| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
32,935 |
28,580 |
$10.71M |
| 99284 |
|
28,064 |
25,334 |
$5.14M |
| 74177 |
|
5,546 |
5,135 |
$2.96M |
| 99283 |
|
15,239 |
14,175 |
$2.52M |
| 74176 |
|
5,527 |
5,051 |
$1.74M |
| 99291 |
|
1,670 |
1,487 |
$1.16M |
| C1713 |
Anchor/screw bn/bn,tis/bn |
998 |
896 |
$881K |
| 70450 |
|
9,204 |
8,130 |
$585K |
| C1776 |
Joint device (implantable) |
434 |
377 |
$517K |
| 72125 |
|
3,087 |
2,722 |
$437K |
| 99282 |
|
4,116 |
3,851 |
$354K |
| G0378 |
Hospital observation per hr |
14,681 |
7,426 |
$279K |
| 80053 |
|
57,260 |
46,471 |
$232K |
| 71275 |
|
2,819 |
2,606 |
$199K |
| 27447 |
|
37 |
26 |
$183K |
| 49083 |
|
553 |
301 |
$149K |
| 96365 |
|
10,686 |
8,352 |
$140K |
| M0247 |
Sotrovimab infusion |
92 |
89 |
$102K |
| 36430 |
|
569 |
441 |
$102K |
| 29580 |
|
4,171 |
1,399 |
$90K |
| 47562 |
|
27 |
26 |
$80K |
| 70496 |
|
149 |
142 |
$77K |
| G0463 |
Hospital outpt clinic visit |
5,403 |
3,457 |
$58K |
| 93971 |
|
1,861 |
1,690 |
$52K |
| 96366 |
|
4,401 |
2,737 |
$50K |
| 93306 |
|
115 |
97 |
$49K |
| 96360 |
|
3,727 |
2,361 |
$45K |
| 88305 |
|
3,776 |
2,492 |
$45K |
| M0243 |
Casirivi and imdevi inj |
260 |
248 |
$44K |
| 72131 |
|
165 |
150 |
$43K |
| 49650 |
|
12 |
12 |
$41K |
| 93005 |
|
34,570 |
27,222 |
$39K |
| 96374 |
|
27,063 |
23,065 |
$37K |
| 70551 |
|
603 |
536 |
$35K |
| 29445 |
|
406 |
145 |
$32K |
| 96375 |
|
23,065 |
17,996 |
$31K |
| 43239 |
|
111 |
101 |
$30K |
| 99211 |
|
4,631 |
3,260 |
$26K |
| 99212 |
|
1,710 |
1,126 |
$25K |
| 74174 |
|
29 |
28 |
$25K |
| 71250 |
|
385 |
359 |
$22K |
| 95811 |
|
28 |
26 |
$17K |
| 93970 |
|
101 |
90 |
$17K |
| 77067 |
|
323 |
301 |
$17K |
| 80307 |
|
6,189 |
5,674 |
$16K |
| J0696 |
Ceftriaxone sodium injection |
5,903 |
4,531 |
$16K |
| 96376 |
|
9,482 |
6,098 |
$15K |
| 70486 |
|
176 |
157 |
$14K |
| 76705 |
|
1,798 |
1,661 |
$14K |
| 96361 |
|
8,139 |
6,070 |
$10K |
| M0239 |
Bamlanivimab-xxxx infusion |
40 |
39 |
$9K |
| G0257 |
Unsched dialysis esrd pt hos |
214 |
123 |
$9K |
| 80320 |
|
4,757 |
4,393 |
$9K |
| M0245 |
Bamlan and etesev infusion |
104 |
100 |
$8K |
| J0690 |
Cefazolin sodium injection |
5,702 |
4,052 |
$8K |
| 71046 |
|
6,120 |
5,497 |
$7K |
| 96372 |
|
8,830 |
6,644 |
$7K |
| J2405 |
Ondansetron hcl injection |
20,911 |
17,111 |
$7K |
| 87075 |
|
541 |
408 |
$6K |
| C1781 |
Mesh (implantable) |
128 |
125 |
$6K |
| 80048 |
|
9,518 |
6,899 |
$6K |
| 70553 |
|
14 |
12 |
$5K |
| 85610 |
|
25,671 |
20,032 |
$5K |
| 99281 |
|
91 |
82 |
$5K |
| 85025 |
|
59,448 |
48,546 |
$5K |
| 71045 |
|
24,963 |
21,703 |
$4K |
| 36591 |
|
2,259 |
904 |
$4K |
| 10060 |
|
28 |
28 |
$4K |
| 36416 |
|
5,450 |
3,458 |
$4K |
| 93976 |
|
571 |
541 |
$4K |
| 76830 |
|
264 |
259 |
$3K |
| 76700 |
|
129 |
119 |
$3K |
| 99213 |
|
155 |
131 |
$3K |
| M0222 |
Bebtelovimab injection |
12 |
12 |
$3K |
| 87636 |
|
4,595 |
4,307 |
$2K |
| J7040 |
Normal saline solution infus |
