| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
38,852 |
33,948 |
$1.86M |
| 99213 |
|
31,106 |
27,259 |
$1.50M |
| 96374 |
|
14,821 |
13,290 |
$1.00M |
| 99281 |
|
1,602 |
953 |
$944K |
| 87502 |
|
10,497 |
10,082 |
$774K |
| 99284 |
|
3,941 |
3,657 |
$723K |
| 74177 |
|
3,180 |
3,104 |
$700K |
| U0003 |
Cov-19 amp prb hgh thruput |
6,966 |
6,646 |
$592K |
| 96375 |
|
11,470 |
10,132 |
$541K |
| 97530 |
|
4,441 |
1,607 |
$522K |
| 99283 |
|
3,440 |
3,171 |
$507K |
| 87635 |
|
8,178 |
7,852 |
$471K |
| 99285 |
|
2,438 |
2,303 |
$468K |
| 70450 |
|
5,522 |
5,377 |
$467K |
| 87637 |
|
2,174 |
2,097 |
$441K |
| 74176 |
|
3,798 |
3,712 |
$432K |
| 77067 |
|
4,100 |
4,091 |
$410K |
| 0360 |
|
3,558 |
3,176 |
$389K |
| 93005 |
|
16,732 |
14,433 |
$354K |
| 80053 |
|
33,554 |
27,728 |
$351K |
| G0480 |
Drug test def 1-7 classes |
4,704 |
4,103 |
$320K |
| 96372 |
|
6,817 |
6,252 |
$294K |
| 96361 |
|
9,351 |
8,552 |
$283K |
| 92507 |
|
2,570 |
909 |
$276K |
| A4649 |
Surgical supplies |
30,719 |
13,454 |
$269K |
| 80307 |
|
4,565 |
4,197 |
$267K |
| 96360 |
|
3,109 |
3,043 |
$225K |
| 96365 |
|
2,780 |
2,622 |
$220K |
| 85025 |
|
35,530 |
29,486 |
$210K |
| J3490 |
Drugs unclassified injection |
9,616 |
4,775 |
$185K |
| J2405 |
Ondansetron hcl injection |
10,031 |
8,520 |
$179K |
| 71275 |
|
763 |
751 |
$151K |
| 71045 |
|
12,805 |
12,057 |
$147K |
| 72125 |
|
1,151 |
1,133 |
$144K |
| 87798 |
|
4,481 |
4,281 |
$140K |
| 76705 |
|
2,817 |
2,731 |
$137K |
| 0160 |
|
1,582 |
818 |
$136K |
| 76856 |
|
2,197 |
2,135 |
$119K |
| 93971 |
|
1,394 |
1,357 |
$111K |
| 83880 |
|
5,593 |
5,141 |
$107K |
| 84484 |
|
12,917 |
10,829 |
$96K |
| 77063 |
|
2,836 |
2,828 |
$82K |
| 83690 |
|
13,422 |
12,157 |
$79K |
| 76830 |
|
1,448 |
1,404 |
$75K |
| 81001 |
|
21,796 |
20,109 |
$71K |
| 71046 |
|
3,441 |
3,376 |
$68K |
| 77066 |
Tomosynthesis, mammo |
699 |
696 |
$68K |
| 43239 |
|
1,701 |
1,674 |
$64K |
| 87086 |
|
8,568 |
8,066 |
$64K |
| 94640 |
|
3,330 |
2,900 |
$63K |
| 87040 |
|
7,433 |
4,354 |
$63K |
| 88305 |
|
2,688 |
2,637 |
$62K |
| J2270 |
Morphine sulfate injection |
6,785 |
5,432 |
$58K |
| J7030 |
Normal saline solution infus |
8,939 |
7,720 |
$58K |
| 93970 |
|
397 |
389 |
$56K |
| 76801 |
|
836 |
729 |
$53K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,194 |
4,077 |
$51K |
| J0696 |
Ceftriaxone sodium injection |
2,320 |
2,050 |
$50K |
| Z7502 |
|
1,320 |
