| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
88,010 |
79,775 |
$3.59M |
| 70450 |
|
7,834 |
7,571 |
$803K |
| 96374 |
|
16,758 |
15,607 |
$794K |
| 99281 |
|
12,045 |
10,417 |
$771K |
| 74176 |
|
6,430 |
6,238 |
$607K |
| Z7502 |
|
11,456 |
11,196 |
$424K |
| 94642 |
|
4,257 |
4,041 |
$413K |
| 96375 |
|
13,048 |
12,192 |
$385K |
| 99285 |
|
1,979 |
1,907 |
$369K |
| 93005 |
|
16,708 |
15,879 |
$330K |
| 96365 |
|
5,543 |
5,353 |
$319K |
| 99284 |
|
4,873 |
4,613 |
$313K |
| 80053 |
|
28,045 |
26,278 |
$274K |
| 96361 |
|
10,808 |
10,160 |
$259K |
| 80307 |
|
6,739 |
6,464 |
$244K |
| 96372 |
|
12,206 |
11,499 |
$238K |
| 99199 |
|
6,123 |
5,511 |
$228K |
| 85025 |
|
38,351 |
35,023 |
$223K |
| J3490 |
Drugs unclassified injection |
17,992 |
12,558 |
$202K |
| 99283 |
|
3,914 |
3,683 |
$197K |
| 71045 |
|
14,346 |
13,712 |
$172K |
| 74177 |
|
1,029 |
993 |
$168K |
| 0121 |
|
96 |
93 |
$165K |
| 93970 |
|
1,041 |
1,015 |
$165K |
| 76801 |
|
2,975 |
2,615 |
$144K |
| 0360 |
|
1,896 |
1,518 |
$140K |
| 76700 |
|
2,047 |
2,018 |
$131K |
| 0636 |
|
9,143 |
8,209 |
$130K |
| 96360 |
|
2,435 |
2,398 |
$118K |
| 72125 |
|
869 |
860 |
$107K |
| 76705 |
|
2,346 |
2,285 |
$106K |
| 0250 |
|
18,335 |
16,688 |
$98K |
| 83880 |
|
5,008 |
4,819 |
$96K |
| 84484 |
|
12,227 |
11,315 |
$94K |
| 87635 |
|
3,210 |
3,028 |
$94K |
| 76805 |
|
1,230 |
1,163 |
$90K |
| 76856 |
|
1,628 |
1,595 |
$85K |
| 80048 |
|
12,065 |
11,093 |
$83K |
| 0270 |
|
10,000 |
7,642 |
$74K |
| 96366 |
|
1,892 |
1,772 |
$72K |
| 81025 |
|
15,956 |
15,179 |
$68K |
| 83690 |
|
13,105 |
12,378 |
$68K |
| 70486 |
|
607 |
601 |
$66K |
| 87040 |
|
4,458 |
4,239 |
$66K |
| 0710 |
|
1,982 |
1,897 |
$61K |
| 0272 |
|
3,800 |
3,597 |
$53K |
| 0206 |
|
69 |
66 |
$50K |
| 85730 |
|
9,293 |
8,952 |
$45K |
| 83605 |
|
5,284 |
4,901 |
$44K |
| J1885 |
Ketorolac tromethamine inj |
10,095 |
9,597 |
$43K |
| 84702 |
|
3,567 |
3,250 |
$41K |
| 81003 |
|
21,982 |
20,443 |
$40K |
| J2270 |
Morphine sulfate injection |
5,656 |
5,188 |
$39K |
| Z7500 |
|
1,135 |
761 |
$39K |
| 71250 |
|
315 |
311 |
$37K |
| J2405 |
Ondansetron hcl injection |
9,796 |
9,234 |
$37K |
| 99282 |
|
1,396 |
1,271 |
$37K |
| Z7610 |
|
2,645 |
2,348 |
$36K |
| 0720 |
|
310 |
267 |
$36K |
| 0300 |
|
717 |
658 |
$36K |
| 85610 |
|
9,836 |
9,464 |
$35K |
| 87426 |
|
1,974 |
1,884 |
$32K |
| 73610 |
|
1,466 |
1,443 |
$30K |
| 73562 |
|
1,416 |
1,389 |
$29K |
| 0510 |
|
1,570 |
1,452 |
$29K |
| 76817 |
|
601 |
545 |
$29K |
| 73130 |
|
1,400 |
1,384 |
$29K |
| 0762 |
|
90 |
78 |
$28K |
| 73030 |
|
1,424 |
1,389 |
$27K |
| 99291 |
|
125 |
122 |
$27K |
| 94760 |
|
3,803 |
3,264 |
$27K |
| 73630 |
|
1,244 |
1,216 |
$25K |
| 71046 |
|
1,127 |
1,112 |
$24K |
| 87086 |
|
3,973 |
3,879 |
$24K |
| U0004 |
Cov-19 test non-cdc hgh thru |
424 |
414 |
$23K |
| 87491 |
|
1,041 |
1,021 |
$23K |
| 81001 |
|
6,733 |
