| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
16,079 |
15,667 |
$2.39M |
| 99285 |
|
4,777 |
4,638 |
$759K |
| 99283 |
|
5,859 |
5,716 |
$549K |
| G0378 |
Hospital observation per hr |
2,042 |
892 |
$391K |
| 43239 |
|
1,324 |
1,298 |
$371K |
| 96374 |
|
8,306 |
8,029 |
$154K |
| 74177 |
|
1,006 |
981 |
$123K |
| 45380 |
|
259 |
253 |
$86K |
| 80053 |
|
9,640 |
9,153 |
$73K |
| 85025 |
|
18,951 |
17,294 |
$73K |
| 93005 |
|
9,214 |
8,812 |
$63K |
| 96375 |
|
3,640 |
3,341 |
$46K |
| 71275 |
|
308 |
302 |
$42K |
| 84484 |
|
5,327 |
4,849 |
$37K |
| 70450 |
|
840 |
809 |
$34K |
| 80048 |
|
6,036 |
5,341 |
$33K |
| 71046 |
|
2,891 |
2,821 |
$30K |
| 0241U |
|
542 |
538 |
$30K |
| 64415 |
|
105 |
104 |
$26K |
| U0003 |
Cov-19 amp prb hgh thruput |
505 |
483 |
$26K |
| 88305 |
|
2,161 |
2,067 |
$25K |
| 84703 |
|
3,408 |
3,301 |
$23K |
| J3490 |
Drugs unclassified injection |
6,603 |
4,407 |
$21K |
| 74176 |
|
333 |
327 |
$19K |
| 78452 |
|
161 |
154 |
$19K |
| 93306 |
|
294 |
290 |
$16K |
| 80307 |
|
418 |
369 |
$15K |
| 93971 |
|
283 |
276 |
$14K |
| 83690 |
|
4,110 |
3,973 |
$13K |
| 70551 |
|
102 |
99 |
$13K |
| 64721 |
|
54 |
52 |
$12K |
| 99282 |
|
203 |
202 |
$11K |
| 72125 |
|
241 |
233 |
$10K |
| T1015 |
Clinic service |
472 |
403 |
$10K |
| 80050 |
|
247 |
240 |
$10K |
| 96365 |
|
344 |
238 |
$9K |
| 71045 |
|
1,938 |
1,848 |
$9K |
| 82805 |
|
422 |
391 |
$9K |
| 99281 |
|
245 |
230 |
$8K |
| 81001 |
|
4,002 |
3,891 |
$8K |
| 87635 |
|
180 |
180 |
$7K |
| M0243 |
Casirivi and imdevi inj |
20 |
20 |
$7K |
| 45385 |
|
16 |
14 |
$6K |
| 83880 |
|
307 |
296 |
$6K |
| 83735 |
|
1,354 |
1,129 |
$6K |
| 84443 |
|
322 |
314 |
$5K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,586 |
4,202 |
$5K |
| 85610 |
|
2,227 |
1,915 |
$5K |
| 85730 |
|
1,179 |
1,135 |
$5K |
| 93017 |
|
213 |
205 |
$5K |
| 83605 |
|
885 |
812 |
$4K |
| 82306 |
|
156 |
153 |
$4K |
| 96372 |
|
580 |
457 |
$4K |
| 62323 |
|
16 |
16 |
$4K |
| 80061 |
|
335 |
327 |
$4K |
| 87086 |
|
782 |
748 |
$4K |
| 80076 |
|
665 |
612 |
$3K |
| 85379 |
|
448 |
437 |
$3K |
| 88342 |
|
169 |
162 |
$3K |
| 87040 |
|
324 |
213 |
$3K |
| 87491 |
|
210 |
204 |
$3K |
| 87591 |
|
210 |
204 |
$3K |
| 70496 |
|
26 |
26 |
$3K |
| J1815 |
Insulin injection |
393 |
230 |
$3K |
| 72148 |
|
18 |
17 |
$3K |
| 73610 |
|
199 |
193 |
$2K |
| 96361 |
|
238 |
175 |
$2K |
| 93970 |
|
28 |
28 |
$2K |
| 76705 |
|
86 |
85 |
$2K |
| 84100 |
|
524 |
437 |
$2K |
| 72100 |
|
124 |
121 |
$2K |
| J1170 |
Hydromorphone injection |
4,648 |
2,450 |
$2K |
| 73630 |
|
273 |
264 |
$2K |
| 83036 |
|
336 |
332 |
$2K |
| 81003 |
|
791 |
779 |
$2K |
| 73030 |
|
137 |
132 |
$1K |
| 73130 |
|
173 |
166 |
$1K |
| 85027 |
|
426 |
352 |
$1K |
| 82607 |
|
164 |
157 |
$1K |
| 82962 |
|
1,425 |
1,005 |
$1K |
| 84702 |
|
94 |
83 |
$1K |
| J7030 |
Normal saline solution infus |
4,668 |
3,600 |
$1K |
| 70498 |
|
14 |
14 |
$1K |
| 76937 |
|
231 |
212 |
$1K |
| 86850 |
|
230 |
218 |
$984.94 |
| 71250 |
|
24 |
24 |
$891.31 |
| 90715 |
|
198 |
185 |
$798.53 |
| J7120 |
Ringers lactate infusion |
4,793 |
3,837 |
$794.84 |
| 97162 |
|
60 |
60 |
$785.78 |
| 87077 |
|
170 |
165 |
$782.63 |
| 82728 |
|
84 |
81 |
$769.92 |
| A9500 |
Tc99m sestamibi |
19 |
14 |
$752.80 |
| 84439 |
|
116 |
110 |
$715.87 |
| 87480 |
|
55 |
54 |
$706.57 |
| 87660 |
|
55 |
54 |
$679.38 |
| 86140 |
|
319 |
284 |
$667.59 |
| 85651 |
|
310 |
276 |
$634.37 |
| J3010 |
Fentanyl citrate injection |
4,794 |
3,460 |
$585.37 |
| 82565 |
|
158 |
153 |
$556.82 |
| 94726 |
|
27 |
27 |
$553.31 |
| 82746 |
|
82 |
79 |
$552.00 |
| 83540 |
|
98 |
91 |
$549.59 |
| 73562 |
|
62 |
60 |
$527.09 |
| 87186 |
