| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
29,634 |
27,138 |
$20.71M |
| 99283 |
|
23,599 |
22,284 |
$10.20M |
| 99285 |
|
12,011 |
10,834 |
$8.14M |
| 99282 |
|
29,471 |
28,030 |
$7.66M |
| 0450 |
|
109,357 |
97,010 |
$5.41M |
| G0378 |
Hospital observation per hr |
5,528 |
4,384 |
$4.20M |
| 99281 |
|
31,490 |
29,786 |
$3.83M |
| 74177 |
|
11,122 |
10,743 |
$3.41M |
| 88305 |
|
23,788 |
23,272 |
$2.30M |
| 99199 |
|
40,920 |
35,704 |
$2.08M |
| 70450 |
|
15,599 |
14,954 |
$1.86M |
| 87637 |
|
17,588 |
17,058 |
$1.48M |
| 71046 |
|
27,049 |
26,172 |
$1.43M |
| 74176 |
|
6,096 |
5,930 |
$1.09M |
| 71045 |
|
22,634 |
21,023 |
$886K |
| 71260 |
|
4,164 |
4,067 |
$874K |
| 76705 |
|
8,529 |
8,317 |
$840K |
| 96374 |
|
31,124 |
28,120 |
$776K |
| 76830 |
|
6,596 |
6,445 |
$765K |
| 66984 |
|
563 |
446 |
$751K |
| 99499 |
|
11,058 |
9,099 |
$743K |
| 80307 |
|
15,585 |
13,684 |
$715K |
| 85025 |
|
124,345 |
104,429 |
$713K |
| 76856 |
|
6,346 |
6,189 |
$705K |
| 70551 |
|
2,615 |
2,583 |
$684K |
| 72148 |
|
2,413 |
2,393 |
$625K |
| 36415 |
|
140,987 |
114,388 |
$603K |
| 87635 |
|
18,900 |
17,809 |
$585K |
| 93005 |
|
43,971 |
39,468 |
$557K |
| 73630 |
|
8,474 |
7,449 |
$523K |
| 70553 |
|
1,131 |
1,123 |
$510K |
| 76815 |
|
3,975 |
3,760 |
$464K |
| U0003 |
Cov-19 amp prb hgh thruput |
8,151 |
7,930 |
$464K |
| 80051 |
|
92,440 |
80,544 |
$458K |
| 87491 |
|
11,790 |
10,588 |
$435K |
| 87591 |
|
11,788 |
10,586 |
$434K |
| 72125 |
|
2,728 |
2,684 |
$411K |
| 73610 |
|
6,340 |
5,824 |
$390K |
| 70491 |
|
1,716 |
1,693 |
$389K |
| 82565 |
|
113,310 |
97,837 |
$384K |
| 96375 |
|
21,671 |
19,709 |
$379K |
| 78451 |
|
493 |
474 |
$364K |
| 73130 |
|
5,605 |
5,025 |
$327K |
| 70486 |
|
2,036 |
2,018 |
$319K |
| 83880 |
|
16,390 |
14,998 |
$307K |
| 96361 |
|
18,794 |
17,400 |
$305K |
| 73110 |
|
4,896 |
4,473 |
$304K |
| 72141 |
|
1,130 |
1,114 |
$297K |
| 73560 |
|
5,746 |
5,178 |
$292K |
| 73721 |
|
994 |
949 |
$288K |
| 71275 |
|
1,259 |
1,249 |
$283K |
| 72100 |
|
3,406 |
3,371 |
$280K |
| 73030 |
|
4,578 |
4,244 |
$247K |
| 82947 |
|
93,528 |
81,711 |
$242K |
| 86900 |
|
6,370 |
6,072 |
$241K |
| 84520 |
|
93,082 |
80,969 |
$241K |
| 96365 |
|
8,527 |
7,912 |
$235K |
| 0270 |
|
26,915 |
14,267 |
$235K |
| 93971 |
|
2,591 |
2,516 |
$229K |
| 84460 |
|
60,154 |
52,843 |
$228K |
