| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
28,758 |
25,667 |
$12.25M |
| G0378 |
Hospital observation service, per hour |
4,941 |
2,764 |
$5.88M |
| 99284 |
|
4,130 |
3,954 |
$3.12M |
| 74177 |
|
4,811 |
4,680 |
$1.54M |
| 78452 |
|
687 |
686 |
$777K |
| 78815 |
|
504 |
500 |
$640K |
| 99282 |
|
2,831 |
2,749 |
$614K |
| 71045 |
|
9,845 |
9,169 |
$549K |
| 70450 |
|
5,114 |
4,945 |
$520K |
| 74176 |
|
2,652 |
2,564 |
$471K |
| 71046 |
|
7,374 |
7,135 |
$418K |
| 0450 |
|
9,391 |
8,545 |
$400K |
| 99291 |
|
227 |
226 |
$342K |
| 70553 |
|
875 |
861 |
$328K |
| 87636 |
|
8,138 |
7,830 |
$288K |
| 70551 |
|
1,156 |
1,133 |
$247K |
| 76705 |
|
2,957 |
2,860 |
$246K |
| 76856 |
|
2,955 |
2,864 |
$245K |
| 76830 |
|
2,904 |
2,801 |
$238K |
| 86900 |
|
3,663 |
3,292 |
$232K |
| 77080 |
|
1,987 |
1,978 |
$205K |
| 72100 |
|
2,290 |
2,239 |
$203K |
| 77067 |
|
1,531 |
1,419 |
$199K |
| 85025 |
|
46,224 |
36,543 |
$188K |
| 93971 |
|
748 |
706 |
$186K |
| 72148 |
|
890 |
876 |
$185K |
| 93017 |
|
457 |
457 |
$183K |
| 86885 |
|
2,169 |
1,990 |
$171K |
| 73630 |
|
2,954 |
2,818 |
$170K |
| 73562 |
|
2,774 |
2,631 |
$163K |
| 80051 |
|
44,145 |
34,886 |
$162K |
| 82565 |
|
51,035 |
40,745 |
$160K |
| 73030 |
|
2,403 |
2,281 |
$145K |
| 0001A |
|
3,088 |
3,088 |
$124K |
| 73610 |
|
2,209 |
2,116 |
$122K |
| 93970 |
|
238 |
230 |
$112K |
| 82306 |
|
4,727 |
4,574 |
$112K |
| 73130 |
|
1,908 |
1,780 |
$112K |
| 76816 |
|
1,234 |
1,172 |
$112K |
| 71275 |
|
493 |
490 |
$112K |
| 84460 |
|
30,670 |
26,526 |
$106K |
| 83880 |
|
6,582 |
5,897 |
$104K |
| 76770 |
|
1,087 |
1,065 |
$101K |
| 71260 |
|
533 |
527 |
$101K |
| 0637 |
|
49,613 |
13,391 |
$96K |
| 84443 |
|
8,425 |
8,004 |
$96K |
| 0002A |
|
2,404 |
2,404 |
$96K |
| 76805 |
|
915 |
871 |
$90K |
| 71250 |
|
676 |
673 |
$85K |
| 76536 |
|
901 |
871 |
$85K |
| 87591 |
|
3,245 |
3,077 |
$83K |
| 87491 |
|
3,237 |
3,069 |
$83K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
1,001 |
959 |
$83K |
| 82247 |
|
25,517 |
21,553 |
$80K |
| 93306 |
|
388 |
385 |
$77K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
219 |
216 |
$76K |
| 96374 |
|
6,599 |
5,832 |
$75K |
| 84075 |
|
23,386 |
20,231 |
$75K |
| 86901 |
|
3,666 |
3,296 |
$71K |
| 84702 |
|
6,275 |
5,376 |
$69K |
| 84450 |
|
22,381 |
19,322 |
$69K |
| 83036 |
|
9,771 |
9,377 |
$69K |
| 72141 |
|
310 |
305 |
$68K |
| 88305 |
|
1,855 |
1,250 |
$68K |
| 87505 |
|
630 |
613 |
$67K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
465 |
462 |
$64K |
| 83970 |
|
1,527 |
1,472 |
$63K |
| 84520 |
|
36,273 |
28,337 |
$63K |
| 80061 |
|
6,724 |
6,479 |
$61K |
