| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
124,975 |
96,682 |
$9.93M |
| 99281 |
|
93,764 |
77,067 |
$9.86M |
| 74177 |
|
8,886 |
8,514 |
$3.67M |
| 96374 |
|
25,817 |
22,916 |
$2.58M |
| 70450 |
|
10,014 |
9,555 |
$2.32M |
| J3490 |
Drugs unclassified injection |
196,699 |
84,882 |
$2.29M |
| 99202 |
|
15,664 |
10,937 |
$1.81M |
| 96375 |
|
23,308 |
19,500 |
$1.75M |
| 87633 |
|
4,414 |
3,968 |
$1.57M |
| 93005 |
|
31,681 |
27,285 |
$1.49M |
| 96365 |
|
10,505 |
9,242 |
$1.34M |
| 99201 |
|
10,592 |
7,082 |
$1.14M |
| 99070 |
|
47,692 |
34,415 |
$1.11M |
| 80307 |
|
16,121 |
11,609 |
$996K |
| 72125 |
|
2,499 |
2,443 |
$906K |
| 71275 |
|
1,975 |
1,940 |
$767K |
| 96372 |
|
18,476 |
16,564 |
$704K |
| 80053 |
|
91,860 |
55,783 |
$676K |
| 87635 |
|
12,325 |
11,375 |
$631K |
| 99291 |
|
1,576 |
1,508 |
$617K |
| 85025 |
|
111,851 |
66,001 |
$602K |
| 87428 |
|
9,153 |
8,223 |
$572K |
| 96361 |
|
14,354 |
12,527 |
$558K |
| 74176 |
|
2,648 |
2,549 |
$553K |
| 71045 |
|
25,665 |
23,385 |
$512K |
| G0480 |
Drug test def 1-7 classes |
7,439 |
6,554 |
$472K |
| 71046 |
|
12,332 |
11,836 |
$446K |
| 93971 |
|
2,218 |
2,153 |
$433K |
| 0450 |
|
6,421 |
5,608 |
$432K |
| Z7502 |
|
11,368 |
11,092 |
$429K |
| 76705 |
|
4,071 |
3,870 |
$419K |
| 96360 |
|
3,628 |
3,304 |
$388K |
| 70486 |
|
1,302 |
1,281 |
$372K |
| 93306 |
|
1,059 |
1,035 |
$367K |
| 76815 |
|
3,311 |
2,182 |
$363K |
| 87637 |
|
2,232 |
2,207 |
$317K |
| 99282 |
|
3,901 |
3,632 |
$299K |
| 84484 |
|
30,902 |
18,368 |
$286K |
| 59025 |
|
6,401 |
2,774 |
$248K |
| 96413 |
|
3,475 |
2,034 |
$246K |
| 94640 |
|
6,079 |
5,313 |
$239K |
| 76830 |
|
2,104 |
2,034 |
$233K |
| 71260 |
|
508 |
495 |
$226K |
| 76801 |
|
2,219 |
1,993 |
$218K |
| J2405 |
Ondansetron hcl injection |
20,324 |
17,673 |
$205K |
| 83880 |
|
8,306 |
5,370 |
$199K |
| 99284 |
|
1,559 |
1,400 |
$182K |
| 87798 |
|
3,051 |
2,733 |
$180K |
| 78452 |
|
324 |
321 |
$176K |
| J7030 |
Normal saline solution infus |
12,226 |
10,552 |
$176K |
| J1642 |
Inj heparin sodium per 10 u |
5,867 |
2,811 |
$169K |
| 83690 |
|
34,094 |
21,730 |
$167K |
| Z9725 |
|
3,838 |
3,643 |
$162K |
| 93970 |
|
475 |
467 |
$154K |
| U0002 |
Covid-19 lab test non-cdc |
3,016 |
2,901 |
$154K |
| 73630 |
|
3,455 |
3,178 |
$150K |
| 73562 |
|
3,505 |
3,151 |
$147K |
| 70498 |
|
353 |
343 |
$147K |
| 70496 |
|
352 |
342 |
$146K |
| 73610 |
|
3,114 |
2,933 |
$145K |
