| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
85,012 |
73,159 |
$13.87M |
| 99284 |
|
44,747 |
38,409 |
$7.77M |
| J9271 |
Inj pembrolizumab |
1,149 |
761 |
$4.57M |
| 96361 |
|
12,318 |
9,394 |
$3.95M |
| 99285 |
|
16,651 |
14,416 |
$3.10M |
| 99282 |
|
17,371 |
15,238 |
$2.41M |
| 96365 |
|
14,678 |
9,026 |
$2.00M |
| 96413 |
|
13,914 |
8,034 |
$1.77M |
| G0463 |
Hospital outpt clinic visit |
13,618 |
10,313 |
$1.31M |
| 96366 |
|
5,260 |
3,324 |
$1.24M |
| 70450 |
|
5,871 |
5,191 |
$1.18M |
| 74177 |
|
4,794 |
4,283 |
$1.13M |
| 96415 |
|
4,090 |
2,769 |
$983K |
| J1745 |
Infliximab not biosimil 10mg |
775 |
547 |
$973K |
| 97110 |
|
24,098 |
5,131 |
$750K |
| 96360 |
|
4,708 |
3,124 |
$676K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
491 |
306 |
$664K |
| 97112 |
|
23,728 |
3,308 |
$517K |
| 93306 |
|
1,711 |
1,349 |
$500K |
| 74176 |
|
2,472 |
2,181 |
$492K |
| Q5104 |
Injection, renflexis |
440 |
343 |
$476K |
| 94640 |
|
8,865 |
6,038 |
$417K |
| 90791 |
|
2,137 |
1,827 |
$347K |
| 71275 |
|
1,370 |
1,214 |
$339K |
| 80307 |
|
7,942 |
6,843 |
$314K |
| 96367 |
|
3,583 |
2,331 |
$297K |
| G0378 |
Hospital observation per hr |
1,370 |
791 |
$264K |
| 97530 |
|
8,814 |
1,534 |
$256K |
| J2469 |
Palonosetron hcl |
4,069 |
2,292 |
$226K |
| J0897 |
Denosumab injection |
878 |
683 |
$224K |
| J1453 |
Fosaprepitant injection |
2,025 |
1,236 |
$207K |
| 96416 |
|
1,031 |
569 |
$196K |
| 97161 |
|
2,280 |
2,058 |
$187K |
| 77067 |
|
3,947 |
3,730 |
$186K |
| J2505 |
Injection, pegfilgrastim 6mg |
104 |
65 |
$171K |
| 80053 |
|
47,268 |
36,627 |
$164K |
| 87635 |
|
1,890 |
1,677 |
$150K |
| 97116 |
|
12,186 |
2,381 |
$144K |
| 87591 |
|
16,253 |
14,434 |
$128K |
| J1561 |
Gamunex-c/gammaked |
76 |
24 |
$125K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,316 |
4,025 |
$125K |
| 96374 |
|
24,282 |
18,927 |
$111K |
| 93971 |
|
1,206 |
1,072 |
$104K |
| J1439 |
Inj ferric carboxymaltos 1mg |
892 |
534 |
$102K |
| 96523 |
|
1,709 |
1,101 |
$98K |
| J3380 |
Inj vedolizumab iv 1 mg |
51 |
38 |
$97K |
| Q5106 |
Inj retacrit non-esrd use |
987 |
539 |
$83K |
| 90853 |
|
370 |
37 |
$68K |
| 99281 |
|
451 |
410 |
$63K |
| 71046 |
|
7,796 |
6,972 |
$61K |
| 76830 |
|
664 |
608 |
$61K |
| 10060 |
|
458 |
411 |
$60K |
| 76705 |
|
642 |
585 |
$55K |
| G0330 |
Facility svs dental rehab |
28 |
27 |
$49K |
| 10061 |
|
498 |
434 |
$47K |
| 72100 |
|
2,813 |
2,577 |
$46K |
| 96372 |
|
30,236 |
23,906 |
$44K |
| 97140 |
|
6,246 |
2,045 |
$43K |
| J1756 |
Iron sucrose injection |
3,498 |
1,457 |
$40K |
| Q5119 |
Inj ruxience, 10 mg |
16 |
13 |
$40K |
| 73562 |
|
4,228 |
3,534 |
$39K |
| 12001 |
|
169 |
160 |
$39K |
| 87636 |
|
9,193 |
8,266 |
$37K |
| 91200 |
|
480 |
421 |
$35K |
| 80048 |
|
7,715 |
5,856 |
$34K |
| 36591 |
|
2,338 |
1,761 |
$34K |
| J7050 |
Normal saline solution infus |
27,843 |
11,867 |
$33K |
| 77063 |
|
1,661 |
1,583 |
