| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
38,500 |
30,998 |
$5.37M |
| 99284 |
|
23,282 |
17,994 |
$4.22M |
| J9271 |
Inj pembrolizumab |
216 |
153 |
$1.39M |
| 96374 |
|
12,592 |
9,502 |
$1.19M |
| 99285 |
|
4,543 |
3,613 |
$1.11M |
| 87502 |
|
10,655 |
9,068 |
$718K |
| 87635 |
|
17,801 |
14,959 |
$634K |
| G0378 |
Hospital observation per hr |
1,396 |
992 |
$602K |
| 74177 |
|
3,290 |
2,779 |
$600K |
| 96365 |
|
5,562 |
4,017 |
$546K |
| 71045 |
|
11,292 |
8,812 |
$450K |
| 94640 |
|
3,379 |
2,255 |
$364K |
| 96372 |
|
10,135 |
7,719 |
$352K |
| 99282 |
|
3,788 |
3,324 |
$338K |
| 71046 |
|
6,967 |
5,885 |
$327K |
| 96375 |
|
9,909 |
6,931 |
$303K |
| 43239 |
|
864 |
777 |
$295K |
| 70450 |
|
5,397 |
4,409 |
$283K |
| 93005 |
|
11,865 |
8,996 |
$267K |
| 96413 |
|
1,616 |
956 |
$222K |
| C9803 |
Hopd covid-19 spec collect |
13,827 |
11,656 |
$214K |
| J0585 |
Injection,onabotulinumtoxina |
391 |
222 |
$200K |
| 80053 |
|
30,302 |
22,641 |
$183K |
| 74176 |
|
1,730 |
1,414 |
$182K |
| 80307 |
|
4,747 |
3,697 |
$176K |
| 96361 |
|
4,958 |
3,658 |
$172K |
| 97530 |
|
5,863 |
1,598 |
$167K |
| 87651 |
|
6,337 |
5,452 |
$165K |
| 99281 |
|
3,215 |
2,648 |
$150K |
| 96360 |
|
1,347 |
992 |
$127K |
| G0480 |
Drug test def 1-7 classes |
2,033 |
1,649 |
$127K |
| 85025 |
|
27,078 |
19,999 |
$117K |
| 88305 |
|
2,126 |
1,407 |
$112K |
| 86900 |
|
1,968 |
1,531 |
$109K |
| 92507 |
|
1,872 |
697 |
$109K |
| 97110 |
|
4,970 |
1,413 |
$108K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,714 |
1,531 |
$103K |
| 97112 |
|
3,405 |
1,009 |
$87K |
| 87633 |
|
282 |
252 |
$86K |
| 72100 |
|
1,525 |
1,233 |
$76K |
| 74018 |
|
1,498 |
1,254 |
$75K |
| 93306 |
|
458 |
348 |
$73K |
| 73630 |
|
1,618 |
1,306 |
$73K |
| 73560 |
|
1,776 |
1,330 |
$69K |
| G0463 |
Hospital outpt clinic visit |
4,007 |
3,203 |
$68K |
| 72125 |
|
1,566 |
1,256 |
$67K |
| 71260 |
|
824 |
705 |
$66K |
| 73610 |
|
1,299 |
1,078 |
$62K |
| 73130 |
|
1,315 |
1,048 |
$62K |
| 83880 |
|
3,660 |
2,765 |
$61K |
| 87804 |
|
4,364 |
2,035 |
$58K |
| 76801 |
|
885 |
685 |
$58K |
| 76705 |
|
936 |
802 |
$56K |
| 73030 |
|
1,397 |
1,104 |
$53K |
| 96366 |
|
1,667 |
1,091 |
$50K |
| 36415 |
|
15,732 |
12,539 |
$47K |
| 87807 |
|
4,556 |
3,923 |
$47K |
| 84484 |
|
7,562 |
5,130 |
$46K |
| 84703 |
|
8,668 |
7,037 |
$44K |
| 87086 |
|
8,794 |
7,023 |
$43K |
| 86850 |
|
1,234 |
948 |
$43K |
| 84443 |
|
4,417 |
3,697 |
$42K |
| 73110 |
|
898 |
709 |
$41K |
| 81001 |
|
20,576 |
16,024 |
$40K |
| 99212 |
|
3,433 |
2,782 |
$38K |
| 87400 |
|
2,045 |
1,535 |
$38K |
| 74022 |
|
539 |
451 |
$35K |
| 73721 |
|
250 |
197 |
$35K |
| 78815 |
|
47 |
44 |
$34K |
| 87491 |
|
1,393 |
1,166 |
$33K |
| 87591 |
|
1,393 |
1,166 |
$33K |
| 87880 |
|
2,761 |
2,297 |
$33K |
| 86901 |
|
1,970 |
1,532 |
$33K |
