| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
132,379 |
124,904 |
$33.18M |
| 99283 |
|
182,403 |
172,526 |
$31.05M |
| 99285 |
|
74,575 |
69,286 |
$24.41M |
| 74177 |
|
14,704 |
13,971 |
$7.67M |
| 74176 |
|
16,213 |
15,440 |
$3.00M |
| 99282 |
|
27,180 |
26,321 |
$2.76M |
| 71275 |
|
4,039 |
3,823 |
$1.85M |
| 99291 |
|
1,761 |
1,659 |
$1.53M |
| 70450 |
|
15,971 |
15,181 |
$1.08M |
| 72125 |
|
5,191 |
4,988 |
$911K |
| G0378 |
Hospital observation per hr |
6,111 |
2,513 |
$273K |
| 71260 |
|
1,028 |
987 |
$243K |
| 72131 |
|
1,591 |
1,541 |
$206K |
| 70491 |
|
395 |
380 |
$148K |
| 70496 |
|
295 |
283 |
$129K |
| 10060 |
|
2,958 |
2,860 |
$128K |
| 99281 |
|
2,399 |
2,338 |
$122K |
| 96361 |
|
31,904 |
26,509 |
$89K |
| 70486 |
|
2,806 |
2,706 |
$87K |
| 47562 |
|
15 |
13 |
$54K |
| 74174 |
|
65 |
64 |
$36K |
| 96375 |
|
40,812 |
34,841 |
$33K |
| 96374 |
|
51,228 |
47,400 |
$24K |
| J0561 |
Penicillin g benzathine inj |
1,596 |
1,546 |
$24K |
| 96366 |
|
6,283 |
4,679 |
$24K |
| 96372 |
|
41,938 |
33,976 |
$18K |
| 80053 |
|
93,791 |
83,364 |
$17K |
| 71250 |
|
1,835 |
1,738 |
$14K |
| 96365 |
|
15,525 |
14,018 |
$13K |
| 96376 |
|
9,385 |
6,210 |
$12K |
| 93005 |
|
33,230 |
30,072 |
$12K |
| 70498 |
|
305 |
295 |
$11K |
| 71046 |
|
30,831 |
29,537 |
$10K |
| 0241U |
|
13,916 |
13,460 |
$9K |
| 71045 |
|
34,665 |
32,770 |
$8K |
| 93976 |
|
3,639 |
3,475 |
$7K |
| 87502 |
|
24,332 |
23,590 |
$6K |
| 76705 |
|
5,302 |
5,052 |
$6K |
| 87651 |
|
35,539 |
33,805 |
$6K |
| 94640 |
|
20,380 |
14,358 |
$6K |
| 85025 |
|
85,511 |
75,592 |
$6K |
| 12001 |
|
3,855 |
3,780 |
$5K |
| J3490 |
Drugs unclassified injection |
25,539 |
21,008 |
$4K |
| 84703 |
|
20,249 |
19,051 |
$4K |
| U0003 |
Cov-19 amp prb hgh thruput |
13,483 |
13,023 |
$4K |
| 76856 |
|
4,335 |
4,130 |
$4K |
| 96360 |
|
6,337 |
5,981 |
$3K |
| 93971 |
|
3,391 |
3,202 |
$3K |
| 73610 |
|
7,164 |
6,893 |
$3K |
| J7030 |
Normal saline solution infus |
32,500 |
27,552 |
$3K |
| 12002 |
|
1,505 |
1,484 |
$3K |
| 87491 |
|
11,195 |
8,563 |
$3K |
| 76817 |
|
2,835 |
2,667 |
$2K |
| 84484 |
|
24,644 |
21,496 |
$2K |
| 81003 |
|
61,495 |
57,956 |
$2K |
| 72128 |
|
122 |
116 |
$2K |
| 96367 |
|
2,009 |
1,714 |
$2K |
| 74018 |
|
5,008 |
4,877 |
$2K |
| 83880 |
|
6,568 |
6,041 |
$2K |
| 73562 |
|
6,745 |
6,317 |
$2K |
| 85379 |
|
9,364 |
8,884 |
$2K |
| 81025 |
|
32,054 |
30,594 |
$2K |
| 73630 |
|
8,379 |
8,040 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
14,057 |
13,387 |
$2K |
| 76830 |
|
2,340 |
2,239 |
$2K |
| 93975 |
|
1,878 |
1,789 |
$2K |
| 84702 |
|
7,419 |
6,949 |
$1K |
| 12011 |
|
2,530 |
2,471 |
$1K |
| 73030 |
|
5,049 |
4,709 |
$1K |
| 76801 |
|
3,256 |
3,056 |
