| Code | Description | Claims | Beneficiaries | Total Paid |
| J9271 |
Inj pembrolizumab |
1,127 |
876 |
$2.32M |
| 99285 |
|
9,232 |
8,900 |
$1.52M |
| 99284 |
|
8,949 |
8,668 |
$1.40M |
| G0378 |
Hospital observation per hr |
1,936 |
1,695 |
$1.12M |
| 99283 |
|
7,741 |
7,509 |
$1.09M |
| T1015 |
Clinic service |
14,246 |
12,681 |
$960K |
| J9035 |
Bevacizumab injection |
325 |
110 |
$603K |
| J9299 |
Injection, nivolumab |
313 |
171 |
$430K |
| 96413 |
|
3,466 |
2,080 |
$354K |
| J2505 |
Injection, pegfilgrastim 6mg |
109 |
76 |
$234K |
| Q5108 |
Injection, fulphila |
83 |
62 |
$224K |
| J0897 |
Denosumab injection |
420 |
385 |
$153K |
| 96374 |
|
7,983 |
6,855 |
$139K |
| 80053 |
|
15,424 |
13,258 |
$109K |
| Q5111 |
Injection, udenyca 0.5 mg |
29 |
26 |
$103K |
| 74177 |
|
1,024 |
996 |
$101K |
| 96375 |
|
5,945 |
4,604 |
$91K |
| 96417 |
|
1,083 |
713 |
$83K |
| 85025 |
|
23,495 |
19,643 |
$80K |
| J9355 |
Inj trastuzumab excl biosimi |
170 |
62 |
$77K |
| J0185 |
Inj., aprepitant, 1 mg |
976 |
672 |
$53K |
| 96416 |
|
335 |
203 |
$49K |
| 43239 |
|
297 |
291 |
$43K |
| J1756 |
Iron sucrose injection |
4,739 |
1,605 |
$39K |
| J9202 |
Goserelin acetate implant |
111 |
105 |
$38K |
| 96365 |
|
1,471 |
1,064 |
$38K |
| J1439 |
Inj ferric carboxymaltos 1mg |
176 |
121 |
$35K |
| 96415 |
|
740 |
445 |
$32K |
| 87389 |
|
1,176 |
1,163 |
$32K |
| 99282 |
|
292 |
279 |
$32K |
| 87491 |
|
1,503 |
1,482 |
$30K |
| 0241U |
|
503 |
495 |
$30K |
| 71275 |
|
250 |
240 |
$30K |
| 87637 |
|
446 |
439 |
$28K |
| 87591 |
|
1,457 |
1,437 |
$28K |
| U0003 |
Cov-19 amp prb hgh thruput |
563 |
550 |
$25K |
| 93005 |
|
4,747 |
4,439 |
$25K |
| J2469 |
Palonosetron hcl |
3,189 |
1,894 |
$25K |
| 96411 |
|
420 |
280 |
$24K |
| 96372 |
|
2,741 |
2,076 |
$21K |
| 96361 |
|
2,150 |
1,697 |
$20K |
| 77067 |
|
231 |
229 |
$20K |
| 87636 |
|
278 |
278 |
$19K |
| 80048 |
|
4,334 |
3,754 |
$19K |
| 86803 |
|
998 |
987 |
$18K |
| 84443 |
|
905 |
877 |
$18K |
| 84702 |
|
1,926 |
1,710 |
$18K |
| 83735 |
|
3,387 |
2,156 |
$17K |
| 87502 |
|
309 |
304 |
$17K |
| 70450 |
|
432 |
408 |
$16K |
| 80307 |
|
442 |
376 |
$16K |
| 84466 |
|
1,139 |
1,114 |
$15K |
| 96367 |
|
785 |
532 |
$15K |
| 93306 |
|
279 |
268 |
$14K |
| 76856 |
|
342 |
331 |
$13K |
| 80050 |
|
342 |
331 |
$13K |
| 76830 |
|
345 |
334 |
$13K |
| 84484 |
|
2,357 |
2,099 |
$12K |
| 74176 |
|
211 |
207 |
$12K |
| 96366 |
|
887 |
568 |
$12K |
| 82728 |
|
1,206 |
1,157 |
$12K |
| J1453 |
Fosaprepitant injection |
377 |
251 |
$12K |
| 49452 |
|
525 |
456 |
$11K |
| 71046 |
|
1,324 |
1,274 |
$11K |
| 96360 |
|
543 |
393 |
$11K |
| J0640 |
Leucovorin calcium injection |
1,423 |
331 |
$11K |
| 86780 |
|
571 |
565 |
$10K |
| 80061 |
|
775 |
751 |
$10K |
| 87340 |
|
621 |
