| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
19,412 |
18,093 |
$2.93M |
| 99283 |
|
31,149 |
28,037 |
$2.26M |
| 99281 |
|
45,091 |
40,727 |
$1.82M |
| 99282 |
|
24,921 |
23,796 |
$1.45M |
| 99285 |
|
5,752 |
5,392 |
$1.25M |
| 74177 |
|
9,302 |
9,137 |
$882K |
| 87637 |
|
13,256 |
12,555 |
$574K |
| 70450 |
|
8,837 |
8,531 |
$420K |
| 93005 |
|
30,033 |
27,561 |
$314K |
| 71045 |
|
21,336 |
19,996 |
$309K |
| 71046 |
|
16,092 |
15,724 |
$226K |
| 96374 |
|
15,805 |
14,569 |
$224K |
| 70551 |
|
3,566 |
3,526 |
$195K |
| 71260 |
|
3,891 |
3,851 |
$179K |
| 87635 |
|
16,388 |
15,398 |
$174K |
| 77067 |
|
8,459 |
8,446 |
$172K |
| 0450 |
|
3,945 |
3,562 |
$157K |
| 85025 |
|
80,811 |
64,080 |
$156K |
| 80307 |
|
5,101 |
4,686 |
$153K |
| 74176 |
|
3,437 |
3,379 |
$152K |
| 76705 |
|
7,027 |
6,931 |
$140K |
| J0131 |
Inj, acetaminophen (nos) |
9,986 |
9,254 |
$127K |
| 96375 |
|
12,145 |
11,257 |
$126K |
| 72148 |
|
3,041 |
3,017 |
$121K |
| 73564 |
|
5,207 |
4,072 |
$115K |
| 78815 |
|
56 |
56 |
$111K |
| 80051 |
|
54,270 |
45,429 |
$109K |
| 96365 |
|
6,070 |
5,771 |
$99K |
| 96372 |
|
11,520 |
10,987 |
$91K |
| 96361 |
|
9,334 |
8,807 |
$87K |
| 76830 |
|
5,633 |
5,595 |
$87K |
| 73630 |
|
6,677 |
5,953 |
$85K |
| 70553 |
|
1,610 |
1,595 |
$84K |
| 82565 |
|
66,116 |
53,458 |
$84K |
| 73721 |
|
1,865 |
1,778 |
$84K |
| 73610 |
|
5,871 |
5,463 |
$82K |
| 99070 |
|
15,412 |
4,847 |
$82K |
| 72125 |
|
987 |
981 |
$80K |
| 76642 |
|
2,959 |
2,470 |
$78K |
| 73130 |
|
5,155 |
4,406 |
$74K |
| J3490 |
Drugs unclassified injection |
30,622 |
13,713 |
$74K |
| 76856 |
|
4,610 |
4,581 |
$72K |
| 73030 |
|
4,928 |
4,523 |
$70K |
| 83880 |
|
9,441 |
8,543 |
$68K |
| 72141 |
|
1,890 |
1,880 |
$66K |
| 76815 |
|
3,327 |
3,118 |
$64K |
| 77065 |
Tomosynthesis, mammo |
1,298 |
1,242 |
$61K |
| 72100 |
|
3,887 |
3,859 |
$61K |
| 82947 |
|
55,270 |
46,100 |
$59K |
| 70486 |
|
1,263 |
1,255 |
$59K |
| 76770 |
|
2,440 |
2,409 |
$58K |
| 80306 |
|
7,144 |
6,749 |
$57K |
| 84520 |
|
55,773 |
46,145 |
$56K |
| 76805 |
|
2,250 |
2,246 |
$55K |
| G0378 |
Hospital observation per hr |
891 |
447 |
$53K |
| 74018 |
|
3,508 |
3,317 |
$53K |
| 87491 |
|
3,765 |
3,580 |
$51K |
| 93971 |
|
1,775 |
1,755 |
$51K |
| 83690 |
|
25,500 |
23,264 |
$51K |
| 77066 |
Tomosynthesis, mammo |
1,152 |
1,138 |
$50K |
| J7030 |
Normal saline solution infus |
21,116 |
17,842 |
$50K |
| 87591 |
|
3,764 |
3,577 |
$50K |
| 73110 |
|
4,200 |
3,762 |
$48K |
| 82247 |
|
38,008 |
30,194 |
$47K |
