| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
|
28,552 |
24,821 |
$1.16M |
| 0202U |
|
1,974 |
1,919 |
$427K |
| 70450 |
|
3,929 |
3,754 |
$344K |
| 74177 |
|
2,026 |
1,963 |
$322K |
| 99285 |
|
2,031 |
1,916 |
$304K |
| 96374 |
|
6,509 |
6,088 |
$260K |
| 93005 |
|
9,762 |
9,019 |
$189K |
| 99281 |
|
2,575 |
2,241 |
$134K |
| 80053 |
|
16,075 |
14,560 |
$124K |
| 99284 |
|
1,708 |
1,581 |
$122K |
| 96375 |
|
4,685 |
4,211 |
$119K |
| 96365 |
|
2,002 |
1,939 |
$102K |
| 85025 |
|
18,506 |
16,348 |
$91K |
| 96361 |
|
4,293 |
3,988 |
$86K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,434 |
1,291 |
$79K |
| 74176 |
|
958 |
937 |
$78K |
| 71045 |
|
7,197 |
6,856 |
$78K |
| 87635 |
|
1,912 |
1,780 |
$69K |
| 99199 |
|
1,709 |
1,494 |
$68K |
| 99283 |
|
1,551 |
1,402 |
$67K |
| 96372 |
|
3,606 |
3,214 |
$67K |
| 93970 |
|
1,243 |
1,091 |
$65K |
| 96360 |
|
1,587 |
1,532 |
$62K |
| 80307 |
|
1,113 |
995 |
$57K |
| Z7502 |
|
1,600 |
1,529 |
$55K |
| 71275 |
|
332 |
328 |
$50K |
| 84484 |
|
7,339 |
5,485 |
$49K |
| 80306 |
|
3,764 |
3,473 |
$47K |
| G0463 |
Hospital outpt clinic visit |
1,561 |
1,408 |
$45K |
| G0480 |
Drug test def 1-7 classes |
839 |
770 |
$43K |
| 83880 |
|
2,091 |
1,975 |
$41K |
| J2405 |
Ondansetron hcl injection |
3,711 |
3,334 |
$36K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,233 |
3,126 |
$32K |
| 72125 |
|
294 |
284 |
$30K |
| 0241U |
|
317 |
313 |
$27K |
| 97140 |
|
2,629 |
791 |
$27K |
| J7030 |
Normal saline solution infus |
4,064 |
3,617 |
$26K |
| 83690 |
|
5,293 |
4,951 |
$25K |
| 82330 |
|
1,988 |
1,873 |
$23K |
| 82077 |
|
1,963 |
1,810 |
$22K |
| J1885 |
Ketorolac tromethamine inj |
4,183 |
3,872 |
$22K |
| J3490 |
Drugs unclassified injection |
3,705 |
2,925 |
$21K |
| 81001 |
|
9,832 |
9,182 |
$21K |
| 84443 |
|
2,450 |
2,379 |
$17K |
| 87502 |
|
331 |
324 |
$16K |
| 81025 |
|
3,775 |
3,580 |
$16K |
| 93971 |
|
257 |
212 |
$16K |
| J0696 |
Ceftriaxone sodium injection |
1,244 |
1,162 |
$14K |
| 71046 |
|
910 |
871 |
$13K |
| U0005 |
Infec agen detec ampli probe |
1,078 |
950 |
$13K |
| 87040 |
|
1,949 |
1,020 |
$13K |
| J2270 |
Morphine sulfate injection |
1,972 |
1,654 |
$12K |
| 80048 |
|
2,489 |
2,252 |
$12K |
| 84145 |
|
978 |
953 |
$12K |
| 83605 |
|
1,768 |
1,504 |
$12K |
| 85610 |
|
3,923 |
3,726 |
$12K |
| 80179 |
|
846 |
800 |
$10K |
| 80143 |
|
857 |
812 |
$10K |
| 93306 |
|
80 |
79 |
$10K |
| 80047 |
|
1,661 |
1,603 |
$10K |
| 87086 |
|
2,259 |
2,131 |
$10K |
| 97110 |
|
1,995 |
698 |
$9K |
| 85730 |
|
2,291 |
2,198 |
$9K |
| 83735 |
|
2,152 |
1,971 |
$8K |
| 0250 |
|
8,686 |
4,973 |
$8K |
| 76705 |
|
144 |
139 |
$7K |
| 87651 |
|
300 |
293 |
$7K |
| 87798 |
|
332 |
325 |
$7K |
| 0762 |
|
132 |
65 |
$7K |
| 73562 |
|
288 |
263 |
$6K |
| 82306 |
|
640 |
633 |
$6K |
| J2060 |
Lorazepam injection |