$33K |
| 99204 |
|
178 |
162 |
$31K |
| 85025 |
|
56,362 |
41,552 |
$29K |
| 72125 |
|
832 |
735 |
$28K |
| 90715 |
|
1,432 |
1,311 |
$27K |
| 83880 |
|
3,767 |
3,169 |
$26K |
| J1200 |
Diphenhydramine hcl injectio |
6,327 |
4,124 |
$26K |
| 41899 |
|
15 |
12 |
$24K |
| 73030 |
|
2,388 |
2,130 |
$24K |
| 76856 |
|
505 |
466 |
$22K |
| 87040 |
|
3,036 |
1,584 |
$21K |
| J9355 |
Inj trastuzumab excl biosimi |
26 |
12 |
$21K |
| 36415 |
|
60,487 |
43,501 |
$21K |
| 96402 |
|
1,035 |
854 |
$20K |
| 78452 |
|
31 |
26 |
$19K |
| 93005 |
|
18,677 |
15,681 |
$18K |
| 76817 |
|
574 |
507 |
$18K |
| 72050 |
|
946 |
876 |
$18K |
| 93017 |
|
100 |
85 |
$17K |
| 73130 |
|
2,701 |
2,353 |
$16K |
| 70486 |
|
349 |
311 |
$16K |
| Q5118 |
Inj., zirabev, 10 mg |
68 |
12 |
$15K |
| 76801 |
|
533 |
472 |
$14K |
| 84484 |
|
14,314 |
10,084 |
$14K |
| 85379 |
|
2,689 |
2,403 |
$14K |
| 71045 |
|
13,449 |
11,532 |
$14K |
| 73630 |
|
2,879 |
2,526 |
$13K |
| 96375 |
|
24,347 |
16,357 |
$13K |
| 90471 |
|
2,500 |
2,035 |
$11K |
| J0885 |
Epoetin alfa, non-esrd |
151 |
75 |
$11K |
| 97535 |
|
379 |
221 |
$10K |
| 73502 |
|
1,174 |
1,044 |
$10K |
| J2405 |
Ondansetron hcl injection |
13,227 |
9,965 |
$10K |
| J1642 |
Inj heparin sodium per 10 u |
10,721 |
5,446 |
$9K |
| 29125 |
|
44 |
36 |
$9K |
| J3262 |
Tocilizumab injection |
130 |
38 |
$9K |
| J7030 |
Normal saline solution infus |
20,385 |
15,345 |
$8K |
| J1885 |
Ketorolac tromethamine inj |
19,161 |
16,462 |
$8K |
| 73610 |
|
2,535 |
2,263 |
$8K |
| 80047 |
|
1,951 |
1,711 |
$7K |
| 93970 |
|
38 |
38 |
$7K |
| 73110 |
|
1,307 |
1,154 |
$6K |
| 83605 |
|
3,503 |
2,870 |
$6K |
| 80050 |
|
1,194 |
1,020 |
$6K |
| 12002 |
|
27 |
27 |
$6K |
| 81025 |
|
27,849 |
24,159 |
$5K |
| 90714 |
|
246 |
212 |
$5K |
| 96417 |
|
3,760 |
2,220 |
$5K |
| J1100 |
Dexamethasone sodium phos |
11,295 |
7,032 |
$5K |
| 82728 |
|
1,657 |
1,359 |
$5K |
| J3490 |
Drugs unclassified injection |
14,041 |
7,140 |
$5K |
| J0640 |
Leucovorin calcium injection |
1,402 |
404 |
$5K |
| 90832 |
|
89 |
26 |
$5K |
| 99205 |
Prolong outpt/office vis |
26 |
26 |
$4K |
| 99215 |
Prolong outpt/office vis |
20 |
17 |
$4K |
| 36430 |
|
47 |
38 |
$4K |
| J9263 |
Oxaliplatin |
175 |
62 |
$4K |
| 70496 |
|
13 |
13 |
$4K |
| 81001 |
|
41,995 |
35,880 |
$4K |
| 71250 |
|
67 |
61 |
$4K |
| 70498 |
|
45 |
43 |
$4K |
| 83550 |
|
1,545 |
1,252 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
11,592 |
9,534 |
$3K |
| 74018 |
|
440 |
407 |
$3K |
| J1815 |
Insulin injection |
874 |
291 |
$3K |
| 82553 |
|
740 |
622 |
$3K |
| 83735 |
|
8,104 |
6,028 |
$3K |
| 73140 |
|
782 |
724 |
$3K |
| 87491 |
|
16,083 |
14,268 |
$3K |
| U0002 |
Covid-19 lab test non-cdc |
378 |
331 |
$3K |
| 72148 |
|
14 |
14 |
$3K |
| 83540 |
|
1,726 |
1,395 |
$3K |
| 80069 |
|
1,009 |
743 |
$3K |
| 96377 |
|
457 |
289 |
$3K |
| 12011 |
|
12 |
12 |
$2K |
| 99203 |
|
15 |
14 |
$2K |