615 |
$10K |
| 76815 |
|
342 |
315 |
$10K |
| 82306 |
|
272 |
270 |
$9K |
| 83615 |
|
1,545 |
1,106 |
$9K |
| 88185 |
|
46 |
44 |
$9K |
| G0379 |
Direct refer hospital observ |
72 |
70 |
$9K |
| 86762 |
|
391 |
388 |
$9K |
| 87086 |
|
1,346 |
1,281 |
$9K |
| 87661 |
|
244 |
240 |
$9K |
| 82784 |
|
465 |
375 |
$9K |
| 86850 |
|
1,354 |
1,263 |
$8K |
| 0002A |
|
172 |
172 |
$8K |
| 96402 |
|
281 |
257 |
$8K |
| 85027 |
|
1,172 |
1,092 |
$8K |
| 83540 |
|
1,135 |
1,113 |
$8K |
| 83690 |
|
2,848 |
2,696 |
$7K |
| 0001A |
|
160 |
160 |
$7K |
| 88305 |
|
1,102 |
1,000 |
$7K |
| 82607 |
|
645 |
633 |
$7K |
| 81001 |
|
3,868 |
3,698 |
$6K |
| 76817 |
|
160 |
148 |
$6K |
| 88175 |
|
156 |
155 |
$6K |
| 36591 |
|
218 |
147 |
$6K |
| J2997 |
Alteplase recombinant |
79 |
70 |
$6K |
| 86300 |
|
325 |
285 |
$6K |
| J9045 |
Carboplatin injection |
774 |
502 |
$6K |
| 58571 |
|
12 |
12 |
$5K |
| 77063 |
|
231 |
229 |
$5K |
| 83036 |
|
836 |
815 |
$5K |
| 99212 |
|
617 |
543 |
$5K |
| 84100 |
|
1,218 |
779 |
$5K |
| 59025 |
|
1,088 |
825 |
$5K |
| J3490 |
Drugs unclassified injection |
5,514 |
4,017 |
$5K |
| 71250 |
|
74 |
74 |
$5K |
| 86334 |
|
217 |
212 |
$5K |
| 76705 |
|
150 |
146 |
$5K |
| 96401 |
|
267 |
156 |
$5K |
| 84550 |
|
898 |
625 |
$5K |
| 83880 |
|
312 |
294 |
$4K |
| 45385 |
|
13 |
13 |
$4K |
| 86900 |
|
1,397 |
1,297 |
$4K |
| 93971 |
|
100 |
97 |
$4K |
| 96376 |
|
605 |
448 |
$4K |
| 86901 |
|
1,389 |
1,290 |
$4K |
| 81025 |
|
2,484 |
2,392 |
$4K |
| 36415 |
|
6,221 |
5,186 |
$4K |
| 80076 |
|
796 |
772 |
$4K |
| 76801 |
|
143 |
134 |
$4K |
| 82570 |
|
552 |
518 |
$4K |
| 71045 |
|
987 |
939 |
$4K |
| 84439 |
|
507 |
481 |
$4K |
| G0476 |
Hpv combo assay ca screen |
76 |
75 |
$3K |
| 93975 |
|
39 |
39 |
$3K |
| U0005 |
Infec agen detec ampli probe |
325 |
319 |
$3K |
| 82378 |
|
253 |
232 |
$3K |
| 82746 |
|
345 |
336 |
$3K |
| 83605 |
|
773 |
682 |
$3K |
| J9267 |
Paclitaxel injection |
329 |
149 |
$3K |
| 89060 |
|
536 |
484 |
$3K |
| 36430 |
|
119 |
86 |
$3K |
| 87905 |
|
360 |
354 |
$3K |
| 87808 |
|
399 |
393 |
$3K |
| G0463 |
Hospital outpt clinic visit |
2,135 |
1,935 |
$3K |
| 84165 |
|
222 |
219 |
$3K |
| 45378 |
|
13 |
13 |
$3K |
| 85379 |
|
422 |
400 |
$3K |
| 88342 |
|
136 |
131 |
$2K |
| 70496 |
|
29 |
26 |
$2K |
| 71260 |
|
39 |
39 |
$2K |
| 43235 |
|
12 |
12 |
$2K |
| 85610 |
|
1,049 |
801 |
$2K |
| J1100 |
Dexamethasone sodium phos |
8,195 |
5,501 |
$2K |
| 87210 |
|
523 |
472 |
$2K |
| 82950 |
|
268 |
266 |
$2K |
| 83883 |
|
226 |
216 |
$2K |
| J7030 |
Normal saline solution infus |
11,484 |
8,123 |
$2K |
| 76642 |
|
43 |
40 |
$2K |
| 45380 |
|
13 |
13 |
$2K |
| 73630 |
|
204 |
181 |
$2K |
| 85045 |
|
550 |
390 |
$2K |
| 70498 |
|
16 |
15 |
$2K |
| J3475 |
Inj magnesium sulfate |