| 97140 |
|
1,787 |
502 |
$32K |
| 85027 |
|
8,197 |
5,954 |
$31K |
| 45380 |
|
52 |
51 |
$26K |
| 83690 |
|
6,368 |
4,957 |
$26K |
| 76856 |
|
380 |
323 |
$25K |
| 84702 |
|
2,268 |
1,670 |
$23K |
| 96367 |
|
655 |
384 |
$23K |
| 87070 |
|
3,513 |
2,887 |
$22K |
| 93971 |
|
494 |
422 |
$22K |
| 80048 |
|
4,956 |
3,965 |
$21K |
| 87661 |
|
1,174 |
992 |
$21K |
| 72040 |
|
518 |
419 |
$21K |
| 73502 |
|
644 |
498 |
$20K |
| 87088 |
|
3,771 |
2,972 |
$19K |
| 87040 |
|
3,027 |
1,641 |
$19K |
| 80061 |
|
2,409 |
2,078 |
$18K |
| 74021 |
|
297 |
218 |
$18K |
| 20610 |
|
220 |
159 |
$18K |
| 87186 |
|
3,155 |
2,448 |
$18K |
| 88312 |
|
679 |
596 |
$17K |
| 87077 |
|
3,241 |
2,531 |
$17K |
| 97116 |
|
677 |
285 |
$15K |
| 83605 |
|
2,546 |
1,919 |
$15K |
| D7140 |
|
14 |
14 |
$15K |
| 96417 |
|
467 |
273 |
$15K |
| 96416 |
|
99 |
57 |
$15K |
| 82306 |
|
855 |
763 |
$14K |
| 92526 |
|
205 |
95 |
$14K |
| 97533 |
|
279 |
135 |
$14K |
| 81025 |
|
2,427 |
1,804 |
$13K |
| 83036 |
|
2,515 |
2,154 |
$13K |
| 82550 |
|
3,652 |
2,770 |
$13K |
| 12001 |
|
129 |
95 |
$12K |
| 70486 |
|
212 |
183 |
$12K |
| 82553 |
|
2,329 |
1,638 |
$11K |
| 96415 |
|
318 |
240 |
$11K |
| 11042 |
|
68 |
27 |
$11K |
| 73590 |
|
230 |
177 |
$11K |
| 90471 |
|
467 |
377 |
$10K |
| 87505 |
|
128 |
124 |
$10K |
| 99202 |
|
514 |
485 |
$9K |
| 82728 |
|
1,164 |
1,017 |
$9K |
| 73070 |
|
189 |
153 |
$8K |
| 83735 |
|
2,614 |
1,963 |
$8K |
| 92523 |
|
47 |
46 |
$8K |
| 84439 |
|
1,363 |
1,218 |
$8K |
| 73090 |
|
163 |
133 |
$7K |
| 10060 |
|
87 |
54 |
$7K |
| J0897 |
Denosumab injection |
12 |
12 |
$7K |
| 74019 |
|
111 |
87 |
$7K |
| 88304 |
|
201 |
171 |
$7K |
| 76700 |
|
106 |
94 |
$7K |
| M0243 |
Casirivi and imdevi inj |
38 |
29 |
$7K |
| 76805 |
|
115 |
91 |
$7K |
| 86140 |
|
1,984 |
1,638 |
$6K |
| 85610 |
|
2,972 |
2,398 |
$6K |
| 85379 |
|
1,077 |
872 |
$6K |
| 71250 |
|
132 |
100 |
$6K |
| 85730 |
|
1,982 |
1,602 |
$6K |
| 95810 |
|
15 |
15 |
$6K |
| 73562 |
|
129 |
91 |
$5K |
| 97161 |
|
96 |
93 |
$5K |
| 82962 |
|
3,033 |
1,890 |
$5K |
| J1453 |
Fosaprepitant injection |
378 |
179 |
$4K |
| 70553 |
|
18 |
18 |
$4K |
| 97014 |
|
682 |
197 |
$4K |
| 85651 |
|
1,615 |
1,385 |
$4K |
| 95911 |
|
13 |
12 |
$4K |
| 12011 |
|
32 |
30 |
$4K |
| 73221 |
|
39 |
27 |
$4K |
| 87389 |
|
258 |
210 |
$4K |
| J2469 |
Palonosetron hcl |
702 |
346 |
$3K |
| 97162 |
|
63 |
62 |
$3K |
| D2930 |
|
54 |
48 |
$3K |
| Q5106 |
Inj retacrit non-esrd use |
35 |
14 |
$3K |
| 72148 |
|
44 |
25 |
$3K |
| 77067 |
|
60 |
59 |
$3K |
| 94060 |
|
24 |
24 |
$3K |
| 82607 |
|
346 |
310 |
$3K |
| 86481 |
|
53 |
34 |
$2K |
| 96523 |
|
126 |
81 |
$2K |
| 81003 |
|
1,806 |
1,386 |
$2K |
| 87075 |
|
356 |
282 |
$2K |
| 82248 |
|
570 |
391 |
$2K |
| 82803 |
|
145 |
110 |
$2K |
| 83540 |
|
549 |
489 |
$2K |
| 83550 |
|
