| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
140,499 |
128,177 |
$51.57M |
| 99283 |
|
111,873 |
101,457 |
$45.47M |
| 0450 |
|
80,939 |
72,062 |
$18.13M |
| 43239 |
|
4,227 |
3,970 |
$5.70M |
| 0762 |
|
5,782 |
2,658 |
$5.65M |
| J9271 |
Inj pembrolizumab |
257 |
188 |
$3.45M |
| 45384 |
|
2,404 |
2,258 |
$2.81M |
| 99284 |
|
5,665 |
5,394 |
$2.44M |
| 45380 |
|
1,404 |
1,315 |
$1.73M |
| 45385 |
|
1,452 |
1,367 |
$1.60M |
| Z7502 |
|
37,464 |
36,791 |
$1.35M |
| 96365 |
|
16,230 |
9,151 |
$1.22M |
| 45378 |
|
648 |
619 |
$1.19M |
| G0463 |
Hospital outpt clinic visit |
25,897 |
20,774 |
$1.13M |
| G0378 |
Hospital observation per hr |
1,143 |
967 |
$931K |
| 96367 |
|
12,719 |
5,127 |
$882K |
| 70450 |
|
11,713 |
11,356 |
$826K |
| J1453 |
Fosaprepitant injection |
3,806 |
1,721 |
$794K |
| 96372 |
|
52,504 |
43,622 |
$794K |
| 96374 |
|
22,010 |
18,411 |
$754K |
| 74177 |
|
6,127 |
5,972 |
$717K |
| 93005 |
|
61,020 |
55,840 |
$685K |
| 93458 |
|
355 |
341 |
$657K |
| Z9725 |
|
14,896 |
14,842 |
$641K |
| 96413 |
|
11,260 |
5,018 |
$599K |
| 85025 |
|
133,876 |
120,022 |
$561K |
| 0360 |
|
2,049 |
1,956 |
$533K |
| P9016 |
Rbc leukocytes reduced |
1,286 |
1,005 |
$522K |
| 43450 |
|
506 |
435 |
$509K |
| 0270 |
|
25,660 |
15,055 |
$459K |
| 97802 |
|
3,546 |
3,482 |
$438K |
| 87633 |
|
3,801 |
3,753 |
$429K |
| 96361 |
|
16,726 |
11,669 |
$425K |
| J0185 |
Inj., aprepitant, 1 mg |
1,182 |
586 |
$404K |
| 71046 |
|
34,213 |
33,205 |
$383K |
| 43249 |
|
312 |
311 |
$382K |
| 96366 |
|
8,231 |
3,623 |
$376K |
| 99282 |
|
1,657 |
1,612 |
$362K |
| 96375 |
|
16,618 |
12,293 |
$360K |
| J3490 |
Drugs unclassified injection |
50,265 |
28,212 |
$350K |
| 80053 |
|
59,607 |
55,489 |
$343K |
| 80048 |
|
72,594 |
66,279 |
$336K |
| J1750 |
Inj iron dextran |
3,207 |
1,127 |
$318K |
| 0241U |
|
7,891 |
7,830 |
$317K |
| 86803 |
|
38,721 |
38,618 |
$282K |
| 74176 |
|
3,471 |
3,407 |
$272K |
| 80307 |
|
6,228 |
6,008 |
$271K |
| 96360 |
|
5,636 |
4,907 |
$256K |
| 96368 |
|
9,806 |
3,236 |
$248K |
| J1644 |
Inj heparin sodium per 1000u |
26,565 |
12,149 |
$235K |
| 84484 |
|
46,201 |
40,044 |
$227K |
| 59025 |
|
10,509 |
8,201 |
$215K |
| 0760 |
|
5,072 |
3,622 |
$209K |
| G0500 |
Mod sedat endo service >5yrs |
7,589 |
6,829 |
$192K |
| J0561 |
Penicillin g benzathine inj |
784 |
651 |
$186K |
| 47562 |
|
75 |
75 |
$182K |
| J7030 |
Normal saline solution infus |
27,650 |
20,415 |
$173K |
| 96415 |
|
4,018 |
1,811 |
$172K |
| 76705 |
|
5,245 |
5,109 |
$172K |
| 86703 |
|
27,831 |
27,741 |
$162K |
| G0480 |
Drug test def 1-7 classes |
3,017 |
2,840 |
$159K |
| 97803 |
|
2,428 |
2,373 |
$156K |
| 83690 |
|
40,824 |
38,606 |
$155K |
| J7050 |
Normal saline solution infus |
