| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
162,926 |
149,608 |
$15.61M |
| 99284 |
|
107,260 |
94,475 |
$7.65M |
| 99282 |
|
42,999 |
40,557 |
$4.00M |
| 99285 |
|
41,121 |
34,929 |
$2.73M |
| J7030 |
Normal saline solution infus |
52,959 |
41,290 |
$1.99M |
| 87635 |
|
57,309 |
51,555 |
$1.85M |
| 70450 |
|
15,758 |
13,560 |
$1.67M |
| 74177 |
|
11,491 |
10,359 |
$1.66M |
| 97110 |
|
17,582 |
5,332 |
$1.19M |
| 80051 |
|
107,501 |
85,931 |
$1.16M |
| 92507 |
|
10,768 |
3,778 |
$1.13M |
| G0257 |
Unsched dialysis esrd pt hos |
2,726 |
652 |
$1.10M |
| J3490 |
Drugs unclassified injection |
11,683 |
7,314 |
$867K |
| J1885 |
Ketorolac tromethamine inj |
24,094 |
19,894 |
$719K |
| 96374 |
|
61,132 |
49,490 |
$705K |
| G0378 |
Hospital observation per hr |
43,499 |
17,946 |
$698K |
| 74176 |
|
4,679 |
4,179 |
$691K |
| 97530 |
|
11,804 |
4,666 |
$681K |
| 96365 |
|
11,746 |
8,863 |
$633K |
| 71275 |
|
4,098 |
3,703 |
$547K |
| 96361 |
|
9,158 |
7,775 |
$546K |
| 87070 |
|
16,866 |
15,940 |
$519K |
| 81003 |
|
17,351 |
15,570 |
$446K |
| 96372 |
|
19,715 |
14,441 |
$445K |
| J1100 |
Dexamethasone sodium phos |
8,923 |
6,945 |
$438K |
| 93306 |
|
2,898 |
2,605 |
$371K |
| 99211 |
|
8,053 |
6,979 |
$369K |
| 78452 |
|
1,568 |
1,432 |
$367K |
| J7120 |
Ringers lactate infusion |
7,866 |
6,458 |
$338K |
| 87086 |
|
24,931 |
23,388 |
$311K |
| 76816 |
|
5,335 |
4,717 |
$305K |
| 36415 |
|
27,392 |
13,674 |
$301K |
| J7050 |
Normal saline solution infus |
2,151 |
1,447 |
$284K |
| 87804 |
|
77,995 |
46,078 |
$274K |
| J0696 |
Ceftriaxone sodium injection |
12,409 |
9,454 |
$273K |
| 76811 |
|
5,043 |
4,831 |
$264K |
| 87486 |
|
13,512 |
12,995 |
$242K |
| 43239 |
|
1,284 |
1,142 |
$226K |
| 84703 |
|
37,803 |
33,220 |
$220K |
| 71046 |
|
28,719 |
27,166 |
$215K |
| C9113 |
Inj pantoprazole sodium, via |
4,061 |
2,352 |
$199K |
| 97161 |
|
2,586 |
2,338 |
$198K |
| 99291 |
|
2,239 |
2,016 |
$194K |
| 99281 |
|
2,313 |
2,135 |
$185K |
| 81001 |
|
57,157 |
51,009 |
$182K |
| 80053 |
|
12,476 |
10,326 |
$181K |
| 87633 |
|
15,492 |
14,892 |
$172K |
| 80307 |
|
10,906 |
9,663 |
$154K |
| 12001 |
|
1,809 |
1,699 |
$141K |
| 74018 |
|
11,481 |
10,796 |
$139K |
| J2405 |
Ondansetron hcl injection |
31,148 |
23,873 |
$137K |
| 10060 |
|
1,738 |
1,585 |
$136K |
| 87420 |
|
11,688 |
11,366 |
$134K |
| 12011 |
|
1,667 |
1,565 |
$134K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,126 |
2,588 |
$133K |
| 96360 |
|
