| Code | Description | Claims | Beneficiaries | Total Paid |
| 80053 |
|
27,098 |
22,924 |
$2.64M |
| 99283 |
|
32,777 |
29,022 |
$1.83M |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,901 |
4,531 |
$1.46M |
| J7030 |
Normal saline solution infus |
8,230 |
6,708 |
$1.34M |
| 87636 |
|
8,283 |
7,629 |
$1.24M |
| 81001 |
|
18,246 |
16,080 |
$817K |
| J7120 |
Ringers lactate infusion |
1,745 |
1,550 |
$650K |
| 99282 |
|
3,305 |
3,093 |
$498K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,864 |
4,644 |
$438K |
| 80048 |
|
4,144 |
3,365 |
$328K |
| 36415 |
|
3,307 |
3,029 |
$218K |
| 80307 |
|
4,503 |
4,074 |
$189K |
| 87491 |
|
4,528 |
4,224 |
$172K |
| 96372 |
|
4,491 |
3,963 |
$172K |
| 87804 |
|
2,061 |
1,862 |
$169K |
| 71046 |
|
4,121 |
3,839 |
$164K |
| 87081 |
|
1,458 |
1,366 |
$151K |
| 73610 |
|
1,126 |
1,045 |
$146K |
| 81025 |
|
8,272 |
7,448 |
$146K |
| 73630 |
|
1,436 |
1,333 |
$142K |
| 71045 |
|
8,991 |
7,906 |
$139K |
| J7040 |
Normal saline solution infus |
1,037 |
966 |
$132K |
| 87070 |
|
734 |
690 |
$121K |
| 76830 |
|
828 |
804 |
$114K |
| 73130 |
|
754 |
710 |
$111K |
| 87075 |
|
1,190 |
1,126 |
$109K |
| 70450 |
|
3,670 |
3,403 |
$108K |
| 81003 |
|
1,363 |
1,227 |
$96K |
| 73562 |
|
1,213 |
1,147 |
$94K |
| 99284 |
|
11,023 |
9,855 |
$86K |
| 93306 |
|
869 |
858 |
$85K |
| 73030 |
|
903 |
845 |
$85K |
| J7050 |
Normal saline solution infus |
694 |
626 |
$69K |
| 72100 |
|
1,270 |
1,197 |
$64K |
| 87086 |
|
7,635 |
6,961 |
$62K |
| 87661 |
|
2,962 |
2,747 |
$62K |
| 73110 |
|
429 |
397 |
$56K |
| 82947 |
|
357 |
319 |
$42K |
| 85025 |
|
28,215 |
23,437 |
$37K |
| 87880 |
|
2,567 |
2,391 |
$35K |
| 84484 |
|
8,677 |
6,101 |
$35K |
| 86780 |
|
814 |
766 |
$33K |
| 96374 |
|
7,786 |
6,838 |
$33K |
| 81015 |
|
442 |
411 |
$32K |
| 72125 |
|
1,109 |
1,047 |
$32K |
| 84702 |
|
1,601 |
1,319 |
$28K |
| 74018 |
|
688 |
643 |
$27K |
| 86756 |
|
171 |
154 |
$27K |
| 93971 |
|
152 |
144 |
$25K |
| 74176 |
|
954 |
879 |
$25K |
| 76705 |
|
409 |
389 |
$24K |
| 94640 |
|
2,708 |
1,964 |
$22K |
| 84443 |
|
4,701 |
4,437 |
$21K |
| 87077 |
|
1,949 |
1,793 |
$19K |
| 83655 |
|
1,027 |
988 |
$17K |
| 99285 |
|
5,185 |
4,662 |
$15K |
| 77063 |
|
77 |
77 |
$15K |
| 83690 |
|
9,559 |
8,520 |
$14K |
| 83880 |
|
3,572 |
3,012 |
$14K |
| 71260 |
|
1,428 |
1,356 |
$12K |
| 87807 |
|
391 |
351 |
$12K |
| C1780 |
Lens, intraocular (new tech) |
99 |
93 |
$12K |
| 76856 |
|
976 |
948 |
$12K |
| 77067 |
|
447 |
439 |
$12K |
| 80061 |
|
3,218 |
3,096 |
$12K |
| 93005 |
|
10,581 |
9,070 |
$11K |
| 99281 |
|
95 |
87 |
$10K |
| 87430 |
