| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
35,708 |
32,514 |
$6.92M |
| 99283 |
|
32,597 |
30,351 |
$5.70M |
| 99285 |
|
13,857 |
12,715 |
$4.67M |
| 74177 |
|
7,304 |
6,835 |
$3.85M |
| 74176 |
|
2,999 |
2,804 |
$963K |
| 70450 |
|
6,195 |
5,780 |
$831K |
| 99282 |
|
5,981 |
5,637 |
$589K |
| 71275 |
|
1,669 |
1,565 |
$569K |
| 72125 |
|
2,243 |
2,121 |
$527K |
| 99291 |
|
282 |
274 |
$258K |
| 43239 |
|
502 |
478 |
$214K |
| 47562 |
|
70 |
65 |
$198K |
| G0378 |
Hospital observation per hr |
4,418 |
2,068 |
$180K |
| 70498 |
|
393 |
378 |
$179K |
| 72131 |
|
704 |
680 |
$175K |
| 88305 |
|
922 |
865 |
$76K |
| 93971 |
|
1,180 |
1,107 |
$54K |
| 93005 |
|
18,507 |
16,463 |
$46K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,099 |
1,929 |
$41K |
| 96366 |
|
1,206 |
999 |
$29K |
| 96361 |
|
9,823 |
8,576 |
$20K |
| 96375 |
|
18,329 |
15,887 |
$19K |
| 0241U |
|
8,460 |
8,162 |
$19K |
| 70496 |
|
459 |
442 |
$16K |
| 10060 |
|
66 |
66 |
$13K |
| 87635 |
|
748 |
697 |
$9K |
| 96365 |
|
3,901 |
3,610 |
$7K |
| 52356 |
|
14 |
13 |
$7K |
| 93976 |
|
2,628 |
2,489 |
$6K |
| 87633 |
|
16 |
16 |
$6K |
| 96374 |
|
23,473 |
21,124 |
$5K |
| 94640 |
|
4,509 |
2,835 |
$5K |
| 70486 |
|
199 |
190 |
$5K |
| 73130 |
|
1,164 |
1,087 |
$4K |
| 96376 |
|
4,235 |
3,188 |
$4K |
| 80053 |
|
38,420 |
33,361 |
$4K |
| 76801 |
|
1,058 |
962 |
$4K |
| J3490 |
Drugs unclassified injection |
16,866 |
9,444 |
$4K |
| 88304 |
|
523 |
492 |
$4K |
| 73610 |
|
1,157 |
1,108 |
$3K |
| 84703 |
|
17,595 |
16,241 |
$3K |
| 96372 |
|
9,727 |
8,459 |
$3K |
| 76856 |
|
1,745 |
1,656 |
$3K |
| 76705 |
|
2,227 |
2,110 |
$3K |
| 71045 |
|
16,121 |
14,880 |
$3K |
| 85025 |
|
42,209 |
36,005 |
$3K |
| 87040 |
|
4,070 |
3,677 |
$2K |
| 96360 |
|
2,521 |
2,376 |
$2K |
| 80307 |
|
5,329 |
4,997 |
$2K |
| 87086 |
|
7,884 |
7,282 |
$2K |
| 71046 |
|
6,283 |
5,945 |
$2K |
| 93970 |
|
13 |
12 |
$2K |
| 87631 |
|
1,578 |
1,161 |
$2K |
| 99281 |
|
30 |
27 |
$1K |
| 87651 |
|
3,478 |
3,370 |
$1K |
| 84484 |
|
12,626 |
10,668 |
$1K |
| 87491 |
|
2,101 |
2,027 |
$1K |
| G0480 |
Drug test def 1-7 classes |
1,639 |
1,351 |
$1K |
| 73030 |
|
983 |
910 |
$1K |
| 83690 |
|
17,005 |
15,321 |
$1K |
| 87591 |
|
2,122 |
2,045 |
$1K |
| 72100 |
|
630 |
608 |
$951.56 |
| 80048 |
|
7,443 |
6,412 |
$944.34 |
| 72128 |
|
78 |
77 |
$943.19 |
| 81001 |
|
22,771 |
20,791 |
$895.24 |
| 73562 |
|
1,830 |
1,614 |
$822.83 |
| J0696 |
Ceftriaxone sodium injection |
6,871 |
5,966 |
$776.54 |
| 83735 |
|
11,404 |
10,113 |
$693.71 |
| 73630 |
|
1,421 |
1,312 |
$692.99 |
| 86850 |
|
746 |
700 |
$644.78 |
| 83605 |
|
10,588 |
9,257 |
$600.49 |
| 80329 |
|
1,341 |
1,083 |
$588.08 |
| 12001 |
|
65 |
64 |
$558.86 |
| 84443 |
