| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
45,972 |
44,167 |
$5.29M |
| 99283 |
|
27,509 |
26,582 |
$2.17M |
| G0378 |
Hospital observation per hr |
5,487 |
2,321 |
$1.72M |
| 99285 |
|
10,266 |
9,770 |
$1.40M |
| 0241U |
|
5,151 |
5,079 |
$438K |
| T1015 |
Clinic service |
14,397 |
12,109 |
$413K |
| G0299 |
Hhs/hospice of rn ea 15 min |
3,428 |
983 |
$382K |
| 96374 |
|
15,467 |
14,478 |
$340K |
| 80048 |
|
43,893 |
39,643 |
$331K |
| J9271 |
Inj pembrolizumab |
395 |
324 |
$291K |
| 85025 |
|
55,058 |
48,972 |
$261K |
| 74177 |
|
1,735 |
1,682 |
$222K |
| 96413 |
|
2,632 |
1,480 |
$208K |
| 93005 |
|
23,010 |
21,545 |
$182K |
| G0151 |
Hhcp-serv of pt,ea 15 min |
1,455 |
380 |
$162K |
| 70450 |
|
2,958 |
2,813 |
$155K |
| 43239 |
|
669 |
657 |
$136K |
| 71046 |
|
9,067 |
8,811 |
$130K |
| 70553 |
|
502 |
479 |
$103K |
| 73721 |
|
412 |
400 |
$99K |
| 80053 |
|
9,703 |
7,645 |
$98K |
| 96375 |
|
7,245 |
6,545 |
$95K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,463 |
1,432 |
$94K |
| 88342 |
|
2,279 |
2,227 |
$90K |
| 74176 |
|
1,376 |
1,316 |
$89K |
| J3490 |
Drugs unclassified injection |
10,769 |
6,041 |
$87K |
| 72148 |
|
523 |
509 |
$82K |
| 88305 |
|
5,845 |
5,651 |
$79K |
| 99502 |
|
818 |
473 |
$79K |
| 80076 |
|
10,986 |
10,364 |
$77K |
| 84484 |
|
11,260 |
10,237 |
$73K |
| 93306 |
|
1,274 |
1,243 |
$71K |
| 77067 |
|
833 |
827 |
$70K |
| 71275 |
|
535 |
529 |
$68K |
| 70551 |
|
286 |
279 |
$62K |
| 96365 |
|
2,145 |
1,547 |
$59K |
| 92507 |
|
3,621 |
1,118 |
$59K |
| 99282 |
|
1,220 |
1,188 |
$57K |
| 96372 |
|
5,598 |
4,622 |
$56K |
| 72141 |
|
254 |
247 |
$56K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,041 |
7,378 |
$55K |
| 78452 |
|
376 |
364 |
$51K |
| 76705 |
|
1,446 |
1,399 |
$47K |
| 95811 |
|
106 |
105 |
$44K |
| 72125 |
|
903 |
856 |
$44K |
| 71045 |
|
7,979 |
7,502 |
$43K |
| 80307 |
|
1,062 |
955 |
$43K |
| 93971 |
|
802 |
769 |
$42K |
| 59025 |
|
1,126 |
879 |
$39K |
| G0152 |
Hhcp-serv of ot,ea 15 min |
323 |
146 |
$36K |
| 11042 |
|
1,645 |
853 |
$35K |
| 99501 |
|
315 |
191 |
$35K |
| 99281 |
|
1,332 |
1,245 |
$35K |
| 76536 |
|
752 |
726 |
$33K |
| M0243 |
Casirivi and imdevi inj |
88 |
86 |
$33K |
| 95810 |
|
150 |
144 |
$33K |
| 83690 |
|
8,451 |
7,985 |
$32K |
| 73221 |
|
138 |
134 |
$31K |
| 77066 |
Tomosynthesis, mammo |
364 |
359 |
$28K |
| 70498 |
|
265 |
260 |
$28K |
| 70496 |
|
267 |
263 |
$28K |
| 81001 |
|
10,106 |
9,946 |
$26K |
| 76642 |
|
642 |
629 |
$26K |
| 93970 |
|
334 |
324 |
$25K |
| 96367 |
|
1,142 |
593 |
$25K |
| 71250 |
|
439 |
422 |
$25K |
| 73630 |
|
2,458 |
2,309 |
$24K |
| 82728 |
|
2,284 |
2,195 |
