| Code | Description | Claims | Beneficiaries | Total Paid |
| 96361 |
|
16,965 |
13,508 |
$4.87M |
| 99284 |
|
39,183 |
36,081 |
$4.54M |
| 99283 |
|
41,235 |
38,973 |
$4.49M |
| 99285 |
|
35,132 |
30,875 |
$4.42M |
| 70450 |
|
4,081 |
3,415 |
$988K |
| 0241U |
|
6,684 |
5,831 |
$705K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,709 |
4,277 |
$688K |
| 74177 |
|
2,788 |
2,310 |
$629K |
| 96360 |
|
2,227 |
1,901 |
$421K |
| G0378 |
Hospital observation per hr |
5,184 |
2,224 |
$419K |
| G0463 |
Hospital outpt clinic visit |
6,375 |
4,729 |
$412K |
| 96366 |
|
1,983 |
1,116 |
$392K |
| 96365 |
|
3,066 |
2,253 |
$391K |
| 99282 |
|
3,650 |
3,405 |
$386K |
| 71260 |
|
1,410 |
1,175 |
$292K |
| 94640 |
|
2,489 |
2,016 |
$272K |
| 43239 |
|
593 |
475 |
$232K |
| 80053 |
|
38,422 |
32,734 |
$203K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
927 |
727 |
$165K |
| 93308 |
|
604 |
519 |
$164K |
| 97110 |
|
3,142 |
1,280 |
$155K |
| C9803 |
Hopd covid-19 spec collect |
3,870 |
3,735 |
$142K |
| 74176 |
|
625 |
530 |
$138K |
| 90839 |
|
1,027 |
823 |
$118K |
| 90853 |
|
1,036 |
98 |
$90K |
| 82805 |
|
2,728 |
2,171 |
$87K |
| 76705 |
|
985 |
767 |
$78K |
| 93975 |
|
696 |
594 |
$78K |
| 87631 |
|
500 |
464 |
$72K |
| 93306 |
|
329 |
273 |
$69K |
| 45380 |
|
111 |
95 |
$66K |
| 80048 |
|
8,553 |
6,452 |
$62K |
| 80307 |
|
4,652 |
3,816 |
$60K |
| 99281 |
|
463 |
449 |
$55K |
| 93971 |
|
872 |
742 |
$54K |
| 70498 |
|
229 |
192 |
$53K |
| 97530 |
|
2,006 |
1,000 |
$52K |
| 93970 |
|
454 |
374 |
$49K |
| 71046 |
|
9,693 |
8,558 |
$49K |
| 64447 |
|
230 |
193 |
$41K |
| 71250 |
|
501 |
440 |
$39K |
| 84484 |
|
14,423 |
9,602 |
$37K |
| 12001 |
|
232 |
210 |
$35K |
| 85025 |
|
36,788 |
31,654 |
$32K |
| 76770 |
|
224 |
201 |
$30K |
| 36415 |
|
38,305 |
26,930 |
$30K |
| 77067 |
|
980 |
892 |
$30K |
| 72131 |
|
444 |
375 |
$28K |
| 86850 |
|
1,375 |
1,157 |
$28K |
| 84443 |
|
2,644 |
2,296 |
$27K |
| 97161 |
|
1,078 |
887 |
$27K |
| C9290 |
Inj, bupivacaine liposome |
289 |
233 |
$26K |
| 76830 |
|
607 |
523 |
$26K |
| 70491 |
|
86 |
69 |
$25K |
| 72125 |
|
1,654 |
1,378 |
$25K |
| 97165 |
|
587 |
485 |
$25K |
| 80061 |
|
2,208 |
1,943 |
$24K |
| 81513 |
|
191 |
167 |
$24K |
| 93005 |
|
26,508 |
22,519 |
$24K |
| 87591 |
|
4,073 |
3,638 |
$21K |
| 85027 |
|
10,471 |
8,253 |
$20K |
| 71045 |
|
9,646 |
8,486 |
$20K |
| 82306 |
|
1,118 |
983 |
$20K |
| 83970 |
|
1,038 |
545 |
$19K |
| 83036 |
|
1,704 |
1,483 |
$18K |
| 97116 |
|
967 |
567 |
$18K |
| 97535 |
|
699 |
451 |
$17K |
| 93799 |
|
3,368 |
1,137 |
$17K |
| 96367 |
|
598 |
446 |
$16K |
| C1776 |
Joint device (implantable) |
46 |
38 |
$15K |
| 64415 |
|
71 |
41 |
$15K |
| 96374 |
|
20,419 |
17,657 |
$14K |
| 86900 |
|
1,386 |
1,161 |
$14K |
| 70486 |
|
565 |
483 |
$14K |
| 96372 |
|
9,611 |
7,330 |
$14K |
| 77063 |
|
313 |
301 |
$14K |
| 71275 |
|
37 |
37 |
$13K |
| 99291 |
