| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
89,593 |
74,451 |
$6.91M |
| 99281 |
|
55,376 |
46,885 |
$4.44M |
| 99202 |
|
35,311 |
32,071 |
$2.42M |
| 74177 |
|
6,375 |
6,171 |
$2.18M |
| 99201 |
|
29,139 |
25,309 |
$2.06M |
| 70450 |
|
7,219 |
6,859 |
$1.40M |
| U0003 |
Cov-19 amp prb hgh thruput |
13,745 |
12,733 |
$1.10M |
| 96374 |
|
13,086 |
11,936 |
$1.09M |
| 0241U |
|
7,068 |
6,505 |
$984K |
| 97110 |
|
20,664 |
5,403 |
$967K |
| 71260 |
|
2,448 |
2,388 |
$961K |
| 72125 |
|
3,032 |
2,922 |
$954K |
| 97139 |
|
17,115 |
4,557 |
$803K |
| 73721 |
|
1,919 |
1,768 |
$774K |
| 70553 |
|
1,137 |
1,122 |
$774K |
| 93005 |
|
18,252 |
16,708 |
$698K |
| 72148 |
|
1,914 |
1,888 |
$677K |
| 96375 |
|
13,170 |
10,764 |
$671K |
| 78815 |
|
240 |
231 |
$611K |
| 96365 |
|
5,714 |
4,547 |
$602K |
| J3490 |
Drugs unclassified injection |
94,899 |
44,724 |
$580K |
| 93306 |
|
3,052 |
2,994 |
$567K |
| 70551 |
|
1,153 |
1,143 |
$453K |
| 93975 |
|
1,542 |
1,528 |
$439K |
| 74176 |
|
2,731 |
2,618 |
$435K |
| 96372 |
|
11,906 |
10,123 |
$431K |
| 77067 |
|
2,948 |
2,914 |
$425K |
| J9271 |
Inj pembrolizumab |
30 |
24 |
$379K |
| 85025 |
|
49,281 |
41,043 |
$356K |
| J2704 |
Inj, propofol, 10 mg |
8,981 |
8,439 |
$349K |
| 80307 |
|
6,343 |
5,477 |
$347K |
| 97750 |
|
3,876 |
3,192 |
$329K |
| 80053 |
|
33,224 |
29,148 |
$320K |
| 96361 |
|
8,165 |
7,001 |
$311K |
| 95811 |
|
899 |
890 |
$308K |
| 76705 |
|
3,735 |
3,608 |
$307K |
| 73221 |
|
762 |
731 |
$302K |
| 72141 |
|
804 |
802 |
$302K |
| 76856 |
|
3,020 |
2,940 |
$288K |
| J0131 |
Inj, acetaminophen (nos) |
2,972 |
2,891 |
$266K |
| 71045 |
|
15,813 |
14,787 |
$261K |
| 76700 |
|
2,543 |
2,512 |
$259K |
| 97010 |
|
5,793 |
1,321 |
$257K |
| 76830 |
|
2,652 |
2,587 |
$253K |
| 0450 |
|
1,157 |
1,036 |
$247K |
| 96413 |
|
4,986 |
2,809 |
$241K |
| 71250 |
|
951 |
935 |
$218K |
| 71275 |
|
644 |
627 |
$205K |
| 71046 |
|
7,330 |
7,169 |
$201K |
| 97799 |
|
4,587 |
1,031 |
$199K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
10,362 |
9,898 |
$198K |
| G0480 |
Drug test def 1-7 classes |
2,793 |
2,596 |
$194K |
| J2405 |
Ondansetron hcl injection |
15,684 |
13,646 |
$189K |
| 87635 |
|
3,584 |
3,358 |
$184K |
| 76770 |
|
1,792 |
1,751 |
$180K |
| 93971 |
|
1,148 |
1,123 |
$177K |
| 70486 |
|
720 |
713 |
$171K |
| J1100 |
Dexamethasone sodium phos |
7,892 |
6,833 |
$157K |
