| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
94,992 |
86,686 |
$31.71M |
| 99283 |
|
170,138 |
157,628 |
$30.93M |
| 99284 |
|
116,830 |
107,785 |
$29.06M |
| 87637 |
|
26,663 |
24,573 |
$4.75M |
| 76816 |
|
17,212 |
14,955 |
$1.99M |
| 99282 |
|
14,221 |
13,340 |
$1.77M |
| 87491 |
|
54,233 |
49,058 |
$1.77M |
| 87591 |
|
54,212 |
49,044 |
$1.67M |
| 71046 |
|
37,412 |
34,751 |
$1.47M |
| 93005 |
|
62,095 |
53,706 |
$1.35M |
| G0463 |
Hospital outpt clinic visit |
69,984 |
56,289 |
$1.32M |
| 80053 |
|
124,132 |
104,472 |
$1.14M |
| 96361 |
|
25,727 |
22,212 |
$1.14M |
| 96374 |
|
32,673 |
29,781 |
$1.01M |
| U0003 |
Cov-19 amp prb hgh thruput |
12,434 |
11,139 |
$1.00M |
| 99213 |
|
35,611 |
30,863 |
$956K |
| 87636 |
|
7,496 |
6,626 |
$840K |
| 76819 |
|
6,753 |
3,846 |
$787K |
| 85025 |
|
112,178 |
93,093 |
$777K |
| 99214 |
|
20,124 |
17,374 |
$731K |
| 96375 |
|
18,223 |
15,671 |
$723K |
| 70450 |
|
3,424 |
3,132 |
$713K |
| 87798 |
|
19,599 |
17,607 |
$684K |
| 41899 |
|
932 |
823 |
$622K |
| T2016 |
Habil res waiver per diem |
2,864 |
1,782 |
$622K |
| 87661 |
|
21,773 |
19,373 |
$591K |
| 74177 |
|
1,169 |
1,099 |
$590K |
| 99281 |
|
20,490 |
18,569 |
$528K |
| 87481 |
|
16,897 |
15,269 |
$521K |
| 87511 |
|
15,880 |
14,456 |
$488K |
| J3490 |
Drugs unclassified injection |
129,347 |
62,556 |
$460K |
| 85027 |
|
65,516 |
58,691 |
$429K |
| 71045 |
|
9,544 |
8,587 |
$425K |
| 90791 |
|
4,758 |
4,040 |
$390K |
| 76820 |
|
3,896 |
1,801 |
$343K |
| 80048 |
|
42,672 |
38,583 |
$333K |
| 76817 |
|
3,095 |
2,744 |
$306K |
| 80307 |
|
5,925 |
4,973 |
$292K |
| 96372 |
|
14,710 |
11,229 |
$290K |
| G0480 |
Drug test def 1-7 classes |
6,666 |
5,455 |
$287K |
| 94640 |
|
4,071 |
3,495 |
$274K |
| U0005 |
Infec agen detec ampli probe |
10,154 |
9,036 |
$274K |
| 87635 |
|
4,335 |
4,124 |
$258K |
| J2505 |
Injection, pegfilgrastim 6mg |
258 |
185 |
$246K |
| 76811 |
|
1,731 |
1,519 |
$234K |
| 76801 |
|
1,957 |
1,723 |
$211K |
| 87651 |
|
5,442 |
5,154 |
$207K |
| 96413 |
|
2,919 |
1,564 |
$196K |
| S9484 |
Crisis intervention per hour |
1,020 |
198 |
$192K |
| 90471 |
|
17,569 |
16,660 |
$186K |
| 88175 |
|
6,110 |
5,367 |
$183K |
| J7030 |
Normal saline solution infus |
19,666 |
17,692 |
$182K |
| 84702 |
|
18,796 |
16,474 |
$178K |
| 84484 |
|
23,295 |
14,651 |
$175K |
| 83690 |
|
24,885 |
22,729 |
$171K |
| 96365 |
|
2,961 |
2,029 |
$156K |
| A9270 |
Non-covered item or service |
291,168 |
147,201 |
$151K |
| G0378 |
Hospital observation per hr |
1,131 |
514 |
$148K |
| 81025 |
|
16,129 |
14,640 |
$132K |
| 96360 |
|
1,465 |
1,320 |
$130K |
| 59025 |
|
1,950 |
1,134 |
$123K |
| 87633 |
|
1,017 |
980 |
$121K |
| J1050 |
Medroxyprogesterone acetate |
2,723 |
2,458 |
$116K |
