| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
35,450 |
32,840 |
$8.40M |
| 99283 |
|
43,620 |
40,957 |
$7.06M |
| 99285 |
|
22,634 |
20,384 |
$6.39M |
| 74177 |
|
5,437 |
5,062 |
$2.72M |
| 99282 |
|
8,983 |
8,631 |
$905K |
| 74176 |
|
4,076 |
3,772 |
$811K |
| 71275 |
|
1,182 |
1,083 |
$477K |
| G0378 |
Hospital observation per hr |
4,084 |
2,300 |
$302K |
| 44970 |
|
61 |
54 |
$181K |
| 99291 |
|
222 |
212 |
$174K |
| 70450 |
|
4,593 |
4,323 |
$171K |
| 72125 |
|
828 |
795 |
$164K |
| 96361 |
|
7,651 |
6,159 |
$76K |
| 99281 |
|
968 |
932 |
$49K |
| 80053 |
|
32,755 |
26,955 |
$13K |
| 96366 |
|
2,029 |
1,377 |
$13K |
| 96372 |
|
11,512 |
8,918 |
$12K |
| 72131 |
|
194 |
178 |
$11K |
| 96374 |
|
15,942 |
14,245 |
$11K |
| 10060 |
|
536 |
515 |
$8K |
| 96365 |
|
4,805 |
4,227 |
$7K |
| 94640 |
|
4,564 |
3,178 |
$5K |
| 96376 |
|
4,675 |
2,823 |
$5K |
| 96375 |
|
13,234 |
10,486 |
$5K |
| 0241U |
|
2,725 |
2,569 |
$3K |
| 76705 |
|
1,400 |
1,316 |
$3K |
| 71045 |
|
11,877 |
11,043 |
$3K |
| 85025 |
|
32,986 |
27,407 |
$2K |
| 96360 |
|
1,322 |
1,228 |
$2K |
| J3490 |
Drugs unclassified injection |
7,753 |
6,510 |
$2K |
| 93306 |
|
47 |
41 |
$2K |
| J3480 |
Inj potassium chloride |
486 |
371 |
$2K |
| 93005 |
|
11,288 |
9,967 |
$2K |
| J7030 |
Normal saline solution infus |
7,169 |
5,430 |
$1K |
| 87651 |
|
5,357 |
5,169 |
$1K |
| U0003 |
Cov-19 amp prb hgh thruput |
5,452 |
5,232 |
$1K |
| 71250 |
|
264 |
249 |
$1K |
| 73562 |
|
1,527 |
1,444 |
$1K |
| 71046 |
|
5,192 |
4,879 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,048 |
6,513 |
$1K |
| 76856 |
|
862 |
810 |
$938.17 |
| 93976 |
|
839 |
787 |
$914.46 |
| 96367 |
|
420 |
339 |
$892.55 |
| 84703 |
|
6,109 |
5,654 |
$779.59 |
| J7050 |
Normal saline solution infus |
703 |
515 |
$692.03 |
| 12011 |
|
463 |
452 |
$667.78 |
| 70486 |
|
274 |
262 |
$650.32 |
| 87635 |
|
5,428 |
5,227 |
$624.80 |
| J1650 |
Inj enoxaparin sodium |
874 |
536 |
$603.45 |
| 83880 |
|
1,648 |
1,443 |
$600.66 |
| J2405 |
Ondansetron hcl injection |
13,309 |
11,153 |
$553.81 |
| 87502 |
|
3,620 |
3,442 |
$471.87 |
| A9270 |
Non-covered item or service |
14,988 |
8,681 |
$458.38 |
| 87491 |
|
1,479 |
1,408 |
$450.77 |
| 81025 |
|
6,204 |
5,870 |
$442.57 |
| 87591 |
|
1,431 |
1,392 |
$377.22 |
| 81003 |
|
17,961 |
16,527 |
$372.51 |
| 84484 |
|
7,806 |
6,550 |
$358.52 |
| 90471 |
|
1,349 |
1,300 |
$323.26 |
| J0360 |
Hydralazine hcl injection |
56 |
40 |
$323.19 |
| J1885 |
Ketorolac tromethamine inj |
14,608 |
13,044 |
$321.50 |
| 82150 |
|
2,756 |
2,482 |
$266.47 |
| 80306 |
|
2,105 |
1,976 |
$246.97 |
| 87631 |
|
88 |
83 |
$245.60 |
| 73610 |
|
1,571 |
1,506 |
$226.31 |
| 83605 |
|
3,799 |
3,214 |
$214.47 |
| J2270 |
Morphine sulfate injection |
6,672 |
5,179 |
$211.43 |
| 36415 |
|
11,218 |
8,552 |