1,279 |
$49K |
| J7120 |
Ringers lactate infusion |
4,414 |
4,074 |
$48K |
| 87651 |
|
1,042 |
1,021 |
$43K |
| J2704 |
Inj, propofol, 10 mg |
2,784 |
2,710 |
$42K |
| 83605 |
|
5,389 |
4,608 |
$42K |
| 99070 |
|
610 |
356 |
$41K |
| 45380 |
|
1,380 |
1,361 |
$39K |
| J1885 |
Ketorolac tromethamine inj |
5,429 |
4,938 |
$37K |
| 76642 |
|
739 |
736 |
$37K |
| 77065 |
Tomosynthesis, mammo |
436 |
430 |
$35K |
| 80143 |
|
1,460 |
1,339 |
$34K |
| 87880 |
|
4,698 |
4,603 |
$33K |
| 99282 |
|
652 |
611 |
$31K |
| 93306 |
|
429 |
423 |
$30K |
| 72100 |
|
1,094 |
1,082 |
$28K |
| 80179 |
|
1,445 |
1,333 |
$27K |
| 73630 |
|
1,209 |
1,183 |
$27K |
| 73562 |
|
1,247 |
1,221 |
$25K |
| J1170 |
Hydromorphone injection |
2,681 |
1,997 |
$25K |
| 76700 |
|
505 |
500 |
$24K |
| 87081 |
|
4,338 |
4,259 |
$24K |
| 87591 |
|
740 |
721 |
$23K |
| 73610 |
|
973 |
951 |
$22K |
| 73030 |
|
867 |
841 |
$20K |
| J1100 |
Dexamethasone sodium phos |
2,518 |
2,399 |
$20K |
| 87491 |
|
595 |
580 |
$19K |
| 83735 |
|
5,599 |
4,013 |
$18K |
| 81025 |
|
4,513 |
4,362 |
$18K |
| 84703 |
|
3,377 |
3,139 |
$17K |
| 74018 |
|
851 |
829 |
$17K |
| 80048 |
|
2,354 |
2,258 |
$17K |
| 85379 |
|
2,093 |
2,045 |
$16K |
| 87186 |
|
2,315 |
2,233 |
$16K |
| 90715 |
|
479 |
478 |
$16K |
| 73130 |
|
786 |
759 |
$16K |
| 85610 |
|
5,808 |
5,447 |
$16K |
| 88342 |
|
1,414 |
1,398 |
$16K |
| 87400 |
|
1,975 |
1,773 |
$16K |
| 84443 |
|
1,668 |
1,627 |
$16K |
| J2060 |
Lorazepam injection |
2,722 |
2,312 |
$14K |
| 82550 |
|
2,964 |
2,817 |
$14K |
| 87077 |
|
1,974 |
1,872 |
$14K |
| 99199 |
|
291 |
265 |
$13K |
| M0222 |
Bebtelovimab injection |
56 |
55 |
$13K |
| S0164 |
Injection pantroprazole |
675 |
522 |
$13K |
| 0250 |
|
2,832 |
1,612 |
$12K |
| 84145 |
|
466 |
446 |
$11K |
| 70551 |
|
77 |
76 |
$10K |
| G0279 |
Tomosynthesis, mammo |
479 |
476 |
$10K |
| 73110 |
|
431 |
416 |
$10K |
| 82962 |
|
1,685 |
1,065 |
$9K |
| 85730 |
|
2,389 |
2,310 |
$9K |
| J1650 |
Inj enoxaparin sodium |
96 |
55 |
$8K |
| 88313 |
|
932 |
925 |
$8K |
| J1200 |
Diphenhydramine hcl injectio |
1,581 |
1,381 |
$8K |
| 86140 |
|
1,444 |
1,392 |
$7K |
| 84702 |
|
645 |
549 |
$7K |
| 29125 |
|
409 |
399 |
$7K |
| J2765 |
Metoclopramide hcl injection |
1,479 |
1,333 |
$7K |
| J7040 |
Normal saline solution infus |
365 |
354 |
$6K |
| 87807 |
|
926 |
902 |
$6K |
| U0005 |
Infec agen detec ampli probe |
1,024 |
953 |
$6K |
| 85027 |
|
1,238 |