| 76805 |
|
1,381 |
1,380 |
$220K |
| 96372 |
|
14,719 |
13,735 |
$208K |
| 84443 |
|
12,448 |
12,171 |
$207K |
| J7030 |
Normal saline solution infus |
47,024 |
39,832 |
$195K |
| 83690 |
|
38,884 |
35,585 |
$188K |
| 84484 |
|
27,938 |
24,235 |
$188K |
| 82247 |
|
52,479 |
44,880 |
$187K |
| 84702 |
|
19,326 |
16,805 |
$182K |
| 87651 |
|
6,413 |
6,354 |
$182K |
| 84450 |
|
50,494 |
44,671 |
$181K |
| 88304 |
|
3,233 |
3,199 |
$172K |
| 73080 |
|
2,821 |
2,597 |
$170K |
| 73140 |
|
2,781 |
2,651 |
$169K |
| 74018 |
|
3,235 |
3,054 |
$168K |
| 73564 |
|
1,550 |
1,211 |
$164K |
| J0131 |
Inj, acetaminophen (nos) |
8,973 |
8,469 |
$163K |
| 71250 |
|
1,362 |
1,351 |
$163K |
| 76817 |
|
1,692 |
1,617 |
$162K |
| 84075 |
|
45,479 |
40,605 |
$160K |
| 93976 |
|
859 |
851 |
$156K |
| 74022 |
|
1,986 |
1,950 |
$154K |
| 81001 |
|
53,640 |
50,096 |
$153K |
| 96360 |
|
5,628 |
5,482 |
$148K |
| 73590 |
|
2,794 |
2,507 |
$148K |
| 76857 |
|
1,186 |
1,178 |
$143K |
| 88307 |
|
518 |
511 |
$140K |
| 73502 |
|
2,483 |
2,347 |
$138K |
| 83036 |
|
15,296 |
15,134 |
$138K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
11,629 |
11,247 |
$136K |
| 73090 |
|
2,461 |
2,201 |
$129K |
| 87631 |
|
2,552 |
2,512 |
$122K |
| 0762 |
|
402 |
260 |
$119K |
| 72040 |
|
1,920 |
1,884 |
$119K |
| 87040 |
|
9,724 |
9,036 |
$115K |
| 80061 |
|
7,902 |
7,819 |
$110K |
| 87389 |
|
4,518 |
4,472 |
$108K |
| 76770 |
|
965 |
944 |
$105K |
| 83735 |
|
23,473 |
19,648 |
$104K |
| 80306 |
|
11,681 |
10,859 |
$100K |
| 86850 |
|
4,629 |
4,462 |
$99K |
| 87088 |
|
17,773 |
16,972 |
$93K |
| J1885 |
Ketorolac tromethamine inj |
26,365 |
24,224 |
$92K |
| 87636 |
|
1,267 |
1,253 |
$92K |
| 86901 |
|
6,370 |
6,072 |
$91K |
| 76882 |
|
914 |
663 |
$90K |
| 83605 |
|
10,470 |
9,457 |
$82K |
| 80048 |
|
15,091 |
13,849 |
$82K |
| J3490 |
Drugs unclassified injection |
20,190 |
11,791 |
$81K |
| 87506 |
|
461 |
456 |
$80K |
| 74019 |
|
1,102 |
1,083 |
$77K |
| 85027 |
|
12,766 |
12,080 |
$74K |
| 76870 |
|
838 |
817 |
$74K |
| 82306 |
|
2,601 |
2,573 |
$74K |
| 82077 |
|
9,646 |
8,526 |
$71K |
| 86780 |
|
4,805 |
4,760 |
$69K |
| 82728 |
|
4,824 |
4,711 |
$69K |
| J2405 |
Ondansetron hcl injection |
24,058 |
21,353 |
$68K |
| 96366 |
|
2,511 |
2,378 |
$68K |
| 85610 |
|
23,092 |
19,023 |
$63K |
| 72070 |
|
779 |
771 |
$63K |
| 93970 |
|