3,318 |
2,900 |
$128K |
| J3480 |
Inj potassium chloride |
4,171 |
2,841 |
$126K |
| 94664 |
|
11,037 |
9,402 |
$118K |
| 73610 |
|
3,958 |
3,599 |
$115K |
| 72125 |
|
3,479 |
2,878 |
$114K |
| 96367 |
|
4,334 |
2,443 |
$110K |
| 99213 |
|
1,761 |
1,503 |
$109K |
| 76705 |
|
7,699 |
6,960 |
$106K |
| 70551 |
|
757 |
699 |
$99K |
| 97162 |
|
1,548 |
1,331 |
$97K |
| 84702 |
|
8,070 |
6,081 |
$91K |
| 73562 |
|
4,501 |
3,790 |
$90K |
| 94640 |
|
6,323 |
2,532 |
$87K |
| 73630 |
|
4,301 |
3,862 |
$85K |
| 44970 |
|
86 |
77 |
$85K |
| 73130 |
|
3,208 |
2,850 |
$85K |
| 96413 |
|
4,300 |
2,316 |
$85K |
| C1729 |
Cath, drainage |
537 |
466 |
$83K |
| 0241U |
|
13,927 |
12,489 |
$82K |
| 80048 |
|
12,871 |
8,949 |
$78K |
| 70491 |
|
544 |
514 |
$77K |
| J2270 |
Morphine sulfate injection |
12,753 |
9,735 |
$77K |
| 92523 |
|
673 |
663 |
$74K |
| 73140 |
|
1,506 |
1,378 |
$74K |
| 96415 |
|
585 |
358 |
$73K |
| 85025 |
|
123,199 |
96,847 |
$72K |
| 84112 |
|
1,316 |
1,156 |
$71K |
| 97165 |
|
588 |
571 |
$65K |
| J2765 |
Metoclopramide hcl injection |
5,867 |
4,890 |
$65K |
| 96366 |
|
3,685 |
2,235 |
$65K |
| 71045 |
|
40,796 |
33,884 |
$64K |
| G0463 |
Hospital outpt clinic visit |
2,625 |
1,823 |
$62K |
| 73110 |
|
2,374 |
2,117 |
$62K |
| 87077 |
|
6,924 |
6,315 |
$60K |
| A9270 |
Non-covered item or service |
22,220 |
8,341 |
$57K |
| 76856 |
|
3,857 |
3,631 |
$56K |
| 94644 |
|
5,679 |
5,074 |
$54K |
| 99202 |
|
1,158 |
1,128 |
$54K |
| J2001 |
Lidocaine injection |
300 |
266 |
$53K |
| 87015 |
|
1,591 |
1,482 |
$53K |
| 73080 |
|
1,725 |
1,543 |
$51K |
| 92526 |
|
911 |
417 |
$50K |
| 76818 |
|
1,767 |
1,468 |
$49K |
| J3010 |
Fentanyl citrate injection |
5,655 |
4,221 |
$49K |
| 93017 |
|
1,601 |
1,465 |
$47K |
| 99214 |
|
789 |
733 |
$45K |
| J0360 |
Hydralazine hcl injection |
1,723 |
1,174 |
$45K |
| 12002 |
|
833 |
770 |
$44K |
| 76801 |
|
5,309 |
4,346 |
$43K |
| 70486 |
|
1,008 |
906 |
$41K |
| 87210 |
|
6,630 |
6,231 |
$38K |
| 73030 |
|
2,963 |
2,485 |
$38K |
| J2250 |
Inj midazolam hydrochloride |
1,476 |
1,373 |
$37K |
| J3420 |
Vitamin b12 injection |
306 |
188 |
$36K |
| J1630 |
Haloperidol injection |
597 |
487 |
$36K |
| 85610 |
|
20,915 |
16,238 |
$35K |
| 93005 |
|
47,276 |
37,636 |
$35K |
| 93970 |
|
2,668 |
2,363 |
$34K |
| 76830 |
|
2,617 |
2,444 |
$34K |
| 73590 |
|
2,190 |
1,893 |
$34K |
| 97166 |
|
340 |
326 |
$34K |
| 93971 |
|
1,655 |
1,448 |
$32K |
| C1769 |
Guide wire |
1,558 |
1,263 |