411 |
373 |
$2K |
| 85007 |
|
768 |
535 |
$2K |
| 76536 |
|
42 |
40 |
$2K |
| 59025 |
|
13 |
13 |
$2K |
| 82247 |
|
451 |
309 |
$2K |
| 82570 |
|
628 |
520 |
$2K |
| 86738 |
|
153 |
135 |
$1K |
| 82043 |
|
484 |
408 |
$1K |
| 76641 |
|
13 |
13 |
$1K |
| D3220 |
|
55 |
47 |
$1K |
| 87205 |
|
416 |
326 |
$1K |
| 87210 |
|
300 |
241 |
$1K |
| J7050 |
Normal saline solution infus |
1,915 |
944 |
$1K |
| 83615 |
|
267 |
228 |
$982.25 |
| 83970 |
|
56 |
53 |
$977.34 |
| 73140 |
|
15 |
15 |
$895.42 |
| J7030 |
Normal saline solution infus |
4,951 |
3,455 |
$895.39 |
| J1756 |
Iron sucrose injection |
161 |
84 |
$848.99 |
| 76870 |
|
12 |
12 |
$818.63 |
| J0640 |
Leucovorin calcium injection |
89 |
30 |
$813.60 |
| 99211 |
|
165 |
125 |
$806.67 |
| 72170 |
|
12 |
12 |
$783.80 |
| 82784 |
|
84 |
70 |
$722.43 |
| 86803 |
|
93 |
76 |
$718.38 |
| J9190 |
Fluorouracil injection |
181 |
45 |
$665.28 |
| 83655 |
|
64 |
60 |
$652.99 |
| 80076 |
|
126 |
118 |
$570.53 |
| 87209 |
|
42 |
39 |
$551.48 |
| J1100 |
Dexamethasone sodium phos |
5,165 |
3,751 |
$540.35 |
| 87426 |
|
31 |
27 |
$533.72 |
| 73060 |
|
13 |
12 |
$510.88 |
| 71101 |
|
14 |
12 |
$510.86 |
| 85045 |
|
192 |
154 |
$510.07 |
| 85018 |
|
465 |
341 |
$500.50 |
| 84100 |
|
168 |
135 |
$487.16 |
| 87798 |
|
13 |
13 |
$473.70 |
| 80074 |
|
13 |
12 |
$396.25 |
| 87581 |
|
12 |
12 |
$378.96 |
| 87486 |
|
12 |
12 |
$378.96 |
| 87449 |
|
59 |
24 |
$365.93 |
| Q9969 |
Non-heu tc-99m add-on/dose |
78 |
71 |
$362.30 |
| 80069 |
|
85 |
73 |
$331.93 |
| 84550 |
|
129 |
108 |
$320.97 |
| 86677 |
|
29 |
25 |
$274.56 |
| 87177 |
|
42 |
39 |
$273.03 |
| 82746 |
|
29 |
29 |
$264.38 |
| 96411 |
|
14 |
12 |
$256.47 |
| 83993 |
|
15 |
14 |
$226.45 |
| J7060 |
5% dextrose/water |
594 |
185 |
$218.83 |
| J7040 |
Normal saline solution infus |
647 |
487 |
$208.65 |
| 82375 |
|
31 |
25 |
$200.50 |
| 36591 |
|
296 |
203 |
$154.22 |
| 82810 |
|
31 |
24 |
$150.15 |
| J2916 |
Na ferric gluconate complex |
60 |
18 |
$149.24 |
| 82009 |
|
53 |
39 |
$135.20 |
| J1200 |
Diphenhydramine hcl injectio |
1,765 |
1,166 |
$134.30 |
| 83050 |
|
32 |
25 |
$133.44 |
| 86308 |
|
46 |
29 |
$129.61 |
| J2919 |
Inj, methylpred sod succ 5mg |
286 |
202 |
$120.77 |
| 85652 |
|
72 |
71 |
$109.45 |
| J0696 |
Ceftriaxone sodium injection |
4,070 |
3,174 |
$106.25 |
| J1170 |
Hydromorphone injection |
3,367 |
2,022 |
$97.70 |
| 86038 |
|
12 |
12 |
$87.92 |
| 82565 |
|
52 |
52 |
$83.90 |
| J2550 |
Promethazine hcl injection |
2,590 |
1,733 |
$71.49 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,982 |
4,016 |
$68.27 |
| 82378 |
|
17 |
14 |
$68.24 |
| J2060 |
Lorazepam injection |
859 |
629 |
$66.48 |
| A9270 |
Non-covered item or service |
3,391 |
1,324 |
$51.38 |
| J2920 |
Methylprednisolone injection |
155 |
103 |
$49.92 |
| 82270 |
|
18 |
