| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
37,043 |
29,332 |
$9.70M |
| 99283 |
|
27,072 |
23,003 |
$3.76M |
| 74177 |
|
4,828 |
4,142 |
$2.64M |
| 99285 |
|
3,074 |
2,420 |
$1.31M |
| C1776 |
Joint device (implantable) |
361 |
254 |
$1.10M |
| 93005 |
|
17,055 |
13,586 |
$1.06M |
| 70450 |
|
4,612 |
4,009 |
$993K |
| G0378 |
Hospital observation per hr |
2,007 |
1,507 |
$808K |
| 96361 |
|
14,698 |
11,523 |
$674K |
| 74176 |
|
1,351 |
1,155 |
$623K |
| 0241U |
|
10,021 |
8,850 |
$595K |
| 96374 |
|
20,256 |
16,030 |
$588K |
| 71045 |
|
11,366 |
9,638 |
$560K |
| 99282 |
|
8,084 |
6,140 |
$489K |
| 96375 |
|
10,556 |
8,149 |
$476K |
| J2405 |
Ondansetron hcl injection |
11,578 |
9,080 |
$404K |
| 71046 |
|
5,270 |
4,722 |
$300K |
| 96360 |
|
3,601 |
3,072 |
$248K |
| 72125 |
|
1,074 |
940 |
$226K |
| 96365 |
|
2,760 |
2,064 |
$223K |
| J0696 |
Ceftriaxone sodium injection |
4,101 |
3,435 |
$214K |
| 71275 |
|
1,284 |
1,100 |
$197K |
| 80053 |
|
34,268 |
26,004 |
$189K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
150 |
110 |
$180K |
| 80307 |
|
5,130 |
4,115 |
$172K |
| 85027 |
|
39,130 |
29,180 |
$128K |
| 88305 |
|
2,061 |
1,046 |
$127K |
| J2710 |
Neostigmine methylslfte inj |
1,243 |
954 |
$122K |
| 87635 |
|
3,422 |
2,926 |
$121K |
| 96372 |
|
6,644 |
5,344 |
$114K |
| J1885 |
Ketorolac tromethamine inj |
10,578 |
8,370 |
$110K |
| 93306 |
|
711 |
615 |
$101K |
| 70486 |
|
330 |
289 |
$101K |
| 96376 |
|
3,358 |
2,200 |
$100K |
| U0002 |
Covid-19 lab test non-cdc |
2,591 |
2,335 |
$97K |
| 84484 |
|
14,623 |
7,742 |
$84K |
| 73564 |
|
727 |
614 |
$83K |
| 99281 |
|
3,236 |
1,716 |
$79K |
| 83880 |
|
4,649 |
3,974 |
$79K |
| 76705 |
|
784 |
681 |
$78K |
| 93971 |
|
811 |
674 |
$77K |
| C1769 |
Guide wire |
491 |
378 |
$75K |
| J0690 |
Cefazolin sodium injection |
2,807 |
1,707 |
$73K |
| 73030 |
|
1,239 |
1,074 |
$72K |
| 73610 |
|
1,159 |
1,006 |
$70K |
| 43239 |
|
380 |
292 |
$67K |
| J1100 |
Dexamethasone sodium phos |
4,763 |
3,796 |
$65K |
| J7120 |
Ringers lactate infusion |
17,515 |
13,568 |
$65K |
| J2060 |
Lorazepam injection |
2,410 |
1,739 |
$56K |
| 73630 |
|
948 |
811 |
$55K |
| 84703 |
|
9,874 |
8,026 |
$52K |
| 87651 |
|
1,901 |
1,715 |
$52K |
| 87491 |
|
1,955 |
1,671 |
$49K |
| 87591 |
|
1,959 |
1,673 |
$49K |
| 83690 |
|
13,251 |
10,624 |
$48K |
| J2704 |
Inj, propofol, 10 mg |
4,387 |
3,623 |
$45K |
| 76856 |
|
414 |
355 |
$45K |
| G0383 |
Lev 4 hosp type b ed visit |
162 |
122 |
$44K |
| J3010 |
Fentanyl citrate injection |
4,610 |
3,522 |
$44K |
| 96366 |
|
1,068 |
771 |
$43K |
| J3535 |
Metered dose inhaler drug |
1,095 |
969 |
$41K |
| 72100 |
|
760 |
660 |
$40K |
| 10060 |
|
344 |
302 |
$39K |
| 93975 |
|
194 |
166 |
$36K |
| J8540 |
Oral dexamethasone |
2,166 |
1,899 |
$36K |
| 84443 |
|
3,923 |
3,358 |
$34K |
| 70498 |
|
149 |
128 |
