| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
90,793 |
80,704 |
$4.10M |
| 0121 |
|
571 |
543 |
$3.19M |
| 0214 |
|
437 |
418 |
$2.11M |
| Z7502 |
|
27,310 |
26,871 |
$1.03M |
| 74177 |
|
5,313 |
5,162 |
$932K |
| 0122 |
|
545 |
536 |
$885K |
| 70450 |
|
8,490 |
8,237 |
$850K |
| 87635 |
|
16,601 |
15,005 |
$749K |
| 99285 |
|
2,090 |
1,985 |
$661K |
| 93005 |
|
25,910 |
24,140 |
$583K |
| 80053 |
|
55,328 |
51,664 |
$569K |
| 96372 |
|
24,959 |
22,136 |
$511K |
| 96374 |
|
9,628 |
9,265 |
$504K |
| 85025 |
|
64,652 |
59,788 |
$442K |
| 87426 |
|
12,543 |
11,349 |
$375K |
| 72125 |
|
2,884 |
2,801 |
$332K |
| 93976 |
|
1,804 |
1,737 |
$301K |
| C9803 |
Hopd covid-19 spec collect |
14,495 |
13,063 |
$287K |
| 96361 |
|
8,797 |
8,307 |
$269K |
| 99284 |
|
2,059 |
1,942 |
$269K |
| 99199 |
|
7,729 |
6,812 |
$262K |
| 80307 |
|
5,805 |
5,459 |
$261K |
| 76811 |
|
3,601 |
3,497 |
$250K |
| 96360 |
|
4,527 |
4,365 |
$236K |
| 0171 |
Inj, epinephrine (belcher) |
555 |
545 |
$223K |
| 74176 |
|
2,372 |
2,313 |
$221K |
| 99281 |
|
6,089 |
4,920 |
$218K |
| Z7610 |
|
18,114 |
15,188 |
$213K |
| 71260 |
|
1,400 |
1,348 |
$201K |
| 0270 |
|
26,282 |
16,208 |
$200K |
| 96365 |
|
3,043 |
2,926 |
$199K |
| 71046 |
|
11,077 |
10,735 |
$195K |
| 71045 |
|
15,346 |
14,650 |
$190K |
| G0480 |
Drug test def 1-7 classes |
4,102 |
3,513 |
$178K |
| 87637 |
|
1,569 |
1,379 |
$166K |
| 96375 |
|
5,359 |
5,058 |
$161K |
| 84484 |
|
18,673 |
16,552 |
$159K |
| 0250 |
|
47,547 |
28,553 |
$156K |
| 0300 |
|
4,663 |
4,009 |
$155K |
| 76700 |
|
2,350 |
2,307 |
$155K |
| 76856 |
|
2,544 |
2,447 |
$142K |
| 99283 |
|
2,024 |
1,916 |
$140K |
| Z9725 |
|
3,217 |
2,860 |
$138K |
| 76801 |
|
3,240 |
2,700 |
$134K |
| 71275 |
|
821 |
800 |
$129K |
| 93971 |
|
1,286 |
1,239 |
$127K |
| 81025 |
|
22,258 |
21,135 |
$124K |
| J1885 |
Ketorolac tromethamine inj |
21,521 |
16,264 |
$121K |
| 0761 |
|
4,503 |
4,213 |
$120K |
| 76705 |
|
2,220 |
2,171 |
$115K |
| 87804 |
|
15,578 |
7,908 |
$114K |
| 83690 |
|
17,364 |
16,379 |
$103K |
| 76817 |
|
2,175 |
1,907 |
$97K |
| 87086 |
|
15,120 |
14,488 |
$95K |
| 83880 |
|
3,879 |
3,646 |
$92K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,332 |
1,251 |
$88K |
| 87491 |
|
3,074 |
2,961 |
$86K |
| 87591 |
|
3,076 |
2,959 |
$86K |
| J7030 |
Normal saline solution infus |
11,739 |
10,877 |
$82K |
| 81001 |
|
28,536 |
27,066 |
$80K |
| J1953 |
Levetiracetam injection |
649 |
596 |
$77K |
| 76830 |
|
1,349 |
1,301 |
$77K |
| 90715 |
|