358 |
350 |
$60K |
| 83970 |
|
1,642 |
1,589 |
$60K |
| 78452 |
|
87 |
87 |
$58K |
| 84132 |
|
13,954 |
12,596 |
$57K |
| 70496 |
|
217 |
216 |
$57K |
| 96376 |
|
5,185 |
4,687 |
$56K |
| 81003 |
|
30,184 |
28,968 |
$56K |
| 86803 |
|
3,124 |
3,097 |
$49K |
| 73620 |
|
1,033 |
952 |
$47K |
| 76536 |
|
390 |
388 |
$46K |
| J7120 |
Ringers lactate infusion |
13,725 |
12,261 |
$45K |
| 73221 |
|
176 |
168 |
$45K |
| 85652 |
|
14,615 |
14,122 |
$45K |
| 73660 |
|
773 |
733 |
$44K |
| 73060 |
|
850 |
810 |
$44K |
| 0160 |
|
740 |
618 |
$44K |
| 70460 |
|
228 |
203 |
$42K |
| J0696 |
Ceftriaxone sodium injection |
9,115 |
8,329 |
$41K |
| J2270 |
Morphine sulfate injection |
8,964 |
7,700 |
$40K |
| 84100 |
|
13,101 |
11,684 |
$40K |
| 80179 |
|
4,978 |
4,659 |
$39K |
| 73100 |
|
787 |
689 |
$39K |
| 73120 |
|
560 |
513 |
$39K |
| 87502 |
|
763 |
758 |
$38K |
| 82607 |
|
2,630 |
2,602 |
$36K |
| 82248 |
|
7,615 |
5,955 |
$35K |
| 86923 |
|
281 |
267 |
$33K |
| 87536 |
|
378 |
371 |
$32K |
| 72170 |
|
597 |
583 |
$32K |
| 82962 |
|
12,472 |
9,072 |
$32K |
| 73552 |
|
639 |
598 |
$32K |
| 82803 |
|
2,945 |
2,728 |
$31K |
| 90715 |
|
932 |
920 |
$30K |
| 83550 |
|
3,388 |
3,324 |
$29K |
| 87340 |
|
2,536 |
2,505 |
$29K |
| A9585 |
Gadobutrol injection |
827 |
810 |
$29K |
| J1170 |
Hydromorphone injection |
6,922 |
5,774 |
$28K |
| 71101 |
|
377 |
369 |
$28K |
| 27502 |
|
43 |
37 |
$28K |
| J1200 |
Diphenhydramine hcl injectio |
8,068 |
7,206 |
$27K |
| 82310 |
|
6,361 |
5,375 |
$27K |
| 85379 |
|
4,551 |
4,437 |
$27K |
| 84295 |
|
6,057 |
5,457 |
$27K |
| 70498 |
|
126 |
125 |
$27K |
| 86235 |
|
204 |
204 |
$27K |
| 82040 |
|
6,099 |
5,400 |
$24K |
| 86140 |
|
6,053 |
5,743 |
$24K |
| 84439 |
|
2,559 |
2,424 |
$24K |
| J1100 |
Dexamethasone sodium phos |
6,478 |
6,175 |
$23K |
| Z7502 |
|
1,300 |
1,224 |
$22K |
| J2060 |
Lorazepam injection |
5,534 |
4,617 |
$21K |
| 73600 |
|
511 |
487 |
$21K |
| 82105 |
|
1,393 |
1,348 |
$21K |
| 80349 |
|
4,526 |
4,225 |
$21K |
| 76801 |
|
229 |
220 |
$21K |
| 10060 |
|
1,332 |
1,302 |
$21K |
| 83540 |
|
3,406 |
3,342 |
$20K |
| J2765 |
Metoclopramide hcl injection |
6,191 |
5,654 |
$19K |
| 94640 |
|
1,139 |
899 |
$19K |
| A9502 |
Tc99m tetrofosmin |
373 |
370 |
$18K |
| 82043 |
|
3,641 |
3,601 |
$18K |
| 85378 |
|
3,071 |
2,917 |
$18K |
| 0637 |
|
110,063 |
