| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99281 |
|
65,989 |
57,337 |
$19.03M |
| 99283 |
|
97,542 |
81,727 |
$17.19M |
| 74177 |
|
6,122 |
5,932 |
$4.37M |
| 99202 |
|
8,642 |
7,424 |
$3.21M |
| 70450 |
|
6,461 |
6,260 |
$2.58M |
| A0427 |
Als1-emergency |
11,044 |
10,647 |
$2.45M |
| 96374 |
|
13,883 |
12,712 |
$2.36M |
| 99201 |
|
7,657 |
5,320 |
$2.03M |
| 93005 |
|
21,632 |
19,953 |
$1.70M |
| 96375 |
|
12,376 |
10,113 |
$1.56M |
| 93306 |
|
2,968 |
2,951 |
$1.54M |
| 72125 |
|
2,379 |
2,350 |
$1.51M |
| 93976 |
|
2,597 |
2,530 |
$1.49M |
| 0241U |
|
9,739 |
9,358 |
$1.30M |
| J3490 |
Drugs unclassified injection |
91,709 |
48,019 |
$1.25M |
| 96365 |
|
5,446 |
4,420 |
$1.19M |
| 80307 |
|
13,723 |
12,326 |
$1.18M |
| 96372 |
|
14,506 |
12,433 |
$1.08M |
| 71275 |
|
1,601 |
1,569 |
$1.06M |
| 71046 |
|
15,424 |
14,806 |
$948K |
| 96361 |
|
8,189 |
6,751 |
$889K |
| 0450 |
|
4,089 |
3,696 |
$829K |
| 71260 |
|
839 |
834 |
$685K |
| 80053 |
|
59,046 |
49,165 |
$660K |
| 96360 |
|
3,830 |
3,077 |
$649K |
| 96413 |
|
5,986 |
3,432 |
$599K |
| 74176 |
|
1,693 |
1,663 |
$590K |
| Q5108 |
Injection, fulphila |
177 |
118 |
$552K |
| 93971 |
|
1,621 |
1,586 |
$537K |
| 93303 |
|
995 |
975 |
$482K |
| G0480 |
Drug test def 1-7 classes |
7,646 |
6,942 |
$481K |
| 76705 |
|
2,695 |
2,589 |
$477K |
| 85025 |
|
58,956 |
48,557 |
$463K |
| J0185 |
Inj., aprepitant, 1 mg |
1,114 |
694 |
$424K |
| 76856 |
|
2,031 |
1,985 |
$392K |
| Q5118 |
Inj., zirabev, 10 mg |
122 |
55 |
$382K |
| 76805 |
|
1,568 |
1,518 |
$380K |
| J2469 |
Palonosetron hcl |
2,239 |
1,420 |
$371K |
| 71045 |
|
9,138 |
8,706 |
$319K |
| 94640 |
|
4,254 |
3,631 |
$318K |
| 70498 |
|
471 |
470 |
$317K |
| 76801 |
|
1,825 |
1,719 |
$299K |
| 70486 |
|
477 |
472 |
$247K |
| 93320 |
|
1,063 |
1,043 |
$242K |
| 70496 |
|
356 |
356 |
$242K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,723 |
2,679 |
$238K |
| 96417 |
|
2,041 |
1,292 |
$235K |
| A0425 |
Ground mileage |
12,787 |
12,183 |
$221K |
| J9271 |
Inj pembrolizumab |
19 |
13 |
$216K |
| J1453 |
Fosaprepitant injection |
627 |
425 |
$216K |
| 87502 |
|
1,327 |
1,303 |
$204K |
| 78452 |
|
176 |
175 |
$187K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
9,767 |
9,325 |
$183K |
| Z7502 |
|
4,541 |
4,480 |
$175K |
| 99070 |
|
9,938 |
8,318 |
$169K |
| J7030 |
Normal saline solution infus |
14,037 |
11,860 |
$166K |
| 11042 |
|
5,998 |
3,042 |
$164K |
| 96367 |
|
1,417 |
1,053 |
$161K |
| 76830 |
|
845 |
829 |
$161K |
| 99284 |
|
1,038 |
985 |
$156K |
| J0131 |
Inj, acetaminophen (nos) |
1,218 |
1,170 |
$155K |
| 96366 |
|
910 |
757 |
$154K |
| 94729 |
|
1,053 |
1,048 |
$154K |
| 84484 |
|
13,772 |
12,158 |
$154K |
| 73610 |
|
1,767 |
1,733 |
$150K |
| 96415 |
|
1,420 |
920 |
$148K |
| J2505 |
Injection, pegfilgrastim 6mg |
17 |
12 |
$146K |
| 87635 |
|
2,886 |
2,834 |
$145K |
| Z9725 |
