| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
69,654 |
64,287 |
$57.59M |
| 0450 |
|
13,216 |
12,335 |
$7.23M |
| Z4300 |
|
40,287 |
40,032 |
$4.15M |
| J1745 |
Infliximab not biosimil 10mg |
1,756 |
1,134 |
$2.75M |
| Z7500 |
|
80,156 |
71,487 |
$2.72M |
| Z4306 |
|
39,498 |
39,251 |
$2.70M |
| Z4301 |
|
58,586 |
56,236 |
$1.43M |
| 93325 |
|
10,869 |
10,664 |
$1.41M |
| J0585 |
Injection,onabotulinumtoxina |
2,854 |
1,426 |
$1.37M |
| 0360 |
|
7,743 |
3,998 |
$1.29M |
| 93303 |
|
6,869 |
6,807 |
$1.23M |
| 93306 |
|
4,825 |
4,656 |
$1.12M |
| Z4304 |
|
13,432 |
13,428 |
$1.04M |
| Z4303 |
|
22,378 |
22,193 |
$961K |
| 99221 |
|
5,507 |
5,423 |
$756K |
| 76815 |
|
11,607 |
5,070 |
$705K |
| Z4307 |
|
26,801 |
26,669 |
$674K |
| G0463 |
Hospital outpt clinic visit |
14,312 |
10,899 |
$636K |
| 80053 |
|
45,600 |
32,806 |
$610K |
| 76811 |
|
5,311 |
5,276 |
$573K |
| 93320 |
|
6,936 |
6,867 |
$573K |
| 0510 |
|
13,756 |
9,719 |
$549K |
| 96365 |
|
6,902 |
5,907 |
$535K |
| Z4308 |
|
18,792 |
18,667 |
$475K |
| J3490 |
Drugs unclassified injection |
35,975 |
15,764 |
$462K |
| 76816 |
|
8,689 |
8,213 |
$454K |
| Z7610 |
|
41,033 |
12,918 |
$450K |
| 76770 |
|
5,514 |
5,468 |
$438K |
| 44970 |
|
695 |
681 |
$369K |
| Z4311 |
|
29,233 |
29,080 |
$352K |
| 59025 |
|
13,689 |
5,369 |
$341K |
| 87635 |
|
6,724 |
6,246 |
$331K |
| 0710 |
|
6,588 |
4,884 |
$321K |
| 96367 |
|
4,545 |
2,764 |
$294K |
| 99282 |
|
1,881 |
1,815 |
$276K |
| 85025 |
|
29,522 |
23,451 |
$274K |
| 76825 |
|
2,701 |
2,596 |
$269K |
| J7307 |
Etonogestrel implant system |
257 |
253 |
$267K |
| 87633 |
|
4,586 |
4,471 |
$254K |
| 99213 |
|
3,103 |
3,091 |
$242K |
| V5008 |
Hearing screening |
4,666 |
4,598 |
$224K |
| Z7502 |
|
6,042 |
5,967 |
$222K |
| Z4312 |
|
18,228 |
18,096 |
$219K |
| 96450 |
|
840 |
739 |
$219K |
| Z4302 |
|
16,586 |
16,511 |
$216K |
| 42820 |
|
1,100 |
1,094 |
$211K |
| 96112 |
|
1,274 |
1,272 |
$194K |
| J2704 |
Inj, propofol, 10 mg |
9,349 |
7,597 |
$177K |
| 0720 |
|
4,358 |
3,452 |
$171K |
| J0586 |
Abobotulinumtoxina |
412 |
163 |
$161K |
| J3010 |
Fentanyl citrate injection |
8,755 |
6,285 |
$154K |
| J3262 |
Tocilizumab injection |
734 |
78 |
$154K |
| 76813 |
|
1,976 |
1,953 |
$154K |
| 99238 |
|
5,996 |
5,493 |
$152K |
| J2405 |
Ondansetron hcl injection |
12,984 |
10,598 |
$148K |
| 88305 |
|
2,076 |
2,016 |
$146K |
| 76805 |
|
1,488 |
1,464 |
$146K |
| 99231 |
|
2,828 |