| 87486 |
|
2,813 |
2,595 |
$115K |
| 87581 |
|
2,813 |
2,595 |
$113K |
| 92507 |
|
2,162 |
829 |
$109K |
| 81001 |
|
31,975 |
29,873 |
$108K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,726 |
6,202 |
$102K |
| 11042 |
|
1,686 |
991 |
$102K |
| 90472 |
|
6,998 |
6,695 |
$99K |
| 76818 |
|
1,239 |
738 |
$95K |
| M0243 |
Casirivi and imdevi inj |
266 |
207 |
$71K |
| J7120 |
Ringers lactate infusion |
5,165 |
4,473 |
$70K |
| 87624 |
|
2,375 |
2,050 |
$69K |
| J7050 |
Normal saline solution infus |
10,640 |
4,560 |
$63K |
| 99203 |
|
2,187 |
1,972 |
$63K |
| 99204 |
|
1,360 |
1,196 |
$62K |
| 87086 |
|
5,973 |
5,573 |
$62K |
| 83036 |
|
4,597 |
4,303 |
$58K |
| 87631 |
|
1,652 |
1,489 |
$57K |
| 87081 |
|
6,595 |
6,322 |
$55K |
| J2469 |
Palonosetron hcl |
636 |
374 |
$54K |
| 87210 |
|
11,588 |
10,658 |
$53K |
| 87502 |
|
944 |
918 |
$51K |
| 88305 |
|
604 |
369 |
$46K |
| 93306 |
|
223 |
213 |
$44K |
| 96366 |
|
902 |
561 |
$44K |
| J7307 |
Etonogestrel implant system |
162 |
144 |
$44K |
| 77336 |
|
446 |
181 |
$43K |
| 76805 |
|
478 |
429 |
$38K |
| 99211 |
|
2,676 |
2,047 |
$35K |
| 87660 |
|
1,460 |
1,414 |
$34K |
| M0247 |
Sotrovimab infusion |
122 |
93 |
$33K |
| 77334 |
|
54 |
36 |
$33K |
| 36415 |
|
9,861 |
8,367 |
$33K |
| 82947 |
|
5,986 |
3,458 |
$31K |
| 87880 |
|
2,261 |
2,137 |
$30K |
| J2704 |
Inj, propofol, 10 mg |
2,450 |
1,812 |
$30K |
| 74018 |
|
498 |
465 |
$29K |
| 43239 |
|
68 |
63 |
$28K |
| 90686 |
|
8,164 |
7,568 |
$27K |
| 82728 |
|
2,452 |
2,204 |
$26K |
| 36591 |
|
1,588 |
916 |
$26K |
| 97597 |
|
832 |
462 |
$25K |
| 90715 |
|
2,943 |
2,598 |
$25K |
| 99212 |
|
1,535 |
1,412 |
$23K |
| 83880 |
|
655 |
603 |
$22K |
| 71260 |
|
161 |
143 |
$21K |
| 90651 |
|
1,313 |
1,263 |
$21K |
| J0897 |
Denosumab injection |
57 |
53 |
$21K |
| 92567 |
|
788 |
725 |
$21K |
| 41874 |
|
27 |
25 |
$20K |
| J0741 |
Inj, cabote rilpivir 2mg 3mg |
141 |
134 |
$19K |
| 99215 |
Prolong outpt/office vis |
497 |
449 |
$19K |
| 96367 |
|
668 |
358 |
$18K |
| 92579 |
|
190 |
173 |
$18K |
| J2405 |
Ondansetron hcl injection |
7,034 |
6,186 |
$17K |
| 81003 |
|
6,355 |
5,993 |
$17K |
| J7040 |
Normal saline solution infus |
3,338 |
1,575 |
$15K |
| 90677 |
|
523 |
514 |
$14K |
| J1100 |
Dexamethasone sodium phos |
5,459 |
4,599 |
$14K |
| 81513 |
|
1,090 |
884 |
$14K |
| 90474 |
|
1,955 |
1,902 |
$13K |
| M0245 |
Bamlan and etesev infusion |
96 |
69 |
$13K |
| J1885 |
Ketorolac tromethamine inj |
4,880 |
4,264 |
$13K |
| 76815 |
|
272 |
198 |
$12K |
| 97110 |
|
245 |
64 |
$12K |
| 76856 |
|
71 |
64 |
$12K |
| 0124A |
|
193 |
189 |
$12K |
| 76830 |
|
83 |
76 |
$11K |
| 90670 |
|
3,300 |
3,149 |
$11K |
| 92587 |
|
183 |
179 |
$11K |
| 95816 |
|
101 |
84 |
$11K |
| 83550 |
