| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
31,932 |
28,004 |
$318K |
| 0202U |
|
2,078 |
2,022 |
$305K |
| 74177 |
|
2,779 |
2,428 |
$233K |
| 77067 |
|
8,959 |
8,416 |
$163K |
| 96374 |
|
7,283 |
6,377 |
$136K |
| A0429 |
Bls-emergency |
5,692 |
3,871 |
$115K |
| 70450 |
|
3,189 |
2,941 |
$86K |
| 0241U |
|
2,519 |
2,408 |
$84K |
| G0480 |
Drug test def 1-7 classes |
3,030 |
2,697 |
$84K |
| 93005 |
|
8,919 |
7,827 |
$65K |
| 80053 |
|
17,515 |
15,203 |
$64K |
| 80307 |
|
2,537 |
2,345 |
$64K |
| 96375 |
|
5,381 |
4,330 |
$61K |
| 87635 |
|
3,062 |
2,724 |
$53K |
| 77063 |
|
8,571 |
8,028 |
$49K |
| J3490 |
Drugs unclassified injection |
18,367 |
7,513 |
$48K |
| 77066 |
Tomosynthesis, mammo |
1,807 |
1,679 |
$47K |
| 96365 |
|
2,247 |
2,004 |
$47K |
| 85025 |
|
16,960 |
14,398 |
$44K |
| J7030 |
Normal saline solution infus |
7,591 |
5,413 |
$39K |
| C9803 |
Hopd covid-19 spec collect |
4,546 |
4,303 |
$38K |
| J0131 |
Inj, acetaminophen (nos) |
1,444 |
1,175 |
$37K |
| 96361 |
|
4,534 |
3,819 |
$36K |
| 74176 |
|
1,001 |
933 |
$34K |
| 87633 |
|
286 |
257 |
$33K |
| 71045 |
|
6,561 |
5,925 |
$29K |
| 96372 |
|
3,317 |
2,697 |
$28K |
| 99283 |
|
1,841 |
1,695 |
$28K |
| 76642 |
|
2,250 |
2,135 |
$27K |
| 99199 |
|
598 |
549 |
$25K |
| 77065 |
Tomosynthesis, mammo |
1,363 |
1,226 |
$24K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,723 |
4,109 |
$22K |
| 84484 |
|
6,095 |
5,084 |
$21K |
| 76641 |
|
892 |
828 |
$20K |
| G0279 |
Tomosynthesis, mammo |
2,951 |
2,765 |
$19K |
| J1170 |
Hydromorphone injection |
3,040 |
1,768 |
$18K |
| 96360 |
|
1,057 |
944 |
$18K |
| J2405 |
Ondansetron hcl injection |
6,167 |
4,387 |
$17K |
| J1885 |
Ketorolac tromethamine inj |
4,476 |
3,560 |
$17K |
| 99285 |
|
1,803 |
1,431 |
$13K |
| 83690 |
|
5,301 |
4,630 |
$13K |
| J7050 |
Normal saline solution infus |
2,682 |
1,753 |
$11K |
| 71046 |
|
1,989 |
1,874 |
$11K |
| J2270 |
Morphine sulfate injection |
2,035 |
1,346 |
$11K |
| 77080 |
|
1,846 |
1,798 |
$10K |
| 83880 |
|
1,229 |
1,057 |
$10K |
| 99284 |
|
1,334 |
1,201 |
$8K |
| 71275 |
|
148 |
137 |
$7K |
| 81025 |
|
4,847 |
4,459 |
$7K |
| 84145 |
|
1,057 |
921 |
$7K |
| 76856 |
|
362 |
346 |
$7K |
| 81001 |
|
6,945 |
6,233 |
$7K |
| 36415 |
|
11,053 |
8,757 |
$7K |
| 96376 |
|
1,718 |
1,183 |
$6K |
| J0696 |
Ceftriaxone sodium injection |
1,250 |
998 |
$6K |
| 83605 |
|
1,910 |
1,619 |
$6K |
| 93971 |
