| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87502 |
|
5,155 |
4,722 |
$542K |
| 97110 |
|
11,381 |
2,587 |
$351K |
| 80053 |
|
15,317 |
11,960 |
$280K |
| 74177 |
|
1,937 |
1,715 |
$263K |
| 80307 |
|
3,327 |
2,381 |
$239K |
| 70450 |
|
2,159 |
1,912 |
$226K |
| 87651 |
|
4,467 |
4,121 |
$207K |
| 87634 |
|
2,028 |
1,923 |
$164K |
| 85025 |
|
19,929 |
15,374 |
$146K |
| 96365 |
|
1,436 |
1,195 |
$110K |
| A0427 |
Als1-emergency |
2,202 |
1,586 |
$110K |
| 99283 |
|
2,005 |
1,622 |
$108K |
| U0001 |
2019-ncov diagnostic p |
3,310 |
3,151 |
$94K |
| 99284 |
|
2,922 |
2,228 |
$86K |
| 99285 |
|
3,096 |
2,515 |
$86K |
| 71260 |
|
567 |
502 |
$74K |
| A0425 |
Ground mileage |
2,940 |
1,991 |
$71K |
| 74176 |
|
961 |
849 |
$66K |
| 81001 |
|
10,943 |
9,071 |
$62K |
| 97161 |
|
1,176 |
988 |
$61K |
| 59025 |
|
644 |
440 |
$59K |
| 93005 |
|
5,662 |
4,628 |
$58K |
| 87086 |
|
6,107 |
5,187 |
$54K |
| 71045 |
|
5,999 |
5,101 |
$48K |
| 72148 |
|
194 |
173 |
$47K |
| 71046 |
|
2,502 |
2,139 |
$39K |
| 90853 |
|
1,246 |
198 |
$35K |
| 84484 |
|
4,216 |
2,922 |
$32K |
| 81025 |
|
3,793 |
3,218 |
$31K |
| 87077 |
|
3,320 |
2,951 |
$31K |
| 96372 |
|
1,568 |
1,101 |
$31K |
| 86901 |
|
1,153 |
1,001 |
$30K |
| 87426 |
|
861 |
762 |
$30K |
| 69436 |
|
115 |
114 |
$27K |
| 80048 |
|
2,462 |
2,013 |
$27K |
| 87635 |
|
2,325 |
2,047 |
$26K |
| 84443 |
|
2,224 |
1,958 |
$25K |
| 43239 |
|
110 |
107 |
$24K |
| 96374 |
|
2,055 |
1,617 |
$23K |
| 87040 |
|
1,939 |
1,368 |
$22K |
| 42820 |
|
67 |
64 |
$22K |
| 96375 |
|
1,870 |
1,451 |
$21K |
| 82553 |
|
2,372 |
1,863 |
$20K |
| J2405 |
Ondansetron hcl injection |
5,375 |
4,411 |
$18K |
| 83880 |
|
752 |
630 |
$18K |
| 77067 |
|
424 |
404 |
$18K |
| 76805 |
|
409 |
365 |
$17K |
| J1100 |
Dexamethasone sodium phos |
1,846 |
1,654 |
$16K |
| 83690 |
|
2,274 |
1,848 |
$15K |
| J0696 |
Ceftriaxone sodium injection |
2,941 |
2,470 |
$15K |
| 87186 |
|
2,394 |
2,115 |
$15K |
| 82550 |
|
2,707 |
2,102 |
$14K |
| 87070 |
|
1,308 |
1,167 |
$13K |
| 82803 |
|
393 |
328 |
$13K |
| 87804 |
|
1,056 |
964 |
$12K |
| 96361 |
|
628 |
505 |
$11K |
| 74018 |
|
522 |
458 |
$10K |
| 87880 |
|
894 |
812 |
$9K |
| 87389 |
|
308 |
286 |
$9K |
| M0243 |
Casirivi and imdevi inj |
51 |
47 |
$9K |
| J1885 |
Ketorolac tromethamine inj |
2,716 |
2,316 |
$9K |
| 85027 |
|
1,307 |
1,123 |
$8K |
| 73721 |
|
30 |
26 |
$7K |
| 74022 |
|
318 |
277 |
$7K |
| G0480 |
Drug test def 1-7 classes |
145 |
111 |
$7K |
| 85730 |
|
1,421 |
1,241 |
$6K |
| A0426 |
Als 1 |
