| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
26,616 |
21,099 |
$5.26M |
| 99283 |
|
28,850 |
23,291 |
$3.88M |
| 99285 |
|
16,499 |
12,591 |
$3.31M |
| J9271 |
Inj pembrolizumab |
656 |
313 |
$2.22M |
| 96374 |
|
17,373 |
12,577 |
$1.25M |
| G0378 |
Hospital observation per hr |
2,411 |
1,605 |
$1.01M |
| 74177 |
|
4,992 |
3,943 |
$746K |
| 99282 |
|
9,257 |
7,857 |
$744K |
| 96413 |
|
8,468 |
3,554 |
$732K |
| J0897 |
Denosumab injection |
1,513 |
986 |
$642K |
| 96372 |
|
22,271 |
14,769 |
$637K |
| 92507 |
|
11,190 |
3,224 |
$629K |
| 96365 |
|
8,972 |
5,306 |
$615K |
| 97530 |
|
14,595 |
2,835 |
$604K |
| 71045 |
|
17,150 |
13,394 |
$596K |
| 87804 |
|
45,587 |
18,751 |
$507K |
| 93306 |
|
2,554 |
1,939 |
$464K |
| 96361 |
|
10,413 |
6,739 |
$457K |
| 94640 |
|
4,974 |
3,379 |
$454K |
| U0002 |
Covid-19 lab test non-cdc |
15,011 |
11,151 |
$439K |
| 96375 |
|
18,698 |
11,338 |
$408K |
| 74176 |
|
4,473 |
3,516 |
$403K |
| J1439 |
Inj ferric carboxymaltos 1mg |
1,528 |
671 |
$353K |
| 70450 |
|
7,013 |
5,512 |
$321K |
| 80053 |
|
64,289 |
42,130 |
$314K |
| 99281 |
|
6,834 |
5,736 |
$311K |
| 85025 |
|
73,937 |
49,594 |
$286K |
| C9803 |
Hopd covid-19 spec collect |
17,429 |
13,329 |
$233K |
| 93005 |
|
14,170 |
10,251 |
$219K |
| 96360 |
|
2,385 |
1,891 |
$211K |
| 36415 |
|
77,856 |
53,059 |
$185K |
| 87635 |
|
5,448 |
4,783 |
$174K |
| 87651 |
|
6,087 |
5,014 |
$156K |
| J2505 |
Injection, pegfilgrastim 6mg |
216 |
84 |
$151K |
| 86900 |
|
2,829 |
2,153 |
$140K |
| 80307 |
|
3,375 |
2,748 |
$136K |
| 99214 |
|
14,111 |
7,697 |
$132K |
| 99211 |
|
20,168 |
12,095 |
$124K |
| J1726 |
Makena, 10 mg |
378 |
99 |
$119K |
| 71046 |
|
2,929 |
2,420 |
$107K |
| 76705 |
|
1,595 |
1,396 |
$97K |
| D0272 |
|
148 |
120 |
$90K |
| U0004 |
Cov-19 test non-cdc hgh thru |
1,363 |
1,120 |
$81K |
| 96366 |
|
2,530 |
1,324 |
$81K |
| 74018 |
|
2,024 |
1,648 |
$73K |
| G0480 |
Drug test def 1-7 classes |
1,317 |
1,014 |
$71K |
| 69436 |
|
61 |
58 |
$68K |
| 87807 |
|
6,463 |
5,568 |
$68K |
| 84484 |
|
12,644 |
6,897 |
$68K |
| 96416 |
|
833 |
318 |
$65K |
| G0463 |
Hospital outpt clinic visit |
7,662 |
6,315 |
$63K |
| 83880 |
|
3,403 |
2,600 |
$62K |
| 80048 |
|
10,136 |
8,160 |
$62K |
| J9299 |
Injection, nivolumab |
16 |
12 |
$62K |
| Q5106 |
Inj retacrit non-esrd use |
1,999 |
679 |
$62K |
| 72125 |
|
1,682 |
1,318 |
$60K |
| 96367 |
|
2,695 |
1,211 |
$59K |
| 73562 |
|
1,598 |
1,315 |
$55K |
| 73610 |
|
1,344 |
1,133 |
$52K |
| 81003 |
|
31,543 |
23,323 |
$52K |
| D2930 |
|
693 |
104 |
$51K |
| 77067 |
|
614 |
571 |
$48K |
| 73630 |
|
1,309 |
1,076 |
$48K |
| 87880 |
|
3,942 |
3,335 |
$47K |
| 86850 |
|
2,191 |
1,639 |
$47K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
132 |
52 |
$46K |
| 86901 |
|
2,856 |
2,181 |
$44K |
| 73721 |
|
333 |
275 |
$42K |
| 87040 |
|
7,467 |
3,967 |
$42K |
| J0185 |
Inj., aprepitant, 1 mg |
840 |
311 |
$42K |
| 96417 |
|
