| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96374 |
|
8,553 |
7,034 |
$302K |
| 0450 |
|
31,863 |
27,158 |
$301K |
| G0480 |
Drug test def 1-7 classes |
6,130 |
5,065 |
$293K |
| 80307 |
|
5,739 |
4,900 |
$226K |
| 74177 |
|
1,306 |
1,102 |
$197K |
| 70450 |
|
3,624 |
3,233 |
$174K |
| A0429 |
Bls-emergency |
5,324 |
3,824 |
$173K |
| 74176 |
|
1,728 |
1,499 |
$124K |
| 96375 |
|
5,541 |
4,438 |
$124K |
| 93005 |
|
9,942 |
8,219 |
$123K |
| 87426 |
|
4,211 |
3,682 |
$108K |
| 96372 |
|
6,685 |
4,572 |
$107K |
| 96361 |
|
6,177 |
5,029 |
$87K |
| 96365 |
|
1,960 |
1,625 |
$84K |
| J3490 |
Drugs unclassified injection |
18,420 |
7,969 |
$82K |
| 80053 |
|
13,577 |
11,363 |
$75K |
| 85025 |
|
18,137 |
15,203 |
$75K |
| 96360 |
|
1,948 |
1,677 |
$68K |
| G0411 |
Interactive grp psyc php/iop |
22,154 |
1,445 |
$61K |
| J7030 |
Normal saline solution infus |
9,811 |
7,711 |
$58K |
| 72125 |
|
672 |
607 |
$56K |
| C9803 |
Hopd covid-19 spec collect |
2,646 |
2,270 |
$48K |
| 71045 |
|
6,328 |
5,535 |
$47K |
| 90853 |
|
11,238 |
1,659 |
$47K |
| Z7502 |
|
1,202 |
1,168 |
$45K |
| 99283 |
|
1,187 |
1,039 |
$38K |
| J1885 |
Ketorolac tromethamine inj |
8,850 |
4,894 |
$36K |
| U0003 |
Cov-19 amp prb hgh thruput |
578 |
494 |
$35K |
| 99199 |
|
688 |
654 |
$35K |
| 0270 |
|
24,150 |
11,418 |
$29K |
| 83690 |
|
7,361 |
6,192 |
$27K |
| 99285 |
|
939 |
880 |
$26K |
| 84484 |
|
5,006 |
3,822 |
$26K |
| 87635 |
|
889 |
767 |
$25K |
| 99284 |
|
958 |
871 |
$25K |
| 80048 |
|
4,595 |
4,001 |
$22K |
| 87804 |
|
3,698 |
1,696 |
$17K |
| J2270 |
Morphine sulfate injection |
2,766 |
2,168 |
$17K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,086 |
1,680 |
$16K |
| 90715 |
|
709 |
598 |
$16K |
| 81025 |
|
7,019 |
6,116 |
$16K |
| 81001 |
|
11,155 |
9,545 |
$16K |
| J2405 |
Ondansetron hcl injection |
4,008 |
3,290 |
$15K |
| 83880 |
|
923 |
796 |
$15K |
| S9484 |
Crisis intervention per hour |
305 |
170 |
$14K |
| 87086 |
|
3,420 |
2,999 |
$14K |
| J2060 |
Lorazepam injection |
2,632 |
2,007 |
$11K |
| 94640 |
|
1,040 |
798 |
$11K |
| 87040 |
|
2,328 |
1,000 |
$11K |
| 83605 |
|
1,852 |
1,403 |
$9K |
| J1200 |
Diphenhydramine hcl injectio |
1,877 |
1,468 |
$9K |
| J0696 |
Ceftriaxone sodium injection |
1,262 |
1,074 |
$6K |
| Z7610 |
|
540 |
336 |
$6K |
| 76700 |
|
123 |
107 |
$5K |
| 85730 |
|
1,614 |
1,387 |
$5K |
| 82962 |
|
2,877 |
1,912 |
$4K |
| 70486 |
|
60 |
52 |
$4K |
| 73562 |
|
280 |
249 |
$4K |
| 87186 |
|
973 |
804 |
$4K |
| 85610 |
|
2,050 |
1,754 |
$4K |
| J2765 |
Metoclopramide hcl injection |
823 |
661 |
$4K |
| G0176 |
Opps/php/iop; activity thrpy |
6,092 |
1,304 |
$4K |
| J7060 |
5% dextrose/water |
685 |
517 |
$3K |
| 73610 |
|
199 |
184 |
$3K |
| 99406 |
|
599 |
544 |
$3K |
| 73130 |