$32K |
| 73090 |
|
1,822 |
1,569 |
$31K |
| 71260 |
|
1,021 |
887 |
$30K |
| 11042 |
|
358 |
226 |
$30K |
| 76815 |
|
1,711 |
1,559 |
$30K |
| 70250 |
|
488 |
478 |
$29K |
| 80076 |
|
45,237 |
39,304 |
$27K |
| 97140 |
|
2,528 |
1,069 |
$26K |
| 76817 |
|
4,191 |
3,340 |
$26K |
| 87430 |
|
16,132 |
15,477 |
$25K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
161 |
118 |
$25K |
| 77336 |
|
41 |
14 |
$25K |
| 76770 |
|
1,415 |
1,322 |
$25K |
| 84484 |
|
41,335 |
25,435 |
$24K |
| 99212 |
|
354 |
318 |
$24K |
| 82565 |
|
110,435 |
85,523 |
$23K |
| 87507 |
|
917 |
886 |
$22K |
| 72050 |
|
1,107 |
992 |
$21K |
| 80061 |
|
4,762 |
4,235 |
$21K |
| 96375 |
|
40,562 |
31,952 |
$20K |
| 86870 |
|
4,647 |
4,072 |
$20K |
| 72110 |
|
2,590 |
2,312 |
$19K |
| 47562 |
|
12 |
12 |
$19K |
| 82947 |
|
108,948 |
86,809 |
$18K |
| 70360 |
|
559 |
538 |
$18K |
| 93458 |
|
46 |
40 |
$17K |
| 88305 |
|
3,120 |
2,715 |
$17K |
| 73502 |
|
1,766 |
1,502 |
$17K |
| J1756 |
Iron sucrose injection |
958 |
306 |
$16K |
| 76819 |
|
379 |
193 |
$15K |
| 52000 |
|
27 |
24 |
$15K |
| 84520 |
|
92,225 |
76,886 |
$14K |
| 97112 |
|
524 |
226 |
$14K |
| S0028 |
Injection, famotidine, 20 mg |
114 |
80 |
$13K |
| 82306 |
|
1,132 |
1,061 |
$13K |
| 36430 |
|
145 |
112 |
$12K |
| 97116 |
|
982 |
449 |
$12K |
| 45380 |
|
28 |
26 |
$12K |
| 85730 |
|
11,885 |
10,013 |
$12K |
| 73552 |
|
966 |
849 |
$12K |
| 73060 |
|
760 |
637 |
$12K |
| 69436 |
|
56 |
56 |
$12K |
| 86850 |
|
3,415 |
3,173 |
$12K |
| 92610 |
|
265 |
244 |
$12K |
| J1200 |
Diphenhydramine hcl injectio |
7,046 |
5,821 |
$11K |
| 29125 |
|
1,852 |
1,713 |
$11K |
| 24640 |
|
59 |
58 |
$11K |
| J1644 |
Inj heparin sodium per 1000u |
2,271 |
1,035 |
$11K |
| J2930 |
Methylprednisolone injection |
4,959 |
4,153 |
$11K |
| 83036 |
|
4,552 |
4,076 |
$11K |
| 70553 |
|
47 |
44 |
$10K |
| 82805 |
|
2,891 |
2,434 |
$10K |
| 82247 |
|
1,555 |
1,131 |
$10K |
| 73660 |
|
237 |
217 |
$10K |
| 76870 |
|
622 |
584 |
$10K |
| 86140 |
|
5,925 |
5,294 |
$10K |
| 83735 |
|
13,851 |
10,505 |
$10K |
| 72072 |
|
841 |
757 |
$10K |
| J2505 |
Injection, pegfilgrastim 6mg |
22 |
12 |
$9K |
| 87905 |
|
6,582 |
6,182 |
$9K |
| 83880 |
|
9,271 |
7,842 |
$9K |
| 84443 |
|
7,767 |
6,828 |
$9K |
| J0690 |
Cefazolin sodium injection |
3,792 |
2,985 |
$8K |
| C1894 |
Intro/sheath, non-laser |
1,151 |
963 |
$8K |
| 82607 |
|
1,653 |
1,522 |
$7K |
| 72131 |
|
200 |
167 |
$7K |
| 87491 |
|
6,449 |
6,043 |
$7K |
| 70210 |
