| Code | Description | Claims | Beneficiaries | Total Paid |
| 8888888 |
|
14,523 |
4,690 |
$4.23M |
| 36415 |
|
19,719 |
16,210 |
$1.69M |
| 0241U |
|
1,559 |
1,464 |
$216K |
| 99283 |
|
7,112 |
6,528 |
$212K |
| 11042 |
|
1,516 |
692 |
$130K |
| 99284 |
|
9,496 |
8,495 |
$72K |
| 82962 |
|
1,168 |
834 |
$52K |
| 96372 |
|
2,012 |
1,848 |
$51K |
| 70450 |
|
2,066 |
1,898 |
$47K |
| 87635 |
|
1,391 |
1,303 |
$43K |
| 96361 |
|
5,477 |
4,851 |
$37K |
| 96374 |
|
8,666 |
7,468 |
$37K |
| 99282 |
|
884 |
830 |
$36K |
| 74177 |
|
2,474 |
2,261 |
$34K |
| 71046 |
|
1,584 |
1,479 |
$29K |
| 81003 |
|
3,619 |
3,289 |
$26K |
| 71045 |
|
3,173 |
2,890 |
$22K |
| 81001 |
|
6,387 |
5,633 |
$21K |
| 88305 |
|
835 |
763 |
$20K |
| 87070 |
|
442 |
381 |
$20K |
| 99285 |
|
8,318 |
7,305 |
$20K |
| 80307 |
|
2,967 |
2,683 |
$16K |
| 99281 |
|
322 |
300 |
$15K |
| 96365 |
|
1,811 |
1,555 |
$12K |
| U0002 |
Covid-19 lab test non-cdc |
378 |
345 |
$11K |
| U0003 |
Cov-19 amp prb hgh thruput |
207 |
191 |
$11K |
| 96360 |
|
1,190 |
1,088 |
$11K |
| 87502 |
|
451 |
429 |
$10K |
| J7030 |
Normal saline solution infus |
3,632 |
3,094 |
$10K |
| U0001 |
2019-ncov diagnostic p |
450 |
421 |
$10K |
| 87491 |
|
1,060 |
1,002 |
$10K |
| 87651 |
|
378 |
362 |
$9K |
| 59025 |
|
997 |
743 |
$9K |
| 87086 |
|
874 |
804 |
$8K |
| 84703 |
|
3,710 |
3,344 |
$8K |
| 80053 |
|
13,645 |
11,566 |
$6K |
| 87088 |
|
1,364 |
1,243 |
$6K |
| 87077 |
|
1,114 |
1,012 |
$5K |
| 76705 |
|
757 |
707 |
$5K |
| U0004 |
Cov-19 test non-cdc hgh thru |
82 |
75 |
$5K |
| 93306 |
|
45 |
37 |
$4K |
| 81025 |
|
562 |
530 |
$3K |
| 74176 |
|
239 |
228 |
$3K |
| 87631 |
|
82 |
77 |
$3K |
| 73130 |
|
38 |
37 |
$3K |
| 87400 |
|
89 |
84 |
$3K |
| 82947 |
|
48 |
37 |
$3K |
| C1758 |
Catheter, ureteral |
127 |
116 |
$2K |
| 99001 |
|
66 |
62 |
$2K |
| 73610 |
|
36 |
36 |
$2K |
| 97110 |
|
261 |
87 |
$2K |
| 93005 |
|
4,401 |
3,908 |
$2K |
| 76801 |
|
682 |
590 |
$2K |
| 80050 |
|
1,603 |
1,461 |
$1K |
| 94640 |
|
763 |
638 |
$1K |
| 71275 |
|
409 |
378 |
$1K |
| 87880 |
|
148 |
141 |
$1K |
| 73630 |
|
56 |
50 |
$1K |
| G0463 |
Hospital outpt clinic visit |
51 |
38 |
$1K |
| 70551 |
|
28 |
25 |
$1K |
| 77067 |
|
24 |
24 |
$976.03 |
| 87426 |
|
73 |
71 |
$923.03 |
| 85025 |
|
14,607 |
12,248 |
$896.91 |
| 76856 |
|
162 |
151 |
$798.70 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,016 |
1,848 |
$794.81 |
| 86710 |
|
30 |
28 |
$759.13 |
| 96375 |
|
6,701 |
5,726 |
$739.09 |
| 87081 |
|
30 |
29 |
$645.36 |
| J3490 |
Drugs unclassified injection |
216 |
173 |
$588.51 |
| 93976 |
|
82 |
73 |
$443.86 |
| 90471 |
|
55 |
50 |
$437.76 |
| 80048 |
|
1,543 |
1,323 |
$392.82 |
| 93971 |
|
55 |
49 |
$340.07 |
| 84484 |
|
3,327 |
2,631 |
$300.54 |
| A9270 |
Non-covered item or service |
2,850 |
1,188 |
$279.32 |
| 72125 |
|
120 |
112 |
$234.40 |
| 94760 |
|
1,073 |
863 |
$232.38 |
| A6402 |
Sterile gauze <= 16 sq in |
17 |
13 |
$227.70 |
| 73562 |
|
12 |
12 |
$218.88 |
| 73030 |
|
13 |
13 |
$218.88 |
| 85610 |
|
1,666 |
1,425 |
$173.25 |
| 83880 |
|
966 |
856 |
$154.96 |
| J2250 |
Inj midazolam hydrochloride |
1,207 |
1,049 |
$151.69 |
| G0378 |
Hospital observation per hr |