| 74183 |
|
147 |
147 |
$60K |
| 73110 |
|
1,082 |
1,033 |
$60K |
| 73721 |
|
286 |
279 |
$60K |
| 73502 |
|
827 |
794 |
$57K |
| 74018 |
|
991 |
933 |
$56K |
| 80307 |
|
2,149 |
1,830 |
$56K |
| 86141 |
|
5,214 |
4,647 |
$51K |
| 85027 |
|
13,289 |
12,452 |
$50K |
| 82947 |
|
30,847 |
26,039 |
$49K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
5,232 |
4,994 |
$48K |
| 85610 |
|
17,119 |
13,437 |
$44K |
| 82310 |
|
11,679 |
9,504 |
$44K |
| 73140 |
|
839 |
818 |
$44K |
| 83690 |
|
14,839 |
13,519 |
$44K |
| 81003 |
|
27,587 |
25,280 |
$43K |
| 70496 |
|
151 |
150 |
$38K |
| 83735 |
|
9,902 |
7,398 |
$38K |
| 84484 |
|
12,191 |
9,437 |
$36K |
| 96375 |
|
4,448 |
3,923 |
$36K |
| 82728 |
|
3,269 |
3,123 |
$35K |
| 70486 |
|
286 |
286 |
$35K |
| 99199 |
|
729 |
655 |
$34K |
| 72125 |
|
261 |
259 |
$32K |
| J3490 |
Unclassified drugs |
2,876 |
2,112 |
$31K |
| 87389 |
|
1,766 |
1,674 |
$29K |
| 70498 |
|
119 |
119 |
$29K |
| 72040 |
|
393 |
384 |
$26K |
| 76641 |
|
240 |
223 |
$26K |
| 93005 |
|
3,305 |
3,139 |
$24K |
| 86780 |
|
2,262 |
2,166 |
$24K |
| 82570 |
|
4,044 |
3,685 |
$23K |
| 99281 |
|
587 |
543 |
$23K |
| 87088 |
|
8,326 |
7,858 |
$23K |
| 83550 |
|
3,277 |
3,162 |
$22K |
| 82607 |
|
2,027 |
1,969 |
$22K |
| 94640 |
|
370 |
260 |
$21K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
12,566 |
9,854 |
$20K |
| 82040 |
|
5,757 |
5,219 |
$20K |
| 84100 |
|
7,808 |
5,802 |
$20K |
| 71101 |
|
190 |
185 |
$19K |
| 73564 |
|
188 |
173 |
$18K |
| 84439 |
|
2,485 |
2,285 |
$17K |
| 80076 |
|
2,336 |
2,216 |
$17K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
1,806 |
1,687 |
$16K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
1,071 |
858 |
$16K |
| 83540 |
|
3,282 |
3,167 |
$16K |
| 82043 |
|
2,718 |
2,642 |
$15K |
| 87340 |
|
1,872 |
1,776 |
$14K |
| 83615 |
|
2,775 |
2,435 |
$14K |
| 82378 |
|
668 |
585 |
$14K |
| 87633 |
|
287 |
285 |
$14K |
| 84156 |
|
3,594 |
3,307 |
$14K |
| 87449 |
|
1,072 |
1,029 |
$14K |
| 96365 |
|
1,047 |
989 |
$13K |
| 86803 |
|
1,192 |
1,171 |
$13K |
| 96360 |
|
946 |
922 |
$12K |
| 83605 |
|
3,582 |
2,864 |
$12K |
| 87040 |
|
5,074 |
2,478 |
$12K |
| 86762 |
|
1,011 |
940 |
$12K |
| 90686 |
|
1,299 |
1,284 |
$11K |
| 82248 |
|
4,512 |
4,280 |
$11K |
| 0031A |
|
277 |
277 |
$11K |
| 86787 |
|
1,041 |
976 |
$10K |
| 87637 |
|
440 |
435 |
$10K |
| 84132 |
|
2,217 |
2,019 |
$10K |
| 97161 |
|
491 |
475 |
$10K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
6,746 |
5,676 |
$10K |
| 87502 |
|
244 |
242 |
$9K |
| 0250 |
|
7,289 |
3,780 |
$9K |
| 85652 |
|
5,099 |
4,691 |
$9K |
| 83520 |
|
645 |
353 |