2,808 |
$144K |
| 96366 |
|
2,585 |
2,250 |
$140K |
| 69436 |
|
1,189 |
702 |
$140K |
| J7050 |
Normal saline solution infus |
12,214 |
10,278 |
$139K |
| T1024 |
Team evaluation & management |
4,168 |
2,665 |
$139K |
| 76827 |
|
2,696 |
2,589 |
$134K |
| 99284 |
|
605 |
577 |
$133K |
| 0750 |
|
1,357 |
646 |
$122K |
| J1100 |
Dexamethasone sodium phos |
11,548 |
11,347 |
$118K |
| 85027 |
|
15,491 |
12,300 |
$114K |
| 92588 |
|
2,277 |
2,197 |
$113K |
| 76700 |
|
1,810 |
1,789 |
$110K |
| Z4309 |
|
4,415 |
4,322 |
$110K |
| X4303 |
|
1,624 |
710 |
$105K |
| 76817 |
|
1,917 |
1,647 |
$102K |
| 99285 |
|
137 |
132 |
$100K |
| L8699 |
Prosthetic implant nos |
461 |
447 |
$98K |
| Z7506 |
|
653 |
649 |
$90K |
| 93976 |
|
1,280 |
1,239 |
$87K |
| 43239 |
|
1,733 |
1,680 |
$86K |
| 96361 |
|
5,064 |
4,248 |
$85K |
| 76801 |
|
1,674 |
1,555 |
$82K |
| J0131 |
Inj, acetaminophen (nos) |
6,118 |
4,252 |
$81K |
| J1642 |
Inj heparin sodium per 10 u |
13,145 |
4,593 |
$79K |
| S0302 |
Completed epsdt |
1,396 |
705 |
$76K |
| 99218 |
|
508 |
506 |
$74K |
| J7120 |
Ringers lactate infusion |
2,861 |
2,748 |
$69K |
| 0762 |
|
1,621 |
883 |
$68K |
| 76819 |
|
893 |
829 |
$67K |
| 96374 |
|
4,063 |
3,963 |
$62K |
| 99070 |
|
77,262 |
42,210 |
$60K |
| 97803 |
|
995 |
614 |
$58K |
| 93975 |
|
990 |
900 |
$57K |
| 97802 |
|
628 |
612 |
$56K |
| 83735 |
|
6,509 |
4,465 |
$55K |
| 81001 |
|
19,460 |
17,935 |
$51K |
| 81003 |
|
13,338 |
9,377 |
$51K |
| 70450 |
|
1,586 |
1,573 |
$50K |
| G0378 |
Hospital observation per hr |
6,321 |
3,754 |
$50K |
| 36415 |
|
2,891 |
2,577 |
$49K |
| 99232 |
|
934 |
929 |
$47K |
| 96360 |
|
2,236 |
2,158 |
$47K |
| J2250 |
Inj midazolam hydrochloride |
3,807 |
3,662 |
$46K |
| 80307 |
|
6,306 |
5,631 |
$46K |
| 87088 |
|
7,868 |
7,521 |
$43K |
| X3920 |
|
848 |
844 |
$42K |
| J9370 |
Vincristine sulfate 1 mg inj |
3,161 |
1,773 |
$42K |
| 96111 |
|
388 |
388 |
$42K |
| 76820 |
|
1,400 |
856 |
$41K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,259 |
1,612 |
$40K |
| J0690 |
Cefazolin sodium injection |
2,440 |
2,374 |
$37K |
| 92507 |
|
845 |
329 |
$37K |
| 84100 |
|
6,351 |
4,384 |
$36K |
| 96413 |
|
896 |
354 |
$36K |
| X4304 |
|
1,093 |
466 |
$35K |
| 96409 |
|
1,393 |
1,108 |
$35K |
| 87210 |
|
6,900 |
6,093 |
$35K |
| 76705 |
|
3,009 |
2,930 |
$34K |
| 41899 |
|
224 |
219 |
$34K |
| 87491 |
|
990 |
972 |
$33K |
| 87591 |
|
993 |
972 |
$33K |
| 71046 |
|