32,258 |
$17K |
| 84153 |
|
1,198 |
1,167 |
$17K |
| 80164 |
|
1,427 |
1,299 |
$16K |
| J0780 |
Prochlorperazine injection |
2,563 |
2,429 |
$16K |
| 73562 |
|
313 |
261 |
$16K |
| J1815 |
Insulin injection |
5,183 |
2,590 |
$16K |
| 82550 |
|
2,718 |
2,260 |
$16K |
| 12001 |
|
1,180 |
1,165 |
$15K |
| G0480 |
Drug test def 1-7 classes |
1,659 |
1,530 |
$15K |
| 86706 |
|
1,402 |
1,390 |
$15K |
| 72131 |
|
115 |
114 |
$14K |
| 82570 |
|
3,364 |
3,059 |
$14K |
| 86360 |
|
325 |
321 |
$14K |
| 85730 |
|
2,325 |
2,278 |
$14K |
| 0250 |
|
36,437 |
16,245 |
$13K |
| 86704 |
|
1,109 |
1,091 |
$13K |
| 88342 |
|
127 |
126 |
$13K |
| 70544 |
|
41 |
41 |
$13K |
| 80361 |
|
1,087 |
1,042 |
$12K |
| J3475 |
Inj magnesium sulfate |
3,118 |
2,814 |
$12K |
| 87210 |
|
3,015 |
2,960 |
$12K |
| J2930 |
Methylprednisolone injection |
1,778 |
1,561 |
$12K |
| 73020 |
|
303 |
280 |
$12K |
| 12011 |
|
765 |
757 |
$11K |
| 0370 |
|
3,391 |
3,194 |
$11K |
| J1630 |
Haloperidol injection |
3,440 |
2,782 |
$11K |
| 84550 |
|
2,265 |
2,114 |
$10K |
| 96367 |
|
657 |
644 |
$10K |
| 81025 |
|
1,096 |
1,084 |
$10K |
| P9016 |
Rbc leukocytes reduced |
68 |
53 |
$10K |
| 97161 |
|
864 |
814 |
$10K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
662 |
653 |
$9K |
| S0164 |
Injection pantroprazole |
796 |
654 |
$8K |
| 87449 |
|
875 |
864 |
$8K |
| 87070 |
|
1,400 |
1,328 |
$8K |
| 80346 |
|
1,854 |
1,717 |
$8K |
| 84403 |
|
303 |
301 |
$8K |
| 29125 |
|
1,115 |
1,082 |
$8K |
| J1940 |
Furosemide injection |
2,274 |
1,498 |
$8K |
| 87324 |
|
830 |
821 |
$7K |
| 83615 |
|
1,371 |
1,242 |
$7K |
| 83516 |
|
311 |
309 |
$7K |
| J1953 |
Levetiracetam injection |
546 |
473 |
$7K |
| 0710 |
|
3,855 |
3,641 |
$7K |
| 84156 |
|
2,291 |
2,042 |
$6K |
| S0119 |
Ondansetron 4 mg |
2,334 |
2,267 |
$6K |
| 12002 |
|
451 |
444 |
$5K |
| J2785 |
Regadenoson injection |
83 |
79 |
$5K |
| 72082 |
|
45 |
45 |
$5K |
| 93017 |
|
102 |
96 |
$5K |
| 80325 |
|
2,841 |
2,628 |
$5K |
| 73000 |
|
53 |
52 |
$5K |
| 86480 |
|
97 |
97 |
$5K |
| 85014 |
|
2,509 |
2,262 |
$5K |
| J3370 |
Vancomycin hcl injection |
686 |
422 |
$4K |
| 82140 |
|
488 |
411 |
$4K |
| Q0144 |
Azithromycin dihydrate, oral |
1,310 |
1,246 |
$4K |
| 85018 |
|
2,402 |
2,164 |
$4K |
| 70360 |
|
102 |
101 |
$4K |
| J0690 |
Cefazolin sodium injection |
1,949 |
1,751 |
$4K |
| 80197 |
