| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
89,262 |
79,427 |
$8.12M |
| 99284 |
|
40,159 |
34,109 |
$2.82M |
| 74176 |
|
9,990 |
8,526 |
$1.53M |
| 99282 |
|
12,406 |
11,605 |
$1.18M |
| 70450 |
|
8,661 |
6,969 |
$904K |
| 99285 |
|
9,155 |
7,300 |
$562K |
| U0003 |
Cov-19 amp prb hgh thruput |
5,379 |
5,037 |
$445K |
| 80047 |
|
18,360 |
14,843 |
$425K |
| 74177 |
|
1,871 |
1,685 |
$415K |
| 99281 |
|
3,671 |
3,407 |
$388K |
| 71275 |
|
741 |
661 |
$166K |
| 80053 |
|
19,310 |
15,933 |
$163K |
| 96361 |
|
2,252 |
1,923 |
$147K |
| 87070 |
|
6,108 |
5,771 |
$114K |
| J7050 |
Normal saline solution infus |
6,325 |
4,462 |
$111K |
| 96372 |
|
10,196 |
8,256 |
$77K |
| 81003 |
|
12,355 |
10,891 |
$76K |
| A9270 |
Non-covered item or service |
12,049 |
3,532 |
$71K |
| 71045 |
|
27,054 |
21,989 |
$62K |
| 87430 |
|
15,029 |
14,267 |
$53K |
| 12001 |
|
556 |
522 |
$47K |
| 93005 |
|
24,433 |
18,869 |
$46K |
| 72125 |
|
1,641 |
1,318 |
$46K |
| 72131 |
|
587 |
489 |
$42K |
| 73610 |
|
1,495 |
1,373 |
$42K |
| 87635 |
|
10,571 |
9,354 |
$41K |
| 73630 |
|
2,039 |
1,854 |
$38K |
| 85027 |
|
45,286 |
35,303 |
$37K |
| 71250 |
|
1,046 |
826 |
$37K |
| 71046 |
|
3,361 |
2,966 |
$36K |
| 73130 |
|
1,468 |
1,347 |
$36K |
| 81001 |
|
9,372 |
8,269 |
$36K |
| 73562 |
|
1,757 |
1,549 |
$36K |
| 96365 |
|
3,115 |
2,585 |
$35K |
| 96360 |
|
898 |
803 |
$34K |
| 80048 |
|
5,325 |
4,386 |
$33K |
| 87449 |
|
2,205 |
2,022 |
$31K |
| 73030 |
|
1,595 |
1,362 |
$29K |
| 92507 |
|
232 |
107 |
$29K |
| 84702 |
|
1,496 |
1,221 |
$27K |
| G0378 |
Hospital observation per hr |
3,494 |
1,891 |
$25K |
| 73110 |
|
1,062 |
966 |
$24K |
| 12011 |
|
272 |
255 |
$24K |
| 84484 |
|
21,613 |
16,015 |
$23K |
| 80076 |
|
15,639 |
12,816 |
$23K |
| 84703 |
|
3,557 |
3,274 |
$22K |
| 74018 |
|
1,277 |
1,155 |
$20K |
| 96374 |
|
19,532 |
15,895 |
$20K |
| 80306 |
|
2,798 |
2,442 |
$20K |
| 76641 |
|
214 |
200 |
$19K |
| 36415 |
|
1,668 |
1,359 |
$19K |
| 82803 |
|
12,538 |
9,820 |
$18K |
| 87077 |
|
2,749 |
2,239 |
$17K |
| 87086 |
|
3,487 |
2,748 |
$17K |
| 93976 |
|
1,688 |
1,513 |
$17K |
| 12002 |
|
261 |
244 |
$17K |
| 76705 |
|
642 |
590 |
$16K |
| 87880 |
|
2,168 |
2,025 |
$15K |
| 76700 |
|
294 |
266 |
$15K |
| 72100 |
|
948 |
837 |
$15K |
| 87040 |
|
14,966 |
11,247 |
$15K |
| 76830 |
|
1,040 |
948 |
$13K |
| J1885 |
Ketorolac tromethamine inj |
8,741 |
6,494 |
$13K |
| 87280 |
|
886 |
868 |
$12K |
| J7030 |
Normal saline solution infus |
13,522 |
10,843 |
$11K |
| 83735 |
|
12,189 |
9,549 |
$10K |
| 70486 |
|
165 |
150 |
$10K |
| 87491 |
|
