| Code | Description | Claims | Beneficiaries | Total Paid |
| 96361 |
|
7,158 |
6,391 |
$1.85M |
| H0018 |
Alcohol and/or drug services |
5,000 |
458 |
$1.54M |
| 99284 |
|
13,084 |
12,021 |
$1.47M |
| 99283 |
|
11,283 |
10,594 |
$1.37M |
| 99285 |
|
11,571 |
10,568 |
$1.28M |
| 74177 |
|
2,860 |
2,714 |
$682K |
| 99282 |
|
3,295 |
3,146 |
$327K |
| 70450 |
|
2,242 |
2,102 |
$318K |
| 97110 |
|
11,131 |
3,730 |
$249K |
| 96360 |
|
1,604 |
1,453 |
$231K |
| 96365 |
|
3,067 |
2,730 |
$218K |
| 80053 |
|
17,694 |
14,705 |
$107K |
| 97140 |
|
6,092 |
2,195 |
$106K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,463 |
1,337 |
$83K |
| 74176 |
|
418 |
397 |
$82K |
| 71275 |
|
434 |
414 |
$78K |
| 85025 |
|
22,365 |
17,956 |
$71K |
| G0463 |
Hospital outpt clinic visit |
1,302 |
898 |
$71K |
| 93005 |
|
7,986 |
7,234 |
$57K |
| 76705 |
|
600 |
577 |
$55K |
| 84484 |
|
7,405 |
5,487 |
$52K |
| G0378 |
Hospital observation per hr |
807 |
636 |
$46K |
| 96375 |
|
7,229 |
6,416 |
$45K |
| 97161 |
|
861 |
840 |
$38K |
| 96374 |
|
8,455 |
7,563 |
$37K |
| G0480 |
Drug test def 1-7 classes |
3,042 |
2,588 |
$34K |
| 84443 |
|
4,091 |
3,167 |
$32K |
| 71045 |
|
4,182 |
3,878 |
$30K |
| 71046 |
|
2,381 |
2,277 |
$30K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,570 |
4,281 |
$29K |
| 36415 |
|
14,591 |
11,264 |
$24K |
| 83690 |
|
7,300 |
6,618 |
$24K |
| 83605 |
|
4,018 |
3,443 |
$23K |
| 87635 |
|
983 |
852 |
$23K |
| 96366 |
|
141 |
126 |
$23K |
| 76856 |
|
349 |
337 |
$23K |
| 96164 |
|
1,169 |
202 |
$22K |
| 83880 |
|
2,282 |
2,056 |
$22K |
| 80048 |
|
4,180 |
3,580 |
$21K |
| 11042 |
|
118 |
64 |
$20K |
| 96165 |
|
1,169 |
202 |
$20K |
| 76830 |
|
216 |
208 |
$19K |
| 97530 |
|
1,150 |
916 |
$19K |
| 80305 |
|
3,780 |
3,501 |
$17K |
| 87086 |
|
4,222 |
3,960 |
$16K |
| 83036 |
|
2,589 |
1,765 |
$15K |
| 99291 |
|
130 |
122 |
$15K |
| 81001 |
|
11,446 |
10,463 |
$15K |
| 70496 |
|
60 |
59 |
$14K |
| 72125 |
|
428 |
403 |
$13K |
| 80061 |
|
1,715 |
932 |
$12K |
| 96376 |
|
2,211 |
2,022 |
$11K |
| 87591 |
|
581 |
565 |
$10K |
| 84703 |
|
2,625 |
2,482 |
$10K |
| 87040 |
|
1,007 |
527 |
$8K |
| 96372 |
|
1,402 |
1,291 |
$8K |
| 94640 |
|
644 |
534 |
$8K |
| 71260 |
|
74 |
70 |
$7K |
| 76801 |
|
148 |
129 |
$7K |
| 82077 |
|
1,137 |
970 |
$7K |
| 83735 |
|
3,910 |
3,151 |
$7K |
| 70498 |
|
59 |
58 |
$7K |
| 73610 |
|