|
408 |
261 |
$4K |
| 74178 |
|
13 |
12 |
$4K |
| J3010 |
Fentanyl citrate injection |
2,639 |
2,489 |
$4K |
| 89051 |
|
819 |
510 |
$4K |
| 87517 |
|
183 |
172 |
$4K |
| 99070 |
|
557 |
208 |
$4K |
| 80178 |
|
602 |
536 |
$4K |
| J1644 |
Inj heparin sodium per 1000u |
1,232 |
604 |
$3K |
| 86225 |
|
241 |
241 |
$3K |
| 73070 |
|
94 |
92 |
$3K |
| 73700 |
|
24 |
24 |
$3K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
384 |
380 |
$3K |
| 90471 |
|
1,064 |
1,016 |
$3K |
| 87205 |
|
773 |
648 |
$3K |
| J1650 |
Inj enoxaparin sodium |
601 |
314 |
$3K |
| 80069 |
|
445 |
359 |
$3K |
| 93922 |
|
26 |
26 |
$2K |
| 82272 |
|
468 |
464 |
$2K |
| 93923 |
|
28 |
28 |
$2K |
| 86038 |
|
202 |
202 |
$2K |
| 87209 |
|
165 |
165 |
$2K |
| 87798 |
|
33 |
33 |
$2K |
| J0360 |
Hydralazine hcl injection |
520 |
469 |
$2K |
| 87522 |
Neg quan hep c or qual rna |
75 |
70 |
$2K |
| 85007 |
|
821 |
668 |
$2K |
| 80356 |
|
623 |
602 |
$2K |
| C1769 |
Guide wire |
294 |
283 |
$2K |
| 88300 |
|
100 |
99 |
$2K |
| 87633 |
|
13 |
13 |
$2K |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
21 |
21 |
$2K |
| 0301 |
|
22 |
22 |
$2K |
| 90749 |
|
766 |
751 |
$2K |
| 72128 |
|
15 |
15 |
$2K |
| J3480 |
Inj potassium chloride |
193 |
143 |
$2K |
| 70250 |
|
26 |
25 |
$2K |
| J2543 |
Piperacillin/tazobactam |
213 |
139 |
$2K |
| 72146 |
|
14 |
14 |
$2K |
| 73501 |
|
27 |
23 |
$2K |
| J7512 |
Prednisone ir or dr oral 1mg |
2,628 |
2,328 |
$2K |
| 84703 |
|
229 |
228 |
$2K |
| S0077 |
Injection, clindamycin phosp |
88 |
78 |
$2K |
| 90686 |
|
119 |
111 |
$2K |
| 86593 |
|
323 |
317 |
$2K |
| 29515 |
|
241 |
228 |
$1K |
| 0272 |
|
489 |
472 |
$1K |
| 84146 |
|
76 |
75 |
$1K |
| 72050 |
|
13 |
12 |
$1K |
| C1894 |
Intro/sheath, non-laser |
204 |
197 |
$1K |
| 82985 |
|
146 |
146 |
$1K |
| 88341 |
|
25 |
25 |
$1K |
| 87329 |
|
139 |
139 |
$1K |
| 0320 |
|
39 |
39 |
$1K |
| 85045 |
|
317 |
279 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
877 |
833 |
$1K |
| 80365 |
|
467 |
452 |
$1K |
| J2919 |
Inj, methylpred sod succ 5mg |
249 |
221 |
$1K |
| 80348 |
|
412 |
339 |
$1K |
| J0171 |
Adrenalin epinephrine inject |
590 |
542 |
$1K |
| 80324 |
|
764 |
720 |
$962.18 |
| 85008 |
|
382 |
357 |
$909.91 |
| 84165 |
|
135 |
134 |
$886.00 |
| 93306 |
|
15 |
13 |
$832.74 |
| 80320 |
|
1,677 |
1,474 |
$832.54 |
| J7060 |
