| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
42,289 |
36,146 |
$7.74M |
| 99282 |
|
28,788 |
27,294 |
$4.69M |
| 99283 |
|
16,980 |
16,097 |
$4.03M |
| 0450 |
|
107,714 |
91,919 |
$3.89M |
| 0121 |
|
258 |
232 |
$3.25M |
| 74177 |
|
9,084 |
8,932 |
$2.21M |
| 99285 |
|
3,965 |
3,721 |
$1.95M |
| 99281 |
|
21,221 |
19,729 |
$1.67M |
| 87637 |
|
15,231 |
14,821 |
$1.34M |
| 70450 |
|
12,240 |
11,809 |
$1.10M |
| G0378 |
Hospital observation per hr |
3,232 |
2,523 |
$1.03M |
| 71046 |
|
26,485 |
25,641 |
$939K |
| 96374 |
|
17,807 |
16,165 |
$677K |
| 93005 |
|
41,430 |
37,367 |
$642K |
| 99199 |
|
11,250 |
9,441 |
$587K |
| 71260 |
|
3,465 |
3,434 |
$524K |
| 71045 |
|
17,049 |
16,037 |
$483K |
| 74176 |
|
3,328 |
3,296 |
$441K |
| 0270 |
|
10,277 |
8,426 |
$438K |
| 70551 |
|
2,210 |
2,193 |
$437K |
| 0200 |
|
45 |
43 |
$437K |
| 85025 |
|
92,297 |
78,312 |
$426K |
| 76705 |
|
5,346 |
5,247 |
$407K |
| 87635 |
|
13,319 |
12,715 |
$394K |
| 72148 |
|
2,145 |
2,135 |
$372K |
| 73630 |
|
7,566 |
6,490 |
$350K |
| 96375 |
|
12,864 |
11,698 |
$344K |
| 76830 |
|
3,524 |
3,485 |
$340K |
| U0003 |
Cov-19 amp prb hgh thruput |
5,564 |
5,482 |
$332K |
| 36415 |
|
115,795 |
98,782 |
$326K |
| 87491 |
|
14,031 |
12,901 |
$301K |
| 70553 |
|
903 |
893 |
$300K |
| 87591 |
|
14,032 |
12,902 |
$298K |
| 80051 |
|
54,405 |
49,088 |
$298K |
| J0131 |
Inj, acetaminophen (nos) |
9,006 |
8,430 |
$293K |
| 76856 |
|
3,173 |
3,147 |
$285K |
| 80307 |
|
6,679 |
6,090 |
$282K |
| 73564 |
|
3,418 |
2,419 |
$277K |
| J3490 |
Drugs unclassified injection |
39,217 |
22,239 |
$267K |
| 73610 |
|
5,787 |
5,304 |
$260K |
| 96365 |
|
5,758 |
5,411 |
$252K |
| 70486 |
|
1,922 |
1,913 |
$238K |
| 96361 |
|
10,233 |
9,549 |
$236K |
| 73130 |
|
5,656 |
4,776 |
$235K |
| 73030 |
|
5,082 |
4,577 |
$224K |
| 78815 |
|
170 |
167 |
$222K |
| 83880 |
|
11,026 |
10,132 |
$217K |
| 72141 |
|
1,094 |
1,087 |
$213K |
| 82565 |
|
77,966 |
69,600 |
$209K |
| 73560 |
|
5,925 |
5,185 |
$205K |
| 73721 |
|
799 |
748 |
$198K |
| 93971 |
|
1,821 |
1,798 |
$198K |
| 96372 |
|
10,663 |
10,053 |
$189K |
| 72125 |
|
1,481 |
1,467 |
$185K |
| 72100 |
|
3,066 |
3,041 |
$181K |
| 78452 |
|
382 |
381 |
$181K |
| 71275 |
|
789 |
787 |
$172K |
| 87651 |
|
6,339 |
6,270 |
$171K |
| 73110 |
|
3,924 |
3,494 |
$159K |
| 84484 |
|
20,448 |
18,205 |
$149K |
| 84460 |
|
54,909 |
48,918 |
$148K |
| 99070 |
