| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99499 |
|
11,014 |
8,472 |
$1.81M |
| 0450 |
|
23,325 |
20,935 |
$1.47M |
| 99283 |
|
16,095 |
14,539 |
$916K |
| 0121 |
|
348 |
308 |
$613K |
| 96374 |
|
9,173 |
8,547 |
$556K |
| 74177 |
|
1,590 |
1,525 |
$341K |
| G0480 |
Drug test def 1-7 classes |
5,394 |
4,798 |
$336K |
| 70450 |
|
3,113 |
3,005 |
$308K |
| 93005 |
|
11,969 |
10,773 |
$272K |
| Z7502 |
|
5,988 |
5,878 |
$224K |
| 99285 |
|
2,381 |
2,265 |
$211K |
| 96372 |
|
8,541 |
7,463 |
$199K |
| 80053 |
|
20,849 |
18,766 |
$189K |
| 99284 |
|
2,917 |
2,733 |
$185K |
| 0300 |
|
361 |
352 |
$185K |
| 0250 |
|
6,228 |
3,024 |
$181K |
| 85025 |
|
26,404 |
23,320 |
$165K |
| 99199 |
|
3,173 |
2,866 |
$158K |
| 0730 |
|
192 |
190 |
$157K |
| 96375 |
|
5,763 |
5,241 |
$152K |
| 80307 |
|
1,908 |
1,770 |
$129K |
| 87426 |
|
4,323 |
4,160 |
$129K |
| 96361 |
|
6,887 |
6,331 |
$122K |
| 0270 |
|
6,171 |
3,475 |
$113K |
| 0301 |
|
182 |
178 |
$113K |
| 96360 |
|
1,928 |
1,879 |
$112K |
| 97110 |
|
5,452 |
1,731 |
$102K |
| C9803 |
Hopd covid-19 spec collect |
4,452 |
4,313 |
$94K |
| 71045 |
|
9,182 |
8,620 |
$93K |
| 74176 |
|
927 |
905 |
$93K |
| J3490 |
Drugs unclassified injection |
41,232 |
19,486 |
$91K |
| 87635 |
|
2,223 |
2,147 |
$89K |
| 96365 |
|
1,240 |
1,199 |
$87K |
| 97140 |
|
2,407 |
824 |
$78K |
| 72125 |
|
443 |
438 |
$71K |
| J1885 |
Ketorolac tromethamine inj |
9,843 |
7,755 |
$64K |
| 84484 |
|
7,904 |
6,397 |
$61K |
| 83690 |
|
8,696 |
8,004 |
$52K |
| J7030 |
Normal saline solution infus |
7,016 |
6,216 |
$51K |
| 0636 |
|
57 |
53 |
$47K |
| 83880 |
|
2,393 |
2,215 |
$47K |
| 71046 |
|
2,001 |
1,887 |
$41K |
| 76705 |
|
597 |
593 |
$38K |
| 87086 |
|
5,011 |
4,708 |
$37K |
| 80048 |
|
5,597 |
5,013 |
$35K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,785 |
2,465 |
$34K |
| G0500 |
Mod sedat endo service >5yrs |
767 |
764 |
$34K |
| 90715 |
|
825 |
814 |
$33K |
| 0762 |
|
34 |
15 |
$30K |
| 81025 |
|
6,075 |
5,670 |
$30K |
| 93970 |
|
130 |
126 |
$26K |
| 87804 |
|
3,440 |
1,748 |
$26K |
| 94640 |
|
1,637 |
1,290 |
$25K |
| 0305 |
|
182 |
178 |
$25K |
| J2405 |
Ondansetron hcl injection |
4,115 |
3,761 |
$23K |
| J0696 |
Ceftriaxone sodium injection |
2,268 |
1,849 |
$21K |
| 73630 |
|
885 |
807 |
$20K |
| 81001 |
|
7,109 |
6,668 |
$20K |
| 87491 |
|
907 |
850 |
$19K |
| 87591 |
|
910 |
851 |
$18K |
| 0306 |
|
117 |
115 |
$18K |
| 73562 |
|
894 |
818 |
$18K |
| 87040 |
|
2,280 |
1,186 |
$17K |
| 0258 |
|
300 |
292 |
$15K |
| 0324 |
|
151 |
150 |
$14K |
| J2250 |
Inj midazolam hydrochloride |
1,976 |
1,542 |
$14K |
| J2270 |
Morphine sulfate injection |
2,001 |
1,681 |
$14K |
| Z7610 |
|
1,208 |
758 |
$14K |
| 73610 |
|
577 |
546 |
$13K |
| 45378 |
|
240 |
239 |
$13K |
| 81003 |
|
6,573 |
6,181 |
$13K |
| 73130 |
|
537 |
507 |
$13K |
| 83605 |
|
1,604 |
1,420 |
$12K |
| 87186 |
|
1,752 |
1,619 |
$12K |
| 73030 |
|
477 |
449 |
$12K |
| 87637 |
|
89 |
87 |
$12K |
| 45385 |
|
63 |
62 |
$11K |
| 0460 |
|
79 |
79 |
$11K |
