| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
55,154 |
44,429 |
$5.68M |
| 99281 |
|
39,881 |
33,160 |
$5.35M |
| 99202 |
|
7,181 |
4,614 |
$3.87M |
| 74177 |
|
3,954 |
3,692 |
$2.10M |
| 97110 |
|
24,703 |
6,407 |
$1.64M |
| 77067 |
|
5,662 |
5,532 |
$1.42M |
| 70450 |
|
3,899 |
3,596 |
$1.13M |
| 99201 |
|
4,135 |
2,888 |
$1.07M |
| 96374 |
|
8,097 |
7,049 |
$1.04M |
| 0241U |
|
7,095 |
6,307 |
$1.01M |
| 93306 |
|
2,899 |
2,822 |
$916K |
| 97750 |
|
7,882 |
3,985 |
$913K |
| 76700 |
|
4,790 |
4,504 |
$838K |
| 93005 |
|
13,549 |
12,055 |
$791K |
| J3490 |
Drugs unclassified injection |
46,866 |
21,454 |
$784K |
| 93975 |
|
1,454 |
1,339 |
$683K |
| 97139 |
|
15,548 |
3,801 |
$649K |
| 96375 |
|
7,818 |
5,811 |
$649K |
| 76856 |
|
3,993 |
3,737 |
$612K |
| 96365 |
|
3,685 |
2,742 |
$597K |
| 76815 |
|
4,297 |
2,320 |
$555K |
| 71260 |
|
862 |
816 |
$521K |
| 92557 |
|
2,729 |
2,573 |
$503K |
| 76830 |
|
3,281 |
3,076 |
$503K |
| 72125 |
|
1,018 |
951 |
$477K |
| 59025 |
|
9,295 |
3,560 |
$404K |
| 99070 |
|
16,297 |
13,071 |
$351K |
| 96361 |
|
4,490 |
3,838 |
$348K |
| 72148 |
|
626 |
614 |
$340K |
| 77063 |
|
5,603 |
5,475 |
$333K |
| 77066 |
Tomosynthesis, mammo |
1,032 |
995 |
$315K |
| 73721 |
|
417 |
400 |
$288K |
| 70553 |
|
269 |
250 |
$285K |
| 96413 |
|
3,599 |
1,850 |
$267K |
| 96372 |
|
4,364 |
3,340 |
$248K |
| 96367 |
|
1,934 |
1,037 |
$238K |
| 90791 |
|
709 |
669 |
$236K |
| 96360 |
|
1,807 |
1,631 |
$236K |
| J2704 |
Inj, propofol, 10 mg |
6,371 |
5,731 |
$233K |
| 76642 |
|
1,728 |
1,644 |
$224K |
| 71045 |
|
8,549 |
7,775 |
$218K |
| 80053 |
|
23,795 |
20,038 |
$208K |
| 93971 |
|
844 |
799 |
$203K |
| 87635 |
|
3,808 |
3,491 |
$195K |
| 70551 |
|
322 |
315 |
$180K |
| 93351 |
|
387 |
370 |
$179K |
| J0131 |
Inj, acetaminophen (nos) |
1,913 |
1,536 |
$172K |
| 85025 |
|
26,311 |
21,619 |
$169K |
| 77065 |
Tomosynthesis, mammo |
726 |
628 |
$168K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,021 |
6,399 |
$167K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,992 |
1,848 |
$164K |
| G0480 |
Drug test def 1-7 classes |
1,889 |
1,629 |
$161K |
| 93976 |
|
369 |
363 |
$159K |
| Z7502 |
|
4,161 |
4,103 |
$157K |
| 71046 |
|
3,838 |
3,680 |
$152K |
| 76770 |
|
779 |
740 |
$132K |
| 96415 |
|
1,146 |
726 |
$131K |
| G0279 |
Tomosynthesis, mammo |
