| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
58,509 |
55,402 |
$16.97M |
| J3010 |
Fentanyl citrate injection |
18,398 |
12,674 |
$14.07M |
| 99282 |
|
33,777 |
32,389 |
$9.31M |
| A9150 |
Misc/exper non-prescript dru |
10,923 |
8,114 |
$6.35M |
| J3490 |
Drugs unclassified injection |
52,426 |
24,411 |
$5.28M |
| 92507 |
|
14,375 |
4,372 |
$3.52M |
| G0378 |
Hospital observation per hr |
13,253 |
5,582 |
$3.09M |
| 69436 |
|
2,758 |
2,566 |
$2.88M |
| 99284 |
|
9,362 |
8,811 |
$2.50M |
| 42820 |
|
1,431 |
1,304 |
$2.22M |
| J2704 |
Inj, propofol, 10 mg |
17,641 |
14,524 |
$2.05M |
| 97110 |
|
10,075 |
2,755 |
$2.04M |
| J8499 |
Oral prescrip drug non chemo |
19,475 |
14,217 |
$1.70M |
| 96365 |
|
3,997 |
3,144 |
$1.54M |
| 93306 |
|
2,710 |
2,586 |
$1.53M |
| 97530 |
|
11,351 |
2,882 |
$1.48M |
| 54300 |
|
907 |
883 |
$1.27M |
| 42830 |
|
566 |
532 |
$1.17M |
| S0119 |
Ondansetron 4 mg |
7,183 |
6,673 |
$1.14M |
| 93303 |
|
1,532 |
1,469 |
$1.03M |
| 76770 |
|
4,062 |
3,891 |
$906K |
| 70551 |
|
3,063 |
2,957 |
$863K |
| 99285 |
|
3,684 |
3,189 |
$829K |
| J3480 |
Inj potassium chloride |
3,578 |
2,142 |
$738K |
| 96413 |
|
1,575 |
1,080 |
$687K |
| 43239 |
|
1,266 |
1,192 |
$659K |
| 96361 |
|
2,080 |
1,726 |
$647K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
2,005 |
1,911 |
$616K |
| 80053 |
|
10,034 |
6,671 |
$598K |
| 70450 |
|
1,367 |
1,313 |
$585K |
| 54161 |
|
897 |
848 |
$582K |
| 96375 |
|
2,331 |
1,508 |
$534K |
| 97161 |
|
1,768 |
1,702 |
$505K |
| J7611 |
Albuterol non-comp con |
3,695 |
1,925 |
$484K |
| 71046 |
|
6,414 |
5,974 |
$483K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,179 |
1,864 |
$463K |
| 0202U |
|
2,460 |
2,369 |
$452K |
| J7042 |
5% dextrose/normal saline |
2,239 |
1,447 |
$372K |
| 93304 |
|
643 |
564 |
$356K |
| 74018 |
|
6,135 |
5,483 |
$354K |
| 99281 |
|
1,277 |
1,250 |
$354K |
| 87086 |
|
7,086 |
6,599 |
$347K |
| 70553 |
|
1,004 |
983 |
$322K |
| J1745 |
Infliximab not biosimil 10mg |
550 |
504 |
$314K |
| 96360 |
|
1,330 |
1,152 |
$311K |
| 96367 |
|
455 |
370 |
$277K |
| 76705 |
|
3,361 |
3,037 |
$271K |
| J3535 |
Metered dose inhaler drug |
1,707 |
1,512 |
$261K |
| 73090 |
|
1,832 |
1,493 |
$255K |
| 01922 |
|
1,733 |
1,625 |
$250K |
| 96374 |
|
2,467 |
2,032 |
$247K |
| 87651 |
|
6,150 |
5,955 |
$238K |
| 0241U |
|
3,286 |
3,131 |