| 71275 |
|
413 |
409 |
$46K |
| 36415 |
|
9,908 |
7,611 |
$44K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,658 |
8,427 |
$44K |
| 84460 |
|
37,493 |
30,681 |
$43K |
| 84484 |
|
15,374 |
13,591 |
$43K |
| 84450 |
|
33,478 |
28,135 |
$40K |
| 71250 |
|
1,498 |
1,489 |
$40K |
| 73502 |
|
2,568 |
2,494 |
$39K |
| 76882 |
|
1,179 |
929 |
$38K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,074 |
2,014 |
$38K |
| 76536 |
|
1,689 |
1,677 |
$36K |
| 77080 |
|
2,190 |
2,188 |
$36K |
| 73140 |
|
2,982 |
2,801 |
$35K |
| 76817 |
|
973 |
926 |
$35K |
| J1885 |
Ketorolac tromethamine inj |
15,142 |
13,968 |
$34K |
| 87631 |
|
862 |
854 |
$33K |
| 73560 |
|
3,118 |
2,729 |
$33K |
| 84075 |
|
29,200 |
25,356 |
$33K |
| 99199 |
|
563 |
487 |
$31K |
| 87651 |
|
3,123 |
3,073 |
$29K |
| 81001 |
|
53,897 |
49,838 |
$29K |
| 87040 |
|
5,730 |
5,247 |
$28K |
| 82077 |
|
4,850 |
4,455 |
$28K |
| 72040 |
|
2,175 |
2,150 |
$28K |
| 93306 |
|
383 |
380 |
$27K |
| 96360 |
|
2,511 |
2,461 |
$27K |
| 73590 |
|
2,091 |
1,870 |
$27K |
| 83735 |
|
15,171 |
11,189 |
$27K |
| 73080 |
|
2,287 |
2,082 |
$26K |
| 70491 |
|
667 |
658 |
$25K |
| 96366 |
|
1,216 |
1,193 |
$21K |
| J2405 |
Ondansetron hcl injection |
12,729 |
11,330 |
$21K |
| 86900 |
|
4,890 |
4,489 |
$20K |
| 83605 |
|
5,909 |
5,344 |
$20K |
| 87088 |
|
8,763 |
8,392 |
$19K |
| J7120 |
Ringers lactate infusion |
10,690 |
9,564 |
$18K |
| 80048 |
|
7,923 |
7,122 |
$17K |
| 74022 |
|
1,431 |
1,407 |
$17K |
| 87636 |
|
2,048 |
1,992 |
$17K |
| J0696 |
Ceftriaxone sodium injection |
5,836 |
4,911 |
$17K |
| 73221 |
|
885 |
866 |
$17K |
| 84702 |
|
9,217 |
6,923 |
$16K |
| 93976 |
|
792 |
787 |
$16K |
| A9552 |
F18 fdg |
107 |
107 |
$15K |
| J1100 |
Dexamethasone sodium phos |
8,111 |
7,687 |
$14K |
| 82803 |
|
1,419 |
1,342 |
$12K |
| 76870 |
|
632 |
622 |
$12K |
| 94640 |
|
939 |
596 |
$12K |
| J1170 |
Hydromorphone injection |
4,191 |
3,185 |
$11K |
| 81003 |
|
27,691 |
26,527 |
$11K |
| 85610 |
|
13,334 |
10,290 |
$11K |
| J2270 |
Morphine sulfate injection |
4,476 |
3,913 |
$11K |
| 82962 |
|
13,439 |
10,125 |
$11K |
| 59025 |
|
2,393 |
1,930 |
$10K |
| G0151 |
Hhcp-serv of pt,ea 15 min |
6,760 |
2,256 |
$9K |
| 71101 |
|
716 |
706 |
$9K |
| 86850 |
|
3,915 |
3,603 |
$9K |
| 84100 |
|
7,194 |
5,763 |
$9K |
| 80179 |
|
1,832 |
1,739 |
$9K |
| G0152 |
Hhcp-serv of ot,ea 15 min |
1,749 |
719 |
$9K |
| 76857 |
|
926 |
924 |
$9K |
| C9290 |
Inj, bupivacaine liposome |
261 |
261 |
$8K |
| 82248 |
|
6,165 |
4,196 |
$8K |
