| Code | Description | Claims | Beneficiaries | Total Paid |
| 99199 |
|
10,251 |
9,582 |
$532K |
| 0450 |
|
56,586 |
50,865 |
$525K |
| 99213 |
|
70,684 |
57,595 |
$456K |
| Z7502 |
|
11,045 |
10,784 |
$414K |
| T1999 |
Noc retail items andsupplies |
6,007 |
4,211 |
$167K |
| 80053 |
|
43,215 |
40,442 |
$152K |
| 85025 |
|
51,748 |
48,241 |
$145K |
| 99214 |
|
19,674 |
17,401 |
$109K |
| U0003 |
Cov-19 amp prb hgh thruput |
5,653 |
5,420 |
$98K |
| 99215 |
Prolong outpt/office vis |
6,300 |
5,937 |
$74K |
| Z7610 |
|
5,114 |
4,862 |
$67K |
| 59025 |
|
8,645 |
4,384 |
$67K |
| 99212 |
|
16,325 |
14,537 |
$61K |
| 0360 |
|
2,774 |
2,252 |
$58K |
| Z7500 |
|
1,596 |
954 |
$54K |
| 93005 |
|
9,210 |
8,815 |
$49K |
| 87811 |
|
3,587 |
3,514 |
$41K |
| 87635 |
|
3,963 |
3,876 |
$34K |
| 76805 |
|
2,822 |
2,757 |
$33K |
| 74177 |
|
2,418 |
2,380 |
$32K |
| 96372 |
|
9,640 |
9,049 |
$31K |
| 76815 |
|
2,643 |
1,496 |
$27K |
| 71045 |
|
5,797 |
5,631 |
$26K |
| 80307 |
|
3,584 |
3,358 |
$25K |
| 96374 |
|
5,259 |
4,987 |
$25K |
| 81025 |
|
14,317 |
13,644 |
$23K |
| 70450 |
|
2,142 |
2,084 |
$22K |
| 81001 |
|
17,636 |
16,668 |
$21K |
| J1885 |
Ketorolac tromethamine inj |
13,500 |
12,344 |
$15K |
| 71046 |
|
6,041 |
5,948 |
$14K |
| 83690 |
|
7,634 |
7,259 |
$13K |
| 99203 |
|
2,091 |
2,086 |
$13K |
| U0005 |
Infec agen detec ampli probe |
1,763 |
1,724 |
$12K |
| Z9725 |
|
284 |
283 |
$12K |
| 93000 |
|
2,008 |
1,846 |
$12K |
| 90686 |
|
1,949 |
1,945 |
$12K |
| 84484 |
|
4,600 |
4,338 |
$11K |
| 80048 |
|
5,131 |
4,866 |
$11K |
| 0012A |
|
256 |
256 |
$10K |
| 84443 |
|
9,320 |
9,212 |
$10K |
| 81003 |
|
12,429 |
11,492 |
$9K |
| 80061 |
|
10,601 |
10,511 |
$9K |
| 0710 |
|
2,094 |
1,843 |
$9K |
| G0480 |
Drug test def 1-7 classes |
1,534 |
1,419 |
$8K |
| S3620 |
Newborn metabolic screening |
1,167 |
1,161 |
$8K |
| 83036 |
|
9,444 |
9,365 |
$8K |
| 87636 |
|
425 |
424 |
$8K |
| 47562 |
|
234 |
232 |
$7K |
| 0011A |
|
220 |
220 |
$7K |
| 96375 |
|
4,172 |
3,828 |
$7K |
| 96361 |
|
3,930 |
3,636 |
$6K |
| 87086 |
|
8,428 |
7,994 |
$6K |
| 90732 |
|
296 |
295 |
$6K |
| J3010 |
Fentanyl citrate injection |
3,734 |
2,621 |
$5K |
| A4217 |
Sterile water/saline, 500 ml |
2,740 |
2,644 |