| 96360 |
|
1,806 |
1,671 |
$155K |
| 83880 |
|
4,657 |
4,381 |
$150K |
| G9012 |
Other specified case mgmt |
410 |
359 |
$144K |
| J0185 |
Inj., aprepitant, 1 mg |
466 |
292 |
$135K |
| J2505 |
Injection, pegfilgrastim 6mg |
18 |
14 |
$134K |
| 96366 |
|
2,419 |
1,780 |
$128K |
| 72100 |
|
2,778 |
2,729 |
$118K |
| 73610 |
|
2,954 |
2,857 |
$118K |
| 73630 |
|
3,236 |
3,077 |
$117K |
| 73030 |
|
2,938 |
2,834 |
$115K |
| 77063 |
|
2,772 |
2,719 |
$113K |
| Z7502 |
|
2,917 |
2,675 |
$110K |
| 77334 |
|
349 |
250 |
$110K |
| 80048 |
|
13,714 |
12,465 |
$106K |
| 90715 |
|
1,928 |
1,918 |
$99K |
| 73130 |
|
2,574 |
2,454 |
$98K |
| 93970 |
|
371 |
358 |
$97K |
| 87631 |
|
883 |
871 |
$95K |
| 73562 |
|
2,621 |
2,479 |
$92K |
| J1885 |
Ketorolac tromethamine inj |
10,342 |
9,500 |
$92K |
| 95810 |
|
263 |
260 |
$89K |
| 94640 |
|
2,879 |
2,560 |
$82K |
| 84484 |
|
9,338 |
7,605 |
$81K |
| 43239 |
|
1,820 |
1,774 |
$80K |
| J3010 |
Fentanyl citrate injection |
10,128 |
9,188 |
$77K |
| 76536 |
|
966 |
944 |
$74K |
| 99152 |
|
1,028 |
955 |
$73K |
| 83690 |
|
11,764 |
10,768 |
$72K |
| 87491 |
|
2,405 |
2,362 |
$72K |
| 87591 |
|
2,404 |
2,361 |
$71K |
| 73110 |
|
1,807 |
1,729 |
$70K |
| A9502 |
Tc99m tetrofosmin |
281 |
234 |
$70K |
| J1170 |
Hydromorphone injection |
6,130 |
4,692 |
$68K |
| A9585 |
Gadobutrol injection |
1,286 |
1,211 |
$68K |
| 88305 |
|
6,928 |
5,197 |
$66K |
| 87086 |
|
8,598 |
8,222 |
$65K |
| J2250 |
Inj midazolam hydrochloride |
7,353 |
6,967 |
$64K |
| 93010 |
|
6,388 |
5,562 |
$62K |
| 74018 |
|
2,221 |
2,135 |
$59K |
| 73560 |
|
2,197 |
2,051 |
$58K |
| 76642 |
|
745 |
716 |
$58K |
| A9552 |
F18 fdg |
154 |
146 |
$58K |
| 78452 |
|
123 |
119 |
$57K |
| J0690 |
Cefazolin sodium injection |
4,695 |
4,018 |
$57K |
| 96367 |
|
956 |
656 |
$57K |
| 96417 |
|
1,014 |
599 |
$56K |
| 76815 |
|
616 |
418 |
$55K |
| 83605 |
|
5,249 |
4,436 |
$53K |
| 73502 |
|
1,270 |
1,208 |
$53K |
| 81001 |
|
14,434 |
13,409 |
$51K |
| 45380 |
|
983 |
968 |
$50K |
| 72040 |
|
1,385 |
1,357 |
$50K |
| 93017 |
|
412 |
403 |
$50K |
| J2785 |
Regadenoson injection |
205 |
200 |
$50K |
| 80306 |
|
1,970 |
1,860 |
$46K |
| 87880 |
|
5,821 |
5,651 |
$44K |
| 96415 |
|
858 |
561 |
$44K |
| J0696 |
Ceftriaxone sodium injection |
3,788 |
3,345 |
$41K |
| 87040 |
|
3,958 |
2,704 |
$41K |
| J2270 |
Morphine sulfate injection |
3,498 |
3,149 |