1,710 |
722 |
$39K |
| 72131 |
|
1,039 |
833 |
$38K |
| 81025 |
|
7,242 |
5,477 |
$37K |
| 72148 |
|
479 |
400 |
$37K |
| 76770 |
|
744 |
644 |
$36K |
| 99212 |
|
2,583 |
1,453 |
$36K |
| 73030 |
|
1,113 |
896 |
$36K |
| 82306 |
|
3,695 |
2,516 |
$30K |
| 84443 |
|
4,535 |
3,091 |
$29K |
| 93971 |
|
810 |
655 |
$29K |
| 29515 |
|
392 |
326 |
$28K |
| M0243 |
Casirivi and imdevi inj |
171 |
143 |
$27K |
| 83735 |
|
10,254 |
6,155 |
$27K |
| 85027 |
|
9,167 |
6,842 |
$27K |
| 99291 |
|
75 |
68 |
$26K |
| 87086 |
|
5,506 |
4,334 |
$26K |
| 84702 |
|
2,675 |
1,853 |
$26K |
| 76817 |
|
410 |
328 |
$25K |
| 83690 |
|
6,215 |
4,746 |
$25K |
| 86769 |
|
1,079 |
772 |
$22K |
| J3111 |
Inj. romosozumab-aqqg 1 mg |
96 |
88 |
$22K |
| J2469 |
Palonosetron hcl |
3,250 |
1,292 |
$22K |
| 82728 |
|
5,462 |
4,085 |
$22K |
| 71275 |
|
451 |
329 |
$21K |
| 84703 |
|
3,976 |
3,154 |
$20K |
| 71250 |
|
714 |
553 |
$20K |
| 73130 |
|
514 |
427 |
$20K |
| 96411 |
|
761 |
364 |
$19K |
| 87641 |
|
989 |
714 |
$19K |
| 96415 |
|
726 |
349 |
$18K |
| 70486 |
|
327 |
284 |
$17K |
| 86140 |
|
9,072 |
6,527 |
$17K |
| Q5107 |
Inj mvasi 10 mg |
97 |
24 |
$16K |
| 97110 |
|
746 |
124 |
$15K |
| D3220 |
|
339 |
83 |
$15K |
| 87640 |
|
989 |
714 |
$14K |
| Q3014 |
Telehealth facility fee |
952 |
766 |
$14K |
| 99213 |
|
1,006 |
771 |
$13K |
| 86160 |
|
4,978 |
1,748 |
$13K |
| 83550 |
|
5,408 |
4,021 |
$12K |
| 71260 |
|
170 |
143 |
$12K |
| 83605 |
|
2,697 |
1,808 |
$12K |
| J0640 |
Leucovorin calcium injection |
1,181 |
287 |
$11K |
| D2934 |
|
17 |
12 |
$10K |
| 83540 |
|
5,438 |
4,049 |
$9K |
| 97162 |
|
240 |
197 |
$9K |
| 73110 |
|
248 |
194 |
$9K |
| 73502 |
|
333 |
277 |
$9K |
| 76641 |
|
173 |
145 |
$8K |
| 85379 |
|
1,896 |
1,496 |
$8K |
| 86300 |
|
1,369 |
688 |
$8K |
| 70551 |
|
77 |
67 |
$8K |
| 82378 |
|
1,789 |
1,070 |
$7K |
| 29125 |
|
149 |
121 |
$7K |
| 76815 |
|
115 |
82 |
$7K |
| 82607 |
|
1,846 |
1,362 |
$7K |
| 99215 |
Prolong outpt/office vis |
569 |
415 |
$7K |
| 90471 |
|
375 |
318 |
$7K |
| 96402 |
|
430 |
265 |
$6K |
| J7030 |
Normal saline solution infus |
11,265 |
7,338 |
$6K |
| 83615 |
|
2,871 |
1,903 |
$6K |
| J9190 |
Fluorouracil injection |
1,894 |
428 |
$6K |
| 96523 |
|
346 |
197 |
$6K |
| 85610 |
|
2,785 |
1,931 |
$5K |
| 82570 |
|
2,666 |
1,857 |
$5K |
| 94375 |
|
74 |
45 |
$5K |
| 85652 |
|
6,237 |
4,339 |
$5K |
| J7050 |
Normal saline solution infus |
13,419 |
4,360 |
$4K |
| 85730 |
|
1,605 |
1,164 |
$4K |
| 76830 |
|
63 |
57 |
$4K |
| 76536 |
|
63 |
55 |
$4K |
| 96377 |
|
395 |
161 |
$4K |
| 82565 |
|
1,489 |
1,201 |
$4K |
| 72100 |
|
97 |
80 |
$4K |
| 36600 |
|
155 |
102 |
$4K |
| J2405 |
Ondansetron hcl injection |
18,467 |
12,634 |
$4K |
| 82746 |
|
1,207 |
914 |
$4K |
| 84156 |
|
2,845 |
1,954 |
$4K |
| 87591 |
|
181 |
152 |
$4K |
| 83516 |
|
1,054 |
274 |
$4K |
| J8540 |
Oral dexamethasone |
3,143 |
985 |
$4K |
| 87491 |
|
181 |
148 |
$4K |
| 97166 |