1,181 |
1,090 |
$10K |
| 10060 |
|
157 |
142 |
$10K |
| 73140 |
|
329 |
306 |
$10K |
| 85610 |
|
10,724 |
8,519 |
$9K |
| 73502 |
|
565 |
464 |
$9K |
| 96375 |
|
9,185 |
7,100 |
$9K |
| 97110 |
|
347 |
95 |
$9K |
| 83880 |
|
7,002 |
5,492 |
$9K |
| 82550 |
|
7,614 |
5,737 |
$8K |
| 73090 |
|
306 |
273 |
$8K |
| 85730 |
|
6,522 |
5,271 |
$7K |
| J1100 |
Dexamethasone sodium phos |
4,035 |
3,291 |
$7K |
| J7120 |
Ringers lactate infusion |
764 |
564 |
$7K |
| 83690 |
|
15,842 |
12,897 |
$7K |
| J8540 |
Oral dexamethasone |
1,931 |
1,733 |
$7K |
| 93971 |
|
599 |
502 |
$7K |
| 77067 |
|
274 |
256 |
$7K |
| 84443 |
|
3,903 |
3,155 |
$7K |
| 93306 |
|
268 |
216 |
$6K |
| 87426 |
|
9,990 |
9,239 |
$6K |
| 87804 |
|
17,635 |
13,883 |
$6K |
| 83605 |
|
16,042 |
12,575 |
$5K |
| 71101 |
|
145 |
130 |
$5K |
| 73080 |
|
386 |
344 |
$5K |
| 73590 |
|
351 |
316 |
$4K |
| J3010 |
Fentanyl citrate injection |
535 |
394 |
$4K |
| J2405 |
Ondansetron hcl injection |
6,847 |
5,533 |
$4K |
| 73700 |
|
47 |
36 |
$4K |
| J2250 |
Inj midazolam hydrochloride |
611 |
440 |
$4K |
| 71260 |
|
45 |
40 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,684 |
2,179 |
$4K |
| 80061 |
|
1,713 |
1,383 |
$4K |
| G0480 |
Drug test def 1-7 classes |
243 |
177 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
734 |
401 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
8,458 |
6,912 |
$3K |
| 82330 |
|
597 |
502 |
$3K |
| 72050 |
|
135 |
125 |
$3K |
| 70496 |
|
15 |
14 |
$3K |
| J2704 |
Inj, propofol, 10 mg |
272 |
189 |
$3K |
| 82565 |
|
275 |
217 |
$3K |
| 84100 |
|
2,116 |
1,564 |
$3K |
| J1170 |
Hydromorphone injection |
2,389 |
1,697 |
$3K |
| 76770 |
|
64 |
61 |
$3K |
| 87186 |
|
2,491 |
2,002 |
$3K |
| J1815 |
Insulin injection |
864 |
511 |
$3K |
| 76856 |
|
55 |
51 |
$2K |
| J2270 |
Morphine sulfate injection |
2,896 |
2,109 |
$2K |
| J2550 |
Promethazine hcl injection |
794 |
589 |
$2K |
| 81025 |
|
2,872 |
2,661 |
$2K |
| 73560 |
|
88 |
75 |
$2K |
| 36430 |
|
32 |
26 |
$2K |
| 72040 |
|
75 |
65 |
$2K |
| J7040 |
Normal saline solution infus |
1,312 |
1,073 |
$1K |
| 82553 |
|
341 |
204 |
$1K |
| 96376 |
|
1,568 |
1,057 |
$1K |
| 96366 |
|
81 |
70 |
$1K |
| 73600 |
|
17 |
14 |
$1K |
| 87591 |
|
1,188 |
1,096 |
$1K |
| 80320 |
|
310 |
276 |
$897.14 |
| 86140 |
|
2,377 |
1,941 |
$830.53 |
| 82248 |
|
1,496 |
1,131 |
$792.65 |
| 85378 |
|
821 |
729 |
$755.25 |
| 70498 |
|
18 |
16 |
$570.61 |
| 87205 |
|
1,357 |
1,032 |
$566.59 |
| M0243 |
Casirivi and imdevi inj |
126 |
111 |
$563.65 |
| 86885 |
|
555 |
463 |
$556.03 |
| 73552 |
|
14 |
12 |