$37K |
| 99070 |
|
2,132 |
1,877 |
$37K |
| 95816 |
|
498 |
498 |
$36K |
| 87070 |
|
4,927 |
4,789 |
$36K |
| 45385 |
|
1,101 |
1,077 |
$36K |
| 73140 |
|
1,435 |
1,359 |
$35K |
| 80076 |
|
4,888 |
4,688 |
$33K |
| J1644 |
Inj heparin sodium per 1000u |
2,616 |
1,689 |
$33K |
| 87637 |
|
232 |
217 |
$32K |
| J1756 |
Iron sucrose injection |
654 |
287 |
$32K |
| J3480 |
Inj potassium chloride |
662 |
430 |
$32K |
| 87186 |
|
3,575 |
3,480 |
$32K |
| 87077 |
|
3,926 |
3,824 |
$32K |
| 70496 |
|
123 |
119 |
$31K |
| 76801 |
|
407 |
384 |
$31K |
| 84443 |
|
2,185 |
2,092 |
$30K |
| 85055 |
|
1,220 |
947 |
$28K |
| 59025 |
|
829 |
407 |
$28K |
| 76870 |
|
363 |
352 |
$28K |
| 70498 |
|
114 |
112 |
$28K |
| 10060 |
|
775 |
749 |
$28K |
| J0171 |
Adrenalin epinephrine inject |
423 |
410 |
$27K |
| 85610 |
|
6,949 |
6,441 |
$25K |
| 72170 |
|
814 |
795 |
$25K |
| 97164 |
|
267 |
254 |
$24K |
| 72110 |
|
360 |
352 |
$23K |
| Z7500 |
|
639 |
600 |
$22K |
| J1200 |
Diphenhydramine hcl injectio |
3,134 |
2,696 |
$21K |
| 97165 |
|
249 |
186 |
$21K |
| Z7610 |
|
1,883 |
1,115 |
$20K |
| J2765 |
Metoclopramide hcl injection |
2,716 |
2,508 |
$20K |
| 81003 |
|
8,397 |
8,052 |
$20K |
| J2060 |
Lorazepam injection |
2,624 |
2,300 |
$20K |
| 73080 |
|
462 |
433 |
$19K |
| 45378 |
|
355 |
340 |
$18K |
| 76817 |
|
231 |
208 |
$18K |
| 87651 |
|
734 |
706 |
$18K |
| 77336 |
|
162 |
74 |
$18K |
| 12001 |
|
616 |
613 |
$17K |
| 81025 |
|
4,865 |
4,704 |
$17K |
| J2930 |
Methylprednisolone injection |
861 |
803 |
$16K |
| 77300 |
|
71 |
66 |
$16K |
| 73090 |
|
486 |
438 |
$15K |
| 82962 |
|
5,030 |
4,102 |
$15K |
| 73590 |
|
480 |
434 |
$15K |
| J1815 |
Insulin injection |
473 |
371 |
$15K |
| 83735 |
|
2,380 |
1,945 |
$14K |
| 93976 |
|
50 |
50 |
$14K |
| G0202 |
Scr mammo bi incl cad |
76 |
53 |
$14K |
| 85730 |
|
2,348 |
2,191 |
$13K |
| 86901 |
|
3,885 |
3,672 |
$13K |
| J2370 |
Phenylephrine hcl injection |
438 |
412 |
$13K |
| 86900 |
|
3,865 |
3,653 |
$13K |
| 83615 |
|
1,832 |
1,519 |
$12K |
| 84145 |
|
651 |
603 |
$12K |
| 77080 |
|
242 |
236 |
$11K |
| J1642 |
Inj heparin sodium per 10 u |
1,836 |
1,090 |
$11K |
| 87075 |
|
1,286 |
1,235 |
$11K |
| 86850 |
|
3,215 |
3,065 |
$10K |
| 77066 |
Tomosynthesis, mammo |
65 |
62 |
$10K |
| 80047 |
|
836 |
824 |
$10K |
| S0020 |
Injection, bupivicaine hydro |
569 |
555 |
$10K |
| G0279 |
Tomosynthesis, mammo |