|
76 |
48 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
6,192 |
3,373 |
$3K |
| 86038 |
|
780 |
508 |
$3K |
| 85007 |
|
1,218 |
972 |
$3K |
| 82784 |
|
1,999 |
512 |
$3K |
| 84550 |
|
1,731 |
1,170 |
$3K |
| 85045 |
|
2,316 |
1,484 |
$3K |
| 84439 |
|
935 |
648 |
$3K |
| J1756 |
Iron sucrose injection |
1,046 |
451 |
$3K |
| 12001 |
|
31 |
24 |
$3K |
| 92523 |
|
12 |
12 |
$2K |
| 76801 |
|
37 |
28 |
$2K |
| 73590 |
|
61 |
50 |
$2K |
| 76700 |
|
29 |
25 |
$2K |
| 41899 |
|
12 |
12 |
$2K |
| 72128 |
|
59 |
46 |
$2K |
| D1120 |
|
197 |
160 |
$2K |
| 99204 |
|
160 |
90 |
$2K |
| 84165 |
|
1,295 |
908 |
$2K |
| 82803 |
|
146 |
107 |
$2K |
| 12002 |
|
12 |
12 |
$2K |
| 86225 |
|
327 |
230 |
$2K |
| 97112 |
|
54 |
12 |
$2K |
| 82951 |
|
180 |
152 |
$2K |
| 85014 |
|
1,170 |
893 |
$2K |
| 96401 |
|
154 |
70 |
$2K |
| 87070 |
|
271 |
214 |
$2K |
| 74019 |
|
41 |
29 |
$1K |
| D1208 |
|
227 |
186 |
$1K |
| 36416 |
|
1,939 |
1,648 |
$1K |
| J1100 |
Dexamethasone sodium phos |
10,244 |
7,140 |
$1K |
| 86235 |
|
333 |
41 |
$1K |
| 86308 |
|
306 |
245 |
$1K |
| 82550 |
|
539 |
359 |
$1K |
| 87210 |
|
356 |
244 |
$1K |
| 73090 |
|
46 |
27 |
$1K |
| 85018 |
|
723 |
543 |
$1K |
| 83883 |
|
474 |
123 |
$1K |
| 83036 |
|
169 |
134 |
$977.18 |
| 76856 |
|
19 |
13 |
$935.76 |
| J9045 |
Carboplatin injection |
220 |
67 |
$894.86 |
| 72110 |
|
13 |
12 |
$847.48 |
| 87205 |
|
277 |
213 |
$788.54 |
| 80074 |
|
52 |
32 |
$778.96 |
| 74022 |
|
14 |
14 |
$777.72 |
| 93010 |
|
1,018 |
672 |
$757.09 |
| 82731 |
|
16 |
13 |
$729.37 |
| 86431 |
|
438 |
270 |
$673.81 |
| 93017 |
|
18 |
14 |
$662.44 |
| U0005 |
Infec agen detec ampli probe |
39 |
33 |
$656.12 |
| J7040 |
Normal saline solution infus |
4,603 |
2,591 |
$633.41 |
| 86480 |
|
57 |
27 |
$615.26 |
| 82150 |
|
137 |
104 |
$534.75 |
| 86200 |
|
162 |
83 |
$491.69 |
| 88305 |
|
22 |
12 |
$484.48 |
| A9270 |
Non-covered item or service |
6,063 |
4,265 |
$483.01 |
| G2211 |
Complex e/m visit add on |
1,040 |
964 |
$471.70 |
| 83655 |
|
44 |
42 |
$461.43 |
| 73080 |
|
15 |
12 |
$440.62 |
| 86334 |
|
163 |
147 |
$415.41 |
| J1885 |
Ketorolac tromethamine inj |
10,356 |
7,768 |
$378.08 |
| J3420 |
Vitamin b12 injection |
764 |
451 |
$371.03 |
| 83010 |
|
93 |
67 |
$309.50 |
| 80061 |
|
32 |
24 |
$258.93 |
| J2930 |
Methylprednisolone injection |
2,412 |
1,647 |
$241.65 |
| 90686 |
|
52 |
35 |
$230.89 |
| J7042 |
5% dextrose/normal saline |
896 |
716 |
$230.00 |
| J3475 |
Inj magnesium sulfate |
774 |
380 |
$192.11 |
| 87046 |
|
21 |
12 |
$183.21 |
| 82375 |
|
26 |
14 |
$178.32 |
| 87427 |
|
21 |
12 |
$176.38 |
| 0011A |
|
14 |
13 |
$157.26 |
| J0696 |
Ceftriaxone sodium injection |
5,147 |
3,846 |
$155.39 |
| 86780 |
|
14 |
12 |
$143.88 |
| J2919 |
Inj, methylpred sod succ 5mg |
297 |
197 |
$143.87 |
| 82952 |
|
46 |
41 |
$137.03 |
| Q0162 |
Ondansetron oral |
2,778 |
1,949 |
$117.79 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,895 |
