| Code | Description | Claims | Beneficiaries | Total Paid |
| 96361 |
|
29,668 |
25,974 |
$8.76M |
| 99283 |
|
48,487 |
45,666 |
$4.72M |
| 99284 |
|
47,401 |
44,004 |
$3.21M |
| S9480 |
Intensive outpatient psychia |
5,519 |
849 |
$2.99M |
| 99285 |
|
31,115 |
29,285 |
$2.02M |
| G0463 |
Hospital outpt clinic visit |
26,013 |
12,985 |
$1.96M |
| 74177 |
|
10,692 |
10,359 |
$1.81M |
| 96365 |
|
14,890 |
10,789 |
$1.57M |
| J2323 |
Natalizumab injection |
1,114 |
1,010 |
$1.37M |
| 43239 |
|
4,446 |
4,326 |
$1.25M |
| 70450 |
|
8,001 |
7,681 |
$1.05M |
| 45385 |
|
2,514 |
2,437 |
$961K |
| 96360 |
|
8,695 |
7,829 |
$928K |
| 95810 |
|
1,519 |
1,487 |
$851K |
| 99282 |
|
9,831 |
9,486 |
$719K |
| U0003 |
Cov-19 amp prb hgh thruput |
8,533 |
8,198 |
$656K |
| 74176 |
|
3,800 |
3,686 |
$620K |
| 45380 |
|
2,690 |
2,620 |
$614K |
| 96366 |
|
3,503 |
2,634 |
$581K |
| 71275 |
|
3,139 |
3,053 |
$452K |
| 96413 |
|
3,439 |
2,587 |
$320K |
| 80053 |
|
65,094 |
56,748 |
$305K |
| 95806 |
|
717 |
700 |
$292K |
| 99281 |
|
2,406 |
2,307 |
$280K |
| 76705 |
|
3,178 |
3,080 |
$267K |
| 12001 |
|
1,128 |
1,123 |
$229K |
| 70496 |
|
1,522 |
1,483 |
$228K |
| 10061 |
|
1,106 |
1,061 |
$226K |
| 93971 |
|
2,628 |
2,547 |
$219K |
| 70551 |
|
1,331 |
1,295 |
$213K |
| 95782 |
|
301 |
301 |
$209K |
| J2350 |
Injection, ocrelizumab, 1 mg |
30 |
25 |
$185K |
| 59025 |
|
1,182 |
805 |
$184K |
| 96415 |
|
885 |
689 |
$167K |
| 78452 |
|
457 |
439 |
$166K |
| 87631 |
|
3,711 |
3,590 |
$163K |
| 76830 |
|
1,870 |
1,835 |
$142K |
| G0249 |
Provide inr test mater/equip |
4,852 |
4,429 |
$123K |
| 12011 |
|
383 |
382 |
$95K |
| 93017 |
|
970 |
946 |
$89K |
| 10060 |
|
429 |
418 |
$86K |
| 47562 |
|
37 |
37 |
$81K |
| 45378 |
|
260 |
257 |
$74K |
| 12002 |
|
357 |
355 |
$71K |
| 99291 |
|
2,227 |
2,156 |
$70K |
| 84484 |
|
15,002 |
11,837 |
$69K |
| 62323 |
|
376 |
371 |
$67K |
| 76801 |
|
922 |
884 |
$63K |
| 27447 |
|
12 |
12 |
$57K |
| 94640 |
|
7,651 |
5,887 |
$52K |
| 87040 |
|
8,449 |
4,291 |
$51K |
| 43248 |
|
112 |
108 |
$50K |
| 80307 |
|
4,997 |
4,612 |
$48K |
| 76937 |
|
656 |
603 |
$48K |
| 95800 |
|
474 |
474 |
$47K |
| 93975 |
|
1,114 |
1,088 |
$45K |
| 80048 |
|
9,021 |
7,878 |
$44K |
| G0378 |
Hospital observation per hr |
5,294 |
2,463 |
$41K |
| 84145 |
|
4,760 |
4,446 |
$37K |
| 76856 |
|
1,308 |
1,281 |
$36K |
| 70498 |
|
1,314 |
1,276 |
$35K |
| 71260 |
|
403 |
399 |
$33K |
| 90715 |
|
1,921 |
1,903 |
$33K |
| 95811 |
|
80 |
78 |
$32K |
| 83605 |
|
6,390 |
5,270 |
$32K |
| 70486 |
|
1,307 |
1,281 |
$29K |
| 87651 |
|
3,112 |
3,083 |
$29K |
| 76817 |
|
1,070 |
1,025 |
$28K |
| 85025 |
|
64,879 |
56,995 |
$26K |
| 83880 |
|
4,781 |
