| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
14,104 |
13,167 |
$2.26M |
| 99284 |
|
9,319 |
8,944 |
$1.44M |
| 99285 |
|
4,303 |
4,207 |
$677K |
| 99282 |
|
3,579 |
3,421 |
$577K |
| 70450 |
|
1,896 |
1,804 |
$430K |
| 74160 |
|
1,370 |
1,359 |
$416K |
| 80053 |
|
18,722 |
9,486 |
$341K |
| J1439 |
Inj ferric carboxymaltos 1mg |
681 |
429 |
$302K |
| 74150 |
|
991 |
980 |
$246K |
| 86769 |
|
19,168 |
8,431 |
$238K |
| 80048 |
|
15,204 |
7,456 |
$193K |
| 99281 |
|
606 |
552 |
$96K |
| 71250 |
|
273 |
268 |
$68K |
| 96365 |
|
1,489 |
934 |
$51K |
| 70553 |
|
105 |
105 |
$50K |
| 83880 |
|
1,308 |
1,285 |
$40K |
| 86905 |
|
972 |
958 |
$36K |
| 66984 |
|
15 |
14 |
$31K |
| 87633 |
|
412 |
409 |
$28K |
| 96372 |
|
1,755 |
1,024 |
$25K |
| 85025 |
|
14,015 |
12,949 |
$23K |
| J1437 |
Inj. fe derisomaltose 10 mg |
17 |
14 |
$19K |
| 81025 |
|
6,148 |
5,880 |
$19K |
| 76700 |
|
24 |
24 |
$16K |
| 96375 |
|
530 |
372 |
$15K |
| 87276 |
|
4,992 |
4,866 |
$14K |
| 82962 |
|
1,691 |
1,504 |
$13K |
| 99202 |
|
693 |
693 |
$11K |
| 99232 |
|
254 |
190 |
$11K |
| 43239 |
|
13 |
13 |
$11K |
| 93005 |
|
4,387 |
4,246 |
$9K |
| M0243 |
Casirivi and imdevi inj |
985 |
975 |
$8K |
| 71046 |
|
3,175 |
3,134 |
$7K |
| 85732 |
|
4,045 |
3,975 |
$7K |
| 88305 |
|
263 |
260 |
$6K |
| 99291 |
|
39 |
39 |
$5K |
| 82803 |
|
149 |
147 |
$5K |
| 36415 |
|
1,019 |
688 |
$4K |
| 96367 |
|
407 |
286 |
$4K |
| 88304 |
|
313 |
308 |
$4K |
| 81001 |
|
7,985 |
5,102 |
$3K |
| J2920 |
Methylprednisolone injection |
431 |
345 |
$3K |
| 71045 |
|
1,829 |
1,794 |
$3K |
| J2919 |
Inj, methylpred sod succ 5mg |
185 |
155 |
$3K |
| 99225 |
|
57 |
55 |
$2K |
| 96413 |
|
91 |
39 |
$2K |
| 72125 |
|
30 |
30 |
$2K |
| 90715 |
|
45 |
44 |
$1K |
| 99203 |
|
126 |
126 |
$1K |
| 99222 |
|
28 |
27 |
$1K |
| 80076 |
|
86 |
86 |
$1K |
| M0239 |
Bamlanivimab-xxxx infusion |
36 |
35 |
$1K |
| 84484 |
|
4,094 |
3,891 |
$840.57 |
| 96366 |
|
14 |
13 |
$673.06 |
| J2916 |
Na ferric gluconate complex |
32 |
12 |
$567.85 |
| 73620 |
|
456 |
447 |
$565.77 |
| 0012A |
|
13 |
13 |
$458.54 |
| J3420 |
Vitamin b12 injection |
283 |
255 |
$454.53 |
| 85379 |
|
1,413 |
1,394 |
$395.10 |
| 83690 |
|
3,270 |
3,160 |
$352.81 |
| M0247 |
Sotrovimab infusion |
49 |
49 |
$305.60 |
| Q5106 |
Inj retacrit non-esrd use |
192 |
102 |
$285.04 |
| 84702 |
|
1,193 |
1,173 |
$228.10 |
| 72170 |
|
53 |
12 |
$220.91 |
| 83605 |
|
1,009 |
987 |
$182.46 |
| 0011A |
|
12 |
12 |
$157.25 |
| 83735 |
|
1,201 |
1,179 |
$119.14 |
| 86140 |
|
993 |
983 |
$114.19 |
| J1200 |
Diphenhydramine hcl injectio |
184 |
163 |
$106.89 |
| 73600 |
|
168 |
165 |
$99.10 |
| J2270 |
Morphine sulfate injection |
236 |
202 |
$85.77 |
| 73560 |
|
218 |
194 |
$75.92 |
| 82550 |
|
545 |
533 |
$75.87 |
| 96368 |
|
16 |
13 |
$55.55 |
| J1885 |
Ketorolac tromethamine inj |
1,014 |
958 |
$51.95 |
| 82552 |
|
38 |
36 |
$47.00 |
| 73120 |
|
95 |
92 |
$45.35 |
| J7030 |
Normal saline solution infus |
186 |
179 |
$36.32 |
| 84443 |
|
290 |
288 |
$27.77 |
| 82150 |
|
130 |
129 |
$25.90 |
| 84480 |
|
225 |
223 |
$17.59 |
| 84436 |
|
223 |
221 |
$17.59 |
| 73030 |
|
12 |
12 |
$15.00 |
| J0690 |
Cefazolin sodium injection |
74 |
74 |
$5.99 |
| 85007 |
|
287 |
286 |
$4.67 |
| 82009 |
|
14 |
13 |
$0.54 |
| 84145 |
|
13 |
13 |
$0.00 |
| 90832 |
|
12 |
12 |
$0.00 |
| J2001 |
Lidocaine injection |
85 |
84 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
15 |
13 |
$0.00 |
| G0463 |
Hospital outpt clinic visit |
13 |
12 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
21 |
19 |
$0.00 |