|
107 |
81 |
$13K |
| 72100 |
|
484 |
428 |
$13K |
| 97802 |
|
268 |
220 |
$11K |
| 70551 |
|
74 |
62 |
$11K |
| 81001 |
|
25,411 |
22,596 |
$11K |
| 87491 |
|
4,096 |
3,659 |
$11K |
| 84702 |
|
1,579 |
1,209 |
$10K |
| 45378 |
|
15 |
12 |
$10K |
| 83735 |
|
18,233 |
14,981 |
$10K |
| 82728 |
|
671 |
575 |
$10K |
| 90715 |
|
642 |
547 |
$9K |
| M0247 |
Sotrovimab infusion |
28 |
25 |
$9K |
| 82962 |
|
8,488 |
3,244 |
$9K |
| 76801 |
|
574 |
476 |
$9K |
| 73502 |
|
815 |
666 |
$9K |
| 80069 |
|
718 |
549 |
$9K |
| 86780 |
|
1,864 |
1,639 |
$9K |
| 76857 |
|
674 |
579 |
$9K |
| M0243 |
Casirivi and imdevi inj |
63 |
57 |
$9K |
| 73030 |
|
1,103 |
896 |
$9K |
| 85610 |
|
6,681 |
4,650 |
$9K |
| 73564 |
|
886 |
779 |
$8K |
| 82607 |
|
669 |
568 |
$8K |
| 94060 |
|
104 |
90 |
$8K |
| A9270 |
Non-covered item or service |
1,988 |
909 |
$8K |
| 64450 |
|
76 |
51 |
$8K |
| 73630 |
|
1,300 |
1,143 |
$8K |
| 86803 |
|
424 |
355 |
$7K |
| 87389 |
|
484 |
414 |
$7K |
| 99214 |
|
313 |
252 |
$7K |
| 86140 |
|
951 |
771 |
$7K |
| 84439 |
|
413 |
368 |
$7K |
| 83880 |
|
2,331 |
1,912 |
$7K |
| 76642 |
|
50 |
41 |
$7K |
| 83540 |
|
921 |
801 |
$7K |
| 96376 |
|
2,449 |
1,247 |
$7K |
| 73130 |
|
902 |
805 |
$7K |
| 78452 |
|
15 |
12 |
$6K |
| 87086 |
|
2,191 |
1,863 |
$6K |
| 88307 |
|
56 |
40 |
$6K |
| 83550 |
|
912 |
790 |
$6K |
| 82570 |
|
639 |
562 |
$5K |
| 73610 |
|
1,038 |
902 |
$5K |
| 74018 |
|
337 |
288 |
$5K |
| 99215 |
Prolong outpt/office vis |
146 |
127 |
$5K |
| 97162 |
|
122 |
117 |
$5K |
| 87502 |
|
510 |
447 |
$5K |
| J1756 |
Iron sucrose injection |
202 |
63 |
$5K |
| U0005 |
Infec agen detec ampli probe |
3,511 |
3,108 |
$4K |
| 96368 |
|
197 |
126 |
$4K |
| 86901 |
|
1,386 |
1,161 |
$4K |
| 87340 |
|
382 |
299 |
$4K |
| 87661 |
|
2,539 |
2,146 |
$4K |
| 70496 |
|
272 |
231 |
$4K |
| 73560 |
|
592 |
495 |
$4K |
| 73110 |
|
595 |
518 |
$4K |
| 10060 |
|
26 |
25 |
$4K |
| 12011 |
|
27 |
24 |
$4K |
| 80076 |
|
379 |
305 |
$4K |
| 76817 |
|
391 |
330 |
$4K |
| 96375 |
|
6,634 |
5,076 |
$4K |
| 82077 |
|
3,287 |
2,509 |
$3K |
| 84153 |
|
187 |
172 |
$3K |
| J0561 |
Penicillin g benzathine inj |
16 |
12 |
$3K |
| 87651 |
|
2,710 |
2,403 |
$3K |
| 82043 |
|
491 |
439 |
$3K |
| 93017 |
|
44 |
37 |
$3K |
| 82310 |
|
254 |
147 |
$3K |
| 70553 |
|
15 |
14 |
$3K |
| 90471 |
|
579 |
457 |
$2K |
| 84100 |
|
881 |
557 |
$2K |
| 99152 |
|
765 |
589 |
$2K |
| 87635 |
|
823 |
665 |
$2K |
| 76536 |
|
27 |
25 |
$2K |
| J2543 |
Piperacillin/tazobactam |
514 |
234 |
$2K |
| 73090 |
|
148 |
120 |
$2K |
| 82330 |
|
3,025 |
2,236 |
$2K |
| 94729 |
|
68 |
63 |
$2K |
| 83605 |
|
3,319 |
2,429 |
$2K |
| 95012 |
|
18 |
13 |
$2K |
| 87077 |
|
828 |
710 |
$2K |
| 80197 |
|
103 |
56 |
$2K |
| 85379 |
|
2,438 |
2,058 |
$2K |
| 83690 |
|
6,368 |
5,311 |
$2K |
| 73140 |
|
341 |
308 |
$2K |
| 12002 |
|
14 |
13 |
$1K |
| 74174 |
|
12 |
12 |
$1K |
| 84132 |