|
4,342 |
4,295 |
$144K |
| 94726 |
|
1,062 |
1,057 |
$142K |
| 87040 |
|
8,487 |
7,934 |
$140K |
| 36415 |
|
1,849 |
1,463 |
$135K |
| 84443 |
|
7,715 |
7,228 |
$132K |
| 59025 |
|
1,850 |
1,598 |
$132K |
| 73030 |
|
1,383 |
1,361 |
$129K |
| 73630 |
|
1,621 |
1,591 |
$128K |
| 83880 |
|
4,161 |
3,899 |
$127K |
| 73130 |
|
1,455 |
1,429 |
$127K |
| 87653 |
|
3,036 |
2,998 |
$125K |
| 81001 |
|
24,333 |
22,313 |
$124K |
| A9150 |
Misc/exper non-prescript dru |
1,143 |
490 |
$123K |
| 97750 |
|
727 |
465 |
$118K |
| 87631 |
|
1,011 |
964 |
$117K |
| J2405 |
Ondansetron hcl injection |
13,455 |
12,219 |
$116K |
| 72131 |
|
174 |
172 |
$115K |
| 73110 |
|
1,348 |
1,324 |
$115K |
| 87086 |
|
13,657 |
12,344 |
$112K |
| J1885 |
Ketorolac tromethamine inj |
13,869 |
12,641 |
$111K |
| 83605 |
|
9,814 |
9,025 |
$109K |
| 83690 |
|
15,425 |
14,247 |
$103K |
| 76817 |
|
610 |
536 |
$102K |
| 10060 |
|
1,296 |
1,266 |
$99K |
| 74018 |
|
1,649 |
1,587 |
$99K |
| J2704 |
Inj, propofol, 10 mg |
6,683 |
6,183 |
$95K |
| A9500 |
Tc99m sestamibi |
262 |
260 |
$95K |
| 85027 |
|
11,544 |
10,132 |
$94K |
| 87637 |
|
618 |
598 |
$87K |
| 80048 |
|
8,691 |
7,828 |
$86K |
| J3010 |
Fentanyl citrate injection |
9,984 |
8,597 |
$85K |
| 90715 |
|
1,466 |
1,453 |
$79K |
| J1100 |
Dexamethasone sodium phos |
8,812 |
8,098 |
$77K |
| 87491 |
|
2,346 |
2,299 |
$76K |
| 84145 |
|
4,273 |
3,942 |
$75K |
| 87591 |
|
2,352 |
2,304 |
$74K |
| J7120 |
Ringers lactate infusion |
5,680 |
5,014 |
$74K |
| 99199 |
|
1,175 |
997 |
$72K |
| 0250 |
|
2,489 |
1,122 |
$71K |
| J2785 |
Regadenoson injection |
264 |
262 |
$71K |
| J2270 |
Morphine sulfate injection |
5,022 |
4,006 |
$71K |
| 93017 |
|
263 |
261 |
$70K |
| J2250 |
Inj midazolam hydrochloride |
7,516 |
7,243 |
$68K |
| 99282 |
|
1,355 |
1,239 |
$65K |
| 73564 |
|
673 |
665 |
$64K |
| 97597 |
|
914 |
653 |
$64K |
| G0481 |
Drug test def 8-14 classes |
662 |
617 |
$63K |
| 76813 |
|
295 |
294 |
$62K |
| 76770 |
|
280 |
276 |
$57K |
| 12001 |
|
827 |
820 |
$54K |
| 76700 |
|
234 |
227 |
$54K |
| 99152 |
|
407 |
391 |
$53K |
| J7050 |
Normal saline solution infus |
5,325 |
3,417 |
$53K |
| 87077 |
|
5,370 |
5,239 |
$52K |
| 93458 |
|
26 |
25 |
$51K |
| 87186 |
|
4,706 |
4,548 |
$49K |
| 11045 |
|
486 |
143 |
$48K |
| 83735 |
|
8,152 |
6,807 |
$47K |
| A0429 |
Bls-emergency |
251 |
237 |
$47K |
| J0780 |
Prochlorperazine injection |
2,259 |
2,100 |
$46K |
| J1170 |
Hydromorphone injection |
3,812 |
3,027 |
$46K |
| 73080 |
|
522 |
512 |
$45K |
| 94060 |
|
438 |
438 |
$44K |
| T1999 |
Noc retail items andsupplies |
300 |
198 |
$44K |
| 81003 |
|
14,452 |
13,637 |
$42K |
| S0020 |
Injection, bupivicaine hydro |
2,375 |
2,280 |
$42K |
| J0690 |
Cefazolin sodium injection |
3,523 |
2,851 |
$42K |
| 99153 |
Mod sedat endo service >5yrs |
1,073 |
1,044 |
$41K |
| G0500 |
Mod sedat endo service >5yrs |
