| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
68,166 |
64,281 |
$6.89M |
| 99284 |
|
58,759 |
54,163 |
$5.85M |
| 36415 |
|
62,914 |
43,154 |
$2.79M |
| 99285 |
|
26,842 |
23,311 |
$1.91M |
| 74176 |
|
6,666 |
6,001 |
$1.46M |
| 70450 |
|
9,723 |
8,653 |
$1.36M |
| 74177 |
|
4,928 |
4,527 |
$883K |
| 99282 |
|
9,779 |
9,338 |
$831K |
| G0378 |
Hospital observation per hr |
21,346 |
11,536 |
$595K |
| 96361 |
|
16,371 |
13,488 |
$454K |
| 0202U |
|
7,609 |
7,417 |
$439K |
| 93306 |
|
2,208 |
1,963 |
$384K |
| 71275 |
|
1,760 |
1,591 |
$320K |
| 87635 |
|
14,070 |
12,551 |
$288K |
| 87804 |
|
7,856 |
7,486 |
$189K |
| 94640 |
|
8,998 |
5,051 |
$147K |
| 86901 |
|
5,019 |
4,518 |
$142K |
| 87088 |
|
16,799 |
15,259 |
$131K |
| 87081 |
|
5,701 |
5,419 |
$130K |
| 96372 |
|
12,004 |
9,783 |
$117K |
| 70551 |
|
871 |
774 |
$116K |
| 72125 |
|
1,751 |
1,560 |
$107K |
| 76705 |
|
4,138 |
3,887 |
$101K |
| 71046 |
|
8,880 |
8,392 |
$101K |
| 86850 |
|
4,950 |
4,459 |
$91K |
| 86900 |
|
5,019 |
4,518 |
$85K |
| 82962 |
|
8,494 |
4,592 |
$84K |
| 71045 |
|
22,664 |
19,791 |
$79K |
| 81003 |
|
10,417 |
9,662 |
$71K |
| 87430 |
|
5,879 |
5,601 |
$71K |
| A9270 |
Non-covered item or service |
9,890 |
3,227 |
$66K |
| 80048 |
|
55,627 |
41,200 |
$66K |
| 96365 |
|
6,902 |
5,558 |
$64K |
| 76856 |
|
2,330 |
2,221 |
$58K |
| 72131 |
|
714 |
651 |
$57K |
| 71250 |
|
1,721 |
1,471 |
$54K |
| 85025 |
|
63,472 |
49,432 |
$50K |
| 74018 |
|
3,295 |
3,076 |
$49K |
| 73630 |
|
1,807 |
1,647 |
$49K |
| 87798 |
|
2,846 |
2,653 |
$47K |
| 87807 |
|
1,260 |
1,221 |
$45K |
| 73610 |
|
1,610 |
1,481 |
$43K |
| 80076 |
|
30,604 |
25,913 |
$43K |
| 96366 |
|
2,170 |
1,489 |
$42K |
| 81001 |
|
24,409 |
22,085 |
$41K |
| 80307 |
|
5,867 |
5,171 |
$39K |
| 76801 |
|
3,403 |
2,871 |
$37K |
| 73562 |
|
2,110 |
1,805 |
$35K |
| 93005 |
|
25,758 |
17,907 |
$34K |
| 87581 |
|
2,132 |
2,038 |
$34K |
| J7030 |
Normal saline solution infus |
5,423 |
3,786 |
$34K |
| 76815 |
|
2,689 |
2,439 |
$34K |
| P9612 |
Catheterize for urine spec |
577 |
514 |
$31K |
| 0241U |
|
6,267 |
6,006 |
$31K |
| 73130 |
|
1,259 |
1,151 |
$30K |
| 74021 |
|
1,362 |
1,323 |
$29K |
| 12011 |
|
594 |
571 |
$29K |
| 82947 |
|
6,645 |
5,456 |
$28K |
| 87633 |
|
2,868 |
2,673 |
$28K |
| 10060 |
|
160 |
152 |
$26K |
| 96374 |
|
19,427 |
16,337 |
$25K |
| 87077 |
|
3,690 |
3,344 |
$24K |
| 87486 |
|
2,843 |
2,651 |
$24K |
| 96360 |
|
3,806 |
3,533 |
$24K |
| 84484 |
|
15,893 |
12,169 |
$24K |
| 84295 |
|
4,441 |
3,905 |
$23K |
| 70486 |
|
402 |
364 |
$23K |
| 75574 |
|
366 |
342 |
$22K |
| 96375 |
|
17,382 |
12,781 |
$22K |
| 84520 |
|
6,102 |
5,421 |
$22K |
| 82565 |
|
6,112 |
5,428 |
$22K |
| 85610 |
|
16,084 |
13,453 |
$22K |
| 84132 |
|
4,467 |
3,924 |
$21K |
| 83735 |
|
9,476 |
7,244 |
$20K |
| 73030 |
|
1,372 |
1,188 |
$20K |
| 82374 |
|
4,261 |
3,751 |
$20K |
| 82435 |
|
4,439 |
3,904 |
$20K |
| J0561 |
Penicillin g benzathine inj |
162 |
160 |
$19K |
