| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
53,985 |
47,520 |
$2.05M |
| 70450 |
|
6,878 |
6,568 |
$608K |
| 87635 |
|
12,932 |
12,227 |
$469K |
| 74176 |
|
5,308 |
5,148 |
$467K |
| 93005 |
|
18,376 |
16,513 |
$329K |
| 99284 |
|
3,769 |
3,519 |
$317K |
| 96374 |
|
6,598 |
6,189 |
$286K |
| 0120 |
|
120 |
106 |
$278K |
| 74177 |
|
1,653 |
1,609 |
$258K |
| 99199 |
|
8,816 |
7,527 |
$232K |
| 80307 |
|
4,935 |
4,613 |
$221K |
| 99281 |
|
7,956 |
7,168 |
$213K |
| Z7502 |
|
5,662 |
5,563 |
$210K |
| 96372 |
|
11,010 |
10,378 |
$201K |
| 85025 |
|
37,517 |
32,778 |
$201K |
| 72125 |
|
1,695 |
1,616 |
$198K |
| 71045 |
|
16,530 |
15,497 |
$174K |
| 0762 |
|
3,278 |
1,902 |
$174K |
| 71275 |
|
1,071 |
1,036 |
$160K |
| 80048 |
|
23,832 |
21,843 |
$137K |
| 96375 |
|
5,120 |
4,788 |
$136K |
| 96365 |
|
2,384 |
2,253 |
$126K |
| 99283 |
|
2,137 |
1,974 |
$113K |
| 83880 |
|
5,345 |
4,988 |
$107K |
| 80053 |
|
14,130 |
12,755 |
$102K |
| 84484 |
|
12,599 |
11,067 |
$97K |
| G0480 |
Drug test def 1-7 classes |
1,896 |
1,750 |
$92K |
| 71046 |
|
5,458 |
5,280 |
$89K |
| 11043 |
|
2,979 |
1,011 |
$88K |
| 83690 |
|
15,931 |
14,665 |
$83K |
| 80076 |
|
13,434 |
12,544 |
$81K |
| 76856 |
|
1,716 |
1,670 |
$80K |
| 76705 |
|
1,851 |
1,791 |
$76K |
| 96360 |
|
1,692 |
1,630 |
$76K |
| 96361 |
|
4,513 |
4,243 |
$74K |
| 87086 |
|
13,380 |
12,575 |
$73K |
| 93306 |
|
486 |
459 |
$70K |
| 0160 |
|
1,631 |
1,067 |
$69K |
| 0360 |
|
1,567 |
920 |
$67K |
| J3490 |
Drugs unclassified injection |
24,583 |
13,048 |
$63K |
| 76801 |
|
1,375 |
1,197 |
$62K |
| 76700 |
|
1,007 |
991 |
$57K |
| 87040 |
|
5,776 |
4,911 |
$57K |
| 93971 |
|
727 |
708 |
$52K |
| 70551 |
|
278 |
266 |
$51K |
| 0270 |
|
16,468 |
8,788 |
$46K |
| 81003 |
|
25,455 |
23,671 |
$42K |
| 99285 |
|
204 |
197 |
$41K |
| 93970 |
|
353 |
342 |
$41K |
| J7030 |
Normal saline solution infus |
7,145 |
5,632 |
$39K |
| 11042 |
|
2,759 |
1,174 |
$39K |
| 84703 |
|
8,572 |
8,126 |
$38K |
| 70496 |
|
258 |
248 |
$38K |
| J0696 |
Ceftriaxone sodium injection |
4,624 |
4,287 |
$35K |
| 0259 |
|
11,903 |
7,800 |
$35K |
| G0378 |
Hospital observation per hr |
210 |
131 |
$34K |
| 0301 |
|
1,328 |
1,219 |
$33K |
| J1885 |
Ketorolac tromethamine inj |
7,278 |
6,901 |
$33K |
| 99000 |
|
15,510 |
14,046 |
$33K |
| 94640 |
|
2,400 |
2,124 |
$30K |
| 85730 |
|
6,758 |
6,310 |
$30K |
| 87491 |
|
1,242 |
1,207 |
$29K |
| 0250 |
|
6,663 |
4,653 |
$28K |
| 73630 |
|
1,559 |
1,522 |
$28K |
| J2270 |
Morphine sulfate injection |
5,208 |
4,266 |
$27K |
| C9803 |
Hopd covid-19 spec collect |
2,011 |
1,931 |
$27K |
| 73610 |
|
1,412 |
1,377 |
$26K |
| 99212 |
|
288 |
270 |
$26K |
| E0114 |
Crutch underarm pair no wood |
934 |
895 |
$25K |
| 90715 |
|
811 |
803 |
$25K |
| 85610 |
|
7,069 |
6,579 |
$24K |
| 87186 |
|
3,697 |
3,467 |
$24K |
| J2405 |
Ondansetron hcl injection |