5% dextrose/water |
128 |
104 |
$776.01 |
| 83655 |
|
51 |
51 |
$764.00 |
| 82746 |
|
69 |
67 |
$748.69 |
| C9113 |
Inj pantoprazole sodium, via |
639 |
539 |
$743.96 |
| 80354 |
|
149 |
140 |
$736.00 |
| 96368 |
|
144 |
142 |
$735.06 |
| 72072 |
|
12 |
12 |
$716.41 |
| 82435 |
|
219 |
209 |
$655.01 |
| 80329 |
|
851 |
801 |
$579.86 |
| 87081 |
|
236 |
226 |
$543.42 |
| 94660 |
|
15 |
12 |
$526.10 |
| 86665 |
|
26 |
26 |
$519.80 |
| 82784 |
|
38 |
37 |
$456.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
143 |
117 |
$454.33 |
| 29105 |
|
54 |
53 |
$449.38 |
| J3360 |
Diazepam injection |
68 |
60 |
$447.84 |
| 82670 |
|
12 |
12 |
$441.00 |
| 87338 |
|
56 |
56 |
$418.20 |
| 87661 |
|
13 |
12 |
$415.62 |
| 87529 |
|
13 |
13 |
$362.47 |
| 80353 |
|
207 |
198 |
$361.38 |
| 87799 |
|
14 |
12 |
$352.00 |
| 83001 |
|
13 |
13 |
$351.00 |
| 82150 |
|
56 |
52 |
$288.56 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
34 |
24 |
$252.72 |
| 82374 |
|
68 |
60 |
$252.00 |
| 89055 |
|
90 |
90 |
$249.35 |
| 86664 |
|
26 |
26 |
$228.78 |
| J8501 |
Oral aprepitant |
479 |
476 |
$226.62 |
| J0737 |
Inj, clindamycin (baxter) |
76 |
62 |
$211.39 |
| 84155 |
|
82 |
77 |
$207.84 |
| 83721 |
|
29 |
29 |
$201.00 |
| J8540 |
Oral dexamethasone |
211 |
199 |
$175.77 |
| J2550 |
Promethazine hcl injection |
39 |
37 |
$174.78 |
| 85004 |
|
30 |
27 |
$162.00 |
| 0636 |
|
192 |
189 |
$160.95 |
| J2310 |
Inj naloxone hydrochloride |
14 |
13 |
$156.98 |
| J3371 |
Inj, vancomycin hcl (mylan) |
15 |
12 |
$154.55 |
| 29130 |
|
24 |
24 |
$139.05 |
| 84630 |
|
12 |
12 |
$136.00 |
| 82950 |
|
15 |
14 |
$126.00 |
| 86431 |
|
26 |
26 |
$116.22 |
| 86709 |
|
13 |
13 |
$115.36 |
| G0472 |
Hep c screen high risk/other |
35 |
33 |
$90.84 |
| J3411 |
Thiamine hcl 100 mg |
30 |
26 |
$51.92 |
| G0008 |
Admin influenza virus vac |
46 |
45 |
$51.31 |
| 59025 |
|
13 |
13 |
$45.60 |
| 0258 |
|
1,491 |
1,286 |
$36.56 |
| 29505 |
|
12 |
12 |
$36.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
87 |
76 |
$11.61 |
| Z7610 |
|
206 |
48 |
$7.75 |
| 76376 |
|
433 |
426 |
$0.00 |
| J2280 |
Inj, moxifloxacin 100 mg |
416 |
288 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
68 |
68 |
$0.00 |
| J2001 |
Lidocaine injection |
19 |
19 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
453 |
334 |
$0.00 |
| 3044F |
|
72 |
72 |
$0.00 |