|
566 |
531 |
$10K |
| 74177 |
|
3,093 |
2,864 |
$10K |
| 82306 |
|
851 |
821 |
$9K |
| 85379 |
|
1,139 |
1,072 |
$9K |
| 85027 |
|
3,066 |
2,591 |
$8K |
| 87040 |
|
2,361 |
1,549 |
$8K |
| A9576 |
Inj prohance multipack |
14 |
13 |
$8K |
| 87428 |
|
127 |
124 |
$7K |
| U0001 |
2019-ncov diagnostic p |
168 |
162 |
$7K |
| 83036 |
|
2,864 |
2,742 |
$7K |
| 73502 |
|
254 |
242 |
$6K |
| 82728 |
|
451 |
436 |
$5K |
| 73090 |
|
28 |
27 |
$5K |
| 99291 |
|
1,085 |
995 |
$5K |
| 87150 |
|
208 |
205 |
$5K |
| 84703 |
|
965 |
854 |
$4K |
| 87210 |
|
765 |
704 |
$4K |
| U0002 |
Covid-19 lab test non-cdc |
85 |
83 |
$4K |
| 86850 |
|
826 |
748 |
$4K |
| 72050 |
|
61 |
58 |
$4K |
| 84439 |
|
637 |
610 |
$4K |
| 82950 |
|
176 |
171 |
$4K |
| 86738 |
|
47 |
45 |
$3K |
| 86803 |
|
922 |
872 |
$3K |
| 96361 |
|
3,770 |
3,413 |
$3K |
| 96365 |
|
3,056 |
2,718 |
$3K |
| 96360 |
|
1,262 |
1,191 |
$3K |
| 73590 |
|
32 |
30 |
$3K |
| 12001 |
|
12 |
12 |
$3K |
| 93017 |
|
42 |
40 |
$2K |
| 87389 |
|
845 |
800 |
$2K |
| 83605 |
|
2,537 |
2,058 |
$2K |
| 74022 |
|
233 |
219 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
1,598 |
920 |
$2K |
| 85610 |
|
2,592 |
2,345 |
$2K |
| 74019 |
|
71 |
68 |
$2K |
| G0378 |
Hospital observation per hr |
1,352 |
944 |
$2K |
| 86704 |
|
62 |
47 |
$2K |
| 96375 |
|
3,996 |
3,530 |
$2K |
| 82570 |
|
184 |
168 |
$2K |
| 93970 |
|
16 |
16 |
$2K |
| 73564 |
|
25 |
24 |
$2K |
| 86900 |
|
1,300 |
1,164 |
$1K |
| 73140 |
|
15 |
12 |
$1K |
| 84436 |
|
728 |
687 |
$1K |
| 0241U |
|
15 |
15 |
$1K |
| 86140 |
|
1,425 |
1,272 |
$1K |
| 82077 |
|
1,752 |
1,558 |
$1K |
| 82607 |
|
317 |
307 |
$1K |
| 72070 |
|
13 |
13 |
$1K |
| 73080 |
|
24 |
24 |
$1K |
| 82803 |
|
457 |
375 |
$1K |
| J2270 |
Morphine sulfate injection |
2,593 |
2,076 |
$1K |
| 76801 |
|
76 |
64 |
$1K |
| 85007 |
|
189 |
176 |
$1K |
| 85652 |
|
349 |
315 |
$935.30 |
| J2405 |
Ondansetron hcl injection |
5,656 |
4,820 |
$867.50 |
| 83735 |
|
5,181 |
4,077 |
$841.48 |
| J1885 |
Ketorolac tromethamine inj |
7,421 |
4,950 |
$832.38 |
| 86762 |
|
221 |
196 |
$775.78 |
| J1650 |
Inj enoxaparin sodium |
499 |
172 |
$633.53 |
| 80050 |
|
15 |
13 |
$630.72 |
| G0463 |
Hospital outpt clinic visit |
14 |
12 |
$627.86 |
| 83540 |
|
306 |
295 |
$607.80 |
| 86787 |
|
260 |
228 |
$584.23 |
| 99213 |
|
14 |
12 |
$570.07 |
| 87140 |
|
1,299 |
1,176 |
$517.49 |
| J0696 |
Ceftriaxone sodium injection |
2,778 |
2,277 |
$512.54 |
| 87591 |
|
4,145 |
3,829 |
$433.55 |
| J2550 |
Promethazine hcl injection |
158 |
126 |
$421.22 |
| 94760 |
|
123 |
60 |
$329.85 |
| J1170 |
Hydromorphone injection |