275 |
267 |
$9K |
| 85027 |
|
1,663 |
1,422 |
$8K |
| 85379 |
|
887 |
863 |
$8K |
| 73564 |
|
191 |
185 |
$7K |
| 72197 |
|
17 |
15 |
$7K |
| 99153 |
Mod sedat endo service >5yrs |
409 |
382 |
$7K |
| 87205 |
|
1,975 |
1,871 |
$7K |
| J3475 |
Inj magnesium sulfate |
691 |
466 |
$7K |
| 87634 |
|
127 |
120 |
$6K |
| 81002 |
|
3,132 |
2,866 |
$6K |
| G0400 |
Home sleep test/type 4 porta |
106 |
106 |
$6K |
| 87624 |
|
195 |
195 |
$6K |
| 87804 |
|
635 |
403 |
$6K |
| J0640 |
Leucovorin calcium injection |
37 |
12 |
$6K |
| 12011 |
|
135 |
135 |
$6K |
| 71271 |
|
44 |
44 |
$6K |
| J3370 |
Vancomycin hcl injection |
437 |
336 |
$6K |
| 86140 |
|
1,100 |
1,014 |
$5K |
| 96368 |
|
189 |
139 |
$5K |
| 87798 |
|
173 |
114 |
$5K |
| 76999 |
|
42 |
42 |
$5K |
| 74183 |
|
12 |
12 |
$5K |
| 99199 |
|
120 |
107 |
$5K |
| J3301 |
Triamcinolone acet inj nos |
135 |
135 |
$5K |
| 88342 |
|
408 |
385 |
$5K |
| 12002 |
|
174 |
173 |
$5K |
| 29125 |
|
375 |
364 |
$5K |
| 99284 |
|
16 |
15 |
$5K |
| 70491 |
|
13 |
12 |
$5K |
| 82077 |
|
326 |
299 |
$5K |
| 86141 |
|
436 |
418 |
$5K |
| 77081 |
|
177 |
172 |
$5K |
| 73700 |
|
15 |
14 |
$4K |
| 76827 |
|
57 |
56 |
$4K |
| 88304 |
|
493 |
483 |
$4K |
| 96416 |
|
44 |
24 |
$4K |
| 96523 |
|
288 |
213 |
$4K |
| 87502 |
|
65 |
59 |
$4K |
| 83036 |
|
562 |
531 |
$4K |
| 72146 |
|
12 |
12 |
$3K |
| J9190 |
Fluorouracil injection |
52 |
25 |
$3K |
| 87081 |
|
668 |
644 |
$3K |
| 87147 |
|
618 |
616 |
$3K |
| 76805 |
|
25 |
25 |
$3K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
464 |
393 |
$3K |
| 72070 |
|
67 |
63 |
$3K |
| J7030 |
Normal saline solution infus |
347 |
293 |
$3K |
| G0500 |
Mod sedat endo service >5yrs |
30 |
26 |
$3K |
| 93880 |
|
13 |
13 |
$2K |
| 82248 |
|
610 |
559 |
$2K |
| 29823 |
|
12 |
12 |
$2K |
| 96402 |
|
117 |
107 |
$2K |
| Q0144 |
Azithromycin dihydrate, oral |
61 |
61 |
$2K |
| 85652 |
|
627 |
601 |
$2K |
| 82803 |
|
185 |
166 |
$2K |
| 73070 |
|
66 |
63 |
$2K |
| 80143 |
|
117 |
107 |
$2K |
| J0330 |
Succinycholine chloride inj |
79 |
78 |
$2K |
| J2272 |
Inj, morphine (fresenius) |
158 |
144 |
$2K |
| 82728 |
|
134 |
131 |
$2K |
| 73620 |
|
69 |
63 |
$2K |
| 80061 |
|
216 |
203 |
$2K |
| S0077 |
Injection, clindamycin phosp |
97 |
93 |
$2K |
| 80179 |
|
115 |
106 |
$2K |
| 85018 |
|
773 |
682 |
$2K |
| J2919 |
Inj, methylpred sod succ 5mg |
71 |
57 |
$2K |