|
696 |
670 |
$7K |
| 29515 |
|
1,457 |
1,372 |
$7K |
| 87205 |
|
17,619 |
16,353 |
$7K |
| 86803 |
|
1,196 |
1,134 |
$7K |
| 87040 |
|
10,839 |
8,052 |
$6K |
| 74022 |
|
1,992 |
1,831 |
$6K |
| 96376 |
|
8,985 |
5,747 |
$6K |
| 85379 |
|
8,543 |
7,492 |
$6K |
| J7510 |
Prednisolone oral per 5 mg |
320 |
317 |
$6K |
| 74174 |
|
50 |
48 |
$6K |
| 71250 |
|
184 |
152 |
$6K |
| 99201 |
|
580 |
560 |
$6K |
| 00840 |
|
470 |
439 |
$6K |
| 88342 |
|
1,512 |
1,316 |
$6K |
| 85027 |
|
3,326 |
2,668 |
$5K |
| 71101 |
|
381 |
333 |
$5K |
| 95816 |
|
42 |
40 |
$5K |
| 88307 |
|
215 |
161 |
$5K |
| 87075 |
|
729 |
589 |
$5K |
| 85014 |
|
21,665 |
17,170 |
$5K |
| 97010 |
|
58 |
28 |
$5K |
| 84439 |
|
3,394 |
3,093 |
$5K |
| 84132 |
|
2,892 |
2,360 |
$5K |
| 72100 |
|
423 |
392 |
$4K |
| 72170 |
|
767 |
651 |
$4K |
| 74019 |
|
421 |
408 |
$4K |
| G0382 |
Lev 3 hosp type b ed visit |
408 |
352 |
$4K |
| 70496 |
|
34 |
25 |
$4K |
| 83690 |
|
33,300 |
28,822 |
$4K |
| 76937 |
|
436 |
371 |
$4K |
| 84156 |
|
1,373 |
1,106 |
$4K |
| 76377 |
|
473 |
459 |
$4K |
| 97597 |
|
30 |
24 |
$4K |
| 77300 |
|
15 |
13 |
$4K |
| 86308 |
|
1,101 |
1,049 |
$4K |
| 86900 |
|
7,923 |
7,080 |
$4K |
| P9016 |
Rbc leukocytes reduced |
354 |
269 |
$3K |
| 82310 |
|
3,556 |
3,159 |
$3K |
| G0480 |
Drug test def 1-7 classes |
3,506 |
2,750 |
$3K |
| 49083 |
|
42 |
25 |
$3K |
| 90471 |
|
3,006 |
2,491 |
$3K |
| 82550 |
|
4,325 |
3,690 |
$3K |
| 82570 |
|
1,346 |
1,158 |
$3K |
| A9577 |
Inj multihance |
58 |
51 |
$3K |
| 82553 |
|
4,069 |
3,486 |
$3K |
| 82657 |
|
30 |
24 |
$3K |
| C1725 |
Cath, translumin non-laser |
14 |
12 |
$3K |
| 87186 |
|
5,341 |
4,879 |
$3K |
| 29105 |
|
362 |
332 |
$3K |
| 29505 |
|
627 |
599 |
$3K |
| 82728 |
|
1,196 |
867 |
$3K |
| 88300 |
|
49 |
46 |
$3K |
| G8978 |
Mobility current status |
298 |
234 |
$3K |
| 87426 |
|
31,628 |
30,357 |
$3K |
| 83605 |
|
8,298 |
6,455 |
$3K |
| 90714 |
|
2,306 |
1,995 |
$2K |
| 86901 |
|
7,857 |
7,020 |
$2K |
| J1650 |
Inj enoxaparin sodium |
7,085 |
3,306 |
$2K |
| G0238 |
Oth resp proc, indiv |
765 |
725 |
$2K |
| 88304 |
|
941 |
875 |
$2K |
| 84100 |
|
2,974 |
2,412 |
$2K |
| 97602 |
|
81 |
54 |
$2K |
| G8979 |
Mobility goal status |
598 |
468 |
$2K |
| 97113 |
|
36 |
15 |
$2K |
| 85651 |
|
4,755 |
4,332 |
$2K |
| J2060 |
Lorazepam injection |
3,684 |
2,849 |
$2K |
| 69200 |
|
12 |
12 |
$2K |
| J1170 |
Hydromorphone injection |
2,999 |
2,272 |
$2K |
| J7060 |
5% dextrose/water |
42 |