12 |
$48.78 |
| 82150 |
|
14 |
14 |
$47.65 |
| J3010 |
Fentanyl citrate injection |
2,242 |
1,766 |
$46.06 |
| J0171 |
Adrenalin epinephrine inject |
82 |
76 |
$45.16 |
| 86592 |
|
16 |
13 |
$38.72 |
| J1456 |
Inj, fosaprepitant (teva) |
22 |
14 |
$32.76 |
| J1940 |
Furosemide injection |
418 |
268 |
$32.50 |
| 84520 |
|
33 |
33 |
$30.84 |
| J7120 |
Ringers lactate infusion |
1,767 |
1,323 |
$30.01 |
| 84156 |
|
13 |
12 |
$28.17 |
| J2930 |
Methylprednisolone injection |
947 |
715 |
$25.38 |
| 84145 |
|
521 |
445 |
$24.28 |
| J0134 |
Inj acetaminophen -fresenius |
871 |
738 |
$23.30 |
| 99152 |
|
35 |
32 |
$19.99 |
| J0690 |
Cefazolin sodium injection |
1,126 |
794 |
$15.62 |
| J0330 |
Succinycholine chloride inj |
791 |
633 |
$13.10 |
| J0461 |
Atropine sulfate injection |
116 |
104 |
$9.60 |
| 96376 |
|
1,936 |
1,218 |
$8.50 |
| J2175 |
Meperidine hydrochl /100 mg |
988 |
704 |
$3.95 |
| 36592 |
|
448 |
347 |
$3.41 |
| J1644 |
Inj heparin sodium per 1000u |
31 |
25 |
$3.26 |
| J0780 |
Prochlorperazine injection |
146 |
127 |
$3.22 |
| 94760 |
|
111 |
77 |
$3.10 |
| J2795 |
Ropivacaine hcl injection |
89 |
81 |
$2.78 |
| C9113 |
Inj pantoprazole sodium, via |
152 |
117 |
$2.65 |
| 95874 |
|
172 |
152 |
$2.64 |
| 77063 |
|
34 |
33 |
$2.58 |
| J3420 |
Vitamin b12 injection |
38 |
27 |
$2.09 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
126 |
124 |
$1.14 |
| J2370 |
Phenylephrine hcl injection |
38 |
24 |
$0.83 |
| J2765 |
Metoclopramide hcl injection |
277 |
225 |
$0.76 |
| J3480 |
Inj potassium chloride |
42 |
28 |
$0.71 |
| J1815 |
Insulin injection |
284 |
158 |
$0.23 |
| J1885 |
Ketorolac tromethamine inj |
602 |
496 |
$0.00 |
| 96368 |
|
253 |
162 |
$0.00 |
| Q0162 |
Ondansetron oral |
594 |
504 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
280 |
214 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
107 |
91 |
$0.00 |
| 95886 |
|
30 |
29 |
$0.00 |
| J3360 |
Diazepam injection |
88 |
65 |
$0.00 |
| 86258 |
|
25 |
12 |
$0.00 |
| 80329 |
|
362 |
226 |
$0.00 |
| 80320 |
|
364 |
232 |
$0.00 |
| A9698 |
Non-rad contrast materialnoc |
121 |
98 |
$0.00 |
| J2360 |
Orphenadrine injection |
14 |
14 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
16 |
13 |
$0.00 |
| 36416 |
|
16 |
12 |
$0.00 |
| 86364 |
|
28 |
15 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
46 |
38 |
$0.00 |
| C1769 |
Guide wire |
13 |
13 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
79 |
66 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
1,269 |
930 |
$0.00 |
| 90715 |
|
323 |
261 |
$0.00 |
| J2270 |
Morphine sulfate injection |
476 |
368 |
$0.00 |
| 94729 |
|
13 |
13 |
$0.00 |
| A9552 |
F18 fdg |
44 |
41 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
163 |
144 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
13 |
12 |
$0.00 |