| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
20,882 |
19,735 |
$6.40M |
| 99284 |
|
27,736 |
26,287 |
$4.42M |
| 99283 |
|
22,854 |
21,895 |
$2.90M |
| 96374 |
|
22,596 |
20,937 |
$1.83M |
| G0378 |
Hospital observation per hr |
7,463 |
4,380 |
$1.41M |
| 45378 |
|
3,194 |
3,164 |
$1.22M |
| 74177 |
|
5,123 |
5,016 |
$603K |
| 43235 |
|
1,755 |
1,715 |
$601K |
| 43239 |
|
1,488 |
1,471 |
$565K |
| 96361 |
|
13,461 |
12,469 |
$492K |
| 99282 |
|
4,281 |
4,187 |
$386K |
| 70450 |
|
4,836 |
4,699 |
$344K |
| 96360 |
|
3,298 |
3,225 |
$316K |
| 71045 |
|
8,792 |
8,359 |
$276K |
| 71046 |
|
9,161 |
8,871 |
$261K |
| 96372 |
|
12,109 |
10,441 |
$249K |
| 45385 |
|
451 |
446 |
$238K |
| 99291 |
|
489 |
480 |
$207K |
| 87635 |
|
7,307 |
7,103 |
$204K |
| 82947 |
|
7,317 |
5,675 |
$184K |
| 96365 |
|
2,112 |
1,897 |
$160K |
| 74176 |
|
1,662 |
1,631 |
$143K |
| 99281 |
|
1,978 |
1,926 |
$135K |
| 96375 |
|
9,401 |
8,659 |
$124K |
| U0002 |
Covid-19 lab test non-cdc |
3,741 |
3,621 |
$88K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,859 |
1,806 |
$86K |
| 93306 |
|
944 |
922 |
$80K |
| 71275 |
|
1,232 |
1,204 |
$75K |
| 47562 |
|
24 |
24 |
$56K |
| 45380 |
|
120 |
118 |
$53K |
| 93975 |
|
604 |
593 |
$45K |
| 80061 |
|
645 |
635 |
$42K |
| 76856 |
|
977 |
969 |
$42K |
| 76830 |
|
789 |
782 |
$39K |
| 80048 |
|
30,295 |
25,563 |
$38K |
| 90471 |
|
1,756 |
1,727 |
$36K |
| 76801 |
|
667 |
645 |
$31K |
| 36415 |
|
10,562 |
9,835 |
$29K |
| 30520 |
|
26 |
24 |
$28K |
| 87591 |
|
4,409 |
4,308 |
$24K |
| 87491 |
|
4,403 |
4,302 |
$24K |
| 10060 |
|
220 |
214 |
$23K |
| 70486 |
|
716 |
712 |
$20K |
| A9270 |
Non-covered item or service |
21,096 |
13,486 |
$14K |
| U0005 |
Infec agen detec ampli probe |
1,059 |
1,030 |
$14K |
| 12001 |
|
351 |
348 |
$13K |
| 76705 |
|
303 |
298 |
$13K |
| 87637 |
|
221 |
221 |
$12K |
| 72125 |
|
2,189 |
2,155 |
$12K |
| 80053 |
|
9,817 |
8,959 |
$12K |
| 82306 |
|
703 |
696 |
$10K |
| 73564 |
|
1,709 |
1,666 |
$9K |
| 72148 |
|
93 |
93 |
$9K |
| 70491 |
|
92 |
91 |
$8K |
| 93971 |
|
151 |
150 |
$7K |
| 84443 |
|
2,848 |
2,779 |
$6K |
| 73030 |
|
1,294 |
1,260 |
$5K |
| 93351 |
|
51 |
50 |
$5K |
| 71260 |
|
41 |
38 |
$4K |
| 88305 |
|
3,522 |
3,458 |
$4K |
| 72131 |
|
129 |
129 |
$4K |
| 85025 |
|
39,385 |
33,142 |
$4K |
| 73721 |
|
27 |
25 |
$4K |
| 93005 |
|
17,575 |
16,283 |
$3K |
| 73630 |
|
1,899 |
1,850 |
$3K |
| 76700 |
|
39 |
39 |
$3K |
| 73610 |
|
1,495 |
1,464 |
$3K |
| 74178 |
|
13 |
13 |
$3K |
| 82728 |
|
564 |
553 |
$2K |
| 73130 |
|
1,733 |
1,696 |
$2K |
| 82607 |
|
412 |
399 |
$2K |
| 86900 |
|
3,158 |
3,034 |
$2K |
| 80051 |
|
979 |
932 |
$2K |
| 29125 |
|
80 |
79 |
$2K |
| 83036 |
|
773 |
753 |
$2K |
| 73110 |
|
610 |
599 |
$2K |
| 80307 |
|
8,723 |
7,992 |
$1K |
| 83550 |
|
451 |
436 |
$1K |
| 94640 |
|
3,171 |
2,615 |
$1K |
| 82565 |
|
1,160 |
1,087 |
$1K |
| 83540 |
|
481 |
463 |
$1K |
| 88304 |
|
1,532 |
1,497 |
$1K |
| 74018 |
|
122 |
113 |
$950.24 |