3,603 |
3,561 |
$32K |
| X4100 |
|
612 |
612 |
$31K |
| 86140 |
|
5,030 |
4,763 |
$28K |
| U0003 |
Cov-19 amp prb hgh thruput |
383 |
372 |
$28K |
| 42999 |
|
246 |
244 |
$28K |
| 94640 |
|
3,865 |
3,580 |
$26K |
| 85007 |
|
6,468 |
4,728 |
$26K |
| 86850 |
|
3,831 |
3,334 |
$25K |
| 76856 |
|
1,217 |
1,190 |
$24K |
| 24538 |
|
14 |
14 |
$23K |
| Z9725 |
|
535 |
532 |
$23K |
| 88304 |
|
1,668 |
1,646 |
$22K |
| 99217 |
|
851 |
520 |
$21K |
| 86900 |
|
5,295 |
3,778 |
$20K |
| 85046 |
|
2,630 |
2,410 |
$20K |
| 74018 |
|
4,059 |
3,957 |
$18K |
| 0761 |
|
437 |
416 |
$18K |
| J2710 |
Neostigmine methylslfte inj |
1,598 |
1,570 |
$18K |
| P9016 |
Rbc leukocytes reduced |
70 |
53 |
$18K |
| 86901 |
|
4,975 |
3,677 |
$18K |
| 87070 |
|
2,427 |
2,333 |
$17K |
| 76870 |
|
700 |
686 |
$17K |
| 93005 |
|
2,208 |
2,154 |
$17K |
| S0020 |
Injection, bupivicaine hydro |
945 |
939 |
$17K |
| 76536 |
|
388 |
386 |
$16K |
| 83615 |
|
2,014 |
1,829 |
$16K |
| Z7512 |
|
553 |
552 |
$14K |
| 77075 |
|
391 |
384 |
$14K |
| J7030 |
Normal saline solution infus |
1,470 |
1,381 |
$14K |
| 71045 |
|
1,803 |
1,759 |
$13K |
| J1885 |
Ketorolac tromethamine inj |
2,393 |
2,300 |
$13K |
| 0272 |
|
695 |
657 |
$13K |
| 99367 |
|
253 |
250 |
$13K |
| 87077 |
|
4,007 |
2,376 |
$12K |
| 84702 |
|
1,530 |
1,216 |
$12K |
| 43762 |
|
357 |
342 |
$12K |
| 99224 |
|
236 |
236 |
$12K |
| 82570 |
|
2,084 |
1,715 |
$12K |
| 84550 |
|
2,069 |
1,896 |
$12K |
| Z4314 |
|
181 |
136 |
$11K |
| 74177 |
|
560 |
556 |
$10K |
| J9260 |
Inj methotrexate sodium 50mg |
1,227 |
761 |
$10K |
| 96372 |
|
1,543 |
1,317 |
$10K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
694 |
579 |
$9K |
| 96375 |
|
1,778 |
1,672 |
$9K |
| 76857 |
|
349 |
346 |
$9K |
| J1200 |
Diphenhydramine hcl injectio |
1,725 |
1,160 |
$9K |
| 94010 |
|
538 |
518 |
$9K |
| 83690 |
|
3,273 |
3,162 |
$9K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
12 |
12 |
$8K |
| J2270 |
Morphine sulfate injection |
1,863 |
1,623 |
$8K |
| Z7514 |
|
136 |
65 |
$8K |
| 45380 |
|
166 |
154 |
$8K |
| 0270 |
|
1,200 |
844 |
$8K |
| 93321 |
|
165 |
165 |
$8K |
| 73080 |
|
1,656 |
1,431 |
$8K |
| 0370 |
|
451 |
434 |
$7K |
| 93304 |
|
73 |
73 |
$7K |
| 86945 |
|
207 |
126 |
$7K |
| 87636 |
|
43 |
43 |
$7K |
| 99281 |
|
87 |
87 |
$7K |
| 76885 |
|
69 |
68 |
$6K |
| J2916 |
Na ferric gluconate complex |
386 |
170 |
$6K |
| 94770 |
|
309 |
309 |
$6K |
| 82962 |
|
2,946 |
