| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
52,135 |
46,933 |
$14.95M |
| 99284 |
|
7,129 |
6,689 |
$2.48M |
| 99282 |
|
6,057 |
5,820 |
$1.25M |
| G0378 |
Hospital observation per hr |
3,892 |
2,448 |
$986K |
| 74177 |
|
4,232 |
4,085 |
$852K |
| 0450 |
|
10,811 |
9,937 |
$561K |
| 70450 |
|
6,002 |
5,764 |
$373K |
| 74176 |
|
3,348 |
3,225 |
$314K |
| 71045 |
|
10,387 |
9,707 |
$288K |
| 99499 |
|
1,853 |
1,690 |
$234K |
| 71046 |
|
6,216 |
5,971 |
$218K |
| 87636 |
|
12,366 |
11,989 |
$174K |
| 76705 |
|
2,816 |
2,693 |
$152K |
| 80051 |
|
42,797 |
35,241 |
$151K |
| 76856 |
|
2,424 |
2,313 |
$151K |
| 71275 |
|
1,003 |
989 |
$141K |
| 86885 |
|
2,752 |
2,537 |
$118K |
| 70551 |
|
860 |
842 |
$112K |
| 76830 |
|
1,777 |
1,698 |
$110K |
| 85025 |
|
41,500 |
35,159 |
$102K |
| 86900 |
|
4,482 |
4,063 |
$92K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,169 |
5,933 |
$77K |
| Z7502 |
|
2,368 |
2,300 |
$76K |
| 76801 |
|
1,337 |
1,153 |
$75K |
| 96374 |
|
9,341 |
8,557 |
$70K |
| 82565 |
|
45,788 |
37,732 |
$69K |
| 84702 |
|
12,512 |
11,279 |
$64K |
| 72148 |
|
392 |
381 |
$58K |
| 70553 |
|
187 |
185 |
$57K |
| 77067 |
|
825 |
825 |
$55K |
| 87088 |
|
9,593 |
9,212 |
$54K |
| 71260 |
|
437 |
435 |
$53K |
| 72125 |
|
688 |
685 |
$52K |
| 99281 |
|
377 |
372 |
$49K |
| 84460 |
|
27,462 |
24,397 |
$49K |
| 87491 |
|
2,541 |
2,349 |
$48K |
| 87591 |
|
2,543 |
2,351 |
$48K |
| 87633 |
|
2,335 |
2,310 |
$42K |
| 82247 |
|
24,896 |
21,899 |
$40K |
| 84520 |
|
38,779 |
32,409 |
$40K |
| 82947 |
|
35,023 |
31,279 |
$39K |
| 96375 |
|
5,997 |
5,554 |
$37K |
| 84484 |
|
17,385 |
12,331 |
$36K |
| 84075 |
|
23,291 |
20,922 |
$36K |
| 84450 |
|
21,833 |
19,842 |
$36K |
| 74174 |
|
163 |
162 |
$36K |
| 83880 |
|
6,813 |
6,417 |
$36K |
| 73630 |
|
1,117 |
1,056 |
$35K |
| 73562 |
|
993 |
920 |
$34K |
| 83690 |
|
16,254 |
15,194 |
$34K |
| 93971 |
|
759 |
722 |
$34K |
| 71250 |
|
426 |
425 |
$32K |
| 86901 |
|
4,480 |
4,062 |
$30K |
| 80307 |
|
2,153 |
1,983 |
$29K |
| 84443 |
|
3,827 |
3,609 |
$28K |
| 76805 |
|
235 |
235 |
$26K |
| J0131 |
Inj, acetaminophen (nos) |
2,462 |
2,298 |
$25K |
| 73610 |
|
829 |
780 |
$24K |
| 81003 |
|
25,917 |
24,344 |
$23K |
| 96365 |
|
2,102 |
1,983 |
$23K |
| 93005 |
|
2,993 |
2,865 |
$22K |
| 83036 |
|
6,244 |
5,907 |
$21K |
| 74018 |
|
422 |
400 |