$554.97 |
| 85651 |
|
1,390 |
1,161 |
$551.51 |
| J1200 |
Diphenhydramine hcl injectio |
770 |
653 |
$528.35 |
| J2930 |
Methylprednisolone injection |
562 |
453 |
$528.35 |
| 82077 |
|
917 |
755 |
$457.49 |
| 80307 |
|
15 |
14 |
$429.55 |
| 90471 |
|
629 |
522 |
$396.02 |
| 90715 |
|
750 |
668 |
$375.26 |
| J0561 |
Penicillin g benzathine inj |
168 |
148 |
$350.19 |
| 87807 |
|
611 |
596 |
$315.02 |
| 72070 |
|
72 |
68 |
$312.94 |
| 74019 |
|
17 |
16 |
$297.50 |
| 83036 |
|
885 |
735 |
$275.36 |
| 29125 |
|
33 |
29 |
$263.39 |
| 82306 |
|
173 |
141 |
$241.23 |
| G1003 |
Cdsm medicalis |
781 |
557 |
$212.04 |
| 82607 |
|
85 |
72 |
$179.89 |
| 87400 |
|
3,147 |
2,932 |
$148.35 |
| 84439 |
|
200 |
154 |
$144.93 |
| 70360 |
|
13 |
12 |
$141.58 |
| 73060 |
|
16 |
12 |
$132.98 |
| A6257 |
Transparent film <= 16 sq in |
271 |
220 |
$125.45 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,039 |
921 |
$119.38 |
| 85379 |
|
101 |
87 |
$117.81 |
| Q0244 |
Casirivi and imdevi 1200 mg |
62 |
60 |
$102.48 |
| 77066 |
Tomosynthesis, mammo |
42 |
41 |
$97.25 |
| P9016 |
Rbc leukocytes reduced |
35 |
27 |
$93.20 |
| 86920 |
|
21 |
15 |
$88.41 |
| J1650 |
Inj enoxaparin sodium |
274 |
149 |
$60.00 |
| J2543 |
Piperacillin/tazobactam |
413 |
296 |
$58.74 |
| J2060 |
Lorazepam injection |
826 |
650 |
$36.39 |
| S0119 |
Ondansetron 4 mg |
3,057 |
2,923 |
$21.34 |
| 84480 |
|
208 |
157 |
$16.04 |
| 86901 |
|
699 |
567 |
$6.92 |
| 36600 |
|
16 |
12 |
$4.53 |
| C9113 |
Inj pantoprazole sodium, via |
272 |
177 |
$3.74 |
| Q0162 |
Ondansetron oral |
311 |
288 |
$0.17 |
| J2765 |
Metoclopramide hcl injection |
495 |
438 |
$0.00 |
| 80329 |
|
332 |
311 |
$0.00 |
| 83615 |
|
15 |
13 |
$0.00 |
| 76801 |
|
53 |
48 |
$0.00 |
| J2360 |
Orphenadrine injection |
216 |
200 |
$0.00 |
| 76815 |
|
43 |
42 |
$0.00 |
| J3490 |
Drugs unclassified injection |
28 |
27 |
$0.00 |
| 82150 |
|
39 |
25 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
121 |
81 |
$0.00 |
| J1940 |
Furosemide injection |
101 |
66 |
$0.00 |
| J3480 |
Inj potassium chloride |
16 |
12 |
$0.00 |
| 87088 |
|
14 |
13 |
$0.00 |
| J0780 |
Prochlorperazine injection |
907 |
795 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
186 |
139 |
$0.00 |
| 82140 |
|
232 |
172 |
$0.00 |
| G1004 |
Cdsm ndsc |
57 |
42 |
$0.00 |
| 86900 |
|
588 |
463 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
64 |
59 |
$0.00 |
| 87420 |
|
29 |
28 |
$0.00 |
| 87210 |
|
45 |
44 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
56 |
41 |
$0.00 |
| 82009 |
|
39 |
25 |
$0.00 |
| 82310 |
|
40 |
26 |
$0.00 |