$5K |
| 0769 |
|
154 |
81 |
$5K |
| 82306 |
|
6,143 |
6,109 |
$5K |
| 96365 |
|
1,751 |
1,632 |
$5K |
| 86318 |
|
1,888 |
1,874 |
$5K |
| 82948 |
|
5,076 |
4,623 |
$5K |
| 99283 |
|
720 |
680 |
$5K |
| 76705 |
|
1,659 |
1,614 |
$4K |
| 76856 |
|
3,290 |
3,271 |
$4K |
| 74176 |
|
991 |
969 |
$4K |
| 76700 |
|
3,044 |
3,028 |
$4K |
| J2405 |
Ondansetron hcl injection |
5,618 |
4,613 |
$4K |
| 85730 |
|
3,160 |
3,054 |
$4K |
| 96360 |
|
1,276 |
1,218 |
$4K |
| 90715 |
|
1,657 |
1,633 |
$3K |
| 90471 |
|
2,860 |
2,822 |
$3K |
| 87591 |
|
2,117 |
2,070 |
$3K |
| 87491 |
|
2,110 |
2,063 |
$3K |
| 85610 |
|
4,152 |
3,922 |
$3K |
| J7030 |
Normal saline solution infus |
2,056 |
1,610 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
1,915 |
1,814 |
$3K |
| 83880 |
|
876 |
844 |
$3K |
| 76770 |
|
910 |
902 |
$2K |
| J3490 |
Drugs unclassified injection |
13,776 |
9,438 |
$2K |
| J1100 |
Dexamethasone sodium phos |
2,287 |
2,169 |
$2K |
| 76830 |
|
1,495 |
1,488 |
$2K |
| 73562 |
|
2,674 |
2,307 |
$2K |
| 77067 |
|
6,919 |
6,914 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,116 |
3,048 |
$2K |
| 0270 |
|
10,566 |
9,382 |
$2K |
| 0002A |
|
49 |
49 |
$2K |
| 73030 |
|
1,715 |
1,616 |
$2K |
| 87276 |
|
1,272 |
1,247 |
$2K |
| 0403 |
|
23 |
23 |
$2K |
| 99204 |
|
1,162 |
1,162 |
$2K |
| J2270 |
Morphine sulfate injection |
2,825 |
2,068 |
$2K |
| 0300 |
|
75 |
35 |
$2K |
| 85018 |
|
3,299 |
3,223 |
$2K |
| 76641 |
|
2,241 |
2,225 |
$2K |
| 90670 |
|
16 |
16 |
$1K |
| J3420 |
Vitamin b12 injection |
1,185 |
960 |
$1K |
| 72110 |
|
1,661 |
1,656 |
$1K |
| 94640 |
|
637 |
583 |
$1K |
| 83605 |
|
1,652 |
1,342 |
$1K |
| 94760 |
|
1,182 |
1,061 |
$1K |
| 73610 |
|
1,292 |
1,258 |
$1K |
| 93306 |
|
330 |
330 |
$1K |
| 73130 |
|
1,135 |
1,035 |
$1K |
| 82962 |
|
2,218 |
1,896 |
$1K |
| 0761 |
|
1,496 |
568 |
$1K |
| 84439 |
|
3,396 |
3,364 |
$1K |
| 87275 |
|
1,272 |
1,247 |
$1K |
| 76801 |
|
487 |
459 |
$1K |
| 92558 |
|
773 |
767 |
$1K |
| 99291 |
|
66 |
52 |
$1K |
| 83735 |
|
1,296 |
1,098 |
$987.58 |
| J0690 |
Cefazolin sodium injection |
986 |
733 |
$971.83 |
| 0001A |
|
57 |
57 |
$965.58 |
| J1642 |
Inj heparin sodium per 10 u |
2,615 |
2,473 |
$946.24 |
| M0247 |
Sotrovimab infusion |
