| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
83,503 |
75,084 |
$5.49M |
| 70450 |
|
8,319 |
7,996 |
$1.21M |
| 74177 |
|
4,752 |
4,549 |
$979K |
| 93005 |
|
29,264 |
26,685 |
$810K |
| 80053 |
|
29,637 |
27,438 |
$797K |
| 99285 |
|
2,639 |
2,484 |
$600K |
| 85025 |
|
46,609 |
42,041 |
$599K |
| 96374 |
|
13,689 |
12,526 |
$575K |
| 99199 |
|
6,336 |
5,732 |
$464K |
| 93970 |
|
2,966 |
2,855 |
$449K |
| 99284 |
|
3,649 |
3,444 |
$422K |
| 71045 |
|
21,859 |
20,543 |
$395K |
| 74176 |
|
3,261 |
3,158 |
$372K |
| 96375 |
|
11,733 |
10,384 |
$359K |
| 84484 |
|
20,679 |
18,413 |
$358K |
| 80048 |
|
15,965 |
14,627 |
$339K |
| Z7502 |
|
8,608 |
7,958 |
$334K |
| 99281 |
|
5,258 |
4,701 |
$332K |
| 80307 |
|
4,567 |
3,928 |
$321K |
| 96365 |
|
4,834 |
4,565 |
$317K |
| 76700 |
|
4,221 |
4,070 |
$314K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,587 |
4,312 |
$246K |
| U0002 |
Covid-19 lab test non-cdc |
5,822 |
5,512 |
$242K |
| 96361 |
|
10,603 |
9,571 |
$240K |
| 72125 |
|
1,122 |
1,094 |
$230K |
| 96372 |
|
10,627 |
9,845 |
$216K |
| 99283 |
|
2,510 |
2,328 |
$209K |
| 96360 |
|
3,318 |
3,211 |
$193K |
| 76856 |
|
2,559 |
2,459 |
$158K |
| J7030 |
Normal saline solution infus |
14,034 |
12,410 |
$151K |
| J3490 |
Drugs unclassified injection |
15,061 |
12,350 |
$148K |
| 83880 |
|
5,051 |
4,705 |
$145K |
| 87086 |
|
10,033 |
9,588 |
$144K |
| 71046 |
|
6,170 |
5,948 |
$134K |
| 83690 |
|
15,184 |
14,035 |
$122K |
| 81001 |
|
19,112 |
18,108 |
$121K |
| J2405 |
Ondansetron hcl injection |
9,915 |
8,939 |
$120K |
| 76830 |
|
2,012 |
1,938 |
$117K |
| 71275 |
|
394 |
384 |
$109K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,614 |
6,235 |
$106K |
| 87040 |
|
4,015 |
3,450 |
$102K |
| 87400 |
|
6,583 |
5,927 |
$88K |
| 76801 |
|
1,578 |
1,413 |
$82K |
| 0360 |
|
1,748 |
1,364 |
$73K |
| 76817 |
|
1,475 |
1,331 |
$71K |
| 81025 |
|
12,197 |
11,470 |
$71K |
| 73564 |
|
2,533 |
2,441 |
$71K |
| 84703 |
|
5,170 |
4,944 |
$69K |
| 72100 |
|
2,030 |
1,985 |
$67K |
| 0270 |
|
8,031 |
6,447 |
$65K |
| J1885 |
Ketorolac tromethamine inj |
8,666 |
8,212 |
$59K |
| 0250 |
|
1,277 |
1,087 |
$58K |
| 76770 |
|
834 |
800 |
$54K |
| 0272 |
|
8,690 |
6,791 |
$53K |
| J8499 |
Oral prescrip drug non chemo |
10,447 |
6,028 |
$52K |
| 83605 |
|
4,216 |
3,778 |
$52K |
| J2270 |
Morphine sulfate injection |
7,889 |
6,189 |
$50K |
| 85610 |
|
6,454 |
6,033 |
$48K |
| 73030 |
|
1,880 |
1,824 |
$47K |
| 76705 |
|
874 |
842 |
$47K |
| 73610 |
|
1,693 |
1,642 |
$47K |
| 94640 |
|
2,428 |
1,544 |
$47K |
| J1100 |
Dexamethasone sodium phos |
2,628 |
2,507 |
$46K |