|
3,918 |
3,160 |
$1K |
| 82550 |
|
1,392 |
1,048 |
$1K |
| 73590 |
|
290 |
250 |
$1K |
| 80320 |
|
171 |
152 |
$1K |
| 81025 |
|
17,492 |
15,596 |
$1K |
| 85730 |
|
2,255 |
1,790 |
$1K |
| 86703 |
|
1,320 |
1,162 |
$1K |
| 85652 |
|
365 |
310 |
$1K |
| 73080 |
|
190 |
165 |
$1K |
| 76870 |
|
27 |
24 |
$1K |
| 84450 |
|
760 |
652 |
$1K |
| 82746 |
|
181 |
148 |
$981.33 |
| 92507 |
|
25 |
13 |
$957.97 |
| J2270 |
Morphine sulfate injection |
2,759 |
1,727 |
$918.29 |
| 77061 |
|
28 |
24 |
$886.28 |
| 84460 |
|
725 |
630 |
$859.28 |
| 85018 |
|
2,761 |
2,206 |
$796.50 |
| 87186 |
|
650 |
564 |
$790.87 |
| 82375 |
|
2,706 |
2,180 |
$769.70 |
| 0002A |
|
23 |
23 |
$721.62 |
| 84550 |
|
122 |
107 |
$709.45 |
| 00731 |
|
436 |
362 |
$706.42 |
| 99221 |
|
59 |
56 |
$689.08 |
| 80143 |
|
565 |
464 |
$679.22 |
| 77065 |
Tomosynthesis, mammo |
51 |
43 |
$651.60 |
| J1170 |
Hydromorphone injection |
711 |
401 |
$604.36 |
| 83050 |
|
2,683 |
2,143 |
$596.01 |
| 96127 |
|
18 |
16 |
$565.80 |
| 01400 |
|
307 |
247 |
$559.12 |
| 88305 |
|
1,288 |
1,078 |
$535.18 |
| J1815 |
Insulin injection |
87 |
64 |
$512.70 |
| 82435 |
|
2,282 |
1,848 |
$481.49 |
| J1885 |
Ketorolac tromethamine inj |
12,210 |
10,157 |
$474.46 |
| J2930 |
Methylprednisolone injection |
943 |
684 |
$471.03 |
| 90688 |
|
33 |
24 |
$463.00 |
| 0001A |
|
30 |
28 |
$419.68 |
| 84295 |
|
2,637 |
2,148 |
$398.70 |
| J2704 |
Inj, propofol, 10 mg |
8,374 |
3,573 |
$398.21 |
| 87430 |
|
1,375 |
1,293 |
$380.22 |
| 80179 |
|
553 |
457 |
$371.12 |
| J1650 |
Inj enoxaparin sodium |
340 |
135 |
$332.98 |
| 00811 |
|
161 |
111 |
$325.02 |
| 00320 |
|
340 |
192 |
$325.02 |
| 86706 |
|
35 |
27 |
$313.38 |
| J1644 |
Inj heparin sodium per 1000u |
1,694 |
700 |
$302.16 |
| 87070 |
|
205 |
179 |
$290.30 |
| 87040 |
|
785 |
598 |
$283.09 |
| J2919 |
Inj, methylpred sod succ 5mg |
453 |
319 |
$276.23 |
| Q3014 |
Telehealth facility fee |
13 |
13 |
$251.98 |
| J3490 |
Drugs unclassified injection |
76 |
55 |
$249.43 |
| 76815 |
|
41 |
40 |
$214.36 |
| 82553 |
|
20 |
15 |
$214.23 |
| 87481 |
|
39 |
38 |
$212.61 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,200 |
5,226 |
$211.46 |
| J1200 |
Diphenhydramine hcl injectio |
2,299 |
1,714 |
$204.54 |
| 73552 |
|
14 |
12 |
$199.10 |
| 71101 |
|
52 |
49 |
$199.10 |
| 81003 |
|
43 |
37 |
$197.89 |
| 87808 |
|
676 |
650 |
$178.98 |
| J0696 |
Ceftriaxone sodium injection |
2,009 |
1,451 |
$160.57 |
| 99232 |
|
14 |
12 |
$154.98 |
| 82565 |
|
15 |
12 |
$145.52 |
| J1790 |
Droperidol injection |
1,481 |
1,073 |
$134.86 |
| J3010 |
Fentanyl citrate injection |
4,016 |
2,943 |
$121.45 |
| 80164 |
|
32 |
25 |
$118.30 |
| 82784 |
|
15 |
12 |
$118.12 |
| Q0247 |
Sotrovimab |
22 |
21 |
$114.85 |
| J0171 |
Adrenalin epinephrine inject |
250 |
147 |
$106.48 |
| 82010 |
|
593 |
484 |
$104.03 |
| 87205 |
|
155 |
122 |
$101.02 |
| 72170 |
|
17 |
13 |