1,196 |
1,055 |
$6K |
| 0301 |
|
100 |
88 |
$5K |
| J1100 |
Dexamethasone sodium phos |
310 |
294 |
$5K |
| 85379 |
|
676 |
666 |
$5K |
| 87631 |
|
155 |
152 |
$5K |
| 73630 |
|
199 |
187 |
$4K |
| 80061 |
|
1,208 |
1,194 |
$4K |
| 85027 |
|
1,203 |
1,113 |
$3K |
| 83036 |
|
1,085 |
1,071 |
$3K |
| 0270 |
|
1,773 |
1,139 |
$3K |
| 84439 |
|
988 |
955 |
$3K |
| 94640 |
|
332 |
282 |
$3K |
| 87186 |
|
607 |
587 |
$3K |
| 80076 |
|
493 |
481 |
$2K |
| 96366 |
|
74 |
69 |
$2K |
| J2001 |
Lidocaine injection |
187 |
170 |
$2K |
| 76856 |
|
43 |
39 |
$2K |
| 73610 |
|
107 |
105 |
$2K |
| 90715 |
|
70 |
68 |
$2K |
| 70496 |
|
13 |
13 |
$2K |
| 87077 |
|
454 |
448 |
$2K |
| Z7610 |
|
120 |
103 |
$2K |
| 73030 |
|
104 |
96 |
$2K |
| 82607 |
|
416 |
410 |
$1K |
| 99282 |
|
17 |
14 |
$1K |
| 71250 |
|
24 |
24 |
$1K |
| 87491 |
|
84 |
84 |
$1K |
| 87591 |
|
84 |
84 |
$1K |
| 73130 |
|
57 |
53 |
$1K |
| 87400 |
|
320 |
307 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
273 |
255 |
$1K |
| J7040 |
Normal saline solution infus |
244 |
237 |
$1K |
| 0510 |
|
188 |
168 |
$1K |
| 36415 |
|
1,617 |
1,463 |
$1K |
| 82728 |
|
303 |
300 |
$1K |
| 96376 |
|
222 |
187 |
$895.58 |
| 85652 |
|
888 |
844 |
$809.05 |
| 87430 |
|
131 |
129 |
$739.48 |
| 86140 |
|
404 |
384 |
$691.01 |
| 85380 |
|
232 |
219 |
$672.12 |
| J7050 |
Normal saline solution infus |
141 |
115 |
$654.94 |
| 0324 |
|
41 |
38 |
$638.72 |
| 87081 |
|
171 |
165 |
$617.83 |
| 70551 |
|
13 |
12 |
$612.25 |
| 82550 |
|
119 |
103 |
$573.26 |
| J2765 |
Metoclopramide hcl injection |
128 |
126 |
$543.74 |
| 86900 |
|
254 |
236 |
$517.81 |
| 83540 |
|
351 |
348 |
$501.31 |
| 83550 |
|
332 |
330 |
$484.71 |
| 99221 |
|
18 |
12 |
$477.40 |
| 86901 |
|
238 |
222 |
$471.84 |
| 84702 |
|
45 |
41 |
$414.18 |
| 84100 |
|
231 |
204 |
$354.77 |
| 96367 |
|
12 |
12 |
$331.39 |
| 84550 |
|
268 |
261 |
$263.29 |
| J1630 |
Haloperidol injection |
45 |
40 |
$223.83 |
| 87205 |
|
107 |
96 |
$211.64 |
| 90471 |
|
71 |
69 |
$198.81 |
| G1004 |
Cdsm ndsc |
1,675 |
1,530 |
$189.41 |
| J1170 |
Hydromorphone injection |
19 |
16 |
$185.28 |
| 0636 |
|
642 |
375 |
$184.29 |
| 86850 |
|
58 |
54 |
$168.92 |
| A4217 |
Sterile water/saline, 500 ml |
30 |
26 |
$152.46 |
| 84481 |
|
12 |
12 |
$134.46 |
| J7120 |
Ringers lactate infusion |
14 |
12 |
$90.48 |
| 99211 |
|
16 |
15 |
$81.05 |
| A4649 |
Surgical supplies |
312 |
256 |
$65.30 |
| J2250 |
Inj midazolam hydrochloride |
12 |
12 |
$61.04 |
| 97530 |
|
25 |
14 |
$52.23 |
| 87070 |
|
14 |
13 |
$48.55 |
| J2470 |
Inj pantoprazole sodium 40mg |
12 |
12 |
$39.29 |
| 87147 |
|
14 |
14 |
$25.44 |
| 82570 |
|
13 |
13 |
$5.18 |
| 99291 |
|
12 |
12 |
$0.00 |
| 0258 |
|
24 |
22 |
$0.00 |
| A9270 |
Non-covered item or service |
39 |
15 |
$0.00 |
| S9445 |
Pt education noc individ |
15 |
13 |
$0.00 |