|
196 |
191 |
$6K |
| 76705 |
|
418 |
401 |
$5K |
| 94640 |
|
753 |
514 |
$5K |
| 80048 |
|
2,196 |
1,686 |
$5K |
| 85027 |
|
2,987 |
2,440 |
$5K |
| 87086 |
|
1,928 |
1,707 |
$5K |
| A9585 |
Gadobutrol injection |
830 |
798 |
$4K |
| G0378 |
Hospital observation per hr |
21 |
12 |
$4K |
| 85379 |
|
1,247 |
1,135 |
$4K |
| 0270 |
|
20,188 |
9,934 |
$4K |
| J1200 |
Diphenhydramine hcl injectio |
869 |
658 |
$3K |
| J0134 |
Inj acetaminophen -fresenius |
197 |
145 |
$3K |
| 87486 |
|
288 |
258 |
$3K |
| 84443 |
|
610 |
572 |
$3K |
| J2060 |
Lorazepam injection |
1,069 |
814 |
$3K |
| J7040 |
Normal saline solution infus |
834 |
654 |
$3K |
| 76830 |
|
246 |
240 |
$3K |
| 85730 |
|
1,842 |
1,568 |
$3K |
| 87581 |
|
289 |
259 |
$3K |
| 87040 |
|
741 |
615 |
$3K |
| 80143 |
|
296 |
284 |
$3K |
| 80179 |
|
292 |
280 |
$3K |
| 87798 |
|
291 |
260 |
$3K |
| 86140 |
|
1,838 |
1,581 |
$3K |
| 85610 |
|
2,245 |
1,897 |
$2K |
| 87400 |
|
554 |
498 |
$2K |
| 84702 |
|
729 |
697 |
$2K |
| J3010 |
Fentanyl citrate injection |
1,455 |
658 |
$2K |
| 81003 |
|
2,875 |
2,600 |
$2K |
| 82947 |
|
3,494 |
1,733 |
$2K |
| M0222 |
Bebtelovimab injection |
14 |
13 |
$2K |
| 73610 |
|
227 |
218 |
$2K |
| 85007 |
|
2,081 |
1,677 |
$2K |
| 70553 |
|
27 |
25 |
$2K |
| Z7502 |
|
38 |
38 |
$1K |
| 82803 |
|
342 |
278 |
$1K |
| 73030 |
|
226 |
216 |
$1K |
| 71250 |
|
67 |
63 |
$1K |
| 72148 |
|
133 |
124 |
$1K |
| 73630 |
|
162 |
160 |
$1K |
| 72125 |
|
37 |
37 |
$1K |
| 70551 |
|
53 |
52 |
$1K |
| J7060 |
5% dextrose/water |
307 |
201 |
$1K |
| 73562 |
|
181 |
178 |
$1K |
| 87186 |
|
370 |
327 |
$968.44 |
| 88305 |
|
549 |
500 |
$960.14 |
| 99282 |
|
77 |
77 |
$932.61 |
| 73564 |
|
74 |
73 |
$911.53 |
| J2250 |
Inj midazolam hydrochloride |
674 |
375 |
$876.42 |
| J2704 |
Inj, propofol, 10 mg |
305 |
130 |
$865.61 |
| 97161 |
|
49 |
36 |
$832.57 |
| J7120 |
Ringers lactate infusion |
224 |
159 |
$796.15 |
| 76700 |
|
119 |
115 |
$759.16 |
| J1100 |
Dexamethasone sodium phos |
202 |
154 |
$740.15 |
| 36416 |
|
1,193 |
848 |
$697.64 |
| 83735 |
|
345 |
266 |
$673.01 |
| U0003 |
Cov-19 amp prb hgh thruput |
17 |
17 |
$632.00 |
| M0239 |
Bamlanivimab-xxxx infusion |
19 |
18 |
$627.39 |
| 70486 |
|
30 |
30 |
$620.07 |
| 0272 |
|
1,852 |
1,484 |
$577.00 |
| 73110 |
|
69 |
63 |
$559.72 |
| 73130 |
|
77 |
76 |
$479.57 |
| 71020 |
|
41 |
41 |
$474.43 |
| J2001 |
Lidocaine injection |
509 |
380 |