2,063 |
2,021 |
$67K |
| 84702 |
|
6,501 |
5,674 |
$67K |
| 99152 |
|
1,413 |
1,383 |
$59K |
| 70486 |
|
542 |
530 |
$58K |
| 80048 |
|
6,934 |
6,608 |
$54K |
| 76819 |
|
1,426 |
1,025 |
$53K |
| 76770 |
|
837 |
808 |
$53K |
| 87040 |
|
6,081 |
3,372 |
$53K |
| 96366 |
|
1,078 |
1,023 |
$50K |
| 94640 |
|
2,872 |
2,658 |
$49K |
| 73030 |
|
2,319 |
2,209 |
$48K |
| 76805 |
|
622 |
599 |
$47K |
| 73610 |
|
2,007 |
1,960 |
$45K |
| 73562 |
|
2,241 |
2,154 |
$43K |
| 93970 |
|
272 |
263 |
$42K |
| G0463 |
Hospital outpt clinic visit |
685 |
633 |
$42K |
| 73130 |
|
1,869 |
1,805 |
$41K |
| J0696 |
Ceftriaxone sodium injection |
3,516 |
3,351 |
$40K |
| 73630 |
|
1,840 |
1,809 |
$39K |
| 0360 |
|
1,076 |
895 |
$39K |
| 83605 |
|
4,224 |
3,538 |
$37K |
| J2270 |
Morphine sulfate injection |
4,973 |
4,430 |
$36K |
| 0510 |
|
1,057 |
1,046 |
$34K |
| 0301 |
|
2,795 |
2,278 |
$30K |
| 88305 |
|
956 |
879 |
$30K |
| 59025 |
|
1,618 |
1,221 |
$30K |
| J2250 |
Inj midazolam hydrochloride |
2,535 |
2,296 |
$30K |
| 87420 |
|
5,422 |
5,274 |
$30K |
| 73564 |
|
1,106 |
1,089 |
$29K |
| 0272 |
|
9,789 |
9,154 |
$28K |
| 85730 |
|
5,781 |
5,497 |
$28K |
| J1100 |
Dexamethasone sodium phos |
2,341 |
1,657 |
$26K |
| 72131 |
|
241 |
239 |
$26K |
| 73110 |
|
1,256 |
1,204 |
$26K |
| 73502 |
|
1,026 |
1,003 |
$25K |
| 87186 |
|
3,380 |
3,229 |
$24K |
| 0682 |
|
461 |
451 |
$23K |
| 0636 |
|
6,632 |
5,529 |
$23K |
| 81003 |
|
10,659 |
10,249 |
$22K |
| 77300 |
|
54 |
54 |
$22K |
| J2405 |
Ondansetron hcl injection |
4,540 |
4,154 |
$22K |
| 72100 |
|
793 |
780 |
$21K |
| 85610 |
|
6,308 |
5,991 |
$20K |
| 99213 |
|
825 |
772 |
$20K |
| 73590 |
|
1,052 |
1,013 |
$19K |
| 76816 |
|
485 |
453 |
$19K |
| J3490 |
Drugs unclassified injection |
7,072 |
4,599 |
$19K |
| 76818 |
|
1,188 |
842 |
$19K |
| 0001A |
|
491 |
491 |
$19K |
| 76870 |
|
426 |
408 |
$18K |
| 77336 |
|
325 |
142 |
$18K |
| 84443 |
|
1,382 |
1,342 |
$18K |
| 86901 |
|
6,391 |
5,898 |
$17K |
| 99291 |
|
27 |
27 |
$16K |
| 86900 |
|
6,366 |
5,872 |
$15K |
| 36415 |
|
26,927 |
24,275 |
$15K |
| J3010 |
Fentanyl citrate injection |
2,736 |
2,586 |
$15K |
| 85379 |
|
1,661 |
1,616 |
$13K |
| 86850 |
|
3,067 |
2,939 |
$13K |
| 0760 |
|
1,754 |
1,645 |
$13K |
| J0561 |
Penicillin g benzathine inj |
44 |
38 |
$13K |
| 76775 |
|
344 |
334 |
$12K |
| 45378 |
|
185 |
184 |
$12K |
| 73090 |
|
706 |
673 |
$12K |
| 0002A |
|
287 |
287 |
$11K |
| J2765 |
Metoclopramide hcl injection |
2,375 |
2,298 |
$11K |
| 77290 |
|
60 |