$21K |
| 73030 |
|
622 |
575 |
$20K |
| J7030 |
Normal saline solution infus |
15,884 |
13,168 |
$19K |
| 85027 |
|
8,273 |
7,032 |
$19K |
| 70496 |
|
111 |
109 |
$18K |
| 82248 |
|
10,545 |
10,020 |
$18K |
| 73130 |
|
656 |
590 |
$18K |
| 80061 |
|
2,487 |
2,397 |
$17K |
| 70498 |
|
107 |
105 |
$17K |
| 94640 |
|
2,153 |
1,816 |
$16K |
| 90686 |
|
1,759 |
1,755 |
$16K |
| 83735 |
|
11,028 |
9,351 |
$16K |
| 0637 |
|
60,566 |
23,528 |
$16K |
| 82310 |
|
9,192 |
8,326 |
$13K |
| 87040 |
|
7,153 |
3,641 |
$13K |
| 87505 |
|
153 |
151 |
$13K |
| 82306 |
|
811 |
763 |
$12K |
| 85610 |
|
10,518 |
8,594 |
$12K |
| 76770 |
|
181 |
179 |
$11K |
| 70486 |
|
92 |
92 |
$11K |
| 87637 |
|
839 |
826 |
$11K |
| 72141 |
|
63 |
63 |
$11K |
| U0003 |
Cov-19 amp prb hgh thruput |
697 |
670 |
$10K |
| 93970 |
|
173 |
170 |
$10K |
| 76816 |
|
95 |
93 |
$9K |
| 73110 |
|
317 |
278 |
$9K |
| 73721 |
|
60 |
55 |
$9K |
| 86141 |
|
2,497 |
2,334 |
$9K |
| 96372 |
|
1,982 |
1,918 |
$9K |
| 82570 |
|
2,970 |
2,659 |
$9K |
| 86780 |
|
967 |
903 |
$8K |
| 87389 |
|
710 |
647 |
$8K |
| 80076 |
|
1,467 |
1,400 |
$8K |
| 83605 |
|
4,159 |
3,214 |
$8K |
| 83970 |
|
474 |
448 |
$8K |
| 76815 |
|
79 |
75 |
$7K |
| 82728 |
|
1,119 |
1,054 |
$7K |
| J1885 |
Ketorolac tromethamine inj |
7,728 |
5,896 |
$7K |
| 70491 |
|
39 |
39 |
$7K |
| 96361 |
|
2,226 |
2,162 |
$7K |
| 96360 |
|
1,062 |
1,044 |
$7K |
| J0696 |
Ceftriaxone sodium injection |
5,440 |
4,621 |
$6K |
| 86803 |
|
612 |
609 |
$6K |
| 76870 |
|
78 |
75 |
$6K |
| 76881 |
|
61 |
60 |
$6K |
| 85379 |
|
1,475 |
1,434 |
$6K |
| 84156 |
|
2,765 |
2,509 |
$5K |
| 87804 |
|
815 |
405 |
$5K |
| J7120 |
Ringers lactate infusion |
1,232 |
1,088 |
$5K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
519 |
377 |
$5K |
| J2405 |
Ondansetron hcl injection |
8,788 |
7,884 |
$5K |
| 93306 |
|
181 |
180 |
$5K |
| 80306 |
|
825 |
804 |
$5K |
| 73590 |
|
111 |
110 |
$5K |
| J2270 |
Morphine sulfate injection |
3,345 |
2,990 |
$4K |
| 87340 |
|
996 |
908 |
$4K |
| 74022 |
|
162 |
155 |
$4K |
| A9585 |
Gadobutrol injection |
148 |
146 |
$4K |
| 0258 |
|
1,609 |
1,446 |
$4K |
| 83615 |
|
1,172 |
1,076 |
$4K |
| 84439 |
|
836 |
791 |
$4K |
| 85730 |
|
2,517 |
2,295 |
$4K |
| 0250 |
|
6,575 |
4,572 |
$4K |
| 83550 |
|
963 |
912 |
$4K |
| 84100 |
|
4,341 |
3,772 |
$4K |
| 76536 |
|
55 |
