| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
28,536 |
24,869 |
$9.56M |
| 99284 |
|
29,855 |
26,922 |
$6.17M |
| 74177 |
|
7,907 |
7,273 |
$4.51M |
| 99283 |
|
17,908 |
16,734 |
$3.31M |
| 74176 |
|
4,334 |
3,966 |
$1.50M |
| 70450 |
|
9,674 |
8,740 |
$799K |
| 72125 |
|
3,444 |
3,148 |
$539K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
559 |
483 |
$491K |
| G0378 |
Hospital observation per hr |
19,603 |
9,705 |
$473K |
| 99282 |
|
5,170 |
4,780 |
$452K |
| 43239 |
|
1,655 |
1,508 |
$447K |
| C1776 |
Joint device (implantable) |
296 |
250 |
$259K |
| 99214 |
|
1,668 |
1,303 |
$234K |
| 71275 |
|
2,629 |
2,444 |
$230K |
| 45380 |
|
692 |
627 |
$221K |
| 99291 |
|
265 |
240 |
$199K |
| 99213 |
|
1,733 |
1,512 |
$167K |
| 88305 |
|
6,608 |
4,255 |
$129K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,554 |
3,366 |
$117K |
| 93306 |
|
899 |
829 |
$104K |
| 47562 |
|
30 |
28 |
$91K |
| 99212 |
|
1,272 |
986 |
$91K |
| 80053 |
|
53,927 |
44,423 |
$78K |
| 74174 |
|
99 |
90 |
$66K |
| 93971 |
|
1,620 |
1,485 |
$65K |
| 99203 |
|
500 |
491 |
$50K |
| 70496 |
|
86 |
78 |
$49K |
| 93005 |
|
25,689 |
20,405 |
$43K |
| C1769 |
Guide wire |
1,849 |
1,623 |
$32K |
| 97110 |
|
405 |
131 |
$28K |
| 45378 |
|
73 |
66 |
$24K |
| 76819 |
|
883 |
681 |
$23K |
| 80320 |
|
5,808 |
5,259 |
$20K |
| 96361 |
|
6,025 |
5,228 |
$19K |
| 77067 |
|
418 |
408 |
$17K |
| 45385 |
|
84 |
77 |
$15K |
| J3490 |
Drugs unclassified injection |
37,940 |
13,710 |
$15K |
| 93970 |
|
92 |
87 |
$14K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
13,611 |
12,260 |
$13K |
| 96376 |
|
11,728 |
7,117 |
$13K |
| 70551 |
|
451 |
400 |
$10K |
| 71045 |
|
20,265 |
17,956 |
$10K |
| 93976 |
|
2,575 |
2,318 |
$10K |
| 96374 |
|
25,675 |
22,275 |
$10K |
| 96366 |
|
1,506 |
1,190 |
$9K |
| 88307 |
|
469 |
321 |
$9K |
| 96375 |
|
21,442 |
16,511 |
$8K |
| 80048 |
|
8,428 |
6,546 |
$7K |
| 80307 |
|
5,882 |
5,299 |
$7K |
| 76705 |
|
2,656 |
2,433 |
$7K |
| 49083 |
|
22 |
12 |
$6K |
| 71046 |
|
5,994 |
5,520 |
$6K |
| 76856 |
|
1,934 |
1,773 |
$6K |
| 85025 |
|
54,513 |
45,001 |
$5K |
| 96365 |
|
6,095 |
5,545 |
$5K |
| 70491 |
|
13 |
12 |
$5K |
| 70486 |
|
169 |
161 |
$5K |
| 76830 |
|
1,706 |
1,571 |
$4K |
| 86850 |
|
3,765 |
3,424 |
$4K |
| J2405 |
Ondansetron hcl injection |
25,806 |
20,488 |
$4K |
| 76815 |
|
645 |
593 |
$3K |
| 76642 |
|
53 |
52 |
$3K |
| 76817 |
|
2,099 |
1,866 |
$3K |
| 71250 |
|
102 |
91 |
$3K |
| 96372 |
|
10,108 |
6,680 |
$3K |
| 94640 |
|
4,217 |
2,961 |
$3K |
| 97530 |
|
2,921 |
1,654 |
$2K |
| 87636 |
|
5,277 |
4,963 |
$2K |
| 59025 |
|
44 |
26 |
$2K |
| A9585 |
Gadobutrol injection |
63 |
60 |
$2K |
| 72100 |
|
2,330 |
2,136 |
$2K |
| 84484 |
|
20,771 |
11,234 |
$2K |
| 88341 |
|
57 |