$1K |
| 73110 |
|
4,866 |
4,665 |
$1K |
| 73130 |
|
7,363 |
7,041 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
52,259 |
48,367 |
$1K |
| 76805 |
|
637 |
616 |
$1K |
| 71100 |
|
1,612 |
1,529 |
$1K |
| 87591 |
|
5,999 |
5,841 |
$989.93 |
| 87086 |
|
18,587 |
17,682 |
$954.09 |
| 87631 |
|
1,934 |
1,900 |
$934.30 |
| 93970 |
|
409 |
391 |
$874.63 |
| J2405 |
Ondansetron hcl injection |
39,994 |
35,457 |
$820.39 |
| 87040 |
|
10,211 |
5,726 |
$727.86 |
| 73700 |
|
193 |
180 |
$716.37 |
| J2543 |
Piperacillin/tazobactam |
4,407 |
2,843 |
$710.19 |
| 74019 |
|
1,795 |
1,751 |
$693.20 |
| 73140 |
|
2,949 |
2,828 |
$691.89 |
| 85610 |
|
7,768 |
7,195 |
$626.31 |
| 83690 |
|
13,443 |
12,283 |
$621.34 |
| 87635 |
|
10,562 |
10,316 |
$620.72 |
| 29125 |
|
2,118 |
2,036 |
$613.39 |
| 87510 |
|
3,753 |
3,500 |
$604.31 |
| 87480 |
|
3,756 |
3,502 |
$604.19 |
| 36415 |
|
43,817 |
37,026 |
$595.10 |
| J1100 |
Dexamethasone sodium phos |
19,878 |
18,696 |
$542.93 |
| 72100 |
|
3,395 |
3,304 |
$538.19 |
| 29130 |
|
878 |
844 |
$536.07 |
| J0690 |
Cefazolin sodium injection |
788 |
669 |
$528.87 |
| 90715 |
|
6,589 |
6,444 |
$517.28 |
| 87070 |
|
1,788 |
1,695 |
$513.13 |
| 94664 |
|
3,666 |
3,250 |
$508.50 |
| 87660 |
|
3,832 |
3,492 |
$479.11 |
| 73080 |
|
2,887 |
2,781 |
$448.28 |
| 87420 |
|
1,073 |
1,063 |
$427.98 |
| J7120 |
Ringers lactate infusion |
4,772 |
4,345 |
$423.30 |
| 73590 |
|
1,932 |
1,825 |
$422.81 |
| 80306 |
|
9,831 |
9,339 |
$412.98 |
| 80051 |
|
2,472 |
2,364 |
$375.70 |
| 82150 |
|
6,591 |
6,165 |
$354.97 |
| 83605 |
|
10,935 |
9,571 |
$347.08 |
| 87661 |
|
1,526 |
1,334 |
$327.62 |
| A9270 |
Non-covered item or service |
28,943 |
17,873 |
$290.03 |
| J2270 |
Morphine sulfate injection |
17,580 |
13,600 |
$273.67 |
| 72040 |
|
1,795 |
1,751 |
$256.56 |
| J2765 |
Metoclopramide hcl injection |
6,802 |
6,222 |
$236.05 |
| 87186 |
|
1,750 |
1,696 |
$233.80 |
| J0696 |
Ceftriaxone sodium injection |
15,279 |
13,892 |
$225.41 |
| 73502 |
|
1,604 |
1,537 |
$224.06 |
| 83735 |
|
5,553 |
4,549 |
$211.33 |
| 82565 |
|
5,272 |
5,012 |
$153.04 |
| 82803 |
|
3,014 |
2,682 |
$146.59 |
| 82553 |
|
1,037 |
965 |
$145.54 |
| 81001 |
|
16,117 |
15,299 |
$142.91 |
| J2360 |
Orphenadrine injection |
6,121 |
5,851 |
$132.02 |
| 82947 |
|
6,497 |
6,038 |
$130.44 |
| J2930 |
Methylprednisolone injection |
3,981 |
3,582 |
$124.33 |
| 90471 |
|
6,623 |
6,472 |
$119.20 |
| 87634 |
|
2,714 |
2,626 |
$118.55 |
| 84520 |
|
5,251 |
4,984 |
$116.68 |
| 81513 |
|
200 |
194 |
$114.10 |
| 82550 |
|
7,137 |
6,597 |
$104.76 |
| 76870 |
|
763 |
731 |
$93.87 |
| 76815 |
|
288 |
282 |
$92.62 |
| 31500 |
|
13 |
13 |
$85.47 |
| J1200 |
Diphenhydramine hcl injectio |