| 86901 |
|
4,903 |
4,500 |
$8K |
| 72070 |
|
949 |
944 |
$8K |
| 85652 |
|
16,022 |
15,482 |
$8K |
| 87389 |
|
913 |
903 |
$7K |
| 0270 |
|
1,025 |
521 |
$7K |
| J1815 |
Insulin injection |
4,563 |
2,051 |
$7K |
| 85027 |
|
5,630 |
5,002 |
$6K |
| J2765 |
Metoclopramide hcl injection |
4,418 |
4,002 |
$6K |
| 84443 |
|
2,239 |
2,216 |
$6K |
| 73090 |
|
1,455 |
1,316 |
$6K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
624 |
607 |
$6K |
| J1200 |
Diphenhydramine hcl injectio |
3,820 |
3,461 |
$5K |
| 90715 |
|
216 |
216 |
$5K |
| 84132 |
|
6,336 |
4,496 |
$5K |
| J2060 |
Lorazepam injection |
2,025 |
1,772 |
$5K |
| P9016 |
Rbc leukocytes reduced |
50 |
40 |
$5K |
| 82310 |
|
4,366 |
3,058 |
$4K |
| 73660 |
|
799 |
760 |
$4K |
| J3475 |
Inj magnesium sulfate |
2,181 |
1,900 |
$4K |
| 84703 |
|
8,418 |
8,008 |
$4K |
| 93923 |
|
55 |
54 |
$4K |
| 87633 |
|
18 |
17 |
$4K |
| 74019 |
|
825 |
808 |
$4K |
| 86140 |
|
2,553 |
2,403 |
$4K |
| 0637 |
|
15,859 |
4,132 |
$3K |
| J0690 |
Cefazolin sodium injection |
3,601 |
3,129 |
$3K |
| 97162 |
|
178 |
170 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
2,997 |
1,316 |
$3K |
| 86923 |
|
396 |
342 |
$3K |
| J1940 |
Furosemide injection |
1,491 |
933 |
$3K |
| 83036 |
|
1,913 |
1,877 |
$3K |
| 87070 |
|
1,256 |
1,221 |
$3K |
| 73060 |
|
382 |
357 |
$3K |
| 93970 |
|
207 |
205 |
$3K |
| 96367 |
|
306 |
296 |
$3K |
| G0299 |
Hhs/hospice of rn ea 15 min |
4,403 |
1,038 |
$3K |
| J3010 |
Fentanyl citrate injection |
5,323 |
5,089 |
$3K |
| 87502 |
|
157 |
155 |
$3K |
| 82570 |
|
1,766 |
1,509 |
$3K |
| 87324 |
|
1,444 |
1,432 |
$3K |
| 87449 |
|
1,465 |
1,451 |
$3K |
| 86780 |
|
643 |
629 |
$3K |
| 82040 |
|
3,222 |
2,582 |
$2K |
| 72170 |
|
523 |
504 |
$2K |
| 85379 |
|
1,640 |
1,608 |
$2K |
| 73700 |
|
97 |
95 |
$2K |
| 84295 |
|
3,038 |
2,301 |
$2K |
| 74183 |
|
282 |
281 |
$2K |
| 87081 |
|
1,464 |
1,406 |
$2K |
| J3480 |
Inj potassium chloride |
216 |
168 |
$2K |
| 88305 |
|
3,606 |
3,546 |
$2K |
| J2930 |
Methylprednisolone injection |
713 |
676 |
$2K |
| G0153 |
Hhcp-svs of s/l path,ea 15mn |
69 |
24 |
$2K |
| J1650 |
Inj enoxaparin sodium |
1,196 |
618 |
$2K |
| J1953 |
Levetiracetam injection |
229 |
184 |
$2K |
| 73552 |
|
435 |
405 |
$2K |
| J0780 |
Prochlorperazine injection |
940 |
895 |
$2K |
| 85378 |
|
1,261 |
1,239 |
$2K |
| 76775 |
|
443 |
441 |
$2K |
| 87210 |
|
1,144 |
1,131 |
$2K |
| A9585 |
Gadobutrol injection |
1,114 |
1,100 |
$2K |
| 82550 |
|
1,158 |
998 |
$2K |
| 73562 |
|
1,270 |