1,693 |
1,642 |
$122K |
| A9585 |
Gadobutrol injection |
1,408 |
1,314 |
$119K |
| J1100 |
Dexamethasone sodium phos |
6,187 |
4,567 |
$119K |
| 93325 |
|
392 |
374 |
$117K |
| 73610 |
|
1,904 |
1,771 |
$117K |
| 72141 |
|
205 |
200 |
$116K |
| 73030 |
|
1,922 |
1,841 |
$116K |
| 93990 |
|
714 |
685 |
$113K |
| 74176 |
|
427 |
395 |
$110K |
| 97803 |
|
873 |
749 |
$108K |
| 73630 |
|
1,874 |
1,783 |
$107K |
| 87631 |
|
1,198 |
1,162 |
$106K |
| 73564 |
|
1,544 |
1,465 |
$105K |
| J7030 |
Normal saline solution infus |
8,764 |
7,240 |
$97K |
| 70486 |
|
266 |
244 |
$95K |
| J2405 |
Ondansetron hcl injection |
9,179 |
7,502 |
$94K |
| 73221 |
|
138 |
134 |
$93K |
| 73130 |
|
1,446 |
1,353 |
$89K |
| 72100 |
|
1,293 |
1,236 |
$86K |
| 43239 |
|
887 |
858 |
$86K |
| 71275 |
|
156 |
149 |
$81K |
| J7120 |
Ringers lactate infusion |
7,405 |
6,002 |
$77K |
| 93970 |
|
200 |
186 |
$75K |
| 71250 |
|
240 |
233 |
$75K |
| 92585 |
|
117 |
114 |
$71K |
| 73110 |
|
1,157 |
1,012 |
$70K |
| 76536 |
|
572 |
545 |
$69K |
| 76817 |
|
439 |
369 |
$68K |
| 70496 |
|
132 |
125 |
$66K |
| 70498 |
|
127 |
124 |
$63K |
| 45380 |
|
722 |
707 |
$63K |
| 96366 |
|
681 |
448 |
$62K |
| Z9725 |
|
1,429 |
1,365 |
$61K |
| 84484 |
|
7,139 |
6,172 |
$61K |
| G0108 |
Diab manage trn per indiv |
927 |
801 |
$55K |
| 0450 |
|
1,372 |
1,251 |
$53K |
| 76801 |
|
353 |
307 |
$51K |
| 92587 |
|
356 |
295 |
$50K |
| J1885 |
Ketorolac tromethamine inj |
6,505 |
5,129 |
$49K |
| 73502 |
|
745 |
704 |
$49K |
| 83690 |
|
8,494 |
7,518 |
$48K |
| 99291 |
|
101 |
96 |
$47K |
| 81001 |
|
8,625 |
7,470 |
$46K |
| J0690 |
Cefazolin sodium injection |
3,423 |
2,905 |
$46K |
| 93320 |
|
244 |
230 |
$44K |
| J2469 |
Palonosetron hcl |
532 |
286 |
$42K |
| 92567 |
|
462 |
457 |
$41K |
| 72110 |
|
374 |
364 |
$40K |
| 77049 |
|
56 |
51 |
$39K |
| 73562 |
|
721 |
681 |
$38K |
| J3010 |
Fentanyl citrate injection |
5,097 |
4,455 |
$37K |
| 87086 |
|
5,381 |
4,877 |
$35K |
| 73140 |
|
915 |
840 |
$35K |
| 74018 |
|
808 |
750 |
$33K |
| 73080 |
|
496 |
454 |
$32K |
| J2250 |
Inj midazolam hydrochloride |
3,794 |
3,436 |
$31K |
| 96417 |
|
307 |
161 |
$28K |
| 76805 |
|
147 |
143 |
$27K |
| 92550 |
|
525 |
448 |
$25K |
| 90715 |
|
412 |
396 |
$25K |
| 81025 |
|
6,906 |
6,325 |
$24K |
| J2270 |
Morphine sulfate injection |
