| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
24,291 |
20,252 |
$1.89M |
| 99285 |
|
12,768 |
10,385 |
$1.41M |
| 99283 |
|
26,499 |
22,960 |
$1.28M |
| 74177 |
|
3,913 |
3,273 |
$822K |
| 70450 |
|
3,364 |
2,818 |
$238K |
| 74176 |
|
1,796 |
1,550 |
$235K |
| 96374 |
|
14,292 |
11,354 |
$229K |
| 99282 |
|
5,369 |
4,812 |
$184K |
| 96375 |
|
12,293 |
9,512 |
$147K |
| 80307 |
|
5,738 |
4,669 |
$138K |
| 71275 |
|
612 |
496 |
$127K |
| 80053 |
|
25,567 |
20,298 |
$121K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,786 |
4,755 |
$88K |
| 85025 |
|
27,797 |
21,698 |
$86K |
| 0241U |
|
5,276 |
4,682 |
$76K |
| G0480 |
Drug test def 1-7 classes |
1,821 |
1,528 |
$70K |
| 96372 |
|
7,042 |
5,653 |
$69K |
| 71045 |
|
11,529 |
9,370 |
$67K |
| 99291 |
|
275 |
226 |
$59K |
| 93005 |
|
12,924 |
10,330 |
$51K |
| 72125 |
|
584 |
530 |
$49K |
| 96365 |
|
2,706 |
2,156 |
$49K |
| 96361 |
|
5,320 |
4,119 |
$47K |
| 83880 |
|
4,495 |
3,625 |
$46K |
| 87635 |
|
1,587 |
1,234 |
$44K |
| J3490 |
Drugs unclassified injection |
11,271 |
7,456 |
$41K |
| 84484 |
|
9,721 |
7,587 |
$35K |
| 83690 |
|
12,527 |
9,999 |
$35K |
| 84703 |
|
10,143 |
8,399 |
$34K |
| J7030 |
Normal saline solution infus |
14,418 |
11,034 |
$33K |
| 87591 |
|
1,842 |
1,636 |
$33K |
| 87491 |
|
1,843 |
1,637 |
$33K |
| 71046 |
|
2,909 |
2,470 |
$32K |
| 87040 |
|
3,471 |
2,780 |
$29K |
| 87502 |
|
716 |
600 |
$28K |
| 0450 |
|
699 |
626 |
$26K |
| 94640 |
|
2,818 |
1,914 |
$22K |
| 36415 |
|
21,082 |
16,238 |
$20K |
| 96376 |
|
2,434 |
1,773 |
$20K |
| 83605 |
|
4,659 |
3,754 |
$20K |
| 87651 |
|
1,016 |
930 |
$19K |
| 90715 |
|
665 |
600 |
$19K |
| 80048 |
|
5,872 |
4,599 |
$19K |
| 76705 |
|
352 |
304 |
$19K |
| 96360 |
|
1,044 |
866 |
$16K |
| 81001 |
|
10,674 |
8,874 |
$13K |
| 90471 |
|
982 |
883 |
$13K |
| 76856 |
|
206 |
173 |
$13K |
| 87086 |
|
3,672 |
3,131 |
$12K |
| J2270 |
Morphine sulfate injection |
6,124 |
4,482 |
$12K |
| 73610 |
|
601 |
539 |
$11K |
| 76801 |
|
193 |
154 |
$11K |
| 74022 |
|
553 |
459 |
$11K |
| 85379 |
|
2,528 |
2,166 |
$11K |
| 73630 |
|
679 |
578 |
$10K |
| J1790 |
Droperidol injection |
1,946 |
1,559 |
$10K |
| J1885 |
Ketorolac tromethamine inj |
5,455 |
4,667 |
$10K |
| 87088 |
|
2,958 |
2,525 |
$10K |
| 99281 |
|
556 |
503 |
$9K |
| 73030 |
|
579 |
512 |
$9K |
| 72131 |
|
87 |
79 |
$9K |
| G0378 |
Hospital observation per hr |
341 |
237 |
$9K |
| 81025 |
|
2,759 |
2,494 |
$9K |
| 85610 |
|
6,754 |
5,311 |
$9K |
| J7120 |
Ringers lactate infusion |
2,434 |
1,948 |
$8K |
| 85730 |
|
4,107 |
3,330 |
$8K |
| 10060 |
|
131 |
112 |
$8K |
| 76830 |
|
109 |
91 |
$7K |
| J0696 |
Ceftriaxone sodium injection |
3,113 |
2,457 |
$7K |
| J1170 |
Hydromorphone injection |
2,595 |
1,852 |
$6K |
| 70486 |
|
46 |
40 |
$6K |
| J0780 |
Prochlorperazine injection |
916 |
753 |
$6K |
| 82550 |
|
2,772 |
2,227 |
$6K |
| 85027 |
|
2,082 |
1,676 |
$6K |
| 84702 |
|
779 |
645 |
$6K |
| 73130 |
|
291 |
254 |
$5K |
| 94644 |
|
343 |
255 |
$5K |
| J1815 |
Insulin injection |
292 |
170 |
$5K |
| 87880 |
|
780 |
681 |
$5K |
