| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
11,491 |
10,749 |
$1.75M |
| 99283 |
|
7,226 |
7,034 |
$975K |
| 99282 |
|
10,835 |
10,545 |
$876K |
| 99285 |
|
3,341 |
3,187 |
$576K |
| 78815 |
|
1,223 |
1,211 |
$496K |
| 74177 |
|
4,872 |
4,793 |
$466K |
| 99281 |
|
8,040 |
7,784 |
$286K |
| G0378 |
Hospital observation per hr |
3,022 |
2,514 |
$279K |
| 87637 |
|
5,803 |
5,690 |
$274K |
| 0450 |
|
14,753 |
13,308 |
$270K |
| 71046 |
|
9,562 |
9,297 |
$241K |
| 70450 |
|
5,315 |
5,159 |
$175K |
| 76705 |
|
4,508 |
4,431 |
$131K |
| 72148 |
|
1,526 |
1,520 |
$106K |
| 70551 |
|
1,684 |
1,675 |
$99K |
| 76830 |
|
2,562 |
2,503 |
$95K |
| 70553 |
|
763 |
762 |
$95K |
| 71260 |
|
2,034 |
2,024 |
$84K |
| 93005 |
|
13,726 |
12,572 |
$84K |
| 76856 |
|
2,169 |
2,128 |
$81K |
| 72141 |
|
674 |
671 |
$68K |
| 74176 |
|
1,290 |
1,278 |
$67K |
| 71045 |
|
6,825 |
6,500 |
$67K |
| 99199 |
|
1,402 |
1,202 |
$66K |
| 87635 |
|
5,291 |
5,124 |
$66K |
| 85025 |
|
41,210 |
33,412 |
$57K |
| 73630 |
|
2,417 |
2,093 |
$56K |
| 96374 |
|
5,886 |
5,477 |
$56K |
| 96361 |
|
4,289 |
4,093 |
$52K |
| 36415 |
|
37,679 |
29,796 |
$49K |
| 86900 |
|
3,258 |
2,888 |
$47K |
| 73564 |
|
1,292 |
927 |
$46K |
| 73030 |
|
2,006 |
1,844 |
$39K |
| 76770 |
|
1,054 |
1,052 |
$39K |
| A9552 |
F18 fdg |
632 |
631 |
$38K |
| 73721 |
|
265 |
253 |
$37K |
| 73130 |
|
1,634 |
1,373 |
$34K |
| 0270 |
|
7,430 |
4,849 |
$34K |
| 73610 |
|
1,598 |
1,476 |
$33K |
| 72100 |
|
1,362 |
1,348 |
$32K |
| 83880 |
|
6,627 |
6,015 |
$31K |
| 71275 |
|
255 |
254 |
$31K |
| 96375 |
|
4,059 |
3,803 |
$31K |
| 80051 |
|
22,888 |
19,771 |
$29K |
| 71250 |
|
819 |
814 |
$28K |
| 93971 |
|
701 |
678 |
$28K |
| 73560 |
|
1,345 |
1,188 |
$25K |
| 86850 |
|
3,048 |
2,732 |
$25K |
| 86923 |
|
230 |
166 |
$24K |
| 82565 |
|
28,675 |
23,950 |
$23K |
| 74018 |
|
801 |
753 |
$22K |
| 72125 |
|
433 |
431 |
$21K |
| 76536 |
|
608 |
607 |
$20K |
| 73110 |
|
952 |
875 |
$18K |
| 96365 |
|
2,469 |
2,328 |
$18K |
| 73502 |
|
801 |
769 |
$17K |
| 82247 |
|
18,239 |
14,721 |
$17K |
| 84460 |
|
18,144 |
14,832 |
$16K |
| 70486 |
|
340 |
339 |
$16K |
| 87636 |
|
722 |
713 |
$16K |
| J0131 |
Inj, acetaminophen (nos) |
3,079 |
2,827 |
$16K |
| 84484 |
|
9,095 |
8,163 |
$14K |
| 86901 |
|
3,259 |
2,889 |
$14K |
| 80307 |
|
1,232 |
1,146 |
$14K |
| 82947 |
|
22,984 |
19,849 |
$14K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,036 |
1,023 |
$14K |
| 84702 |
|
3,391 |
2,447 |
$14K |
| 84450 |
|
14,972 |
12,524 |
$14K |
| 84520 |
|
22,726 |
19,640 |
$14K |
| 70543 |
|
26 |
26 |
$14K |
| 96360 |
|
1,759 |
1,725 |
$13K |
| 96366 |
|
384 |
377 |
$13K |
| 83690 |
|
10,349 |
9,585 |
$13K |
| 73080 |
|
380 |
