| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
140,809 |
120,214 |
$22.14M |
| 99284 |
|
70,377 |
57,580 |
$14.97M |
| 99282 |
|
100,258 |
89,223 |
$8.40M |
| G0463 |
Hospital outpt clinic visit |
70,517 |
60,979 |
$2.92M |
| G0378 |
Hospital observation per hr |
10,001 |
6,091 |
$2.67M |
| 0241U |
|
16,736 |
14,987 |
$2.53M |
| 99285 |
|
5,533 |
4,461 |
$1.55M |
| 93005 |
|
59,572 |
42,494 |
$1.26M |
| 70450 |
|
5,134 |
4,115 |
$1.07M |
| 76811 |
|
5,579 |
5,143 |
$1.02M |
| 96374 |
|
21,574 |
17,336 |
$958K |
| 99213 |
|
37,966 |
32,560 |
$917K |
| 99214 |
|
33,726 |
28,845 |
$885K |
| 80053 |
|
114,146 |
84,934 |
$871K |
| 87633 |
|
3,558 |
3,027 |
$796K |
| 76816 |
|
6,810 |
5,433 |
$674K |
| 71046 |
|
16,523 |
13,873 |
$612K |
| 96372 |
|
29,056 |
20,704 |
$554K |
| 85027 |
|
99,915 |
75,423 |
$507K |
| 80307 |
|
11,834 |
9,502 |
$493K |
| J3490 |
Drugs unclassified injection |
257,738 |
71,325 |
$488K |
| 87428 |
|
6,085 |
5,746 |
$480K |
| 76819 |
|
6,909 |
3,304 |
$479K |
| 96413 |
|
8,083 |
3,616 |
$477K |
| 81025 |
|
55,668 |
47,869 |
$404K |
| 99212 |
|
21,731 |
16,082 |
$391K |
| 71045 |
|
15,154 |
12,106 |
$333K |
| 36415 |
|
178,134 |
119,949 |
$309K |
| 87635 |
|
5,396 |
4,593 |
$299K |
| 85025 |
|
49,212 |
33,649 |
$291K |
| 84484 |
|
45,675 |
24,299 |
$283K |
| 87880 |
|
17,666 |
15,668 |
$265K |
| 96375 |
|
9,937 |
5,778 |
$250K |
| 76805 |
|
1,780 |
1,649 |
$247K |
| 80048 |
|
33,625 |
24,860 |
$216K |
| J1439 |
Inj ferric carboxymaltos 1mg |
210 |
102 |
$205K |
| 87798 |
|
6,335 |
3,043 |
$198K |
| 78452 |
|
385 |
305 |
$180K |
| 83036 |
|
16,223 |
14,429 |
$174K |
| 87651 |
|
4,059 |
3,849 |
$158K |
| 87804 |
|
12,080 |
10,865 |
$142K |
| 74176 |
|
272 |
217 |
$137K |
| 87491 |
|
5,589 |
4,925 |
$136K |
| 87591 |
|
5,590 |
4,924 |
$136K |
| 81001 |
|
43,803 |
36,295 |
$133K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,782 |
1,540 |
$129K |
| 87486 |
|
3,562 |
3,030 |
$126K |
| 87581 |
|
3,559 |
3,029 |
$124K |
| 11042 |
|
1,458 |
825 |
$112K |
| 82947 |
|
29,056 |
20,369 |
$111K |
| 83690 |
|
17,729 |
14,569 |
$108K |
| 87070 |
|
10,747 |
9,435 |
$105K |
| A9270 |
Non-covered item or service |
106,881 |
33,011 |
$102K |
| 99205 |
Prolong outpt/office vis |
1,122 |
1,080 |
$92K |
| 0002A |
|