53 |
$11K |
| 73080 |
|
449 |
442 |
$10K |
| 87088 |
|
1,825 |
1,760 |
$10K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,272 |
7,028 |
$10K |
| 0160 |
|
257 |
232 |
$9K |
| 99203 |
|
229 |
208 |
$9K |
| 87880 |
|
1,127 |
1,108 |
$9K |
| J0690 |
Cefazolin sodium injection |
1,251 |
1,176 |
$9K |
| J2060 |
Lorazepam injection |
1,749 |
1,541 |
$9K |
| 82962 |
|
3,647 |
2,506 |
$9K |
| 99221 |
|
284 |
258 |
$8K |
| 0710 |
|
936 |
909 |
$8K |
| J7060 |
5% dextrose/water |
1,652 |
1,394 |
$8K |
| 74018 |
|
541 |
523 |
$8K |
| 0762 |
|
105 |
69 |
$7K |
| 86141 |
|
828 |
811 |
$7K |
| 90471 |
|
2,092 |
2,039 |
$7K |
| J7120 |
Ringers lactate infusion |
1,307 |
1,155 |
$7K |
| J2704 |
Inj, propofol, 10 mg |
763 |
404 |
$7K |
| P9016 |
Rbc leukocytes reduced |
44 |
40 |
$7K |
| 83735 |
|
1,330 |
1,243 |
$7K |
| J1200 |
Diphenhydramine hcl injectio |
1,390 |
1,286 |
$7K |
| 77417 |
|
220 |
102 |
$6K |
| 85027 |
|
1,119 |
1,052 |
$6K |
| J1815 |
Insulin injection |
697 |
573 |
$6K |
| 43239 |
|
113 |
112 |
$5K |
| 87210 |
|
1,525 |
1,481 |
$5K |
| 87081 |
|
982 |
951 |
$5K |
| 0305 |
|
2,137 |
1,998 |
$4K |
| 73070 |
|
288 |
266 |
$4K |
| 99204 |
|
117 |
116 |
$4K |
| 82550 |
|
760 |
710 |
$4K |
| 0258 |
|
1,753 |
1,674 |
$4K |
| 82947 |
|
1,006 |
810 |
$4K |
| 73560 |
|
255 |
244 |
$4K |
| 84439 |
|
626 |
611 |
$4K |
| 0410 |
|
211 |
203 |
$4K |
| 99202 |
|
224 |
215 |
$4K |
| 76820 |
|
249 |
214 |
$4K |
| 0460 |
|
187 |
183 |
$4K |
| 73552 |
|
226 |
218 |
$4K |
| J1170 |
Hydromorphone injection |
544 |
453 |
$4K |
| 96376 |
|
269 |
245 |
$3K |
| A4649 |
Surgical supplies |
3,145 |
1,641 |
$3K |
| Q0181 |
Unspecified oral anti-emetic |
473 |
461 |
$3K |
| 87077 |
|
548 |
526 |
$3K |
| 73140 |
|
272 |
261 |
$3K |
| 0170 |
|
45 |
44 |
$3K |
| 73060 |
|
198 |
187 |
$3K |
| 99153 |
Mod sedat endo service >5yrs |
258 |
250 |
$3K |
| 85018 |
|
1,495 |
1,425 |
$3K |
| J2930 |
Methylprednisolone injection |
287 |
276 |
$3K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
179 |
144 |
$3K |
| 12001 |
|
190 |
186 |
$3K |
| 0370 |
|
694 |
680 |
$3K |
| 82140 |
|
265 |
260 |
$3K |
| U0005 |
Infec agen detec ampli probe |
201 |
190 |
$3K |
| 86703 |
|
252 |
249 |
$3K |
| 0271 |
|
5,840 |
5,524 |
$3K |
| 85007 |
|
736 |
674 |
$2K |
| 99070 |
|
970 |
540 |
$2K |
| J1630 |
Haloperidol injection |
411 |
370 |
$2K |
| J7050 |
Normal saline solution infus |
287 |
281 |
$2K |
| 77334 |
|
12 |
12 |
$2K |
| 11042 |
|
28 |
12 |
$2K |
| 86592 |
|
462 |
421 |
$2K |
| 70498 |