730 |
540 |
$149.31 |
| 86850 |
|
119 |
111 |
$104.52 |
| 83690 |
|
4,698 |
4,076 |
$100.68 |
| 84443 |
|
1,264 |
1,165 |
$84.27 |
| J2270 |
Morphine sulfate injection |
3,572 |
2,894 |
$79.06 |
| G0480 |
Drug test def 1-7 classes |
461 |
427 |
$74.45 |
| J2405 |
Ondansetron hcl injection |
6,883 |
5,699 |
$68.98 |
| 88142 |
|
12 |
12 |
$67.53 |
| 84702 |
|
1,163 |
971 |
$58.44 |
| 87186 |
|
1,267 |
1,151 |
$54.64 |
| J1885 |
Ketorolac tromethamine inj |
4,314 |
3,836 |
$53.53 |
| 85379 |
|
1,000 |
930 |
$51.32 |
| 87591 |
|
1,099 |
1,037 |
$44.20 |
| J2704 |
Inj, propofol, 10 mg |
2,654 |
2,231 |
$43.76 |
| J1100 |
Dexamethasone sodium phos |
1,407 |
1,246 |
$39.66 |
| 83036 |
|
710 |
643 |
$39.63 |
| 86140 |
|
629 |
515 |
$33.31 |
| 83605 |
|
1,798 |
1,554 |
$32.58 |
| 76817 |
|
73 |
64 |
$32.53 |
| J2060 |
Lorazepam injection |
1,742 |
1,420 |
$31.44 |
| J1170 |
Hydromorphone injection |
1,818 |
1,393 |
$25.30 |
| 97140 |
|
50 |
12 |
$24.59 |
| U0005 |
Infec agen detec ampli probe |
202 |
189 |
$22.50 |
| 86900 |
|
939 |
842 |
$21.18 |
| J0696 |
Ceftriaxone sodium injection |
1,439 |
1,323 |
$20.36 |
| 86901 |
|
938 |
842 |
$18.94 |
| J1200 |
Diphenhydramine hcl injectio |
1,627 |
1,425 |
$15.43 |
| J3010 |
Fentanyl citrate injection |
2,188 |
1,627 |
$15.24 |
| 80061 |
|
587 |
535 |
$14.88 |
| 86701 |
|
274 |
260 |
$11.64 |
| 87040 |
|
556 |
428 |
$11.47 |
| 97530 |
|
26 |
13 |
$11.37 |
| 96366 |
|
113 |
107 |
$10.82 |
| 87205 |
|
537 |
474 |
$10.33 |
| 85027 |
|
545 |
474 |
$7.98 |
| 85730 |
|
516 |
463 |
$7.83 |
| J0690 |
Cefazolin sodium injection |
1,091 |
861 |
$7.66 |
| J7120 |
Ringers lactate infusion |
882 |
738 |
$6.84 |
| 85652 |
|
644 |
536 |
$3.10 |
| 80179 |
|
520 |
480 |
$0.00 |
| 84439 |
|
283 |
268 |
$0.00 |
| J2550 |
Promethazine hcl injection |
90 |
73 |
$0.00 |
| 80143 |
|
539 |
494 |
$0.00 |
| 86787 |
|
139 |
132 |
$0.00 |
| 31720 |
|
18 |
13 |
$0.00 |
| 99152 |
|
123 |
114 |
$0.00 |
| 43239 |
|
121 |
116 |
$0.00 |
| 87075 |
|
12 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
17 |
12 |
$0.00 |
| G0500 |
Mod sedat endo service >5yrs |
29 |
26 |
$0.00 |
| A4649 |
Surgical supplies |
84 |
73 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
19 |
12 |
$0.00 |
| J0780 |
Prochlorperazine injection |
14 |
13 |
$0.00 |
| 87210 |
|
26 |
25 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
44 |
37 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 85007 |
|
15 |
13 |
$0.00 |
| 83735 |
|
322 |
256 |
$0.00 |
| 96376 |
|
1,765 |
1,536 |
$0.00 |
| 82077 |
|
670 |
602 |
$0.00 |
| 86308 |
|
48 |
45 |
$0.00 |
| 82550 |
|
78 |
68 |
$0.00 |
| 80329 |
|
698 |
641 |
$0.00 |
| 80320 |
|
988 |
905 |
$0.00 |
| 82607 |
|
13 |
12 |
$0.00 |
| 99291 |
|
40 |
37 |
$0.00 |
| 88342 |
|
213 |
192 |
$0.00 |
| J1630 |
Haloperidol injection |
139 |
124 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
1,324 |
1,183 |
$0.00 |
| 94761 |
|
82 |
70 |
$0.00 |
| 80055 |
|
87 |
82 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
83 |
77 |
$0.00 |
| 82306 |
|
38 |
37 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
110 |
102 |
$0.00 |
| 87503 |
|
38 |
36 |
$0.00 |
| 82150 |
|
14 |
12 |
$0.00 |