| Code | Description | Claims | Beneficiaries | Total Paid |
| 87637 |
|
7,362 |
7,211 |
$1.70M |
| 99284 |
|
31,962 |
28,379 |
$1.51M |
| 74177 |
|
2,800 |
2,746 |
$944K |
| 96374 |
|
8,888 |
8,243 |
$920K |
| 99070 |
|
30,454 |
14,238 |
$813K |
| 99231 |
|
28,495 |
25,117 |
$671K |
| 96375 |
|
6,997 |
6,240 |
$548K |
| 0450 |
|
9,573 |
8,616 |
$535K |
| J3490 |
Drugs unclassified injection |
24,568 |
11,214 |
$448K |
| 70450 |
|
2,942 |
2,861 |
$405K |
| U0004 |
Cov-19 test non-cdc hgh thru |
4,641 |
4,321 |
$358K |
| 93005 |
|
10,153 |
9,399 |
$338K |
| 80053 |
|
18,846 |
17,020 |
$337K |
| 96365 |
|
2,296 |
2,193 |
$330K |
| 96361 |
|
3,434 |
3,162 |
$275K |
| 96372 |
|
5,008 |
4,576 |
$266K |
| 87636 |
|
1,173 |
1,160 |
$248K |
| 85025 |
|
24,218 |
21,693 |
$236K |
| 99199 |
|
5,315 |
4,434 |
$233K |
| G0480 |
Drug test def 1-7 classes |
2,725 |
2,452 |
$183K |
| 71045 |
|
7,445 |
7,089 |
$171K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,338 |
2,276 |
$164K |
| 74176 |
|
890 |
884 |
$163K |
| 84484 |
|
7,624 |
6,791 |
$156K |
| 80307 |
|
1,900 |
1,790 |
$146K |
| 71275 |
|
486 |
483 |
$141K |
| 99283 |
|
429 |
402 |
$134K |
| 87651 |
|
2,509 |
2,465 |
$131K |
| 80048 |
|
7,943 |
7,059 |
$116K |
| 0250 |
|
4,526 |
2,779 |
$114K |
| 71046 |
|
3,381 |
3,264 |
$111K |
| 59025 |
|
3,550 |
1,175 |
$96K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,511 |
4,207 |
$88K |
| 99285 |
|
98 |
96 |
$84K |
| 83880 |
|
2,314 |
2,174 |
$84K |
| 87491 |
|
1,651 |
1,596 |
$82K |
| 87591 |
|
1,650 |
1,595 |
$82K |
| J2405 |
Ondansetron hcl injection |
5,415 |
4,849 |
$79K |
| 94640 |
|
2,823 |
2,471 |
$76K |
| T1999 |
Noc retail items andsupplies |
4,254 |
2,172 |
$75K |
| 87088 |
|
6,511 |
6,166 |
$75K |
| 76705 |
|
982 |
965 |
$75K |
| 78815 |
|
65 |
65 |
$73K |
| C9803 |
Hopd covid-19 spec collect |
3,356 |
3,087 |
$70K |
| 83690 |
|
6,687 |
6,271 |
$70K |
| 96360 |
|
522 |
504 |
$61K |
| 92507 |
|
1,143 |
428 |
$61K |
| 72125 |
|
345 |
336 |
$58K |
| 84443 |
|
2,584 |
2,533 |
$57K |
| 93306 |
|
263 |
263 |
$53K |
| 87631 |
|
598 |
573 |
$53K |
| 87502 |
|
486 |
446 |
$49K |
| 93971 |
|
399 |
393 |
$48K |
| 87040 |
|
1,866 |
1,745 |
$43K |
| 76856 |
|
504 |
486 |
$43K |
| 0516 |
|
1,706 |
1,587 |
$41K |
| 81001 |
|
8,961 |
8,511 |
$41K |
| 87635 |
|
500 |
482 |
$39K |
| J1885 |
Ketorolac tromethamine inj |
4,424 |
4,185 |
$38K |
| Z7502 |
|
1,091 |
1,032 |
$37K |
| 0456 |
|
1,123 |
1,025 |
$37K |
| 70498 |
|
145 |
145 |
$36K |
| 70496 |
|
118 |
118 |
$36K |
| 83735 |
|
3,592 |
3,212 |
$36K |
| 87634 |
|
450 |
440 |
$35K |
| 73562 |
|
1,180 |
1,118 |
$35K |
| 73610 |
|
