| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
12,298 |
11,432 |
$2.27M |
| 99282 |
|
19,467 |
18,500 |
$1.72M |
| 99283 |
|
9,539 |
9,179 |
$1.27M |
| 0450 |
|
30,361 |
27,185 |
$1.08M |
| 99285 |
|
3,160 |
2,990 |
$806K |
| 74177 |
|
4,934 |
4,854 |
$784K |
| 99281 |
|
16,883 |
16,125 |
$698K |
| 87637 |
|
9,011 |
8,744 |
$516K |
| 70450 |
|
6,413 |
6,199 |
$331K |
| 71046 |
|
11,078 |
10,819 |
$308K |
| 96374 |
|
9,075 |
8,197 |
$187K |
| 74176 |
|
2,276 |
2,244 |
$160K |
| 93005 |
|
16,979 |
15,421 |
$151K |
| 71045 |
|
8,873 |
8,416 |
$142K |
| 76705 |
|
3,874 |
3,815 |
$141K |
| 87635 |
|
7,382 |
7,128 |
$139K |
| 0270 |
|
4,142 |
3,339 |
$118K |
| 85025 |
|
41,496 |
34,671 |
$114K |
| G0378 |
Hospital observation per hr |
1,928 |
1,421 |
$114K |
| 99199 |
|
2,131 |
1,792 |
$111K |
| 96375 |
|
7,312 |
6,706 |
$110K |
| 71260 |
|
1,420 |
1,395 |
$108K |
| 73630 |
|
4,759 |
4,160 |
$102K |
| 76830 |
|
2,447 |
2,418 |
$101K |
| 77067 |
|
3,506 |
3,505 |
$95K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,508 |
2,475 |
$92K |
| J0131 |
Inj, acetaminophen (nos) |
5,240 |
4,835 |
$91K |
| 80051 |
|
29,676 |
25,998 |
$84K |
| 70551 |
|
990 |
982 |
$83K |
| 73610 |
|
3,512 |
3,278 |
$82K |
| 76856 |
|
2,082 |
2,063 |
$80K |
| 76811 |
|
408 |
408 |
$79K |
| 96365 |
|
3,300 |
3,108 |
$76K |
| 71275 |
|
507 |
504 |
$75K |
| 80307 |
|
2,262 |
2,085 |
$74K |
| 73030 |
|
2,861 |
2,592 |
$72K |
| 72148 |
|
914 |
910 |
$70K |
| 96361 |
|
5,553 |
5,210 |
$70K |
| 73564 |
|
1,830 |
1,365 |
$69K |
| J3490 |
Drugs unclassified injection |
12,423 |
6,523 |
$68K |
| 73560 |
|
2,735 |
2,492 |
$63K |
| 76815 |
|
1,432 |
1,372 |
$60K |
| 82565 |
|
33,166 |
28,593 |
$59K |
| 74018 |
|
2,312 |
2,193 |
$58K |
| 73110 |
|
2,692 |
2,344 |
$58K |
| 73130 |
|
3,000 |
2,567 |
$58K |
| 72100 |
|
1,946 |
1,934 |
$57K |
| 83880 |
|
5,092 |
4,732 |
$51K |
| 93971 |
|
1,102 |
1,070 |
$50K |
| 87491 |
|
2,442 |
2,343 |
$47K |
| 87591 |
|
2,443 |
2,343 |
$47K |
| 83690 |
|
17,177 |
15,826 |
$47K |
| 36415 |
|
43,988 |
35,709 |
$44K |
| 82947 |
|
30,132 |
26,365 |
$43K |
| 96372 |
|
4,497 |
4,271 |
$43K |
| J7030 |
Normal saline solution infus |
14,423 |
12,007 |
$42K |
| 84520 |
|
29,761 |
26,073 |
$42K |
| 84484 |
|
9,912 |
8,810 |
$42K |
| 86900 |
|
3,040 |
2,791 |
$41K |
| 84460 |
|
21,207 |
18,633 |
$40K |
| 87651 |
|
3,026 |
3,001 |
$39K |
| 73502 |
|
1,280 |
1,251 |
$39K |
| 72125 |
|
429 |
425 |
$38K |
| 82247 |
|
21,759 |
18,692 |
$37K |
| 84450 |
|
19,816 |
17,688 |
$37K |
| 94640 |
|
2,389 |
2,091 |
$37K |
| 84075 |
|
18,141 |
16,397 |
$34K |
| 76817 |
|
572 |
544 |
$33K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,779 |
4,671 |
$31K |
| 73080 |
|
1,312 |
1,144 |
$30K |
| 71250 |
|
385 |
385 |
$26K |
| 76857 |
|
378 |
369 |
$25K |
| 70553 |
|
130 |
130 |
$24K |
| 84702 |
|
4,703 |
3,890 |
$24K |
| 87040 |
|
3,538 |
3,329 |
$24K |
| 70486 |
|
317 |
317 |
$24K |
| 96360 |
|
1,308 |
1,273 |
$24K |
| 72040 |