$223K |
| 72082 |
|
2,610 |
2,567 |
$222K |
| 86900 |
|
2,130 |
1,614 |
$210K |
| 92523 |
|
820 |
801 |
$198K |
| 72170 |
|
2,457 |
2,396 |
$198K |
| 74230 |
|
717 |
705 |
$197K |
| 76536 |
|
1,128 |
1,096 |
$183K |
| 87631 |
|
2,153 |
2,088 |
$171K |
| 41899 |
|
236 |
224 |
$165K |
| 45380 |
|
118 |
115 |
$161K |
| 85025 |
|
14,936 |
10,676 |
$156K |
| 70360 |
|
1,731 |
1,663 |
$152K |
| 73610 |
|
1,292 |
1,233 |
$151K |
| 76700 |
|
716 |
693 |
$148K |
| 73721 |
|
447 |
429 |
$145K |
| 97166 |
|
539 |
535 |
$144K |
| J3262 |
Tocilizumab injection |
274 |
211 |
$143K |
| 77072 |
|
1,497 |
1,480 |
$134K |
| 87275 |
|
1,868 |
1,776 |
$127K |
| 76870 |
|
780 |
744 |
$126K |
| P9040 |
Rbc leukoreduced irradiated |
283 |
188 |
$124K |
| 73630 |
|
1,402 |
1,311 |
$119K |
| J7120 |
Ringers lactate infusion |
18,233 |
16,663 |
$115K |
| J1100 |
Dexamethasone sodium phos |
15,750 |
14,358 |
$113K |
| 67311 |
|
28 |
25 |
$113K |
| 80048 |
|
2,447 |
2,026 |
$109K |
| 74240 |
|
747 |
727 |
$107K |
| 93975 |
|
539 |
518 |
$107K |
| 54640 |
|
68 |
65 |
$107K |
| 36430 |
|
337 |
263 |
$107K |
| 00126 |
|
1,486 |
1,352 |
$104K |
| 96372 |
|
670 |
630 |
$100K |
| 96366 |
|
447 |
367 |
$99K |
| 72081 |
|
1,162 |
1,150 |
$95K |
| 29888 |
|
13 |
12 |
$94K |
| 97112 |
|
2,500 |
983 |
$90K |
| 00170 |
|
3,751 |
3,483 |
$88K |
| 44970 |
|
12 |
12 |
$88K |
| 88305 |
|
3,635 |
1,894 |
$88K |
| 73080 |
|
629 |
580 |
$88K |
| 96415 |
|
595 |
468 |
$85K |
| 87502 |
|
743 |
712 |
$85K |
| 82657 |
|
569 |
513 |
$80K |
| 72141 |
|
542 |
535 |
$78K |
| 74019 |
|
2,929 |
2,645 |
$78K |
| 73590 |
|
919 |
805 |
$76K |
| 82962 |
|
3,764 |
2,296 |
$75K |
| 12011 |
|
310 |
300 |
$75K |
| 81025 |
|
3,349 |
2,963 |
$75K |
| Q0162 |
Ondansetron oral |
4,372 |
4,238 |
$74K |
| 92526 |
|
943 |
263 |
$74K |
| 73140 |
|
633 |
571 |
$74K |
| 77073 |
|
992 |
962 |
$72K |
| 72148 |
|
683 |
667 |
$72K |
| 97162 |
|
335 |
332 |
$71K |
| 87635 |
|
5,045 |
4,765 |
$66K |
| 71045 |
|
3,162 |
2,940 |
$66K |
| 73562 |
|
623 |
603 |
$66K |
| 87486 |
|
1,056 |
882 |
$65K |
| 93325 |
|
3,238 |
2,972 |
$64K |
| 95716 |
|
87 |
70 |
$63K |
| 94640 |
|
3,390 |
2,183 |
$62K |
| 92630 |
|
467 |
203 |
$62K |
| 86140 |
|
2,978 |
2,528 |
$61K |
| J2405 |
Ondansetron hcl injection |
10,375 |
8,467 |
$61K |
| J0690 |
Cefazolin sodium injection |
3,830 |
2,755 |