2,600 |
1,726 |
$2K |
| 87081 |
|
382 |
380 |
$2K |
| 85730 |
|
466 |
417 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
8,250 |
5,070 |
$2K |
| 83010 |
|
156 |
123 |
$1K |
| 81003 |
|
760 |
729 |
$1K |
| 87186 |
|
256 |
247 |
$1K |
| 84156 |
|
423 |
369 |
$1K |
| 73130 |
|
172 |
139 |
$1K |
| 86140 |
|
569 |
507 |
$1K |
| 88184 |
|
46 |
44 |
$1K |
| 84153 |
|
56 |
53 |
$1K |
| 83021 |
|
52 |
52 |
$1K |
| 70553 |
|
12 |
12 |
$1K |
| 96523 |
|
89 |
83 |
$1K |
| 36593 |
|
49 |
48 |
$1K |
| 82043 |
|
125 |
124 |
$1K |
| 84145 |
|
152 |
138 |
$1K |
| 86592 |
|
217 |
215 |
$981.00 |
| 87481 |
|
25 |
25 |
$951.69 |
| 82550 |
|
253 |
210 |
$942.70 |
| J7050 |
Normal saline solution infus |
6,960 |
3,953 |
$921.43 |
| J7040 |
Normal saline solution infus |
4,699 |
2,713 |
$915.18 |
| 87077 |
|
189 |
180 |
$889.06 |
| 96377 |
|
74 |
56 |
$882.38 |
| 85652 |
|
378 |
368 |
$876.04 |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$831.69 |
| 87040 |
|
95 |
91 |
$828.71 |
| 70486 |
|
12 |
12 |
$825.15 |
| 86038 |
|
50 |
50 |
$820.26 |
| 73610 |
|
73 |
67 |
$745.03 |
| 83986 |
|
510 |
464 |
$742.80 |
| 87070 |
|
109 |
102 |
$720.41 |
| 72125 |
|
26 |
25 |
$711.10 |
| 81002 |
|
292 |
285 |
$700.67 |
| 87633 |
|
18 |
18 |
$693.87 |
| J1200 |
Diphenhydramine hcl injectio |
5,204 |
3,390 |
$691.24 |
| 78452 |
|
16 |
15 |
$690.28 |
| 87798 |
|
44 |
43 |
$688.96 |
| J9263 |
Oxaliplatin |
39 |
12 |
$676.72 |
| J2270 |
Morphine sulfate injection |
3,286 |
2,140 |
$632.86 |
| 82962 |
|
946 |
596 |
$597.52 |
| 84163 |
|
29 |
29 |
$586.37 |
| 73562 |
|
59 |
56 |
$546.50 |
| 16020 |
|
20 |
14 |
$519.20 |
| J3420 |
Vitamin b12 injection |
1,264 |
1,047 |
$500.17 |
| 87205 |
|
107 |
100 |
$463.21 |
| J7120 |
Ringers lactate infusion |
6,917 |
5,609 |
$455.14 |
| J9190 |
Fluorouracil injection |
204 |
115 |
$445.85 |
| J7060 |
5% dextrose/water |
919 |
551 |
$411.96 |
| 82565 |
|
89 |
84 |
$389.48 |
| J1170 |
Hydromorphone injection |
2,707 |
1,721 |
$389.01 |
| 73030 |
|
39 |
37 |
$357.02 |
| 84403 |
|
12 |
12 |
$346.42 |
| 99195 |
|
40 |
37 |
$339.10 |
| J0780 |
Prochlorperazine injection |
1,062 |
813 |
$328.17 |
| J3010 |
Fentanyl citrate injection |
5,630 |
3,968 |
$316.64 |
| J2405 |
Ondansetron hcl injection |
9,704 |
6,873 |
$279.55 |
| C1769 |
Guide wire |
220 |
201 |
$271.79 |
| 88142 |
|
13 |
13 |
$265.86 |
| 87147 |
|
95 |
91 |
$264.70 |
| 84999 |
|
136 |
124 |
$259.44 |
| J1885 |
Ketorolac tromethamine inj |
6,274 |
5,048 |
$250.73 |
| J0690 |
Cefazolin sodium injection |
2,233 |
1,719 |
$248.24 |
| J2930 |
Methylprednisolone injection |
416 |
332 |
$238.19 |
| 93017 |
|
15 |
15 |
$225.29 |
| 90715 |
|
81 |
76 |
$224.21 |
| 86255 |
|
12 |
12 |
$215.69 |
| 86923 |
|
32 |
26 |
$214.20 |
| 86706 |