1,144 |
846 |
$2K |
| 76856 |
|
681 |
653 |
$2K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,106 |
1,955 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
15,004 |
12,646 |
$2K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$2K |
| 70498 |
|
187 |
178 |
$2K |
| J3490 |
Drugs unclassified injection |
29,180 |
12,727 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
11,262 |
10,293 |
$2K |
| C1769 |
Guide wire |
998 |
864 |
$1K |
| 81025 |
|
4,061 |
3,859 |
$1K |
| 87040 |
|
9,506 |
4,566 |
$1K |
| 84484 |
|
25,610 |
15,164 |
$1K |
| 84443 |
|
7,057 |
6,403 |
$1K |
| 84703 |
|
6,701 |
6,269 |
$1K |
| 87086 |
|
7,501 |
6,720 |
$1K |
| 73562 |
|
1,700 |
1,473 |
$1K |
| 87631 |
|
903 |
856 |
$1K |
| 73610 |
|
1,237 |
1,077 |
$975.68 |
| 73630 |
|
1,409 |
1,268 |
$964.88 |
| 82947 |
|
22,265 |
10,176 |
$896.63 |
| 81001 |
|
16,149 |
14,333 |
$890.42 |
| 83690 |
|
16,666 |
14,631 |
$796.94 |
| 73130 |
|
986 |
888 |
$698.32 |
| 73502 |
|
1,016 |
888 |
$628.44 |
| 96367 |
|
1,213 |
1,083 |
$545.66 |
| 84702 |
|
3,019 |
2,820 |
$541.08 |
| 86923 |
|
452 |
243 |
$538.31 |
| 94640 |
|
5,249 |
3,115 |
$532.30 |
| 87635 |
|
1,014 |
986 |
$504.66 |
| 83605 |
|
12,506 |
9,681 |
$502.28 |
| 73030 |
|
1,474 |
1,312 |
$473.47 |
| 83880 |
|
7,310 |
6,442 |
$470.70 |
| 72170 |
|
306 |
268 |
$467.73 |
| 87186 |
|
3,338 |
2,773 |
$441.25 |
| 83735 |
|
16,287 |
12,671 |
$434.91 |
| 87591 |
|
497 |
483 |
$425.47 |
| 81003 |
|
7,784 |
7,153 |
$420.87 |
| 87491 |
|
460 |
447 |
$390.44 |
| 87804 |
|
1,527 |
762 |
$387.50 |
| 82803 |
|
648 |
534 |
$378.15 |
| 76770 |
|
14 |
14 |
$372.86 |
| J3370 |
Vancomycin hcl injection |
2,221 |
1,471 |
$364.80 |
| 80329 |
|
589 |
519 |
$330.20 |
| A9270 |
Non-covered item or service |
62,796 |
9,453 |
$286.16 |
| 76801 |
|
53 |
49 |
$271.86 |
| G0480 |
Drug test def 1-7 classes |
302 |
281 |
$261.93 |
| 85027 |
|
6,749 |
5,098 |
$251.47 |
| J3010 |
Fentanyl citrate injection |
12,027 |
10,085 |
$232.72 |
| 90715 |
|
1,017 |
970 |
$222.43 |
| 97530 |
|
2,438 |
1,470 |
$221.34 |
| 87880 |
|
588 |
571 |
$218.71 |
| 87088 |
|
6,398 |
5,373 |
$207.18 |
| 85730 |
|
5,020 |
4,487 |
$206.11 |
| 99152 |
|
767 |
702 |
$201.51 |
| 87070 |
|
1,930 |
1,396 |
$190.07 |
| 86850 |
|
3,395 |
2,903 |
$173.15 |
| J7030 |
Normal saline solution infus |
13,179 |
10,341 |
$170.48 |
| 94760 |
|
4,451 |
2,021 |
$166.17 |
| 87077 |
|
3,985 |
3,121 |
$162.81 |
| J1100 |
Dexamethasone sodium phos |
6,232 |
5,768 |
$155.53 |
| 87661 |
|
57 |
54 |
$152.73 |
| 73110 |
|
394 |
347 |
$152.30 |
| 82565 |
|
775 |
667 |
$147.12 |
| 84132 |
|
2,417 |
1,588 |
$146.82 |
| J2270 |
Morphine sulfate injection |
10,760 |
8,050 |
$136.68 |
| J8499 |
Oral prescrip drug non chemo |
28,234 |
10,654 |
$135.28 |
| 80061 |
|
492 |
434 |
$121.37 |
| 85014 |
|
1,826 |
1,333 |
$106.24 |
| 85379 |
|
2,160 |
2,005 |
$105.02 |
| C1894 |
Intro/sheath, non-laser |
101 |
92 |
$100.67 |
| J2930 |