$24K |
| J1756 |
Iron sucrose injection |
2,976 |
1,717 |
$24K |
| G0399 |
Home sleep test/type 3 porta |
198 |
196 |
$23K |
| 76830 |
|
555 |
545 |
$23K |
| 78264 |
|
257 |
249 |
$21K |
| 87086 |
|
3,531 |
3,281 |
$21K |
| 70486 |
|
367 |
362 |
$21K |
| 77065 |
Tomosynthesis, mammo |
340 |
319 |
$20K |
| 81025 |
|
6,292 |
5,779 |
$20K |
| 93976 |
|
302 |
295 |
$20K |
| 76817 |
|
405 |
351 |
$19K |
| J2785 |
Regadenoson injection |
685 |
676 |
$19K |
| 77063 |
|
833 |
827 |
$18K |
| 87088 |
|
2,896 |
2,697 |
$18K |
| 74178 |
|
90 |
90 |
$18K |
| 72100 |
|
887 |
869 |
$17K |
| 88341 |
|
306 |
294 |
$17K |
| 76801 |
|
493 |
446 |
$17K |
| 93017 |
|
539 |
527 |
$17K |
| 93880 |
|
269 |
254 |
$17K |
| 71260 |
|
277 |
273 |
$17K |
| 76770 |
|
356 |
347 |
$16K |
| J0185 |
Inj., aprepitant, 1 mg |
179 |
111 |
$16K |
| 96417 |
|
348 |
210 |
$16K |
| 87491 |
|
823 |
795 |
$16K |
| 81003 |
|
6,898 |
6,335 |
$15K |
| 83540 |
|
2,018 |
1,961 |
$15K |
| 87591 |
|
782 |
755 |
$15K |
| 96361 |
|
1,577 |
1,038 |
$14K |
| 73610 |
|
898 |
852 |
$14K |
| 76816 |
|
333 |
317 |
$14K |
| 76819 |
|
304 |
224 |
$14K |
| 93226 |
|
401 |
392 |
$13K |
| 87502 |
|
151 |
151 |
$13K |
| 94729 |
|
518 |
505 |
$12K |
| 76870 |
|
283 |
276 |
$12K |
| 84443 |
|
792 |
761 |
$12K |
| 76775 |
|
287 |
277 |
$11K |
| 83735 |
|
2,745 |
2,031 |
$11K |
| 80050 |
|
228 |
221 |
$11K |
| 96415 |
|
315 |
213 |
$11K |
| 93923 |
|
293 |
276 |
$11K |
| 94726 |
|
473 |
460 |
$10K |
| G0279 |
Tomosynthesis, mammo |
600 |
589 |
$10K |
| 92587 |
|
323 |
317 |
$9K |
| 73564 |
|
583 |
565 |
$9K |
| 84702 |
|
652 |
609 |
$9K |
| 76815 |
|
276 |
253 |
$9K |
| 83550 |
|
1,990 |
1,933 |
$9K |
| 58558 |
|
12 |
12 |
$9K |
| 73030 |
|
711 |
678 |
$9K |
| A9577 |
Inj multihance |
1,778 |
1,725 |
$9K |
| 73502 |
|
483 |
460 |
$8K |
| 96366 |
|
756 |
521 |
$8K |
| 72156 |
|
39 |
39 |
$8K |
| 78227 |
|
24 |
24 |
$8K |
| 90715 |
|
1,075 |
1,006 |
$7K |
| 83615 |
|
1,171 |
1,042 |
$7K |
| 73130 |
|
743 |
716 |
$7K |
| 72050 |
|
287 |
283 |
$7K |
| 74018 |
|
651 |
607 |
$7K |
| 83880 |
|
505 |
478 |
$7K |
| 87040 |
|
788 |
555 |
$7K |
| 93225 |
|
414 |
404 |
$6K |
| 88313 |
|
208 |
199 |
$6K |
| J7030 |
Normal saline solution infus |
15,038 |
9,058 |
$6K |
| J1170 |
Hydromorphone injection |
11,143 |
6,362 |
$6K |
| 73560 |
|
422 |
399 |
$6K |
| 87077 |
|
1,140 |
1,069 |
$6K |
| M0247 |
Sotrovimab infusion |
15 |
15 |
$6K |
| 96523 |
|
419 |
286 |
$5K |
| 88360 |
|
107 |
105 |
$5K |
| 87635 |
|
173 |
173 |
$5K |
| 80061 |
|
563 |
544 |
$5K |
| 85730 |
|
1,445 |
1,357 |
$5K |
| 73110 |
|
514 |
492 |
$5K |
| J1815 |
Insulin injection |
642 |
416 |
$5K |