|
8,754 |
4,367 |
$144K |
| 83690 |
|
32,805 |
30,224 |
$139K |
| 82947 |
|
62,221 |
55,724 |
$138K |
| 82247 |
|
44,480 |
38,425 |
$128K |
| 86900 |
|
5,473 |
5,135 |
$124K |
| 84450 |
|
43,594 |
38,899 |
$124K |
| 70491 |
|
840 |
833 |
$124K |
| 84520 |
|
54,719 |
49,256 |
$119K |
| 73502 |
|
2,388 |
2,299 |
$112K |
| 96360 |
|
2,905 |
2,838 |
$111K |
| 84075 |
|
37,257 |
33,899 |
$105K |
| 76815 |
|
1,523 |
1,466 |
$105K |
| 80048 |
|
16,968 |
15,736 |
$102K |
| J2560 |
Phenobarbital sodium inj |
762 |
611 |
$102K |
| 73140 |
|
2,723 |
2,580 |
$101K |
| 77067 |
|
2,941 |
2,937 |
$100K |
| 74018 |
|
1,877 |
1,760 |
$99K |
| 86923 |
|
537 |
488 |
$98K |
| 73080 |
|
2,362 |
2,153 |
$98K |
| 93976 |
|
367 |
364 |
$95K |
| 71250 |
|
927 |
926 |
$90K |
| 84702 |
|
9,540 |
7,972 |
$89K |
| 83735 |
|
23,005 |
19,921 |
$89K |
| 87389 |
|
7,429 |
7,354 |
$86K |
| J7120 |
Ringers lactate infusion |
20,939 |
18,513 |
$86K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
9,398 |
9,224 |
$85K |
| 84443 |
|
14,844 |
14,555 |
$84K |
| 76817 |
|
999 |
930 |
$83K |
| 80306 |
|
7,217 |
6,762 |
$82K |
| 81001 |
|
39,060 |
36,819 |
$80K |
| 72040 |
|
1,574 |
1,558 |
$77K |
| J1885 |
Ketorolac tromethamine inj |
19,909 |
18,176 |
$76K |
| 43239 |
|
121 |
120 |
$76K |
| 93308 |
|
408 |
402 |
$76K |
| J7030 |
Normal saline solution infus |
19,164 |
16,268 |
$75K |
| 59025 |
|
1,167 |
977 |
$72K |
| 88305 |
|
1,539 |
1,521 |
$69K |
| 87631 |
|
1,482 |
1,458 |
$68K |
| 73590 |
|
2,014 |
1,805 |
$67K |
| 83605 |
|
8,339 |
7,755 |
$64K |
| 86850 |
|
4,524 |
4,279 |
$64K |
| 87636 |
|
1,368 |
1,343 |
$62K |
| 87506 |
|
502 |
499 |
$61K |
| J2405 |
Ondansetron hcl injection |
16,357 |
14,521 |
$58K |
| 45385 |
|
69 |
69 |
$57K |
| 83036 |
|
19,768 |
19,636 |
$56K |
| 70496 |
|
244 |
243 |
$56K |
| 87088 |
|
13,930 |
13,445 |
$55K |
| 73562 |
|
1,517 |
1,178 |
$54K |
| 87040 |
|
4,963 |
4,728 |
$53K |
| 99291 |
|
47 |
46 |
$52K |
| 80061 |
|
10,140 |
10,073 |
$50K |
| 96366 |
|
1,530 |
1,457 |
$47K |
| 86780 |
|
7,487 |
7,407 |
$46K |
| Z7502 |
|
2,383 |
2,211 |
$46K |
| 76857 |
|
433 |
429 |
$46K |
| 82077 |
|
4,813 |
4,387 |
$45K |
| 73090 |
|
1,415 |
1,254 |
$44K |
| 73660 |
|
848 |
812 |
$43K |
| 86901 |
|
5,480 |
5,141 |
$43K |
| J2270 |
Morphine sulfate injection |
7,329 |
6,395 |
$42K |
| 36430 |
|
994 |
728 |
$40K |
| 77080 |
|
622 |
622 |
$39K |
| 84100 |