| 72100 |
|
63 |
63 |
$932.10 |
| 83735 |
|
26,649 |
22,794 |
$829.38 |
| 85027 |
|
2,083 |
1,773 |
$828.99 |
| 83880 |
|
1,822 |
1,750 |
$818.68 |
| 84520 |
|
970 |
902 |
$740.74 |
| 84439 |
|
229 |
226 |
$715.84 |
| 12002 |
|
38 |
38 |
$673.82 |
| 72110 |
|
24 |
24 |
$670.82 |
| 87502 |
|
5,756 |
5,660 |
$657.11 |
| 80076 |
|
9,248 |
8,511 |
$643.20 |
| 88342 |
|
358 |
356 |
$599.72 |
| 85610 |
|
10,226 |
9,611 |
$593.75 |
| 96366 |
|
32 |
31 |
$575.03 |
| 74022 |
|
811 |
781 |
$552.32 |
| 71250 |
|
12 |
12 |
$544.52 |
| 82747 |
|
70 |
64 |
$542.33 |
| 12011 |
|
13 |
13 |
$501.00 |
| 70496 |
|
14 |
14 |
$484.52 |
| 85730 |
|
9,437 |
8,834 |
$454.10 |
| 84425 |
|
63 |
63 |
$417.01 |
| 76770 |
|
13 |
13 |
$410.68 |
| 73080 |
|
92 |
89 |
$371.70 |
| 81025 |
|
13,235 |
12,667 |
$354.40 |
| 87661 |
|
4,178 |
4,083 |
$349.29 |
| 84100 |
|
3,536 |
2,737 |
$319.99 |
| 84134 |
|
42 |
41 |
$306.37 |
| 85014 |
|
808 |
787 |
$301.28 |
| 84702 |
|
2,333 |
2,203 |
$301.17 |
| 85018 |
|
809 |
788 |
$300.30 |
| 81001 |
|
15,898 |
15,144 |
$292.78 |
| 73502 |
|
114 |
106 |
$258.92 |
| 84450 |
|
494 |
482 |
$246.23 |
| 70498 |
|
27 |
26 |
$242.26 |
| 84460 |
|
369 |
358 |
$240.50 |
| 86850 |
|
2,586 |
2,478 |
$233.73 |
| 82550 |
|
4,211 |
3,910 |
$224.16 |
| Q2035 |
Afluria vacc, 3 yrs & >, im |
28 |
26 |
$210.03 |
| 84484 |
|
9,784 |
8,409 |
$199.01 |
| 82248 |
|
1,106 |
1,083 |
$188.68 |
| 83690 |
|
12,565 |
11,707 |
$179.65 |
| 87086 |
|
3,216 |
3,117 |
$163.48 |
| 94799 |
|
965 |
866 |
$155.58 |
| 84630 |
|
42 |
42 |
$152.58 |
| 87651 |
|
1,809 |
1,792 |
$148.35 |
| 83921 |
|
14 |
14 |
$139.82 |
| 82525 |
|
25 |
25 |
$130.50 |
| 82040 |
|
65 |
65 |
$125.49 |
| 73590 |
|
73 |
69 |
$96.81 |
| 85379 |
|
1,202 |
1,169 |
$91.21 |
| 82247 |
|
141 |
140 |
$91.14 |
| 82805 |
|
241 |
231 |
$90.82 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,759 |
8,270 |
$90.29 |
| 81003 |
|
6,385 |
6,191 |
$89.22 |
| 87880 |
|
1,520 |
1,493 |
$82.65 |
| 86140 |
|
163 |
162 |
$76.89 |
| 83605 |
|
4,279 |
3,880 |
$76.32 |
| 84075 |
|
137 |
136 |
$67.55 |
| 87040 |
|
1,105 |
1,033 |
$65.43 |
| 86901 |
|
3,162 |
3,040 |
$63.73 |
| 76817 |
|
445 |
434 |
$59.64 |
| J7030 |
Normal saline solution infus |
29,808 |
25,298 |
$58.77 |
| 82553 |
|
2,144 |
2,079 |
$53.14 |
| 73090 |
|
12 |
12 |
$48.48 |
| 82150 |
|
907 |
886 |
$41.09 |
| 87088 |
|
628 |
601 |
$39.26 |
| 87186 |
|
395 |
380 |
$38.00 |
| J2272 |
Inj, morphine (fresenius) |
282 |
231 |
$37.87 |
| J1885 |
Ketorolac tromethamine inj |
17,041 |
15,431 |
$35.58 |
| 87077 |
|
227 |
220 |
$35.23 |
| J2270 |
Morphine sulfate injection |
5,705 |
4,243 |
$24.84 |
| J2310 |
Inj naloxone hydrochloride |
179 |
164 |
$20.00 |
| 96376 |
|
1,550 |
1,281 |
$18.59 |
| 84703 |
|
91 |
91 |
$16.15 |
| 83615 |
|
73 |
73 |
$13.98 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,265 |
837 |
$12.13 |
| J7120 |
Ringers lactate infusion |
5,987 |
5,292 |
$11.27 |
| J2405 |
Ondansetron hcl injection |