39 |
39 |
$945.00 |
| 77066 |
Tomosynthesis, mammo |
1,360 |
1,360 |
$937.29 |
| 82607 |
|
2,665 |
2,606 |
$929.26 |
| 92551 |
|
462 |
462 |
$897.78 |
| J2001 |
Lidocaine injection |
1,857 |
1,495 |
$851.57 |
| 80074 |
|
797 |
786 |
$841.63 |
| S0020 |
Injection, bupivicaine hydro |
410 |
343 |
$815.16 |
| 73630 |
|
1,558 |
1,448 |
$813.30 |
| 87081 |
|
2,642 |
2,617 |
$812.78 |
| 99211 |
|
1,864 |
1,519 |
$800.29 |
| V5008 |
Hearing screening |
387 |
384 |
$774.54 |
| 87040 |
|
583 |
554 |
$748.21 |
| 84702 |
|
2,799 |
2,298 |
$740.68 |
| J0171 |
Adrenalin epinephrine inject |
532 |
527 |
$734.17 |
| J0696 |
Ceftriaxone sodium injection |
2,316 |
2,074 |
$703.10 |
| 71250 |
|
25 |
25 |
$700.98 |
| 73110 |
|
797 |
763 |
$662.78 |
| 94375 |
|
142 |
136 |
$643.89 |
| 80076 |
|
1,815 |
1,787 |
$641.12 |
| 72050 |
|
351 |
350 |
$622.72 |
| 87186 |
|
2,689 |
2,592 |
$598.91 |
| 86850 |
|
848 |
813 |
$591.37 |
| E0114 |
Crutch underarm pair no wood |
528 |
528 |
$571.57 |
| 45378 |
|
36 |
34 |
$557.50 |
| 86140 |
|
1,884 |
1,788 |
$546.43 |
| 90733 |
|
160 |
159 |
$532.69 |
| 73502 |
|
189 |
183 |
$520.84 |
| J2175 |
Meperidine hydrochl /100 mg |
242 |
216 |
$516.62 |
| 93971 |
|
248 |
245 |
$505.95 |
| J1200 |
Diphenhydramine hcl injectio |
1,281 |
1,178 |
$501.71 |
| 86689 |
|
943 |
936 |
$490.36 |
| 71020 |
|
107 |
69 |
$486.73 |
| 82150 |
|
523 |
513 |
$474.32 |
| 87077 |
|
2,772 |
2,639 |
$469.89 |
| 86901 |
|
1,920 |
1,814 |
$469.37 |
| 94664 |
|
504 |
488 |
$462.25 |
| 99000 |
|
5,263 |
5,100 |
$431.57 |
| 82570 |
|
2,964 |
2,886 |
$429.89 |
| 71275 |
|
42 |
42 |
$427.81 |
| J1170 |
Hydromorphone injection |
770 |
505 |
$405.98 |
| 99070 |
|
422 |
386 |
$397.07 |
| 96366 |
|
388 |
355 |
$395.28 |
| 43239 |
|
60 |
57 |
$372.20 |
| 0031A |
|
13 |
13 |
$369.07 |
| M0243 |
Casirivi and imdevi inj |
55 |
55 |
$340.56 |
| 84436 |
|
754 |
747 |
$338.50 |
| 90674 |
|
92 |
87 |
$337.81 |
| 99421 |
|
61 |
57 |
$330.60 |
| 86900 |
|
1,614 |
1,548 |
$323.92 |
| J2060 |
Lorazepam injection |
969 |
770 |
$320.14 |
| 86480 |
|
896 |
893 |
$320.00 |
| 81000 |
|
176 |
172 |
$307.87 |
| 84481 |
|
455 |
450 |
$305.58 |
| 87880 |
|
617 |
612 |
$301.40 |
| J7120 |
Ringers lactate infusion |
103 |
