| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
61,080 |
55,751 |
$2.91M |
| 0270 |
|
47,229 |
26,867 |
$852K |
| 70450 |
|
7,013 |
6,821 |
$686K |
| 74176 |
|
6,377 |
6,186 |
$648K |
| J3490 |
Drugs unclassified injection |
43,815 |
17,188 |
$476K |
| Z7502 |
|
12,883 |
12,699 |
$472K |
| 80048 |
|
17,783 |
16,380 |
$377K |
| 99281 |
|
8,158 |
7,213 |
$342K |
| 96374 |
|
6,592 |
6,291 |
$275K |
| 93005 |
|
14,044 |
13,115 |
$262K |
| 99199 |
|
6,453 |
5,711 |
$253K |
| 80053 |
|
12,100 |
11,380 |
$242K |
| J7030 |
Normal saline solution infus |
10,028 |
9,025 |
$239K |
| S3620 |
Newborn metabolic screening |
1,614 |
1,336 |
$237K |
| 96365 |
|
4,033 |
3,860 |
$217K |
| 76705 |
|
4,176 |
4,075 |
$192K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,123 |
3,947 |
$190K |
| 96375 |
|
5,971 |
5,600 |
$187K |
| 71045 |
|
14,890 |
14,320 |
$179K |
| 96372 |
|
8,376 |
7,981 |
$175K |
| G0480 |
Drug test def 1-7 classes |
3,458 |
3,092 |
$175K |
| Z7610 |
|
11,698 |
8,330 |
$174K |
| 85025 |
|
26,766 |
24,214 |
$167K |
| 0942 |
|
9,026 |
2,509 |
$164K |
| 72125 |
|
1,316 |
1,298 |
$159K |
| Z6412 |
|
5,993 |
3,745 |
$156K |
| Z9725 |
|
3,430 |
2,837 |
$148K |
| 0250 |
|
19,309 |
9,878 |
$128K |
| 74177 |
|
705 |
692 |
$125K |
| 96360 |
|
2,795 |
2,697 |
$122K |
| Z7500 |
|
3,191 |
2,800 |
$109K |
| 84484 |
|
10,190 |
9,319 |
$102K |
| 96361 |
|
5,024 |
4,811 |
$99K |
| Z6410 |
|
4,158 |
2,851 |
$99K |
| 72131 |
|
820 |
808 |
$97K |
| 81001 |
|
23,868 |
22,543 |
$95K |
| 92507 |
|
2,957 |
1,365 |
$93K |
| 76856 |
|
1,901 |
1,845 |
$90K |
| Z6500 |
|
458 |
458 |
$89K |
| 0760 |
|
4,570 |
2,722 |
$88K |
| 99283 |
|
1,620 |
1,517 |
$86K |
| 83880 |
|
4,473 |
4,296 |
$86K |
| 71046 |
|
3,949 |
3,839 |
$84K |
| 80076 |
|
11,805 |
11,188 |
$84K |
| 0762 |
|
391 |
379 |
$80K |
| 87804 |
|
8,215 |
8,025 |
$79K |
| 80306 |
|
5,946 |
5,659 |
$73K |
| 99000 |
|
3,677 |
3,563 |
$72K |
| 87426 |
|
2,814 |
2,756 |
$71K |
| Z6400 |
|
2,524 |
1,919 |
$67K |
| 76815 |
|
1,744 |
503 |
$67K |
| 87086 |
|
9,366 |
8,987 |
$65K |
| J2405 |
Ondansetron hcl injection |
5,723 |
5,278 |
$63K |
| 83690 |
|
12,563 |
11,798 |
$62K |
| 87040 |
|
4,523 |
4,353 |
$61K |
| J1885 |
Ketorolac tromethamine inj |
7,385 |
6,933 |
$58K |
| 0301 |
|
1,451 |
1,195 |
$58K |
| H1003 |
Prenatal at risk education |
5,196 |
2,214 |
$57K |
| 85730 |
|
10,029 |
9,462 |
$56K |
| 99284 |
|
1,072 |
1,023 |
$53K |
| 76805 |
|
793 |
757 |
$49K |
| A0429 |
Bls-emergency |
1,143 |
739 |
$47K |
| J0696 |
Ceftriaxone sodium injection |
3,321 |
3,007 |
$47K |
| 84703 |
|
8,510 |
8,148 |
$47K |
| 83605 |
|
4,522 |
4,207 |
$44K |
| 76801 |
|
997 |
897 |
$44K |
| 86403 |
|
2,869 |
2,828 |
$44K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,921 |
1,871 |
$42K |
| 85610 |
|
10,297 |
9,697 |
$42K |
| 0360 |
|
549 |
366 |
$42K |
| 59025 |