20,372 |
10,024 |
$151K |
| 94640 |
|
12,467 |
10,128 |
$148K |
| 99070 |
|
216,947 |
112,411 |
$146K |
| 96417 |
|
3,455 |
1,673 |
$145K |
| 81001 |
|
65,354 |
62,386 |
$144K |
| 72125 |
|
1,676 |
1,645 |
$140K |
| J1100 |
Dexamethasone sodium phos |
24,232 |
18,568 |
$136K |
| J2405 |
Ondansetron hcl injection |
22,895 |
13,826 |
$134K |
| J1756 |
Iron sucrose injection |
1,705 |
650 |
$129K |
| 71045 |
|
20,780 |
19,665 |
$128K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,548 |
4,483 |
$127K |
| U0002 |
Covid-19 lab test non-cdc |
3,879 |
3,799 |
$114K |
| J9217 |
Leuprolide acetate suspnsion |
417 |
395 |
$109K |
| 80076 |
|
27,343 |
26,370 |
$106K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,801 |
8,361 |
$105K |
| 87040 |
|
9,792 |
8,602 |
$102K |
| 86592 |
|
49,397 |
46,806 |
$102K |
| 87086 |
|
25,716 |
24,706 |
$101K |
| 96523 |
|
4,190 |
3,547 |
$101K |
| 0160 |
|
598 |
209 |
$100K |
| 83880 |
|
6,764 |
6,100 |
$99K |
| 87507 |
|
796 |
787 |
$99K |
| 84703 |
|
15,200 |
14,492 |
$98K |
| 99153 |
Mod sedat endo service >5yrs |
7,710 |
7,023 |
$97K |
| 0710 |
|
2,644 |
2,496 |
$96K |
| 88305 |
|
8,394 |
7,219 |
$94K |
| 11042 |
|
1,971 |
978 |
$87K |
| Z7610 |
|
16,783 |
10,356 |
$87K |
| 99281 |
|
883 |
843 |
$81K |
| 87502 |
|
1,963 |
1,933 |
$81K |
| J1885 |
Ketorolac tromethamine inj |
21,807 |
20,575 |
$78K |
| 71275 |
|
1,022 |
1,012 |
$73K |
| 84145 |
|
7,780 |
7,264 |
$72K |
| J1200 |
Diphenhydramine hcl injectio |
15,655 |
11,921 |
$69K |
| 0761 |
|
1,208 |
965 |
$69K |
| 93971 |
|
1,326 |
1,301 |
$68K |
| J1439 |
Inj ferric carboxymaltos 1mg |
108 |
70 |
$68K |
| 99152 |
|
1,267 |
1,200 |
$67K |
| 82962 |
|
17,867 |
12,053 |
$67K |
| 83605 |
|
8,934 |
8,125 |
$64K |
| J7040 |
Normal saline solution infus |
10,074 |
6,996 |
$62K |
| 76856 |
|
1,738 |
1,717 |
$62K |
| 84702 |
|
5,257 |
4,420 |
$59K |
| 70551 |
|
748 |
741 |
$58K |
| 78452 |
|
885 |
867 |
$58K |
| 95700 |
|
273 |
272 |
$56K |
| J2270 |
Morphine sulfate injection |
10,078 |
7,425 |
$54K |
| 76819 |
|
781 |
367 |
$53K |
| 16020 |
|
438 |
313 |
$51K |
| 85730 |
|
10,450 |
9,973 |
$51K |
| 0250 |
|
4,960 |
2,065 |
$51K |
| 81025 |
|
15,374 |
14,899 |
$50K |
| J0696 |
Ceftriaxone sodium injection |
10,657 |
9,135 |
$50K |
| 76801 |
|
2,002 |
1,878 |
$48K |
| 87591 |
|
4,099 |
4,006 |
$48K |
| 87491 |
|
4,088 |
3,996 |
$48K |
| 72100 |
|
2,775 |
2,746 |
$47K |
| 0750 |
|
6,417 |
5,866 |
$46K |
| A9270 |
Non-covered item or service |
2,845 |
1,115 |
$45K |
| 87631 |
|
1,568 |
1,501 |
$45K |
| C1894 |
Intro/sheath, non-laser |
263 |
257 |
$44K |
| J2785 |
Regadenoson injection |
899 |
880 |
$44K |
| J3010 |
Fentanyl citrate injection |
10,851 |
9,756 |
$43K |
| 73130 |
|