369 |
358 |
$41K |
| J3480 |
Inj potassium chloride |
944 |
640 |
$41K |
| 12011 |
|
422 |
418 |
$39K |
| J0696 |
Ceftriaxone sodium injection |
3,341 |
2,896 |
$39K |
| 86141 |
|
3,422 |
3,008 |
$38K |
| 82805 |
|
1,264 |
1,179 |
$37K |
| 87503 |
|
642 |
630 |
$37K |
| 87070 |
|
3,924 |
3,818 |
$37K |
| 99285 |
|
237 |
232 |
$32K |
| J1642 |
Inj heparin sodium per 10 u |
6,446 |
3,617 |
$32K |
| 70551 |
|
40 |
40 |
$32K |
| J1200 |
Diphenhydramine hcl injectio |
4,042 |
3,640 |
$30K |
| 96411 |
|
403 |
267 |
$30K |
| 85379 |
|
3,110 |
3,020 |
$30K |
| 87880 |
|
2,841 |
2,785 |
$29K |
| 82962 |
|
5,275 |
3,660 |
$29K |
| 87798 |
|
170 |
162 |
$28K |
| 85610 |
|
7,030 |
6,551 |
$27K |
| 85730 |
|
4,703 |
4,502 |
$27K |
| 73590 |
|
370 |
358 |
$27K |
| 84439 |
|
3,040 |
2,977 |
$25K |
| 86850 |
|
5,759 |
5,426 |
$25K |
| 96416 |
|
141 |
84 |
$24K |
| 83036 |
|
1,969 |
1,954 |
$24K |
| 88305 |
|
1,417 |
1,221 |
$24K |
| J2765 |
Metoclopramide hcl injection |
2,970 |
2,755 |
$24K |
| 96368 |
|
356 |
252 |
$24K |
| J1815 |
Insulin injection |
403 |
331 |
$23K |
| 73502 |
|
205 |
202 |
$22K |
| 73562 |
|
253 |
251 |
$22K |
| 73140 |
|
370 |
361 |
$20K |
| J2060 |
Lorazepam injection |
2,251 |
1,930 |
$19K |
| J7040 |
Normal saline solution infus |
2,085 |
1,520 |
$19K |
| 12002 |
|
236 |
234 |
$18K |
| 73090 |
|
234 |
229 |
$18K |
| 70491 |
|
20 |
16 |
$18K |
| 86901 |
|
6,250 |
5,872 |
$18K |
| 86900 |
|
6,252 |
5,873 |
$17K |
| 76870 |
|
94 |
93 |
$17K |
| 84702 |
|
1,335 |
1,104 |
$17K |
| J2370 |
Phenylephrine hcl injection |
828 |
778 |
$17K |
| 80061 |
|
994 |
977 |
$16K |
| J2360 |
Orphenadrine injection |
740 |
710 |
$15K |
| 83615 |
|
2,538 |
1,886 |
$14K |
| 87389 |
|
421 |
419 |
$14K |
| 85007 |
|
3,501 |
2,862 |
$12K |
| 82247 |
|
2,203 |
1,277 |
$12K |
| J3370 |
Vancomycin hcl injection |
1,084 |
847 |
$12K |
| 87205 |
|
2,809 |
2,728 |
$12K |
| 84703 |
|
1,829 |
1,756 |
$11K |
| 82951 |
|
389 |
388 |
$11K |
| 95819 |
|
96 |
96 |
$10K |
| 11043 |
|
190 |
123 |
$10K |
| 97165 |
|
62 |
41 |
$10K |
| J3475 |
Inj magnesium sulfate |
1,008 |
755 |
$10K |
| 86762 |
|
311 |
311 |
$10K |
| 72100 |
|
96 |
95 |
$10K |
| 87641 |
|
114 |
111 |
$9K |
| 87340 |
|
475 |
471 |
$9K |
| 84100 |
|
2,101 |
1,947 |
$9K |
| 96523 |
|
252 |
216 |
$9K |
| J2710 |
Neostigmine methylslfte inj |
479 |
478 |
$8K |
| 86780 |
|
338 |
333 |
$8K |
| 87633 |
|
26 |
25 |
$8K |
| J2175 |
Meperidine hydrochl /100 mg |
493 |
483 |
$8K |
| 72128 |
|
12 |
12 |
$7K |
| 43239 |
|
82 |
79 |
$7K |
| 87210 |
|
1,437 |
1,405 |
$7K |
| 87081 |
|
1,039 |
1,018 |
$7K |
| J0640 |
Leucovorin calcium injection |
162 |
95 |
$7K |
| 76376 |
|
65 |
63 |
$7K |
| 87075 |
|
1,033 |
1,014 |
$7K |
| 85652 |
|
2,485 |
2,187 |
$7K |
| 71101 |
|
56 |
55 |
$7K |
| 87426 |
|
189 |
183 |
$6K |
| 87506 |
|
28 |
28 |
$6K |
| 76815 |
|
26 |
24 |
$6K |
| 93970 |
|