|
2,388 |
700 |
$36K |
| 76830 |
|
808 |
786 |
$35K |
| J7040 |
Normal saline solution infus |
1,640 |
1,583 |
$35K |
| J1100 |
Dexamethasone sodium phos |
2,035 |
1,952 |
$35K |
| 87420 |
|
2,220 |
2,164 |
$34K |
| G0463 |
Hospital outpt clinic visit |
1,342 |
814 |
$34K |
| 73562 |
|
1,286 |
1,255 |
$33K |
| S9446 |
Pt education noc group |
2,587 |
1,578 |
$32K |
| C9803 |
Hopd covid-19 spec collect |
1,311 |
1,256 |
$32K |
| 73610 |
|
1,132 |
1,114 |
$30K |
| J2270 |
Morphine sulfate injection |
4,165 |
3,528 |
$29K |
| 90715 |
|
1,064 |
1,045 |
$29K |
| 99070 |
|
1,745 |
787 |
$29K |
| 70486 |
|
229 |
225 |
$28K |
| 73630 |
|
1,289 |
1,269 |
$28K |
| 0272 |
|
3,710 |
3,305 |
$28K |
| S9445 |
Pt education noc individ |
3,453 |
2,093 |
$27K |
| 87070 |
|
3,686 |
3,566 |
$27K |
| 85027 |
|
4,805 |
4,471 |
$27K |
| 87077 |
|
2,637 |
2,555 |
$25K |
| 84702 |
|
1,982 |
1,772 |
$25K |
| Z6204 |
|
898 |
750 |
$20K |
| 73030 |
|
771 |
761 |
$19K |
| 0761 |
|
1,397 |
987 |
$18K |
| 73130 |
|
637 |
620 |
$18K |
| H1002 |
Carecoordination prenatal |
194 |
170 |
$18K |
| 0710 |
|
1,332 |
1,303 |
$18K |
| 0459 |
|
456 |
376 |
$17K |
| 87635 |
|
397 |
373 |
$17K |
| Z6304 |
|
664 |
513 |
$17K |
| H2000 |
Comp multidisipln evaluation |
497 |
413 |
$17K |
| 87186 |
|
2,701 |
2,616 |
$17K |
| 93971 |
|
243 |
240 |
$16K |
| 94640 |
|
2,255 |
2,100 |
$16K |
| J1815 |
Insulin injection |
221 |
187 |
$16K |
| 96366 |
|
737 |
707 |
$16K |
| 76817 |
|
314 |
285 |
$15K |
| 82962 |
|
3,506 |
2,817 |
$15K |
| 96156 |
|
1,252 |
844 |
$14K |
| 86140 |
|
3,861 |
3,730 |
$14K |
| J2060 |
Lorazepam injection |
764 |
678 |
$14K |
| 97803 |
|
1,416 |
1,083 |
$14K |
| 43239 |
|
122 |
120 |
$13K |
| 73110 |
|
375 |
368 |
$13K |
| 93306 |
|
98 |
95 |
$13K |
| 97139 |
|
938 |
253 |
$12K |
| J7120 |
Ringers lactate infusion |
474 |
449 |
$12K |
| 74022 |
|
418 |
414 |
$12K |
| 82803 |
|
650 |
622 |
$11K |
| 99401 |
|
1,075 |
909 |
$11K |
| 85379 |
|
1,354 |
1,311 |
$10K |
| 72100 |
|
408 |
401 |
$10K |
| 88305 |
|
729 |
713 |
$10K |
| 85007 |
|
4,799 |
4,468 |
$10K |
| Z6406 |
|
391 |
334 |
$9K |
| 81025 |
|
2,139 |
2,112 |
$9K |
| 83735 |
|
2,015 |
1,895 |
$9K |
| 84443 |
|
846 |
820 |
$9K |
| 99285 |
|
68 |
65 |
$9K |
| 0271 |
|
3,503 |
3,245 |
$9K |
| 36415 |
|
1,765 |
1,504 |
$8K |
| 80061 |
|
722 |
688 |
$8K |
| 97799 |
|
594 |
174 |
$7K |
| J2704 |
Inj, propofol, 10 mg |
324 |
318 |
$7K |
| J2250 |
Inj midazolam hydrochloride |
1,254 |
1,221 |
$7K |
| 81003 |
|
2,277 |
2,169 |
$6K |
| S9452 |
Nutrition class |
549 |
437 |
$6K |
| 92523 |
|
105 |
101 |
$6K |
| A4217 |
Sterile water/saline, 500 ml |
987 |
955 |
$6K |
| 0160 |
|
53 |
51 |
$6K |
| 36416 |
|
2,273 |
1,849 |
$6K |
| 86256 |
|
674 |
656 |
$6K |
| 80143 |
|
499 |
475 |
$6K |
| 80179 |
|
503 |
479 |
$6K |
| J3010 |
Fentanyl citrate injection |
1,530 |