4,448 |
$25K |
| 96367 |
|
1,429 |
1,014 |
$25K |
| 85379 |
|
4,689 |
4,575 |
$24K |
| 87636 |
|
5,048 |
4,901 |
$24K |
| 87591 |
|
2,254 |
2,213 |
$23K |
| 64483 |
|
42 |
41 |
$22K |
| 36415 |
|
17,475 |
14,516 |
$21K |
| 87502 |
|
1,707 |
1,676 |
$21K |
| 72125 |
|
2,979 |
2,890 |
$19K |
| 93005 |
|
23,408 |
21,805 |
$18K |
| 80050 |
|
3,254 |
3,200 |
$17K |
| 76770 |
|
177 |
168 |
$16K |
| 97802 |
|
216 |
214 |
$14K |
| 97530 |
|
662 |
351 |
$13K |
| 87661 |
|
1,674 |
1,650 |
$10K |
| 70544 |
|
127 |
127 |
$10K |
| 85027 |
|
11,633 |
10,213 |
$10K |
| 87641 |
|
1,072 |
1,049 |
$10K |
| 93970 |
|
110 |
106 |
$10K |
| 84443 |
|
6,117 |
5,870 |
$10K |
| 86140 |
|
5,799 |
5,137 |
$10K |
| 94060 |
|
247 |
240 |
$10K |
| 96374 |
|
35,152 |
31,699 |
$10K |
| 83735 |
|
8,990 |
7,001 |
$9K |
| 71046 |
|
10,972 |
10,599 |
$9K |
| 87635 |
|
299 |
294 |
$9K |
| P9045 |
Albumin (human), 5%, 250 ml |
36 |
32 |
$9K |
| 36430 |
|
142 |
107 |
$8K |
| 71045 |
|
10,349 |
9,797 |
$7K |
| 88307 |
|
509 |
497 |
$7K |
| 29125 |
|
31 |
29 |
$7K |
| 97803 |
|
193 |
160 |
$7K |
| 96375 |
|
30,180 |
25,940 |
$6K |
| 97161 |
|
206 |
201 |
$6K |
| 70491 |
|
68 |
67 |
$5K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,985 |
1,948 |
$5K |
| 87633 |
|
473 |
464 |
$5K |
| 64415 |
|
47 |
45 |
$5K |
| 80306 |
|
8,591 |
8,197 |
$5K |
| 86780 |
|
388 |
383 |
$4K |
| 96372 |
|
11,088 |
9,765 |
$4K |
| 97597 |
|
91 |
25 |
$4K |
| 85652 |
|
1,607 |
1,441 |
$4K |
| 76870 |
|
52 |
52 |
$4K |
| 94729 |
|
217 |
210 |
$4K |
| 43235 |
|
13 |
12 |
$4K |
| 87798 |
|
525 |
515 |
$4K |
| 82728 |
|
731 |
701 |
$4K |
| 80143 |
|
1,057 |
1,018 |
$4K |
| 85610 |
|
28,911 |
15,659 |
$4K |
| 81001 |
|
24,778 |
23,229 |
$4K |
| 82962 |
|
22,471 |
15,317 |
$3K |
| 87581 |
|
473 |
464 |
$3K |
| 87486 |
|
472 |
463 |
$3K |
| 84100 |
|
2,089 |
1,511 |
$3K |
| 84439 |
|
1,478 |
1,437 |
$3K |
| 80061 |
|
908 |
896 |
$3K |
| 85007 |
|
1,049 |
904 |
$3K |
| P9016 |
Rbc leukocytes reduced |
12 |
12 |
$3K |
| 94726 |
|
162 |
156 |
$3K |
| Q0247 |
Sotrovimab |
12 |
12 |
$3K |
| 45381 |
|
69 |
68 |
$3K |
| 70553 |
|
12 |
12 |
$3K |
| J2405 |
Ondansetron hcl injection |
34,708 |
29,293 |
$2K |
| 88305 |
|
8,326 |
8,098 |
$2K |
| M0247 |
Sotrovimab infusion |
12 |
12 |
$2K |
| 83690 |
|
19,710 |
18,064 |
$2K |
| M0243 |
Casirivi and imdevi inj |
14 |
14 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
17,070 |
16,278 |
$2K |
| 80179 |
|
1,015 |
983 |
$2K |
| 90686 |
|
239 |
230 |
$2K |
| 90471 |
|
2,572 |
2,477 |
$2K |
| 73630 |
|
2,079 |
1,945 |
$2K |
| 73610 |
|
2,182 |
2,077 |
$2K |
| 82306 |
|
600 |
581 |
$2K |
| 96376 |
|
10,362 |
8,572 |
$2K |
| 97162 |
|
97 |
94 |
