| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
74,654 |
72,253 |
$17.69M |
| 99284 |
|
60,683 |
58,989 |
$15.05M |
| G0378 |
Hospital observation per hr |
7,063 |
6,212 |
$13.63M |
| 42820 |
|
1,097 |
1,084 |
$3.19M |
| 41899 |
|
1,035 |
1,015 |
$1.94M |
| 69436 |
|
827 |
820 |
$1.91M |
| U0003 |
Cov-19 amp prb hgh thruput |
15,083 |
14,026 |
$1.39M |
| 93306 |
|
2,900 |
2,825 |
$1.21M |
| T1015 |
Clinic service |
15,647 |
4,843 |
$941K |
| 97530 |
|
7,825 |
2,902 |
$853K |
| D7140 |
|
668 |
466 |
$790K |
| D2930 |
|
1,372 |
744 |
$660K |
| 93325 |
|
3,482 |
3,340 |
$608K |
| 94010 |
|
6,159 |
5,971 |
$555K |
| 99282 |
|
5,826 |
5,631 |
$545K |
| J1745 |
Infliximab not biosimil 10mg |
788 |
715 |
$537K |
| 95810 |
|
843 |
823 |
$505K |
| 99218 |
|
271 |
232 |
$438K |
| 92507 |
|
4,724 |
1,799 |
$403K |
| D1120 |
|
824 |
762 |
$380K |
| 99285 |
|
2,024 |
1,962 |
$353K |
| 43239 |
|
212 |
198 |
$310K |
| 87635 |
|
10,824 |
10,371 |
$265K |
| 93303 |
|
465 |
457 |
$238K |
| 87633 |
|
4,407 |
4,216 |
$217K |
| D2934 |
|
126 |
124 |
$209K |
| 95782 |
|
229 |
228 |
$207K |
| D1208 |
|
166 |
130 |
$194K |
| 97110 |
|
1,959 |
886 |
$166K |
| 92567 |
|
7,926 |
7,716 |
$158K |
| 85025 |
|
15,734 |
13,206 |
$157K |
| 92579 |
|
2,252 |
2,219 |
$142K |
| 72082 |
|
1,705 |
1,660 |
$117K |
| 93304 |
|
537 |
515 |
$116K |
| 76770 |
|
1,532 |
1,487 |
$115K |
| D1351 |
|
428 |
253 |
$110K |
| 80053 |
|
5,201 |
3,862 |
$105K |
| 97161 |
|
608 |
582 |
$103K |
| 93005 |
|
3,142 |
2,948 |
$103K |
| 96365 |
|
961 |
846 |
$99K |
| 96413 |
|
438 |
353 |
$97K |
| OP370 |
|
3,059 |
2,955 |
$93K |
| 95812 |
|
527 |
520 |
$84K |
| 67311 |
|
30 |
30 |
$76K |
| 96375 |
|
1,335 |
1,062 |
$72K |
| 93308 |
|
369 |
355 |
$68K |
| 70551 |
|
214 |
210 |
$66K |
| 92552 |
|
2,227 |
2,165 |
$64K |
| 87631 |
|
958 |
951 |
$58K |
| 93320 |
|
390 |
389 |
$57K |
| 54161 |
|
27 |
25 |
$55K |
| 92587 |
|
943 |
934 |
$54K |
| OP710 |
|
2,953 |
2,866 |
$51K |
| 97165 |
|
240 |
233 |
$48K |
| 82248 |
|
2,662 |
1,967 |
$47K |
| 76825 |
|
306 |
298 |
$46K |
| P9016 |
Rbc leukocytes reduced |
350 |
324 |
$43K |
| 93321 |
|
1,136 |
1,082 |
$41K |
| 92555 |
|
2,529 |
2,497 |
$41K |
| 0241U |
|
921 |
873 |
$41K |
| D3220 |
|
111 |
107 |
$40K |
| 70553 |
|
95 |
93 |
$40K |
| D2391 |
|
67 |
65 |
$37K |
| 83615 |
|
2,801 |
1,882 |
$35K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
40 |
40 |
$33K |
| 95816 |
|
171 |
171 |
$32K |
| 74019 |
|
1,259 |
1,223 |
$32K |
| 71046 |
|
2,093 |
2,023 |