6,316 |
5,546 |
$23K |
| 73130 |
|
1,163 |
1,142 |
$23K |
| 86140 |
|
6,259 |
5,966 |
$22K |
| 72100 |
|
1,003 |
980 |
$22K |
| 83605 |
|
2,910 |
2,597 |
$21K |
| 73030 |
|
1,109 |
1,075 |
$21K |
| 70498 |
|
206 |
198 |
$21K |
| 84702 |
|
2,128 |
1,894 |
$19K |
| 76805 |
|
318 |
297 |
$19K |
| 87501 |
|
636 |
614 |
$18K |
| 85379 |
|
2,589 |
2,493 |
$18K |
| 87591 |
|
769 |
741 |
$18K |
| 82947 |
|
5,556 |
3,622 |
$18K |
| 70486 |
|
176 |
175 |
$17K |
| 0710 |
|
1,190 |
1,153 |
$17K |
| 73562 |
|
845 |
829 |
$16K |
| 0252 |
|
5,835 |
4,551 |
$16K |
| 81025 |
|
3,851 |
3,735 |
$15K |
| 73110 |
|
687 |
679 |
$15K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,416 |
1,348 |
$14K |
| 84443 |
|
1,180 |
1,131 |
$13K |
| 0272 |
|
4,561 |
3,543 |
$13K |
| 80305 |
|
1,208 |
1,114 |
$13K |
| 87804 |
|
2,190 |
2,093 |
$12K |
| 0278 |
|
32 |
29 |
$11K |
| J1100 |
Dexamethasone sodium phos |
2,564 |
2,455 |
$11K |
| 36415 |
|
16,037 |
13,458 |
$10K |
| 94664 |
|
1,306 |
1,049 |
$10K |
| Z7610 |
|
1,585 |
991 |
$9K |
| 73564 |
|
392 |
382 |
$9K |
| 82550 |
|
1,785 |
1,684 |
$9K |
| 96366 |
|
208 |
201 |
$9K |
| A4217 |
Sterile water/saline, 500 ml |
1,654 |
1,553 |
$9K |
| 0510 |
|
432 |
307 |
$9K |
| Z7500 |
|
242 |
216 |
$8K |
| 73080 |
|
402 |
394 |
$8K |
| 0761 |
|
510 |
212 |
$8K |
| J7050 |
Normal saline solution infus |
1,883 |
1,469 |
$8K |
| J2001 |
Lidocaine injection |
2,314 |
2,084 |
$7K |
| 59899 |
|
1,450 |
898 |
$7K |
| 73590 |
|
410 |
398 |
$7K |
| G0463 |
Hospital outpt clinic visit |
313 |
203 |
$7K |
| 0001A |
|
166 |
166 |
$7K |
| 83735 |
|
1,409 |
1,037 |
$7K |
| 97163 |
|
199 |
184 |
$7K |
| J2060 |
Lorazepam injection |
1,519 |
1,223 |
$6K |
| 85027 |
|
1,443 |
1,352 |
$6K |
| 86900 |
|
2,936 |
2,772 |
$6K |
| 86901 |
|
2,368 |
2,249 |
$5K |
| J1200 |
Diphenhydramine hcl injectio |
1,402 |
1,265 |
$5K |
| 86850 |
|
1,297 |
1,250 |
$5K |
| J7040 |
Normal saline solution infus |
1,389 |
1,200 |
$5K |
| 80061 |
|
571 |
539 |
$5K |
| J7120 |
Ringers lactate infusion |
1,373 |
858 |
$5K |
| 0257 |
|
2,389 |
2,060 |
$5K |
| 59425 |
|
159 |
109 |
$5K |
| 82553 |
|
553 |
519 |
$4K |
| J1170 |
Hydromorphone injection |
916 |
745 |
$4K |
| 90471 |
|
1,321 |
1,310 |
$4K |
| J1644 |
Inj heparin sodium per 1000u |
719 |
415 |
$4K |
| 73090 |
|
235 |
225 |
$4K |
| 84145 |
|
253 |
245 |
$3K |
| 74022 |
|
98 |
95 |
$3K |
| 85007 |
|
1,435 |
1,356 |
$3K |
| 82805 |
|
120 |
115 |
$3K |
| J1815 |
Insulin injection |
575 |
294 |
$3K |
| 86738 |
|
279 |
236 |
$3K |
| 84100 |
|
838 |
571 |
$3K |
| 74018 |
|
199 |
192 |
$3K |
| 94729 |
|
94 |
94 |
$3K |
| 0271 |
|
1,899 |
1,589 |
$3K |
| 83036 |
|
419 |
400 |
$3K |
| 87880 |
|
518 |
506 |
$2K |
| J2765 |
Metoclopramide hcl injection |
627 |
578 |
$2K |
| A4649 |
Surgical supplies |
2,434 |
992 |
$2K |
| 71020 |
|
106 |
44 |
$2K |
| 82150 |
|
365 |
348 |
$2K |
| 87634 |