362 |
346 |
$6K |
| 87502 |
|
594 |
555 |
$6K |
| 90715 |
|
366 |
352 |
$6K |
| 93306 |
|
24 |
24 |
$6K |
| 84702 |
|
842 |
700 |
$6K |
| 73630 |
|
330 |
318 |
$6K |
| 87491 |
|
581 |
565 |
$6K |
| 85378 |
|
520 |
507 |
$5K |
| 85610 |
|
2,658 |
2,206 |
$5K |
| 87077 |
|
1,400 |
1,342 |
$5K |
| 87186 |
|
1,245 |
1,182 |
$4K |
| J7050 |
Normal saline solution infus |
1,307 |
853 |
$4K |
| 87804 |
|
660 |
641 |
$4K |
| 81025 |
|
2,079 |
1,970 |
$4K |
| 93971 |
|
41 |
38 |
$4K |
| J7120 |
Ringers lactate infusion |
1,912 |
1,532 |
$4K |
| 82728 |
|
295 |
285 |
$4K |
| J0696 |
Ceftriaxone sodium injection |
1,644 |
1,342 |
$3K |
| 93975 |
|
27 |
24 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
4,944 |
4,441 |
$3K |
| J1170 |
Hydromorphone injection |
2,764 |
2,051 |
$3K |
| 86803 |
|
253 |
242 |
$3K |
| 73564 |
|
190 |
187 |
$3K |
| 85027 |
|
436 |
425 |
$3K |
| J2405 |
Ondansetron hcl injection |
6,731 |
5,697 |
$3K |
| 87389 |
|
312 |
298 |
$3K |
| J7030 |
Normal saline solution infus |
2,174 |
1,883 |
$3K |
| 99232 |
|
102 |
69 |
$2K |
| J2270 |
Morphine sulfate injection |
2,943 |
2,489 |
$2K |
| 87651 |
|
394 |
380 |
$2K |
| 73030 |
|
128 |
117 |
$2K |
| 85379 |
|
458 |
443 |
$2K |
| 12001 |
|
12 |
12 |
$2K |
| H0004 |
Alcohol and/or drug services |
19 |
16 |
$2K |
| J0690 |
Cefazolin sodium injection |
682 |
541 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
440 |
405 |
$2K |
| 80047 |
|
364 |
342 |
$2K |
| 84439 |
|
275 |
252 |
$2K |
| 77067 |
|
26 |
25 |
$2K |
| 86900 |
|
397 |
332 |
$1K |
| 86901 |
|
564 |
492 |
$1K |
| J3010 |
Fentanyl citrate injection |
1,327 |
1,075 |
$1K |
| 86850 |
|
347 |
327 |
$1K |
| 86592 |
|
217 |
204 |
$1K |
| 73130 |
|
77 |
77 |
$1K |
| 73110 |
|
78 |
75 |
$1K |
| 81003 |
|
806 |
774 |
$1K |
| J1100 |
Dexamethasone sodium phos |
1,571 |
1,499 |
$912.25 |
| 90471 |
|
373 |
353 |
$904.57 |
| J2060 |
Lorazepam injection |
1,580 |
1,357 |
$865.81 |
| 85730 |
|
1,056 |
979 |
$814.97 |
| 86140 |
|
236 |
220 |
$752.79 |
| J1200 |
Diphenhydramine hcl injectio |
1,577 |
1,364 |
$738.52 |
| 77063 |
|
26 |
25 |
$692.86 |
| 99222 |
|
14 |
12 |
$672.39 |
| 82805 |
|
81 |
73 |
$637.70 |
| 82948 |
|
1,158 |
751 |
$637.13 |
| 82962 |
|
945 |
382 |
$609.95 |
| 87634 |
|
286 |
257 |
$604.48 |
| 85652 |
|
236 |
224 |
$594.99 |
| 99239 |
|
14 |
12 |
$577.16 |
| 87633 |
|
16 |
16 |
$561.37 |