|
1,654 |
1,513 |
$10K |
| 74176 |
|
30 |
27 |
$10K |
| 92588 |
|
123 |
106 |
$10K |
| 83735 |
|
1,952 |
1,237 |
$10K |
| Q0138 |
Ferumoxytol, non-esrd |
42 |
28 |
$9K |
| 84703 |
|
784 |
730 |
$8K |
| 91320 |
|
199 |
195 |
$8K |
| 83540 |
|
1,654 |
1,513 |
$8K |
| J1756 |
Iron sucrose injection |
361 |
187 |
$7K |
| 76882 |
|
140 |
124 |
$7K |
| 11981 |
|
110 |
98 |
$7K |
| 93971 |
|
46 |
44 |
$7K |
| 90480 |
|
209 |
204 |
$7K |
| 87428 |
|
76 |
74 |
$6K |
| 0002A |
|
133 |
110 |
$6K |
| 83615 |
|
1,860 |
1,549 |
$6K |
| J3486 |
Ziprasidone mesylate |
401 |
194 |
$6K |
| J1453 |
Fosaprepitant injection |
80 |
50 |
$6K |
| 0054A |
|
129 |
109 |
$6K |
| 0001A |
|
123 |
101 |
$5K |
| 93922 |
|
262 |
240 |
$5K |
| 81002 |
|
1,482 |
1,386 |
$5K |
| 90734 |
|
931 |
881 |
$5K |
| 87389 |
|
156 |
149 |
$5K |
| J3010 |
Fentanyl citrate injection |
1,547 |
1,219 |
$5K |
| 92557 |
|
46 |
45 |
$5K |
| 87480 |
|
188 |
176 |
$4K |
| 82607 |
|
441 |
404 |
$4K |
| 97530 |
|
67 |
25 |
$4K |
| M0239 |
Bamlanivimab-xxxx infusion |
22 |
17 |
$4K |
| J1642 |
Inj heparin sodium per 10 u |
7,101 |
3,461 |
$4K |
| 85045 |
|
1,519 |
1,040 |
$4K |
| 86900 |
|
1,086 |
826 |
$4K |
| 86901 |
|
1,086 |
826 |
$4K |
| 85018 |
|
1,188 |
1,127 |
$4K |
| 29581 |
|
177 |
75 |
$4K |
| 94761 |
|
537 |
358 |
$4K |
| 77300 |
|
13 |
12 |
$3K |
| 58300 |
|
78 |
70 |
$3K |
| J7297 |
Liletta, 52 mg |
17 |
12 |
$3K |
| J2060 |
Lorazepam injection |
1,092 |
663 |
$3K |
| 92552 |
|
141 |
135 |
$3K |
| 82306 |
|
156 |
141 |
$3K |
| 84443 |
|
266 |
191 |
$3K |
| 96127 |
|
1,044 |
968 |
$2K |
| 96110 |
|
401 |
386 |
$2K |
| 99202 |
|
123 |
96 |
$2K |
| 87804 |
|
136 |
68 |
$2K |
| 99173 |
|
371 |
359 |
$2K |
| A4216 |
Sterile water/saline, 10 ml |
2,933 |
1,366 |
$2K |
| 90656 |
|
606 |
605 |
$2K |
| 76705 |
|
12 |
12 |
$2K |
| 43450 |
|
12 |
12 |
$2K |
| 92558 |
|
29 |
26 |
$2K |
| 0004A |
|
39 |
33 |
$2K |
| C9399 |
Unclassified drugs or biolog |
21 |
13 |
$2K |
| 92551 |
|
266 |
262 |
$2K |
| 90716 |
|
1,901 |
1,825 |
$2K |
| 36416 |
|
939 |
850 |
$2K |
| J9190 |
Fluorouracil injection |
40 |
24 |
$1K |
| 87077 |
|
100 |
96 |
$1K |
| J0561 |
Penicillin g benzathine inj |
23 |
17 |
$1K |
| 0051A |
|
25 |
24 |
$1K |
| 82746 |
|
134 |
124 |
$1K |
| 99172 |
|
86 |
82 |
$1K |
| J1170 |
Hydromorphone injection |
385 |
325 |
$1K |
| 90707 |
|
1,818 |
1,747 |
$1K |
| 0003A |
|
27 |
27 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
417 |
353 |
$1K |
| J7042 |
5% dextrose/normal saline |
449 |
234 |
$1K |
| 82962 |
|
230 |
168 |
$961.23 |
| J1200 |
Diphenhydramine hcl injectio |
530 |
315 |
$909.88 |
| 0071A |
|
13 |
13 |
$739.40 |
| 90837 |
|
18 |
12 |
$737.19 |
| 88312 |
|
12 |
12 |
$696.06 |
| 87426 |
|
42 |
26 |
$686.34 |