|
14,476 |
13,033 |
$39K |
| 82330 |
|
3,789 |
3,714 |
$39K |
| 70498 |
|
177 |
176 |
$38K |
| 73620 |
|
1,123 |
977 |
$38K |
| 99218 |
|
58 |
37 |
$37K |
| 82962 |
|
14,650 |
12,569 |
$36K |
| 82728 |
|
7,137 |
7,057 |
$36K |
| J1100 |
Dexamethasone sodium phos |
6,626 |
6,252 |
$36K |
| 81003 |
|
25,060 |
24,079 |
$36K |
| J1170 |
Hydromorphone injection |
6,131 |
4,692 |
$33K |
| 84132 |
|
17,139 |
15,762 |
$32K |
| 82306 |
|
2,728 |
2,715 |
$32K |
| 85027 |
|
13,894 |
13,541 |
$32K |
| 72070 |
|
476 |
468 |
$31K |
| J0696 |
Ceftriaxone sodium injection |
5,663 |
5,295 |
$31K |
| 85652 |
|
15,755 |
15,136 |
$31K |
| 86803 |
|
5,176 |
5,141 |
$30K |
| 90715 |
|
802 |
794 |
$29K |
| 85610 |
|
14,906 |
12,187 |
$29K |
| 76805 |
|
266 |
265 |
$29K |
| 0250 |
|
30,568 |
17,496 |
$28K |
| 0710 |
|
3,426 |
3,404 |
$26K |
| 0762 |
|
493 |
340 |
$26K |
| 80179 |
|
2,606 |
2,436 |
$25K |
| 76770 |
|
249 |
249 |
$25K |
| 87502 |
|
454 |
451 |
$24K |
| 76536 |
|
195 |
195 |
$24K |
| 73600 |
|
966 |
894 |
$24K |
| 84295 |
|
8,990 |
8,111 |
$20K |
| 94640 |
|
742 |
565 |
$19K |
| 73060 |
|
422 |
378 |
$18K |
| 82248 |
|
5,735 |
4,543 |
$18K |
| 73522 |
|
209 |
208 |
$18K |
| J2765 |
Metoclopramide hcl injection |
5,171 |
4,689 |
$18K |
| J3475 |
Inj magnesium sulfate |
2,803 |
2,556 |
$18K |
| 86235 |
|
217 |
215 |
$17K |
| S0119 |
Ondansetron 4 mg |
3,759 |
3,619 |
$17K |
| A9502 |
Tc99m tetrofosmin |
278 |
277 |
$17K |
| 72131 |
|
129 |
127 |
$16K |
| 85379 |
|
2,830 |
2,779 |
$16K |
| 10060 |
|
1,169 |
1,136 |
$16K |
| 87210 |
|
4,120 |
4,047 |
$16K |
| 72170 |
|
252 |
250 |
$15K |
| J1200 |
Diphenhydramine hcl injectio |
4,587 |
4,045 |
$15K |
| 87340 |
|
3,989 |
3,951 |
$14K |
| J0780 |
Prochlorperazine injection |
2,040 |
1,943 |
$14K |
| 88342 |
|
138 |
138 |
$14K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
745 |
736 |
$13K |
| 45378 |
|
13 |
12 |
$13K |
| J1815 |
Insulin injection |
2,850 |
1,614 |
$13K |
| 82310 |
|
5,516 |
4,504 |
$13K |
| 86140 |
|
5,978 |
5,739 |
$13K |
| J2060 |
Lorazepam injection |
3,067 |
2,683 |
$13K |
| 45380 |
|
14 |
13 |
$13K |
| 73221 |
|
58 |
57 |
$12K |
| 82607 |
|
2,581 |
2,575 |
$12K |
| J0136 |
Inj, acetaminophen (b braun) |
1,471 |
1,389 |
$12K |
| 73120 |
|
418 |
363 |
$12K |
| J0561 |
Penicillin g benzathine inj |
67 |
67 |
$11K |
| 0637 |
|
61,087 |
26,202 |
$11K |
| J0690 |
Cefazolin sodium injection |