$99.54 |
| C9113 |
Inj pantoprazole sodium, via |
199 |
111 |
$98.90 |
| 76937 |
|
13 |
12 |
$96.42 |
| J0690 |
Cefazolin sodium injection |
2,201 |
1,526 |
$94.40 |
| J2405 |
Ondansetron hcl injection |
7,904 |
5,875 |
$92.88 |
| J2060 |
Lorazepam injection |
878 |
599 |
$89.43 |
| J0780 |
Prochlorperazine injection |
568 |
421 |
$80.72 |
| 77066 |
Tomosynthesis, mammo |
14 |
12 |
$68.49 |
| J7030 |
Normal saline solution infus |
1,415 |
942 |
$65.30 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,406 |
913 |
$58.35 |
| 83921 |
|
17 |
12 |
$56.32 |
| 82272 |
|
45 |
28 |
$51.88 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
613 |
536 |
$51.74 |
| J2250 |
Inj midazolam hydrochloride |
3,530 |
2,559 |
$49.45 |
| 84145 |
|
29 |
26 |
$47.05 |
| J7120 |
Ringers lactate infusion |
2,684 |
2,014 |
$45.13 |
| 36410 |
|
14 |
14 |
$44.05 |
| J3475 |
Inj magnesium sulfate |
1,066 |
734 |
$36.88 |
| J2765 |
Metoclopramide hcl injection |
757 |
593 |
$24.13 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
530 |
380 |
$23.60 |
| J0360 |
Hydralazine hcl injection |
75 |
50 |
$23.20 |
| J3370 |
Vancomycin hcl injection |
379 |
229 |
$23.05 |
| J2360 |
Orphenadrine injection |
187 |
161 |
$21.99 |
| J1100 |
Dexamethasone sodium phos |
3,071 |
2,093 |
$21.87 |
| J2370 |
Phenylephrine hcl injection |
275 |
139 |
$21.06 |
| J1940 |
Furosemide injection |
124 |
70 |
$20.90 |
| J2795 |
Ropivacaine hcl injection |
868 |
579 |
$20.58 |
| 80177 |
|
30 |
14 |
$15.77 |
| J3480 |
Inj potassium chloride |
341 |
236 |
$14.56 |
| 87088 |
|
15 |
14 |
$8.60 |
| J1630 |
Haloperidol injection |
47 |
37 |
$6.56 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
40 |
31 |
$5.85 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
529 |
406 |
$5.43 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
86 |
80 |
$2.82 |
| J2001 |
Lidocaine injection |
1,229 |
859 |
$1.55 |
| 91300 |
|
58 |
44 |
$0.33 |
| Q0240 |
Casirivi and imdevi 600 mg |
29 |
13 |
$0.24 |
| Q0243 |
Casirivimab and imdevimab |
25 |
13 |
$0.16 |
| Q0244 |
Casirivi and imdevi 1200 mg |
14 |
12 |
$0.10 |
| J2710 |
Neostigmine methylslfte inj |
419 |
250 |
$0.00 |
| G1004 |
Cdsm ndsc |
173 |
152 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
26 |
26 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
16 |
13 |
$0.00 |
| 01844 |
|
22 |
13 |
$0.00 |
| 3078F |
|
74 |
62 |
$0.00 |
| 87899 |
|
17 |
16 |
$0.00 |
| J0689 |
Inj cefazolin sodium, baxter |
62 |
61 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
235 |
164 |
$0.00 |
| C1769 |
Guide wire |
378 |
292 |
$0.00 |
| Q9969 |
Non-heu tc-99m add-on/dose |
245 |
203 |
$0.00 |
| 94760 |
|
1,423 |
792 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
49 |
33 |
$0.00 |
| 00813 |
|
68 |
54 |
$0.00 |
| 86308 |
|
27 |
26 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
25 |
12 |
$0.00 |
| 88304 |
|
13 |
13 |
$0.00 |