171 |
125 |
$6K |
| 85378 |
|
836 |
717 |
$6K |
| 87591 |
|
123 |
115 |
$5K |
| 86885 |
|
768 |
690 |
$5K |
| 85610 |
|
1,853 |
1,560 |
$5K |
| 93306 |
|
47 |
40 |
$5K |
| 82150 |
|
790 |
669 |
$5K |
| 82951 |
|
292 |
252 |
$5K |
| 73610 |
|
296 |
251 |
$5K |
| 87491 |
|
96 |
90 |
$4K |
| 85007 |
|
1,302 |
1,114 |
$4K |
| 87807 |
|
333 |
308 |
$4K |
| 72125 |
|
25 |
24 |
$4K |
| 73630 |
|
179 |
154 |
$4K |
| 80061 |
|
237 |
207 |
$4K |
| 71020 |
|
249 |
222 |
$3K |
| 86592 |
|
727 |
640 |
$3K |
| 86762 |
|
184 |
173 |
$3K |
| 70553 |
|
15 |
12 |
$3K |
| 83036 |
|
266 |
226 |
$3K |
| 83605 |
|
288 |
249 |
$3K |
| 86803 |
|
160 |
146 |
$3K |
| 86900 |
|
791 |
710 |
$3K |
| 84439 |
|
283 |
239 |
$2K |
| 87340 |
|
174 |
167 |
$2K |
| 97001 |
|
60 |
49 |
$2K |
| 81002 |
|
761 |
621 |
$2K |
| 73110 |
|
89 |
76 |
$2K |
| 95811 |
|
13 |
12 |
$2K |
| 84702 |
|
180 |
130 |
$2K |
| 36415 |
|
1,106 |
864 |
$2K |
| 71010 |
|
220 |
185 |
$2K |
| 73130 |
|
76 |
66 |
$2K |
| 73030 |
|
82 |
67 |
$2K |
| 76705 |
|
74 |
67 |
$1K |
| 96376 |
|
316 |
194 |
$1K |
| J2930 |
Methylprednisolone injection |
520 |
415 |
$1K |
| 94640 |
|
183 |
114 |
$974.29 |
| J2270 |
Morphine sulfate injection |
2,070 |
1,670 |
$959.84 |
| 83735 |
|
161 |
127 |
$839.57 |
| 73560 |
|
40 |
38 |
$821.95 |
| J2060 |
Lorazepam injection |
562 |
432 |
$636.21 |
| 80050 |
|
13 |
13 |
$632.71 |
| 82670 |
|
17 |
13 |
$558.74 |
| 84703 |
|
51 |
39 |
$471.13 |
| 73502 |
|
14 |
12 |
$446.89 |
| 84403 |
|
18 |
15 |
$442.44 |
| J1170 |
Hydromorphone injection |
1,633 |
1,198 |
$439.23 |
| 84402 |
|
18 |
15 |
$399.96 |
| 72100 |
|
12 |
12 |
$357.89 |
| J3010 |
Fentanyl citrate injection |
563 |
503 |
$324.13 |
| 83001 |
|
17 |
14 |
$294.85 |
| 74000 |
|
14 |
13 |
$260.00 |
| 90714 |
|
26 |
25 |
$214.73 |
| 84450 |
|
34 |
28 |
$177.12 |
| 82962 |
|
52 |
42 |
$157.98 |
| 90471 |
|
30 |
26 |
$148.97 |
| J1200 |
Diphenhydramine hcl injectio |
158 |
136 |
$106.81 |
| 83540 |
|
22 |
13 |
$92.50 |
| 82947 |
|
14 |
12 |
$81.81 |
| 82565 |
|
17 |
12 |
$80.41 |
| J2250 |
Inj midazolam hydrochloride |
155 |
146 |
$79.10 |
| J2550 |
Promethazine hcl injection |
53 |
44 |
$51.90 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
817 |
727 |
$46.80 |
| 85014 |
|
15 |
14 |
$33.80 |
| 85018 |
|
15 |
14 |
$33.80 |
| J0780 |
Prochlorperazine injection |
303 |
259 |
$27.34 |
| 36600 |
|
243 |
208 |
$9.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
22 |
18 |
$2.07 |
| Q0244 |
Casirivi and imdevi 1200 mg |
41 |
38 |
$0.11 |