| J1885 |
Ketorolac tromethamine inj |
20,225 |
18,101 |
$142K |
| 76770 |
|
1,019 |
983 |
$141K |
| 83605 |
|
17,244 |
11,146 |
$138K |
| 73130 |
|
2,957 |
2,747 |
$136K |
| 99211 |
|
4,890 |
3,425 |
$136K |
| 87486 |
|
4,412 |
3,969 |
$133K |
| 87581 |
|
4,412 |
3,969 |
$133K |
| 87591 |
|
5,236 |
3,661 |
$127K |
| 87491 |
|
5,220 |
3,647 |
$127K |
| 96366 |
|
2,130 |
1,889 |
$126K |
| J2785 |
Regadenoson injection |
395 |
392 |
$124K |
| 0270 |
|
1,372 |
781 |
$121K |
| 80048 |
|
20,148 |
12,998 |
$121K |
| 87086 |
|
21,020 |
13,965 |
$119K |
| J0131 |
Inj, acetaminophen (nos) |
3,529 |
3,317 |
$118K |
| 72100 |
|
2,046 |
2,021 |
$112K |
| 73030 |
|
2,304 |
2,214 |
$111K |
| J1815 |
Insulin injection |
2,251 |
1,773 |
$110K |
| 85730 |
|
25,454 |
16,742 |
$108K |
| 87040 |
|
8,909 |
5,848 |
$103K |
| 85610 |
|
35,712 |
22,910 |
$99K |
| 94799 |
|
1,238 |
1,124 |
$99K |
| J1170 |
Hydromorphone injection |
10,437 |
7,620 |
$99K |
| A9500 |
Tc99m sestamibi |
453 |
450 |
$98K |
| 90715 |
|
2,315 |
2,297 |
$97K |
| 73110 |
|
2,040 |
1,924 |
$95K |
| 94644 |
|
2,665 |
2,420 |
$93K |
| J2270 |
Morphine sulfate injection |
8,879 |
7,339 |
$90K |
| 97750 |
|
856 |
827 |
$86K |
| 70551 |
|
151 |
147 |
$85K |
| 87400 |
|
11,915 |
6,055 |
$84K |
| T1999 |
Noc retail items andsupplies |
2,366 |
903 |
$84K |
| 84443 |
|
6,951 |
4,841 |
$82K |
| 96367 |
|
1,180 |
1,071 |
$76K |
| 81001 |
|
13,436 |
12,175 |
$73K |
| 76700 |
|
538 |
520 |
$73K |
| 74018 |
|
2,159 |
1,996 |
$73K |
| 83735 |
|
14,216 |
9,520 |
$69K |
| 80306 |
|
3,156 |
2,972 |
$67K |
| J0696 |
Ceftriaxone sodium injection |
5,992 |
5,497 |
$61K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
13,474 |
12,815 |
$60K |
| 81015 |
|
25,177 |
12,208 |
$57K |
| 99292 |
|
255 |
249 |
$55K |
| J2370 |
Phenylephrine hcl injection |
555 |
528 |
$54K |
| 99152 |
|
529 |
473 |
$54K |
| 87077 |
|
8,529 |
5,797 |
$52K |
| 93017 |
|
378 |
374 |
$51K |
| J0500 |
Dicyclomine injection |
695 |
656 |
$50K |
| 71250 |
|
127 |
126 |
$49K |
| 76819 |
|
213 |
177 |
$49K |
| J3010 |
Fentanyl citrate injection |
6,842 |
6,161 |
$48K |
| J1756 |
Iron sucrose injection |
772 |
506 |
$48K |
| 87880 |
|
8,005 |
5,579 |
$47K |
| 87186 |
|
6,825 |
4,652 |
$46K |
| 93798 |
|
273 |
37 |
$46K |
| Q0144 |
Azithromycin dihydrate, oral |
643 |
621 |
$44K |
| J7040 |
Normal saline solution infus |
4,140 |
3,011 |
$43K |
| J3480 |
