| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
96,179 |
82,706 |
$4.78M |
| 99283 |
|
54,304 |
48,312 |
$2.78M |
| 80307 |
|
24,964 |
22,784 |
$1.53M |
| 70450 |
|
11,678 |
11,251 |
$1.49M |
| 96374 |
|
18,265 |
17,168 |
$1.13M |
| 74177 |
|
5,277 |
5,129 |
$1.13M |
| 93005 |
|
32,771 |
29,929 |
$849K |
| 96372 |
|
27,777 |
24,836 |
$842K |
| 80053 |
|
58,433 |
52,195 |
$736K |
| 85025 |
|
64,418 |
56,597 |
$587K |
| 72125 |
|
3,184 |
3,112 |
$539K |
| 74176 |
|
4,964 |
4,851 |
$524K |
| Z7502 |
|
14,974 |
14,486 |
$502K |
| 99070 |
|
70,308 |
33,178 |
$478K |
| 84484 |
|
33,020 |
28,508 |
$470K |
| 96361 |
|
7,634 |
7,166 |
$393K |
| 96375 |
|
9,468 |
8,413 |
$353K |
| 99499 |
|
5,807 |
5,047 |
$338K |
| G0480 |
Drug test def 1-7 classes |
4,246 |
3,871 |
$321K |
| 96365 |
|
4,047 |
3,873 |
$312K |
| 76815 |
|
5,809 |
1,891 |
$312K |
| 71045 |
|
27,242 |
25,660 |
$296K |
| 87635 |
|
5,576 |
5,247 |
$281K |
| 82330 |
|
12,509 |
11,870 |
$278K |
| 81001 |
|
40,995 |
37,974 |
$267K |
| 99284 |
|
3,387 |
3,117 |
$257K |
| J3490 |
Drugs unclassified injection |
54,734 |
26,160 |
$239K |
| 0360 |
|
2,221 |
1,237 |
$236K |
| 76705 |
|
3,899 |
3,812 |
$223K |
| 99285 |
|
1,725 |
1,637 |
$221K |
| 93971 |
|
2,098 |
2,045 |
$200K |
| 0762 |
|
1,958 |
1,540 |
$194K |
| 96360 |
|
2,915 |
2,822 |
$190K |
| 70486 |
|
1,256 |
1,247 |
$186K |
| 59025 |
|
9,466 |
3,882 |
$182K |
| 71046 |
|
8,377 |
8,121 |
$177K |
| 83880 |
|
8,479 |
7,934 |
$175K |
| 96366 |
|
2,168 |
2,019 |
$171K |
| 83690 |
|
18,546 |
17,417 |
$163K |
| 76856 |
|
2,486 |
2,409 |
$159K |
| 85730 |
|
22,076 |
20,634 |
$146K |
| 76830 |
|
2,278 |
2,207 |
$146K |
| 76805 |
|
1,666 |
1,533 |
$144K |
| 0202U |
|
381 |
372 |
$140K |
| 76817 |
|
1,922 |
1,740 |
$115K |
| 71275 |
|
659 |
636 |
$110K |
| 76801 |
|
1,856 |
1,699 |
$109K |
| 72131 |
|
866 |
862 |
$108K |
| L8699 |
Prosthetic implant nos |
64 |
54 |
$107K |
| 94640 |
|
5,027 |
4,250 |
$106K |
| 85610 |
|
23,836 |
22,216 |
$100K |
| 82947 |
|
14,520 |
12,937 |
$99K |
| 84443 |
|
4,518 |
4,369 |
$90K |
| 87088 |
|
13,098 |
12,412 |
$86K |
| 81025 |
|
11,687 |
11,087 |
$82K |
| 83605 |
|
5,282 |
4,444 |
$80K |
| 83735 |
|
10,833 |
9,701 |
$79K |
| 90715 |
|
2,317 |
2,282 |
$75K |
| 73130 |
|
2,778 |
2,720 |
$72K |
| 87804 |
|
6,805 |
5,083 |
$71K |
| 84295 |
|
10,847 |
10,380 |
$70K |
| 76819 |
|
1,330 |
903 |
$70K |
| 84132 |
|
10,913 |
10,452 |
$69K |
| 82565 |
|
10,624 |