| G0300 |
Hhs/hospice of lpn ea 15 min |
42 |
26 |
$5K |
| 87186 |
|
890 |
832 |
$5K |
| 82306 |
|
194 |
192 |
$5K |
| 85610 |
|
2,457 |
2,162 |
$5K |
| 92567 |
|
373 |
364 |
$4K |
| 86850 |
|
1,007 |
947 |
$4K |
| 87210 |
|
884 |
830 |
$4K |
| 96360 |
|
243 |
216 |
$4K |
| 43248 |
|
12 |
12 |
$4K |
| 84439 |
|
638 |
626 |
$4K |
| 73590 |
|
304 |
292 |
$4K |
| 36415 |
|
3,612 |
2,397 |
$4K |
| 43235 |
|
27 |
26 |
$4K |
| 74183 |
|
13 |
13 |
$4K |
| 87631 |
|
13 |
13 |
$4K |
| 84703 |
|
461 |
447 |
$4K |
| C9399 |
Unclassified drugs or biolog |
404 |
345 |
$4K |
| 85027 |
|
1,332 |
1,082 |
$3K |
| 83605 |
|
829 |
741 |
$3K |
| P9045 |
Albumin (human), 5%, 250 ml |
218 |
154 |
$3K |
| 70491 |
|
49 |
48 |
$3K |
| J2469 |
Palonosetron hcl |
505 |
306 |
$3K |
| 72070 |
|
173 |
166 |
$3K |
| 73090 |
|
302 |
291 |
$3K |
| 72040 |
|
182 |
177 |
$3K |
| 86920 |
|
137 |
129 |
$3K |
| 88312 |
|
43 |
41 |
$3K |
| 82784 |
|
173 |
140 |
$3K |
| 86901 |
|
1,142 |
1,074 |
$3K |
| 82977 |
|
269 |
263 |
$3K |
| J3535 |
Metered dose inhaler drug |
374 |
365 |
$3K |
| 86900 |
|
1,114 |
1,048 |
$3K |
| 88304 |
|
547 |
538 |
$2K |
| 95819 |
|
229 |
220 |
$2K |
| S0119 |
Ondansetron 4 mg |
1,399 |
813 |
$2K |
| A9500 |
Tc99m sestamibi |
235 |
218 |
$2K |
| 82570 |
|
398 |
312 |
$2K |
| 73700 |
|
41 |
39 |
$2K |
| 85378 |
|
377 |
358 |
$2K |
| 73080 |
|
267 |
254 |
$2K |
| 72110 |
|
116 |
115 |
$2K |
| 80329 |
|
255 |
243 |
$2K |
| 94060 |
|
263 |
257 |
$2K |
| G0297 |
Ldct for lung ca screen |
24 |
24 |
$2K |
| 94010 |
|
317 |
307 |
$2K |
| 71271 |
|
29 |
29 |
$2K |
| 83036 |
|
553 |
531 |
$2K |
| J0690 |
Cefazolin sodium injection |
5,050 |
3,642 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
12,679 |
10,693 |
$2K |
| 88307 |
|
344 |
330 |
$2K |
| 92552 |
|
206 |
202 |
$2K |
| 36430 |
|
51 |
40 |
$2K |
| 88344 |
|
30 |
29 |
$2K |
| 72158 |
|
15 |
13 |
$2K |
| 76811 |
|
20 |
20 |
$2K |
| 97597 |
|
105 |
54 |
$1K |
| J1100 |
Dexamethasone sodium phos |
9,942 |
8,010 |
$1K |
| 86140 |
|
625 |
600 |
$1K |
| 84100 |
|
324 |
250 |
$1K |
| J7999 |
Compounded drug, noc |
1,783 |
1,339 |
$1K |
| 84550 |
|
268 |
223 |
$1K |
| 85652 |
|
553 |
529 |
$1K |
| J2930 |
Methylprednisolone injection |
800 |
666 |
$1K |
| 88112 |
|
56 |
55 |
$1K |
| P9021 |
Red blood cells unit |
28 |
24 |
$1K |
| 84156 |
|
363 |
264 |
$1K |
| J2360 |
Orphenadrine injection |
1,206 |
1,116 |
$1K |
| A9541 |
Tc99m sulfur colloid |
70 |
62 |
$1K |
| 73562 |
|
84 |
80 |
$1K |
| J7120 |
Ringers lactate infusion |
5,328 |
3,274 |
$1K |
| J2405 |
Ondansetron hcl injection |
16,663 |
13,145 |
$1K |
| 73060 |
|
135 |
129 |
$1K |
| 92555 |
|