|
50 |
46 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
858 |
758 |
$2K |
| 87581 |
|
87 |
87 |
$2K |
| 90714 |
|
208 |
204 |
$2K |
| J3010 |
Fentanyl citrate injection |
659 |
594 |
$2K |
| 92611 |
|
63 |
59 |
$2K |
| 94726 |
|
83 |
83 |
$2K |
| J2930 |
Methylprednisolone injection |
233 |
218 |
$2K |
| 0300 |
|
844 |
686 |
$2K |
| 87205 |
|
581 |
538 |
$2K |
| L1830 |
Ko immob canvas long pre ots |
24 |
24 |
$2K |
| 82140 |
|
176 |
161 |
$1K |
| 88305 |
|
105 |
95 |
$1K |
| 0002A |
|
31 |
31 |
$1K |
| 87420 |
|
359 |
339 |
$1K |
| 71250 |
|
13 |
13 |
$1K |
| 76870 |
|
24 |
24 |
$940.49 |
| 29125 |
|
106 |
80 |
$897.80 |
| 0750 |
|
13 |
12 |
$815.20 |
| 0305 |
|
621 |
548 |
$762.15 |
| 12001 |
|
16 |
12 |
$759.81 |
| 51701 |
|
31 |
14 |
$742.85 |
| 72131 |
|
12 |
12 |
$696.47 |
| 0258 |
|
568 |
475 |
$669.82 |
| J2175 |
Meperidine hydrochl /100 mg |
116 |
103 |
$664.83 |
| 76775 |
|
25 |
24 |
$657.95 |
| 99001 |
|
6,668 |
6,363 |
$637.58 |
| 73552 |
|
26 |
26 |
$632.93 |
| 72040 |
|
30 |
28 |
$616.64 |
| J0131 |
Inj, acetaminophen (nos) |
222 |
211 |
$560.80 |
| 73060 |
|
28 |
28 |
$507.72 |
| 0636 |
|
275 |
227 |
$507.34 |
| 0324 |
|
192 |
179 |
$434.98 |
| 86592 |
|
83 |
83 |
$402.93 |
| 99070 |
|
565 |
336 |
$364.19 |
| 73140 |
|
26 |
25 |
$340.85 |
| J0360 |
Hydralazine hcl injection |
33 |
31 |
$300.27 |
| 96376 |
|
97 |
87 |
$284.10 |
| J3475 |
Inj magnesium sulfate |
45 |
38 |
$277.17 |
| 87071 |
|
13 |
13 |
$274.66 |
| 76815 |
|
20 |
12 |
$256.38 |
| 96379 |
|
238 |
217 |
$246.43 |
| 87070 |
|
75 |
70 |
$233.58 |
| 72072 |
|
12 |
12 |
$214.14 |
| 94618 |
|
12 |
12 |
$204.05 |
| 0402 |
|
26 |
25 |
$198.46 |
| 0279 |
|
321 |
300 |
$197.06 |
| 85651 |
|
122 |
114 |
$194.11 |
| 97165 |
|
14 |
14 |
$186.31 |
| 0251 |
|
183 |
169 |
$176.52 |
| 86308 |
|
57 |
54 |
$171.78 |
| J0780 |
Prochlorperazine injection |
32 |
31 |
$168.10 |
| J0690 |
Cefazolin sodium injection |
67 |
65 |
$160.29 |
| Q0144 |
Azithromycin dihydrate, oral |
18 |
17 |
$159.52 |
| J0330 |
Succinycholine chloride inj |
13 |
12 |
$146.51 |
| 29515 |
|
25 |
25 |
$140.55 |
| 0320 |
|
14 |
14 |
$122.28 |
| J7060 |
5% dextrose/water |
24 |
18 |
$122.27 |
| 29530 |
|
19 |
12 |
$99.67 |
| J1630 |
Haloperidol injection |
30 |
25 |
$99.28 |
| J7070 |
D5w infusion |
15 |
12 |
$79.30 |
| 82010 |
|
13 |
13 |
$63.44 |
| J0171 |
Adrenalin epinephrine inject |
12 |
12 |
$55.92 |
| 94760 |
|
23 |
15 |
$54.28 |
| 84479 |
|
12 |
12 |
$41.88 |
| Q0162 |
Ondansetron oral |
20 |
20 |
$35.81 |
| 0307 |
|
253 |
230 |
$21.55 |
| A4300 |
Cath impl vasc access portal |
12 |
12 |
$7.55 |
| 0306 |
|
202 |
179 |
$0.00 |
| 0370 |
|
29 |
27 |
$0.00 |
| 0310 |
|
120 |
101 |
$0.00 |
| S9445 |
Pt education noc individ |
218 |
91 |
$0.00 |
| 0730 |
|
149 |
138 |
$0.00 |
| 0483 |
|
13 |
12 |
$0.00 |
| 0302 |
|
255 |
215 |
$0.00 |
| 0424 |
|
12 |
12 |
$0.00 |