10,183 |
$69K |
| 84702 |
|
4,019 |
3,529 |
$68K |
| G0378 |
Hospital observation per hr |
1,073 |
843 |
$68K |
| 87070 |
|
5,598 |
5,336 |
$67K |
| 73564 |
|
2,454 |
2,391 |
$67K |
| 82435 |
|
10,625 |
10,181 |
$66K |
| 73610 |
|
2,664 |
2,590 |
$66K |
| 72128 |
|
577 |
575 |
$65K |
| 99221 |
|
453 |
443 |
$63K |
| 74178 |
|
244 |
232 |
$63K |
| 73630 |
|
2,670 |
2,615 |
$63K |
| 0710 |
|
2,016 |
1,901 |
$62K |
| 88305 |
|
3,097 |
2,913 |
$62K |
| 86677 |
|
3,004 |
2,904 |
$61K |
| 84520 |
|
10,634 |
10,191 |
$61K |
| 87040 |
|
3,069 |
2,813 |
$59K |
| 73030 |
|
2,418 |
2,362 |
$59K |
| J7030 |
Normal saline solution infus |
16,906 |
14,930 |
$57K |
| 73110 |
|
1,774 |
1,710 |
$52K |
| 76770 |
|
709 |
696 |
$51K |
| 87186 |
|
4,551 |
4,358 |
$50K |
| 84703 |
|
4,038 |
3,950 |
$50K |
| J1885 |
Ketorolac tromethamine inj |
19,298 |
18,028 |
$45K |
| 74018 |
|
2,149 |
2,072 |
$41K |
| 82803 |
|
1,703 |
1,573 |
$40K |
| 80048 |
|
4,328 |
3,833 |
$40K |
| Z7610 |
|
6,991 |
3,207 |
$39K |
| 87880 |
|
2,999 |
2,931 |
$37K |
| 85014 |
|
10,722 |
10,272 |
$35K |
| 71250 |
|
260 |
259 |
$35K |
| 93970 |
|
218 |
213 |
$34K |
| 87086 |
|
4,411 |
4,232 |
$34K |
| 87077 |
|
5,362 |
5,142 |
$31K |
| 87491 |
|
870 |
848 |
$31K |
| 73080 |
|
1,116 |
1,088 |
$30K |
| 82150 |
|
3,279 |
3,067 |
$29K |
| 12001 |
|
1,563 |
1,553 |
$28K |
| 86756 |
|
1,568 |
1,532 |
$28K |
| J2930 |
Methylprednisolone injection |
4,402 |
4,073 |
$27K |
| 99238 |
|
694 |
687 |
$27K |
| J0696 |
Ceftriaxone sodium injection |
8,578 |
7,722 |
$24K |
| 87591 |
|
845 |
830 |
$24K |
| 82140 |
|
1,843 |
1,743 |
$23K |
| 73090 |
|
962 |
940 |
$20K |
| J7120 |
Ringers lactate infusion |
4,283 |
3,350 |
$19K |
| J2270 |
Morphine sulfate injection |
4,859 |
3,905 |
$18K |
| 71101 |
|
534 |
523 |
$18K |
| 99231 |
|
279 |
276 |
$16K |
| 12011 |
|
617 |
606 |
$16K |
| 99218 |
|
91 |
91 |
$16K |
| 85379 |
|
1,258 |
1,214 |
$15K |
| 81003 |
|
5,193 |
4,826 |
$15K |
| 73502 |
|
578 |
560 |
$14K |
| 72100 |
|
530 |
520 |
$14K |
| 29125 |
|
1,457 |
1,423 |
$13K |
| J1100 |
Dexamethasone sodium phos |
7,377 |
6,564 |
$13K |
| 86901 |
|
2,406 |
2,264 |
$12K |
| 73590 |
|
626 |
616 |
$12K |
| 90471 |
|
2,732 |
2,678 |
$12K |
| J1170 |
Hydromorphone injection |
2,807 |
2,149 |
$12K |
| 99152 |
|
292 |
280 |
$11K |
| 12002 |
|
615 |
604 |
$11K |
| 86850 |
|
1,480 |
1,372 |
$11K |
| 73140 |
|
657 |
643 |
$11K |
| 86900 |
|
2,427 |
2,277 |
$9K |