| 96401 |
|
187 |
115 |
$2K |
| U0005 |
Infec agen detec ampli probe |
4,226 |
3,950 |
$2K |
| 97165 |
|
15 |
12 |
$2K |
| 85027 |
|
1,461 |
1,107 |
$2K |
| 84100 |
|
2,146 |
1,530 |
$2K |
| 82962 |
|
10,745 |
5,798 |
$2K |
| 80179 |
|
413 |
377 |
$2K |
| 80143 |
|
454 |
416 |
$2K |
| 86850 |
|
1,390 |
1,081 |
$1K |
| 87086 |
|
11,203 |
9,801 |
$1K |
| 76642 |
|
19 |
13 |
$1K |
| 85018 |
|
1,094 |
669 |
$1K |
| 87210 |
|
14,139 |
10,892 |
$1K |
| J2930 |
Methylprednisolone injection |
3,490 |
2,286 |
$1K |
| 96368 |
|
814 |
514 |
$1K |
| 86140 |
|
2,067 |
1,630 |
$1K |
| J2270 |
Morphine sulfate injection |
3,694 |
2,955 |
$1K |
| 86900 |
|
1,954 |
1,556 |
$1K |
| 76700 |
|
13 |
13 |
$1K |
| 84443 |
|
1,317 |
1,092 |
$1K |
| J9190 |
Fluorouracil injection |
2,609 |
647 |
$1K |
| 84702 |
|
2,181 |
1,862 |
$960.19 |
| 83690 |
|
10,973 |
9,388 |
$902.90 |
| P9016 |
Rbc leukocytes reduced |
16 |
13 |
$886.81 |
| 97542 |
|
14 |
12 |
$877.11 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,837 |
6,940 |
$785.55 |
| 80076 |
|
377 |
255 |
$758.54 |
| 85652 |
|
2,202 |
1,708 |
$730.31 |
| 87070 |
|
7,579 |
6,870 |
$699.66 |
| 87147 |
|
2,907 |
2,414 |
$656.09 |
| 85014 |
|
302 |
200 |
$641.26 |
| 73080 |
|
172 |
155 |
$607.97 |
| 82077 |
|
3,408 |
2,954 |
$596.76 |
| 86901 |
|
1,954 |
1,556 |
$586.57 |
| J0780 |
Prochlorperazine injection |
1,455 |
1,213 |
$576.77 |
| 87804 |
|
10,308 |
4,750 |
$575.66 |
| 72131 |
|
13 |
12 |
$557.97 |
| J7040 |
Normal saline solution infus |
4,512 |
2,724 |
$556.95 |
| 82550 |
|
2,329 |
1,836 |
$489.92 |
| 84703 |
|
1,370 |
1,229 |
$488.09 |
| J1650 |
Inj enoxaparin sodium |
972 |
397 |
$473.53 |
| 71101 |
|
70 |
67 |
$467.02 |
| 72072 |
|
81 |
76 |
$439.34 |
| 96376 |
|
3,141 |
2,050 |
$429.51 |
| 87880 |
|
7,531 |
6,849 |
$424.46 |
| 82378 |
|
240 |
163 |
$405.19 |
| J3475 |
Inj magnesium sulfate |
2,010 |
1,226 |
$399.81 |
| J7512 |
Prednisone ir or dr oral 1mg |
2,150 |
1,742 |
$383.90 |
| 85610 |
|
1,836 |
1,446 |
$361.91 |
| 87077 |
|
3,769 |
3,222 |
$359.08 |
| J2001 |
Lidocaine injection |
1,675 |
1,509 |
$343.11 |
| J3010 |
Fentanyl citrate injection |
1,169 |
948 |
$321.37 |
| 87186 |
|
3,844 |
3,317 |
$315.20 |
| J2765 |
Metoclopramide hcl injection |
716 |
551 |
$288.10 |
| 83036 |
|
191 |
171 |
$276.72 |
| 81003 |
|
1,633 |
1,435 |
$240.91 |
| 82607 |
|
45 |
37 |
$197.92 |
| J2060 |
Lorazepam injection |
1,614 |
1,223 |
$189.26 |
| 96411 |
|
1,679 |
977 |
$187.74 |
| 80164 |
|
15 |
13 |
$167.47 |
| 99218 |
|
19 |
13 |
$145.31 |
| 82533 |
|
51 |
39 |
$141.12 |
| J1630 |
Haloperidol injection |
776 |
611 |
$133.56 |
| 36600 |
|
229 |
188 |
$127.21 |
| 82784 |
|
51 |
37 |
$81.98 |
| 86704 |
|
149 |
115 |
$75.56 |
| 74019 |
|
13 |
12 |
$74.65 |
| J7120 |
Ringers lactate infusion |
1,467 |
1,082 |
$69.61 |
| J3480 |
Inj potassium chloride |
1,494 |
770 |
$67.85 |
| 87807 |
|
562 |
532 |
$64.10 |
| 86706 |