1,058 |
1,015 |
$35K |
| 97110 |
|
2,761 |
1,123 |
$33K |
| 99281 |
|
582 |
542 |
$31K |
| 84703 |
|
2,810 |
2,627 |
$31K |
| 73630 |
|
917 |
864 |
$30K |
| 97140 |
|
1,649 |
644 |
$30K |
| 76815 |
|
367 |
182 |
$29K |
| 82553 |
|
1,882 |
1,685 |
$29K |
| 0002A |
|
709 |
709 |
$28K |
| J1100 |
Dexamethasone sodium phos |
903 |
866 |
$28K |
| 96366 |
|
136 |
105 |
$27K |
| 76830 |
|
320 |
310 |
$27K |
| 85379 |
|
1,745 |
1,703 |
$25K |
| Q3014 |
Telehealth facility fee |
1,296 |
1,019 |
$24K |
| 87186 |
|
2,147 |
2,087 |
$23K |
| J0696 |
Ceftriaxone sodium injection |
1,108 |
1,013 |
$22K |
| 85027 |
|
3,031 |
2,521 |
$21K |
| 0001A |
|
714 |
714 |
$21K |
| 82962 |
|
3,644 |
3,031 |
$21K |
| 83605 |
|
1,466 |
1,370 |
$19K |
| J1170 |
Hydromorphone injection |
2,059 |
1,730 |
$18K |
| 76801 |
|
166 |
144 |
$18K |
| J0134 |
Inj acetaminophen -fresenius |
94 |
87 |
$17K |
| 93458 |
|
13 |
13 |
$17K |
| 96413 |
|
106 |
77 |
$16K |
| 90715 |
|
249 |
247 |
$15K |
| 99218 |
|
100 |
63 |
$14K |
| 36415 |
|
1,712 |
1,442 |
$14K |
| J2270 |
Morphine sulfate injection |
1,643 |
1,495 |
$13K |
| 73030 |
|
420 |
414 |
$13K |
| Z7610 |
|
960 |
450 |
$13K |
| 87070 |
|
891 |
873 |
$10K |
| 76817 |
|
102 |
88 |
$10K |
| 87077 |
|
1,081 |
1,051 |
$10K |
| 85610 |
|
2,029 |
1,852 |
$9K |
| 96367 |
|
119 |
110 |
$9K |
| 94760 |
|
788 |
679 |
$9K |
| 97530 |
|
429 |
253 |
$8K |
| J2060 |
Lorazepam injection |
1,320 |
1,175 |
$8K |
| 86900 |
|
1,205 |
1,112 |
$8K |
| 0270 |
|
1,370 |
608 |
$7K |
| 81003 |
|
2,632 |
2,516 |
$7K |
| 73110 |
|
233 |
224 |
$7K |
| 72100 |
|
230 |
229 |
$7K |
| 83036 |
|
718 |
706 |
$7K |
| 73130 |
|
175 |
165 |
$7K |
| 85730 |
|
996 |
959 |
$7K |
| G0447 |
Behavior counsel obesity 15m |
191 |
178 |
$6K |
| 81025 |
|
1,205 |
1,158 |
$6K |
| 87880 |
|
558 |
553 |
$6K |
| 80061 |
|
336 |
330 |
$5K |
| 86901 |
|
1,483 |
1,379 |
$5K |
| J1200 |
Diphenhydramine hcl injectio |
939 |
859 |
$5K |
| 66984 |
|
14 |
12 |
$5K |
| J7040 |
Normal saline solution infus |
847 |
661 |
$5K |
| J1815 |
Insulin injection |
33 |
24 |
$5K |
| 87210 |
|
807 |
771 |
$5K |
| U0002 |
Covid-19 lab test non-cdc |
82 |
81 |
$4K |
| 71250 |
|
52 |
52 |
$4K |
| 99232 |
|
19 |
13 |
$4K |
| 86850 |
|
1,036 |
942 |
$4K |
| V2632 |
Post chmbr intraocular lens |
35 |
27 |
$4K |
| 70551 |
|
24 |
24 |
$4K |
| J2272 |
Inj, morphine (fresenius) |
332 |
309 |
$4K |
| 71260 |
|
26 |
26 |
$4K |
| Z7500 |
|
106 |
94 |
$3K |
| A9552 |
F18 fdg |
28 |
28 |
$3K |
| J2001 |
Lidocaine injection |
158 |
143 |
$3K |
| 94644 |
|
92 |
86 |
$3K |
| 76805 |
|
27 |
27 |
$3K |
| J2765 |
Metoclopramide hcl injection |
494 |