$58K |
| 73130 |
|
522 |
488 |
$57K |
| 76000 |
|
1,396 |
1,231 |
$54K |
| 87077 |
|
1,155 |
986 |
$54K |
| J0131 |
Inj, acetaminophen (nos) |
6,709 |
5,683 |
$47K |
| 97535 |
|
775 |
388 |
$40K |
| 96409 |
|
178 |
125 |
$38K |
| L8699 |
Prosthetic implant nos |
786 |
628 |
$36K |
| 73552 |
|
508 |
477 |
$36K |
| 69610 |
|
15 |
15 |
$34K |
| 88300 |
|
1,995 |
1,811 |
$33K |
| 81003 |
|
3,136 |
2,849 |
$33K |
| 00920 |
|
1,691 |
1,613 |
$29K |
| 76882 |
|
344 |
323 |
$29K |
| 36415 |
|
231 |
193 |
$28K |
| 74455 |
|
68 |
67 |
$27K |
| 81001 |
|
5,379 |
4,926 |
$26K |
| 99204 |
|
130 |
123 |
$26K |
| 73560 |
|
351 |
330 |
$25K |
| J2270 |
Morphine sulfate injection |
1,363 |
849 |
$23K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
510 |
416 |
$23K |
| 93308 |
|
41 |
38 |
$22K |
| 89050 |
|
251 |
193 |
$22K |
| 94618 |
|
61 |
61 |
$21K |
| 97032 |
|
79 |
38 |
$21K |
| 76856 |
|
357 |
315 |
$20K |
| G0379 |
Direct refer hospital observ |
1,465 |
1,299 |
$20K |
| 74241 |
|
160 |
155 |
$19K |
| 87420 |
|
210 |
200 |
$18K |
| 97116 |
|
166 |
71 |
$17K |
| 72197 |
|
26 |
26 |
$16K |
| 93005 |
|
2,988 |
2,659 |
$15K |
| A9698 |
Non-rad contrast materialnoc |
93 |
68 |
$14K |
| 95700 |
|
71 |
66 |
$14K |
| J7510 |
Prednisolone oral per 5 mg |
61 |
56 |
$14K |
| 31622 |
|
13 |
13 |
$13K |
| 76885 |
|
70 |
68 |
$13K |
| A4216 |
Sterile water/saline, 10 ml |
279 |
268 |
$13K |
| 99214 |
|
120 |
119 |
$12K |
| 87633 |
|
1,058 |
884 |
$12K |
| 99213 |
|
184 |
178 |
$11K |
| 73521 |
|
91 |
90 |
$11K |
| 36591 |
|
1,608 |
990 |
$11K |
| 94010 |
|
251 |
241 |
$11K |
| 87070 |
|
584 |
491 |
$11K |
| 99203 |
|
82 |
81 |
$11K |
| 97140 |
|
608 |
237 |
$10K |
| 93976 |
|
922 |
836 |
$10K |
| J2001 |
Lidocaine injection |
5,740 |
5,025 |
$9K |
| 80305 |
|
325 |
307 |
$9K |
| 00300 |
|
403 |
369 |
$9K |
| 70480 |
|
53 |
52 |
$9K |
| 87507 |
|
270 |
260 |
$8K |
| 00400 |
|
97 |
85 |
$8K |
| 97165 |
|
61 |
60 |
$8K |
| 93017 |
|
44 |
41 |
$8K |
| S0077 |
Injection, clindamycin phosp |
196 |
119 |
$8K |
| 93000 |
|
308 |
298 |
$8K |
| 92610 |
|
25 |
25 |
$8K |
| 72146 |
|
435 |
430 |
$8K |
| 85610 |
|
648 |
512 |
$7K |
| J1885 |
Ketorolac tromethamine inj |
5,417 |
3,991 |
$6K |
| 96450 |
|
18 |
15 |
$6K |
| 92611 |
|
761 |
747 |
$6K |
| J7030 |
Normal saline solution infus |
794 |
484 |
$6K |
| 74177 |
|
14 |
13 |