94 |
$296.15 |
| 76536 |
|
574 |
573 |
$292.36 |
| 86592 |
|
1,431 |
1,417 |
$286.01 |
| 99201 |
|
12 |
12 |
$284.76 |
| 0324 |
|
26 |
25 |
$275.44 |
| 99422 |
|
12 |
12 |
$272.16 |
| Q0162 |
Ondansetron oral |
225 |
220 |
$265.95 |
| 84153 |
|
552 |
545 |
$255.87 |
| 86317 |
|
102 |
101 |
$252.18 |
| 82728 |
|
1,279 |
1,253 |
$236.83 |
| 82043 |
|
1,887 |
1,868 |
$233.88 |
| 90651 |
|
22 |
22 |
$229.44 |
| 86003 |
|
132 |
73 |
$217.88 |
| 87070 |
|
599 |
582 |
$217.19 |
| 87340 |
|
467 |
466 |
$189.31 |
| 87501 |
|
48 |
48 |
$187.46 |
| 36415 |
|
941 |
912 |
$186.90 |
| 87338 |
|
628 |
622 |
$180.88 |
| 86038 |
|
283 |
280 |
$180.71 |
| 81220 |
|
201 |
200 |
$180.00 |
| 86703 |
|
323 |
322 |
$177.02 |
| 76817 |
|
257 |
241 |
$174.32 |
| 99282 |
|
46 |
43 |
$172.19 |
| 72100 |
|
178 |
175 |
$171.16 |
| 72125 |
|
63 |
63 |
$170.92 |
| 87389 |
|
787 |
781 |
$161.08 |
| 83540 |
|
1,693 |
1,667 |
$157.38 |
| J2795 |
Ropivacaine hcl injection |
354 |
352 |
$154.98 |
| 86235 |
|
280 |
128 |
$145.90 |
| 90658 |
|
1,177 |
1,177 |
$141.99 |
| 84100 |
|
200 |
163 |
$138.14 |
| 85379 |
|
234 |
230 |
$132.00 |
| 85651 |
|
2,186 |
2,147 |
$128.83 |
| 82746 |
|
455 |
452 |
$119.25 |
| 84550 |
|
1,162 |
1,117 |
$113.79 |
| 86580 |
|
493 |
484 |
$111.01 |
| 84466 |
|
813 |
796 |
$104.41 |
| 69209 |
|
60 |
59 |
$101.52 |
| 96376 |
|
356 |
336 |
$99.24 |
| 83615 |
|
401 |
393 |
$97.81 |
| 84703 |
|
696 |
680 |
$86.77 |
| 86431 |
|
530 |
521 |
$75.30 |
| 73080 |
|
126 |
122 |
$74.54 |
| J3301 |
Triamcinolone acet inj nos |
193 |
190 |
$74.52 |
| J2930 |
Methylprednisolone injection |
82 |
81 |
$73.73 |
| 82785 |
|
57 |
54 |
$73.00 |
| 86593 |
|
166 |
166 |
$71.31 |
| 0760 |
|
3,484 |
1,745 |
$71.27 |
| 84480 |
|
121 |
121 |
$69.70 |
| 86706 |
|
155 |
155 |
$67.60 |
| 82550 |
|
127 |
114 |
$60.82 |
| 80069 |
|
84 |
76 |
$60.80 |
| 82977 |
|
268 |
267 |
$58.14 |
| 80055 |
|
295 |
294 |
$54.49 |
| Q0111 |
Wet mounts/ w preparations |
188 |
186 |
$52.23 |
| 87280 |
|
151 |
149 |
$51.45 |
| 72072 |
|
114 |
114 |
$49.37 |
| 74019 |
|
13 |
12 |
$45.97 |
| 86331 |
|
179 |
177 |
$45.90 |
| 73140 |
|
107 |
105 |
$45.62 |
| 87147 |
|
444 |
439 |
$45.50 |
| 71010 |
|
71 |
37 |
$44.67 |
| 82274 |
|
38 |
38 |