Methylprednisolone injection |
2,272 |
1,828 |
$100.29 |
| G0379 |
Direct refer hospital observ |
129 |
114 |
$96.22 |
| 72100 |
|
129 |
118 |
$92.98 |
| 85018 |
|
2,056 |
1,479 |
$87.12 |
| 97161 |
|
2,351 |
2,034 |
$85.95 |
| J1630 |
Haloperidol injection |
1,364 |
1,153 |
$69.59 |
| 85055 |
|
1,891 |
1,314 |
$68.46 |
| 82550 |
|
3,767 |
3,224 |
$65.86 |
| U0005 |
Infec agen detec ampli probe |
1,107 |
1,008 |
$63.38 |
| 86140 |
|
3,095 |
2,737 |
$59.85 |
| J1815 |
Insulin injection |
4,528 |
2,271 |
$56.24 |
| 84439 |
|
840 |
733 |
$52.71 |
| 74018 |
|
346 |
313 |
$49.26 |
| 82728 |
|
320 |
274 |
$46.58 |
| 87205 |
|
2,032 |
1,465 |
$46.48 |
| 93041 |
|
314 |
268 |
$41.05 |
| C9113 |
Inj pantoprazole sodium, via |
2,760 |
2,120 |
$40.14 |
| 90471 |
|
1,080 |
1,020 |
$38.34 |
| 97116 |
|
2,180 |
1,429 |
$36.59 |
| 82010 |
|
269 |
220 |
$36.48 |
| J1200 |
Diphenhydramine hcl injectio |
4,024 |
3,190 |
$29.78 |
| 88342 |
|
198 |
161 |
$29.56 |
| 85652 |
|
1,617 |
1,415 |
$29.21 |
| J1170 |
Hydromorphone injection |
4,200 |
3,151 |
$28.12 |
| J7120 |
Ringers lactate infusion |
5,481 |
4,765 |
$27.51 |
| J8597 |
Antiemetic drug oral nos |
3,324 |
2,769 |
$27.40 |
| J2765 |
Metoclopramide hcl injection |
3,846 |
3,419 |
$27.00 |
| J2060 |
Lorazepam injection |
3,368 |
2,828 |
$26.68 |
| 84145 |
|
373 |
353 |
$26.30 |
| 86901 |
|
3,704 |
3,219 |
$25.41 |
| J1644 |
Inj heparin sodium per 1000u |
1,383 |
689 |
$25.30 |
| 86900 |
|
3,532 |
3,057 |
$22.78 |
| 96368 |
|
263 |
237 |
$22.78 |
| J2704 |
Inj, propofol, 10 mg |
8,219 |
7,457 |
$18.81 |
| J0360 |
Hydralazine hcl injection |
961 |
760 |
$18.48 |
| 82140 |
|
1,247 |
1,104 |
$15.20 |
| J2543 |
Piperacillin/tazobactam |
1,567 |
961 |
$15.18 |
| 97535 |
|
1,568 |
1,036 |
$14.82 |
| 83036 |
|
494 |
460 |
$14.66 |
| 73590 |
|
29 |
27 |
$12.48 |
| 12001 |
|
40 |
40 |
$12.00 |
| J2360 |
Orphenadrine injection |
165 |
148 |
$10.40 |
| 99153 |
Mod sedat endo service >5yrs |
663 |
606 |
$10.09 |
| J7999 |
Compounded drug, noc |
544 |
490 |
$7.24 |
| J1642 |
Inj heparin sodium per 10 u |
1,599 |
527 |
$6.97 |
| J2550 |
Promethazine hcl injection |
1,632 |
1,357 |
$6.63 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
124 |
107 |
$6.43 |
| J1650 |
Inj enoxaparin sodium |
802 |
341 |
$6.32 |
| J3475 |
Inj magnesium sulfate |
2,153 |
1,478 |
$5.93 |
| J1940 |
Furosemide injection |
2,123 |
1,485 |
$5.06 |
| J2919 |
Inj, methylpred sod succ 5mg |
230 |
183 |
$4.08 |
| J3480 |
Inj potassium chloride |
1,081 |
565 |
$2.92 |
| J2175 |
Meperidine hydrochl /100 mg |
1,343 |
1,212 |
$1.94 |
| 84100 |
|
2,490 |
1,860 |
$1.36 |
| J0171 |
Adrenalin epinephrine inject |
1,767 |
1,589 |
$1.34 |
| J7050 |
Normal saline solution infus |
206 |
122 |
$0.67 |
| J2250 |
Inj midazolam hydrochloride |
6,917 |
6,252 |
$0.47 |
| Q0245 |
Bamlanivimab and etesevima |
106 |
101 |
$0.01 |
| Q0247 |
Sotrovimab |
92 |
89 |
$0.01 |
| 83540 |
|
78 |
64 |
$0.00 |
| 85520 |