$31K |
| 36430 |
|
393 |
358 |
$31K |
| 82977 |
|
2,167 |
1,502 |
$31K |
| 84100 |
|
3,433 |
2,320 |
$30K |
| 84550 |
|
2,467 |
1,701 |
$30K |
| 73721 |
|
80 |
77 |
$29K |
| 83735 |
|
3,329 |
2,243 |
$29K |
| 92588 |
|
210 |
205 |
$26K |
| 76820 |
|
470 |
451 |
$26K |
| 92550 |
|
490 |
480 |
$24K |
| 94640 |
|
1,426 |
1,077 |
$24K |
| 73562 |
|
823 |
808 |
$21K |
| 76705 |
|
666 |
622 |
$21K |
| 92526 |
|
225 |
117 |
$20K |
| 92523 |
|
108 |
108 |
$20K |
| 73610 |
|
884 |
841 |
$20K |
| 92556 |
|
763 |
744 |
$20K |
| OP272 |
|
2,063 |
1,982 |
$19K |
| 93975 |
|
172 |
168 |
$19K |
| 76827 |
|
306 |
296 |
$18K |
| 85045 |
|
3,820 |
3,519 |
$18K |
| D1206 |
|
674 |
656 |
$18K |
| 99281 |
|
203 |
176 |
$17K |
| 73630 |
|
775 |
735 |
$16K |
| 93225 |
|
276 |
263 |
$15K |
| 29075 |
|
94 |
92 |
$15K |
| 77072 |
|
300 |
298 |
$14K |
| 70360 |
|
525 |
521 |
$13K |
| 73130 |
|
679 |
614 |
$13K |
| 76885 |
|
128 |
123 |
$12K |
| 73090 |
|
679 |
568 |
$12K |
| 76700 |
|
146 |
146 |
$12K |
| 73590 |
|
506 |
447 |
$12K |
| 76536 |
|
175 |
167 |
$11K |
| 96415 |
|
181 |
156 |
$11K |
| 72170 |
|
418 |
412 |
$11K |
| 73080 |
|
468 |
424 |
$10K |
| 96409 |
|
104 |
56 |
$10K |
| 96366 |
|
315 |
264 |
$9K |
| 70486 |
|
105 |
105 |
$9K |
| 86900 |
|
603 |
556 |
$9K |
| 73521 |
|
158 |
157 |
$9K |
| 92553 |
|
233 |
230 |
$8K |
| 74018 |
|
476 |
446 |
$8K |
| 29125 |
|
71 |
66 |
$8K |
| 29425 |
|
41 |
38 |
$8K |
| 73100 |
|
227 |
190 |
$8K |
| 96374 |
|
745 |
712 |
$8K |
| 12011 |
|
259 |
256 |
$8K |
| 70450 |
|
313 |
307 |
$7K |
| 77074 |
|
95 |
94 |
$7K |
| 97162 |
|
75 |
68 |
$7K |
| 87081 |
|
1,357 |
1,312 |
$7K |
| 87077 |
|
584 |
551 |
$6K |
| 73110 |
|
482 |
429 |
$6K |
| 29065 |
|
46 |
45 |
$6K |
| 74177 |
|
126 |
121 |
$6K |
| 87880 |
|
2,284 |
2,189 |
$6K |
| 87086 |
|
973 |
937 |
$6K |
| 86920 |
|
61 |
58 |
$6K |
| 76856 |
|
112 |
109 |
$6K |
| 72148 |
|
24 |
24 |
$6K |
| 92557 |
|
125 |
122 |
$6K |
| 73140 |
|
193 |
186 |
$5K |
| 77073 |
|
139 |
138 |
$4K |
| 94664 |
|
695 |
648 |
$4K |
| 77075 |
|
70 |
63 |
$4K |
| 0001A |
|
654 |
568 |
$4K |
| 80048 |
|
585 |
540 |
$4K |
| J8499 |
Oral prescrip drug non chemo |
2,932 |
1,937 |
$4K |
| 81001 |
|
2,567 |
2,462 |
$4K |
| 76870 |
|
85 |
83 |
$3K |
| OP250 |
|
9,910 |
3,981 |
$3K |
| 97112 |
|
46 |
24 |
$3K |
| 93976 |
|
99 |
97 |
$3K |
| 96372 |
|
313 |
301 |
$3K |
| D2933 |
|
15 |
14 |
$3K |
| 76981 |
|
36 |
36 |
$3K |
| 96361 |
|
663 |
551 |
$3K |
| J3490 |
Drugs unclassified injection |
7,849 |
4,927 |