| 93971 |
|
104 |
88 |
$4K |
| 83735 |
|
1,923 |
1,442 |
$4K |
| 73110 |
|
188 |
158 |
$4K |
| J2405 |
Ondansetron hcl injection |
8,459 |
6,478 |
$4K |
| 81003 |
|
4,420 |
3,760 |
$4K |
| 73564 |
|
140 |
129 |
$4K |
| 76817 |
|
78 |
61 |
$3K |
| 96366 |
|
317 |
220 |
$3K |
| 87077 |
|
901 |
736 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
3,160 |
2,371 |
$3K |
| 84443 |
|
558 |
439 |
$2K |
| 82962 |
|
2,365 |
1,601 |
$2K |
| 87081 |
|
682 |
592 |
$2K |
| 86703 |
|
316 |
291 |
$2K |
| J1100 |
Dexamethasone sodium phos |
1,933 |
1,661 |
$2K |
| J2060 |
Lorazepam injection |
2,328 |
1,706 |
$2K |
| J7512 |
Prednisone ir or dr oral 1mg |
719 |
611 |
$2K |
| 87210 |
|
735 |
648 |
$2K |
| J2930 |
Methylprednisolone injection |
368 |
276 |
$1K |
| 73562 |
|
71 |
68 |
$1K |
| 12001 |
|
42 |
39 |
$1K |
| 72100 |
|
89 |
73 |
$1K |
| 29125 |
|
46 |
38 |
$1K |
| J1630 |
Haloperidol injection |
734 |
526 |
$1K |
| J2765 |
Metoclopramide hcl injection |
932 |
740 |
$1K |
| M0247 |
Sotrovimab infusion |
20 |
15 |
$993.23 |
| J3370 |
Vancomycin hcl injection |
128 |
84 |
$900.32 |
| 71101 |
|
48 |
39 |
$816.22 |
| 99070 |
|
53 |
44 |
$773.57 |
| 80320 |
|
1,565 |
1,319 |
$751.50 |
| 90658 |
|
121 |
111 |
$741.66 |
| 86901 |
|
587 |
493 |
$720.21 |
| 86140 |
|
333 |
282 |
$692.93 |
| 86592 |
|
316 |
291 |
$682.44 |
| J2543 |
Piperacillin/tazobactam |
136 |
93 |
$624.07 |
| 87804 |
|
134 |
125 |
$556.48 |
| 82803 |
|
85 |
62 |
$496.19 |
| J3486 |
Ziprasidone mesylate |
19 |
15 |
$430.78 |
| 82330 |
|
87 |
63 |
$378.70 |
| U0002 |
Covid-19 lab test non-cdc |
17 |
12 |
$359.25 |
| J8540 |
Oral dexamethasone |
208 |
173 |
$341.37 |
| 80329 |
|
426 |
299 |
$298.05 |
| 87631 |
|
222 |
186 |
$284.40 |
| 73080 |
|
17 |
16 |
$214.80 |
| 85007 |
|
243 |
143 |
$191.93 |
| 82553 |
|
93 |
78 |
$185.74 |
| 84145 |
|
12 |
12 |
$149.81 |
| 80076 |
|
47 |
33 |
$104.18 |
| 85014 |
|
254 |
189 |
$103.68 |
| 80047 |
|
35 |
28 |
$86.55 |
| 85652 |
|
73 |
65 |
$83.25 |
| 82728 |
|
14 |
12 |
$74.40 |
| 86850 |
|
45 |
33 |
$65.28 |
| 84100 |
|
33 |
27 |
$64.22 |
| 84132 |
|
107 |
75 |
$59.66 |
| C9113 |
Inj pantoprazole sodium, via |
85 |
62 |
$55.43 |
| 86900 |
|
46 |
34 |
$47.07 |
| 87147 |
|
14 |
12 |
$45.97 |
| 84295 |
|
85 |
62 |
$45.92 |
| 82947 |
|
83 |
61 |
$45.56 |
| J7040 |
Normal saline solution infus |
41 |
24 |
$43.74 |
| 84439 |
|
14 |
13 |
$43.05 |
| J2550 |
Promethazine hcl injection |
21 |
17 |
$39.60 |
| J1644 |
Inj heparin sodium per 1000u |
31 |
12 |
$39.50 |
| J0456 |
Azithromycin |
31 |
14 |
$39.48 |
| 82010 |
|
18 |
12 |
$39.06 |
| J2250 |
Inj midazolam hydrochloride |
61 |
43 |
$28.97 |
| 99406 |
|
76 |
72 |
$20.82 |
| 80061 |
|
78 |
65 |
$14.93 |
| 80069 |
|
22 |
13 |
$6.08 |
| Q0247 |
Sotrovimab |
20 |
15 |
$0.09 |
| A9270 |
Non-covered item or service |
3,467 |
1,997 |
$0.00 |
| 83036 |
|
43 |
40 |
$0.00 |
| G8987 |
Self care current status |
38 |
25 |
$0.00 |
| G8988 |
Self care goal status |
38 |
25 |
$0.00 |
| G8978 |
Mobility current status |
73 |
53 |
$0.00 |
| G8979 |
Mobility goal status |
72 |
52 |
$0.00 |