55 |
$4K |
| 82607 |
|
382 |
372 |
$3K |
| 72131 |
|
45 |
45 |
$3K |
| 87081 |
|
2,251 |
2,192 |
$3K |
| 87497 |
|
101 |
79 |
$3K |
| 90656 |
|
526 |
526 |
$3K |
| 82077 |
|
1,191 |
1,132 |
$3K |
| 83540 |
|
937 |
886 |
$3K |
| J1100 |
Dexamethasone sodium phos |
3,160 |
3,049 |
$3K |
| 85652 |
|
2,119 |
1,993 |
$3K |
| 82040 |
|
1,968 |
1,811 |
$2K |
| 87502 |
|
265 |
260 |
$2K |
| 81513 |
|
29 |
28 |
$2K |
| 82043 |
|
917 |
890 |
$2K |
| 82550 |
|
1,379 |
1,276 |
$2K |
| 84132 |
|
1,349 |
1,125 |
$2K |
| 86762 |
|
387 |
333 |
$2K |
| 76380 |
|
26 |
26 |
$2K |
| 87210 |
|
977 |
891 |
$2K |
| 87635 |
|
144 |
141 |
$2K |
| 87449 |
|
208 |
206 |
$2K |
| 73140 |
|
29 |
28 |
$2K |
| 90688 |
|
102 |
100 |
$2K |
| 82950 |
|
466 |
466 |
$2K |
| 82746 |
|
193 |
192 |
$2K |
| 86787 |
|
388 |
334 |
$2K |
| 80179 |
|
592 |
572 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
1,959 |
1,833 |
$1K |
| 87481 |
|
44 |
43 |
$1K |
| 82962 |
|
1,631 |
1,020 |
$1K |
| 86765 |
|
123 |
123 |
$1K |
| 86923 |
|
17 |
13 |
$1K |
| 82105 |
|
115 |
111 |
$1K |
| 73090 |
|
51 |
49 |
$1K |
| J2765 |
Metoclopramide hcl injection |
2,029 |
1,857 |
$1K |
| 73080 |
|
61 |
53 |
$1K |
| 83520 |
|
236 |
126 |
$1K |
| J3490 |
Drugs unclassified injection |
2,883 |
2,399 |
$1K |
| 87661 |
|
29 |
28 |
$1K |
| 86364 |
|
105 |
105 |
$1K |
| 82805 |
|
61 |
54 |
$1K |
| 84550 |
|
451 |
421 |
$973.13 |
| 73502 |
|
42 |
40 |
$956.21 |
| 0710 |
|
314 |
311 |
$950.37 |
| 80197 |
|
88 |
77 |
$839.69 |
| 87186 |
|
768 |
750 |
$748.10 |
| J1815 |
Insulin injection |
1,755 |
726 |
$733.48 |
| 86704 |
|
88 |
88 |
$624.99 |
| 86317 |
|
59 |
59 |
$616.00 |
| 81015 |
|
286 |
277 |
$584.62 |
| 96367 |
|
100 |
93 |
$510.04 |
| 84165 |
|
137 |
133 |
$502.00 |
| 87631 |
|
111 |
109 |
$494.87 |
| P9021 |
Red blood cells unit |
15 |
13 |
$466.01 |
| 83001 |
|
29 |
29 |
$465.00 |
| J1170 |
Hydromorphone injection |
761 |
497 |
$449.19 |
| 87205 |
|
273 |
220 |
$445.32 |
| 87324 |
|
57 |
56 |
$439.88 |
| G0008 |
Admin influenza virus vac |
1,146 |
1,144 |
$432.89 |
| 84146 |
|
28 |
28 |
$425.00 |
| J2272 |
Inj, morphine (fresenius) |
305 |
249 |
$406.65 |
| 0370 |
|
313 |
310 |
$396.90 |
| J2930 |
Methylprednisolone injection |
557 |
489 |
$383.43 |
| 90471 |
|
829 |
827 |
$381.84 |
| 84403 |
|
25 |
25 |
$372.00 |
| 96366 |
|
54 |
53 |
$354.24 |