| 80076 |
|
3,962 |
3,794 |
$45K |
| 73630 |
|
1,937 |
1,875 |
$45K |
| 94664 |
|
2,879 |
2,541 |
$44K |
| 90715 |
|
1,309 |
1,268 |
$39K |
| J0696 |
Ceftriaxone sodium injection |
3,799 |
3,538 |
$38K |
| 73130 |
|
1,515 |
1,472 |
$37K |
| 85730 |
|
4,223 |
3,951 |
$36K |
| 87186 |
|
2,745 |
2,663 |
$36K |
| 87077 |
|
2,774 |
2,690 |
$35K |
| 80047 |
|
2,226 |
2,144 |
$35K |
| 83735 |
|
3,159 |
2,776 |
$32K |
| 96366 |
|
604 |
513 |
$29K |
| 93306 |
|
73 |
69 |
$29K |
| 0710 |
|
2,420 |
2,288 |
$25K |
| 87430 |
|
3,008 |
2,909 |
$23K |
| 96376 |
|
1,464 |
1,214 |
$23K |
| 84443 |
|
1,619 |
1,549 |
$23K |
| 84702 |
|
1,872 |
1,662 |
$22K |
| 72040 |
|
817 |
798 |
$21K |
| 82962 |
|
5,041 |
3,163 |
$21K |
| 85379 |
|
1,866 |
1,816 |
$21K |
| U0005 |
Infec agen detec ampli probe |
1,785 |
1,665 |
$20K |
| 70486 |
|
136 |
129 |
$18K |
| 73502 |
|
416 |
396 |
$16K |
| J1200 |
Diphenhydramine hcl injectio |
2,696 |
2,499 |
$16K |
| 81003 |
|
5,447 |
5,185 |
$15K |
| 36415 |
|
4,097 |
3,519 |
$14K |
| 73110 |
|
510 |
492 |
$14K |
| J7040 |
Normal saline solution infus |
3,321 |
2,816 |
$14K |
| J2765 |
Metoclopramide hcl injection |
1,964 |
1,778 |
$13K |
| 86901 |
|
2,354 |
2,251 |
$13K |
| 86900 |
|
2,355 |
2,252 |
$12K |
| J2704 |
Inj, propofol, 10 mg |
1,217 |
1,133 |
$11K |
| J2060 |
Lorazepam injection |
1,137 |
1,046 |
$11K |
| 87591 |
|
1,353 |
1,312 |
$10K |
| J7512 |
Prednisone ir or dr oral 1mg |
575 |
517 |
$9K |
| 87491 |
|
1,208 |
1,157 |
$9K |
| 0762 |
|
266 |
132 |
$9K |
| 87420 |
|
1,147 |
1,120 |
$8K |
| A0429 |
Bls-emergency |
245 |
163 |
$8K |
| 0300 |
|
222 |
122 |
$8K |
| J7050 |
Normal saline solution infus |
748 |
628 |
$7K |
| 88305 |
|
944 |
909 |
$7K |
| 84100 |
|
1,202 |
1,077 |
$7K |
| 0750 |
|
300 |
288 |
$6K |
| J2930 |
Methylprednisolone injection |
601 |
567 |
$6K |
| 90471 |
|
1,183 |
1,160 |
$6K |
| 86850 |
|
660 |
637 |
$6K |
| 96367 |
|
153 |
142 |
$6K |
| 73590 |
|
241 |
237 |
$6K |
| 87070 |
|
474 |
463 |
$5K |
| 0160 |
|
107 |
55 |
$5K |
| J3010 |
Fentanyl citrate injection |
2,706 |
2,520 |
$5K |
| 93976 |
|
48 |
44 |
$5K |
| 85027 |
|
1,151 |
996 |
$5K |
| 43239 |
|
334 |
325 |
$5K |
| Z7610 |
|
350 |
328 |
$5K |
| J0690 |
Cefazolin sodium injection |
751 |
658 |
$5K |
| A4217 |
Sterile water/saline, 500 ml |
719 |
658 |
$4K |
| 93017 |
|
98 |
93 |
$4K |
| J2250 |
Inj midazolam hydrochloride |
2,086 |
1,926 |
$4K |
| 73140 |
|
229 |
219 |
$4K |
| A9150 |
Misc/exper non-prescript dru |
1,933 |
1,491 |
$4K |
| 82550 |
|
546 |
483 |
$4K |
| 87210 |
|
908 |
881 |
$4K |
| 0320 |
|
241 |
222 |
$3K |
| J0780 |
Prochlorperazine injection |