|
183 |
164 |
$3K |
| 0250 |
|
2,693 |
1,770 |
$2K |
| 85379 |
|
335 |
287 |
$2K |
| 87880 |
|
547 |
503 |
$2K |
| 84443 |
|
282 |
245 |
$2K |
| 73630 |
|
139 |
132 |
$2K |
| J7040 |
Normal saline solution infus |
553 |
477 |
$2K |
| 87070 |
|
960 |
841 |
$2K |
| 73030 |
|
144 |
130 |
$2K |
| 90471 |
|
394 |
363 |
$1K |
| 0272 |
|
1,951 |
1,742 |
$1K |
| 72131 |
|
15 |
12 |
$1K |
| J3010 |
Fentanyl citrate injection |
183 |
150 |
$780.34 |
| J2250 |
Inj midazolam hydrochloride |
181 |
134 |
$759.76 |
| 87088 |
|
177 |
150 |
$705.27 |
| 85027 |
|
905 |
787 |
$650.87 |
| 0012A |
|
16 |
16 |
$640.00 |
| J2704 |
Inj, propofol, 10 mg |
183 |
91 |
$625.81 |
| 96376 |
|
569 |
493 |
$616.51 |
| 0001A |
|
12 |
12 |
$480.00 |
| 73110 |
|
27 |
26 |
$416.86 |
| 76856 |
|
14 |
14 |
$407.54 |
| J2930 |
Methylprednisolone injection |
59 |
50 |
$394.80 |
| 99281 |
|
132 |
83 |
$376.04 |
| 94762 |
|
95 |
83 |
$356.48 |
| 36415 |
|
3,884 |
3,409 |
$340.86 |
| 96366 |
|
12 |
12 |
$331.99 |
| J1100 |
Dexamethasone sodium phos |
82 |
70 |
$312.30 |
| 87205 |
|
217 |
197 |
$300.16 |
| U0005 |
Infec agen detec ampli probe |
328 |
295 |
$230.75 |
| J1170 |
Hydromorphone injection |
47 |
40 |
$223.31 |
| 0301 |
|
483 |
169 |
$191.85 |
| 82550 |
|
45 |
41 |
$184.60 |
| 10060 |
|
16 |
15 |
$180.00 |
| 71010 |
|
26 |
26 |
$178.68 |
| J1630 |
Haloperidol injection |
411 |
317 |
$173.93 |
| S0164 |
Injection pantroprazole |
14 |
14 |
$166.03 |
| 29125 |
|
65 |
64 |
$164.34 |
| 82947 |
|
66 |
57 |
$132.20 |
| 87184 |
|
27 |
24 |
$87.00 |
| 87077 |
|
18 |
17 |
$80.96 |
| A4217 |
Sterile water/saline, 500 ml |
19 |
19 |
$78.00 |
| 83735 |
|
26 |
26 |
$77.12 |
| 43239 |
|
34 |
24 |
$70.00 |
| 99070 |
|
18 |
14 |
$65.24 |
| 87081 |
|
14 |
14 |
$60.91 |
| 86901 |
|
33 |
32 |
$53.26 |
| 45378 |
|
15 |
12 |
$52.06 |
| U0001 |
2019-ncov diagnostic p |
13 |
12 |
$47.79 |
| 86900 |
|
33 |
32 |
$47.70 |
| 88305 |
|
129 |
72 |
$41.67 |
| A4606 |
Oxygen probe used w oximeter |
17 |
15 |
$36.75 |
| 86850 |
|
12 |
12 |
$25.02 |
| 87420 |
|
12 |
12 |
$18.97 |
| 0271 |
|
210 |
179 |
$16.22 |
| A4216 |
Sterile water/saline, 10 ml |
28 |
26 |
$9.05 |
| 0636 |
|
435 |
318 |
$8.32 |
| 81003 |
|
29 |
28 |
$0.50 |
| 0320 |
|
45 |
34 |
$0.00 |
| 99152 |
|
23 |
13 |
$0.00 |
| 90832 |
|
21 |
13 |
$0.00 |
| A4208 |
3 cc sterile syringe&needle |
13 |
12 |
$0.00 |
| 0351 |
|
17 |
16 |
$0.00 |
| 90840 |
|
70 |
29 |
$0.00 |
| 0762 |
|
32 |
17 |
$0.00 |
| 0305 |
|
200 |
159 |
$0.00 |
| 0710 |
|
373 |
304 |
$0.00 |
| 0306 |
|
168 |
78 |
$0.00 |
| G0410 |
Grp psych php/iop 45-50 |
1,290 |
90 |
$0.00 |
| 0307 |
|
71 |
68 |
$0.00 |
| A4615 |
Cannula nasal |
28 |
16 |
$0.00 |
| 0324 |
|
57 |
57 |
$0.00 |
| 0352 |
|
47 |
41 |
$0.00 |
| 90839 |
|
30 |
28 |
$0.00 |