| Code | Description | Claims | Beneficiaries | Total Paid |
| 80053 |
|
14,805 |
12,026 |
$670K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,195 |
3,841 |
$434K |
| 0241U |
|
3,237 |
2,985 |
$420K |
| 70450 |
|
2,518 |
2,172 |
$370K |
| 80048 |
|
9,155 |
7,004 |
$296K |
| 97110 |
|
7,298 |
1,830 |
$274K |
| 74177 |
|
1,563 |
1,344 |
$218K |
| 85025 |
|
18,776 |
14,847 |
$129K |
| 36415 |
|
14,218 |
11,176 |
$88K |
| 80050 |
|
1,841 |
1,749 |
$83K |
| 96365 |
|
1,937 |
1,604 |
$79K |
| 87804 |
|
3,983 |
3,195 |
$74K |
| 74176 |
|
824 |
724 |
$71K |
| 80061 |
|
4,470 |
4,010 |
$56K |
| 71046 |
|
3,146 |
2,588 |
$53K |
| 87661 |
|
1,141 |
1,034 |
$51K |
| 96372 |
|
3,777 |
2,958 |
$47K |
| 87880 |
|
3,962 |
3,382 |
$46K |
| 87491 |
|
974 |
886 |
$46K |
| 87591 |
|
972 |
884 |
$46K |
| 96361 |
|
1,476 |
1,104 |
$44K |
| 84443 |
|
4,137 |
3,599 |
$42K |
| 85027 |
|
6,827 |
5,314 |
$39K |
| 87088 |
|
4,863 |
4,033 |
$39K |
| 81025 |
|
4,177 |
3,722 |
$37K |
| 71045 |
|
4,984 |
4,070 |
$36K |
| 84484 |
|
4,585 |
3,461 |
$34K |
| 86901 |
|
1,141 |
963 |
$33K |
| 80305 |
|
2,298 |
1,997 |
$32K |
| 93005 |
|
3,112 |
2,586 |
$29K |
| 96374 |
|
3,765 |
3,127 |
$29K |
| 87389 |
|
913 |
830 |
$29K |
| 82306 |
|
1,058 |
945 |
$28K |
| 80076 |
|
1,095 |
951 |
$28K |
| 83880 |
|
1,563 |
1,271 |
$27K |
| 77067 |
|
514 |
502 |
$25K |
| 73560 |
|
767 |
623 |
$25K |
| 82550 |
|
3,789 |
2,989 |
$25K |
| 83036 |
|
3,003 |
2,710 |
$25K |
| U0002 |
Covid-19 lab test non-cdc |
627 |
494 |
$22K |
| 81001 |
|
6,979 |
5,892 |
$22K |
| 80307 |
|
526 |
428 |
$21K |
| 87040 |
|
2,542 |
1,422 |
$20K |
| 87637 |
|
207 |
194 |
$20K |
| C9803 |
Hopd covid-19 spec collect |
6,757 |
6,087 |
$20K |
| 87070 |
|
1,731 |
1,277 |
$20K |
| 83690 |
|
2,814 |
2,353 |
$20K |
| 83605 |
|
2,042 |
1,500 |
$19K |
| 87077 |
|
2,246 |
1,881 |
$18K |
| 72125 |
|
162 |
147 |
$18K |
| 86900 |
|
1,142 |
964 |
$17K |
| 99283 |
|
1,264 |
1,025 |
$16K |
| M0243 |
Casirivi and imdevi inj |
85 |
85 |
$16K |
| 87086 |
|
1,672 |
1,482 |
$15K |
| 97162 |
|
150 |
144 |
$13K |
| 80306 |
|
697 |
570 |
$13K |
| 96375 |
|
2,169 |
1,760 |
$13K |
| 81003 |
|
6,289 |
5,289 |
$13K |
| 72100 |
|
379 |
340 |
$12K |
| 93306 |
|
62 |
58 |
$12K |
| 82077 |
|
620 |
533 |
$11K |
| 73630 |
|
301 |
259 |
$10K |
| 74018 |
|
537 |
449 |
$10K |
| T1015 |
Clinic service |
874 |
641 |
$10K |
| 87186 |
|
1,964 |
1,634 |
$10K |
| J2405 |
Ondansetron hcl injection |
3,812 |
3,054 |
$9K |
| 86803 |
|
424 |
391 |
$8K |
| 87651 |
|
175 |
162 |
$8K |
| 87426 |
|
237 |
214 |
$8K |
| 86780 |
|
420 |
379 |
$8K |
| 83735 |
|
1,573 |
1,298 |
$8K |
| 82150 |
|
1,197 |
1,013 |
$8K |
| 73610 |
|
379 |
306 |
$8K |
| J0696 |
Ceftriaxone sodium injection |
1,281 |
1,049 |
$7K |
| 82803 |
|
366 |
266 |
$7K |
| 72148 |
|
27 |
26 |
$7K |
| 80320 |
|
404 |
334 |
$6K |
| 82607 |
|
408 |
379 |
$6K |
| 85007 |
|
2,071 |
1,614 |
$6K |
| J1885 |
Ketorolac tromethamine inj |
2,649 |
2,162 |
$6K |
| 94640 |
|
1,122 |
911 |
$6K |
| 71020 |
|
513 |
372 |
$6K |
| 99284 |
|
1,584 |
1,251 |
$6K |
| 82962 |
|
1,141 |
565 |
$5K |
| 85610 |
|
1,981 |
1,575 |
$5K |
| 96376 |
|
282 |
206 |
$5K |
| 76830 |
|
74 |
71 |
$5K |
| 76805 |
|
96 |
91 |
$5K |
| 82375 |
|
376 |
286 |
$5K |
| 87340 |
|
336 |
308 |
$5K |
| 86850 |
|
975 |
838 |
$5K |
| 82947 |
|