25 |
$2K |
| 87798 |
|
13,643 |
13,107 |
$1K |
| 84145 |
|
2,159 |
1,899 |
$1K |
| 87081 |
|
390 |
320 |
$1K |
| 84481 |
|
2,348 |
2,147 |
$1K |
| J2360 |
Orphenadrine injection |
3,381 |
2,914 |
$1K |
| 29130 |
|
265 |
252 |
$1K |
| M0243 |
Casirivi and imdevi inj |
583 |
551 |
$1K |
| 87808 |
|
6,757 |
6,329 |
$908.78 |
| 87340 |
|
292 |
253 |
$845.22 |
| 82140 |
|
749 |
586 |
$809.78 |
| 96402 |
|
14 |
12 |
$809.54 |
| 87651 |
|
7,909 |
7,753 |
$770.81 |
| 87147 |
|
1,493 |
1,424 |
$724.45 |
| 72040 |
|
107 |
87 |
$711.78 |
| 73100 |
|
14 |
12 |
$710.97 |
| 70160 |
|
12 |
12 |
$655.00 |
| 80164 |
|
294 |
215 |
$647.08 |
| 93880 |
|
82 |
68 |
$605.60 |
| 70498 |
|
16 |
12 |
$601.44 |
| 73560 |
|
93 |
77 |
$577.80 |
| 97535 |
|
32 |
26 |
$574.78 |
| 69209 |
|
55 |
53 |
$574.10 |
| G0381 |
Lev 2 hosp type b ed visit |
17 |
16 |
$540.38 |
| 80143 |
|
1,201 |
1,047 |
$532.57 |
| 96417 |
|
565 |
337 |
$511.18 |
| 80069 |
|
98 |
66 |
$510.98 |
| 87581 |
|
13,502 |
12,984 |
$407.06 |
| G8980 |
Mobility d/c status |
467 |
360 |
$392.75 |
| 86769 |
|
184 |
169 |
$391.93 |
| 0002A |
|
92 |
81 |
$360.00 |
| 83540 |
|
548 |
493 |
$349.35 |
| J2543 |
Piperacillin/tazobactam |
1,426 |
767 |
$322.15 |
| 86141 |
|
3,115 |
2,869 |
$320.45 |
| 83615 |
|
750 |
561 |
$309.45 |
| 97164 |
|
13 |
13 |
$309.12 |
| 80329 |
|
52 |
43 |
$261.02 |
| 82010 |
|
1,135 |
956 |
$258.50 |
| 84550 |
|
266 |
229 |
$250.04 |
| 86706 |
|
50 |
46 |
$230.94 |
| M0222 |
Bebtelovimab injection |
89 |
83 |
$221.97 |
| 82077 |
|
3,026 |
2,560 |
$212.85 |
| 85045 |
|
1,069 |
830 |
$191.12 |
| 73620 |
|
68 |
64 |
$162.86 |
| J1642 |
Inj heparin sodium per 10 u |
39 |
22 |
$160.06 |
| J7626 |
Budesonide non-comp unit |
102 |
41 |
$147.35 |
| 82150 |
|
1,205 |
1,146 |
$144.03 |
| 87591 |
|
498 |
479 |
$138.80 |
| 90686 |
|
475 |
400 |
$137.27 |
| 0012A |
|
196 |
177 |
$136.78 |
| 82248 |
|
1,109 |
915 |
$133.62 |
| J0780 |
Prochlorperazine injection |
1,464 |
1,284 |
$122.69 |
| 86592 |
|
83 |
77 |
$117.62 |
| J2785 |
Regadenoson injection |
1,304 |
1,172 |
$117.33 |
| 10061 |
|
13 |
13 |
$107.94 |
| 0011A |
|
209 |
184 |
$101.64 |
| 86923 |
|
199 |
157 |
$100.92 |
| 84466 |
|
250 |
216 |
$97.14 |
| 87045 |
|
1,292 |
1,254 |
$95.61 |
| 86780 |
|
243 |
220 |
$93.13 |
| 82746 |
|
187 |
167 |
$91.53 |
| 73120 |
|
14 |
12 |
$88.98 |
| 99406 |
|
64 |
54 |
$86.40 |
| 0001A |
|
88 |
80 |
$84.70 |
| 82330 |
|
993 |
904 |
$84.39 |
| 87427 |
|
2,194 |
1,245 |