36 |
$2K |
| 87631 |
|
996 |
970 |
$2K |
| 12001 |
|
81 |
75 |
$2K |
| 96360 |
|
2,194 |
2,031 |
$2K |
| 76801 |
|
1,750 |
1,542 |
$2K |
| 81025 |
|
7,253 |
6,537 |
$2K |
| 99204 |
|
13 |
12 |
$1K |
| 83690 |
|
17,022 |
14,765 |
$1K |
| 70498 |
|
82 |
78 |
$1K |
| 71260 |
|
139 |
120 |
$1K |
| 74018 |
|
884 |
816 |
$1K |
| 73030 |
|
1,708 |
1,517 |
$1K |
| J8540 |
Oral dexamethasone |
237 |
188 |
$1K |
| 73562 |
|
2,147 |
1,812 |
$1K |
| 87086 |
|
8,454 |
7,662 |
$1K |
| 97535 |
|
2,881 |
1,809 |
$1K |
| 73630 |
|
1,561 |
1,395 |
$983.18 |
| 87040 |
|
5,407 |
2,710 |
$864.12 |
| J2704 |
Inj, propofol, 10 mg |
12,631 |
10,756 |
$821.21 |
| 82947 |
|
25,729 |
12,305 |
$757.88 |
| 84702 |
|
4,874 |
4,387 |
$702.76 |
| 73130 |
|
1,159 |
1,042 |
$669.06 |
| 83605 |
|
10,508 |
8,222 |
$658.52 |
| 83735 |
|
11,816 |
9,722 |
$642.03 |
| 72141 |
|
14 |
12 |
$624.87 |
| 81001 |
|
15,926 |
14,181 |
$616.32 |
| J2270 |
Morphine sulfate injection |
13,799 |
9,789 |
$551.91 |
| 85027 |
|
8,495 |
6,507 |
$478.92 |
| 84703 |
|
9,923 |
9,122 |
$459.28 |
| 87635 |
|
1,517 |
1,475 |
$401.67 |
| J7030 |
Normal saline solution infus |
13,492 |
10,967 |
$391.62 |
| G0480 |
Drug test def 1-7 classes |
607 |
544 |
$389.61 |
| 80329 |
|
843 |
707 |
$379.06 |
| 73610 |
|
1,128 |
1,012 |
$376.71 |
| J1885 |
Ketorolac tromethamine inj |
12,686 |
10,689 |
$364.83 |
| 73502 |
|
813 |
718 |
$361.66 |
| 84443 |
|
3,061 |
2,813 |
$360.90 |
| 85610 |
|
10,045 |
8,509 |
$320.03 |
| 87804 |
|
2,686 |
1,286 |
$276.11 |
| J8597 |
Antiemetic drug oral nos |
3,662 |
3,126 |
$269.88 |
| 85379 |
|
2,668 |
2,501 |
$244.33 |
| 87088 |
|
5,865 |
5,154 |
$231.34 |
| J8499 |
Oral prescrip drug non chemo |
47,165 |
12,255 |
$219.60 |
| 83880 |
|
3,287 |
2,912 |
$215.33 |
| 73110 |
|
481 |
429 |
$211.11 |
| J0696 |
Ceftriaxone sodium injection |
3,991 |
3,187 |
$199.35 |
| 81003 |
|
7,866 |
7,185 |
$168.00 |
| 87186 |
|
2,269 |
1,996 |
$164.26 |
| 85055 |
|
778 |
542 |
$154.49 |
| 74022 |
|
136 |
129 |
$151.63 |
| J1100 |
Dexamethasone sodium phos |
8,174 |
7,374 |
$135.56 |
| 74021 |
|
211 |
188 |
$131.84 |
| 87880 |
|
1,565 |
1,494 |
$131.44 |
| 86769 |
|
569 |
551 |
$129.53 |
| 87077 |
|
2,717 |
2,295 |
$129.09 |
| 82550 |
|
2,688 |
2,329 |
$127.67 |
| J0690 |
Cefazolin sodium injection |
5,912 |
4,041 |
$121.78 |
| 85730 |
|
3,186 |
2,844 |
$112.76 |
| 87651 |
|
297 |
291 |
$107.12 |
| 80061 |
|
549 |
497 |
$105.35 |
| J3010 |
Fentanyl citrate injection |
15,528 |
12,286 |
$103.48 |
| 90715 |
|
803 |
767 |
$99.66 |
| U0005 |
Infec agen detec ampli probe |
1,993 |
1,869 |
$97.92 |
| 86140 |
|
1,763 |
1,556 |
$95.94 |
| C2617 |
Stent, non-cor, tem w/o del |
66 |
60 |
$94.76 |
| 97161 |
|
2,159 |
1,907 |
$94.51 |
| 82728 |
|
56 |
53 |
