,315 |
18,415 |
$37K |
| 76830 |
|
1,084 |
1,075 |
$37K |
| 87491 |
|
3,328 |
3,241 |
$36K |
| 82962 |
|
11,587 |
8,458 |
$35K |
| 87081 |
|
7,244 |
7,041 |
$35K |
| 76805 |
|
881 |
849 |
$33K |
| J1200 |
Diphenhydramine hcl injectio |
6,689 |
6,162 |
$32K |
| 72040 |
|
1,641 |
1,591 |
$31K |
| 29848 |
|
29 |
29 |
$29K |
| 93970 |
|
556 |
552 |
$28K |
| 83735 |
|
7,782 |
5,502 |
$28K |
| 87507 |
|
241 |
237 |
$28K |
| J0131 |
Inj, acetaminophen (nos) |
321 |
306 |
$27K |
| 73080 |
|
1,193 |
1,168 |
$27K |
| 99199 |
|
536 |
478 |
$26K |
| 87186 |
|
3,265 |
3,183 |
$26K |
| 76817 |
|
1,118 |
1,019 |
$26K |
| 84443 |
|
2,625 |
2,580 |
$25K |
| 71020 |
|
468 |
279 |
$24K |
| 85379 |
|
2,753 |
2,685 |
$24K |
| 73590 |
|
1,339 |
1,296 |
$23K |
| 84145 |
|
3,552 |
3,436 |
$23K |
| 70551 |
|
497 |
496 |
$23K |
| 87631 |
|
676 |
647 |
$23K |
| 87077 |
|
4,571 |
4,455 |
$22K |
| J7040 |
Normal saline solution infus |
3,625 |
3,482 |
$21K |
| 73090 |
|
1,230 |
1,163 |
$21K |
| J1815 |
Insulin injection |
2,363 |
1,404 |
$21K |
| 76870 |
|
770 |
754 |
$21K |
| J2765 |
Metoclopramide hcl injection |
4,103 |
3,728 |
$20K |
| J1170 |
Hydromorphone injection |
2,821 |
2,147 |
$19K |
| 73140 |
|
1,223 |
1,101 |
$18K |
| J0702 |
Betamethasone acet&sod phosp |
877 |
792 |
$18K |
| 85027 |
|
3,938 |
3,777 |
$18K |
| 96367 |
|
1,233 |
1,130 |
$17K |
| J3010 |
Fentanyl citrate injection |
3,840 |
3,453 |
$17K |
| 71101 |
|
737 |
733 |
$17K |
| 82803 |
|
2,420 |
2,323 |
$17K |
| 72110 |
|
442 |
404 |
$17K |
| 71260 |
|
140 |
138 |
$16K |
| 86901 |
|
5,241 |
5,043 |
$16K |
| 57288 |
|
12 |
12 |
$15K |
| 59025 |
|
1,404 |
1,142 |
$15K |
| 82550 |
|
2,477 |
2,333 |
$15K |
| 80305 |
|
650 |
587 |
$15K |
| 87804 |
|
1,690 |
1,564 |
$14K |
| 93306 |
|
640 |
637 |
$14K |
| 99153 |
Mod sedat endo service >5yrs |
1,266 |
1,211 |
$14K |
| 70496 |
|
443 |
440 |
$13K |
| J2704 |
Inj, propofol, 10 mg |
2,111 |
1,924 |
$13K |
| 96366 |
|
1,032 |
759 |
$13K |
| J2250 |
Inj midazolam hydrochloride |
2,842 |
2,575 |
$13K |
| J7120 |
Ringers lactate infusion |
2,553 |
2,326 |
$12K |
| 71250 |
|
282 |
279 |
$12K |
| 0510 |
|
418 |
370 |
$12K |
| 74018 |
|
1,190 |
1,155 |
$12K |
| 93976 |
|
57 |
54 |
$12K |
| 86140 |
|
2,860 |
2,780 |
$12K |
| 77073 |
|
466 |
424 |
$12K |
| 86900 |
|
4,825 |
4,664 |
$11K |