$2K |
| 84702 |
|
2,294 |
2,116 |
$2K |
| 72100 |
|
1,539 |
1,510 |
$2K |
| J1170 |
Hydromorphone injection |
20,381 |
15,354 |
$2K |
| 74174 |
|
13 |
13 |
$2K |
| 87086 |
|
6,513 |
6,213 |
$2K |
| 83036 |
|
711 |
694 |
$2K |
| 73030 |
|
2,049 |
1,920 |
$2K |
| 86850 |
|
2,112 |
1,890 |
$2K |
| J0171 |
Adrenalin epinephrine inject |
991 |
891 |
$2K |
| 74018 |
|
1,001 |
960 |
$1K |
| 83550 |
|
431 |
416 |
$1K |
| 83540 |
|
608 |
589 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
20,226 |
18,332 |
$1K |
| 73130 |
|
1,882 |
1,795 |
$1K |
| 81025 |
|
19,333 |
18,482 |
$1K |
| 73502 |
|
1,212 |
1,090 |
$1K |
| 86901 |
|
2,204 |
1,944 |
$1K |
| 74019 |
|
614 |
598 |
$1K |
| J3010 |
Fentanyl citrate injection |
15,301 |
11,353 |
$1K |
| 81003 |
|
18,466 |
17,521 |
$1K |
| 87491 |
|
2,253 |
2,213 |
$1K |
| 87070 |
|
1,830 |
1,711 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
15,316 |
14,587 |
$944.89 |
| 82077 |
|
5,999 |
5,572 |
$926.34 |
| 87075 |
|
1,506 |
1,402 |
$921.43 |
| 72148 |
|
12 |
12 |
$892.14 |
| 73560 |
|
776 |
753 |
$891.23 |
| J1815 |
Insulin injection |
3,914 |
1,896 |
$882.84 |
| 86900 |
|
2,140 |
1,881 |
$868.85 |
| 82550 |
|
1,570 |
1,265 |
$855.23 |
| 73562 |
|
1,122 |
1,098 |
$847.03 |
| J7030 |
Normal saline solution infus |
29,877 |
26,311 |
$824.72 |
| 87205 |
|
2,091 |
1,913 |
$812.95 |
| J3490 |
Drugs unclassified injection |
1,327 |
1,204 |
$796.10 |
| J2001 |
Lidocaine injection |
14,850 |
13,444 |
$783.54 |
| 82570 |
|
571 |
509 |
$782.04 |
| 86923 |
|
74 |
63 |
$778.89 |
| 73140 |
|
590 |
558 |
$675.64 |
| 80069 |
|
194 |
147 |
$662.93 |
| 73590 |
|
673 |
617 |
$659.36 |
| 82805 |
|
1,626 |
1,430 |
$653.98 |
| 73110 |
|
1,238 |
1,192 |
$649.12 |
| J1100 |
Dexamethasone sodium phos |
9,754 |
9,301 |
$598.82 |
| 89051 |
|
84 |
68 |
$594.23 |
| 87077 |
|
2,238 |
2,160 |
$565.31 |
| 87186 |
|
3,316 |
3,205 |
$555.34 |
| J2250 |
Inj midazolam hydrochloride |
7,544 |
7,232 |
$522.47 |
| J2270 |
Morphine sulfate injection |
6,282 |
5,418 |
$505.29 |
| 85730 |
|
3,105 |
2,926 |
$486.94 |
| 84703 |
|
1,465 |
1,425 |
$483.53 |
| 87088 |
|
2,117 |
2,039 |
$479.01 |
| 81002 |
|
1,511 |
1,432 |
$445.82 |
| 84156 |
|
271 |
244 |
$413.40 |
| 73080 |
|
175 |
170 |
$407.71 |
| 71101 |
|
678 |
659 |
$383.32 |
| J7050 |
Normal saline solution infus |
11,510 |
6,712 |
$382.44 |
| J2930 |
Methylprednisolone injection |
3,006 |
2,604 |
$373.05 |
| 82607 |
|
80 |
79 |
$367.36 |
| 87420 |
|
21 |
21 |
$365.80 |
| J1200 |
Diphenhydramine hcl injectio |
7,065 |
6,131 |
$351.10 |
| 87634 |
|
410 |
401 |
$339.13 |
| 73564 |
|
270 |
260 |
$312.42 |
| A9270 |
Non-covered item or service |
11,784 |
3,936 |
$303.01 |