Inj potassium chloride |
913 |
747 |
$42K |
| 73502 |
|
737 |
713 |
$42K |
| 10060 |
|
934 |
894 |
$41K |
| J2765 |
Metoclopramide hcl injection |
6,692 |
6,113 |
$41K |
| J1100 |
Dexamethasone sodium phos |
3,994 |
3,701 |
$40K |
| J1200 |
Diphenhydramine hcl injectio |
6,872 |
5,878 |
$40K |
| 81025 |
|
12,025 |
11,498 |
$40K |
| J2250 |
Inj midazolam hydrochloride |
5,566 |
5,253 |
$39K |
| 95812 |
|
438 |
438 |
$38K |
| J0690 |
Cefazolin sodium injection |
4,237 |
3,406 |
$38K |
| 73080 |
|
732 |
701 |
$37K |
| 81002 |
|
18,993 |
10,006 |
$37K |
| 73590 |
|
927 |
867 |
$35K |
| 87081 |
|
7,514 |
5,234 |
$35K |
| 73140 |
|
1,181 |
1,131 |
$34K |
| J7050 |
Normal saline solution infus |
4,393 |
3,188 |
$34K |
| 84145 |
|
1,547 |
1,432 |
$34K |
| 72040 |
|
673 |
664 |
$33K |
| 73090 |
|
855 |
798 |
$32K |
| 99199 |
|
647 |
548 |
$32K |
| 12001 |
|
852 |
811 |
$31K |
| J2704 |
Inj, propofol, 10 mg |
4,925 |
4,588 |
$31K |
| 99285 |
|
27 |
26 |
$31K |
| 76870 |
|
282 |
275 |
$30K |
| 85378 |
|
5,255 |
3,559 |
$29K |
| 99213 |
|
566 |
357 |
$29K |
| J2060 |
Lorazepam injection |
4,670 |
4,041 |
$28K |
| J7060 |
5% dextrose/water |
2,605 |
1,502 |
$27K |
| S0077 |
Injection, clindamycin phosp |
555 |
503 |
$26K |
| 80076 |
|
4,840 |
3,392 |
$25K |
| 84702 |
|
2,338 |
1,496 |
$25K |
| J7120 |
Ringers lactate infusion |
1,739 |
1,565 |
$25K |
| J1644 |
Inj heparin sodium per 1000u |
3,820 |
2,039 |
$24K |
| 72170 |
|
649 |
636 |
$24K |
| J2930 |
Methylprednisolone injection |
1,566 |
1,392 |
$24K |
| 96415 |
|
394 |
293 |
$23K |
| C9290 |
Inj, bupivacaine liposome |
63 |
60 |
$23K |
| 76805 |
|
159 |
157 |
$23K |
| J3370 |
Vancomycin hcl injection |
941 |
746 |
$23K |
| J2550 |
Promethazine hcl injection |
2,709 |
2,361 |
$21K |
| Z7610 |
|
2,655 |
1,570 |
$21K |
| J3475 |
Inj magnesium sulfate |
1,551 |
1,258 |
$18K |
| 11042 |
|
975 |
673 |
$17K |
| 96417 |
|
286 |
194 |
$17K |
| J0330 |
Succinycholine chloride inj |
664 |
645 |
$17K |
| 82803 |
|
1,395 |
1,323 |
$17K |
| 84439 |
|
2,636 |
1,715 |
$16K |
| Z7514 |
|
277 |
160 |
$16K |
| 76856 |
|
135 |
128 |
$16K |
| 59425 |
|
332 |
204 |
$16K |
| 93458 |
|
12 |
12 |
$15K |
| 12011 |
|
277 |
258 |
$15K |
| 83036 |
|
2,443 |
1,699 |
$15K |
| 86141 |
|
1,809 |
911 |
$14K |
| 82010 |
|
2,347 |
1,434 |
$13K |
| 87070 |
|
2,059 |
1,338 |
$13K |
| 86901 |
|
5,566 |
3,693 |
$12K |
| 86140 |
|
3,083 |
2,446 |
$12K |
| 85018 |
|