158 |
155 |
$1K |
| 99153 |
Mod sedat endo service >5yrs |
230 |
226 |
$1K |
| J3010 |
Fentanyl citrate injection |
8,815 |
7,466 |
$1K |
| J1644 |
Inj heparin sodium per 1000u |
4,699 |
2,584 |
$1K |
| 87070 |
|
288 |
274 |
$1K |
| 82803 |
|
77 |
71 |
$991.32 |
| 84460 |
|
169 |
147 |
$931.59 |
| 97165 |
|
160 |
148 |
$881.63 |
| C1894 |
Intro/sheath, non-laser |
163 |
153 |
$872.23 |
| 45380 |
|
12 |
12 |
$817.93 |
| 72131 |
|
13 |
13 |
$817.26 |
| 76882 |
|
135 |
128 |
$807.08 |
| 85046 |
|
131 |
125 |
$800.11 |
| 82565 |
|
243 |
225 |
$785.10 |
| 94640 |
|
128 |
79 |
$773.57 |
| 77080 |
|
12 |
12 |
$733.57 |
| C1769 |
Guide wire |
138 |
128 |
$658.64 |
| 82607 |
|
77 |
76 |
$657.43 |
| J0171 |
Adrenalin epinephrine inject |
435 |
413 |
$654.07 |
| 80069 |
|
120 |
81 |
$647.63 |
| 96411 |
|
15 |
12 |
$644.06 |
| J0696 |
Ceftriaxone sodium injection |
1,996 |
1,594 |
$615.95 |
| L4350 |
Ankle control ortho pre ots |
27 |
27 |
$614.43 |
| 97162 |
|
95 |
90 |
$605.61 |
| 84134 |
|
48 |
39 |
$583.49 |
| 94644 |
|
30 |
29 |
$576.42 |
| S0020 |
Injection, bupivicaine hydro |
586 |
519 |
$576.37 |
| 87205 |
|
292 |
280 |
$575.77 |
| 82150 |
|
157 |
151 |
$565.78 |
| 73552 |
|
43 |
41 |
$559.72 |
| 84450 |
|
111 |
100 |
$553.23 |
| 82550 |
|
150 |
129 |
$537.23 |
| 86618 |
|
28 |
28 |
$509.80 |
| J7050 |
Normal saline solution infus |
5,826 |
3,706 |
$496.56 |
| 82248 |
|
107 |
90 |
$496.27 |
| 71101 |
|
40 |
39 |
$488.78 |
| 83970 |
|
12 |
12 |
$480.86 |
| J2765 |
Metoclopramide hcl injection |
3,147 |
2,722 |
$477.83 |
| 92611 |
|
12 |
12 |
$463.73 |
| 93922 |
|
14 |
13 |
$450.04 |
| J3475 |
Inj magnesium sulfate |
1,421 |
1,159 |
$449.36 |
| J1200 |
Diphenhydramine hcl injectio |
4,185 |
3,246 |
$406.28 |
| 73620 |
|
60 |
59 |
$381.55 |
| 87081 |
|
108 |
108 |
$349.21 |
| 95816 |
|
31 |
29 |
$346.91 |
| 82009 |
|
101 |
94 |
$331.64 |
| J7040 |
Normal saline solution infus |
1,684 |
1,272 |
$324.45 |
| 87430 |
|
40 |
40 |
$324.28 |
| 74022 |
|
13 |
13 |
$306.16 |
| J0702 |
Betamethasone acet&sod phosp |
27 |
15 |
$303.30 |
| 85007 |
|
74 |
69 |
$298.86 |
| 72170 |
|
53 |
52 |
$295.76 |
| 85384 |
|
32 |
29 |
$291.22 |
| 87389 |
|
12 |
12 |
$287.86 |
| 74220 |
|
13 |
13 |
$274.50 |
| J0694 |
Cefoxitin sodium injection |
57 |
28 |
$267.54 |
| S0028 |
Injection, famotidine, 20 mg |
309 |
192 |
$258.12 |
| G0463 |
Hospital outpt clinic visit |
47 |
25 |
$241.08 |
| 82962 |
|
171 |
134 |
$239.38 |
| J2270 |
Morphine sulfate injection |
388 |
273 |
$239.01 |
| 85347 |
|
44 |
44 |
$232.87 |
| 73600 |
|
26 |
26 |
$214.92 |
| J0780 |
Prochlorperazine injection |
302 |
270 |
$214.10 |
| J3480 |