| 82962 |
|
5,219 |
3,109 |
$9K |
| 87070 |
|
1,137 |
1,070 |
$9K |
| 76830 |
|
144 |
136 |
$9K |
| 96366 |
|
427 |
391 |
$9K |
| 87880 |
|
950 |
915 |
$9K |
| J1100 |
Dexamethasone sodium phos |
477 |
369 |
$8K |
| 72100 |
|
304 |
291 |
$8K |
| 97139 |
|
59 |
22 |
$8K |
| 99152 |
|
130 |
129 |
$7K |
| 99406 |
|
564 |
556 |
$6K |
| 85730 |
|
1,319 |
1,225 |
$6K |
| 85610 |
|
1,973 |
1,847 |
$6K |
| J3010 |
Fentanyl citrate injection |
1,450 |
1,395 |
$6K |
| J1200 |
Diphenhydramine hcl injectio |
1,094 |
1,015 |
$6K |
| 0272 |
|
321 |
306 |
$6K |
| 87077 |
|
1,238 |
1,172 |
$6K |
| 84702 |
|
633 |
555 |
$5K |
| 85379 |
|
586 |
576 |
$5K |
| 93971 |
|
52 |
50 |
$5K |
| 84443 |
|
482 |
473 |
$4K |
| 83735 |
|
1,346 |
988 |
$4K |
| J2765 |
Metoclopramide hcl injection |
727 |
684 |
$4K |
| J2060 |
Lorazepam injection |
827 |
733 |
$4K |
| J1815 |
Insulin injection |
647 |
366 |
$4K |
| 70486 |
|
27 |
26 |
$3K |
| 97161 |
|
74 |
73 |
$3K |
| 94060 |
|
87 |
87 |
$3K |
| 36415 |
|
2,816 |
2,352 |
$3K |
| 88305 |
|
262 |
233 |
$3K |
| 82550 |
|
454 |
431 |
$2K |
| 73502 |
|
108 |
102 |
$2K |
| 90471 |
|
875 |
837 |
$2K |
| J7040 |
Normal saline solution infus |
459 |
451 |
$2K |
| 0307 |
|
74 |
73 |
$2K |
| 0360 |
|
13 |
12 |
$2K |
| G0378 |
Hospital observation per hr |
32 |
25 |
$2K |
| 87502 |
|
33 |
33 |
$2K |
| 97750 |
|
54 |
39 |
$2K |
| 94729 |
|
43 |
43 |
$2K |
| 0710 |
|
18 |
17 |
$2K |
| 85027 |
|
346 |
314 |
$2K |
| 99153 |
Mod sedat endo service >5yrs |
96 |
87 |
$2K |
| 87420 |
|
226 |
224 |
$1K |
| 43239 |
|
13 |
13 |
$1K |
| 94727 |
|
42 |
42 |
$1K |
| 84703 |
|
243 |
223 |
$1K |
| 96376 |
|
252 |
203 |
$996.62 |
| 86140 |
|
210 |
206 |
$960.37 |
| J1170 |
Hydromorphone injection |
170 |
124 |
$952.79 |
| 73110 |
|
39 |
37 |
$937.93 |
| J2704 |
Inj, propofol, 10 mg |
29 |
13 |
$923.16 |
| J7120 |
Ringers lactate infusion |
96 |
81 |
$894.90 |
| 86901 |
|
294 |
288 |
$790.84 |
| 85007 |
|
292 |
269 |
$766.23 |
| 86900 |
|
295 |
289 |
$743.00 |
| 10060 |
|
13 |
13 |
$592.92 |
| 81002 |
|
251 |
244 |
$513.15 |
| J7060 |
5% dextrose/water |
207 |
130 |
$475.47 |
| 76999 |
|
13 |
13 |
$454.17 |
| 80061 |
|
264 |
247 |
$418.48 |
| 86850 |
|
93 |
90 |
$387.12 |
| 71010 |
|
23 |
12 |
$342.47 |
| J1630 |
Haloperidol injection |
63 |
56 |
$330.41 |
| J2175 |
Meperidine hydrochl /100 mg |
39 |
37 |
$301.59 |
| 84145 |
|
30 |
29 |
$291.40 |
| 73080 |
|
12 |
12 |
$270.46 |
| 83036 |
|
164 |
161 |
$245.48 |
| 87081 |
|
37 |
30 |
$211.07 |
| J2930 |
Methylprednisolone injection |
25 |
25 |
$167.73 |
| 87210 |
|
39 |
38 |
$157.50 |
| 85651 |
|
80 |
78 |
$148.77 |
| J7050 |
Normal saline solution infus |
31 |
31 |
$138.14 |
| 82553 |
|
13 |
13 |
$125.70 |
| S0164 |
Injection pantroprazole |
15 |
13 |
$123.14 |
| J3370 |
Vancomycin hcl injection |
36 |
12 |
$121.54 |
| 0271 |
|
160 |
116 |
$111.13 |
| 84100 |
|
71 |
37 |
$44.72 |
| 87205 |
|
12 |
12 |
$18.58 |
| A4615 |
Cannula nasal |
34 |
34 |
$15.46 |
| A9270 |
Non-covered item or service |
53 |
40 |
$11.41 |