|
203 |
172 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
380 |
250 |
$0.00 |
| J0744 |
Ciprofloxacin iv |
170 |
138 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
797 |
572 |
$0.00 |
| 89051 |
|
206 |
114 |
$0.00 |
| 94664 |
|
586 |
419 |
$0.00 |
| 51701 |
|
262 |
224 |
$0.00 |
| 84520 |
|
234 |
202 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
426 |
386 |
$0.00 |
| P9016 |
Rbc leukocytes reduced |
479 |
381 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
1,043 |
951 |
$0.00 |
| 84295 |
|
208 |
190 |
$0.00 |
| J0780 |
Prochlorperazine injection |
104 |
95 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
185 |
179 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
245 |
237 |
$0.00 |
| 97110 |
|
465 |
268 |
$0.00 |
| 84466 |
|
64 |
51 |
$0.00 |
| J1953 |
Levetiracetam injection |
18 |
13 |
$0.00 |
| 36600 |
|
47 |
44 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
125 |
91 |
$0.00 |
| J0735 |
Clonidine hydrochloride |
53 |
44 |
$0.00 |
| Q0239 |
Bamlanivimab-xxxx |
40 |
39 |
$0.00 |
| 87102 |
|
16 |
13 |
$0.00 |
| 76937 |
|
43 |
37 |
$0.00 |
| 51702 |
|
50 |
41 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
12 |
12 |
$0.00 |
| J1956 |
Levofloxacin injection |
19 |
13 |
$0.00 |
| 88304 |
|
559 |
513 |
$0.00 |
| 97165 |
|
710 |
619 |
$0.00 |
| 82435 |
|
153 |
145 |
$0.00 |
| 87651 |
|
201 |
196 |
$0.00 |
| 94761 |
|
72 |
53 |
$0.00 |
| 87206 |
|
40 |
24 |
$0.00 |
| 73560 |
|
40 |
25 |
$0.00 |
| J0456 |
Azithromycin |
123 |
80 |
$0.00 |
| J2001 |
Lidocaine injection |
1,221 |
1,065 |
$0.00 |
| G0008 |
Admin influenza virus vac |
99 |
91 |
$0.00 |
| 77063 |
|
262 |
245 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
567 |
415 |
$0.00 |
| 74021 |
|
69 |
61 |
$0.00 |
| J0500 |
Dicyclomine injection |
14 |
12 |
$0.00 |
| J1790 |
Droperidol injection |
94 |
90 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
157 |
142 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
200 |
183 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
14 |
13 |
$0.00 |
| A9585 |
Gadobutrol injection |
147 |
134 |
$0.00 |
| 90686 |
|
116 |
107 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
510 |
400 |
$0.00 |
| 82553 |
|
117 |
99 |
$0.00 |
| J8540 |
Oral dexamethasone |
140 |
117 |
$0.00 |
| Q0222 |
Bebtelovimab 175 mg |
12 |
12 |
$0.00 |
| 82330 |
|
31 |
28 |
$0.00 |
| 88307 |
|
158 |
140 |
$0.00 |
| U0002 |
Covid-19 lab test non-cdc |
18 |
18 |
$0.00 |
| 12002 |
|
13 |
13 |
$0.00 |
| J2920 |
Methylprednisolone injection |
26 |
14 |
$0.00 |
| 82607 |
|
14 |
12 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
32 |
31 |
$0.00 |
| 87116 |
|
13 |
12 |
$0.00 |
| 70544 |
|
24 |
24 |
$0.00 |
| 83615 |
|
14 |
12 |
$0.00 |
| 71101 |
|
36 |
36 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
18 |
12 |
$0.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
12 |
12 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
31 |
26 |
$0.00 |