$3K |
| 88305 |
|
436 |
411 |
$3K |
| 0002A |
|
232 |
199 |
$3K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
354 |
345 |
$2K |
| 92582 |
|
44 |
43 |
$2K |
| 81002 |
|
1,097 |
1,054 |
$2K |
| 81025 |
|
2,166 |
2,034 |
$2K |
| 73552 |
|
121 |
115 |
$2K |
| 86850 |
|
254 |
223 |
$2K |
| J2920 |
Methylprednisolone injection |
453 |
398 |
$2K |
| 82962 |
|
634 |
532 |
$2K |
| 94644 |
|
1,174 |
1,086 |
$2K |
| 73030 |
|
150 |
138 |
$2K |
| 16020 |
|
14 |
12 |
$2K |
| J0131 |
Inj, acetaminophen (nos) |
5,354 |
4,974 |
$2K |
| 85027 |
|
376 |
309 |
$2K |
| 73060 |
|
99 |
94 |
$2K |
| J2270 |
Morphine sulfate injection |
6,899 |
5,975 |
$2K |
| J1100 |
Dexamethasone sodium phos |
13,611 |
12,525 |
$2K |
| 87070 |
|
342 |
325 |
$2K |
| 86901 |
|
257 |
225 |
$1K |
| J7120 |
Ringers lactate infusion |
8,964 |
8,489 |
$1K |
| 73564 |
|
15 |
12 |
$1K |
| 73560 |
|
54 |
52 |
$1K |
| 73000 |
|
71 |
69 |
$1K |
| 97166 |
|
13 |
13 |
$1K |
| J2405 |
Ondansetron hcl injection |
8,917 |
8,116 |
$1K |
| 24640 |
|
44 |
44 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
6,953 |
6,421 |
$1K |
| 87491 |
|
403 |
390 |
$1K |
| 96360 |
|
289 |
273 |
$964.01 |
| 87186 |
|
445 |
427 |
$932.07 |
| 12001 |
|
109 |
107 |
$889.64 |
| 92610 |
|
13 |
13 |
$853.72 |
| 97140 |
|
28 |
14 |
$837.60 |
| 87591 |
|
403 |
390 |
$825.99 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
666 |
652 |
$814.00 |
| 87507 |
|
14 |
12 |
$730.34 |
| 87040 |
|
289 |
268 |
$667.68 |
| A9150 |
Misc/exper non-prescript dru |
268 |
177 |
$648.61 |
| 87205 |
|
330 |
317 |
$519.00 |
| J7050 |
Normal saline solution infus |
1,211 |
937 |
$512.92 |
| 87661 |
|
208 |
204 |
$504.80 |
| 76000 |
|
108 |
107 |
$498.96 |
| 88304 |
|
716 |
701 |
$495.68 |
| J3535 |
Metered dose inhaler drug |
179 |
153 |
$490.63 |
| 87088 |
|
484 |
477 |
$482.16 |
| 87486 |
|
309 |
304 |
$474.33 |
| 71045 |
|
102 |
99 |
$457.56 |
| J7030 |
Normal saline solution infus |
1,521 |
1,383 |
$428.09 |
| 83690 |
|
435 |
405 |
$404.09 |
| 85007 |
|
207 |
171 |
$360.71 |
| 80307 |
|
33 |
25 |
$353.09 |
| 86140 |
|
647 |
581 |
$350.99 |
| A9579 |
Gad-base mr contrast nos,1ml |
176 |
163 |
$343.55 |
| 87798 |
|
309 |
304 |
$328.78 |
| J0696 |
Ceftriaxone sodium injection |
194 |
172 |
$236.13 |
| OP270 |
|
116 |
113 |
$225.74 |
| 82150 |
|
68 |
61 |
$214.29 |
| 94645 |
|
233 |
162 |
$210.93 |
| J0690 |
Cefazolin sodium injection |
1,386 |
1,248 |
$209.45 |
| 80143 |
|
12 |
12 |
$206.32 |
| 88312 |
|
133 |
125 |
$206.28 |