| 90662 |
|
189 |
187 |
$338.49 |
| 72100 |
|
24 |
24 |
$333.60 |
| 97161 |
|
213 |
205 |
$315.11 |
| J1650 |
Inj enoxaparin sodium |
687 |
397 |
$285.24 |
| Q0144 |
Azithromycin dihydrate, oral |
43 |
42 |
$281.38 |
| 84153 |
|
39 |
39 |
$255.00 |
| A0429 |
Bls-emergency |
23 |
12 |
$248.00 |
| 86140 |
|
65 |
56 |
$226.57 |
| 82951 |
|
14 |
14 |
$220.00 |
| J3475 |
Inj magnesium sulfate |
583 |
536 |
$212.37 |
| 86038 |
|
28 |
28 |
$210.00 |
| 84295 |
|
74 |
68 |
$202.72 |
| J2919 |
Inj, methylpred sod succ 5mg |
366 |
225 |
$200.32 |
| 86308 |
|
104 |
103 |
$192.49 |
| J2060 |
Lorazepam injection |
308 |
266 |
$191.54 |
| 82784 |
|
14 |
14 |
$189.34 |
| 83021 |
|
121 |
92 |
$187.09 |
| J1836 |
Inj, metronidazole, 10 mg |
125 |
82 |
$144.16 |
| G0480 |
Drug test def 1-7 classes |
13 |
12 |
$112.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
512 |
423 |
$104.39 |
| J2470 |
Inj pantoprazole sodium 40mg |
158 |
126 |
$101.82 |
| 83721 |
|
31 |
26 |
$99.00 |
| 80048 |
|
13 |
13 |
$86.40 |
| J0690 |
Cefazolin sodium injection |
161 |
142 |
$81.94 |
| J3480 |
Inj potassium chloride |
378 |
274 |
$80.96 |
| J0360 |
Hydralazine hcl injection |
111 |
98 |
$71.30 |
| 80053 |
|
12 |
12 |
$70.10 |
| 82952 |
|
14 |
14 |
$70.00 |
| J1644 |
Inj heparin sodium per 1000u |
592 |
280 |
$68.35 |
| 87807 |
|
55 |
54 |
$67.54 |
| J1940 |
Furosemide injection |
535 |
294 |
$66.41 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
19 |
12 |
$66.10 |
| J0737 |
Inj, clindamycin (baxter) |
14 |
12 |
$55.42 |
| J2001 |
Lidocaine injection |
55 |
54 |
$46.67 |
| J0456 |
Azithromycin |
266 |
190 |
$46.26 |
| J0780 |
Prochlorperazine injection |
35 |
33 |
$45.45 |
| 84155 |
|
15 |
12 |
$35.00 |
| 87149 |
|
28 |
28 |
$32.48 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
49 |
36 |
$28.42 |
| C9113 |
Inj pantoprazole sodium, via |
189 |
143 |
$25.39 |
| J7510 |
Prednisolone oral per 5 mg |
117 |
115 |
$23.79 |
| S0119 |
Ondansetron 4 mg |
43 |
43 |
$20.68 |
| J3010 |
Fentanyl citrate injection |
163 |
153 |
$15.18 |
| J2543 |
Piperacillin/tazobactam |
29 |
12 |
$7.70 |
| 85014 |
|
25 |
18 |
$1.72 |
| 84145 |
|
14 |
12 |
$0.00 |
| 92610 |
|
30 |
28 |
$0.00 |
| 81220 |
|
38 |
25 |
$0.00 |
| 90749 |
|
26 |
26 |
$0.00 |
| 99238 |
|
18 |
18 |
$0.00 |
| 3044F |
|
95 |
94 |
$0.00 |
| 88305 |
|
15 |
13 |
$0.00 |