2,563 |
$6K |
| 0259 |
|
1,660 |
1,122 |
$6K |
| 73130 |
|
1,131 |
1,057 |
$6K |
| 84156 |
|
2,036 |
1,688 |
$6K |
| 82728 |
|
462 |
453 |
$6K |
| J2765 |
Metoclopramide hcl injection |
534 |
499 |
$5K |
| 74455 |
|
78 |
73 |
$5K |
| J0694 |
Cefoxitin sodium injection |
606 |
600 |
$5K |
| 85730 |
|
1,787 |
1,704 |
$5K |
| 90839 |
|
1,506 |
1,445 |
$5K |
| 85018 |
|
1,885 |
1,805 |
$5K |
| X4300 |
|
51 |
51 |
$5K |
| 73630 |
|
993 |
929 |
$5K |
| 73610 |
|
1,153 |
1,054 |
$5K |
| 99225 |
|
83 |
83 |
$5K |
| Z5406 |
|
174 |
143 |
$5K |
| G0109 |
Diab manage trn ind/group |
241 |
117 |
$4K |
| G0383 |
Lev 4 hosp type b ed visit |
29 |
24 |
$4K |
| 73564 |
|
636 |
599 |
$4K |
| 96411 |
|
137 |
81 |
$3K |
| J0330 |
Succinycholine chloride inj |
983 |
969 |
$3K |
| 43760 |
|
66 |
66 |
$3K |
| 84443 |
|
518 |
502 |
$3K |
| 73590 |
|
1,162 |
1,030 |
$3K |
| 93247 |
|
26 |
26 |
$3K |
| J2370 |
Phenylephrine hcl injection |
337 |
316 |
$3K |
| 73090 |
|
1,875 |
1,726 |
$3K |
| J7042 |
5% dextrose/normal saline |
2,121 |
1,960 |
$3K |
| 85610 |
|
1,779 |
1,715 |
$3K |
| 83880 |
|
192 |
183 |
$3K |
| 88342 |
|
98 |
97 |
$3K |
| 84703 |
|
4,620 |
4,381 |
$3K |
| J1756 |
Iron sucrose injection |
237 |
105 |
$3K |
| J0137 |
Inj, acetaminophen (hikma) |
405 |
233 |
$2K |
| 87390 |
|
109 |
108 |
$2K |
| 83036 |
|
418 |
414 |
$2K |
| 90471 |
|
441 |
440 |
$2K |
| 73070 |
|
441 |
382 |
$2K |
| 87637 |
|
13 |
13 |
$2K |
| 73060 |
|
1,031 |
988 |
$2K |
| 80048 |
|
1,397 |
1,359 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
877 |
846 |
$2K |
| 99366 |
|
121 |
78 |
$2K |
| 85240 |
|
80 |
65 |
$2K |
| 82306 |
|
94 |
92 |
$2K |
| 74019 |
|
373 |
370 |
$2K |
| 74240 |
|
13 |
13 |
$2K |
| 74022 |
|
476 |
472 |
$2K |
| 73110 |
|
1,069 |
1,002 |
$2K |
| 83605 |
|
624 |
580 |
$1K |
| 86702 |
|
109 |
108 |
$1K |
| 87497 |
|
23 |
12 |
$1K |
| 85384 |
|
278 |
263 |
$1K |
| J2252 |
Inj midazolam in 0.8% nacl |
95 |
95 |
$1K |
| J0780 |
Prochlorperazine injection |
299 |
282 |
$1K |
| 87147 |
|
245 |
73 |
$1K |
| J1170 |
Hydromorphone injection |
112 |
100 |
$1K |
| 92552 |
|
41 |
41 |
$1K |
| 73552 |
|
486 |
434 |
$1K |
| 99368 |
|
102 |
71 |
$1K |
| 86701 |
|
109 |
108 |
$1K |
| 93308 |
|
13 |
13 |
$1K |
| G0480 |
Drug test def 1-7 classes |
409 |
290 |
$1K |
| 51600 |
|
50 |
49 |
$1K |
| 86762 |
|
70 |
65 |
$1K |
| 42821 |
|
12 |
12 |
$972.00 |
| 85652 |
|
948 |
928 |
$965.36 |
| 76826 |
|
14 |
13 |