|
119 |
115 |
$524.40 |
| 86901 |
|
238 |
225 |
$514.77 |
| 86900 |
|
238 |
225 |
$508.17 |
| J8501 |
Oral aprepitant |
114 |
113 |
$499.07 |
| 73560 |
|
60 |
57 |
$498.56 |
| 76942 |
|
253 |
245 |
$479.05 |
| J1885 |
Ketorolac tromethamine inj |
5,561 |
4,690 |
$427.62 |
| 70486 |
|
12 |
12 |
$426.25 |
| J2405 |
Ondansetron hcl injection |
8,596 |
6,921 |
$405.53 |
| 77336 |
|
20 |
12 |
$402.52 |
| 96366 |
|
44 |
27 |
$361.79 |
| Q9950 |
Inj sulf hexa lipid microsph |
14 |
12 |
$335.70 |
| 94729 |
|
15 |
15 |
$333.84 |
| 83550 |
|
90 |
86 |
$308.55 |
| J1100 |
Dexamethasone sodium phos |
3,661 |
3,051 |
$254.80 |
| J2270 |
Morphine sulfate injection |
576 |
366 |
$248.49 |
| J1644 |
Inj heparin sodium per 1000u |
1,087 |
512 |
$243.97 |
| J0696 |
Ceftriaxone sodium injection |
1,048 |
778 |
$238.91 |
| 82550 |
|
49 |
46 |
$226.94 |
| 97166 |
|
13 |
12 |
$203.70 |
| 88341 |
|
27 |
24 |
$179.89 |
| J7050 |
Normal saline solution infus |
2,585 |
1,780 |
$179.89 |
| J0780 |
Prochlorperazine injection |
436 |
354 |
$174.85 |
| J2930 |
Methylprednisolone injection |
204 |
173 |
$143.53 |
| 84134 |
|
12 |
12 |
$120.85 |
| J7040 |
Normal saline solution infus |
436 |
366 |
$113.02 |
| 73590 |
|
13 |
13 |
$108.08 |
| J1200 |
Diphenhydramine hcl injectio |
1,332 |
1,163 |
$102.87 |
| 94060 |
|
14 |
14 |
$101.23 |
| J2704 |
Inj, propofol, 10 mg |
2,840 |
1,956 |
$95.48 |
| 87070 |
|
27 |
25 |
$91.08 |
| J2250 |
Inj midazolam hydrochloride |
3,995 |
3,537 |
$87.16 |
| 87880 |
|
27 |
25 |
$76.23 |
| 97161 |
|
26 |
25 |
$69.97 |
| 80329 |
|
13 |
12 |
$65.31 |
| 80051 |
|
12 |
12 |
$53.90 |
| J2060 |
Lorazepam injection |
273 |
213 |
$51.81 |
| J0171 |
Adrenalin epinephrine inject |
12 |
12 |
$47.43 |
| 84520 |
|
13 |
13 |
$47.30 |
| 96376 |
|
227 |
132 |
$38.69 |
| J2765 |
Metoclopramide hcl injection |
228 |
198 |
$38.39 |
| 73110 |
|
12 |
12 |
$37.95 |
| J0690 |
Cefazolin sodium injection |
232 |
172 |
$23.11 |
| 87081 |
|
12 |
12 |
$22.62 |
| J7999 |
Compounded drug, noc |
1,384 |
866 |
$20.92 |
| J3475 |
Inj magnesium sulfate |
70 |
58 |
$18.84 |
| J7512 |
Prednisone ir or dr oral 1mg |
734 |
605 |
$16.89 |
| J0134 |
Inj acetaminophen -fresenius |
134 |
129 |
$15.00 |
| 88304 |
|
49 |
49 |
$14.30 |
| J1650 |
Inj enoxaparin sodium |
35 |
12 |
$13.44 |
| 36415 |
|
431 |
368 |
$8.28 |
| J7620 |
Albuterol ipratrop non-comp |
594 |
413 |
$7.16 |
| J7613 |
Albuterol non-comp unit |
368 |
318 |
$5.34 |
| J0131 |
Inj, acetaminophen (nos) |
1,249 |
1,154 |
$4.00 |
| J1630 |
Haloperidol injection |
36 |
28 |
$3.71 |
| J0330 |
Succinycholine chloride inj |
102 |
87 |
$1.53 |
| Q0243 |
Casirivimab and imdevimab |
19 |
19 |
$0.04 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
164 |
161 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
52 |
41 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
275 |
264 |
$0.00 |
| J0137 |
Inj, acetaminophen (hikma) |
60 |
54 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
102 |
61 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
130 |
97 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
28 |
25 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
100 |
59 |
$0.00 |
| J3535 |
Metered dose inhaler drug |
13 |
13 |
$0.00 |
| C1889 |
Implant/insert device, noc |
66 |
64 |
$0.00 |
| J2785 |
Regadenoson injection |
28 |
28 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
75 |
68 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
53 |
12 |
$0.00 |
| J3480 |
Inj potassium chloride |
75 |
54 |
$0.00 |
| C1769 |
Guide wire |
12 |
12 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
13 |
12 |
$0.00 |
| 94640 |
|
56 |
28 |
$0.00 |