$75.06 |
| 76000 |
|
14 |
12 |
$73.02 |
| 76882 |
|
13 |
12 |
$71.05 |
| J0500 |
Dicyclomine injection |
350 |
320 |
$69.65 |
| 87046 |
|
1,205 |
1,172 |
$68.10 |
| J2710 |
Neostigmine methylslfte inj |
19 |
15 |
$59.82 |
| 87899 |
|
61 |
57 |
$59.65 |
| G1004 |
Cdsm ndsc |
1,147 |
885 |
$57.57 |
| 87389 |
|
231 |
215 |
$56.77 |
| 85055 |
|
258 |
192 |
$53.93 |
| 80185 |
|
43 |
28 |
$50.82 |
| 89051 |
|
194 |
166 |
$39.57 |
| 73000 |
|
12 |
12 |
$36.77 |
| 94760 |
|
1,062 |
677 |
$35.01 |
| J0561 |
Penicillin g benzathine inj |
28 |
28 |
$33.65 |
| G1011 |
Cdsm qualified nos |
83 |
77 |
$23.58 |
| J1953 |
Levetiracetam injection |
520 |
378 |
$20.95 |
| 80179 |
|
1,148 |
1,005 |
$14.40 |
| J2300 |
Inj nalbuphine hydrochloride |
12 |
12 |
$10.21 |
| J3411 |
Thiamine hcl 100 mg |
351 |
241 |
$10.16 |
| 85018 |
|
153 |
84 |
$10.11 |
| J3475 |
Inj magnesium sulfate |
1,135 |
825 |
$6.08 |
| J2920 |
Methylprednisolone injection |
1,377 |
712 |
$4.11 |
| Q0163 |
Diphenhydramine hcl 50mg |
649 |
609 |
$1.53 |
| J1790 |
Droperidol injection |
487 |
436 |
$1.10 |
| J0280 |
Aminophyllin 250 mg inj |
313 |
278 |
$0.00 |
| J1940 |
Furosemide injection |
1,146 |
547 |
$0.00 |
| 87154 |
|
12 |
12 |
$0.00 |
| J0456 |
Azithromycin |
47 |
28 |
$0.00 |
| J3360 |
Diazepam injection |
54 |
49 |
$0.00 |
| 82435 |
|
54 |
47 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
31 |
26 |
$0.00 |
| 87206 |
|
15 |
12 |
$0.00 |
| S0074 |
Injection, cefotetan disodiu |
21 |
17 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
26 |
24 |
$0.00 |
| G8998 |
Swallow d/c status |
72 |
56 |
$0.00 |
| 00790 |
|
44 |
41 |
$0.00 |
| 82945 |
|
27 |
27 |
$0.00 |
| 84157 |
|
27 |
27 |
$0.00 |
| 96368 |
|
47 |
25 |
$0.00 |
| J1815 |
Insulin injection |
21 |
15 |
$0.00 |
| 80320 |
|
33 |
32 |
$0.00 |
| 51702 |
|
18 |
13 |
$0.00 |
| 87150 |
|
228 |
119 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
137 |
74 |
$0.00 |
| 00170 |
|
28 |
27 |
$0.00 |
| G8997 |
Swallow goal status |
71 |
56 |
$0.00 |
| J1956 |
Levofloxacin injection |
88 |
59 |
$0.00 |
| 84295 |
|
56 |
48 |
$0.00 |
| M0239 |
Bamlanivimab-xxxx infusion |
40 |
38 |
$0.00 |
| 76802 |
|
17 |
15 |
$0.00 |
| 51701 |
|
19 |
18 |
$0.00 |
| J3105 |
Terbutaline sulfate inj |
14 |
12 |
$0.00 |
| M0245 |
Bamlan and etesev infusion |
36 |
36 |
$0.00 |
| C1887 |
Catheter, guiding |
16 |
12 |
$0.00 |
| M0247 |
Sotrovimab infusion |
14 |
13 |
$0.00 |
| C1788 |
Port, indwelling, imp |
19 |
16 |
$0.00 |