| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
27,755 |
24,883 |
$9.82M |
| 99284 |
|
10,326 |
9,084 |
$5.87M |
| 99285 |
|
5,578 |
4,287 |
$3.65M |
| 96374 |
|
12,233 |
7,313 |
$1.62M |
| 99282 |
|
7,407 |
7,003 |
$1.46M |
| 74177 |
|
4,258 |
3,928 |
$1.38M |
| 96365 |
|
6,984 |
3,041 |
$925K |
| 36415 |
|
49,467 |
28,069 |
$757K |
| J3490 |
Drugs unclassified injection |
19,439 |
8,960 |
$550K |
| 96372 |
|
8,218 |
4,986 |
$548K |
| 97110 |
|
9,507 |
3,241 |
$520K |
| 96361 |
|
11,315 |
5,491 |
$500K |
| 99291 |
|
783 |
539 |
$477K |
| 93005 |
|
8,310 |
7,359 |
$450K |
| 71046 |
|
5,968 |
5,478 |
$412K |
| 96375 |
|
5,852 |
5,036 |
$369K |
| 74176 |
|
1,671 |
1,539 |
$358K |
| 87636 |
|
2,354 |
2,227 |
$328K |
| 71045 |
|
4,173 |
3,654 |
$304K |
| 70450 |
|
2,999 |
2,632 |
$296K |
| 96360 |
|
2,871 |
1,008 |
$227K |
| 72100 |
|
2,005 |
1,788 |
$208K |
| 80053 |
|
14,742 |
13,062 |
$185K |
| 93306 |
|
438 |
412 |
$182K |
| 73630 |
|
2,258 |
2,084 |
$173K |
| 76705 |
|
1,463 |
1,414 |
$164K |
| 85025 |
|
17,241 |
15,276 |
$161K |
| 77067 |
|
1,630 |
1,600 |
$146K |
| 73564 |
|
1,298 |
1,152 |
$138K |
| 73610 |
|
1,857 |
1,660 |
$137K |
| 94640 |
|
748 |
703 |
$133K |
| 73130 |
|
1,641 |
1,491 |
$131K |
| 87635 |
|
2,931 |
2,720 |
$112K |
| 73030 |
|
1,430 |
1,201 |
$109K |
| 96376 |
|
1,467 |
1,309 |
$102K |
| 76830 |
|
740 |
691 |
$96K |
| 72148 |
|
498 |
458 |
$95K |
| 84484 |
|
6,917 |
4,345 |
$92K |
| 71275 |
|
507 |
465 |
$90K |
| 80048 |
|
9,001 |
8,174 |
$86K |
| 97161 |
|
942 |
902 |
$83K |
| 71260 |
|
436 |
361 |
$80K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,472 |
6,268 |
$76K |
| 84702 |
|
4,680 |
4,230 |
$76K |
| 84443 |
|
3,705 |
3,593 |
$75K |
| 73110 |
|
972 |
882 |
$73K |
| 71271 |
|
689 |
621 |
$60K |
| 76856 |
|
735 |
717 |
$51K |
| 80307 |
|
732 |
683 |
$48K |
| 85027 |
|
6,729 |
6,303 |
$46K |
| 83690 |
|
5,403 |
4,941 |
$44K |
| 82306 |
|
1,470 |
1,438 |
$43K |
| 74018 |
|
559 |
513 |
$43K |
| 87651 |
|
1,165 |
1,136 |
$41K |
| 80061 |
|
2,732 |
2,664 |
$41K |
| 82565 |
|
1,634 |
851 |
$39K |
| U0003 |
Cov-19 amp prb hgh thruput |
678 |
655 |
$39K |
| 87804 |
|
1,456 |
994 |
$36K |
| 70553 |
|
93 |
82 |
$34K |
| 12001 |
|
302 |
288 |
$34K |
| 83880 |
|
856 |
773 |
$34K |
| 83605 |
|
2,759 |
2,171 |
$34K |
| 29125 |
|
199 |
190 |
$31K |
| 77063 |
|
1,128 |
1,022 |
$31K |
| 71250 |
|
360 |
292 |
$29K |
| 81001 |
|
6,456 |
5,964 |
$27K |
| 82077 |