|
778 |
771 |
$23K |
| 73140 |
|
1,364 |
1,249 |
$23K |
| 76770 |
|
552 |
540 |
$22K |
| 81001 |
|
22,688 |
21,191 |
$21K |
| 84703 |
|
8,441 |
7,916 |
$21K |
| J1885 |
Ketorolac tromethamine inj |
8,938 |
8,080 |
$21K |
| 87631 |
|
623 |
617 |
$21K |
| 83605 |
|
4,298 |
3,950 |
$20K |
| 83735 |
|
8,236 |
6,902 |
$19K |
| 73590 |
|
773 |
704 |
$19K |
| 80048 |
|
5,897 |
5,406 |
$19K |
| 80306 |
|
2,193 |
2,095 |
$19K |
| J2405 |
Ondansetron hcl injection |
8,251 |
7,299 |
$18K |
| 74022 |
|
357 |
349 |
$18K |
| 86850 |
|
2,531 |
2,415 |
$17K |
| 93976 |
|
348 |
347 |
$16K |
| 73721 |
|
234 |
226 |
$16K |
| 70491 |
|
108 |
108 |
$16K |
| 82077 |
|
2,274 |
2,141 |
$15K |
| 86901 |
|
3,040 |
2,791 |
$14K |
| 71101 |
|
202 |
200 |
$14K |
| 73562 |
|
566 |
492 |
$14K |
| J7120 |
Ringers lactate infusion |
6,305 |
5,658 |
$14K |
| 87088 |
|
5,098 |
4,919 |
$13K |
| J1170 |
Hydromorphone injection |
3,265 |
2,489 |
$12K |
| 36430 |
|
349 |
192 |
$11K |
| 77080 |
|
378 |
378 |
$10K |
| 81003 |
|
14,707 |
14,191 |
$10K |
| J1100 |
Dexamethasone sodium phos |
3,202 |
3,045 |
$9K |
| 72141 |
|
104 |
103 |
$9K |
| J2270 |
Morphine sulfate injection |
2,599 |
2,288 |
$9K |
| J0696 |
Ceftriaxone sodium injection |
2,574 |
2,270 |
$8K |
| 76536 |
|
153 |
153 |
$8K |
| 85610 |
|
6,638 |
5,653 |
$8K |
| 72070 |
|
118 |
118 |
$8K |
| 93970 |
|
113 |
112 |
$8K |
| 87636 |
|
852 |
838 |
$8K |
| J2765 |
Metoclopramide hcl injection |
3,423 |
3,087 |
$8K |
| 82962 |
|
5,434 |
4,364 |
$7K |
| 96366 |
|
498 |
484 |
$7K |
| 80179 |
|
1,082 |
1,043 |
$7K |
| 73522 |
|
54 |
54 |
$7K |
| 84100 |
|
4,284 |
3,734 |
$7K |
| 85379 |
|
2,118 |
2,080 |
$6K |
| J1200 |
Diphenhydramine hcl injectio |
2,674 |
2,315 |
$6K |
| 76805 |
|
706 |
705 |
$6K |
| 87502 |
|
224 |
223 |
$6K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
339 |
332 |
$6K |
| 59025 |
|
610 |
528 |
$6K |
| 73090 |
|
401 |
359 |
$5K |
| 85652 |
|
6,645 |
6,390 |
$5K |
| 84443 |
|
1,084 |
1,064 |
$5K |
| 73552 |
|
69 |
64 |
$5K |
| 82803 |
|
789 |
729 |
$5K |
| 77063 |
|
142 |
142 |
$4K |
| 0710 |
|
1,786 |
1,771 |
$4K |
| 82248 |
|
2,228 |
1,627 |
$4K |
| 78452 |
|
13 |
13 |
$4K |
| 0250 |
|
13,422 |
7,367 |
$4K |
| 85027 |
|
2,139 |
1,871 |
$4K |
| J1815 |
Insulin injection |
1,755 |
785 |
$3K |
| S0119 |
Ondansetron 4 mg |
770 |
757 |
$3K |
| J2060 |
Lorazepam injection |
1,115 |
988 |
$3K |
| 85378 |
|
1,064 |
1,039 |
$3K |
| 96376 |
|
1,883 |
1,687 |
$3K |
| 86140 |
|
1,529 |
1,474 |
$3K |
| 73060 |
|
38 |
38 |
$3K |
| 73660 |
|
130 |
122 |
$3K |
| 70496 |
|
12 |
12 |
$3K |
| 84132 |
|
1,736 |
1,404 |
$2K |
| 90715 |
|
102 |
102 |
$2K |
| 76870 |
|
54 |
54 |
$2K |
| Z7502 |
|
336 |
320 |
$2K |
| 72170 |
|
13 |
13 |
$2K |
| 82550 |
|
647 |
613 |
$2K |
| 0272 |
|
226 |
225 |
$1K |
| J0780 |
Prochlorperazine injection |
451 |
422 |
$1K |
| 87210 |
|
566 |
561 |
$1K |
| 87070 |
|
385 |
373 |
$1K |
| J3475 |
Inj magnesium sulfate |
523 |
473 |
$1K |
| 82310 |
|