$87.87 |
| J2060 |
Lorazepam injection |
3,413 |
2,576 |
$84.64 |
| 97140 |
|
78 |
29 |
$80.75 |
| 86901 |
|
4,469 |
4,030 |
$79.02 |
| 73080 |
|
123 |
119 |
$78.15 |
| J2765 |
Metoclopramide hcl injection |
3,022 |
2,560 |
$66.38 |
| 85652 |
|
858 |
764 |
$65.06 |
| A9270 |
Non-covered item or service |
66,988 |
7,454 |
$64.34 |
| J0360 |
Hydralazine hcl injection |
1,161 |
838 |
$63.45 |
| J1200 |
Diphenhydramine hcl injectio |
4,040 |
3,371 |
$62.04 |
| 86900 |
|
3,981 |
3,629 |
$60.01 |
| 84100 |
|
766 |
601 |
$56.00 |
| 84156 |
|
454 |
332 |
$54.04 |
| J7120 |
Ringers lactate infusion |
6,459 |
5,679 |
$50.42 |
| 87491 |
|
351 |
328 |
$46.99 |
| 87591 |
|
349 |
327 |
$46.91 |
| 90471 |
|
823 |
784 |
$41.80 |
| J3475 |
Inj magnesium sulfate |
1,714 |
1,449 |
$39.72 |
| J1815 |
Insulin injection |
5,629 |
2,252 |
$39.19 |
| 87807 |
|
360 |
349 |
$37.10 |
| G0008 |
Admin influenza virus vac |
178 |
152 |
$36.00 |
| 83036 |
|
606 |
572 |
$32.36 |
| 88342 |
|
1,130 |
970 |
$27.12 |
| 84132 |
|
981 |
800 |
$25.30 |
| J2550 |
Promethazine hcl injection |
2,481 |
1,922 |
$24.95 |
| 87081 |
|
783 |
745 |
$24.56 |
| 90686 |
|
205 |
178 |
$23.49 |
| 76775 |
|
28 |
26 |
$22.98 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,508 |
1,242 |
$20.58 |
| J1956 |
Levofloxacin injection |
386 |
287 |
$20.53 |
| 84112 |
|
239 |
219 |
$20.29 |
| J1170 |
Hydromorphone injection |
3,304 |
2,774 |
$19.94 |
| J7040 |
Normal saline solution infus |
1,752 |
1,513 |
$19.67 |
| 84550 |
|
523 |
401 |
$17.62 |
| J7999 |
Compounded drug, noc |
938 |
828 |
$17.34 |
| 73560 |
|
112 |
97 |
$16.62 |
| 97116 |
|
1,109 |
680 |
$16.42 |
| J2710 |
Neostigmine methylslfte inj |
1,402 |
1,246 |
$12.74 |
| 82140 |
|
59 |
54 |
$11.65 |
| 88304 |
|
732 |
659 |
$10.90 |
| J0330 |
Succinycholine chloride inj |
3,238 |
2,756 |
$10.10 |
| 82010 |
|
40 |
30 |
$9.90 |
| 82565 |
|
510 |
402 |
$8.65 |
| J2470 |
Inj pantoprazole sodium 40mg |
121 |
68 |
$8.33 |
| J1650 |
Inj enoxaparin sodium |
2,625 |
1,278 |
$7.78 |
| J0171 |
Adrenalin epinephrine inject |
34 |
32 |
$7.30 |
| J1940 |
Furosemide injection |
168 |
109 |
$5.61 |
| J2930 |
Methylprednisolone injection |
1,129 |
971 |
$5.49 |
| J2543 |
Piperacillin/tazobactam |
1,039 |
536 |
$4.72 |
| J2370 |
Phenylephrine hcl injection |
618 |
554 |
$3.85 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
324 |
247 |
$3.77 |
| J2250 |
Inj midazolam hydrochloride |
7,116 |
6,455 |
$3.14 |
| 87210 |
|
404 |
374 |
$2.85 |
| C9113 |
Inj pantoprazole sodium, via |
1,856 |
1,059 |
$1.76 |
| 99152 |
|
98 |
80 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
123 |
88 |
$0.00 |
| J0780 |
Prochlorperazine injection |
290 |
229 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