2,157 |
1,983 |
$11K |
| 73552 |
|
237 |
217 |
$10K |
| P9016 |
Rbc leukocytes reduced |
68 |
62 |
$10K |
| 72146 |
|
64 |
64 |
$10K |
| 86480 |
|
362 |
361 |
$10K |
| 12011 |
|
511 |
506 |
$10K |
| 85378 |
|
1,961 |
1,906 |
$10K |
| 84703 |
|
2,316 |
2,275 |
$10K |
| 85014 |
|
6,728 |
6,449 |
$9K |
| 12001 |
|
1,024 |
1,022 |
$9K |
| 82570 |
|
3,497 |
3,286 |
$9K |
| 76882 |
|
133 |
126 |
$9K |
| 83550 |
|
3,034 |
3,001 |
$8K |
| 71101 |
|
125 |
125 |
$8K |
| J1940 |
Furosemide injection |
1,592 |
1,208 |
$8K |
| 73020 |
|
299 |
278 |
$8K |
| 82040 |
|
4,190 |
3,647 |
$8K |
| 84439 |
|
2,596 |
2,425 |
$8K |
| 76801 |
|
94 |
90 |
$8K |
| 80047 |
|
1,240 |
1,204 |
$8K |
| 86704 |
|
1,317 |
1,299 |
$8K |
| 86706 |
|
1,764 |
1,754 |
$7K |
| A9585 |
Gadobutrol injection |
701 |
694 |
$7K |
| 84153 |
|
987 |
973 |
$7K |
| J1953 |
Levetiracetam injection |
320 |
282 |
$7K |
| 73700 |
|
35 |
32 |
$7K |
| 82550 |
|
1,733 |
1,639 |
$7K |
| 83970 |
|
201 |
199 |
$6K |
| 76870 |
|
64 |
62 |
$6K |
| 85730 |
|
1,605 |
1,516 |
$6K |
| J1630 |
Haloperidol injection |
1,490 |
1,273 |
$6K |
| 82043 |
|
3,759 |
3,721 |
$6K |
| 83540 |
|
3,041 |
3,008 |
$6K |
| A9552 |
F18 fdg |
61 |
61 |
$5K |
| J2274 |
Inj morphine pf epid ithc |
277 |
240 |
$5K |
| 87070 |
|
995 |
958 |
$5K |
| 87449 |
|
603 |
596 |
$5K |
| 72197 |
|
12 |
12 |
$5K |
| 83655 |
|
1,018 |
1,008 |
$5K |
| 87324 |
|
579 |
572 |
$5K |
| J3010 |
Fentanyl citrate injection |
3,754 |
3,537 |
$5K |
| 83516 |
|
358 |
356 |
$5K |
| 73100 |
|
329 |
299 |
$5K |
| 70360 |
|
71 |
71 |
$5K |
| 87661 |
|
233 |
232 |
$4K |
| 80069 |
|
682 |
604 |
$4K |
| 82803 |
|
421 |
407 |
$4K |
| 90471 |
|
893 |
876 |
$4K |
| J2930 |
Methylprednisolone injection |
569 |
540 |
$4K |
| 84156 |
|
2,687 |
2,494 |
$4K |
| 96376 |
|
3,627 |
3,188 |
$4K |
| J2250 |
Inj midazolam hydrochloride |
2,928 |
2,741 |
$4K |
| 88313 |
|
44 |
42 |
$4K |
| 83615 |
|
1,103 |
1,008 |
$4K |
| 84403 |
|
182 |
181 |
$4K |
| Q0144 |
Azithromycin dihydrate, oral |
1,046 |
1,017 |
$4K |
| 88307 |
|
160 |
160 |
$4K |
| 86762 |
|
428 |
427 |
$3K |
| 0272 |
|
322 |
322 |
$3K |
| 70460 |
|
37 |
37 |
$3K |
| 87209 |
|
284 |
282 |
$3K |
| 86225 |
|
341 |
337 |
$3K |
| 84550 |
|
1,404 |
1,360 |
$3K |
| 0370 |
|
2,910 |
2,897 |
$3K |
| 29125 |
|
663 |
652 |
$2K |
| 96367 |
|
131 |
129 |
$2K |
| C1769 |
Guide wire |
274 |
263 |
$2K |
| 85045 |
|
972 |
718 |