453 |
$3K |
| 74018 |
|
93 |
93 |
$3K |
| 90471 |
|
338 |
332 |
$3K |
| J0131 |
Inj, acetaminophen (nos) |
14 |
14 |
$3K |
| 99211 |
|
112 |
98 |
$3K |
| 87430 |
|
220 |
202 |
$3K |
| 82248 |
|
359 |
346 |
$3K |
| 93017 |
|
26 |
26 |
$2K |
| 73140 |
|
82 |
82 |
$2K |
| 0003A |
|
49 |
49 |
$2K |
| 86140 |
|
269 |
260 |
$2K |
| 84439 |
|
166 |
163 |
$2K |
| J2919 |
Inj, methylpred sod succ 5mg |
17 |
17 |
$2K |
| 70486 |
|
13 |
12 |
$2K |
| 73502 |
|
40 |
40 |
$2K |
| J2003 |
Inj, lidocaine hcl, 1 mg |
36 |
36 |
$2K |
| J1171 |
Inj, hydromorphone, 0.1 mg |
41 |
34 |
$2K |
| 97750 |
|
75 |
54 |
$2K |
| 84702 |
|
98 |
81 |
$2K |
| 71020 |
|
44 |
38 |
$1K |
| 99152 |
|
45 |
45 |
$1K |
| 97139 |
|
70 |
13 |
$1K |
| 82803 |
|
65 |
65 |
$1K |
| 71101 |
|
40 |
39 |
$1K |
| 87798 |
|
25 |
25 |
$1K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
36 |
36 |
$976.00 |
| G0463 |
Hospital outpt clinic visit |
14 |
13 |
$938.50 |
| 85007 |
|
289 |
263 |
$909.47 |
| 73080 |
|
25 |
25 |
$863.57 |
| 86780 |
|
40 |
39 |
$852.73 |
| 0012A |
|
30 |
30 |
$851.70 |
| 81002 |
|
161 |
113 |
$820.51 |
| 0761 |
|
31 |
27 |
$748.42 |
| A9577 |
Inj multihance |
15 |
15 |
$718.34 |
| 83540 |
|
85 |
82 |
$714.95 |
| 83520 |
|
51 |
43 |
$701.15 |
| 0011A |
|
40 |
40 |
$677.60 |
| J2250 |
Inj midazolam hydrochloride |
103 |
100 |
$676.82 |
| 0051A |
|
16 |
16 |
$640.00 |
| 85652 |
|
143 |
139 |
$637.99 |
| 97112 |
|
66 |
30 |
$592.39 |
| J3010 |
Fentanyl citrate injection |
86 |
77 |
$559.79 |
| 80299 |
|
31 |
16 |
$554.62 |
| 83550 |
|
70 |
69 |
$515.16 |
| 87641 |
|
27 |
27 |
$500.65 |
| 0760 |
|
36 |
35 |
$490.84 |
| 0064A |
|
12 |
12 |
$480.00 |
| G1004 |
Cdsm ndsc |
293 |
227 |
$459.83 |
| 96376 |
|
14 |
13 |
$459.78 |
| 88305 |
|
12 |
12 |
$424.86 |
| 82306 |
|
13 |
13 |
$414.40 |
| 71010 |
|
20 |
17 |
$394.44 |
| 82948 |
|
87 |
64 |
$387.25 |
| 94729 |
|
13 |
12 |
$373.05 |
| 87205 |
|
78 |
78 |
$356.58 |
| 29125 |
|
13 |
13 |
$351.68 |
| J0780 |
Prochlorperazine injection |
26 |
24 |
$280.84 |
| J2930 |
Methylprednisolone injection |
26 |
26 |
$257.07 |
| 87340 |
|
12 |
12 |
$193.69 |
| 82550 |
|
31 |
26 |
$179.42 |
| J1650 |
Inj enoxaparin sodium |
15 |
12 |
$178.38 |
| 82728 |
|
14 |
14 |
$176.28 |
| 84100 |
|
44 |
39 |
$134.80 |
| Q0162 |
Ondansetron oral |
16 |
16 |
$107.16 |
| J7512 |
Prednisone ir or dr oral 1mg |
17 |
17 |
$106.60 |
| 86308 |
|
13 |
13 |
$75.39 |
| J0136 |
Inj, acetaminophen (b braun) |
16 |
16 |
$55.38 |
| J2704 |
Inj, propofol, 10 mg |
14 |
12 |
$44.32 |
| J7620 |
Albuterol ipratrop non-comp |
16 |
15 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
51 |
42 |
$0.00 |