4,415 |
2,927 |
$12K |
| J1650 |
Inj enoxaparin sodium |
504 |
304 |
$11K |
| 81003 |
|
5,306 |
4,840 |
$11K |
| 87899 |
|
1,034 |
511 |
$11K |
| S4005 |
Interim labor facility globa |
183 |
168 |
$11K |
| 82550 |
|
2,058 |
1,474 |
$11K |
| 94760 |
|
749 |
602 |
$10K |
| 74022 |
|
140 |
131 |
$10K |
| S0020 |
Injection, bupivicaine hydro |
761 |
735 |
$10K |
| 99000 |
|
1,617 |
1,587 |
$9K |
| 29125 |
|
621 |
597 |
$9K |
| Z1034 |
|
166 |
110 |
$9K |
| 80061 |
|
921 |
579 |
$9K |
| 84703 |
|
1,512 |
1,189 |
$8K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
313 |
309 |
$8K |
| 86900 |
|
3,541 |
2,322 |
$8K |
| 78226 |
|
12 |
12 |
$8K |
| Q5106 |
Inj retacrit non-esrd use |
27 |
12 |
$7K |
| L0172 |
Cerv col sr foam 2pc pre ots |
29 |
29 |
$6K |
| 87210 |
|
2,117 |
1,387 |
$6K |
| 85652 |
|
3,204 |
2,257 |
$6K |
| 43239 |
|
97 |
95 |
$6K |
| 86850 |
|
2,592 |
1,717 |
$6K |
| 70491 |
|
12 |
12 |
$6K |
| 0250 |
|
397 |
240 |
$6K |
| Q0162 |
Ondansetron oral |
5,612 |
5,183 |
$6K |
| 87420 |
|
2,566 |
1,314 |
$5K |
| 82140 |
|
546 |
349 |
$5K |
| J0360 |
Hydralazine hcl injection |
492 |
426 |
$5K |
| 72131 |
|
13 |
13 |
$5K |
| J1940 |
Furosemide injection |
546 |
399 |
$5K |
| A4217 |
Sterile water/saline, 500 ml |
421 |
408 |
$5K |
| 87075 |
|
709 |
495 |
$5K |
| 70487 |
|
13 |
13 |
$5K |
| 93351 |
|
14 |
12 |
$5K |
| P9016 |
Rbc leukocytes reduced |
16 |
14 |
$5K |
| 97530 |
|
108 |
90 |
$5K |
| C9113 |
Inj pantoprazole sodium, via |
393 |
332 |
$4K |
| J7611 |
Albuterol non-comp con |
2,574 |
2,302 |
$4K |
| 82947 |
|
830 |
682 |
$4K |
| 84100 |
|
1,045 |
921 |
$4K |
| J2543 |
Piperacillin/tazobactam |
172 |
132 |
$4K |
| 36415 |
|
2,813 |
2,357 |
$3K |
| 12002 |
|
88 |
86 |
$3K |
| 94645 |
|
108 |
100 |
$3K |
| 96523 |
|
180 |
147 |
$3K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
484 |
470 |
$3K |
| 81000 |
|
1,121 |
1,032 |
$3K |
| 99153 |
Mod sedat endo service >5yrs |
57 |
48 |
$3K |
| J0171 |
Adrenalin epinephrine inject |
67 |
64 |
$3K |
| 86920 |
|
52 |
37 |
$3K |
| S0164 |
Injection pantroprazole |
173 |
147 |
$3K |
| 82248 |
|
557 |
521 |
$2K |
| 85027 |
|
457 |
291 |
$2K |
| 73552 |
|
54 |
49 |
$2K |
| 45380 |
|
27 |
25 |
$2K |
| 90686 |
|
74 |
72 |
$2K |
| J2920 |
Methylprednisolone injection |
196 |
173 |
$2K |
| 97116 |
|
48 |
43 |
$2K |
| 71020 |
|
69 |
43 |
$2K |
| 74019 |
|
48 |
48 |
$2K |
| 29515 |
|
79 |
77 |
$2K |
| 84550 |
|
449 |