|
15 |
15 |
$213.92 |
| J1644 |
Inj heparin sodium per 1000u |
2,400 |
1,182 |
$204.93 |
| 76937 |
|
30 |
28 |
$203.70 |
| 88307 |
|
97 |
91 |
$198.32 |
| 82977 |
|
39 |
26 |
$186.53 |
| J1720 |
Hydrocortisone sodium succ i |
33 |
28 |
$176.99 |
| 72100 |
|
14 |
12 |
$170.11 |
| J0330 |
Succinycholine chloride inj |
302 |
232 |
$155.99 |
| 80320 |
|
18 |
18 |
$131.09 |
| 87880 |
|
38 |
38 |
$129.43 |
| J0696 |
Ceftriaxone sodium injection |
991 |
780 |
$116.16 |
| C9113 |
Inj pantoprazole sodium, via |
630 |
385 |
$106.02 |
| 86431 |
|
12 |
12 |
$102.65 |
| 97161 |
|
143 |
131 |
$95.42 |
| 97165 |
|
90 |
83 |
$92.60 |
| 87486 |
|
18 |
18 |
$87.50 |
| 99153 |
Mod sedat endo service >5yrs |
18 |
13 |
$83.49 |
| 85018 |
|
26 |
26 |
$76.52 |
| J3480 |
Inj potassium chloride |
300 |
144 |
$74.45 |
| J1815 |
Insulin injection |
437 |
148 |
$74.33 |
| J2765 |
Metoclopramide hcl injection |
1,091 |
833 |
$69.66 |
| 88304 |
|
29 |
29 |
$57.72 |
| 87088 |
|
12 |
12 |
$51.68 |
| J2250 |
Inj midazolam hydrochloride |
4,603 |
3,835 |
$42.02 |
| 88311 |
|
12 |
12 |
$39.99 |
| C1894 |
Intro/sheath, non-laser |
42 |
41 |
$35.98 |
| J1650 |
Inj enoxaparin sodium |
358 |
196 |
$33.39 |
| 90471 |
|
15 |
14 |
$30.45 |
| 74018 |
|
12 |
12 |
$30.31 |
| J2060 |
Lorazepam injection |
116 |
82 |
$22.46 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
84 |
75 |
$21.67 |
| J3370 |
Vancomycin hcl injection |
213 |
97 |
$18.46 |
| J2370 |
Phenylephrine hcl injection |
358 |
247 |
$14.30 |
| J2001 |
Lidocaine injection |
2,889 |
2,219 |
$11.92 |
| S0030 |
Injection, metronidazole |
113 |
74 |
$6.26 |
| A9270 |
Non-covered item or service |
26,405 |
9,980 |
$0.31 |
| G1004 |
Cdsm ndsc |
1,544 |
1,337 |
$0.01 |
| J2470 |
Inj pantoprazole sodium 40mg |
19 |
14 |
$0.00 |
| J7999 |
Compounded drug, noc |
368 |
320 |
$0.00 |
| Q5120 |
Inj pegfilgrastim-bmez 0.5mg |
178 |
135 |
$0.00 |
| A9500 |
Tc99m sestamibi |
14 |
13 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
16 |
12 |
$0.00 |
| J2920 |
Methylprednisolone injection |
52 |
46 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
138 |
118 |
$0.00 |
| 87581 |
|
18 |
18 |
$0.00 |
| J9312 |
Inj., rituximab, 10 mg |
20 |
13 |
$0.00 |
| J0461 |
Atropine sulfate injection |
18 |
13 |
$0.00 |
| J1750 |
Inj iron dextran |
194 |
152 |
$0.00 |
| J3380 |
Inj vedolizumab iv 1 mg |
146 |
140 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
113 |
95 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
49 |
33 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
392 |
351 |
$0.00 |
| J1569 |
Gammagard liquid injection |
24 |
14 |
$0.00 |
| J0670 |
Inj mepivacaine hcl/10 ml |
15 |
12 |
$0.00 |
| J3489 |
Zoledronic acid 1mg |
17 |
16 |
$0.00 |
| 0100U |
|
15 |
15 |
$0.00 |