1,542 |
1,426 |
$82K |
| 84443 |
|
5,225 |
4,486 |
$80K |
| 96361 |
|
817 |
594 |
$80K |
| 0001A |
|
1,575 |
1,476 |
$75K |
| 74177 |
|
101 |
81 |
$67K |
| 94640 |
|
1,398 |
1,223 |
$65K |
| 93017 |
|
453 |
352 |
$56K |
| 74018 |
|
1,008 |
918 |
$56K |
| 87389 |
|
2,054 |
1,900 |
$52K |
| Q0162 |
Ondansetron oral |
3,696 |
3,024 |
$52K |
| 92507 |
|
887 |
298 |
$50K |
| J1453 |
Fosaprepitant injection |
377 |
180 |
$50K |
| 87088 |
|
5,254 |
4,626 |
$45K |
| 99204 |
|
765 |
744 |
$44K |
| 96365 |
|
941 |
553 |
$40K |
| 82306 |
|
1,076 |
1,007 |
$40K |
| J2469 |
Palonosetron hcl |
466 |
221 |
$37K |
| J1100 |
Dexamethasone sodium phos |
8,159 |
5,580 |
$37K |
| 93306 |
|
208 |
171 |
$36K |
| 81002 |
|
12,217 |
9,760 |
$34K |
| 81003 |
|
12,190 |
10,270 |
$34K |
| 96376 |
|
416 |
251 |
$32K |
| J7120 |
Ringers lactate infusion |
4,230 |
2,977 |
$32K |
| 87086 |
|
4,267 |
3,535 |
$31K |
| 88175 |
|
1,233 |
1,039 |
$31K |
| J1050 |
Medroxyprogesterone acetate |
1,499 |
1,288 |
$30K |
| 99211 |
|
1,872 |
1,525 |
$29K |
| 81220 |
|
104 |
99 |
$29K |
| U0005 |
Infec agen detec ampli probe |
935 |
831 |
$29K |
| 80061 |
|
2,876 |
2,267 |
$28K |
| J1885 |
Ketorolac tromethamine inj |
8,869 |
6,948 |
$28K |
| 84439 |
|
2,802 |
2,507 |
$27K |
| 84702 |
|
2,717 |
2,395 |
$27K |
| 76801 |
|
169 |
151 |
$26K |
| G0480 |
Drug test def 1-7 classes |
1,118 |
834 |
$25K |
| 83735 |
|
5,222 |
3,513 |
$24K |
| 97110 |
|
426 |
127 |
$23K |
| 88307 |
|
130 |
122 |
$23K |
| A9500 |
Tc99m sestamibi |
385 |
305 |
$23K |
| 87426 |
|
911 |
744 |
$23K |
| 82728 |
|
2,038 |
1,630 |
$22K |
| J2785 |
Regadenoson injection |
277 |
201 |
$22K |
| 76820 |
|
548 |
246 |
$22K |
| 80320 |
|
839 |
719 |
$20K |
| 96367 |
|
774 |
345 |
$19K |
| 95810 |
|
48 |
31 |
$17K |
| 85730 |
|
4,534 |
3,523 |
$16K |
| 87400 |
|
1,051 |
719 |
$15K |
| 85018 |
|
5,409 |
5,250 |
$13K |
| 11043 |
|
104 |
63 |
$12K |
| 90837 |
|
346 |
249 |
$12K |
| 76817 |
|
99 |
81 |
$12K |
| 85610 |
|
5,335 |
4,034 |
$12K |
| 87807 |
|
611 |
575 |
$11K |
| 86592 |
|
2,436 |
2,251 |
$11K |
| J7030 |
Normal saline solution infus |
2,922 |
1,879 |
$11K |
| 72125 |
|
48 |
41 |
$11K |
| 0003A |
|
222 |
207 |
$11K |
| 99244 |
|
750 |
699 |
$9K |
| 99241 |
|
1,186 |
1,166 |
$9K |
| J1642 |
Inj heparin sodium per 10 u |