358 |
$2K |
| 86703 |
|
146 |
144 |
$2K |
| 97803 |
|
31 |
27 |
$2K |
| 73060 |
|
40 |
37 |
$1K |
| J0780 |
Prochlorperazine injection |
151 |
145 |
$1K |
| 45385 |
|
14 |
14 |
$1K |
| 97165 |
|
14 |
13 |
$1K |
| A9537 |
Tc99m mebrofenin |
12 |
12 |
$1K |
| 74230 |
|
27 |
27 |
$1K |
| 36600 |
|
38 |
36 |
$1K |
| 82570 |
|
261 |
223 |
$1K |
| J3411 |
Thiamine hcl 100 mg |
109 |
94 |
$1K |
| J3360 |
Diazepam injection |
51 |
48 |
$1K |
| 96368 |
|
32 |
29 |
$1K |
| 90744 |
|
62 |
62 |
$1K |
| 86308 |
|
282 |
164 |
$1K |
| J2919 |
Inj, methylpred sod succ 5mg |
183 |
146 |
$1K |
| 10061 |
|
16 |
16 |
$1K |
| 45378 |
|
14 |
14 |
$989.67 |
| J1953 |
Levetiracetam injection |
47 |
39 |
$972.33 |
| 93000 |
|
13 |
12 |
$949.21 |
| 84156 |
|
291 |
221 |
$921.88 |
| J1750 |
Inj iron dextran |
12 |
12 |
$848.01 |
| 59430 |
|
17 |
17 |
$822.46 |
| 96376 |
|
16 |
12 |
$701.25 |
| 72070 |
|
14 |
14 |
$648.18 |
| 90471 |
|
130 |
126 |
$561.98 |
| 86592 |
|
147 |
139 |
$514.17 |
| 74000 |
|
18 |
14 |
$478.80 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
41 |
34 |
$470.95 |
| 71010 |
|
22 |
17 |
$449.60 |
| J7070 |
D5w infusion |
15 |
13 |
$406.52 |
| J8540 |
Oral dexamethasone |
887 |
846 |
$396.92 |
| 82270 |
|
158 |
100 |
$386.09 |
| 70360 |
|
13 |
13 |
$345.49 |
| 80164 |
|
52 |
25 |
$345.25 |
| 73660 |
|
12 |
12 |
$332.76 |
| J7620 |
Albuterol ipratrop non-comp |
2,051 |
1,818 |
$283.69 |
| 85007 |
|
192 |
93 |
$263.41 |
| 83615 |
|
47 |
42 |
$257.76 |
| J2471 |
Inj pantoprazole(hikma) 40mg |
72 |
59 |
$251.52 |
| J2795 |
Ropivacaine hcl injection |
13 |
12 |
$236.48 |
| 87205 |
|
49 |
47 |
$186.84 |
| 90585 |
|
40 |
40 |
$168.96 |
| 84132 |
|
45 |
41 |
$166.44 |
| 86580 |
|
19 |
19 |
$159.00 |
| J7644 |
Ipratropium bromide non-comp |
744 |
693 |
$148.08 |
| A6213 |
Foam drg >16<=48 sq in w/bdr |
15 |
13 |
$148.01 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,508 |
1,419 |
$142.16 |
| 87449 |
|
16 |
16 |
$137.98 |
| J1836 |
Inj, metronidazole, 10 mg |
44 |
39 |
$135.44 |
| J7613 |
Albuterol non-comp unit |
910 |
808 |
$106.64 |
| 82247 |
|
18 |
12 |
$88.67 |
| J2001 |
Lidocaine injection |
393 |
382 |
$39.51 |
| Q0177 |
Hydroxyzine pamoate 25mg |
69 |
55 |
$22.88 |
| Q0163 |
Diphenhydramine hcl 50mg |
200 |
188 |
$0.00 |
| 0300 |
|
12 |
12 |
$0.00 |
| J1630 |
Haloperidol injection |
37 |
33 |
$0.00 |
| J3535 |
Metered dose inhaler drug |
51 |
50 |
$0.00 |