831 |
411 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
194 |
188 |
$0.00 |
| 84450 |
|
106 |
77 |
$0.00 |
| 82570 |
|
92 |
76 |
$0.00 |
| Q0114 |
Fern test |
86 |
81 |
$0.00 |
| 29125 |
|
38 |
37 |
$0.00 |
| J0744 |
Ciprofloxacin iv |
36 |
25 |
$0.00 |
| 84460 |
|
119 |
90 |
$0.00 |
| 96367 |
|
150 |
139 |
$0.00 |
| C1729 |
Cath, drainage |
294 |
188 |
$0.00 |
| 84520 |
|
139 |
101 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
277 |
173 |
$0.00 |
| 12011 |
|
14 |
12 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
845 |
794 |
$0.00 |
| 84466 |
|
56 |
52 |
$0.00 |
| 73590 |
|
49 |
45 |
$0.00 |
| J0735 |
Clonidine hydrochloride |
12 |
12 |
$0.00 |
| Q0245 |
Bamlanivimab and etesevima |
24 |
23 |
$0.00 |
| 83540 |
|
56 |
52 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
101 |
96 |
$0.00 |
| 85007 |
|
13 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
43 |
34 |
$0.00 |
| 84439 |
|
27 |
26 |
$0.00 |
| G0279 |
Tomosynthesis, mammo |
27 |
27 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
80 |
76 |
$0.00 |
| M0239 |
Bamlanivimab-xxxx infusion |
19 |
17 |
$0.00 |
| 76937 |
|
16 |
13 |
$0.00 |
| 82805 |
|
29 |
25 |
$0.00 |
| G8978 |
Mobility current status |
19 |
12 |
$0.00 |
| Q0239 |
Bamlanivimab-xxxx |
19 |
17 |
$0.00 |
| C1758 |
Catheter, ureteral |
15 |
13 |
$0.00 |
| 84145 |
|
13 |
12 |
$0.00 |
| G8979 |
Mobility goal status |
17 |
13 |
$0.00 |
| M0245 |
Bamlan and etesev infusion |
24 |
23 |
$0.00 |
| 94760 |
|
511 |
273 |
$0.00 |
| 97162 |
|
43 |
29 |
$0.00 |
| 97165 |
|
258 |
234 |
$0.00 |
| 82553 |
|
14 |
14 |
$0.00 |
| 77063 |
|
397 |
388 |
$0.00 |
| J3480 |
Inj potassium chloride |
279 |
217 |
$0.00 |
| 87205 |
|
378 |
280 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
100 |
97 |
$0.00 |
| 71101 |
|
31 |
25 |
$0.00 |
| 43264 |
|
30 |
25 |
$0.00 |
| J2001 |
Lidocaine injection |
1,981 |
1,689 |
$0.00 |
| 72072 |
|
12 |
12 |
$0.00 |
| J1630 |
Haloperidol injection |
16 |
12 |
$0.00 |
| 72170 |
|
15 |
15 |
$0.00 |
| 87070 |
|
101 |
78 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
91 |
80 |
$0.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
66 |
40 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
124 |
109 |
$0.00 |
| 85018 |
|
44 |
26 |
$0.00 |
| M0243 |
Casirivi and imdevi inj |
105 |
99 |
$0.00 |
| 73552 |
|
13 |
13 |
$0.00 |
| L8699 |
Prosthetic implant nos |
17 |
13 |
$0.00 |
| 72040 |
|
45 |
42 |
$0.00 |
| 87147 |
|
35 |
32 |
$0.00 |
| 87184 |
|
13 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
176 |
159 |
$0.00 |
| J3360 |
Diazepam injection |
22 |
16 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
74 |
41 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
15 |
15 |
$0.00 |
| 82607 |
|
18 |
12 |
$0.00 |