9,631 |
8,857 |
$85.04 |
| 73660 |
|
633 |
601 |
$81.70 |
| 96368 |
|
912 |
843 |
$81.48 |
| 29515 |
|
600 |
577 |
$81.17 |
| J2060 |
Lorazepam injection |
5,170 |
4,461 |
$80.96 |
| 82962 |
|
5,855 |
3,327 |
$74.31 |
| 86900 |
|
2,035 |
1,838 |
$70.02 |
| 80048 |
|
3,361 |
2,821 |
$65.43 |
| J7512 |
Prednisone ir or dr oral 1mg |
6,653 |
6,311 |
$65.12 |
| 87077 |
|
2,066 |
1,998 |
$60.24 |
| J3370 |
Vancomycin hcl injection |
2,753 |
1,812 |
$58.01 |
| S0028 |
Injection, famotidine, 20 mg |
603 |
514 |
$54.00 |
| J1630 |
Haloperidol injection |
1,535 |
1,304 |
$54.00 |
| U0002 |
Covid-19 lab test non-cdc |
1,041 |
1,021 |
$51.31 |
| J3010 |
Fentanyl citrate injection |
4,790 |
4,115 |
$50.82 |
| 72072 |
|
424 |
413 |
$49.37 |
| 87428 |
|
518 |
515 |
$42.00 |
| 80076 |
|
1,972 |
1,900 |
$41.16 |
| J0456 |
Azithromycin |
969 |
751 |
$41.10 |
| 73564 |
|
86 |
82 |
$39.73 |
| 74021 |
|
1,017 |
974 |
$37.40 |
| 84443 |
|
1,595 |
1,441 |
$36.02 |
| J2550 |
Promethazine hcl injection |
3,124 |
2,722 |
$33.83 |
| 86308 |
|
742 |
716 |
$32.72 |
| J1170 |
Hydromorphone injection |
3,410 |
2,722 |
$32.46 |
| 87481 |
|
204 |
194 |
$31.19 |
| 73090 |
|
1,878 |
1,775 |
$29.81 |
| 86901 |
|
2,760 |
2,383 |
$25.30 |
| 70360 |
|
82 |
80 |
$24.82 |
| J7050 |
Normal saline solution infus |
1,814 |
1,473 |
$21.26 |
| J1790 |
Droperidol injection |
1,115 |
1,034 |
$20.75 |
| C9113 |
Inj pantoprazole sodium, via |
2,301 |
1,940 |
$19.66 |
| 85027 |
|
3,326 |
2,913 |
$14.05 |
| J0780 |
Prochlorperazine injection |
1,614 |
1,514 |
$12.84 |
| J1650 |
Inj enoxaparin sodium |
950 |
610 |
$11.47 |
| 80047 |
|
247 |
224 |
$10.90 |
| 84295 |
|
2,774 |
2,634 |
$8.32 |
| 84132 |
|
2,901 |
2,742 |
$8.20 |
| J1940 |
Furosemide injection |
1,046 |
841 |
$8.06 |
| J3480 |
Inj potassium chloride |
1,762 |
1,274 |
$7.86 |
| 82435 |
|
2,764 |
2,629 |
$7.61 |
| 84100 |
|
1,127 |
773 |
$6.50 |
| 82374 |
|
2,761 |
2,627 |
$6.24 |
| J3475 |
Inj magnesium sulfate |
1,313 |
1,184 |
$5.67 |
| J7040 |
Normal saline solution infus |
2,568 |
2,418 |
$5.40 |
| J2919 |
Inj, methylpred sod succ 5mg |
239 |
203 |
$4.87 |
| 86140 |
|
459 |
426 |
$4.60 |
| J0360 |
Hydralazine hcl injection |
508 |
436 |
$4.11 |
| 85007 |
|
2,282 |
2,004 |
$2.71 |
| J7510 |
Prednisolone oral per 5 mg |
1,579 |
1,512 |
$1.04 |
| 29530 |
|
752 |
732 |
$0.00 |
| 87400 |
|
21 |
20 |
$0.00 |
| J0744 |
Ciprofloxacin iv |
15 |
12 |
$0.00 |
| Q0243 |
Casirivimab and imdevimab |
176 |
169 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
82 |
73 |
$0.00 |
| J1980 |
Hyoscyamine sulfate inj |
393 |
339 |
$0.00 |
| 51702 |
|
147 |
127 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
166 |
83 |
$0.00 |
| 69209 |