| U0002 |
Covid-19 lab test non-cdc |
1,020 |
713 |
$19K |
| 76819 |
|
922 |
821 |
$19K |
| 72100 |
|
1,724 |
1,587 |
$19K |
| 12001 |
|
431 |
421 |
$17K |
| 87040 |
|
4,387 |
3,912 |
$17K |
| 85730 |
|
14,483 |
12,541 |
$15K |
| 85027 |
|
5,428 |
3,880 |
$15K |
| 76830 |
|
1,736 |
1,654 |
$15K |
| 73110 |
|
824 |
762 |
$15K |
| 97161 |
|
824 |
663 |
$14K |
| 87591 |
|
2,150 |
2,061 |
$13K |
| 72040 |
|
459 |
430 |
$13K |
| 93970 |
|
1,034 |
910 |
$12K |
| 70491 |
|
59 |
55 |
$12K |
| 80061 |
|
2,987 |
2,550 |
$12K |
| J8540 |
Oral dexamethasone |
309 |
302 |
$11K |
| 87210 |
|
2,219 |
2,129 |
$11K |
| 73080 |
|
460 |
421 |
$10K |
| J1650 |
Inj enoxaparin sodium |
1,839 |
948 |
$10K |
| 80051 |
|
1,683 |
1,546 |
$10K |
| 76805 |
|
156 |
156 |
$10K |
| 83690 |
|
16,960 |
14,957 |
$10K |
| 87205 |
|
3,318 |
3,103 |
$9K |
| 96376 |
|
5,248 |
3,208 |
$9K |
| 76775 |
|
655 |
615 |
$9K |
| 73590 |
|
370 |
325 |
$9K |
| 83880 |
|
4,193 |
3,562 |
$8K |
| 82310 |
|
1,575 |
1,448 |
$8K |
| J2405 |
Ondansetron hcl injection |
2,939 |
2,288 |
$8K |
| 76817 |
|
1,878 |
1,564 |
$8K |
| 84443 |
|
5,148 |
4,453 |
$8K |
| 87491 |
|
2,149 |
2,059 |
$8K |
| J7120 |
Ringers lactate infusion |
1,487 |
1,140 |
$7K |
| 87186 |
|
3,346 |
3,037 |
$7K |
| 73140 |
|
171 |
164 |
$6K |
| C9113 |
Inj pantoprazole sodium, via |
683 |
394 |
$6K |
| 83036 |
|
3,391 |
3,001 |
$6K |
| 87070 |
|
1,572 |
1,470 |
$6K |
| 82550 |
|
5,060 |
4,331 |
$6K |
| 71260 |
|
36 |
32 |
$5K |
| 73090 |
|
264 |
248 |
$5K |
| 85379 |
|
3,651 |
3,226 |
$5K |
| 73502 |
|
321 |
276 |
$5K |
| 82805 |
|
1,596 |
1,384 |
$5K |
| 83605 |
|
5,030 |
4,286 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,685 |
3,234 |
$4K |
| J1170 |
Hydromorphone injection |
782 |
564 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
2,571 |
2,070 |
$4K |
| P9016 |
Rbc leukocytes reduced |
150 |
104 |
$4K |
| J1956 |
Levofloxacin injection |
126 |
94 |
$4K |
| 87147 |
|
888 |
831 |
$3K |
| 76536 |
|
62 |
55 |
$3K |
| J2270 |
Morphine sulfate injection |
1,766 |
1,234 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
175 |
131 |
$3K |
| 80053 |
|
3,132 |
2,438 |
$3K |
| 96367 |
|
955 |
799 |
$3K |
| 84145 |
|
1,891 |
1,643 |
$3K |
| 82150 |
|
2,768 |
2,668 |
$3K |
| 88305 |
|
275 |
245 |
$3K |
| 12002 |
|
82 |
78 |
$3K |
| 95819 |
|
116 |
103 |
$3K |
| 85652 |
|
2,407 |
2,220 |
$2K |
| 99281 |
|
26 |
24 |
$2K |
| 93971 |
|
301 |
286 |
$2K |
| 76641 |
|
98 |
67 |
$2K |
| 76700 |
|
92 |
84 |
$2K |
| 83550 |
|
1,082 |
888 |
$2K |
| 83540 |
|
1,349 |
1,105 |
$2K |
| 82376 |
|
1,577 |
1,373 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
1,743 |
1,190 |
$2K |
| 84702 |
|
3,970 |
3,330 |
$1K |
| 73552 |
|
58 |
49 |
$959.53 |
| 82728 |
|
1,437 |
1,179 |
$927.70 |
| 70553 |
|
14 |
12 |
$857.39 |
| 90471 |
|
1,046 |
937 |
$830.09 |
| 86738 |
|
438 |
412 |
$801.69 |
| 93975 |
|
101 |
99 |
$799.80 |
| 83045 |
|
1,470 |
1,282 |
$790.37 |
| 93880 |
|
119 |
98 |
$777.00 |