806 |
643 |
$1K |
| 73221 |
|
12 |
12 |
$1K |
| 82570 |
|
374 |
329 |
$908.15 |
| 12001 |
|
195 |
195 |
$886.42 |
| 99070 |
|
77 |
28 |
$830.04 |
| 83036 |
|
802 |
793 |
$827.18 |
| 87389 |
|
119 |
119 |
$806.43 |
| J0690 |
Cefazolin sodium injection |
1,269 |
1,125 |
$803.64 |
| 0637 |
|
43,311 |
15,851 |
$802.50 |
| J3010 |
Fentanyl citrate injection |
1,038 |
1,000 |
$591.93 |
| 84156 |
|
323 |
284 |
$523.63 |
| 87324 |
|
74 |
73 |
$510.75 |
| 87798 |
|
13 |
13 |
$497.10 |
| 90471 |
|
157 |
155 |
$495.01 |
| 87449 |
|
85 |
84 |
$495.00 |
| 84295 |
|
206 |
166 |
$492.02 |
| J0137 |
Inj, acetaminophen (hikma) |
36 |
35 |
$401.46 |
| A9502 |
Tc99m tetrofosmin |
13 |
13 |
$363.52 |
| J2930 |
Methylprednisolone injection |
96 |
91 |
$338.87 |
| 83615 |
|
237 |
200 |
$328.39 |
| 12011 |
|
53 |
52 |
$306.00 |
| A9585 |
Gadobutrol injection |
254 |
251 |
$289.25 |
| 85730 |
|
116 |
113 |
$260.90 |
| 87081 |
|
123 |
122 |
$228.96 |
| 0370 |
|
1,562 |
1,551 |
$189.50 |
| 85008 |
|
903 |
739 |
$185.23 |
| 88305 |
|
72 |
71 |
$184.79 |
| J1940 |
Furosemide injection |
129 |
88 |
$179.29 |
| 0636 |
|
126 |
122 |
$176.43 |
| J2919 |
Inj, methylpred sod succ 5mg |
55 |
44 |
$161.17 |
| 85007 |
|
292 |
228 |
$160.30 |
| 29125 |
|
70 |
70 |
$102.17 |
| J1630 |
Haloperidol injection |
29 |
24 |
$101.01 |
| 86780 |
|
56 |
54 |
$94.40 |
| J1644 |
Inj heparin sodium per 1000u |
32 |
13 |
$88.98 |
| 84550 |
|
40 |
36 |
$88.39 |
| 82040 |
|
94 |
89 |
$84.22 |
| 96367 |
|
31 |
31 |
$78.74 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
61 |
52 |
$74.61 |
| 82140 |
|
13 |
13 |
$55.90 |
| J2001 |
Lidocaine injection |
97 |
93 |
$55.48 |
| 87205 |
|
41 |
40 |
$31.92 |
| 88304 |
|
27 |
27 |
$24.40 |
| 82150 |
|
13 |
13 |
$24.19 |
| J8540 |
Oral dexamethasone |
287 |
278 |
$23.01 |
| J7512 |
Prednisone ir or dr oral 1mg |
651 |
571 |
$18.31 |
| 80061 |
|
46 |
45 |
$11.54 |
| J2250 |
Inj midazolam hydrochloride |
66 |
63 |
$9.37 |
| 80329 |
|
77 |
74 |
$5.00 |
| 80320 |
|
184 |
173 |
$5.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
89 |
78 |
$4.76 |
| 82272 |
|
13 |
13 |
$2.56 |
| 80325 |
|
71 |
69 |
$0.00 |
| 90749 |
|
212 |
212 |
$0.00 |
| 76376 |
|
252 |
252 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
109 |
109 |
$0.00 |
| 82465 |
|
20 |
20 |
$0.00 |
| 0002A |
|
34 |
34 |
$0.00 |
| 82374 |
|
26 |
23 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
15 |
12 |
$0.00 |
| 83718 |
|
18 |
18 |
$0.00 |
| 83540 |
|
21 |
21 |
$0.00 |
| 83721 |
|
32 |
32 |
$0.00 |
| 80349 |
|
446 |
434 |
$0.00 |
| 87340 |
|
32 |
32 |
$0.00 |
| 82043 |
|
52 |
52 |
$0.00 |
| 0001A |
|
38 |
38 |
$0.00 |
| 82306 |
|
12 |
12 |
$0.00 |
| 82728 |
|
31 |
31 |
$0.00 |
| 82435 |
|
26 |
23 |
$0.00 |
| 0410 |
|
18 |
18 |
$0.00 |
| Z7610 |
|
48 |
16 |
$0.00 |
| 86803 |
|
22 |
22 |
$0.00 |
| 0258 |
|
384 |
326 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
31 |
28 |
$0.00 |
| 82607 |
|
14 |
14 |
$0.00 |
| 83550 |
|
21 |
21 |
$0.00 |