2,532 |
2,054 |
$24K |
| J1170 |
Hydromorphone injection |
2,073 |
1,558 |
$22K |
| 73560 |
|
453 |
436 |
$22K |
| 76857 |
|
277 |
252 |
$21K |
| 83605 |
|
2,068 |
1,833 |
$20K |
| C9290 |
Inj, bupivacaine liposome |
67 |
64 |
$20K |
| 76870 |
|
139 |
130 |
$18K |
| 80305 |
|
1,477 |
1,395 |
$17K |
| 82947 |
|
3,599 |
2,965 |
$17K |
| 80048 |
|
2,511 |
2,178 |
$17K |
| S0302 |
Completed epsdt |
130 |
101 |
$17K |
| 93017 |
|
92 |
92 |
$16K |
| 99284 |
|
97 |
92 |
$16K |
| 81003 |
|
5,599 |
5,226 |
$16K |
| 83880 |
|
601 |
559 |
$15K |
| 87070 |
|
1,981 |
1,853 |
$15K |
| 45385 |
|
129 |
125 |
$14K |
| 84443 |
|
1,110 |
1,027 |
$14K |
| 87077 |
|
1,812 |
1,667 |
$13K |
| J2001 |
Lidocaine injection |
1,280 |
1,175 |
$13K |
| 72050 |
|
131 |
130 |
$13K |
| 87591 |
|
506 |
448 |
$12K |
| 87491 |
|
504 |
447 |
$12K |
| 87040 |
|
1,054 |
952 |
$12K |
| 92650 |
|
19 |
18 |
$12K |
| 87880 |
|
1,543 |
1,450 |
$11K |
| 72040 |
|
203 |
201 |
$11K |
| 83735 |
|
2,112 |
1,819 |
$10K |
| J0696 |
Ceftriaxone sodium injection |
1,060 |
749 |
$10K |
| 73590 |
|
194 |
170 |
$10K |
| 87186 |
|
1,215 |
1,116 |
$10K |
| 85610 |
|
2,888 |
2,613 |
$9K |
| 77080 |
|
122 |
116 |
$9K |
| J2765 |
Metoclopramide hcl injection |
1,331 |
1,199 |
$8K |
| 85379 |
|
1,112 |
1,054 |
$8K |
| 45378 |
|
55 |
52 |
$8K |
| A4217 |
Sterile water/saline, 500 ml |
655 |
456 |
$8K |
| 92579 |
|
78 |
67 |
$8K |
| 87632 |
|
62 |
53 |
$8K |
| 86901 |
|
3,321 |
2,814 |
$8K |
| J3480 |
Inj potassium chloride |
137 |
65 |
$8K |
| 86900 |
|
3,322 |
2,816 |
$8K |
| J7050 |
Normal saline solution infus |
4,078 |
2,326 |
$7K |
| J2060 |
Lorazepam injection |
835 |
705 |
$7K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
755 |
684 |
$7K |
| Z5902 |
|
39 |
39 |
$6K |
| 86850 |
|
2,527 |
2,141 |
$6K |
| 85027 |
|
1,306 |
1,047 |
$6K |
| J1644 |
Inj heparin sodium per 1000u |
276 |
205 |
$6K |
| J1200 |
Diphenhydramine hcl injectio |
863 |
591 |
$5K |
| 93880 |
|
26 |
26 |
$5K |
| 73100 |
|
109 |
101 |
$5K |
| 82330 |
|
457 |
445 |
$5K |
| 81002 |
|
1,209 |
1,153 |
$5K |
| J1642 |
Inj heparin sodium per 10 u |
837 |
386 |
$5K |
| Z7610 |
|
458 |
281 |
$4K |
| 80307 |
|
83 |
70 |
$4K |
| 72170 |
|
75 |
66 |
$4K |
| 92522 |
|
16 |
12 |
$4K |
| 84702 |
|
351 |
292 |
$4K |
| J1453 |
Fosaprepitant injection |
49 |
25 |