|
862 |
798 |
$27K |
| 87631 |
|
182 |
177 |
$27K |
| 90471 |
|
480 |
467 |
$26K |
| 87086 |
|
2,870 |
2,643 |
$26K |
| 99281 |
|
218 |
212 |
$25K |
| 83036 |
|
1,984 |
1,937 |
$24K |
| 87430 |
|
1,235 |
1,149 |
$23K |
| 82803 |
|
778 |
691 |
$23K |
| 73502 |
|
275 |
248 |
$21K |
| 96366 |
|
269 |
233 |
$21K |
| 82962 |
|
2,605 |
1,665 |
$19K |
| 80076 |
|
1,905 |
1,799 |
$18K |
| 72050 |
|
180 |
149 |
$18K |
| 85379 |
|
1,506 |
1,463 |
$18K |
| 80306 |
|
995 |
928 |
$18K |
| 85610 |
|
3,350 |
2,311 |
$17K |
| J1885 |
Ketorolac tromethamine inj |
4,731 |
3,959 |
$16K |
| 87591 |
|
378 |
369 |
$16K |
| 87491 |
|
377 |
368 |
$16K |
| 84703 |
|
1,356 |
1,274 |
$16K |
| 11042 |
|
75 |
27 |
$15K |
| 73140 |
|
210 |
188 |
$14K |
| 87040 |
|
1,105 |
637 |
$14K |
| 84439 |
|
1,191 |
1,165 |
$14K |
| J2405 |
Ondansetron hcl injection |
6,564 |
5,248 |
$14K |
| 73080 |
|
209 |
189 |
$13K |
| 82607 |
|
610 |
590 |
$13K |
| J2270 |
Morphine sulfate injection |
4,247 |
3,066 |
$13K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
302 |
230 |
$12K |
| J0131 |
Inj, acetaminophen (nos) |
663 |
439 |
$12K |
| 83735 |
|
1,473 |
1,300 |
$12K |
| 96413 |
|
33 |
24 |
$11K |
| 97140 |
|
332 |
145 |
$11K |
| 90715 |
|
348 |
283 |
$11K |
| 81003 |
|
3,011 |
2,799 |
$10K |
| 73562 |
|
120 |
107 |
$10K |
| J1200 |
Diphenhydramine hcl injectio |
2,245 |
1,728 |
$9K |
| 87077 |
|
692 |
593 |
$8K |
| 72125 |
|
77 |
74 |
$8K |
| 97112 |
|
137 |
60 |
$8K |
| J1642 |
Inj heparin sodium per 10 u |
600 |
236 |
$8K |
| 99211 |
|
610 |
487 |
$7K |
| 86140 |
|
1,108 |
1,009 |
$6K |
| 76770 |
|
59 |
55 |
$6K |
| 10060 |
|
56 |
54 |
$6K |
| 87186 |
|
542 |
502 |
$5K |
| 76536 |
|
39 |
38 |
$5K |
| 82746 |
|
271 |
267 |
$5K |
| 84145 |
|
189 |
178 |
$5K |
| M0243 |
Casirivi and imdevi inj |
17 |
17 |
$5K |
| 97162 |
|
42 |
40 |
$5K |
| A9577 |
Inj multihance |
152 |
109 |
$5K |
| 96367 |
|
61 |
56 |
$5K |
| 12002 |
|
45 |
27 |
$4K |
| 93971 |
|
44 |
40 |
$4K |
| Q0162 |
Ondansetron oral |
1,496 |
1,441 |
$4K |
| G0463 |
Hospital outpt clinic visit |
175 |
128 |
$4K |
| 93225 |
|
31 |
26 |
$4K |
| 85652 |
|
1,171 |
1,079 |
$4K |
| 70498 |
|
27 |
24 |
$4K |
| 82728 |
|
181 |
178 |
$4K |
| 87389 |
|
120 |
118 |
$3K |
| J1756 |
Iron sucrose injection |
35 |
12 |
$3K |
| J1100 |
Dexamethasone sodium phos |
1,030 |
871 |
$3K |
| 83540 |
|
359 |
351 |
$3K |
| G0297 |
Ldct for lung ca screen |
66 |
