| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
8,153 |
7,646 |
$2.05M |
| 99282 |
|
8,664 |
8,413 |
$1.10M |
| 99283 |
|
5,879 |
5,690 |
$1.09M |
| 99285 |
|
2,511 |
2,357 |
$938K |
| 74177 |
|
2,666 |
2,613 |
$459K |
| 99281 |
|
7,900 |
7,576 |
$428K |
| G0378 |
Hospital observation service, per hour |
2,065 |
1,443 |
$403K |
| 0450 |
|
5,460 |
4,521 |
$192K |
| 71046 |
|
5,192 |
5,079 |
$174K |
| 70450 |
|
3,353 |
3,222 |
$159K |
| 87637 |
|
3,428 |
3,330 |
$113K |
| 71045 |
|
4,472 |
4,242 |
$113K |
| 74176 |
|
867 |
852 |
$88K |
| 76705 |
|
1,204 |
1,185 |
$63K |
| 73630 |
|
2,129 |
1,917 |
$55K |
| 73610 |
|
1,653 |
1,543 |
$53K |
| 87635 |
|
3,677 |
3,503 |
$50K |
| 93005 |
|
8,682 |
7,941 |
$43K |
| 0270 |
|
3,170 |
2,643 |
$43K |
| 71275 |
|
198 |
197 |
$42K |
| 71260 |
|
566 |
562 |
$42K |
| 70551 |
|
383 |
380 |
$35K |
| 85025 |
|
21,688 |
17,846 |
$33K |
| 73030 |
|
998 |
917 |
$31K |
| 73130 |
|
1,061 |
926 |
$30K |
| 96374 |
|
4,067 |
3,788 |
$29K |
| 74018 |
|
790 |
732 |
$29K |
| 72148 |
|
309 |
308 |
$28K |
| 73564 |
|
474 |
353 |
$28K |
| 73110 |
|
803 |
718 |
$28K |
| 73560 |
|
783 |
718 |
$28K |
| 80051 |
|
14,481 |
12,373 |
$26K |
| 96361 |
|
2,527 |
2,407 |
$26K |
| 36415 |
|
21,938 |
17,670 |
$24K |
| 80307 |
|
1,211 |
1,088 |
$24K |
| 72100 |
|
525 |
525 |
$23K |
| 73140 |
|
492 |
472 |
$22K |
| 86900 |
|
1,181 |
1,109 |
$21K |
| 99199 |
|
363 |
315 |
$21K |
| 96375 |
|
3,299 |
3,086 |
$20K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
2,604 |
2,299 |
$16K |
| 82565 |
|
16,280 |
13,678 |
$15K |
| 96365 |
|
1,570 |
1,491 |
$14K |
| 78452 |
|
30 |
30 |
$14K |
| 70553 |
|
57 |
57 |
$14K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
704 |
690 |
$14K |
| 73721 |
|
93 |
92 |
$14K |
| 73502 |
|
296 |
287 |
$13K |
| J3490 |
Unclassified drugs |
4,469 |
2,660 |
$13K |
| 83880 |
|
2,367 |
2,240 |
$12K |
| 96366 |
|
151 |
145 |
$12K |
| 83690 |
|
8,407 |
7,778 |
$11K |
| 84460 |
|
10,646 |
9,257 |
$11K |
| 84484 |
|
5,352 |
4,736 |
$11K |
| 82247 |
|
10,947 |
9,355 |
$10K |
| 82947 |
|
14,551 |
12,423 |
$10K |
| 84520 |
|
14,522 |
12,407 |
$10K |
| 84450 |
|
9,980 |
8,757 |
$10K |
| 70491 |
|
43 |
43 |
$10K |
| 96372 |
|
1,579 |
1,466 |
$10K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
7,367 |
5,917 |
$9K |
| 73080 |
|
122 |
113 |
$9K |
| 86850 |
|
1,032 |
978 |
$9K |
| 80048 |
|
3,583 |
3,356 |
$8K |
| 84075 |
|
9,165 |
8,180 |
$8K |
| 81001 |
|
10,825 |
10,060 |
$7K |
| 76830 |
|
135 |
134 |
$7K |
| 73590 |
|
93 |
85 |
$7K |
| 86901 |
|
1,181 |
1,109 |
$6K |
| 73660 |
|
85 |
82 |
$6K |
| 72125 |
|
75 |
73 |
$6K |
| 83735 |
|
5,225 |
4,369 |
$6K |
| 84702 |
|
1,582 |
1,371 |
$6K |
| 76856 |
|
94 |
94 |
$6K |
| 82077 |
|
1,389 |
1,251 |
$6K |
| 87651 |
|
866 |
863 |
$5K |
| 80306 |
|
1,040 |
1,003 |
$5K |
| 70486 |
|
24 |
24 |
$5K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,943 |
1,904 |
$5K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
272 |
265 |
$4K |
| 88305 |
|
146 |
142 |
$4K |
| 87040 |
|
1,897 |
1,746 |
$4K |
| 93976 |
|
126 |
125 |
$4K |
| 0637 |
|
37,212 |
10,268 |
$4K |
| 0710 |
|
2,085 |
2,062 |
$4K |
| 72040 |
|
68 |
66 |
$4K |
| 83605 |
|
2,293 |
2,079 |
$4K |
| 87631 |
|
205 |
200 |
$4K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,780 |
3,290 |
$4K |
| 73562 |
|
80 |
66 |
$4K |
| 59025 |
|
109 |