Inj potassium chloride |
674 |
265 |
$210.89 |
| J2250 |
Inj midazolam hydrochloride |
6,487 |
6,019 |
$206.23 |
| Q9956 |
Inj octafluoropropane mic,ml |
17 |
16 |
$205.53 |
| 85576 |
|
15 |
15 |
$182.55 |
| 82140 |
|
95 |
77 |
$175.02 |
| L1830 |
Ko immob canvas long pre ots |
13 |
13 |
$167.62 |
| 99152 |
|
41 |
39 |
$153.81 |
| 96376 |
|
533 |
265 |
$153.37 |
| J0360 |
Hydralazine hcl injection |
287 |
206 |
$149.44 |
| 96368 |
|
15 |
12 |
$143.02 |
| 84520 |
|
57 |
49 |
$131.61 |
| 73140 |
|
13 |
13 |
$123.36 |
| J1626 |
Granisetron hcl injection |
774 |
370 |
$117.34 |
| J0280 |
Aminophyllin 250 mg inj |
92 |
91 |
$116.14 |
| 86592 |
|
43 |
39 |
$112.54 |
| J2060 |
Lorazepam injection |
942 |
770 |
$109.65 |
| 76937 |
|
54 |
49 |
$105.75 |
| J7611 |
Albuterol non-comp con |
265 |
235 |
$102.42 |
| 73120 |
|
13 |
12 |
$100.69 |
| J2704 |
Inj, propofol, 10 mg |
2,356 |
1,945 |
$95.88 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
28 |
24 |
$93.29 |
| J1630 |
Haloperidol injection |
219 |
179 |
$80.82 |
| 82247 |
|
14 |
14 |
$78.50 |
| 82043 |
|
12 |
12 |
$75.48 |
| 85651 |
|
33 |
32 |
$72.98 |
| 88302 |
|
13 |
13 |
$69.45 |
| 85014 |
|
55 |
42 |
$66.81 |
| 77001 |
|
16 |
13 |
$65.38 |
| J7060 |
5% dextrose/water |
257 |
200 |
$64.91 |
| 36600 |
|
15 |
14 |
$62.07 |
| 82330 |
|
14 |
12 |
$61.22 |
| J1650 |
Inj enoxaparin sodium |
182 |
71 |
$61.16 |
| 85018 |
|
38 |
26 |
$57.13 |
| 94761 |
|
319 |
300 |
$56.96 |
| J3370 |
Vancomycin hcl injection |
83 |
42 |
$55.50 |
| 85049 |
|
55 |
50 |
$53.61 |
| 84132 |
|
28 |
26 |
$36.77 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,162 |
958 |
$19.79 |
| J7613 |
Albuterol non-comp unit |
1,372 |
1,183 |
$15.98 |
| J0131 |
Inj, acetaminophen (nos) |
2,833 |
2,629 |
$15.01 |
| J7620 |
Albuterol ipratrop non-comp |
1,432 |
1,117 |
$13.77 |
| Q0243 |
Casirivimab and imdevimab |
75 |
73 |
$0.35 |
| J3420 |
Vitamin b12 injection |
27 |
25 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
574 |
569 |
$0.00 |
| A4351 |
Straight tip urine catheter |
29 |
27 |
$0.00 |
| P9612 |
Catheterize for urine spec |
27 |
25 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
31 |
31 |
$0.00 |
| Q0247 |
Sotrovimab |
20 |
20 |
$0.00 |
| J2001 |
Lidocaine injection |
16 |
15 |
$0.00 |
| J2916 |
Na ferric gluconate complex |
468 |
259 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
448 |
405 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
239 |
184 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
12 |
12 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
28 |
28 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
22 |
12 |
$0.00 |