| J1885 |
Ketorolac tromethamine inj |
2,692 |
2,428 |
$195.00 |
| J3010 |
Fentanyl citrate injection |
2,188 |
2,065 |
$187.29 |
| 92551 |
|
13 |
13 |
$182.39 |
| 84484 |
|
79 |
69 |
$165.24 |
| 76377 |
|
35 |
34 |
$163.44 |
| 90715 |
|
30 |
28 |
$162.26 |
| 72040 |
|
13 |
13 |
$161.22 |
| 85651 |
|
342 |
321 |
$156.12 |
| J7042 |
5% dextrose/normal saline |
1,341 |
919 |
$147.37 |
| 90686 |
|
44 |
44 |
$146.63 |
| 86701 |
|
149 |
147 |
$146.05 |
| 85730 |
|
148 |
139 |
$139.78 |
| 80305 |
|
267 |
259 |
$138.23 |
| 85610 |
|
161 |
151 |
$132.59 |
| G0008 |
Admin influenza virus vac |
41 |
41 |
$107.79 |
| 87147 |
|
151 |
145 |
$107.52 |
| 84702 |
|
25 |
25 |
$99.51 |
| 96376 |
|
30 |
20 |
$94.86 |
| G0480 |
Drug test def 1-7 classes |
14 |
14 |
$89.53 |
| J7040 |
Normal saline solution infus |
1,024 |
951 |
$85.86 |
| 87400 |
|
22 |
22 |
$84.97 |
| 87581 |
|
308 |
303 |
$82.23 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
1,552 |
1,518 |
$79.27 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
473 |
460 |
$79.20 |
| 86403 |
|
33 |
33 |
$76.03 |
| J2250 |
Inj midazolam hydrochloride |
1,139 |
1,023 |
$74.75 |
| 84443 |
|
30 |
30 |
$64.98 |
| 84439 |
|
39 |
39 |
$54.88 |
| 82805 |
|
15 |
15 |
$51.68 |
| 90471 |
|
127 |
96 |
$49.06 |
| OP259 |
|
122 |
118 |
$37.09 |
| 85018 |
|
19 |
13 |
$33.62 |
| S0119 |
Ondansetron 4 mg |
1,562 |
1,498 |
$32.75 |
| J2710 |
Neostigmine methylslfte inj |
283 |
252 |
$31.50 |
| 86592 |
|
26 |
26 |
$23.96 |
| 98960 |
|
39 |
36 |
$22.08 |
| 85652 |
|
94 |
84 |
$16.46 |
| 87045 |
|
12 |
12 |
$16.08 |
| J0171 |
Adrenalin epinephrine inject |
33 |
25 |
$11.70 |
| J1200 |
Diphenhydramine hcl injectio |
39 |
27 |
$9.57 |
| J1642 |
Inj heparin sodium per 10 u |
47 |
26 |
$8.28 |
| 36415 |
|
192 |
132 |
$7.29 |
| J8540 |
Oral dexamethasone |
14 |
14 |
$6.40 |
| J7510 |
Prednisolone oral per 5 mg |
125 |
83 |
$2.68 |
| J2001 |
Lidocaine injection |
536 |
522 |
$0.04 |
| 84145 |
|
13 |
13 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
44 |
38 |
$0.00 |
| A6250 |
Skin seal protect moisturizr |
111 |
101 |
$0.00 |
| L1830 |
Ko immob canvas long pre ots |
31 |
28 |
$0.00 |
| J7999 |
Compounded drug, noc |
308 |
282 |
$0.00 |
| 00000 |
|
218 |
96 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
55 |
55 |
$0.00 |
| 85008 |
|
81 |
75 |
$0.00 |
| 86780 |
|
38 |
38 |
$0.00 |
| 87389 |
|
17 |
17 |
$0.00 |
| J3480 |
Inj potassium chloride |
22 |
14 |
$0.00 |
| 99156 |
|
14 |
14 |
$0.00 |
| 12002 |
|
12 |
12 |
$0.00 |