$2K |
| 76775 |
|
31 |
31 |
$2K |
| 87633 |
|
17 |
17 |
$2K |
| 76000 |
|
195 |
194 |
$2K |
| 12002 |
|
211 |
211 |
$2K |
| 80349 |
|
2,266 |
2,151 |
$2K |
| 87329 |
|
272 |
270 |
$2K |
| 84146 |
|
159 |
157 |
$2K |
| 86665 |
|
69 |
68 |
$2K |
| T1999 |
Noc retail items andsupplies |
96 |
64 |
$2K |
| 85018 |
|
1,538 |
1,452 |
$2K |
| 86038 |
|
216 |
215 |
$1K |
| 70543 |
|
12 |
12 |
$1K |
| 81025 |
|
830 |
810 |
$1K |
| J1644 |
Inj heparin sodium per 1000u |
288 |
164 |
$1K |
| 83721 |
|
1,072 |
1,068 |
$1K |
| 87338 |
|
273 |
272 |
$1K |
| 90686 |
|
81 |
81 |
$1K |
| 88304 |
|
362 |
357 |
$1K |
| 82746 |
|
159 |
159 |
$1K |
| 87205 |
|
532 |
500 |
$1K |
| J2785 |
Regadenoson injection |
13 |
13 |
$1K |
| 82985 |
|
121 |
120 |
$1K |
| 86160 |
|
33 |
28 |
$1K |
| 83001 |
|
58 |
58 |
$1K |
| J0171 |
Adrenalin epinephrine inject |
260 |
242 |
$995.88 |
| 74170 |
|
12 |
12 |
$943.00 |
| 87536 |
|
25 |
25 |
$915.18 |
| 72082 |
|
12 |
12 |
$912.46 |
| J2919 |
Inj, methylpred sod succ 5mg |
90 |
80 |
$888.02 |
| J2001 |
Lidocaine injection |
459 |
436 |
$848.80 |
| 0636 |
|
406 |
375 |
$841.78 |
| 82105 |
|
82 |
80 |
$778.00 |
| 86664 |
|
69 |
68 |
$768.91 |
| 0300 |
|
110 |
102 |
$768.43 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
39 |
39 |
$735.90 |
| J7060 |
5% dextrose/water |
139 |
110 |
$735.09 |
| 84165 |
|
120 |
117 |
$725.55 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
165 |
126 |
$693.70 |
| C1894 |
Intro/sheath, non-laser |
113 |
112 |
$680.20 |
| J1650 |
Inj enoxaparin sodium |
69 |
44 |
$675.02 |
| 87529 |
|
29 |
29 |
$657.29 |
| 82140 |
|
93 |
87 |
$611.90 |
| 73000 |
|
40 |
36 |
$589.92 |
| 72220 |
|
13 |
13 |
$584.29 |
| J3370 |
Vancomycin hcl injection |
29 |
12 |
$548.79 |
| 86593 |
|
185 |
180 |
$545.17 |
| 93306 |
|
13 |
13 |
$532.26 |
| 85007 |
|
858 |
652 |
$520.35 |
| 82150 |
|
106 |
98 |
$513.38 |
| 89051 |
|
110 |
95 |
$474.97 |
| 0301 |
|
1,063 |
709 |
$469.63 |
| 29515 |
|
145 |
142 |
$460.83 |
| 80197 |
|
46 |
37 |
$422.63 |
| 99221 |
|
13 |
13 |
$409.29 |
| 87517 |
|
14 |
14 |
$402.00 |
| J8540 |
Oral dexamethasone |
1,242 |
1,204 |
$401.56 |
| G0480 |
Drug test def 1-7 classes |
146 |
141 |
$381.16 |
| 87081 |
|
126 |
122 |
$362.19 |
| 82950 |
|
238 |
222 |
$359.71 |
| 97161 |
|
132 |
129 |
$332.47 |
| Z7610 |
|
264 |
126 |
$294.78 |
| S0164 |
Injection pantroprazole |
30 |
28 |
$294.51 |
| J0137 |