| J2930 |
Methylprednisolone injection |
1,541 |
1,419 |
$11K |
| 87147 |
|
815 |
778 |
$11K |
| 80074 |
|
301 |
300 |
$10K |
| J2060 |
Lorazepam injection |
2,125 |
1,846 |
$10K |
| 90471 |
|
886 |
860 |
$9K |
| 80076 |
|
1,144 |
1,051 |
$8K |
| C1771 |
Rep dev, urinary, w/sling |
12 |
12 |
$8K |
| 82010 |
|
2,115 |
1,979 |
$8K |
| S0164 |
Injection pantroprazole |
2,143 |
1,403 |
$8K |
| 86635 |
|
640 |
466 |
$8K |
| 70498 |
|
425 |
422 |
$8K |
| 86703 |
|
1,010 |
995 |
$7K |
| 80061 |
|
1,274 |
1,105 |
$7K |
| 45380 |
|
12 |
12 |
$7K |
| 86850 |
|
2,383 |
2,322 |
$7K |
| 72072 |
|
394 |
387 |
$7K |
| 83036 |
|
1,205 |
1,181 |
$6K |
| 87070 |
|
793 |
771 |
$6K |
| 70491 |
|
75 |
72 |
$5K |
| 88312 |
|
606 |
592 |
$5K |
| 71010 |
|
137 |
84 |
$5K |
| J0690 |
Cefazolin sodium injection |
1,270 |
1,035 |
$5K |
| 87210 |
|
1,591 |
1,558 |
$5K |
| 29075 |
|
304 |
202 |
$5K |
| 20550 |
|
191 |
168 |
$4K |
| C1776 |
Joint device (implantable) |
12 |
12 |
$4K |
| 97750 |
|
537 |
486 |
$4K |
| 0250 |
|
720 |
408 |
$4K |
| S0020 |
Injection, bupivicaine hydro |
612 |
483 |
$4K |
| 82306 |
|
135 |
135 |
$4K |
| 84100 |
|
2,186 |
1,635 |
$3K |
| J3475 |
Inj magnesium sulfate |
1,125 |
973 |
$3K |
| 0324 |
|
44 |
44 |
$3K |
| J1953 |
Levetiracetam injection |
451 |
343 |
$3K |
| J1650 |
Inj enoxaparin sodium |
1,745 |
816 |
$3K |
| 82247 |
|
666 |
465 |
$3K |
| 82746 |
|
215 |
214 |
$3K |
| 84550 |
|
594 |
589 |
$3K |
| L1832 |
Ko adj jnt pos r sup pre cst |
12 |
12 |
$2K |
| S0077 |
Injection, clindamycin phosp |
250 |
240 |
$2K |
| 0370 |
|
27 |
15 |
$2K |
| 84466 |
|
223 |
223 |
$2K |
| 45384 |
|
12 |
12 |
$2K |
| 0301 |
|
22 |
15 |
$2K |
| 85651 |
|
1,318 |
1,283 |
$2K |
| 84439 |
|
620 |
607 |
$2K |
| 86592 |
|
1,010 |
843 |
$2K |
| 82140 |
|
542 |
505 |
$2K |
| S0028 |
Injection, famotidine, 20 mg |
1,058 |
1,012 |
$2K |
| 82248 |
|
390 |
270 |
$2K |
| J2175 |
Meperidine hydrochl /100 mg |
57 |
52 |
$2K |
| A9150 |
Misc/exper non-prescript dru |
1,417 |
666 |
$2K |
| 20526 |
|
252 |
236 |
$2K |
| 73060 |
|
108 |
107 |
$2K |
| J0500 |
Dicyclomine injection |
67 |
67 |
$2K |
| 73100 |
|
110 |
85 |
$1K |
| 72070 |
|
71 |
70 |
$1K |
| J0780 |
Prochlorperazine injection |
521 |
510 |
$1K |
| 87205 |
|
379 |
370 |
$1K |
| 87420 |
|
452 |
410 |
$1K |
| 76819 |
|
28 |
16 |