|
1,784 |
1,678 |
$546.10 |
| 83880 |
|
3,842 |
3,503 |
$544.94 |
| 87186 |
|
2,363 |
2,205 |
$543.38 |
| J2405 |
Ondansetron hcl injection |
17,142 |
14,770 |
$524.01 |
| 36415 |
|
38,773 |
34,589 |
$493.09 |
| 76830 |
|
977 |
932 |
$461.65 |
| J1815 |
Insulin injection |
1,603 |
860 |
$447.28 |
| 85027 |
|
3,388 |
2,977 |
$392.04 |
| J2270 |
Morphine sulfate injection |
9,206 |
7,003 |
$379.01 |
| 76817 |
|
418 |
386 |
$359.97 |
| 84702 |
|
2,708 |
2,469 |
$342.93 |
| 84439 |
|
546 |
527 |
$338.28 |
| J1885 |
Ketorolac tromethamine inj |
16,089 |
14,609 |
$323.84 |
| J2710 |
Neostigmine methylslfte inj |
216 |
197 |
$319.84 |
| 90715 |
|
978 |
956 |
$319.07 |
| 81003 |
|
11,891 |
11,046 |
$304.69 |
| 85379 |
|
3,774 |
3,532 |
$291.72 |
| 87798 |
|
1,095 |
1,047 |
$264.83 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
10,588 |
9,858 |
$230.92 |
| J1650 |
Inj enoxaparin sodium |
1,040 |
527 |
$220.61 |
| 87077 |
|
2,739 |
2,559 |
$201.91 |
| J1100 |
Dexamethasone sodium phos |
4,453 |
4,163 |
$178.34 |
| 86901 |
|
3,026 |
2,791 |
$159.43 |
| 74019 |
|
392 |
372 |
$159.10 |
| 86900 |
|
3,026 |
2,791 |
$154.93 |
| 82962 |
|
6,762 |
4,768 |
$154.40 |
| J7030 |
Normal saline solution infus |
22,322 |
18,498 |
$147.40 |
| J2704 |
Inj, propofol, 10 mg |
3,868 |
3,500 |
$143.16 |
| 12011 |
|
42 |
40 |
$133.42 |
| 84145 |
|
1,419 |
1,312 |
$127.60 |
| 74018 |
|
1,187 |
1,130 |
$118.17 |
| 85610 |
|
4,884 |
4,425 |
$112.75 |
| 82550 |
|
2,806 |
2,542 |
$106.46 |
| 85730 |
|
2,771 |
2,495 |
$103.92 |
| 85007 |
|
1,876 |
1,602 |
$96.89 |
| A9270 |
Non-covered item or service |
994 |
468 |
$92.00 |
| 73110 |
|
406 |
381 |
$87.07 |
| J3010 |
Fentanyl citrate injection |
5,341 |
4,562 |
$79.81 |
| 87502 |
|
407 |
390 |
$77.00 |
| J1200 |
Diphenhydramine hcl injectio |
3,963 |
3,567 |
$74.00 |
| J3370 |
Vancomycin hcl injection |
401 |
269 |
$73.33 |
| 87804 |
|
696 |
652 |
$70.00 |
| J2930 |
Methylprednisolone injection |
764 |
691 |
$63.73 |
| J3480 |
Inj potassium chloride |
631 |
406 |
$53.87 |
| J2060 |
Lorazepam injection |
2,125 |
1,812 |
$48.61 |
| 80320 |
|
2,284 |
2,126 |
$42.23 |
| J2543 |
Piperacillin/tazobactam |
1,061 |
728 |
$38.97 |
| 87880 |
|
167 |
162 |
$38.68 |
| J2765 |
Metoclopramide hcl injection |
2,611 |
2,372 |
$37.79 |
| J2250 |
Inj midazolam hydrochloride |
2,597 |
2,380 |
$33.81 |
| 82553 |
|
606 |
523 |
$32.11 |
| Q0144 |
Azithromycin dihydrate, oral |
561 |
509 |
$29.83 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,781 |
1,585 |
$28.57 |
| J0780 |
Prochlorperazine injection |
903 |
837 |
$26.61 |
| J0690 |
Cefazolin sodium injection |
1,470 |
1,284 |
$25.75 |
| 86141 |
|
615 |
586 |
$23.95 |
| J3475 |
Inj magnesium sulfate |