56 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
1,117 |
685 |
$3K |
| 73721 |
|
14 |
14 |
$2K |
| G0481 |
Drug test def 8-14 classes |
25 |
25 |
$2K |
| 83550 |
|
210 |
206 |
$2K |
| 80305 |
|
137 |
128 |
$2K |
| 82570 |
|
278 |
242 |
$2K |
| J1030 |
Methylprednisolone 40 mg inj |
126 |
120 |
$2K |
| 36591 |
|
16 |
12 |
$2K |
| 12011 |
|
12 |
12 |
$2K |
| 70491 |
|
12 |
12 |
$2K |
| 85730 |
|
255 |
238 |
$2K |
| 73090 |
|
16 |
15 |
$2K |
| 87807 |
|
103 |
100 |
$2K |
| 72070 |
|
15 |
13 |
$1K |
| J0780 |
Prochlorperazine injection |
133 |
119 |
$1K |
| J1790 |
Droperidol injection |
517 |
458 |
$1K |
| 82805 |
|
39 |
36 |
$1K |
| 73590 |
|
28 |
26 |
$1K |
| 80074 |
|
24 |
24 |
$1K |
| 93226 |
|
14 |
13 |
$1K |
| J7512 |
Prednisone ir or dr oral 1mg |
561 |
493 |
$1K |
| 80069 |
|
98 |
75 |
$1K |
| 88305 |
|
14 |
12 |
$934.64 |
| 87808 |
|
54 |
54 |
$914.49 |
| 80143 |
|
12 |
12 |
$886.88 |
| J2930 |
Methylprednisolone injection |
104 |
38 |
$678.14 |
| 87522 |
Neg quan hep c or qual rna |
12 |
12 |
$676.37 |
| 86901 |
|
79 |
74 |
$655.49 |
| G0480 |
Drug test def 1-7 classes |
12 |
12 |
$651.13 |
| 86900 |
|
63 |
61 |
$629.28 |
| 86780 |
|
37 |
36 |
$484.61 |
| G0279 |
Tomosynthesis, mammo |
14 |
12 |
$405.80 |
| J2060 |
Lorazepam injection |
275 |
205 |
$403.54 |
| 84550 |
|
72 |
67 |
$323.57 |
| G0475 |
Hiv combination assay |
14 |
14 |
$316.89 |
| J1170 |
Hydromorphone injection |
172 |
148 |
$294.88 |
| 87088 |
|
29 |
29 |
$265.80 |
| 86803 |
|
12 |
12 |
$254.51 |
| 83516 |
|
12 |
12 |
$241.03 |
| 97010 |
|
30 |
13 |
$205.79 |
| 86038 |
|
12 |
12 |
$189.64 |
| 87340 |
|
12 |
12 |
$181.94 |
| J0134 |
Inj acetaminophen -fresenius |
33 |
32 |
$158.26 |
| J2272 |
Inj, morphine (fresenius) |
63 |
53 |
$134.92 |
| 84156 |
|
29 |
27 |
$132.90 |
| 82248 |
|
23 |
16 |
$131.91 |
| G1004 |
Cdsm ndsc |
17 |
12 |
$131.72 |
| 82043 |
|
12 |
12 |
$127.95 |
| 82247 |
|
19 |
12 |
$111.59 |
| 82550 |
|
12 |
12 |
$110.33 |
| 87205 |
|
28 |
25 |
$102.37 |
| 86430 |
|
14 |
13 |
$90.97 |
| 84100 |
|
22 |
18 |
$78.25 |
| Q0163 |
Diphenhydramine hcl 50mg |
35 |
35 |
$27.29 |
| J2550 |
Promethazine hcl injection |
30 |
28 |
$22.16 |
| J3010 |
Fentanyl citrate injection |
14 |
12 |
$15.66 |
| J2765 |
Metoclopramide hcl injection |
26 |
25 |
$13.76 |
| G8979 |
Mobility goal status |
37 |
34 |
$0.00 |
| G8978 |
Mobility current status |
33 |
31 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
15 |
15 |
$0.00 |