12 |
12 |
$6K |
| 82550 |
|
968 |
907 |
$5K |
| S0028 |
Injection, famotidine, 20 mg |
932 |
906 |
$5K |
| 73620 |
|
65 |
64 |
$5K |
| 29125 |
|
165 |
165 |
$4K |
| 49083 |
|
24 |
12 |
$4K |
| 84156 |
|
984 |
773 |
$4K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
400 |
381 |
$4K |
| 82378 |
|
309 |
248 |
$4K |
| 72170 |
|
51 |
50 |
$4K |
| J9190 |
Fluorouracil injection |
264 |
82 |
$3K |
| J0330 |
Succinycholine chloride inj |
141 |
139 |
$3K |
| 86592 |
|
631 |
623 |
$3K |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
189 |
189 |
$3K |
| 86803 |
|
79 |
79 |
$2K |
| J0171 |
Adrenalin epinephrine inject |
138 |
136 |
$2K |
| Z7610 |
|
374 |
226 |
$2K |
| 87147 |
|
235 |
227 |
$2K |
| J2795 |
Ropivacaine hcl injection |
138 |
136 |
$2K |
| 76536 |
|
12 |
12 |
$2K |
| 88304 |
|
207 |
201 |
$2K |
| 87428 |
|
36 |
35 |
$2K |
| 82570 |
|
421 |
346 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
208 |
153 |
$2K |
| J7060 |
5% dextrose/water |
119 |
76 |
$2K |
| 29105 |
|
42 |
42 |
$2K |
| 81025 |
|
228 |
228 |
$2K |
| 88342 |
|
142 |
139 |
$2K |
| J1650 |
Inj enoxaparin sodium |
226 |
163 |
$2K |
| 96402 |
|
39 |
37 |
$2K |
| Z7500 |
|
52 |
41 |
$2K |
| 45380 |
|
12 |
12 |
$2K |
| J2916 |
Na ferric gluconate complex |
49 |
25 |
$2K |
| S0164 |
Injection pantroprazole |
113 |
98 |
$2K |
| 51701 |
|
26 |
25 |
$1K |
| U0002 |
Covid-19 lab test non-cdc |
27 |
27 |
$1K |
| J0694 |
Cefoxitin sodium injection |
47 |
38 |
$1K |
| 88313 |
|
83 |
78 |
$1K |
| 72040 |
|
12 |
12 |
$1K |
| 36600 |
|
44 |
44 |
$1K |
| 73100 |
|
14 |
12 |
$1K |
| S0077 |
Injection, clindamycin phosp |
63 |
55 |
$1K |
| 71020 |
|
15 |
12 |
$936.45 |
| J9263 |
Oxaliplatin |
19 |
13 |
$915.82 |
| 29515 |
|
24 |
24 |
$786.15 |
| 84550 |
|
77 |
67 |
$778.61 |
| 73070 |
|
12 |
12 |
$763.20 |
| J0688 |
Inj cefazolin sodium, hikma |
74 |
43 |
$762.58 |
| 94010 |
|
12 |
12 |
$676.36 |
| J2930 |
Methylprednisolone injection |
39 |
38 |
$659.97 |
| 86308 |
|
167 |
166 |
$549.28 |
| 64450 |
|
13 |
12 |
$522.08 |
| 82009 |
|
187 |
174 |
$508.24 |
| 87045 |
|
25 |
25 |
$497.63 |
| 87046 |
|
33 |
25 |
$423.38 |
| 85384 |
|
70 |
60 |
$411.03 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
51 |
50 |
$396.62 |
| J3301 |
Triamcinolone acet inj nos |
43 |
42 |
$388.32 |
| J7042 |
5% dextrose/normal saline |
67 |
54 |
$377.67 |
| J1953 |
Levetiracetam injection |
21 |
14 |
$314.36 |
| J0134 |
Inj acetaminophen -fresenius |
35 |
31 |
$271.84 |
| 82140 |
|
26 |
24 |
$234.65 |
| 88307 |
|
13 |
13 |
$210.36 |
| 80076 |
|
31 |
25 |
$205.96 |
| J2543 |
Piperacillin/tazobactam |
23 |
13 |
$196.58 |
| 90471 |
|
41 |
38 |
$178.40 |
| 83655 |
|
17 |
17 |
$170.08 |
| J0360 |
Hydralazine hcl injection |
14 |
13 |
$148.71 |
| 82024 |
|
14 |
13 |
$120.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
27 |
27 |
$112.23 |
| 82272 |
|
16 |
15 |
$20.48 |