13,263 |
6,099 |
$9K |
| 99215 |
Prolong outpt/office vis |
149 |
142 |
$9K |
| J7510 |
Prednisolone oral per 5 mg |
2,945 |
2,645 |
$8K |
| 0071A |
|
143 |
136 |
$8K |
| 83550 |
|
1,291 |
956 |
$8K |
| 82077 |
|
5,729 |
2,665 |
$7K |
| 99245 |
|
338 |
324 |
$7K |
| 90834 |
|
271 |
215 |
$6K |
| 86850 |
|
510 |
469 |
$6K |
| 94664 |
|
189 |
180 |
$6K |
| 43264 |
|
16 |
12 |
$6K |
| 87420 |
|
446 |
408 |
$6K |
| 80143 |
|
3,671 |
1,141 |
$6K |
| 87210 |
|
1,236 |
1,072 |
$5K |
| 80179 |
|
3,534 |
1,114 |
$5K |
| 83615 |
|
1,717 |
1,275 |
$5K |
| J7040 |
Normal saline solution infus |
742 |
314 |
$5K |
| 11044 |
|
28 |
14 |
$5K |
| C1769 |
Guide wire |
52 |
37 |
$5K |
| 86376 |
|
277 |
268 |
$5K |
| 0072A |
|
78 |
78 |
$5K |
| 80329 |
|
362 |
267 |
$4K |
| 90471 |
|
521 |
474 |
$4K |
| 82607 |
|
258 |
222 |
$4K |
| J2704 |
Inj, propofol, 10 mg |
837 |
582 |
$4K |
| 43259 |
|
18 |
13 |
$4K |
| 95811 |
|
12 |
12 |
$4K |
| 86762 |
|
227 |
218 |
$4K |
| 86787 |
|
250 |
238 |
$3K |
| 82550 |
|
919 |
672 |
$3K |
| 94644 |
|
103 |
77 |
$3K |
| 96366 |
|
19 |
12 |
$3K |
| 29581 |
|
75 |
44 |
$3K |
| 88305 |
|
71 |
39 |
$3K |
| 86360 |
|
119 |
78 |
$3K |
| 83021 |
|
142 |
134 |
$3K |
| 86481 |
|
32 |
30 |
$3K |
| 90847 |
|
135 |
116 |
$2K |
| 94760 |
|
132 |
63 |
$2K |
| 86900 |
|
648 |
566 |
$2K |
| 86901 |
|
647 |
565 |
$2K |
| 90791 |
|
63 |
61 |
$2K |
| 99402 |
|
210 |
193 |
$2K |
| 74330 |
|
17 |
13 |
$2K |
| J1650 |
Inj enoxaparin sodium |
160 |
89 |
$2K |
| 80074 |
|
50 |
44 |
$2K |
| 0054A |
|
43 |
40 |
$2K |
| 73130 |
|
34 |
28 |
$2K |
| 87340 |
|
181 |
175 |
$2K |
| 87205 |
|
390 |
356 |
$2K |
| J3480 |
Inj potassium chloride |
203 |
144 |
$2K |
| 76705 |
|
19 |
12 |
$2K |
| 93296 |
|
75 |
72 |
$2K |
| 87077 |
|
263 |
213 |
$2K |
| 85007 |
|
747 |
478 |
$2K |
| C1877 |
Stent, non-coat/cov w/o del |
16 |
12 |
$2K |
| 0353U |
|
157 |
136 |
$2K |
| 99203 |
|
62 |
53 |
$2K |
| 90832 |
|
93 |
77 |
$1K |
| 84681 |
|
66 |
59 |
$1K |
| J2405 |
Ondansetron hcl injection |
678 |
483 |
$1K |
| 73090 |
|
14 |
12 |
$1K |
| 87536 |
|
141 |
93 |
$1K |
| 96417 |
|
35 |
13 |
$1K |
| 84145 |
|
38 |
36 |
$1K |
| 82677 |
|
43 |
38 |
$1K |
| 86140 |
|
151 |
143 |
$1K |
| 87624 |
|
50 |
44 |
$1K |
| 96360 |
|
13 |
12 |
$1K |
| 86255 |
|
69 |