1,149 |
$6K |
| 87088 |
|
1,034 |
1,010 |
$6K |
| 90471 |
|
309 |
302 |
$5K |
| 72148 |
|
39 |
39 |
$5K |
| 86901 |
|
1,310 |
1,227 |
$5K |
| 0710 |
|
262 |
261 |
$5K |
| 82948 |
|
2,204 |
1,543 |
$5K |
| 70496 |
|
26 |
25 |
$5K |
| 99203 |
|
180 |
161 |
$5K |
| 70486 |
|
52 |
52 |
$5K |
| 76641 |
|
51 |
51 |
$5K |
| 70498 |
|
26 |
25 |
$5K |
| 77080 |
|
150 |
150 |
$4K |
| 93041 |
|
245 |
237 |
$4K |
| J2930 |
Methylprednisolone injection |
453 |
417 |
$4K |
| 0259 |
|
931 |
524 |
$4K |
| 71250 |
|
43 |
42 |
$4K |
| 76817 |
|
43 |
37 |
$3K |
| 84100 |
|
2,635 |
1,546 |
$3K |
| 85007 |
|
1,171 |
1,084 |
$3K |
| 99214 |
|
36 |
31 |
$3K |
| J3475 |
Inj magnesium sulfate |
80 |
69 |
$3K |
| 72131 |
|
25 |
25 |
$2K |
| 73721 |
|
15 |
15 |
$2K |
| 0270 |
|
1,566 |
1,028 |
$2K |
| 85652 |
|
840 |
817 |
$2K |
| J3010 |
Fentanyl citrate injection |
312 |
294 |
$2K |
| 12001 |
|
77 |
77 |
$2K |
| 80061 |
|
655 |
632 |
$2K |
| 86900 |
|
631 |
603 |
$1K |
| 76770 |
|
41 |
41 |
$1K |
| 72040 |
|
83 |
83 |
$1K |
| 93017 |
|
29 |
29 |
$1K |
| 29515 |
|
110 |
105 |
$1K |
| G0378 |
Hospital observation per hr |
29 |
27 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
345 |
329 |
$1K |
| J2550 |
Promethazine hcl injection |
190 |
168 |
$1K |
| J1815 |
Insulin injection |
343 |
191 |
$1K |
| 96366 |
|
27 |
27 |
$1K |
| 87070 |
|
196 |
189 |
$1K |
| 94060 |
|
41 |
41 |
$1K |
| 73140 |
|
94 |
91 |
$999.81 |
| 76775 |
|
38 |
37 |
$984.13 |
| 36415 |
|
810 |
459 |
$766.52 |
| 73080 |
|
40 |
39 |
$717.31 |
| 83874 |
|
137 |
127 |
$711.23 |
| Z7610 |
|
64 |
42 |
$679.08 |
| 86769 |
|
25 |
21 |
$674.08 |
| 94729 |
|
12 |
12 |
$497.40 |
| 82150 |
|
136 |
131 |
$487.95 |
| 94726 |
|
12 |
12 |
$455.88 |
| 80076 |
|
59 |
59 |
$364.51 |
| 12011 |
|
14 |
14 |
$339.00 |
| C9803 |
Hopd covid-19 spec collect |
60 |
57 |
$329.34 |
| 45378 |
|
27 |
27 |
$300.00 |
| 0636 |
|
70 |
70 |
$280.95 |
| 73502 |
|
12 |
12 |
$265.07 |
| 83036 |
|
76 |
74 |
$206.91 |
| 86308 |
|
41 |
41 |
$194.85 |
| 94664 |
|
14 |
14 |
$179.60 |
| S0119 |
Ondansetron 4 mg |
384 |
371 |
$152.76 |
| 87205 |
|
75 |
69 |
$141.27 |
| 45385 |
|
28 |
27 |
$137.08 |
| 81003 |
|
93 |
92 |
$134.04 |
| 86850 |
|
67 |
67 |
$132.43 |
| 94760 |
|
15 |
15 |
$72.67 |
| J0690 |
Cefazolin sodium injection |
15 |
12 |
$69.42 |
| 84439 |
|
13 |
12 |
$44.31 |
| J1644 |
Inj heparin sodium per 1000u |
13 |
12 |
$41.76 |
| 87641 |
|
14 |
13 |
$0.00 |