$9K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
358 |
351 |
$8K |
| 85730 |
|
1,832 |
1,700 |
$8K |
| 84295 |
|
1,694 |
1,596 |
$8K |
| 73080 |
|
123 |
121 |
$8K |
| 82950 |
|
2,044 |
1,925 |
$8K |
| 85379 |
|
1,747 |
1,674 |
$8K |
| 82746 |
|
828 |
811 |
$8K |
| 73221 |
|
31 |
30 |
$8K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
4,261 |
3,292 |
$7K |
| 76870 |
|
66 |
66 |
$6K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,706 |
2,884 |
$6K |
| 96361 |
|
918 |
894 |
$6K |
| 72131 |
|
46 |
45 |
$6K |
| 87324 |
|
622 |
601 |
$6K |
| 82077 |
|
1,209 |
1,068 |
$6K |
| 84403 |
|
267 |
263 |
$6K |
| 87210 |
|
1,625 |
1,507 |
$6K |
| 84165 |
|
516 |
495 |
$5K |
| 76380 |
|
65 |
65 |
$5K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,695 |
2,007 |
$5K |
| 96372 |
|
1,110 |
1,043 |
$5K |
| 82550 |
|
1,668 |
1,504 |
$5K |
| 86765 |
|
408 |
405 |
$5K |
| 81015 |
|
1,333 |
1,287 |
$5K |
| 72197 |
|
12 |
12 |
$5K |
| A9609 |
Fludeoxyglucose f18 up to 15 millicuries |
64 |
64 |
$4K |
| 84153 |
|
471 |
457 |
$4K |
| 86300 |
|
195 |
184 |
$4K |
| 84550 |
|
1,341 |
1,220 |
$4K |
| 77066 |
Tomosynthesis, mammo |
28 |
24 |
$4K |
| 0255 |
|
484 |
474 |
$4K |
| G0008 |
Administration of influenza virus vaccine |
885 |
880 |
$4K |
| 73590 |
|
52 |
49 |
$4K |
| 87205 |
|
1,271 |
1,122 |
$3K |
| 87635 |
|
234 |
222 |
$3K |
| 73660 |
|
43 |
39 |
$3K |
| 82962 |
|
1,162 |
661 |
$3K |
| 76700 |
|
42 |
40 |
$3K |
| 80179 |
|
675 |
630 |
$3K |
| 70491 |
|
14 |
14 |
$3K |
| 76881 |
|
29 |
26 |
$3K |
| 82784 |
|
307 |
275 |
$3K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
2,293 |
1,338 |
$2K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,263 |
1,137 |
$2K |
| 72050 |
|
25 |
25 |
$2K |
| 87631 |
|
40 |
40 |
$2K |
| 83993 |
|
112 |
110 |
$2K |
| 81513 |
|
36 |
36 |
$2K |
| 87081 |
|
1,070 |
1,044 |
$2K |
| 80306 |
|
337 |
317 |
$2K |
| Z7502 |
|
112 |
108 |
$2K |
| 86364 |
|
170 |
170 |
$2K |
| 83721 |
|
469 |
454 |
$2K |
| 86038 |
|
229 |
220 |
$2K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,208 |
872 |
$2K |
| 86704 |
|
141 |
140 |
$2K |
| 0258 |
|
1,213 |
1,043 |
$2K |
| J2060 |
Injection, lorazepam, 2 mg |
1,044 |
876 |
$2K |
| 87804 |
|
425 |
204 |
$1K |
| J1815 |
Injection, insulin, per 5 units |
1,185 |
486 |
$1K |
| 83021 |
|
189 |
157 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
671 |
575 |
$1K |
| 77072 |
|
12 |
12 |
$1K |
| 86225 |
|
95 |
93 |
$1K |
| 84145 |
|
166 |
161 |
$1K |
| 72070 |
|
12 |
12 |
$1K |
| 87481 |
|
52 |
52 |
$1K |
| 72170 |
|
12 |
12 |
$1K |
| 76815 |
|
12 |
12 |
$1K |
| 87186 |
|
359 |
357 |