| 86140 |
|
6,032 |
5,646 |
$702.58 |
| 84550 |
|
1,462 |
1,202 |
$694.05 |
| 83615 |
|
503 |
430 |
$642.87 |
| 97162 |
|
20 |
17 |
$630.91 |
| 81025 |
|
323 |
304 |
$620.71 |
| 80069 |
|
455 |
270 |
$542.68 |
| J2704 |
Inj, propofol, 10 mg |
184 |
135 |
$523.85 |
| 72072 |
|
40 |
38 |
$520.53 |
| J7050 |
Normal saline solution infus |
379 |
247 |
$517.92 |
| 76770 |
|
31 |
30 |
$443.95 |
| M0243 |
Casirivi and imdevi inj |
147 |
138 |
$432.58 |
| 86923 |
|
149 |
127 |
$429.21 |
| J2543 |
Piperacillin/tazobactam |
194 |
106 |
$416.54 |
| 87899 |
|
365 |
170 |
$407.73 |
| 87046 |
|
370 |
172 |
$404.72 |
| 93976 |
|
38 |
37 |
$384.75 |
| 82330 |
|
594 |
529 |
$377.20 |
| 70360 |
|
17 |
16 |
$319.44 |
| 77067 |
|
36 |
27 |
$310.91 |
| 87045 |
|
198 |
171 |
$297.26 |
| 87507 |
|
14 |
13 |
$278.36 |
| J2060 |
Lorazepam injection |
313 |
217 |
$272.81 |
| J1200 |
Diphenhydramine hcl injectio |
313 |
240 |
$216.48 |
| 76870 |
|
13 |
13 |
$199.96 |
| 82607 |
|
660 |
569 |
$195.86 |
| 82140 |
|
1,027 |
742 |
$188.84 |
| 84703 |
|
1,798 |
1,690 |
$161.61 |
| 84100 |
|
1,868 |
1,607 |
$147.85 |
| 87651 |
|
3,811 |
3,764 |
$138.10 |
| 77080 |
|
14 |
12 |
$127.73 |
| J1644 |
Inj heparin sodium per 1000u |
24 |
12 |
$125.70 |
| J2765 |
Metoclopramide hcl injection |
121 |
100 |
$123.71 |
| J1100 |
Dexamethasone sodium phos |
349 |
305 |
$114.42 |
| J2360 |
Orphenadrine injection |
145 |
130 |
$103.81 |
| J3370 |
Vancomycin hcl injection |
14 |
12 |
$85.29 |
| 84439 |
|
522 |
453 |
$83.43 |
| 87209 |
|
18 |
13 |
$51.48 |
| 82746 |
|
489 |
413 |
$47.24 |
| 82077 |
|
1,529 |
1,367 |
$47.23 |
| 87806 |
|
86 |
73 |
$41.67 |
| 85045 |
|
309 |
244 |
$38.27 |
| 80143 |
|
776 |
717 |
$35.71 |
| 80179 |
|
720 |
680 |
$28.13 |
| 88304 |
|
215 |
194 |
$22.64 |
| 82553 |
|
28 |
28 |
$9.37 |
| 87075 |
|
41 |
38 |
$4.32 |
| 86803 |
|
32 |
24 |
$2.88 |
| 80074 |
|
47 |
43 |
$2.67 |
| 87425 |
|
17 |
12 |
$2.07 |
| 87177 |
|
17 |
13 |
$2.07 |
| 87340 |
|
16 |
15 |
$0.69 |
| 71101 |
|
16 |
12 |
$0.69 |
| 99406 |
|
329 |
281 |
$0.00 |
| 87389 |
|
92 |
86 |
$0.00 |
| 36430 |
|
14 |
12 |
$0.00 |
| J3490 |
Drugs unclassified injection |
702 |
485 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
43 |
29 |
$0.00 |
| G0257 |
Unsched dialysis esrd pt hos |
38 |
27 |
$0.00 |
| 77063 |
|
18 |
15 |
$0.00 |
| 82784 |
|
12 |
12 |
$0.00 |
| 86308 |
|
38 |
38 |
$0.00 |
| 86592 |
|
25 |
24 |
$0.00 |
| J1940 |
Furosemide injection |
21 |
12 |
$0.00 |
| J2920 |
Methylprednisolone injection |
25 |
16 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
18 |
12 |
$0.00 |
| 29105 |
|
14 |
12 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
14 |
14 |
$0.00 |
| 82010 |
|
31 |
28 |
$0.00 |
| J2930 |
Methylprednisolone injection |
52 |
41 |
$0.00 |
| M0247 |
Sotrovimab infusion |
17 |
14 |
$0.00 |
| J7040 |
Normal saline solution infus |
15 |
12 |
$0.00 |
| 82248 |
|
31 |
25 |
$0.00 |
| 90715 |
|
54 |
45 |
$0.00 |
| 29125 |
|
16 |
14 |
$0.00 |