| 87400 |
|
28 |
14 |
$281.92 |
| 73090 |
|
328 |
305 |
$280.82 |
| J0696 |
Ceftriaxone sodium injection |
6,931 |
5,451 |
$276.70 |
| J2765 |
Metoclopramide hcl injection |
4,015 |
3,696 |
$248.56 |
| J3480 |
Inj potassium chloride |
1,204 |
813 |
$235.18 |
| 87210 |
|
936 |
921 |
$229.79 |
| 88342 |
|
1,295 |
1,251 |
$207.03 |
| J7120 |
Ringers lactate infusion |
8,761 |
7,584 |
$170.48 |
| 84550 |
|
283 |
272 |
$164.32 |
| 82784 |
|
72 |
54 |
$163.49 |
| J2370 |
Phenylephrine hcl injection |
3,745 |
3,640 |
$145.80 |
| C1769 |
Guide wire |
1,384 |
1,296 |
$141.59 |
| 90656 |
|
15 |
15 |
$133.62 |
| 84112 |
|
41 |
40 |
$133.48 |
| 87340 |
|
50 |
48 |
$130.69 |
| 87081 |
|
288 |
287 |
$127.03 |
| 85018 |
|
258 |
189 |
$119.04 |
| 87147 |
|
315 |
307 |
$116.84 |
| J3475 |
Inj magnesium sulfate |
1,651 |
1,256 |
$114.49 |
| J0330 |
Succinycholine chloride inj |
1,937 |
1,876 |
$104.07 |
| 86803 |
|
29 |
29 |
$102.87 |
| 82105 |
|
25 |
25 |
$102.67 |
| 73660 |
|
28 |
28 |
$94.20 |
| J1650 |
Inj enoxaparin sodium |
1,756 |
844 |
$90.87 |
| J2710 |
Neostigmine methylslfte inj |
1,084 |
1,067 |
$81.12 |
| 80164 |
|
15 |
12 |
$79.97 |
| 85014 |
|
149 |
102 |
$76.35 |
| J0690 |
Cefazolin sodium injection |
6,983 |
5,712 |
$72.39 |
| 82945 |
|
27 |
27 |
$71.54 |
| A9577 |
Inj multihance |
285 |
255 |
$70.22 |
| 82565 |
|
39 |
37 |
$70.00 |
| J2060 |
Lorazepam injection |
4,372 |
3,693 |
$68.96 |
| 86364 |
|
12 |
12 |
$65.08 |
| 88304 |
|
948 |
933 |
$64.20 |
| 84157 |
|
31 |
29 |
$52.75 |
| 80076 |
|
15 |
12 |
$50.69 |
| 99152 |
|
56 |
56 |
$50.43 |
| 87493 |
|
39 |
38 |
$46.74 |
| 73070 |
|
30 |
24 |
$40.53 |
| 82746 |
|
14 |
13 |
$36.57 |
| J7512 |
Prednisone ir or dr oral 1mg |
2,495 |
2,153 |
$32.29 |
| 82010 |
|
341 |
292 |
$31.33 |
| J7040 |
Normal saline solution infus |
1,757 |
1,613 |
$30.59 |
| 82803 |
|
60 |
57 |
$29.31 |
| 86592 |
|
29 |
25 |
$27.86 |
| A9585 |
Gadobutrol injection |
177 |
165 |
$27.20 |
| J1642 |
Inj heparin sodium per 10 u |
2,913 |
1,714 |
$22.32 |
| J2360 |
Orphenadrine injection |
1,846 |
1,780 |
$22.17 |
| 87389 |
|
36 |
36 |
$17.84 |
| 0202U |
|
119 |
117 |
$17.51 |
| J2550 |
Promethazine hcl injection |
4,328 |
3,752 |
$11.87 |
| J8540 |
Oral dexamethasone |
1,110 |
693 |
$11.40 |
| J1040 |
Methylprednisolone 80 mg inj |
716 |
710 |
$10.62 |
| J0780 |
Prochlorperazine injection |
1,449 |
1,364 |
$10.34 |
| 36600 |
|
26 |
24 |
$9.15 |
| 99153 |
Mod sedat endo service >5yrs |
300 |
299 |
$8.01 |
| U0005 |
Infec agen detec ampli probe |
4,811 |
4,624 |
$5.20 |
| J0500 |
Dicyclomine injection |
745 |
695 |
$4.07 |
| 36591 |
|
29 |
29 |
$3.93 |
| J1630 |
Haloperidol injection |
1,289 |
1,060 |