$1K |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
517 |
464 |
$1K |
| 90662 |
|
128 |
127 |
$991.48 |
| 90656 |
|
123 |
123 |
$981.44 |
| 87661 |
|
36 |
36 |
$969.00 |
| 73100 |
|
13 |
12 |
$946.00 |
| 84155 |
|
315 |
278 |
$928.38 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
1,003 |
861 |
$914.20 |
| 83718 |
|
398 |
383 |
$800.03 |
| 87624 |
|
24 |
24 |
$761.47 |
| 86480 |
|
37 |
37 |
$699.00 |
| 83001 |
|
64 |
61 |
$671.00 |
| 82105 |
|
42 |
42 |
$626.00 |
| 86308 |
|
142 |
137 |
$585.84 |
| 90471 |
|
226 |
225 |
$522.67 |
| 82465 |
|
432 |
415 |
$504.26 |
| 82670 |
|
12 |
12 |
$499.50 |
| 86317 |
|
36 |
36 |
$489.38 |
| 84134 |
|
81 |
72 |
$436.26 |
| 97116 |
|
16 |
12 |
$366.90 |
| 80197 |
|
30 |
24 |
$341.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
61 |
40 |
$308.75 |
| 83930 |
|
67 |
60 |
$296.30 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
147 |
132 |
$295.31 |
| 0710 |
|
383 |
375 |
$270.59 |
| 82272 |
|
78 |
77 |
$251.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
314 |
153 |
$250.24 |
| 86140 |
|
1,321 |
1,181 |
$246.42 |
| 82150 |
|
39 |
37 |
$226.00 |
| 85014 |
|
560 |
506 |
$220.28 |
| 86677 |
|
123 |
107 |
$199.42 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
217 |
188 |
$198.76 |
| 83935 |
|
48 |
43 |
$187.80 |
| 81220 |
|
12 |
12 |
$153.00 |
| 87807 |
|
44 |
43 |
$138.70 |
| 82951 |
|
12 |
12 |
$132.00 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
110 |
51 |
$120.89 |
| 85018 |
|
78 |
74 |
$109.96 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
47 |
30 |
$101.90 |
| J2470 |
Injection, pantoprazole sodium, 40 mg |
37 |
26 |
$86.66 |
| 0370 |
|
378 |
370 |
$79.59 |
| 87070 |
|
15 |
12 |
$67.00 |
| J1940 |
Injection, furosemide, up to 20 mg |
171 |
73 |
$63.44 |
| 82952 |
|
12 |
12 |
$48.00 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
48 |
42 |
$44.84 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
56 |
52 |
$42.40 |
| 86003 |
|
33 |
26 |
$39.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
15 |
12 |
$31.18 |
| 83655 |
|
401 |
375 |
$14.00 |
| 84480 |
|
31 |
31 |
$12.59 |
| 86431 |
|
41 |
39 |
$9.00 |
| 87045 |
|
14 |
12 |
$6.66 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
79 |
65 |
$3.97 |
| J3480 |
Injection, potassium chloride, per 2 meq |
19 |
13 |
$3.85 |
| 3044F |
|
551 |
502 |
$0.00 |
| 86160 |
|
14 |
12 |
$0.00 |
| 80320 |
|
39 |
37 |
$0.00 |
| J1836 |
Injection, metronidazole, 10 mg |
23 |
12 |
$0.00 |
| 80329 |
|
25 |
13 |
$0.00 |
| 85046 |
|
77 |
71 |
$0.00 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
16 |
16 |
$0.00 |
| 84146 |
|
13 |
13 |
$0.00 |