66 |
$1K |
| 83516 |
|
69 |
66 |
$967.72 |
| 73562 |
|
21 |
16 |
$905.71 |
| 83525 |
|
47 |
41 |
$860.92 |
| J1200 |
Diphenhydramine hcl injectio |
206 |
98 |
$850.73 |
| 73610 |
|
12 |
12 |
$843.04 |
| 0004A |
|
20 |
14 |
$832.80 |
| 0052A |
|
20 |
19 |
$828.67 |
| 86336 |
|
43 |
38 |
$785.21 |
| 82784 |
|
69 |
66 |
$784.97 |
| 82105 |
|
43 |
38 |
$783.36 |
| 87661 |
|
37 |
32 |
$751.92 |
| 52310 |
|
12 |
12 |
$712.76 |
| 0053A |
|
13 |
13 |
$711.79 |
| 96402 |
|
33 |
25 |
$686.71 |
| 82043 |
|
129 |
121 |
$686.10 |
| J0696 |
Ceftriaxone sodium injection |
329 |
257 |
$681.19 |
| 72100 |
|
13 |
13 |
$680.68 |
| 83605 |
|
85 |
60 |
$680.38 |
| J3010 |
Fentanyl citrate injection |
152 |
115 |
$671.48 |
| 82570 |
|
129 |
121 |
$613.00 |
| 82553 |
|
109 |
74 |
$603.26 |
| J2270 |
Morphine sulfate injection |
198 |
141 |
$585.70 |
| 99243 |
|
51 |
50 |
$579.90 |
| 74019 |
|
12 |
12 |
$566.86 |
| 96415 |
|
12 |
12 |
$551.34 |
| 82950 |
|
91 |
90 |
$528.46 |
| 84466 |
|
64 |
52 |
$518.53 |
| 99202 |
|
28 |
25 |
$507.38 |
| J2060 |
Lorazepam injection |
278 |
120 |
$499.64 |
| 99281 |
|
27 |
18 |
$486.85 |
| G0008 |
Admin influenza virus vac |
35 |
33 |
$359.53 |
| 82180 |
|
39 |
27 |
$320.32 |
| 87040 |
|
24 |
24 |
$308.64 |
| 83880 |
|
16 |
12 |
$292.22 |
| 82248 |
|
106 |
79 |
$276.80 |
| J3105 |
Terbutaline sulfate inj |
17 |
13 |
$248.91 |
| J1630 |
Haloperidol injection |
67 |
45 |
$231.42 |
| 83540 |
|
46 |
28 |
$218.16 |
| 82565 |
|
64 |
58 |
$209.82 |
| J2250 |
Inj midazolam hydrochloride |
103 |
63 |
$203.72 |
| 95886 |
|
12 |
12 |
$170.04 |
| Q0177 |
Hydroxyzine pamoate 25mg |
254 |
143 |
$169.30 |
| 83921 |
|
14 |
12 |
$168.39 |
| 84100 |
|
87 |
34 |
$163.14 |
| 85014 |
|
93 |
68 |
$147.25 |
| 87220 |
|
28 |
26 |
$122.13 |
| 84156 |
|
18 |
14 |
$119.10 |
| 86403 |
|
12 |
12 |
$114.30 |
| J0690 |
Cefazolin sodium injection |
30 |
25 |
$109.45 |
| 87186 |
|
24 |
13 |
$96.93 |
| J7060 |
5% dextrose/water |
39 |
12 |
$79.69 |
| J2765 |
Metoclopramide hcl injection |
18 |
16 |
$59.53 |
| 83986 |
|
13 |
12 |
$47.64 |
| 51798 |
|
30 |
25 |
$40.28 |
| 90686 |
|
54 |
32 |
$3.22 |
| Q9969 |
Non-heu tc-99m add-on/dose |
289 |
230 |
$0.00 |
| 36591 |
|
33 |
13 |
$0.00 |
| G1004 |
Cdsm ndsc |
610 |
396 |
$0.00 |
| 01967 |
|
85 |
85 |
$0.00 |