| 94726 |
|
13 |
13 |
$649.06 |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$641.16 |
| 99201 |
|
91 |
85 |
$639.29 |
| 86850 |
|
37 |
36 |
$618.12 |
| J0248 |
Inj, remdesivir, 1 mg |
338 |
14 |
$612.62 |
| 74019 |
|
13 |
12 |
$609.00 |
| J0689 |
Inj cefazolin sodium, baxter |
95 |
85 |
$594.09 |
| 82378 |
|
57 |
37 |
$588.06 |
| 93926 |
|
13 |
13 |
$584.21 |
| 72110 |
|
13 |
12 |
$581.05 |
| J0690 |
Cefazolin sodium injection |
101 |
92 |
$577.55 |
| J2270 |
Morphine sulfate injection |
210 |
196 |
$524.27 |
| 83921 |
|
43 |
39 |
$498.69 |
| 86592 |
|
66 |
60 |
$426.95 |
| 20610 |
|
15 |
12 |
$409.16 |
| V2632 |
Post chmbr intraocular lens |
14 |
12 |
$403.07 |
| 96376 |
|
82 |
52 |
$397.34 |
| 85046 |
|
67 |
65 |
$385.68 |
| 87186 |
|
28 |
27 |
$382.53 |
| 90732 |
|
14 |
12 |
$333.30 |
| J7613 |
Albuterol non-comp unit |
407 |
381 |
$318.16 |
| 83883 |
|
57 |
25 |
$306.72 |
| 84165 |
|
91 |
74 |
$293.33 |
| 90723 |
|
2,757 |
2,658 |
$283.30 |
| 85610 |
|
75 |
61 |
$260.37 |
| 80047 |
|
16 |
12 |
$226.83 |
| 85379 |
|
14 |
13 |
$221.08 |
| 90680 |
|
2,017 |
1,959 |
$211.61 |
| 83605 |
|
14 |
13 |
$190.75 |
| 83010 |
|
18 |
12 |
$188.29 |
| 90647 |
|
2,759 |
2,649 |
$178.99 |
| 82570 |
|
27 |
25 |
$158.96 |
| 82948 |
|
46 |
38 |
$141.73 |
| Q0144 |
Azithromycin dihydrate, oral |
26 |
25 |
$133.44 |
| 99000 |
|
170 |
149 |
$131.18 |
| J7644 |
Ipratropium bromide non-comp |
153 |
148 |
$115.35 |
| 84156 |
|
27 |
25 |
$112.67 |
| 87510 |
|
187 |
175 |
$99.96 |
| J1650 |
Inj enoxaparin sodium |
19 |
12 |
$78.52 |
| 99406 |
|
25 |
25 |
$72.63 |
| J1630 |
Haloperidol injection |
42 |
15 |
$70.47 |
| 76813 |
|
19 |
14 |
$68.17 |
| J0330 |
Succinycholine chloride inj |
13 |
13 |
$63.12 |
| 90633 |
|
2,070 |
1,971 |
$59.34 |
| J2765 |
Metoclopramide hcl injection |
15 |
13 |
$42.81 |
| 90694 |
|
12 |
12 |
$38.76 |
| J1030 |
Methylprednisolone 40 mg inj |
13 |
13 |
$34.17 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
13 |
13 |
$28.10 |
| 96523 |
|
22 |
12 |
$27.84 |
| G0008 |
Admin influenza virus vac |
280 |
279 |
$25.28 |
| J0696 |
Ceftriaxone sodium injection |
15 |
12 |
$20.90 |
| Q0163 |
Diphenhydramine hcl 50mg |
45 |
37 |
$20.61 |
| 90700 |
|
519 |
492 |
$14.54 |
| G0379 |
Direct refer hospital observ |
89 |
86 |
$10.85 |
| J2004 |
Inj, lidocaine w epinephrine |
12 |
12 |
$9.94 |
| J7999 |
Compounded drug, noc |
489 |
265 |
$0.03 |
| 91305 |
|
373 |
327 |
$0.00 |
| 90696 |
|
537 |
525 |
$0.00 |
| 91307 |
|
35 |
32 |
$0.00 |
| 96161 |
|
27 |
12 |
$0.00 |
| 91300 |
|
325 |
252 |
$0.00 |
| 91312 |
|
190 |
187 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
13 |
13 |
$0.00 |
| 90685 |
|
53 |
53 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
23 |
12 |
$0.00 |