14,523 |
12,916 |
$11.20 |
| 85651 |
|
24 |
24 |
$10.58 |
| 80164 |
|
14 |
12 |
$9.92 |
| 82077 |
|
4,339 |
3,979 |
$9.52 |
| J7040 |
Normal saline solution infus |
5,476 |
5,175 |
$8.13 |
| J2704 |
Inj, propofol, 10 mg |
10,521 |
10,305 |
$7.31 |
| 88300 |
|
116 |
112 |
$6.14 |
| J0696 |
Ceftriaxone sodium injection |
4,488 |
3,524 |
$4.80 |
| J3490 |
Drugs unclassified injection |
7,169 |
5,816 |
$4.00 |
| J2060 |
Lorazepam injection |
3,908 |
2,783 |
$3.74 |
| J1200 |
Diphenhydramine hcl injectio |
4,188 |
3,673 |
$3.04 |
| J3475 |
Inj magnesium sulfate |
1,967 |
1,734 |
$2.45 |
| J0780 |
Prochlorperazine injection |
691 |
623 |
$2.10 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
58 |
58 |
$1.92 |
| J1100 |
Dexamethasone sodium phos |
5,782 |
5,489 |
$1.75 |
| 80143 |
|
1,492 |
1,434 |
$1.42 |
| J1644 |
Inj heparin sodium per 1000u |
3,713 |
2,162 |
$0.12 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
33 |
25 |
$0.05 |
| J1650 |
Inj enoxaparin sodium |
4,466 |
2,203 |
$0.00 |
| J2930 |
Methylprednisolone injection |
1,432 |
1,179 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
1,033 |
996 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
29 |
29 |
$0.00 |
| 81002 |
|
322 |
315 |
$0.00 |
| 80179 |
|
1,420 |
1,374 |
$0.00 |
| 82140 |
|
16 |
14 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
89 |
81 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
22 |
13 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
25 |
25 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
72 |
72 |
$0.00 |
| 84145 |
|
44 |
43 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
16 |
12 |
$0.00 |
| J1170 |
Hydromorphone injection |
1,665 |
1,246 |
$0.00 |
| J3480 |
Inj potassium chloride |
312 |
227 |
$0.00 |
| J1815 |
Insulin injection |
1,599 |
708 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
2,076 |
1,899 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
4,954 |
4,643 |
$0.00 |
| J0500 |
Dicyclomine injection |
415 |
401 |
$0.00 |
| J2360 |
Orphenadrine injection |
3,373 |
3,212 |
$0.00 |
| A9585 |
Gadobutrol injection |
108 |
106 |
$0.00 |
| J1630 |
Haloperidol injection |
1,372 |
1,142 |
$0.00 |
| J3360 |
Diazepam injection |
47 |
40 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
3,208 |
2,845 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
1,679 |
1,637 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
4,743 |
4,549 |
$0.00 |
| 72170 |
|
138 |
138 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
182 |
178 |
$0.00 |
| J7050 |
Normal saline solution infus |
325 |
213 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
191 |
184 |
$0.00 |
| 94761 |
|
402 |
382 |
$0.00 |
| J2001 |
Lidocaine injection |
36 |
32 |
$0.00 |
| 94644 |
|
235 |
223 |
$0.00 |
| 94760 |
|
473 |
457 |
$0.00 |
| J1790 |
Droperidol injection |
26 |
26 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
19 |
12 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
27 |
27 |
$0.00 |