357 |
$13K |
| 73140 |
|
400 |
381 |
$12K |
| 81001 |
|
19,851 |
18,406 |
$11K |
| J7030 |
Normal saline solution infus |
10,323 |
8,690 |
$10K |
| 83735 |
|
9,639 |
7,745 |
$10K |
| 84075 |
|
11,824 |
10,482 |
$10K |
| 80048 |
|
6,459 |
5,843 |
$10K |
| J3490 |
Drugs unclassified injection |
3,583 |
2,684 |
$10K |
| 76857 |
|
252 |
250 |
$9K |
| 72040 |
|
222 |
222 |
$9K |
| 0637 |
|
42,969 |
14,624 |
$8K |
| 93976 |
|
462 |
461 |
$8K |
| 87651 |
|
1,269 |
1,260 |
$8K |
| 73562 |
|
263 |
208 |
$7K |
| 84703 |
|
6,424 |
6,025 |
$6K |
| 87491 |
|
591 |
563 |
$6K |
| 96372 |
|
1,451 |
1,405 |
$6K |
| 87591 |
|
592 |
563 |
$6K |
| 85610 |
|
9,076 |
7,310 |
$6K |
| 76870 |
|
62 |
62 |
$6K |
| 87631 |
|
507 |
500 |
$6K |
| 72146 |
|
41 |
40 |
$5K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,215 |
3,162 |
$5K |
| 59025 |
|
330 |
283 |
$5K |
| 81003 |
|
12,953 |
12,525 |
$5K |
| 85652 |
|
6,884 |
6,653 |
$5K |
| J2405 |
Ondansetron hcl injection |
4,837 |
4,218 |
$5K |
| 83605 |
|
3,097 |
2,819 |
$5K |
| 87040 |
|
2,283 |
2,108 |
$4K |
| Z7502 |
|
368 |
343 |
$4K |
| 74170 |
|
13 |
13 |
$4K |
| 82248 |
|
2,385 |
1,744 |
$4K |
| 84100 |
|
5,366 |
4,612 |
$4K |
| 94640 |
|
38 |
25 |
$4K |
| 73221 |
|
29 |
28 |
$4K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
364 |
360 |
$3K |
| 0250 |
|
6,441 |
4,073 |
$3K |
| 80306 |
|
1,100 |
1,059 |
$3K |
| 82310 |
|
2,443 |
1,884 |
$3K |
| 82077 |
|
1,176 |
1,110 |
$3K |
| 87324 |
|
873 |
859 |
$3K |
| 87449 |
|
892 |
878 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
3,010 |
2,759 |
$3K |
| J7120 |
Ringers lactate infusion |
4,024 |
3,635 |
$3K |
| 70491 |
|
24 |
24 |
$3K |
| 84132 |
|
2,829 |
2,228 |
$3K |
| 87088 |
|
2,824 |
2,733 |
$3K |
| 73590 |
|
109 |
97 |
$2K |
| J2270 |
Morphine sulfate injection |
1,635 |
1,433 |
$2K |
| 76882 |
|
27 |
24 |
$2K |
| 85027 |
|
2,509 |
2,182 |
$2K |
| 82962 |
|
3,915 |
3,070 |
$2K |
| 76817 |
|
42 |
41 |
$2K |
| 86140 |
|
1,495 |
1,412 |
$2K |
| 96376 |
|
878 |
836 |
$2K |
| A9585 |
Gadobutrol injection |
796 |
778 |
$2K |
| 85730 |
|
1,449 |
1,411 |
$2K |
| 84295 |
|
1,796 |
1,445 |
$2K |
| 82570 |
|
597 |
502 |
$2K |
| 80179 |
|
746 |
723 |
$2K |
| 82040 |
|
1,172 |
1,008 |
$2K |
| 84443 |
|
607 |
600 |
$2K |
| 85379 |
|
893 |
875 |
$1K |
| 0710 |
|
2,223 |
2,193 |
$1K |
| J1170 |
Hydromorphone injection |
1,149 |
911 |
$1K |
| C1894 |
Intro/sheath, non-laser |
213 |
205 |
$1K |
| 87502 |
|
131 |
131 |
$1K |
| J2765 |
Metoclopramide hcl injection |
1,272 |
1,163 |
$1K |
| 84156 |
|
465 |
402 |
$980.30 |
| J1100 |
Dexamethasone sodium phos |
1,190 |
1,105 |
$978.93 |
| 87389 |
|
132 |
129 |
$958.89 |
| J0696 |
Ceftriaxone sodium injection |