$928.11 |
| 70486 |
|
26 |
24 |
$897.93 |
| 86787 |
|
43 |
39 |
$874.88 |
| 83550 |
|
80 |
79 |
$857.56 |
| 86735 |
|
38 |
38 |
$814.53 |
| 86765 |
|
38 |
38 |
$805.19 |
| 99499 |
|
373 |
278 |
$802.58 |
| 87040 |
|
448 |
413 |
$738.88 |
| 82150 |
|
650 |
637 |
$738.14 |
| J3480 |
Inj potassium chloride |
35 |
25 |
$683.90 |
| 86593 |
|
169 |
166 |
$648.68 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
461 |
239 |
$639.56 |
| 82248 |
|
129 |
118 |
$571.96 |
| J7060 |
5% dextrose/water |
273 |
177 |
$564.83 |
| 93246 |
|
26 |
26 |
$527.89 |
| J7040 |
Normal saline solution infus |
279 |
273 |
$500.48 |
| 84484 |
|
138 |
124 |
$480.07 |
| 73030 |
|
245 |
224 |
$452.65 |
| 86160 |
|
25 |
24 |
$425.25 |
| 76010 |
|
49 |
48 |
$407.04 |
| 87430 |
|
818 |
814 |
$358.36 |
| 76828 |
|
14 |
13 |
$314.33 |
| 86803 |
|
13 |
12 |
$307.37 |
| 94799 |
|
94 |
92 |
$295.93 |
| 87186 |
|
184 |
173 |
$275.15 |
| 86780 |
|
21 |
19 |
$225.95 |
| 73100 |
|
235 |
208 |
$213.94 |
| 90840 |
|
102 |
99 |
$207.94 |
| J3475 |
Inj magnesium sulfate |
137 |
128 |
$207.50 |
| 76937 |
|
13 |
13 |
$204.88 |
| 82247 |
|
141 |
126 |
$196.84 |
| U0005 |
Infec agen detec ampli probe |
13 |
13 |
$189.00 |
| 82330 |
|
81 |
77 |
$159.56 |
| 87340 |
|
37 |
36 |
$158.38 |
| 82805 |
|
41 |
41 |
$152.51 |
| 82550 |
|
141 |
138 |
$151.93 |
| 12011 |
|
138 |
137 |
$138.87 |
| J0171 |
Adrenalin epinephrine inject |
30 |
30 |
$137.26 |
| 76882 |
|
28 |
24 |
$119.13 |
| 0250 |
|
213 |
104 |
$104.57 |
| 84439 |
|
27 |
25 |
$98.63 |
| 86592 |
|
14 |
14 |
$87.18 |
| 94664 |
|
65 |
65 |
$82.83 |
| 84132 |
|
79 |
77 |
$80.55 |
| 12001 |
|
130 |
130 |
$80.31 |
| 94760 |
|
33 |
33 |
$73.68 |
| 82947 |
|
39 |
39 |
$67.08 |
| 82565 |
|
39 |
39 |
$65.40 |
| 84295 |
|
43 |
43 |
$64.01 |
| 87205 |
|
68 |
63 |
$63.51 |
| 82435 |
|
41 |
41 |
$63.11 |
| 82375 |
|
42 |
41 |
$51.04 |
| 87184 |
|
27 |
25 |
$42.48 |
| 83050 |
|
41 |
41 |
$33.93 |
| 84145 |
|
14 |
14 |
$27.76 |
| 73000 |
|
17 |
16 |
$23.90 |
| J1836 |
Inj, metronidazole, 10 mg |
121 |
88 |
$20.90 |
| 31720 |
|
15 |
15 |
$20.00 |
| 86308 |
|
106 |
102 |
$12.52 |
| A4217 |
Sterile water/saline, 500 ml |
40 |
40 |
$1.00 |
| 25605 |
|
16 |
16 |
$0.00 |
| 0637 |
|
27 |
16 |
$0.00 |
| 80143 |
|
56 |
52 |
$0.00 |
| 73562 |
|
15 |
13 |
$0.00 |
| 73502 |
|
25 |
24 |
$0.00 |
| 0271 |
|
12 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
72 |
48 |
$0.00 |
| 0636 |
|
57 |
38 |
$0.00 |