| 86920 |
|
68 |
49 |
$9K |
| 29515 |
|
835 |
821 |
$8K |
| 74022 |
|
226 |
215 |
$8K |
| J7050 |
Normal saline solution infus |
3,166 |
2,590 |
$8K |
| J0131 |
Inj, acetaminophen (nos) |
560 |
547 |
$7K |
| J2405 |
Ondansetron hcl injection |
9,823 |
9,062 |
$7K |
| Z9725 |
|
210 |
210 |
$6K |
| 82550 |
|
727 |
698 |
$6K |
| U0002 |
Covid-19 lab test non-cdc |
87 |
82 |
$6K |
| 0250 |
|
6,830 |
2,166 |
$6K |
| 99217 |
|
137 |
137 |
$5K |
| 76870 |
|
98 |
98 |
$5K |
| S0164 |
Injection pantroprazole |
747 |
622 |
$5K |
| 83036 |
|
401 |
384 |
$5K |
| 99282 |
|
183 |
171 |
$5K |
| 85378 |
|
537 |
514 |
$5K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,191 |
5,932 |
$5K |
| J1200 |
Diphenhydramine hcl injectio |
3,052 |
2,730 |
$4K |
| 94060 |
|
140 |
138 |
$4K |
| 36415 |
|
9,598 |
8,081 |
$4K |
| J0500 |
Dicyclomine injection |
172 |
170 |
$4K |
| 0270 |
|
1,540 |
813 |
$4K |
| J2765 |
Metoclopramide hcl injection |
2,368 |
2,161 |
$4K |
| J3010 |
Fentanyl citrate injection |
3,078 |
2,697 |
$4K |
| P9016 |
Rbc leukocytes reduced |
13 |
12 |
$4K |
| J0690 |
Cefazolin sodium injection |
2,234 |
1,671 |
$4K |
| J1815 |
Insulin injection |
1,329 |
862 |
$3K |
| 29505 |
|
247 |
246 |
$3K |
| 84439 |
|
477 |
461 |
$3K |
| 81000 |
|
582 |
536 |
$3K |
| 94729 |
|
94 |
91 |
$3K |
| 72110 |
|
81 |
80 |
$3K |
| J7999 |
Compounded drug, noc |
263 |
234 |
$3K |
| 76700 |
|
41 |
41 |
$3K |
| J3475 |
Inj magnesium sulfate |
707 |
601 |
$3K |
| 99281 |
|
93 |
79 |
$3K |
| 73562 |
|
126 |
123 |
$3K |
| 93306 |
|
18 |
14 |
$2K |
| J0330 |
Succinycholine chloride inj |
56 |
55 |
$2K |
| J0561 |
Penicillin g benzathine inj |
12 |
12 |
$2K |
| J1631 |
Haloperidol decanoate inj |
138 |
94 |
$2K |
| 99199 |
|
43 |
40 |
$2K |
| 86703 |
|
153 |
143 |
$2K |
| J1630 |
Haloperidol injection |
1,097 |
922 |
$2K |
| 86140 |
|
296 |
290 |
$2K |
| 82010 |
|
173 |
163 |
$2K |
| 99224 |
|
26 |
26 |
$2K |
| J2919 |
Inj, methylpred sod succ 5mg |
383 |
365 |
$2K |
| 94726 |
|
49 |
47 |
$2K |
| 42820 |
|
16 |
16 |
$2K |
| 94760 |
|
235 |
204 |
$2K |
| 80320 |
|
1,320 |
1,222 |
$1K |
| 80061 |
|
135 |
130 |
$1K |
| J2001 |
Lidocaine injection |
800 |
748 |
$1K |
| J7040 |
Normal saline solution infus |
810 |
749 |
$1K |
| 87205 |
|
249 |
232 |
$1K |
| 84145 |
|
65 |
63 |
$1K |
| J7060 |
5% dextrose/water |
625 |
571 |
$1K |
| 88304 |
|
105 |
95 |
$1K |
| A0429 |
Bls-emergency |
29 |
26 |
$1K |
| 96367 |
|
15 |
12 |
$1K |