Inj, acetaminophen (hikma) |
34 |
34 |
$287.89 |
| 85008 |
|
1,090 |
971 |
$287.36 |
| 84155 |
|
122 |
117 |
$261.69 |
| 83993 |
|
14 |
14 |
$234.00 |
| 82374 |
|
87 |
48 |
$232.72 |
| J0134 |
Inj acetaminophen -fresenius |
24 |
23 |
$212.92 |
| 80325 |
|
1,086 |
1,030 |
$177.53 |
| 73070 |
|
15 |
13 |
$172.82 |
| J7042 |
5% dextrose/normal saline |
35 |
28 |
$167.66 |
| 80164 |
|
25 |
24 |
$162.24 |
| 82945 |
|
56 |
48 |
$159.83 |
| 82784 |
|
26 |
25 |
$159.00 |
| 84157 |
|
57 |
49 |
$158.77 |
| J7512 |
Prednisone ir or dr oral 1mg |
2,231 |
2,015 |
$157.96 |
| 74022 |
|
13 |
12 |
$152.80 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
156 |
132 |
$144.60 |
| 59899 |
|
18 |
15 |
$140.50 |
| 90749 |
|
753 |
752 |
$129.05 |
| J3480 |
Inj potassium chloride |
52 |
40 |
$109.35 |
| 82977 |
|
12 |
12 |
$106.00 |
| 73501 |
|
32 |
28 |
$99.41 |
| 96368 |
|
12 |
12 |
$91.12 |
| 29130 |
|
17 |
16 |
$72.00 |
| 80346 |
|
321 |
296 |
$66.00 |
| 83718 |
|
249 |
249 |
$54.34 |
| 82435 |
|
37 |
34 |
$53.01 |
| 86677 |
|
14 |
14 |
$51.80 |
| 86431 |
|
12 |
12 |
$42.00 |
| 86787 |
|
40 |
40 |
$37.38 |
| 83930 |
|
12 |
12 |
$35.76 |
| J1836 |
Inj, metronidazole, 10 mg |
13 |
12 |
$34.76 |
| 0258 |
|
820 |
715 |
$33.93 |
| 82465 |
|
276 |
276 |
$27.42 |
| J2470 |
Inj pantoprazole sodium 40mg |
75 |
59 |
$15.68 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
14 |
12 |
$12.39 |
| 0306 |
|
213 |
200 |
$6.97 |
| 0305 |
|
274 |
255 |
$6.76 |
| 0307 |
|
139 |
135 |
$2.76 |
| 0730 |
|
200 |
186 |
$0.00 |
| 76376 |
|
335 |
335 |
$0.00 |
| 0320 |
|
213 |
199 |
$0.00 |
| 80361 |
|
106 |
105 |
$0.00 |
| 80356 |
|
28 |
27 |
$0.00 |
| 80365 |
|
26 |
25 |
$0.00 |
| 0302 |
|
27 |
27 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
15 |
15 |
$0.00 |
| 82272 |
|
12 |
12 |
$0.00 |
| 0351 |
|
13 |
13 |
$0.00 |
| 3046F |
|
14 |
14 |
$0.00 |
| A9577 |
Inj multihance |
13 |
13 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
26 |
24 |
$0.00 |
| 0424 |
|
49 |
44 |
$0.00 |
| 3051F |
|
20 |
20 |
$0.00 |
| 80324 |
|
387 |
357 |
$0.00 |
| 80329 |
|
570 |
517 |
$0.00 |
| 0410 |
|
99 |
92 |
$0.00 |
| 80353 |
|
103 |
98 |
$0.00 |
| 80320 |
|
1,058 |
942 |
$0.00 |
| 0255 |
|
69 |
69 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
29 |
25 |
$0.00 |
| 97162 |
|
35 |
35 |
$0.00 |
| 0420 |
|
13 |
12 |
$0.00 |
| 0324 |
|
12 |
12 |
$0.00 |
| 3044F |
|
116 |
116 |
$0.00 |