|
103 |
88 |
$60.89 |
| 73590 |
|
74 |
65 |
$59.59 |
| 87340 |
|
142 |
116 |
$54.55 |
| 84165 |
|
28 |
24 |
$50.72 |
| J9267 |
Paclitaxel injection |
263 |
100 |
$47.76 |
| J7510 |
Prednisolone oral per 5 mg |
398 |
376 |
$44.10 |
| C9113 |
Inj pantoprazole sodium, via |
776 |
601 |
$28.13 |
| 82565 |
|
18 |
16 |
$18.01 |
| 87634 |
|
284 |
260 |
$17.22 |
| 84439 |
|
18 |
13 |
$16.84 |
| 80061 |
|
14 |
13 |
$15.26 |
| J2250 |
Inj midazolam hydrochloride |
174 |
141 |
$13.14 |
| J2920 |
Methylprednisolone injection |
154 |
102 |
$11.65 |
| J0500 |
Dicyclomine injection |
536 |
465 |
$11.60 |
| J8540 |
Oral dexamethasone |
310 |
251 |
$10.78 |
| J1644 |
Inj heparin sodium per 1000u |
70 |
26 |
$7.67 |
| J1170 |
Hydromorphone injection |
348 |
224 |
$6.03 |
| J2919 |
Inj, methylpred sod succ 5mg |
284 |
202 |
$5.39 |
| 87088 |
|
272 |
259 |
$4.67 |
| J2704 |
Inj, propofol, 10 mg |
912 |
590 |
$4.08 |
| J2550 |
Promethazine hcl injection |
19 |
16 |
$2.21 |
| 85730 |
|
87 |
79 |
$2.19 |
| J3420 |
Vitamin b12 injection |
52 |
38 |
$2.02 |
| J3411 |
Thiamine hcl 100 mg |
40 |
26 |
$1.71 |
| J2470 |
Inj pantoprazole sodium 40mg |
85 |
73 |
$1.10 |
| J2272 |
Inj, morphine (fresenius) |
112 |
101 |
$0.47 |
| J1790 |
Droperidol injection |
357 |
299 |
$0.36 |
| J2310 |
Inj naloxone hydrochloride |
242 |
198 |
$0.00 |
| 94664 |
|
203 |
187 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
58 |
14 |
$0.00 |
| A9576 |
Inj prohance multipack |
57 |
52 |
$0.00 |
| 82272 |
|
28 |
25 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
83 |
67 |
$0.00 |
| J3489 |
Zoledronic acid 1mg |
73 |
52 |
$0.00 |
| G8978 |
Mobility current status |
20 |
12 |
$0.00 |
| 84145 |
|
50 |
39 |
$0.00 |
| L3908 |
Who cock-up nonmolde pre ots |
27 |
24 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
26 |
26 |
$0.00 |
| G8979 |
Mobility goal status |
21 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
29 |
18 |
$0.00 |
| A4565 |
Slings |
15 |
15 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
12 |
12 |
$0.00 |
| 82803 |
|
85 |
66 |
$0.00 |
| 94760 |
|
130 |
97 |
$0.00 |
| A9270 |
Non-covered item or service |
3,256 |
1,063 |
$0.00 |
| Q0162 |
Ondansetron oral |
645 |
594 |
$0.00 |
| J9045 |
Carboplatin injection |
566 |
339 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
92 |
91 |
$0.00 |
| 87651 |
|
359 |
353 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
38 |
25 |
$0.00 |
| 87255 |
|
53 |
42 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
41 |
36 |
$0.00 |
| J1456 |
Inj, fosaprepitant (teva) |
76 |
43 |
$0.00 |
| 94762 |
|
35 |
29 |
$0.00 |
| A9500 |
Tc99m sestamibi |
30 |
25 |
$0.00 |
| 86592 |
|
16 |
15 |
$0.00 |
| J1940 |
Furosemide injection |
16 |
12 |
$0.00 |
| 87637 |
|
15 |
14 |
$0.00 |
| 73090 |
|
13 |
12 |
$0.00 |
| 72040 |
|
16 |
15 |
$0.00 |
| 87205 |
|
17 |
12 |
$0.00 |
| J2785 |
Regadenoson injection |
16 |
13 |
$0.00 |