$42.42 |
| 0250 |
|
148 |
142 |
$41.86 |
| 86171 |
|
91 |
91 |
$39.92 |
| 90472 |
|
100 |
95 |
$39.88 |
| 74018 |
|
103 |
103 |
$34.10 |
| 82950 |
|
572 |
572 |
$32.14 |
| 87661 |
|
140 |
140 |
$31.15 |
| 99443 |
|
38 |
38 |
$30.78 |
| 86039 |
|
290 |
284 |
$30.24 |
| 86701 |
|
68 |
68 |
$28.34 |
| 99173 |
|
250 |
248 |
$27.88 |
| J1815 |
Insulin injection |
198 |
184 |
$26.35 |
| 86707 |
|
47 |
47 |
$23.14 |
| 82565 |
|
469 |
466 |
$22.67 |
| 87350 |
|
47 |
47 |
$20.80 |
| 86225 |
|
146 |
141 |
$18.60 |
| 82610 |
|
122 |
119 |
$14.80 |
| S0164 |
Injection pantroprazole |
28 |
12 |
$9.79 |
| J0780 |
Prochlorperazine injection |
46 |
45 |
$8.91 |
| J7613 |
Albuterol non-comp unit |
524 |
500 |
$7.16 |
| 82272 |
|
12 |
12 |
$6.11 |
| 82248 |
|
530 |
393 |
$6.08 |
| 99050 |
|
219 |
191 |
$5.55 |
| A6402 |
Sterile gauze <= 16 sq in |
811 |
461 |
$4.94 |
| 99284 |
|
108 |
102 |
$3.11 |
| 84156 |
|
153 |
149 |
$2.93 |
| 86695 |
|
12 |
12 |
$0.00 |
| 99441 |
|
397 |
387 |
$0.00 |
| 72040 |
|
96 |
96 |
$0.00 |
| 0250R |
|
97 |
91 |
$0.00 |
| 99202 |
|
116 |
116 |
$0.00 |
| 72148 |
|
16 |
15 |
$0.00 |
| 86803 |
|
12 |
12 |
$0.00 |
| A6260 |
Wound cleanser any type/size |
136 |
88 |
$0.00 |
| 82952 |
|
13 |
13 |
$0.00 |
| J7050 |
Normal saline solution infus |
43 |
42 |
$0.00 |
| 82951 |
|
26 |
26 |
$0.00 |
| 71260 |
|
44 |
44 |
$0.00 |
| 83001 |
|
16 |
16 |
$0.00 |
| J2920 |
Methylprednisolone injection |
34 |
30 |
$0.00 |
| 86762 |
|
13 |
12 |
$0.00 |
| 77065 |
Tomosynthesis, mammo |
72 |
72 |
$0.00 |
| 90649 |
|
162 |
162 |
$0.00 |
| 0270R |
|
659 |
598 |
$0.00 |
| 82947 |
|
98 |
97 |
$0.00 |
| 84520 |
|
24 |
24 |
$0.00 |
| 96367 |
|
57 |
55 |
$0.00 |
| 82247 |
|
87 |
62 |
$0.00 |
| 90746 |
|
25 |
25 |
$0.00 |
| 99001 |
|
34 |
30 |
$0.00 |
| 0258R |
|
13 |
12 |
$0.00 |
| 73721 |
|
27 |
27 |
$0.00 |
| 73590 |
|
28 |
24 |
$0.00 |
| 94060 |
|
12 |
12 |
$0.00 |
| 99442 |
|
28 |
28 |
$0.00 |
| 84145 |
|
12 |
12 |
$0.00 |
| 87177 |
|
41 |
41 |
$0.00 |
| 96413 |
|
12 |
12 |
$0.00 |
| 86696 |
|
42 |
41 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
16 |
16 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral |
12 |
12 |
$0.00 |
| J2550 |
Promethazine hcl injection |
13 |
12 |
$0.00 |