283 |
274 |
$3K |
| 73080 |
|
167 |
163 |
$3K |
| J7060 |
5% dextrose/water |
525 |
436 |
$3K |
| A9500 |
Tc99m sestamibi |
41 |
40 |
$3K |
| J2274 |
Inj morphine pf epid ithc |
55 |
51 |
$3K |
| J1953 |
Levetiracetam injection |
14 |
12 |
$3K |
| A9270 |
Non-covered item or service |
1,557 |
1,183 |
$3K |
| 45378 |
|
207 |
193 |
$2K |
| 87426 |
|
97 |
93 |
$2K |
| 76870 |
|
52 |
51 |
$2K |
| J7120 |
Ringers lactate infusion |
217 |
202 |
$2K |
| 76805 |
|
29 |
27 |
$2K |
| 72072 |
|
68 |
68 |
$2K |
| 29125 |
|
182 |
173 |
$2K |
| J1170 |
Hydromorphone injection |
299 |
251 |
$2K |
| 93971 |
|
29 |
29 |
$2K |
| 84145 |
|
110 |
109 |
$2K |
| J3370 |
Vancomycin hcl injection |
77 |
64 |
$2K |
| J0500 |
Dicyclomine injection |
25 |
25 |
$2K |
| J2785 |
Regadenoson injection |
14 |
14 |
$1K |
| 0011A |
|
34 |
34 |
$1K |
| 71020 |
|
52 |
24 |
$1K |
| 71010 |
|
72 |
45 |
$1K |
| 94644 |
|
29 |
28 |
$1K |
| J1630 |
Haloperidol injection |
201 |
179 |
$1K |
| 99282 |
|
24 |
24 |
$974.83 |
| 74018 |
|
47 |
44 |
$889.15 |
| 0258 |
|
43 |
37 |
$828.73 |
| 73090 |
|
61 |
57 |
$782.10 |
| S0164 |
Injection pantroprazole |
85 |
70 |
$685.44 |
| 71100 |
|
38 |
38 |
$652.76 |
| 0012A |
|
16 |
16 |
$640.00 |
| 99070 |
|
494 |
305 |
$563.86 |
| J2543 |
Piperacillin/tazobactam |
30 |
27 |
$539.48 |
| 76815 |
|
13 |
13 |
$538.97 |
| 86140 |
|
96 |
95 |
$477.95 |
| 88312 |
|
192 |
184 |
$425.79 |
| J1940 |
Furosemide injection |
67 |
61 |
$404.85 |
| J2710 |
Neostigmine methylslfte inj |
15 |
12 |
$371.23 |
| 83036 |
|
54 |
51 |
$362.62 |
| 82805 |
|
13 |
13 |
$235.62 |
| 82140 |
|
29 |
26 |
$234.19 |
| 86308 |
|
58 |
54 |
$222.38 |
| 29515 |
|
29 |
29 |
$211.70 |
| J1644 |
Inj heparin sodium per 1000u |
61 |
43 |
$191.80 |
| J0360 |
Hydralazine hcl injection |
16 |
14 |
$151.56 |
| J3475 |
Inj magnesium sulfate |
17 |
16 |
$146.95 |
| 12001 |
|
16 |
13 |
$144.64 |
| A4649 |
Surgical supplies |
293 |
269 |
$134.89 |
| 94760 |
|
26 |
19 |
$129.32 |
| 84439 |
|
14 |
12 |
$106.85 |
| 80061 |
|
13 |
13 |
$99.15 |
| J1815 |
Insulin injection |
45 |
26 |
$84.57 |
| 83615 |
|
13 |
13 |
$81.71 |
| 0760 |
|
12 |
12 |
$65.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
12 |
12 |
$60.50 |
| 10060 |
|
12 |
12 |
$60.00 |
| 85651 |
|
14 |
13 |
$48.43 |
| 85014 |
|
27 |
27 |
$30.00 |
| 45380 |
|
26 |
26 |
$30.00 |
| 84550 |
|
13 |
13 |
$28.09 |
| J7611 |
Albuterol non-comp con |
88 |
83 |
$24.45 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
14 |
12 |
$16.30 |
| 0730 |
|
14 |
13 |
$0.00 |
| S9445 |
Pt education noc individ |
65 |
63 |
$0.00 |
| 0370 |
|
116 |
96 |
$0.00 |