| S0020 |
Injection, bupivicaine hydro |
203 |
189 |
$1K |
| 82728 |
|
70 |
67 |
$1K |
| 85651 |
|
340 |
334 |
$1K |
| J2060 |
Lorazepam injection |
968 |
784 |
$959.88 |
| U0001 |
2019-ncov diagnostic p |
22 |
20 |
$864.22 |
| 29130 |
|
93 |
92 |
$846.93 |
| J1953 |
Levetiracetam injection |
734 |
623 |
$832.43 |
| J3370 |
Vancomycin hcl injection |
146 |
103 |
$827.56 |
| 72040 |
|
32 |
32 |
$751.88 |
| 29105 |
|
63 |
63 |
$735.16 |
| J1644 |
Inj heparin sodium per 1000u |
933 |
620 |
$714.81 |
| J2250 |
Inj midazolam hydrochloride |
1,961 |
1,817 |
$642.30 |
| 77336 |
|
28 |
12 |
$594.84 |
| J0360 |
Hydralazine hcl injection |
182 |
141 |
$582.10 |
| 51702 |
|
55 |
50 |
$579.39 |
| 72050 |
|
13 |
13 |
$555.64 |
| 71020 |
|
18 |
16 |
$496.82 |
| 83615 |
|
68 |
67 |
$474.53 |
| J1650 |
Inj enoxaparin sodium |
143 |
81 |
$463.70 |
| J2920 |
Methylprednisolone injection |
43 |
36 |
$407.84 |
| J2470 |
Inj pantoprazole sodium 40mg |
98 |
83 |
$399.98 |
| 73552 |
|
13 |
13 |
$385.33 |
| 84100 |
|
94 |
90 |
$382.78 |
| J7121 |
5% dextrose in lac ringers |
17 |
13 |
$369.60 |
| 90714 |
|
12 |
12 |
$359.19 |
| 71010 |
|
22 |
20 |
$349.46 |
| J1956 |
Levofloxacin injection |
163 |
141 |
$326.53 |
| 96368 |
|
13 |
13 |
$320.01 |
| J2550 |
Promethazine hcl injection |
82 |
78 |
$316.71 |
| C9113 |
Inj pantoprazole sodium, via |
87 |
73 |
$306.43 |
| 80164 |
|
13 |
13 |
$303.61 |
| 94727 |
|
12 |
12 |
$271.74 |
| 94664 |
|
15 |
14 |
$251.28 |
| 73060 |
|
12 |
12 |
$245.21 |
| 73120 |
|
12 |
12 |
$225.11 |
| 96376 |
|
442 |
252 |
$217.80 |
| 85384 |
|
16 |
14 |
$212.44 |
| J0780 |
Prochlorperazine injection |
53 |
53 |
$179.87 |
| A4217 |
Sterile water/saline, 500 ml |
12 |
12 |
$174.90 |
| 86780 |
|
12 |
12 |
$158.32 |
| J2175 |
Meperidine hydrochl /100 mg |
30 |
27 |
$149.57 |
| 84550 |
|
16 |
14 |
$95.94 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
23 |
15 |
$86.34 |
| 82570 |
|
15 |
13 |
$83.00 |
| 83986 |
|
13 |
13 |
$66.76 |
| 80329 |
|
392 |
362 |
$60.45 |
| J1940 |
Furosemide injection |
36 |
28 |
$44.74 |
| 87168 |
|
12 |
12 |
$44.63 |
| J7510 |
Prednisolone oral per 5 mg |
19 |
17 |
$32.37 |
| 85007 |
|
13 |
13 |
$24.42 |
| J2704 |
Inj, propofol, 10 mg |
200 |
191 |
$19.01 |
| 0258 |
|
140 |
78 |
$9.24 |
| J0461 |
Atropine sulfate injection |
14 |
12 |
$8.56 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
28 |
28 |
$3.95 |
| Q4051 |
Splint supplies misc |
41 |
22 |
$0.00 |