6,541 |
$20K |
| 90715 |
|
689 |
684 |
$20K |
| 76377 |
|
889 |
871 |
$19K |
| 71275 |
|
140 |
136 |
$19K |
| 94640 |
|
975 |
846 |
$19K |
| 96368 |
|
1,103 |
1,057 |
$19K |
| G0463 |
Hospital outpt clinic visit |
1,168 |
1,096 |
$19K |
| 99406 |
|
1,966 |
1,924 |
$18K |
| 74018 |
|
1,325 |
1,293 |
$18K |
| 72131 |
|
165 |
164 |
$18K |
| 82948 |
|
5,720 |
4,538 |
$17K |
| J0696 |
Ceftriaxone sodium injection |
3,691 |
3,519 |
$16K |
| J2930 |
Methylprednisolone injection |
1,928 |
1,850 |
$16K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,385 |
1,350 |
$15K |
| 72110 |
|
471 |
467 |
$15K |
| 70551 |
|
65 |
64 |
$14K |
| 80320 |
|
4,940 |
4,648 |
$14K |
| 73110 |
|
595 |
592 |
$12K |
| 85027 |
|
2,501 |
2,412 |
$12K |
| L8699 |
Prosthetic implant nos |
156 |
144 |
$12K |
| J7050 |
Normal saline solution infus |
2,930 |
2,710 |
$12K |
| 87077 |
|
1,964 |
1,915 |
$11K |
| 87186 |
|
1,408 |
1,379 |
$11K |
| 59025 |
|
647 |
512 |
$11K |
| Z6410 |
|
713 |
445 |
$10K |
| V2632 |
Post chmbr intraocular lens |
29 |
25 |
$10K |
| 99221 |
|
349 |
340 |
$9K |
| 86901 |
|
3,433 |
3,219 |
$9K |
| 0370 |
|
124 |
121 |
$9K |
| 82553 |
|
950 |
915 |
$9K |
| A4649 |
Surgical supplies |
3,197 |
2,211 |
$8K |
| 73564 |
|
381 |
378 |
$8K |
| 96376 |
|
1,302 |
1,196 |
$7K |
| J1200 |
Diphenhydramine hcl injectio |
1,624 |
1,534 |
$7K |
| 80329 |
|
2,173 |
1,903 |
$7K |
| 81005 |
|
4,088 |
3,975 |
$7K |
| 85007 |
|
2,475 |
2,389 |
$6K |
| Z9725 |
|
193 |
193 |
$6K |
| 36573 |
|
29 |
24 |
$6K |
| 82550 |
|
1,057 |
1,012 |
$5K |
| 0760 |
|
1,248 |
1,212 |
$5K |
| 88305 |
|
372 |
357 |
$5K |
| 0255 |
|
531 |
522 |
$5K |
| J2704 |
Inj, propofol, 10 mg |
1,272 |
1,229 |
$4K |
| 84703 |
|
754 |
739 |
$4K |
| J1815 |
Insulin injection |
745 |
664 |
$4K |
| 99231 |
|
250 |
215 |
$4K |
| J1953 |
Levetiracetam injection |
883 |
814 |
$4K |
| 0271 |
|
404 |
397 |
$4K |
| 81002 |
|
1,133 |
1,100 |
$4K |
| 36415 |
|
5,436 |
4,935 |
$4K |
| J1630 |
Haloperidol injection |
836 |
776 |
$4K |
| 0761 |
|
168 |
163 |
$4K |
| G0480 |
Drug test def 1-7 classes |
76 |
75 |
$4K |
| J7040 |
Normal saline solution infus |
913 |
897 |
$3K |
| J1170 |
Hydromorphone injection |
553 |
493 |
$3K |
| J0690 |
Cefazolin sodium injection |
902 |
867 |
$3K |
| 84443 |
|
379 |
363 |
$3K |
| 90471 |
|
912 |
906 |
$3K |
| 87400 |
|
736 |
727 |
$3K |
| 76815 |
|
77 |
63 |
$3K |
| 0160 |
|
49 |
39 |
$3K |
| J7030 |
Normal saline solution infus |
946 |
886 |
$3K |
| 93306 |
|
41 |
40 |
$3K |
| 73502 |
|
148 |
146 |
$3K |
| J1100 |
Dexamethasone sodium phos |
807 |
780 |
$3K |
| 86850 |
|
680 |
662 |
$3K |
| 85379 |
|
358 |
343 |
$3K |
| U0005 |
Infec agen detec ampli probe |
146 |
143 |
$3K |
| 29125 |
|
93 |
93 |
$2K |
| J0780 |
Prochlorperazine injection |
322 |
310 |
$2K |
| 76830 |
|
57 |
57 |
$2K |
| Z7514 |
|
38 |
26 |
$2K |
| J3486 |
Ziprasidone mesylate |
104 |
98 |