$34K |
| 87040 |
|
5,368 |
2,390 |
$32K |
| J3490 |
Drugs unclassified injection |
3,699 |
2,782 |
$31K |
| 73130 |
|
492 |
421 |
$31K |
| 73110 |
|
539 |
449 |
$30K |
| 71260 |
|
106 |
96 |
$29K |
| J2270 |
Morphine sulfate injection |
4,036 |
3,041 |
$29K |
| J1200 |
Diphenhydramine hcl injectio |
2,874 |
2,184 |
$28K |
| 12001 |
|
250 |
227 |
$27K |
| 73502 |
|
527 |
447 |
$27K |
| 74018 |
|
380 |
327 |
$27K |
| 82077 |
|
2,924 |
2,032 |
$26K |
| J7030 |
Normal saline solution infus |
7,725 |
6,466 |
$26K |
| 83605 |
|
4,143 |
2,983 |
$25K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,119 |
6,216 |
$24K |
| 83735 |
|
6,829 |
5,271 |
$22K |
| J0780 |
Prochlorperazine injection |
1,454 |
1,234 |
$22K |
| 86141 |
|
2,719 |
2,127 |
$21K |
| 80143 |
|
1,715 |
1,350 |
$19K |
| J1170 |
Hydromorphone injection |
4,796 |
3,062 |
$19K |
| 81001 |
|
10,475 |
8,816 |
$19K |
| 80179 |
|
1,604 |
1,276 |
$18K |
| 90715 |
|
1,359 |
1,248 |
$18K |
| 73080 |
|
228 |
191 |
$17K |
| 70496 |
|
80 |
67 |
$16K |
| J1790 |
Droperidol injection |
1,032 |
825 |
$16K |
| 85379 |
|
2,749 |
2,396 |
$16K |
| J2765 |
Metoclopramide hcl injection |
747 |
648 |
$16K |
| 80048 |
|
4,468 |
3,593 |
$16K |
| 87086 |
|
3,278 |
2,839 |
$15K |
| 73560 |
|
329 |
241 |
$15K |
| J2250 |
Inj midazolam hydrochloride |
2,164 |
1,791 |
$14K |
| J1650 |
Inj enoxaparin sodium |
494 |
226 |
$14K |
| G0480 |
Drug test def 1-7 classes |
782 |
683 |
$14K |
| 76801 |
|
261 |
228 |
$13K |
| C1894 |
Intro/sheath, non-laser |
161 |
121 |
$13K |
| J3475 |
Inj magnesium sulfate |
1,009 |
702 |
$12K |
| 84702 |
|
1,011 |
834 |
$12K |
| 76830 |
|
172 |
143 |
$11K |
| 97116 |
|
548 |
302 |
$11K |
| Q0111 |
Wet mounts/ w preparations |
906 |
781 |
$11K |
| 85610 |
|
4,820 |
3,719 |
$9K |
| 82550 |
|
2,548 |
2,047 |
$8K |
| 73590 |
|
162 |
138 |
$8K |
| 72131 |
|
26 |
26 |
$8K |
| 86850 |
|
1,707 |
1,228 |
$8K |
| 87077 |
|
1,351 |
1,141 |
$8K |
| C9113 |
Inj pantoprazole sodium, via |
861 |
655 |
$8K |
| 80074 |
|
229 |
198 |
$8K |
| 73562 |
|
90 |
82 |
$8K |
| 70553 |
|
19 |
16 |
$7K |
| 45380 |
|
30 |
27 |
$7K |
| J2930 |
Methylprednisolone injection |
536 |
462 |
$7K |
| 72040 |
|
91 |
79 |
$7K |
| 87798 |
|
133 |
124 |
$7K |
| 81003 |
|
5,038 |
4,277 |
$7K |
| 97535 |
|
348 |
205 |
$7K |
| 97530 |
|
422 |
209 |
$7K |
| C1887 |
Catheter, guiding |
32 |
27 |
$7K |
| 85730 |
|
2,458 |
1,840 |
$7K |
| 87186 |
|
1,088 |
938 |
$6K |
| 70491 |
|
15 |
12 |
$6K |
| 76000 |
|
56 |
41 |
$6K |
| 88307 |
|
21 |
15 |
$6K |
| J7512 |
Prednisone ir or dr oral 1mg |
1,151 |
983 |
$6K |
| 12002 |
|
42 |
41 |
$5K |
| J2370 |
Phenylephrine hcl injection |
751 |
579 |
$5K |
| 88342 |
|
126 |
83 |
$5K |
| 85651 |
|
2,024 |
1,641 |
$5K |
| 72148 |
|
17 |
12 |
$5K |
| J7050 |
Normal saline solution infus |
2,579 |
1,732 |
$5K |
| J1630 |
Haloperidol injection |