$203.45 |
| 72100 |
|
473 |
463 |
$189.66 |
| 82962 |
|
1,477 |
883 |
$181.85 |
| 73030 |
|
936 |
887 |
$179.00 |
| 88304 |
|
503 |
464 |
$177.85 |
| 87086 |
|
3,703 |
3,441 |
$168.01 |
| 83735 |
|
3,435 |
2,330 |
$167.05 |
| 73630 |
|
2,060 |
1,959 |
$163.03 |
| J0696 |
Ceftriaxone sodium injection |
4,550 |
3,762 |
$150.07 |
| 84443 |
|
894 |
828 |
$147.14 |
| 76801 |
|
593 |
538 |
$143.26 |
| 80048 |
|
991 |
815 |
$123.61 |
| 73130 |
|
1,500 |
1,424 |
$108.18 |
| 84702 |
|
2,114 |
1,944 |
$107.87 |
| 93971 |
|
800 |
745 |
$104.15 |
| 90715 |
|
1,270 |
1,238 |
$97.35 |
| 73110 |
|
1,011 |
965 |
$97.26 |
| 82550 |
|
1,314 |
1,182 |
$89.00 |
| 74018 |
|
831 |
799 |
$84.34 |
| J1170 |
Hydromorphone injection |
1,673 |
1,319 |
$78.21 |
| J2543 |
Piperacillin/tazobactam |
1,297 |
859 |
$77.99 |
| J1100 |
Dexamethasone sodium phos |
5,417 |
5,108 |
$77.84 |
| 29125 |
|
368 |
361 |
$75.84 |
| 83690 |
|
4,291 |
3,702 |
$68.75 |
| 73140 |
|
614 |
586 |
$65.58 |
| 85379 |
|
2,994 |
2,770 |
$60.47 |
| 76830 |
|
413 |
386 |
$60.00 |
| 12001 |
|
752 |
742 |
$56.45 |
| 85027 |
|
1,407 |
1,102 |
$54.47 |
| 12002 |
|
134 |
129 |
$52.82 |
| 85610 |
|
2,848 |
2,547 |
$51.65 |
| U0002 |
Covid-19 lab test non-cdc |
69 |
69 |
$51.31 |
| 81001 |
|
2,862 |
2,635 |
$45.32 |
| 73080 |
|
480 |
460 |
$37.27 |
| J1200 |
Diphenhydramine hcl injectio |
3,004 |
2,672 |
$36.13 |
| J2060 |
Lorazepam injection |
2,019 |
1,700 |
$32.99 |
| J2710 |
Neostigmine methylslfte inj |
242 |
225 |
$32.40 |
| J2765 |
Metoclopramide hcl injection |
2,371 |
2,153 |
$32.12 |
| 74019 |
|
177 |
172 |
$30.10 |
| 72040 |
|
174 |
170 |
$25.98 |
| 82803 |
|
352 |
300 |
$20.79 |
| 82553 |
|
257 |
240 |
$20.26 |
| G0480 |
Drug test def 1-7 classes |
514 |
394 |
$19.77 |
| J3010 |
Fentanyl citrate injection |
2,118 |
1,894 |
$16.03 |
| J2704 |
Inj, propofol, 10 mg |
1,217 |
1,106 |
$15.82 |
| J7120 |
Ringers lactate infusion |
2,052 |
1,729 |
$15.72 |
| 82565 |
|
594 |
565 |
$14.32 |
| 84132 |
|
586 |
555 |
$13.12 |
| 87077 |
|
326 |
314 |
$12.92 |
| 93975 |
|
60 |
57 |
$11.94 |
| 82947 |
|
1,030 |
949 |
$11.69 |
| 84520 |
|
594 |
565 |
$11.59 |
| 73590 |
|
319 |
302 |
$10.00 |
| 82374 |
|
536 |
511 |
$9.79 |
| 84295 |
|
551 |
526 |
$9.73 |
| J2360 |
Orphenadrine injection |
692 |
651 |
$9.65 |
| 82435 |
|
551 |
526 |
$9.54 |
| J0780 |
Prochlorperazine injection |
501 |
444 |
$9.20 |
| J7040 |
Normal saline solution infus |
198 |
186 |
$7.18 |
| J2550 |
Promethazine hcl injection |
1,015 |
876 |
$6.97 |
| 87186 |
|
244 |
236 |
$6.92 |
| J2930 |
Methylprednisolone injection |
765 |
712 |
$6.41 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
141 |
128 |
$6.00 |
| 85007 |
|
646 |
533 |
$5.42 |
| J7512 |
Prednisone ir or dr oral 1mg |
2,257 |
2,139 |
$3.45 |
| J2250 |
Inj midazolam hydrochloride |