755 |
659 |
$659.65 |
| 74019 |
|
12 |
12 |
$613.00 |
| J1200 |
Diphenhydramine hcl injectio |
760 |
699 |
$556.77 |
| 73660 |
|
27 |
25 |
$534.98 |
| 82803 |
|
152 |
148 |
$511.36 |
| 85378 |
|
292 |
277 |
$421.44 |
| 86780 |
|
92 |
90 |
$402.07 |
| J1815 |
Insulin injection |
749 |
344 |
$347.57 |
| 99070 |
|
25 |
12 |
$340.75 |
| 87205 |
|
313 |
287 |
$253.16 |
| C1769 |
Guide wire |
145 |
136 |
$253.05 |
| J0690 |
Cefazolin sodium injection |
1,108 |
1,001 |
$244.83 |
| 82550 |
|
367 |
346 |
$240.68 |
| 83615 |
|
203 |
168 |
$223.60 |
| 90715 |
|
57 |
57 |
$194.19 |
| J2785 |
Regadenoson injection |
17 |
16 |
$185.28 |
| S0119 |
Ondansetron 4 mg |
193 |
191 |
$163.87 |
| 0636 |
|
29 |
27 |
$156.79 |
| 90471 |
|
85 |
85 |
$149.06 |
| 88305 |
|
223 |
221 |
$131.80 |
| 0370 |
|
2,034 |
2,007 |
$128.33 |
| J2060 |
Lorazepam injection |
109 |
95 |
$123.42 |
| 73090 |
|
45 |
39 |
$119.84 |
| 76815 |
|
12 |
12 |
$113.78 |
| 85007 |
|
565 |
409 |
$103.83 |
| J3475 |
Inj magnesium sulfate |
241 |
215 |
$93.84 |
| 86803 |
|
13 |
12 |
$92.59 |
| 82140 |
|
13 |
12 |
$90.00 |
| 82150 |
|
12 |
12 |
$82.00 |
| 87081 |
|
40 |
39 |
$68.61 |
| J3010 |
Fentanyl citrate injection |
555 |
530 |
$66.96 |
| 82272 |
|
36 |
36 |
$61.00 |
| 87070 |
|
41 |
40 |
$52.58 |
| J0171 |
Adrenalin epinephrine inject |
410 |
396 |
$51.38 |
| 12001 |
|
39 |
38 |
$48.00 |
| J2001 |
Lidocaine injection |
925 |
824 |
$46.49 |
| 90686 |
|
14 |
14 |
$31.92 |
| J2250 |
Inj midazolam hydrochloride |
73 |
68 |
$31.52 |
| J1644 |
Inj heparin sodium per 1000u |
131 |
71 |
$30.18 |
| J0780 |
Prochlorperazine injection |
14 |
12 |
$25.95 |
| 97162 |
|
27 |
27 |
$25.05 |
| 82728 |
|
18 |
16 |
$25.00 |
| 83036 |
|
13 |
13 |
$24.39 |
| J0137 |
Inj, acetaminophen (hikma) |
22 |
21 |
$23.46 |
| 72170 |
|
14 |
13 |
$22.95 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
15 |
12 |
$22.77 |
| 85018 |
|
27 |
25 |
$14.92 |
| J1953 |
Levetiracetam injection |
17 |
13 |
$14.92 |
| 85014 |
|
27 |
25 |
$14.92 |
| 84550 |
|
12 |
12 |
$6.00 |
| 0258 |
|
476 |
398 |
$0.00 |
| 0990 |
|
124 |
124 |
$0.00 |
| 85008 |
|
43 |
40 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
52 |
49 |
$0.00 |
| 66984 |
|
27 |
24 |
$0.00 |
| 80329 |
|
16 |
13 |
$0.00 |
| 88304 |
|
25 |
25 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
56 |
48 |
$0.00 |
| G0008 |
Admin influenza virus vac |
12 |
12 |
$0.00 |
| 76376 |
|
188 |
188 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
42 |
42 |
$0.00 |
| 89055 |
|
28 |
28 |
$0.00 |
| 96367 |
|
12 |
12 |
$0.00 |
| 0272 |
|
70 |
68 |
$0.00 |
| C1887 |
Catheter, guiding |
12 |
12 |
$0.00 |
| 76775 |
|
12 |
12 |
$0.00 |
| 90749 |
|
24 |
24 |
$0.00 |