1,955 |
1,936 |
$41K |
| 93306 |
|
1,214 |
1,191 |
$41K |
| 74018 |
|
4,678 |
4,552 |
$41K |
| 73562 |
|
2,893 |
2,836 |
$41K |
| 73610 |
|
2,469 |
2,441 |
$39K |
| 73630 |
|
2,566 |
2,530 |
$39K |
| 93976 |
|
203 |
187 |
$38K |
| J3420 |
Vitamin b12 injection |
5,713 |
4,248 |
$37K |
| 90715 |
|
1,000 |
995 |
$37K |
| Q5118 |
Inj., zirabev, 10 mg |
34 |
13 |
$37K |
| 96411 |
|
1,423 |
774 |
$37K |
| 87186 |
|
4,782 |
4,602 |
$35K |
| J2250 |
Inj midazolam hydrochloride |
10,769 |
9,806 |
$35K |
| 85610 |
|
11,321 |
10,667 |
$35K |
| 96376 |
|
651 |
437 |
$33K |
| 83735 |
|
12,178 |
8,533 |
$33K |
| 86923 |
|
1,037 |
811 |
$32K |
| 70486 |
|
402 |
401 |
$32K |
| 81003 |
|
19,111 |
18,575 |
$32K |
| 99195 |
|
1,153 |
1,036 |
$31K |
| Q5119 |
Inj ruxience, 10 mg |
35 |
13 |
$31K |
| 87880 |
|
5,469 |
5,399 |
$31K |
| 87077 |
|
6,434 |
6,193 |
$30K |
| C1769 |
Guide wire |
341 |
323 |
$29K |
| 73030 |
|
2,100 |
2,060 |
$29K |
| J9190 |
Fluorouracil injection |
1,209 |
461 |
$28K |
| J0640 |
Leucovorin calcium injection |
488 |
166 |
$28K |
| J3475 |
Inj magnesium sulfate |
3,174 |
1,493 |
$27K |
| 36415 |
|
20,349 |
17,708 |
$27K |
| 96416 |
|
452 |
264 |
$27K |
| 86901 |
|
7,264 |
6,673 |
$25K |
| J9263 |
Oxaliplatin |
125 |
37 |
$25K |
| 86140 |
|
6,591 |
6,157 |
$24K |
| 85027 |
|
4,877 |
4,574 |
$24K |
| 70496 |
|
331 |
327 |
$24K |
| 95714 |
|
63 |
37 |
$23K |
| 76870 |
|
808 |
794 |
$23K |
| 87081 |
|
6,361 |
6,140 |
$23K |
| 96402 |
|
1,419 |
1,175 |
$22K |
| Z7500 |
|
631 |
506 |
$21K |
| 87070 |
|
2,206 |
2,124 |
$21K |
| 97110 |
|
1,666 |
844 |
$19K |
| A9502 |
Tc99m tetrofosmin |
888 |
872 |
$19K |
| 70498 |
|
340 |
336 |
$19K |
| J1650 |
Inj enoxaparin sodium |
2,306 |
1,010 |
$19K |
| 73110 |
|
1,090 |
1,077 |
$18K |
| 87637 |
|
249 |
237 |
$18K |
| 86850 |
|
4,805 |
4,328 |
$18K |
| 88312 |
|
3,203 |
3,064 |
$17K |
| 96110 |
|
183 |
182 |
$17K |
| 86900 |
|
5,776 |
5,426 |
$17K |
| J2930 |
Methylprednisolone injection |
1,644 |
1,427 |
$15K |
| J1815 |
Insulin injection |
3,429 |
1,387 |
$15K |
| 86635 |
|
1,504 |
1,254 |
$15K |
| G0109 |
Diab manage trn ind/group |
505 |
370 |
$15K |
| 0324 |
|
225 |
217 |
$15K |
| 99199 |
|
402 |
344 |
$14K |
| 71020 |
|
271 |
191 |
$14K |
| 76817 |
|
664 |
636 |
$14K |
| 71260 |
|
157 |
150 |
$13K |
| J2765 |
Metoclopramide hcl injection |
3,461 |
3,222 |
$13K |
| 84443 |
|
2,289 |
2,254 |
$13K |
| 99291 |
|
14 |
14 |
$13K |
| 72040 |
|
905 |
897 |
$12K |
| 0370 |
|
127 |
74 |
$12K |
| 87522 |
Neg quan hep c or qual rna |
1,547 |
1,543 |
$11K |
| 97750 |
|
799 |
775 |
$11K |
| 0097U |
|
99 |
98 |
$11K |
| 73090 |
|
597 |
589 |
$10K |
| J1170 |
Hydromorphone injection |
1,553 |
1,223 |
$10K |
| J7120 |
Ringers lactate infusion |