448 |
352 |
$329.85 |
| 71275 |
|
197 |
177 |
$296.92 |
| J1100 |
Dexamethasone sodium phos |
3,556 |
2,500 |
$276.84 |
| 82550 |
|
818 |
686 |
$256.70 |
| 82043 |
|
95 |
90 |
$250.61 |
| G0659 |
Drug test def simple all cl |
361 |
343 |
$192.26 |
| 87340 |
|
623 |
581 |
$178.32 |
| 80143 |
|
28 |
26 |
$152.83 |
| J1200 |
Diphenhydramine hcl injectio |
941 |
849 |
$132.75 |
| 96376 |
|
190 |
177 |
$32.60 |
| 90715 |
|
297 |
282 |
$28.27 |
| 87186 |
|
2,779 |
2,489 |
$28.02 |
| 85660 |
|
221 |
195 |
$20.35 |
| 86901 |
|
1,299 |
1,163 |
$11.26 |
| 85730 |
|
2,266 |
2,073 |
$10.95 |
| 82553 |
|
571 |
474 |
$6.75 |
| 84132 |
|
13 |
12 |
$3.41 |
| 85014 |
|
20 |
19 |
$2.12 |
| 87205 |
|
189 |
179 |
$2.10 |
| J2765 |
Metoclopramide hcl injection |
280 |
247 |
$1.23 |
| J2001 |
Lidocaine injection |
1,999 |
1,520 |
$0.48 |
| J1644 |
Inj heparin sodium per 1000u |
136 |
64 |
$0.24 |
| J3010 |
Fentanyl citrate injection |
1,199 |
1,084 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
846 |
770 |
$0.00 |
| J3490 |
Drugs unclassified injection |
3,331 |
2,417 |
$0.00 |
| J8597 |
Antiemetic drug oral nos |
1,240 |
1,122 |
$0.00 |
| Q0162 |
Ondansetron oral |
1,542 |
1,430 |
$0.00 |
| J2060 |
Lorazepam injection |
310 |
257 |
$0.00 |
| 96366 |
|
165 |
145 |
$0.00 |
| 82150 |
|
347 |
316 |
$0.00 |
| A9270 |
Non-covered item or service |
261 |
242 |
$0.00 |
| 90471 |
|
143 |
136 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
314 |
283 |
$0.00 |
| 85018 |
|
46 |
44 |
$0.00 |
| P9612 |
Catheterize for urine spec |
12 |
12 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
75 |
67 |
$0.00 |
| J1940 |
Furosemide injection |
37 |
25 |
$0.00 |
| 88305 |
|
12 |
12 |
$0.00 |
| 66984 |
|
86 |
81 |
$0.00 |
| 86706 |
|
64 |
49 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
68 |
60 |
$0.00 |
| 76817 |
|
13 |
12 |
$0.00 |
| J1790 |
Droperidol injection |
17 |
16 |
$0.00 |
| 74021 |
|
15 |
13 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
127 |
113 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
134 |
113 |
$0.00 |
| G1004 |
Cdsm ndsc |
2,866 |
2,177 |
$0.00 |
| 80179 |
|
26 |
24 |
$0.00 |
| J0780 |
Prochlorperazine injection |
322 |
297 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
271 |
145 |
$0.00 |
| J2930 |
Methylprednisolone injection |
201 |
178 |
$0.00 |
| 84466 |
|
45 |
45 |
$0.00 |
| 84100 |
|
53 |
40 |
$0.00 |
| 85045 |
|
12 |
12 |
$0.00 |
| J1953 |
Levetiracetam injection |
13 |
12 |
$0.00 |
| 82397 |
|
16 |
12 |
$0.00 |
| J1956 |
Levofloxacin injection |
18 |
12 |
$0.00 |
| 87798 |
|
12 |
12 |
$0.00 |