1,387 |
$5K |
| 86901 |
|
2,099 |
1,950 |
$5K |
| 97110 |
|
311 |
129 |
$5K |
| 71275 |
|
39 |
39 |
$5K |
| 86900 |
|
2,088 |
1,943 |
$5K |
| 99282 |
|
140 |
128 |
$4K |
| 93970 |
|
39 |
39 |
$4K |
| Z6206 |
|
342 |
279 |
$4K |
| 96151 |
|
462 |
400 |
$4K |
| 87502 |
|
42 |
42 |
$4K |
| 97530 |
|
253 |
103 |
$4K |
| 0750 |
|
135 |
134 |
$4K |
| 99231 |
|
624 |
366 |
$4K |
| 36600 |
|
396 |
375 |
$4K |
| 83036 |
|
527 |
515 |
$4K |
| J1200 |
Diphenhydramine hcl injectio |
863 |
801 |
$4K |
| J2919 |
Inj, methylpred sod succ 5mg |
70 |
66 |
$3K |
| Z6306 |
|
260 |
215 |
$3K |
| 0440 |
|
55 |
25 |
$3K |
| J2765 |
Metoclopramide hcl injection |
572 |
534 |
$3K |
| 90471 |
|
798 |
782 |
$3K |
| A4649 |
Surgical supplies |
2,089 |
827 |
$3K |
| 74018 |
|
64 |
62 |
$2K |
| 76775 |
|
89 |
89 |
$2K |
| 96152 |
|
211 |
181 |
$2K |
| Z6408 |
|
218 |
183 |
$2K |
| 97163 |
|
64 |
62 |
$2K |
| 99291 |
|
12 |
12 |
$2K |
| 0320 |
|
238 |
230 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
48 |
47 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
145 |
93 |
$2K |
| 97535 |
|
165 |
103 |
$2K |
| J7050 |
Normal saline solution infus |
214 |
190 |
$2K |
| J0690 |
Cefazolin sodium injection |
272 |
262 |
$2K |
| 71101 |
|
27 |
24 |
$2K |
| 45380 |
|
14 |
14 |
$2K |
| 73080 |
|
42 |
41 |
$1K |
| 73590 |
|
24 |
24 |
$1K |
| 87491 |
|
65 |
65 |
$1K |
| 86850 |
|
347 |
329 |
$1K |
| 85651 |
|
280 |
272 |
$1K |
| 76816 |
|
29 |
12 |
$883.90 |
| 92521 |
|
19 |
19 |
$863.50 |
| 87591 |
|
65 |
65 |
$840.00 |
| Z6308 |
|
33 |
26 |
$808.34 |
| S0164 |
Injection pantroprazole |
47 |
38 |
$795.71 |
| 99078 |
|
156 |
132 |
$742.09 |
| 72040 |
|
42 |
40 |
$741.14 |
| 82150 |
|
204 |
200 |
$710.04 |
| 97804 |
|
132 |
113 |
$699.48 |
| 73140 |
|
68 |
67 |
$651.74 |
| 88312 |
|
115 |
115 |
$614.20 |
| 86308 |
|
70 |
69 |
$510.02 |
| 87631 |
|
13 |
13 |
$499.89 |
| 97750 |
|
18 |
14 |
$478.63 |
| 71020 |
|
12 |
12 |
$447.24 |
| 0258 |
|
149 |
141 |
$432.93 |
| 76819 |
|
14 |
13 |
$397.38 |
| 88313 |
|
46 |
46 |
$282.93 |
| 0636 |
|
234 |
191 |
$262.29 |
| 87184 |
|
88 |
84 |
$204.88 |
| 0300 |
|
149 |
131 |
$164.22 |
| 82728 |
|
14 |
13 |
$152.66 |
| 83615 |
|
28 |
27 |
$149.37 |
| J3105 |
Terbutaline sulfate inj |
15 |
12 |
$139.34 |
| J7512 |
Prednisone ir or dr oral 1mg |
16 |
15 |
$105.87 |
| J2930 |
Methylprednisolone injection |
15 |
13 |
$92.98 |
| J0360 |
Hydralazine hcl injection |
14 |
13 |
$81.81 |
| 82010 |
|
16 |
14 |
$72.66 |
| 73090 |
|
12 |
12 |
$71.14 |
| J0330 |
Succinycholine chloride inj |
13 |
13 |
$45.49 |
| 82270 |
|
26 |
26 |
$38.21 |
| J1170 |
Hydromorphone injection |
14 |
12 |
$31.21 |
| 0305 |
|
183 |
139 |
$0.00 |
| Q4051 |
Splint supplies misc |
35 |
13 |
$0.00 |
| 99072 |
|
60 |
29 |
$0.00 |
| 0302 |
|
33 |
28 |
$0.00 |
| 99499 |
|
21 |
18 |
$0.00 |
| 0637 |
|
82 |
45 |
$0.00 |