2,476 |
2,316 |
$10K |
| 87804 |
|
1,296 |
1,215 |
$10K |
| 0301 |
|
67 |
50 |
$10K |
| 73080 |
|
562 |
554 |
$9K |
| 96111 |
|
87 |
87 |
$9K |
| 93017 |
|
904 |
889 |
$9K |
| 94644 |
|
1,086 |
1,051 |
$9K |
| 82803 |
|
1,161 |
1,089 |
$9K |
| 73140 |
|
764 |
762 |
$8K |
| 76805 |
|
158 |
154 |
$8K |
| 74019 |
|
838 |
832 |
$8K |
| 73590 |
|
755 |
744 |
$8K |
| 87205 |
|
1,829 |
1,752 |
$8K |
| 82550 |
|
1,924 |
1,821 |
$8K |
| 0258 |
|
1,657 |
723 |
$8K |
| J2704 |
Inj, propofol, 10 mg |
2,174 |
2,109 |
$7K |
| 73502 |
|
509 |
499 |
$7K |
| 87147 |
|
725 |
700 |
$7K |
| 83036 |
|
1,937 |
1,908 |
$7K |
| J1953 |
Levetiracetam injection |
553 |
479 |
$7K |
| 93970 |
|
179 |
178 |
$6K |
| 85379 |
|
1,833 |
1,774 |
$6K |
| S0077 |
Injection, clindamycin phosp |
547 |
525 |
$6K |
| 80061 |
|
1,990 |
1,827 |
$6K |
| J7060 |
5% dextrose/water |
641 |
325 |
$6K |
| J3489 |
Zoledronic acid 1mg |
166 |
135 |
$5K |
| 82247 |
|
1,477 |
1,236 |
$5K |
| C1760 |
Closure dev, vasc |
12 |
12 |
$5K |
| 93975 |
|
72 |
70 |
$5K |
| 82010 |
|
1,250 |
1,189 |
$5K |
| 72131 |
|
90 |
90 |
$5K |
| 36430 |
|
257 |
177 |
$5K |
| P9011 |
Blood split unit |
1,409 |
1,158 |
$5K |
| 86780 |
|
2,094 |
2,092 |
$4K |
| J9045 |
Carboplatin injection |
98 |
68 |
$4K |
| C1726 |
Cath, bal dil, non-vascular |
58 |
58 |
$4K |
| 92611 |
|
17 |
17 |
$4K |
| A4216 |
Sterile water/saline, 10 ml |
1,013 |
299 |
$4K |
| J2060 |
Lorazepam injection |
941 |
794 |
$4K |
| 97804 |
|
77 |
76 |
$4K |
| 82248 |
|
1,135 |
1,018 |
$4K |
| 94664 |
|
440 |
390 |
$4K |
| Z4307 |
|
152 |
152 |
$4K |
| 71101 |
|
270 |
269 |
$3K |
| J2175 |
Meperidine hydrochl /100 mg |
137 |
120 |
$3K |
| J2920 |
Methylprednisolone injection |
289 |
180 |
$3K |
| 97162 |
|
387 |
384 |
$3K |
| 85007 |
|
2,128 |
1,966 |
$3K |
| 87210 |
|
1,382 |
1,361 |
$3K |
| S0164 |
Injection pantroprazole |
1,303 |
725 |
$3K |
| 84100 |
|
2,356 |
2,116 |
$3K |
| 86593 |
|
1,456 |
1,449 |
$3K |
| 71010 |
|
68 |
30 |
$3K |
| 90935 |
|
47 |
26 |
$3K |
| J0360 |
Hydralazine hcl injection |
651 |
486 |
$3K |
| 90471 |
|
388 |
379 |
$3K |
| 73600 |
|
12 |
12 |
$2K |
| 95711 |
|
14 |
14 |
$2K |
| 85651 |
|
990 |
926 |
$2K |
| A9150 |
Misc/exper non-prescript dru |
1,649 |
763 |
$2K |
| J0131 |
Inj, acetaminophen (nos) |
47 |
37 |
$2K |
| 97530 |
|
698 |
390 |
$2K |
| J9267 |
Paclitaxel injection |
58 |
26 |
$2K |
| J1940 |
Furosemide injection |
1,260 |
683 |
$2K |
| 82140 |
|
476 |
445 |
$2K |
| 0949 |
|
185 |
154 |
$2K |
| J2919 |
Inj, methylpred sod succ 5mg |
424 |
307 |
$2K |
| Z4302 |
|
104 |
104 |
$1K |
| 71250 |
|
40 |
40 |
$1K |
| Z7514 |
|
27 |
12 |
$1K |
| S0028 |
Injection, famotidine, 20 mg |
506 |
441 |
$1K |
| 82805 |
|
273 |
264 |
$1K |