$2K |
| 0750 |
|
15 |
12 |
$2K |
| J8499 |
Oral prescrip drug non chemo |
483 |
467 |
$2K |
| 82009 |
|
676 |
642 |
$2K |
| J7512 |
Prednisone ir or dr oral 1mg |
1,173 |
1,130 |
$2K |
| J3010 |
Fentanyl citrate injection |
535 |
528 |
$2K |
| 73080 |
|
94 |
92 |
$2K |
| 86900 |
|
758 |
732 |
$2K |
| 12001 |
|
102 |
100 |
$2K |
| 10060 |
|
102 |
99 |
$1K |
| H1003 |
Prenatal at risk education |
297 |
189 |
$1K |
| 94799 |
|
159 |
155 |
$1K |
| 12002 |
|
45 |
45 |
$1K |
| 71101 |
|
52 |
52 |
$1K |
| 12011 |
|
54 |
52 |
$1K |
| 45378 |
|
17 |
17 |
$1K |
| 82140 |
|
116 |
104 |
$889.67 |
| 73090 |
|
51 |
51 |
$838.89 |
| 86703 |
|
56 |
43 |
$834.83 |
| 76937 |
|
68 |
66 |
$828.45 |
| J7999 |
Compounded drug, noc |
70 |
66 |
$818.16 |
| J2919 |
Inj, methylpred sod succ 5mg |
206 |
191 |
$798.39 |
| 82803 |
|
39 |
37 |
$788.47 |
| 71020 |
|
32 |
18 |
$780.00 |
| 76775 |
|
26 |
26 |
$753.14 |
| 73140 |
|
71 |
70 |
$708.66 |
| 0301 |
|
319 |
306 |
$697.72 |
| 72050 |
|
27 |
27 |
$688.14 |
| 80061 |
|
100 |
99 |
$655.73 |
| 83735 |
|
176 |
171 |
$647.78 |
| 76857 |
|
24 |
24 |
$623.52 |
| J2274 |
Inj morphine pf epid ithc |
31 |
30 |
$618.63 |
| 73590 |
|
41 |
41 |
$605.45 |
| 86328 |
|
28 |
28 |
$572.09 |
| 51798 |
|
13 |
13 |
$529.91 |
| 36569 |
|
15 |
12 |
$523.64 |
| 0324 |
|
182 |
177 |
$487.67 |
| J2250 |
Inj midazolam hydrochloride |
148 |
143 |
$485.59 |
| 0004A |
|
12 |
12 |
$480.00 |
| 43239 |
|
15 |
15 |
$465.15 |
| Z6406 |
|
34 |
28 |
$434.18 |
| 45380 |
|
16 |
15 |
$420.23 |
| 87807 |
|
62 |
62 |
$384.75 |
| 71010 |
|
23 |
23 |
$342.47 |
| J0360 |
Hydralazine hcl injection |
57 |
52 |
$339.77 |
| 99070 |
|
114 |
85 |
$332.31 |
| 86769 |
|
22 |
21 |
$322.70 |
| Z6400 |
|
16 |
13 |
$313.65 |
| 0451 |
|
12 |
12 |
$313.19 |
| V5008 |
Hearing screening |
13 |
12 |
$313.03 |
| 87081 |
|
47 |
44 |
$306.11 |
| J1940 |
Furosemide injection |
100 |
89 |
$280.41 |
| 85008 |
|
182 |
176 |
$204.09 |
| J3475 |
Inj magnesium sulfate |
52 |
51 |
$194.86 |
| 94644 |
|
12 |
12 |
$165.33 |
| 80185 |
|
17 |
14 |
$161.50 |
| 88304 |
|
43 |
41 |
$145.77 |
| 29130 |
|
25 |
25 |
$122.28 |
| 83036 |
|
26 |
25 |
$118.67 |
| J2470 |
Inj pantoprazole sodium 40mg |
39 |
30 |
$116.50 |
| A4628 |
Oropharyngeal suction cath |
91 |
88 |
$104.27 |
| 87339 |
|
14 |
14 |
$98.14 |
| 87280 |
|
15 |
15 |
$96.82 |
| S9445 |
Pt education noc individ |
175 |
109 |
$96.48 |
| 87430 |
|
16 |
15 |
$91.49 |
| J3370 |
Vancomycin hcl injection |
14 |
13 |
$65.30 |
| 87210 |
|
24 |
24 |
$58.10 |
| J0131 |
Inj, acetaminophen (nos) |
24 |
24 |
$45.54 |
| J2710 |
Neostigmine methylslfte inj |
14 |
13 |
$20.86 |
| J8540 |
Oral dexamethasone |
13 |
13 |
$6.42 |
| 99072 |
|
29 |
25 |
$0.01 |
| 0302 |
|
201 |
190 |
$0.00 |
| 0730 |
|
155 |
151 |
$0.00 |
| 0402 |
|
13 |
13 |
$0.00 |
| 0320 |
|
12 |
12 |
$0.00 |
| 0460 |
|
45 |
45 |
$0.00 |
| 0424 |
|
13 |
12 |
$0.00 |