$6K |
| Q0163 |
Diphenhydramine hcl 50mg |
23 |
20 |
$5K |
| 88304 |
|
754 |
661 |
$5K |
| 87040 |
|
2,103 |
1,795 |
$5K |
| 00731 |
|
713 |
685 |
$5K |
| 51600 |
|
56 |
55 |
$5K |
| 77080 |
|
45 |
42 |
$5K |
| 00120 |
|
266 |
248 |
$5K |
| 82803 |
|
728 |
556 |
$5K |
| 94664 |
|
313 |
290 |
$5K |
| 93320 |
|
1,472 |
1,400 |
$4K |
| 86885 |
|
2,104 |
1,604 |
$4K |
| 86901 |
|
2,104 |
1,604 |
$4K |
| 92015 |
|
137 |
117 |
$4K |
| J2795 |
Ropivacaine hcl injection |
1,171 |
920 |
$4K |
| 92567 |
|
177 |
173 |
$3K |
| 75561 |
|
12 |
12 |
$3K |
| 72100 |
|
73 |
72 |
$3K |
| 85651 |
|
1,704 |
1,474 |
$3K |
| 73070 |
|
29 |
27 |
$3K |
| 86850 |
|
1,633 |
1,260 |
$3K |
| 73564 |
|
25 |
25 |
$3K |
| J8540 |
Oral dexamethasone |
1,192 |
1,124 |
$3K |
| J7050 |
Normal saline solution infus |
2,898 |
2,439 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
5,313 |
4,645 |
$3K |
| 93010 |
|
200 |
185 |
$3K |
| 87045 |
|
12 |
12 |
$2K |
| J0585 |
Injection,onabotulinumtoxina |
30 |
25 |
$2K |
| J7613 |
Albuterol non-comp unit |
352 |
209 |
$2K |
| J0171 |
Adrenalin epinephrine inject |
1,704 |
1,519 |
$2K |
| J7644 |
Ipratropium bromide non-comp |
1,615 |
839 |
$2K |
| 84439 |
|
30 |
25 |
$2K |
| 74270 |
|
12 |
12 |
$2K |
| 49452 |
|
48 |
48 |
$2K |
| 86923 |
|
502 |
389 |
$2K |
| 87798 |
|
1,128 |
912 |
$2K |
| 99202 |
|
13 |
13 |
$2K |
| 97533 |
|
72 |
29 |
$2K |
| J1642 |
Inj heparin sodium per 10 u |
2,738 |
1,265 |
$2K |
| 92060 |
|
16 |
16 |
$2K |
| 84703 |
|
94 |
88 |
$2K |
| 69210 |
|
12 |
12 |
$1K |
| 97542 |
|
14 |
12 |
$1K |
| 85045 |
|
1,055 |
785 |
$1K |
| 87581 |
|
1,056 |
882 |
$1K |
| 73110 |
|
27 |
25 |
$1K |
| S0020 |
Injection, bupivicaine hydro |
3,272 |
2,993 |
$1K |
| 83690 |
|
1,216 |
990 |
$1K |
| 83735 |
|
871 |
602 |
$1K |
| 84484 |
|
349 |
330 |
$1K |
| 73100 |
|
13 |
12 |
$1K |
| 82150 |
|
230 |
187 |
$1K |
| 83880 |
|
273 |
260 |
$836.42 |
| 87430 |
|
16 |
16 |
$828.94 |
| 93321 |
|
958 |
856 |
$794.75 |
| 82728 |
|
376 |
326 |
$764.47 |
| 73060 |
|
12 |
12 |
$751.42 |
| 87276 |
|
1,863 |
1,773 |
$737.68 |
| 74183 |
|
12 |
12 |
$642.74 |
| 73030 |
|
28 |
27 |
$640.50 |
| 00124 |
|
12 |
12 |
$518.01 |
| J7999 |
Compounded drug, noc |
464 |
377 |
$500.69 |
| 82438 |
|
13 |
12 |
$431.36 |
| 73000 |
|
17 |
16 |
$417.83 |
| 87186 |
|
957 |
852 |
$386.12 |
| J7040 |
Normal saline solution infus |