1,027 |
$2K |
| 84156 |
|
1,494 |
1,275 |
$2K |
| 83615 |
|
1,484 |
1,200 |
$2K |
| 80047 |
|
478 |
472 |
$1K |
| 82140 |
|
733 |
625 |
$1K |
| 96376 |
|
391 |
329 |
$1K |
| 72146 |
|
78 |
77 |
$1K |
| 80061 |
|
653 |
646 |
$1K |
| J2274 |
Inj morphine pf epid ithc |
35 |
31 |
$1K |
| 80069 |
|
467 |
410 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
3,838 |
3,710 |
$1K |
| 0250 |
|
1,998 |
984 |
$1K |
| 73522 |
|
335 |
333 |
$1K |
| 85730 |
|
1,866 |
1,761 |
$1K |
| 90686 |
|
190 |
189 |
$984.28 |
| J3370 |
Vancomycin hcl injection |
437 |
292 |
$929.70 |
| 85007 |
|
786 |
648 |
$929.24 |
| 73600 |
|
190 |
182 |
$926.38 |
| J3371 |
Inj, vancomycin hcl (mylan) |
139 |
81 |
$884.93 |
| G0155 |
Hhcp-svs of csw,ea 15 min |
500 |
398 |
$844.27 |
| 85014 |
|
1,773 |
1,411 |
$798.76 |
| 87340 |
|
570 |
557 |
$797.00 |
| 70543 |
|
56 |
55 |
$704.46 |
| 72220 |
|
38 |
37 |
$587.00 |
| 82728 |
|
433 |
416 |
$568.55 |
| J0171 |
Adrenalin epinephrine inject |
209 |
200 |
$486.88 |
| 88307 |
|
479 |
472 |
$478.53 |
| 85045 |
|
474 |
404 |
$453.04 |
| 88304 |
|
825 |
818 |
$451.89 |
| 87205 |
|
688 |
652 |
$450.05 |
| 88342 |
|
540 |
525 |
$444.40 |
| 72050 |
|
86 |
85 |
$431.95 |
| 86803 |
|
215 |
215 |
$420.04 |
| 76801 |
|
26 |
25 |
$402.52 |
| 97110 |
|
421 |
247 |
$397.41 |
| 96368 |
|
109 |
107 |
$390.42 |
| 84550 |
|
669 |
606 |
$390.24 |
| 73620 |
|
180 |
174 |
$362.75 |
| J1756 |
Iron sucrose injection |
4,719 |
1,358 |
$344.39 |
| 83540 |
|
641 |
623 |
$320.98 |
| 88341 |
|
166 |
163 |
$320.75 |
| 89051 |
|
369 |
276 |
$302.08 |
| 72082 |
|
41 |
40 |
$292.82 |
| 73000 |
|
84 |
79 |
$282.68 |
| J0360 |
Hydralazine hcl injection |
156 |
134 |
$276.65 |
| S0119 |
Ondansetron 4 mg |
363 |
337 |
$271.93 |
| 73100 |
|
60 |
52 |
$262.04 |
| 73120 |
|
106 |
99 |
$259.53 |
| 83550 |
|
404 |
394 |
$257.59 |
| J2543 |
Piperacillin/tazobactam |
97 |
66 |
$253.59 |
| 80053 |
|
1,026 |
954 |
$243.64 |
| 10060 |
|
12 |
12 |
$225.79 |
| Z7502 |
|
28 |
28 |
$220.10 |
| J3360 |
Diazepam injection |
61 |
57 |
$213.40 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
322 |
284 |
$173.89 |
| 85018 |
|
1,267 |
762 |
$169.32 |
| 84155 |
|
327 |
318 |
$136.96 |
| 76000 |
|
92 |
91 |
$130.35 |
| 76942 |
|
79 |
73 |
$113.78 |
| J1836 |
Inj, metronidazole, 10 mg |
157 |
97 |
$109.73 |
| 90471 |
|
326 |
320 |
$100.38 |
| 93017 |
|
38 |
38 |
$97.90 |
| 83970 |
|
272 |
265 |
$90.58 |
| J7042 |
5% dextrose/normal saline |
49 |
41 |
$84.93 |
| J8540 |
Oral dexamethasone |
312 |