$443.41 |
| 96366 |
|
29 |
25 |
$421.13 |
| Z9725 |
|
12 |
12 |
$360.00 |
| J2765 |
Metoclopramide hcl injection |
71 |
55 |
$337.80 |
| 90715 |
|
27 |
26 |
$335.82 |
| 71010 |
|
51 |
51 |
$327.58 |
| 87491 |
|
12 |
12 |
$313.48 |
| 87591 |
|
12 |
12 |
$312.68 |
| M0243 |
Casirivi and imdevi inj |
14 |
13 |
$309.60 |
| 84703 |
|
417 |
384 |
$287.17 |
| J1815 |
Insulin injection |
71 |
25 |
$232.49 |
| G0463 |
Hospital outpt clinic visit |
17 |
12 |
$226.18 |
| 83036 |
|
138 |
126 |
$218.16 |
| 0160 |
|
850 |
377 |
$198.80 |
| S0164 |
Injection pantroprazole |
22 |
13 |
$196.11 |
| 0301 |
|
752 |
189 |
$191.85 |
| J2919 |
Inj, methylpred sod succ 5mg |
18 |
14 |
$178.42 |
| A4648 |
Implantable tissue marker |
76 |
64 |
$163.88 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
24 |
16 |
$157.57 |
| 0250 |
|
6,874 |
2,086 |
$147.79 |
| 97530 |
|
66 |
26 |
$126.64 |
| J2274 |
Inj morphine pf epid ithc |
18 |
12 |
$83.12 |
| 86901 |
|
75 |
62 |
$68.31 |
| 86900 |
|
75 |
62 |
$61.20 |
| 90471 |
|
47 |
43 |
$57.98 |
| 0710 |
|
102 |
99 |
$52.26 |
| J1644 |
Inj heparin sodium per 1000u |
24 |
12 |
$38.27 |
| 82728 |
|
15 |
14 |
$36.77 |
| 83874 |
|
17 |
16 |
$34.87 |
| A9552 |
F18 fdg |
38 |
36 |
$33.69 |
| 74018 |
|
13 |
12 |
$33.50 |
| 82550 |
|
14 |
13 |
$23.37 |
| 83615 |
|
13 |
12 |
$21.68 |
| 76536 |
|
39 |
39 |
$21.37 |
| 87077 |
|
22 |
12 |
$20.91 |
| 85652 |
|
13 |
13 |
$12.00 |
| J0690 |
Cefazolin sodium injection |
28 |
13 |
$9.83 |
| 19083 |
|
20 |
15 |
$7.42 |
| 0300 |
|
71 |
17 |
$0.00 |
| 0403 |
|
175 |
92 |
$0.00 |
| 0351 |
|
54 |
26 |
$0.00 |
| G1010 |
Cdsm stanson |
1,333 |
1,171 |
$0.00 |
| 0320 |
|
86 |
62 |
$0.00 |
| 99001 |
|
16 |
15 |
$0.00 |
| 0360 |
|
29 |
21 |
$0.00 |
| 0402 |
|
88 |
82 |
$0.00 |
| 99281 |
|
27 |
14 |
$0.00 |
| G8979 |
Mobility goal status |
16 |
16 |
$0.00 |
| 0302 |
|
34 |
28 |
$0.00 |
| 78815 |
|
12 |
12 |
$0.00 |
| Q0243 |
Casirivimab and imdevimab |
13 |
12 |
$0.00 |
| 0762 |
|
33 |
13 |
$0.00 |
| 73721 |
|
12 |
12 |
$0.00 |
| G8978 |
Mobility current status |
16 |
16 |
$0.00 |
| 0949 |
|
189 |
81 |
$0.00 |
| 0305 |
|
366 |
173 |
$0.00 |
| 0636 |
|
385 |
143 |
$0.00 |
| 0306 |
|
301 |
180 |
$0.00 |
| 0611 |
|
19 |
14 |
$0.00 |
| 0352 |
|
97 |
68 |
$0.00 |
| 0324 |
|
98 |
79 |
$0.00 |
| Q0222 |
Bebtelovimab 175 mg |
13 |
13 |
$0.00 |
| 0307 |
|
21 |
18 |
$0.00 |
| 0610 |
|
14 |
14 |
$0.00 |
| 0401 |
|
68 |
35 |
$0.00 |