$1K |
| J3370 |
Vancomycin hcl injection |
609 |
359 |
$1K |
| 0750 |
|
954 |
938 |
$1K |
| 83540 |
|
227 |
227 |
$1K |
| 84436 |
|
205 |
204 |
$1K |
| 84479 |
|
200 |
200 |
$1K |
| J0360 |
Hydralazine hcl injection |
546 |
420 |
$1K |
| 85007 |
|
529 |
491 |
$982.66 |
| 72050 |
|
27 |
27 |
$909.29 |
| 73000 |
|
42 |
39 |
$900.69 |
| J7050 |
Normal saline solution infus |
368 |
334 |
$848.32 |
| J2919 |
Inj, methylpred sod succ 5mg |
165 |
136 |
$845.93 |
| 74022 |
|
109 |
109 |
$845.70 |
| 73552 |
|
40 |
38 |
$845.30 |
| 97161 |
|
76 |
75 |
$818.48 |
| 12001 |
|
26 |
25 |
$773.52 |
| 84425 |
|
75 |
75 |
$768.70 |
| J1630 |
Haloperidol injection |
255 |
232 |
$718.32 |
| J1836 |
Inj, metronidazole, 10 mg |
344 |
196 |
$571.80 |
| 87634 |
|
13 |
12 |
$542.96 |
| 74019 |
|
57 |
56 |
$513.51 |
| 94644 |
|
24 |
24 |
$512.40 |
| Z7500 |
|
26 |
25 |
$511.50 |
| 51701 |
|
25 |
24 |
$454.50 |
| J3360 |
Diazepam injection |
39 |
36 |
$428.84 |
| A9270 |
Non-covered item or service |
878 |
417 |
$421.14 |
| 82272 |
|
251 |
247 |
$420.79 |
| J1940 |
Furosemide injection |
494 |
257 |
$409.77 |
| 73620 |
|
15 |
15 |
$388.53 |
| 76700 |
|
17 |
15 |
$384.73 |
| J0456 |
Azithromycin |
295 |
183 |
$376.66 |
| 72192 |
|
12 |
12 |
$362.05 |
| M0243 |
Casirivi and imdevi inj |
18 |
18 |
$309.60 |
| 96368 |
|
30 |
30 |
$263.08 |
| 82150 |
|
29 |
24 |
$251.79 |
| 73660 |
|
28 |
24 |
$239.49 |
| Q3014 |
Telehealth facility fee |
73 |
73 |
$234.86 |
| 76857 |
|
45 |
45 |
$223.88 |
| 72170 |
|
16 |
13 |
$216.50 |
| 73560 |
|
25 |
25 |
$215.42 |
| 97116 |
|
76 |
65 |
$171.44 |
| 29065 |
|
30 |
12 |
$150.00 |
| 84132 |
|
241 |
192 |
$143.11 |
| J1644 |
Inj heparin sodium per 1000u |
102 |
39 |
$135.81 |
| 84112 |
|
30 |
26 |
$116.02 |
| 97110 |
|
82 |
49 |
$66.19 |
| 0949 |
|
369 |
344 |
$54.67 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
42 |
38 |
$46.81 |
| J2470 |
Inj pantoprazole sodium 40mg |
191 |
143 |
$40.48 |
| J7042 |
5% dextrose/normal saline |
30 |
25 |
$18.34 |
| P9011 |
Blood split unit |
153 |
142 |
$15.04 |
| J1920 |
Inj, labetalol hcl, 5mg |
15 |
12 |
$2.58 |
| J0171 |
Adrenalin epinephrine inject |
25 |
25 |
$0.00 |
| J0694 |
Cefoxitin sodium injection |
12 |
12 |
$0.00 |
| 72128 |
|
14 |
14 |
$0.00 |
| J2920 |
Methylprednisolone injection |
19 |
13 |
$0.00 |