13 |
12 |
$345.42 |
| 92652 |
|
27 |
27 |
$338.98 |
| J0696 |
Ceftriaxone sodium injection |
1,497 |
1,143 |
$337.20 |
| 86308 |
|
14 |
12 |
$214.71 |
| J0561 |
Penicillin g benzathine inj |
75 |
75 |
$202.33 |
| 70250 |
|
12 |
12 |
$164.94 |
| 84100 |
|
752 |
523 |
$153.50 |
| J2930 |
Methylprednisolone injection |
648 |
450 |
$127.03 |
| 88342 |
|
108 |
106 |
$119.14 |
| 76376 |
|
493 |
464 |
$99.00 |
| J1200 |
Diphenhydramine hcl injectio |
1,145 |
847 |
$97.71 |
| J2710 |
Neostigmine methylslfte inj |
1,429 |
1,260 |
$78.39 |
| 85730 |
|
572 |
445 |
$69.94 |
| J9370 |
Vincristine sulfate 1 mg inj |
387 |
235 |
$61.30 |
| 84156 |
|
61 |
57 |
$57.56 |
| 82570 |
|
85 |
72 |
$57.56 |
| J0330 |
Succinycholine chloride inj |
643 |
549 |
$33.08 |
| S0028 |
Injection, famotidine, 20 mg |
691 |
368 |
$33.08 |
| 00140 |
|
119 |
117 |
$32.00 |
| J1170 |
Hydromorphone injection |
116 |
92 |
$27.12 |
| 84443 |
|
58 |
52 |
$21.48 |
| 00840 |
|
91 |
84 |
$21.32 |
| 96376 |
|
273 |
139 |
$17.09 |
| 88108 |
|
31 |
26 |
$10.66 |
| J2370 |
Phenylephrine hcl injection |
477 |
453 |
$5.88 |
| 00813 |
|
91 |
86 |
$5.88 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
56 |
31 |
$5.33 |
| 88302 |
|
12 |
12 |
$5.33 |
| 85384 |
|
31 |
30 |
$5.08 |
| 83615 |
|
122 |
113 |
$3.22 |
| 84550 |
|
55 |
51 |
$3.22 |
| 85379 |
|
42 |
36 |
$0.00 |
| 85660 |
|
62 |
51 |
$0.00 |
| 86905 |
|
120 |
79 |
$0.00 |
| 80329 |
|
16 |
12 |
$0.00 |
| J2430 |
Pamidronate disodium /30 mg |
27 |
25 |
$0.00 |
| 82550 |
|
88 |
63 |
$0.00 |
| 83021 |
|
45 |
39 |
$0.00 |
| 87046 |
|
14 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
12 |
12 |
$0.00 |
| J7612 |
Levalbuterol non-comp con |
22 |
15 |
$0.00 |
| 83036 |
|
15 |
14 |
$0.00 |
| Q9958 |
Hocm <=149 mg/ml iodine, 1ml |
301 |
295 |
$0.00 |
| 84145 |
|
91 |
83 |
$0.00 |
| 95873 |
|
31 |
26 |
$0.00 |
| J7699 |
Inhalation solution for dme |
15 |
12 |
$0.00 |
| 01470 |
|
12 |
12 |
$0.00 |
| 29125 |
|
14 |
14 |
$0.00 |
| 92585 |
|
26 |
24 |
$0.00 |
| J2274 |
Inj morphine pf epid ithc |
18 |
17 |
$0.00 |
| J7676 |
Pentamidine comp unit dose |
26 |
25 |
$0.00 |
| J9260 |
Inj methotrexate sodium 50mg |
17 |
13 |
$0.00 |
| S0030 |
Injection, metronidazole |
18 |
12 |
$0.00 |
| 93356 |
|
28 |
27 |
$0.00 |
| A4649 |
Surgical supplies |
22 |
12 |
$0.00 |
| 87641 |
|
18 |
12 |
$0.00 |