294 |
$80.69 |
| 12011 |
|
13 |
12 |
$67.12 |
| 29125 |
|
24 |
24 |
$65.24 |
| 86704 |
|
25 |
25 |
$62.54 |
| 86706 |
|
65 |
63 |
$62.31 |
| A4927 |
Non-sterile gloves |
55 |
50 |
$54.33 |
| 82150 |
|
103 |
100 |
$53.98 |
| 85008 |
|
245 |
233 |
$49.47 |
| 86703 |
|
15 |
15 |
$46.65 |
| J1630 |
Haloperidol injection |
45 |
38 |
$46.64 |
| C9113 |
Inj pantoprazole sodium, via |
361 |
271 |
$45.68 |
| J2550 |
Promethazine hcl injection |
28 |
25 |
$34.08 |
| 82435 |
|
54 |
46 |
$33.66 |
| 82306 |
|
12 |
12 |
$32.23 |
| 80349 |
|
41 |
40 |
$31.00 |
| 85384 |
|
44 |
37 |
$29.76 |
| J2919 |
Inj, methylpred sod succ 5mg |
14 |
13 |
$29.42 |
| 82272 |
|
92 |
89 |
$24.75 |
| J3411 |
Thiamine hcl 100 mg |
13 |
13 |
$20.84 |
| 97530 |
|
576 |
340 |
$20.77 |
| 76937 |
|
13 |
13 |
$20.49 |
| J1270 |
Injection, doxercalciferol |
9,476 |
818 |
$18.40 |
| J0744 |
Ciprofloxacin iv |
46 |
40 |
$16.52 |
| 83930 |
|
42 |
41 |
$15.28 |
| 82374 |
|
52 |
44 |
$15.24 |
| J8501 |
Oral aprepitant |
274 |
274 |
$10.44 |
| J7512 |
Prednisone ir or dr oral 1mg |
878 |
703 |
$10.07 |
| 83935 |
|
12 |
12 |
$7.83 |
| Q0144 |
Azithromycin dihydrate, oral |
15 |
12 |
$6.42 |
| 81025 |
|
13 |
13 |
$5.22 |
| A6216 |
Non-sterile gauze<=16 sq in |
53 |
27 |
$5.06 |
| 88300 |
|
68 |
66 |
$4.34 |
| J2470 |
Inj pantoprazole sodium 40mg |
20 |
12 |
$3.87 |
| 90945 |
|
1,795 |
75 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
798 |
795 |
$0.00 |
| 84466 |
|
31 |
30 |
$0.00 |
| 90999 |
|
38,523 |
3,242 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
316 |
304 |
$0.00 |
| 97116 |
|
232 |
156 |
$0.00 |
| 76376 |
|
117 |
117 |
$0.00 |
| 90662 |
|
44 |
44 |
$0.00 |
| J0137 |
Inj, acetaminophen (hikma) |
18 |
17 |
$0.00 |
| 87899 |
|
12 |
12 |
$0.00 |
| 0300 |
|
13 |
13 |
$0.00 |
| Q5001 |
Hospice or home hlth in home |
617 |
235 |
$0.00 |
| A4657 |
Syringe w/wo needle |
15,665 |
1,823 |
$0.00 |
| 66984 |
|
143 |
142 |
$0.00 |
| G0156 |
Hhcp-svs of aide,ea 15 min |
1,226 |
260 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
317 |
309 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
64 |
56 |
$0.00 |
| 90677 |
|
18 |
18 |
$0.00 |
| 90694 |
|
24 |
24 |
$0.00 |
| 0100 |
|
43 |
25 |
$0.00 |
| 87086 |
|
13 |
13 |
$0.00 |
| A5120 |
Skin barrier, wipe or swab |
14 |
12 |
$0.00 |
| 12001 |
|
12 |
12 |
$0.00 |
| 90674 |
|
34 |
33 |
$0.00 |
| 74181 |
|
13 |
13 |
$0.00 |
| 70544 |
|
13 |
13 |
$0.00 |
| 81015 |
|
29 |
28 |
$0.00 |
| G0300 |
Hhs/hospice of lpn ea 15 min |
225 |
53 |
$0.00 |