1,089 |
998 |
$22.66 |
| 87210 |
|
1,265 |
1,212 |
$20.34 |
| 90471 |
|
1,237 |
1,195 |
$17.84 |
| J7120 |
Ringers lactate infusion |
3,841 |
3,454 |
$16.72 |
| 84100 |
|
508 |
465 |
$15.66 |
| C9113 |
Inj pantoprazole sodium, via |
1,271 |
1,022 |
$15.01 |
| J2550 |
Promethazine hcl injection |
1,618 |
1,314 |
$14.39 |
| 87081 |
|
137 |
132 |
$14.22 |
| 85652 |
|
336 |
320 |
$11.64 |
| J0330 |
Succinycholine chloride inj |
168 |
150 |
$10.90 |
| J2470 |
Inj pantoprazole sodium 40mg |
74 |
66 |
$7.74 |
| J7040 |
Normal saline solution infus |
764 |
686 |
$5.57 |
| J2919 |
Inj, methylpred sod succ 5mg |
132 |
119 |
$5.17 |
| 87420 |
|
86 |
85 |
$2.92 |
| J7050 |
Normal saline solution infus |
288 |
233 |
$0.67 |
| 96367 |
|
53 |
43 |
$0.00 |
| 82009 |
|
161 |
152 |
$0.00 |
| 73080 |
|
87 |
79 |
$0.00 |
| 82272 |
|
73 |
66 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
118 |
78 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
462 |
219 |
$0.00 |
| 73590 |
|
121 |
101 |
$0.00 |
| 82010 |
|
14 |
14 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
13 |
12 |
$0.00 |
| 87634 |
|
106 |
98 |
$0.00 |
| 76937 |
|
58 |
51 |
$0.00 |
| 29125 |
|
16 |
16 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
18 |
18 |
$0.00 |
| 36425 |
|
48 |
46 |
$0.00 |
| 97163 |
|
12 |
12 |
$0.00 |
| M0222 |
Bebtelovimab injection |
16 |
15 |
$0.00 |
| 82140 |
|
23 |
14 |
$0.00 |
| C1758 |
Catheter, ureteral |
12 |
12 |
$0.00 |
| 73502 |
|
148 |
142 |
$0.00 |
| 71260 |
|
13 |
12 |
$0.00 |
| 82803 |
|
93 |
89 |
$0.00 |
| J8540 |
Oral dexamethasone |
67 |
54 |
$0.00 |
| J1790 |
Droperidol injection |
170 |
153 |
$0.00 |
| 88342 |
|
32 |
27 |
$0.00 |
| J1940 |
Furosemide injection |
45 |
37 |
$0.00 |
| 86308 |
|
51 |
50 |
$0.00 |
| 83615 |
|
49 |
46 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
87 |
77 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
158 |
142 |
$0.00 |
| J1170 |
Hydromorphone injection |
67 |
50 |
$0.00 |
| 82728 |
|
17 |
16 |
$0.00 |
| C1769 |
Guide wire |
45 |
42 |
$0.00 |
| J0500 |
Dicyclomine injection |
84 |
76 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
26 |
26 |
$0.00 |
| Q0222 |
Bebtelovimab 175 mg |
16 |
15 |
$0.00 |
| 72040 |
|
25 |
24 |
$0.00 |
| J1630 |
Haloperidol injection |
33 |
29 |
$0.00 |
| 87581 |
|
13 |
13 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
63 |
57 |
$0.00 |
| 87428 |
|
74 |
73 |
$0.00 |
| M0243 |
Casirivi and imdevi inj |
18 |
18 |
$0.00 |
| C1781 |
Mesh (implantable) |
13 |
12 |
$0.00 |
| S2900 |
Robotic surgical system |
12 |
12 |
$0.00 |
| 73090 |
|
15 |
12 |
$0.00 |
| 87486 |
|
13 |
13 |
$0.00 |
| 12002 |
|
13 |
12 |
$0.00 |
| C1889 |
Implant/insert device, noc |
14 |
14 |
$0.00 |