|
107 |
103 |
$0.00 |
| 72070 |
|
204 |
196 |
$0.00 |
| 82272 |
|
126 |
118 |
$0.00 |
| J1956 |
Levofloxacin injection |
216 |
147 |
$0.00 |
| 29105 |
|
393 |
381 |
$0.00 |
| M0222 |
Bebtelovimab injection |
17 |
17 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
110 |
71 |
$0.00 |
| 87149 |
|
26 |
16 |
$0.00 |
| J0736 |
Inj, clindamycin phosp 300mg |
13 |
12 |
$0.00 |
| 84439 |
|
12 |
12 |
$0.00 |
| 51701 |
|
12 |
12 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
27 |
27 |
$0.00 |
| 86922 |
|
34 |
25 |
$0.00 |
| 76770 |
|
26 |
25 |
$0.00 |
| 36600 |
|
29 |
24 |
$0.00 |
| 73100 |
|
14 |
12 |
$0.00 |
| 76802 |
|
13 |
12 |
$0.00 |
| P9016 |
Rbc leukocytes reduced |
16 |
12 |
$0.00 |
| 16020 |
|
12 |
12 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
13 |
13 |
$0.00 |
| 69200 |
|
12 |
12 |
$0.00 |
| 72220 |
|
12 |
12 |
$0.00 |
| 70487 |
|
12 |
12 |
$0.00 |
| 80329 |
|
1,859 |
1,017 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
1,464 |
1,268 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
80 |
79 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
545 |
489 |
$0.00 |
| 85730 |
|
1,026 |
928 |
$0.00 |
| 85652 |
|
382 |
352 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
2,004 |
1,496 |
$0.00 |
| 71101 |
|
356 |
350 |
$0.00 |
| 74022 |
|
263 |
254 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
89 |
83 |
$0.00 |
| 88304 |
|
191 |
182 |
$0.00 |
| J1815 |
Insulin injection |
1,271 |
784 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
112 |
108 |
$0.00 |
| 80320 |
|
2,219 |
1,984 |
$0.00 |
| 94010 |
|
81 |
75 |
$0.00 |
| 64400 |
|
25 |
25 |
$0.00 |
| J2920 |
Methylprednisolone injection |
156 |
87 |
$0.00 |
| 73060 |
|
230 |
218 |
$0.00 |
| J2001 |
Lidocaine injection |
480 |
350 |
$0.00 |
| 73552 |
|
268 |
252 |
$0.00 |
| 86885 |
|
121 |
113 |
$0.00 |
| 94760 |
|
274 |
258 |
$0.00 |
| 94644 |
|
32 |
30 |
$0.00 |
| J3360 |
Diazepam injection |
12 |
12 |
$0.00 |
| 71020 |
|
21 |
21 |
$0.00 |
| 87147 |
|
80 |
76 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
226 |
211 |
$0.00 |
| 72170 |
|
93 |
91 |
$0.00 |
| 86850 |
|
82 |
77 |
$0.00 |
| J3030 |
Sumatriptan succinate / 6 mg |
91 |
82 |
$0.00 |
| 73620 |
|
57 |
56 |
$0.00 |
| 99406 |
|
51 |
47 |
$0.00 |
| 83036 |
|
44 |
43 |
$0.00 |
| M0243 |
Casirivi and imdevi inj |
181 |
175 |
$0.00 |
| Q0222 |
Bebtelovimab 175 mg |
19 |
19 |
$0.00 |
| 87205 |
|
14 |
13 |
$0.00 |
| 93979 |
|
19 |
18 |
$0.00 |
| 87081 |
|
28 |
27 |
$0.00 |
| 76700 |
|
49 |
48 |
$0.00 |
| 11730 |
|
44 |
44 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
25 |
24 |
$0.00 |
| J8540 |
Oral dexamethasone |
12 |
12 |
$0.00 |
| Q0162 |
Ondansetron oral |
61 |
59 |
$0.00 |