$4K |
| Q9957 |
Inj perflutren lip micros,ml |
15 |
12 |
$4K |
| 86140 |
|
949 |
827 |
$4K |
| 77336 |
|
28 |
12 |
$4K |
| 99199 |
|
71 |
59 |
$3K |
| 64483 |
|
12 |
12 |
$3K |
| 83036 |
|
435 |
401 |
$3K |
| J0330 |
Succinycholine chloride inj |
68 |
25 |
$3K |
| 76882 |
|
120 |
109 |
$3K |
| 12001 |
|
55 |
54 |
$2K |
| 84145 |
|
125 |
110 |
$2K |
| 80051 |
|
409 |
400 |
$2K |
| 82565 |
|
550 |
527 |
$2K |
| J2370 |
Phenylephrine hcl injection |
213 |
187 |
$2K |
| 99282 |
|
59 |
57 |
$2K |
| 84100 |
|
470 |
442 |
$2K |
| 87641 |
|
62 |
56 |
$2K |
| S0020 |
Injection, bupivicaine hydro |
163 |
146 |
$1K |
| J1756 |
Iron sucrose injection |
27 |
12 |
$1K |
| 85730 |
|
330 |
295 |
$1K |
| 72082 |
|
12 |
12 |
$1K |
| 87811 |
|
34 |
31 |
$1K |
| J2371 |
Inj phenylephrine hcl 20 mcg |
222 |
193 |
$1K |
| J3475 |
Inj magnesium sulfate |
163 |
130 |
$1K |
| 84520 |
|
404 |
397 |
$1K |
| J0171 |
Adrenalin epinephrine inject |
48 |
44 |
$1K |
| 87510 |
|
62 |
50 |
$926.92 |
| 87480 |
|
62 |
50 |
$926.92 |
| 87660 |
|
62 |
50 |
$926.92 |
| J7060 |
5% dextrose/water |
969 |
398 |
$926.86 |
| 82962 |
|
264 |
211 |
$860.91 |
| 73070 |
|
16 |
12 |
$839.52 |
| 85014 |
|
332 |
325 |
$803.78 |
| 29125 |
|
47 |
41 |
$797.84 |
| 72070 |
|
12 |
12 |
$785.73 |
| 73090 |
|
14 |
13 |
$723.10 |
| 73565 |
|
14 |
14 |
$682.64 |
| J0780 |
Prochlorperazine injection |
80 |
79 |
$643.99 |
| 72020 |
|
14 |
14 |
$639.94 |
| 85652 |
|
308 |
274 |
$614.02 |
| S0028 |
Injection, famotidine, 20 mg |
92 |
67 |
$480.20 |
| 96402 |
|
15 |
12 |
$469.11 |
| 85008 |
|
850 |
745 |
$356.07 |
| J8499 |
Oral prescrip drug non chemo |
46 |
38 |
$352.05 |
| 87147 |
|
74 |
69 |
$308.32 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
13 |
13 |
$275.53 |
| 82550 |
|
27 |
24 |
$226.42 |
| 87205 |
|
38 |
38 |
$113.57 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
18 |
16 |
$109.20 |
| 36415 |
|
336 |
286 |
$99.97 |
| Q0162 |
Ondansetron oral |
783 |
683 |
$45.63 |
| 85651 |
|
13 |
13 |
$24.70 |
| A6250 |
Skin seal protect moisturizr |
782 |
692 |
$24.36 |
| 81005 |
|
17 |
12 |
$22.72 |
| Q0163 |
Diphenhydramine hcl 50mg |
78 |
49 |
$21.33 |
| J7620 |
Albuterol ipratrop non-comp |
101 |
91 |
$14.23 |
| J7512 |
Prednisone ir or dr oral 1mg |
72 |
63 |
$3.14 |
| J7613 |
Albuterol non-comp unit |
14 |
13 |
$1.01 |