95 |
$4K |
| 87636 |
|
155 |
154 |
$4K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
4,348 |
3,881 |
$4K |
| 84703 |
|
3,678 |
3,504 |
$4K |
| 99070 |
|
262 |
77 |
$3K |
| 71250 |
|
41 |
41 |
$3K |
| 93971 |
|
127 |
125 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,088 |
2,801 |
$3K |
| 94640 |
|
38 |
24 |
$3K |
| 81003 |
|
6,177 |
5,995 |
$3K |
| 96360 |
|
401 |
387 |
$3K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,783 |
1,375 |
$2K |
| 87088 |
|
2,125 |
2,028 |
$2K |
| 87591 |
|
235 |
228 |
$2K |
| 87491 |
|
235 |
228 |
$2K |
| 85610 |
|
3,696 |
3,134 |
$2K |
| 96376 |
|
674 |
619 |
$2K |
| 85652 |
|
3,512 |
3,410 |
$2K |
| 0250 |
|
7,243 |
3,617 |
$2K |
| 85379 |
|
1,195 |
1,170 |
$2K |
| 84100 |
|
2,618 |
2,347 |
$2K |
| 80179 |
|
500 |
474 |
$2K |
| 82248 |
|
1,031 |
779 |
$2K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
29 |
29 |
$1K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
928 |
826 |
$1K |
| 82962 |
|
3,547 |
2,870 |
$1K |
| 71101 |
|
12 |
12 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
988 |
761 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,230 |
1,143 |
$1K |
| 85027 |
|
837 |
725 |
$1K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
1,224 |
1,101 |
$1K |
| 87502 |
|
51 |
51 |
$996.32 |
| Z7502 |
|
224 |
208 |
$923.88 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
919 |
835 |
$889.92 |
| 84443 |
|
432 |
428 |
$880.65 |
| 86140 |
|
685 |
648 |
$830.44 |
| 84132 |
|
392 |
327 |
$756.92 |
| 0272 |
|
151 |
151 |
$711.71 |
| 72141 |
|
24 |
24 |
$630.00 |
| 82570 |
|
116 |
107 |
$576.40 |
| 85378 |
|
366 |
358 |
$485.88 |
| 82310 |
|
139 |
112 |
$358.38 |
| J2060 |
Injection, lorazepam, 2 mg |
295 |
261 |
$331.67 |
| 82550 |
|
270 |
247 |
$280.53 |
| 84156 |
|
99 |
93 |
$270.78 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
157 |
155 |
$234.73 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,110 |
999 |
$228.28 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,106 |
1,045 |
$200.31 |
| J1815 |
Injection, insulin, per 5 units |
480 |
187 |
$168.03 |
| 85730 |
|
109 |
107 |
$105.05 |
| 82803 |
|
39 |
38 |
$85.29 |
| 82040 |
|
116 |
105 |
$78.73 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
170 |
152 |
$78.59 |
| 87070 |
|
28 |
27 |
$56.08 |
| 83036 |
|
63 |
63 |
$55.62 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
69 |
67 |
$46.61 |
| 82728 |
|
12 |
12 |
$38.88 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
196 |
188 |
$32.21 |
| 87081 |
|
69 |
67 |
$31.96 |
| 87340 |
|
12 |
12 |
$28.26 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
169 |
162 |
$11.50 |
| J1940 |
Injection, furosemide, up to 20 mg |
25 |
14 |
$10.08 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
124 |
117 |
$9.45 |
| C1769 |
Guide wire |
82 |
79 |
$9.00 |
| 87324 |
|
19 |
19 |
$8.80 |
| 87449 |
|
19 |
19 |
$8.40 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
28 |
21 |
$6.14 |
| 85008 |
|
25 |
24 |
$2.60 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
37 |
37 |
$0.08 |
| 76376 |
|
107 |
107 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
14 |
12 |
$0.00 |
| 0370 |
|
1,841 |
1,823 |
$0.00 |
| 0258 |
|
243 |
213 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
46 |
37 |
$0.00 |
| 80320 |
|
35 |
32 |
$0.00 |
| 88304 |
|
12 |
12 |
$0.00 |
| 80349 |
|
13 |
12 |
$0.00 |