637 |
477 |
$5K |
| S0119 |
Ondansetron 4 mg |
2,333 |
2,084 |
$5K |
| 73120 |
|
77 |
63 |
$4K |
| 45385 |
|
29 |
24 |
$4K |
| G0382 |
Lev 3 hosp type b ed visit |
31 |
26 |
$4K |
| 87070 |
|
682 |
528 |
$4K |
| 84439 |
|
711 |
594 |
$4K |
| 86900 |
|
2,132 |
1,602 |
$3K |
| 86901 |
|
2,132 |
1,602 |
$3K |
| 12011 |
|
27 |
27 |
$3K |
| 87205 |
|
1,145 |
857 |
$3K |
| 97162 |
|
109 |
82 |
$3K |
| 83036 |
|
499 |
439 |
$3K |
| 97163 |
|
80 |
54 |
$2K |
| 71250 |
|
14 |
12 |
$2K |
| 73140 |
|
42 |
36 |
$2K |
| 86780 |
|
221 |
176 |
$2K |
| 86592 |
|
506 |
435 |
$2K |
| 71101 |
|
15 |
13 |
$1K |
| 76817 |
|
32 |
25 |
$1K |
| 73090 |
|
28 |
27 |
$1K |
| J1953 |
Levetiracetam injection |
71 |
37 |
$1K |
| 70551 |
|
14 |
13 |
$1K |
| 99152 |
|
104 |
75 |
$1K |
| 77067 |
|
12 |
12 |
$982.47 |
| 81025 |
|
152 |
139 |
$971.65 |
| 82306 |
|
63 |
60 |
$964.96 |
| J2795 |
Ropivacaine hcl injection |
122 |
79 |
$909.92 |
| 80061 |
|
138 |
112 |
$852.92 |
| 87631 |
|
145 |
142 |
$728.17 |
| J1940 |
Furosemide injection |
118 |
92 |
$724.86 |
| 82728 |
|
97 |
72 |
$629.05 |
| 72170 |
|
22 |
14 |
$569.29 |
| S0028 |
Injection, famotidine, 20 mg |
308 |
250 |
$561.63 |
| 97166 |
|
14 |
12 |
$473.87 |
| J0330 |
Succinycholine chloride inj |
564 |
452 |
$443.06 |
| J2550 |
Promethazine hcl injection |
276 |
208 |
$433.67 |
| J1644 |
Inj heparin sodium per 1000u |
209 |
114 |
$411.64 |
| 97110 |
|
17 |
13 |
$368.14 |
| J7040 |
Normal saline solution infus |
142 |
115 |
$350.96 |
| 84100 |
|
111 |
78 |
$301.62 |
| 94640 |
|
151 |
131 |
$288.79 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
191 |
143 |
$246.69 |
| J2919 |
Inj, methylpred sod succ 5mg |
111 |
96 |
$218.36 |
| 82248 |
|
72 |
53 |
$215.86 |
| J7999 |
Compounded drug, noc |
80 |
60 |
$155.24 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
215 |
185 |
$142.17 |
| 87075 |
|
24 |
16 |
$129.29 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
376 |
291 |
$109.05 |
| 77063 |
|
12 |
12 |
$101.53 |
| 83615 |
|
31 |
27 |
$96.64 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
153 |
141 |
$78.69 |
| G0435 |
Oral hiv-1/hiv-2 screen |
631 |
535 |
$72.83 |
| 83540 |
|
14 |
12 |
$56.95 |
| 83930 |
|
16 |
13 |
$46.27 |
| J3360 |
Diazepam injection |
28 |
25 |
$29.12 |
| J2272 |
Inj, morphine (fresenius) |
86 |
67 |
$24.67 |
| 36415 |
|
6,927 |
5,747 |
$22.55 |
| 80076 |
|
17 |
17 |
$10.09 |
| 90471 |
|
1,406 |
1,253 |
$8.92 |
| G1003 |
Cdsm medicalis |
1,337 |
1,053 |
$0.01 |
| A9270 |
Non-covered item or service |
23,251 |
7,588 |
$0.00 |
| 80320 |
|
3,874 |
2,962 |
$0.00 |
| 82553 |
|
27 |
26 |
$0.00 |
| J0561 |
Penicillin g benzathine inj |
54 |
48 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
174 |
146 |
$0.00 |
| J1815 |
Insulin injection |
29 |
15 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
344 |
291 |
$0.00 |