| J7050 |
Normal saline solution infus |
395 |
179 |
$2K |
| 82805 |
|
75 |
71 |
$2K |
| 29515 |
|
105 |
103 |
$1K |
| 0270 |
|
34 |
12 |
$1K |
| 82550 |
|
207 |
185 |
$1K |
| 87801 |
|
43 |
42 |
$1K |
| 96411 |
|
35 |
24 |
$1K |
| 84702 |
|
123 |
108 |
$1K |
| J3489 |
Zoledronic acid 1mg |
12 |
12 |
$1K |
| 99211 |
|
50 |
44 |
$1K |
| 0456 |
|
39 |
38 |
$1K |
| 73600 |
|
39 |
38 |
$1K |
| 92507 |
|
16 |
12 |
$996.18 |
| 84439 |
|
159 |
147 |
$972.84 |
| J0360 |
Hydralazine hcl injection |
69 |
62 |
$956.91 |
| 82140 |
|
72 |
63 |
$940.88 |
| 73660 |
|
39 |
37 |
$910.50 |
| 73060 |
|
28 |
25 |
$895.44 |
| 72081 |
|
25 |
25 |
$882.74 |
| 84466 |
|
54 |
53 |
$867.19 |
| J2543 |
Piperacillin/tazobactam |
58 |
37 |
$826.46 |
| 94729 |
|
12 |
12 |
$820.68 |
| J7120 |
Ringers lactate infusion |
108 |
100 |
$770.72 |
| 94726 |
|
12 |
12 |
$752.16 |
| 76882 |
|
47 |
41 |
$686.80 |
| 72050 |
|
14 |
14 |
$643.80 |
| 86923 |
|
14 |
12 |
$616.00 |
| 29130 |
|
41 |
41 |
$615.34 |
| 71010 |
|
30 |
27 |
$602.31 |
| 29505 |
|
39 |
39 |
$548.21 |
| 85014 |
|
202 |
200 |
$530.88 |
| 73521 |
|
13 |
13 |
$508.08 |
| 83540 |
|
67 |
66 |
$507.73 |
| 73120 |
|
18 |
16 |
$464.40 |
| 88142 |
|
51 |
51 |
$438.25 |
| 84132 |
|
108 |
93 |
$436.86 |
| 84100 |
|
133 |
104 |
$424.96 |
| J2001 |
Lidocaine injection |
81 |
77 |
$367.47 |
| 90471 |
|
80 |
75 |
$352.34 |
| 73565 |
|
14 |
14 |
$351.00 |
| J7040 |
Normal saline solution infus |
55 |
54 |
$328.61 |
| 73100 |
|
13 |
13 |
$324.36 |
| J1953 |
Levetiracetam injection |
19 |
14 |
$302.66 |
| 84703 |
|
56 |
54 |
$297.25 |
| S0164 |
Injection pantroprazole |
23 |
14 |
$245.68 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
31 |
28 |
$223.25 |
| 82378 |
|
16 |
14 |
$194.08 |
| J1650 |
Inj enoxaparin sodium |
30 |
16 |
$188.21 |
| Q0163 |
Diphenhydramine hcl 50mg |
638 |
471 |
$175.38 |
| J1940 |
Furosemide injection |
29 |
24 |
$163.44 |
| 82746 |
|
12 |
12 |
$128.13 |
| T1999 |
Noc retail items andsupplies |
16 |
12 |
$114.13 |
| J8540 |
Oral dexamethasone |
1,100 |
616 |
$110.89 |
| Q0162 |
Ondansetron oral |
1,480 |
966 |
$107.90 |
| 87210 |
|
12 |
12 |
$81.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
14 |
14 |
$69.02 |
| 86308 |
|
13 |
12 |
$46.67 |
| 88300 |
|
17 |
16 |
$28.39 |
| J7512 |
Prednisone ir or dr oral 1mg |
649 |
585 |
$23.45 |
| J7613 |
Albuterol non-comp unit |
72 |
70 |
$5.50 |