| J0690 |
Cefazolin sodium injection |
221 |
202 |
$937.17 |
| 88313 |
|
108 |
107 |
$867.11 |
| J3301 |
Triamcinolone acet inj nos |
51 |
41 |
$839.79 |
| 97116 |
|
394 |
310 |
$837.97 |
| J3370 |
Vancomycin hcl injection |
342 |
177 |
$832.92 |
| 88304 |
|
231 |
231 |
$821.90 |
| 84132 |
|
843 |
624 |
$815.16 |
| S0020 |
Injection, bupivicaine hydro |
91 |
90 |
$782.28 |
| 76830 |
|
31 |
31 |
$754.54 |
| 0320 |
|
14 |
14 |
$697.78 |
| 86308 |
|
90 |
90 |
$667.08 |
| 87634 |
|
31 |
31 |
$650.00 |
| J0689 |
Inj cefazolin sodium, baxter |
164 |
160 |
$624.85 |
| 74000 |
|
16 |
13 |
$585.00 |
| 12011 |
|
12 |
12 |
$570.42 |
| 36591 |
|
608 |
339 |
$556.20 |
| J2430 |
Pamidronate disodium /30 mg |
16 |
12 |
$544.45 |
| J3480 |
Inj potassium chloride |
132 |
40 |
$540.53 |
| 76775 |
|
13 |
13 |
$536.60 |
| 73620 |
|
45 |
44 |
$534.64 |
| 84112 |
|
55 |
44 |
$533.75 |
| J0780 |
Prochlorperazine injection |
46 |
40 |
$478.39 |
| 76010 |
|
48 |
46 |
$463.65 |
| 84550 |
|
278 |
275 |
$451.96 |
| J1642 |
Inj heparin sodium per 10 u |
81 |
24 |
$404.53 |
| C1887 |
Catheter, guiding |
24 |
24 |
$400.52 |
| 73552 |
|
69 |
68 |
$395.65 |
| 87420 |
|
407 |
359 |
$346.46 |
| 85018 |
|
41 |
40 |
$325.85 |
| 29580 |
|
55 |
26 |
$290.00 |
| 87428 |
|
20 |
20 |
$253.58 |
| 90686 |
|
35 |
35 |
$206.43 |
| J0736 |
Inj, clindamycin phosp 300mg |
145 |
134 |
$191.61 |
| J2710 |
Neostigmine methylslfte inj |
123 |
123 |
$169.10 |
| 80074 |
|
20 |
20 |
$161.94 |
| 72070 |
|
12 |
12 |
$149.55 |
| 80164 |
|
31 |
25 |
$143.32 |
| 84439 |
|
51 |
50 |
$129.47 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
32 |
27 |
$123.23 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
90 |
90 |
$94.75 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
102 |
100 |
$91.04 |
| J3105 |
Terbutaline sulfate inj |
22 |
19 |
$88.11 |
| 87340 |
|
86 |
84 |
$77.11 |
| J7042 |
5% dextrose/normal saline |
39 |
26 |
$65.54 |
| 74230 |
|
17 |
17 |
$63.72 |
| J2470 |
Inj pantoprazole sodium 40mg |
197 |
132 |
$60.57 |
| 84466 |
|
38 |
38 |
$58.52 |
| J0694 |
Cefoxitin sodium injection |
26 |
25 |
$40.44 |
| 83540 |
|
41 |
40 |
$30.12 |
| 72170 |
|
16 |
16 |
$20.15 |
| J1836 |
Inj, metronidazole, 10 mg |
25 |
13 |
$19.70 |
| 80051 |
|
12 |
12 |
$8.70 |
| G8978 |
Mobility current status |
17 |
13 |
$0.00 |
| 97167 |
|
59 |
58 |
$0.00 |
| 0258R |
|
165 |
77 |
$0.00 |
| G8979 |
Mobility goal status |
17 |
13 |
$0.00 |
| 73000 |
|
12 |
12 |
$0.00 |
| A4218 |
Sterile saline or water |
15 |
12 |
$0.00 |
| 0250R |
|
6,432 |
2,329 |
$0.00 |
| Q4051 |
Splint supplies misc |
33 |
18 |
$0.00 |
| 72046 |
|
15 |
15 |
$0.00 |
| J0456 |
Azithromycin |
44 |
30 |
$0.00 |
| 84436 |
|
14 |
14 |
$0.00 |
| 70491 |
|
15 |
15 |
$0.00 |