1,046 |
811 |
$5K |
| 73721 |
|
21 |
14 |
$5K |
| 87631 |
|
64 |
57 |
$4K |
| 73030 |
|
170 |
140 |
$4K |
| 85379 |
|
520 |
476 |
$4K |
| J1100 |
Dexamethasone sodium phos |
993 |
843 |
$4K |
| 87807 |
|
349 |
309 |
$4K |
| 77080 |
|
80 |
76 |
$4K |
| 86762 |
|
179 |
168 |
$4K |
| 80179 |
|
185 |
165 |
$4K |
| 80329 |
|
214 |
153 |
$3K |
| 80143 |
|
159 |
139 |
$3K |
| 97001 |
|
96 |
83 |
$2K |
| 73130 |
|
78 |
66 |
$2K |
| 82805 |
|
93 |
74 |
$2K |
| 96360 |
|
179 |
149 |
$2K |
| 85730 |
|
485 |
435 |
$2K |
| 87081 |
|
195 |
171 |
$2K |
| 84436 |
|
209 |
200 |
$2K |
| 87205 |
|
312 |
248 |
$1K |
| 86592 |
|
269 |
239 |
$1K |
| 99285 |
|
27 |
27 |
$1K |
| 71010 |
|
215 |
183 |
$1K |
| 73502 |
|
49 |
38 |
$1K |
| 87502 |
|
18 |
14 |
$1K |
| 74000 |
|
86 |
58 |
$1K |
| 0353U |
|
494 |
444 |
$919.89 |
| 82677 |
|
27 |
25 |
$863.50 |
| 87635 |
|
89 |
70 |
$803.41 |
| 73110 |
|
27 |
25 |
$791.96 |
| 82570 |
|
165 |
147 |
$756.96 |
| 97530 |
|
60 |
13 |
$708.08 |
| 72040 |
|
33 |
25 |
$691.92 |
| J2001 |
Lidocaine injection |
903 |
758 |
$659.34 |
| 82105 |
|
27 |
25 |
$598.75 |
| 82728 |
|
46 |
39 |
$588.58 |
| 85055 |
|
42 |
37 |
$573.04 |
| 86336 |
|
27 |
25 |
$544.25 |
| 82248 |
|
87 |
77 |
$528.40 |
| 84702 |
|
51 |
43 |
$519.30 |
| 76705 |
|
16 |
12 |
$512.07 |
| 82247 |
|
78 |
38 |
$473.22 |
| J2270 |
Morphine sulfate injection |
2,093 |
1,526 |
$411.02 |
| 84703 |
|
46 |
41 |
$367.91 |
| 97032 |
|
91 |
26 |
$326.82 |
| J2930 |
Methylprednisolone injection |
180 |
155 |
$322.32 |
| J2272 |
Inj, morphine (fresenius) |
412 |
318 |
$314.46 |
| 74022 |
|
13 |
12 |
$256.00 |
| J2704 |
Inj, propofol, 10 mg |
309 |
276 |
$235.35 |
| 77063 |
|
14 |
14 |
$227.62 |
| 84550 |
|
54 |
51 |
$215.70 |
| 80349 |
|
15 |
13 |
$213.50 |
| J2250 |
Inj midazolam hydrochloride |
529 |
432 |
$207.89 |
| 82043 |
|
39 |
38 |
$185.40 |
| J7030 |
Normal saline solution infus |
2,000 |
1,543 |
$168.59 |
| 85652 |
|
56 |
51 |
$153.70 |
| 81002 |
|
85 |
67 |
$146.40 |
| 83540 |
|
28 |
24 |
$144.79 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
56 |
42 |
$140.05 |
| J7120 |
Ringers lactate infusion |
1,272 |
950 |
$137.13 |
| 80164 |
|
14 |
12 |
$119.65 |
| 81015 |
|
120 |
109 |
$113.68 |
| 84439 |
|
15 |
14 |
$106.52 |
| 82950 |
|
12 |
12 |
$90.85 |
| J2060 |
Lorazepam injection |
118 |
96 |
$80.68 |
| J3010 |
Fentanyl citrate injection |
205 |
162 |
$78.01 |
| 36600 |
|
424 |
329 |
$71.60 |
| 84450 |
|
12 |
12 |
$66.42 |
| A9270 |
Non-covered item or service |
2,760 |
656 |
$53.75 |
| 84100 |
|
16 |
12 |
$40.68 |
| 90686 |
|
21 |
19 |
$36.64 |
| 90471 |
|
18 |
14 |
$29.83 |
| J7050 |
Normal saline solution infus |
3,177 |
1,868 |
$28.83 |
| J1200 |
Diphenhydramine hcl injectio |
32 |
25 |
$20.18 |
| J1170 |
Hydromorphone injection |
76 |
39 |
$9.03 |
| J2550 |
Promethazine hcl injection |
30 |
25 |
$5.44 |
| G0103 |
Psa screening |
64 |
61 |
$4.13 |
| G1004 |
Cdsm ndsc |
275 |
205 |
$0.98 |
| Q0162 |
Ondansetron oral |
110 |
94 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
2,965 |
2,768 |
$0.00 |
| G0378 |
Hospital observation per hr |
29 |
24 |
$0.00 |
| J1815 |
Insulin injection |
49 |
26 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
18 |
12 |
$0.00 |
| 0202U |
|
12 |
12 |
$0.00 |
| J7040 |
Normal saline solution infus |
19 |
13 |
$0.00 |