286 |
271 |
$1.24 |
| J3475 |
Inj magnesium sulfate |
282 |
252 |
$0.79 |
| J1630 |
Haloperidol injection |
96 |
88 |
$0.24 |
| 86308 |
|
53 |
51 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
52 |
45 |
$0.00 |
| 87510 |
|
399 |
384 |
$0.00 |
| 87070 |
|
399 |
384 |
$0.00 |
| 87040 |
|
2,253 |
1,314 |
$0.00 |
| 76817 |
|
234 |
208 |
$0.00 |
| J1790 |
Droperidol injection |
342 |
312 |
$0.00 |
| 80329 |
|
234 |
132 |
$0.00 |
| 80320 |
|
600 |
538 |
$0.00 |
| 73090 |
|
381 |
364 |
$0.00 |
| 83036 |
|
318 |
296 |
$0.00 |
| J1815 |
Insulin injection |
344 |
219 |
$0.00 |
| 71101 |
|
211 |
203 |
$0.00 |
| Q0162 |
Ondansetron oral |
210 |
200 |
$0.00 |
| 29130 |
|
68 |
66 |
$0.00 |
| 85730 |
|
486 |
450 |
$0.00 |
| 72072 |
|
36 |
36 |
$0.00 |
| 73660 |
|
113 |
109 |
$0.00 |
| 86901 |
|
202 |
186 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
349 |
293 |
$0.00 |
| J2001 |
Lidocaine injection |
51 |
40 |
$0.00 |
| 80051 |
|
12 |
12 |
$0.00 |
| 73502 |
|
180 |
171 |
$0.00 |
| J0456 |
Azithromycin |
37 |
29 |
$0.00 |
| M0243 |
Casirivi and imdevi inj |
97 |
95 |
$0.00 |
| 86140 |
|
123 |
96 |
$0.00 |
| 87480 |
|
400 |
384 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
53 |
50 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
13 |
12 |
$0.00 |
| 87428 |
|
54 |
54 |
$0.00 |
| 76870 |
|
44 |
43 |
$0.00 |
| J0561 |
Penicillin g benzathine inj |
28 |
28 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
55 |
27 |
$0.00 |
| 64400 |
|
12 |
12 |
$0.00 |
| 87661 |
|
75 |
74 |
$0.00 |
| J1940 |
Furosemide injection |
22 |
15 |
$0.00 |
| 73564 |
|
14 |
13 |
$0.00 |
| J2920 |
Methylprednisolone injection |
15 |
12 |
$0.00 |
| 96368 |
|
30 |
29 |
$0.00 |
| 74021 |
|
12 |
12 |
$0.00 |
| 71260 |
|
13 |
12 |
$0.00 |
| 94760 |
|
17 |
12 |
$0.00 |
| 73060 |
|
26 |
25 |
$0.00 |
| 73552 |
|
12 |
12 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
466 |
309 |
$0.00 |
| 87660 |
|
399 |
384 |
$0.00 |
| 84145 |
|
110 |
89 |
$0.00 |
| 80061 |
|
52 |
43 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
689 |
510 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
156 |
151 |
$0.00 |
| 80076 |
|
55 |
55 |
$0.00 |
| 29530 |
|
113 |
112 |
$0.00 |
| 87634 |
|
429 |
413 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
20 |
13 |
$0.00 |
| 84100 |
|
104 |
84 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
12 |
12 |
$0.00 |
| 86900 |
|
130 |
117 |
$0.00 |
| 82248 |
|
35 |
28 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
14 |
14 |
$0.00 |
| 29105 |
|
14 |
14 |
$0.00 |
| Q0243 |
Casirivimab and imdevimab |
93 |
91 |
$0.00 |
| 29515 |
|
13 |
13 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
65 |
31 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
16 |
12 |
$0.00 |
| 93970 |
|
41 |
37 |
$0.00 |
| 69209 |
|
15 |
15 |
$0.00 |