6,928 |
$109.90 |
| 87045 |
|
12 |
12 |
$107.34 |
| 81001 |
|
66 |
55 |
$103.11 |
| 84132 |
|
27 |
24 |
$94.05 |
| J1170 |
Hydromorphone injection |
3,182 |
1,921 |
$80.58 |
| 82247 |
|
36 |
13 |
$77.92 |
| 82270 |
|
34 |
26 |
$71.89 |
| 83521 |
|
1,466 |
620 |
$69.92 |
| J2550 |
Promethazine hcl injection |
3,089 |
2,205 |
$63.65 |
| 96368 |
|
1,351 |
603 |
$57.62 |
| 86301 |
|
20 |
12 |
$56.38 |
| J7120 |
Ringers lactate infusion |
5,774 |
3,895 |
$41.77 |
| J2272 |
Inj, morphine (fresenius) |
939 |
726 |
$40.78 |
| 82009 |
|
12 |
12 |
$28.61 |
| 36592 |
|
48 |
40 |
$17.91 |
| 84100 |
|
19 |
12 |
$17.08 |
| J2704 |
Inj, propofol, 10 mg |
5,447 |
4,123 |
$16.78 |
| 96376 |
|
3,670 |
2,388 |
$16.58 |
| J2270 |
Morphine sulfate injection |
6,503 |
4,548 |
$11.10 |
| J2250 |
Inj midazolam hydrochloride |
3,896 |
2,849 |
$5.09 |
| J0136 |
Inj, acetaminophen (b braun) |
208 |
160 |
$4.28 |
| J2060 |
Lorazepam injection |
352 |
236 |
$2.90 |
| J0690 |
Cefazolin sodium injection |
1,953 |
1,249 |
$2.58 |
| J2360 |
Orphenadrine injection |
535 |
408 |
$2.16 |
| J0595 |
Butorphanol tartrate 1 mg |
635 |
482 |
$2.15 |
| J3010 |
Fentanyl citrate injection |
2,773 |
2,214 |
$1.51 |
| J2765 |
Metoclopramide hcl injection |
1,334 |
1,061 |
$1.44 |
| C9113 |
Inj pantoprazole sodium, via |
310 |
194 |
$0.76 |
| G0008 |
Admin influenza virus vac |
50 |
34 |
$0.10 |
| G1004 |
Cdsm ndsc |
4,029 |
2,088 |
$0.02 |
| J0330 |
Succinycholine chloride inj |
1,004 |
730 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
36 |
25 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
1,279 |
904 |
$0.00 |
| J2001 |
Lidocaine injection |
43 |
38 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
415 |
363 |
$0.00 |
| 0352U |
|
102 |
70 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
70 |
49 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
664 |
545 |
$0.00 |
| 36591 |
|
343 |
202 |
$0.00 |
| D0230 |
|
144 |
116 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
61 |
54 |
$0.00 |
| J2790 |
Rho d immune globulin inj |
30 |
24 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
54 |
36 |
$0.00 |
| J1940 |
Furosemide injection |
13 |
13 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
14 |
14 |
$0.00 |
| 77063 |
|
13 |
12 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
922 |
753 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
46 |
36 |
$0.00 |
| 90715 |
|
265 |
227 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
159 |
115 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
450 |
303 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
57 |
38 |
$0.00 |
| J0780 |
Prochlorperazine injection |
34 |
27 |
$0.00 |
| D0220 |
|
131 |
119 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
42 |
29 |
$0.00 |
| J3489 |
Zoledronic acid 1mg |
12 |
12 |
$0.00 |
| 84112 |
|
18 |
14 |
$0.00 |
| J0689 |
Inj cefazolin sodium, baxter |
21 |
12 |
$0.00 |