| 96368 |
|
24 |
24 |
$556.89 |
| J2250 |
Inj midazolam hydrochloride |
897 |
840 |
$543.47 |
| 97112 |
|
27 |
12 |
$508.95 |
| J2765 |
Metoclopramide hcl injection |
1,137 |
1,042 |
$498.34 |
| 99214 |
|
24 |
12 |
$475.14 |
| 0240U |
|
572 |
558 |
$463.70 |
| 87070 |
|
92 |
86 |
$460.34 |
| J3475 |
Inj magnesium sulfate |
374 |
326 |
$425.18 |
| 97162 |
|
12 |
12 |
$386.08 |
| 85651 |
|
160 |
153 |
$378.97 |
| 80076 |
|
60 |
58 |
$346.74 |
| 0241U |
|
1,921 |
1,821 |
$338.61 |
| 99213 |
|
28 |
13 |
$315.51 |
| 72131 |
|
17 |
16 |
$304.11 |
| 82553 |
|
36 |
33 |
$292.39 |
| J7040 |
Normal saline solution infus |
287 |
267 |
$288.45 |
| 72128 |
|
13 |
12 |
$270.23 |
| 82565 |
|
327 |
314 |
$224.74 |
| 82550 |
|
150 |
137 |
$212.13 |
| 87075 |
|
27 |
25 |
$207.41 |
| J2704 |
Inj, propofol, 10 mg |
216 |
197 |
$199.84 |
| 80050 |
|
31 |
29 |
$173.60 |
| 82803 |
|
63 |
60 |
$165.91 |
| J2001 |
Lidocaine injection |
322 |
301 |
$161.33 |
| 87340 |
|
52 |
52 |
$144.41 |
| 87088 |
|
40 |
39 |
$142.64 |
| 87205 |
|
55 |
52 |
$124.41 |
| 83540 |
|
14 |
14 |
$117.95 |
| 83550 |
|
13 |
13 |
$115.64 |
| 87880 |
|
40 |
40 |
$106.86 |
| 85014 |
|
93 |
89 |
$95.45 |
| 86780 |
|
15 |
15 |
$92.09 |
| 87661 |
|
12 |
12 |
$88.37 |
| 86762 |
|
27 |
27 |
$83.99 |
| 85018 |
|
119 |
114 |
$78.53 |
| J3370 |
Vancomycin hcl injection |
59 |
41 |
$73.26 |
| 76817 |
|
15 |
12 |
$70.57 |
| J0780 |
Prochlorperazine injection |
43 |
37 |
$64.76 |
| 87426 |
|
31 |
30 |
$57.47 |
| 94760 |
|
279 |
248 |
$53.15 |
| 84100 |
|
47 |
36 |
$49.37 |
| 82248 |
|
27 |
27 |
$40.09 |
| J2930 |
Methylprednisolone injection |
89 |
73 |
$36.55 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
54 |
43 |
$33.82 |
| A9270 |
Non-covered item or service |
12,772 |
10,055 |
$22.47 |
| 82009 |
|
12 |
12 |
$22.14 |
| J1650 |
Inj enoxaparin sodium |
26 |
13 |
$21.23 |
| J7512 |
Prednisone ir or dr oral 1mg |
54 |
43 |
$17.42 |
| 36000 |
|
369 |
358 |
$17.07 |
| U0005 |
Infec agen detec ampli probe |
659 |
576 |
$9.20 |
| J1630 |
Haloperidol injection |
13 |
13 |
$6.60 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
28 |
27 |
$1.93 |
| G8979 |
Mobility goal status |
26 |
23 |
$0.00 |
| G8978 |
Mobility current status |
24 |
23 |
$0.00 |
| 94761 |
|
228 |
217 |
$0.00 |
| 87154 |
|
78 |
76 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
52 |
40 |
$0.00 |