|
12 |
12 |
$2K |
| 80076 |
|
227 |
216 |
$2K |
| 12011 |
|
56 |
55 |
$2K |
| J7040 |
Normal saline solution infus |
352 |
341 |
$2K |
| A4615 |
Cannula nasal |
447 |
438 |
$1K |
| 82247 |
|
278 |
241 |
$1K |
| 85384 |
|
173 |
152 |
$1K |
| J2919 |
Inj, methylpred sod succ 5mg |
30 |
26 |
$1K |
| 84100 |
|
320 |
297 |
$1K |
| 29125 |
|
248 |
240 |
$1K |
| 99214 |
|
55 |
54 |
$1K |
| 81002 |
|
464 |
447 |
$1K |
| 84550 |
|
276 |
251 |
$1K |
| 45380 |
|
26 |
26 |
$1K |
| 85396 |
|
66 |
64 |
$1K |
| S0164 |
Injection pantroprazole |
100 |
93 |
$974.15 |
| 77280 |
|
14 |
14 |
$967.94 |
| J0360 |
Hydralazine hcl injection |
126 |
118 |
$798.47 |
| 72170 |
|
57 |
55 |
$753.37 |
| Q0162 |
Ondansetron oral |
214 |
205 |
$697.30 |
| 0306 |
|
1,871 |
1,696 |
$691.60 |
| G0379 |
Direct refer hospital observ |
29 |
25 |
$630.64 |
| 0391 |
|
26 |
25 |
$612.18 |
| 82248 |
|
137 |
123 |
$572.46 |
| 84112 |
|
80 |
72 |
$519.61 |
| 0324 |
|
614 |
590 |
$513.23 |
| 86140 |
|
150 |
142 |
$507.91 |
| J3475 |
Inj magnesium sulfate |
40 |
38 |
$496.86 |
| 73600 |
|
27 |
26 |
$489.89 |
| 87070 |
|
55 |
53 |
$468.57 |
| 86923 |
|
17 |
12 |
$458.74 |
| J0780 |
Prochlorperazine injection |
65 |
63 |
$378.64 |
| 82565 |
|
84 |
66 |
$344.46 |
| 20610 |
|
16 |
13 |
$268.36 |
| 76857 |
|
12 |
12 |
$262.30 |
| 71101 |
|
12 |
12 |
$245.23 |
| 36416 |
|
296 |
261 |
$213.60 |
| 29515 |
|
28 |
26 |
$196.79 |
| S0020 |
Injection, bupivicaine hydro |
49 |
48 |
$190.56 |
| 87205 |
|
66 |
52 |
$164.57 |
| 29130 |
|
13 |
12 |
$148.40 |
| 0302 |
|
1,522 |
1,235 |
$132.89 |
| 12002 |
|
12 |
12 |
$122.52 |
| 84520 |
|
26 |
25 |
$102.64 |
| 0420 |
|
159 |
134 |
$83.54 |
| 83036 |
|
15 |
14 |
$79.49 |
| J1940 |
Furosemide injection |
17 |
12 |
$77.15 |
| 94799 |
|
19 |
17 |
$69.18 |
| 82010 |
|
13 |
12 |
$56.67 |
| 0470 |
|
573 |
563 |
$55.94 |
| Q0144 |
Azithromycin dihydrate, oral |
12 |
12 |
$54.01 |
| 0307 |
|
1,235 |
1,172 |
$50.96 |
| 0260 |
|
144 |
123 |
$42.37 |
| A4657 |
Syringe w/wo needle |
101 |
92 |
$10.98 |
| 0730 |
|
603 |
578 |
$0.00 |
| 0312 |
|
328 |
323 |
$0.00 |
| 0402 |
|
747 |
714 |
$0.00 |
| 0278 |
|
12 |
12 |
$0.00 |
| 0351 |
|
65 |
65 |
$0.00 |
| 0361 |
|
92 |
84 |
$0.00 |
| 0489 |
|
56 |
55 |
$0.00 |
| 0320 |
|
125 |
124 |
$0.00 |
| 0481 |
|
54 |
53 |
$0.00 |
| 91300 |
|
29 |
29 |
$0.00 |
| 0720 |
|
319 |
291 |
$0.00 |
| 0371 |
|
38 |
37 |
$0.00 |
| S9445 |
Pt education noc individ |
138 |
64 |
$0.00 |
| 0352 |
|
277 |
270 |
$0.00 |
| 76377 |
|
14 |
13 |
$0.00 |