$1.98 |
| J1940 |
Furosemide injection |
312 |
224 |
$1.74 |
| J1644 |
Inj heparin sodium per 1000u |
2,172 |
909 |
$0.08 |
| C9113 |
Inj pantoprazole sodium, via |
1,813 |
1,387 |
$0.04 |
| J3370 |
Vancomycin hcl injection |
2,288 |
1,647 |
$0.00 |
| G1004 |
Cdsm ndsc |
15,935 |
13,106 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
379 |
287 |
$0.00 |
| J1245 |
Dipyridamole injection |
130 |
123 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
143 |
139 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
246 |
222 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
541 |
304 |
$0.00 |
| 87806 |
|
148 |
147 |
$0.00 |
| J0744 |
Ciprofloxacin iv |
95 |
86 |
$0.00 |
| G0500 |
Mod sedat endo service >5yrs |
716 |
705 |
$0.00 |
| C1776 |
Joint device (implantable) |
174 |
173 |
$0.00 |
| 96417 |
|
123 |
79 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
45 |
43 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
305 |
297 |
$0.00 |
| C1758 |
Catheter, ureteral |
42 |
41 |
$0.00 |
| J0688 |
Inj cefazolin sodium, hikma |
81 |
76 |
$0.00 |
| J3415 |
Pyridoxine hcl 100 mg |
67 |
56 |
$0.00 |
| M0222 |
Bebtelovimab injection |
60 |
60 |
$0.00 |
| 29824 |
|
13 |
13 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
207 |
177 |
$0.00 |
| G8979 |
Mobility goal status |
15 |
13 |
$0.00 |
| 72050 |
|
12 |
12 |
$0.00 |
| G8978 |
Mobility current status |
14 |
13 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
903 |
894 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
734 |
567 |
$0.00 |
| J1790 |
Droperidol injection |
179 |
172 |
$0.00 |
| 74420 |
|
39 |
36 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
603 |
505 |
$0.00 |
| A9500 |
Tc99m sestamibi |
584 |
485 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
850 |
829 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
24 |
24 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
192 |
155 |
$0.00 |
| J0456 |
Azithromycin |
44 |
37 |
$0.00 |
| J2785 |
Regadenoson injection |
17 |
17 |
$0.00 |
| S2900 |
Robotic surgical system |
12 |
12 |
$0.00 |
| C1781 |
Mesh (implantable) |
57 |
57 |
$0.00 |
| C1889 |
Implant/insert device, noc |
298 |
284 |
$0.00 |
| J0280 |
Aminophyllin 250 mg inj |
143 |
135 |
$0.00 |
| 89060 |
|
14 |
12 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
108 |
51 |
$0.00 |
| 96368 |
|
122 |
67 |
$0.00 |
| 73552 |
|
13 |
12 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
56 |
48 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
41 |
41 |
$0.00 |
| 86308 |
|
14 |
13 |
$0.00 |
| A9503 |
Tc99m medronate |
27 |
25 |
$0.00 |
| J7999 |
Compounded drug, noc |
68 |
59 |
$0.00 |
| 88341 |
|
13 |
13 |
$0.00 |