| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
|
43,425 |
39,963 |
$1.49M |
| 70450 |
|
5,193 |
5,044 |
$415K |
| 99281 |
|
9,834 |
9,142 |
$386K |
| 96374 |
|
8,901 |
8,481 |
$352K |
| 74177 |
|
2,004 |
1,976 |
$327K |
| 74176 |
|
2,995 |
2,940 |
$294K |
| J3490 |
Drugs unclassified injection |
22,661 |
11,781 |
$216K |
| 87811 |
|
5,617 |
5,407 |
$201K |
| 99283 |
|
2,855 |
2,692 |
$183K |
| 0270 |
|
16,832 |
9,137 |
$177K |
| 80053 |
|
19,832 |
18,646 |
$170K |
| 96375 |
|
5,453 |
5,160 |
$160K |
| G0483 |
Drug test def 22+ classes |
1,227 |
1,176 |
$159K |
| 93005 |
|
9,533 |
9,126 |
$157K |
| 0360 |
|
2,218 |
1,708 |
$155K |
| 99199 |
|
5,944 |
5,481 |
$142K |
| 99284 |
|
1,311 |
1,258 |
$129K |
| 71045 |
|
13,769 |
13,260 |
$126K |
| 96372 |
|
5,648 |
5,467 |
$113K |
| S3620 |
Newborn metabolic screening |
756 |
643 |
$109K |
| 85025 |
|
21,516 |
19,971 |
$102K |
| Z7502 |
|
2,809 |
2,771 |
$99K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,000 |
1,940 |
$83K |
| 76705 |
|
1,463 |
1,426 |
$55K |
| 0250 |
|
7,788 |
4,512 |
$54K |
| 84484 |
|
7,942 |
7,453 |
$48K |
| 83690 |
|
7,744 |
7,385 |
$47K |
| J7030 |
Normal saline solution infus |
5,383 |
4,948 |
$46K |
| 85730 |
|
4,447 |
4,301 |
$39K |
| 83880 |
|
2,243 |
2,165 |
$38K |
| 0710 |
|
2,419 |
2,294 |
$37K |
| 96361 |
|
1,337 |
1,295 |
$36K |
| 81001 |
|
13,245 |
12,718 |
$36K |
| 76856 |
|
798 |
791 |
$35K |
| 81025 |
|
7,262 |
7,014 |
$33K |
| 72125 |
|
319 |
309 |
$32K |
| 87804 |
|
3,111 |
2,868 |
$30K |
| 87086 |
|
5,131 |
4,995 |
$27K |
| 71275 |
|
181 |
179 |
$26K |
| J1885 |
Ketorolac tromethamine inj |
5,265 |
4,951 |
$26K |
| 0301 |
|
241 |
215 |
$24K |
| 85610 |
|
6,273 |
6,044 |
$23K |
| J2405 |
Ondansetron hcl injection |
4,884 |
4,563 |
$23K |
| 87040 |
|
1,535 |
1,503 |
$21K |
| 94640 |
|
1,499 |
1,416 |
$21K |
| G0480 |
Drug test def 1-7 classes |
464 |
449 |
$20K |
| 76801 |
|
476 |
433 |
$19K |
| J2270 |
Morphine sulfate injection |
2,951 |
2,487 |
$19K |
| A4217 |
Sterile water/saline, 500 ml |
2,087 |
1,947 |
$17K |
| 0272 |
|
3,060 |
2,920 |
$17K |
| 99282 |
|
277 |
266 |
$16K |
| J1100 |
Dexamethasone sodium phos |
2,640 |
2,513 |
$15K |
| J7120 |
Ringers lactate infusion |
1,986 |
1,746 |
$14K |
| 73610 |
|
720 |
705 |
$14K |
| Z9725 |
|
318 |
317 |
$14K |
| 80048 |
|
2,084 |
1,956 |
$13K |
| 0636 |
|
152 |
142 |
$13K |
| 86900 |
|
1,954 |
1,860 |
$12K |
| 80307 |
|
312 |
305 |
$11K |
| 96365 |
|
287 |
281 |
$11K |
| 83735 |
|
2,764 |
2,680 |
$10K |
| 96360 |
|
333 |
324 |
$10K |
| 73630 |
|
606 |
596 |
$10K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,950 |
2,897 |
$10K |
| J0696 |
Ceftriaxone sodium injection |
1,987 |
1,656 |
$9K |
| 84702 |
|
1,006 |
894 |
$9K |
| 90715 |
|
345 |
338 |
$9K |
| 88305 |
|
619 |
596 |
$8K |
| J3010 |
Fentanyl citrate injection |
1,563 |
1,538 |
$8K |
| 73130 |
|
394 |
384 |
$8K |
| J2704 |
Inj, propofol, 10 mg |
1,434 |
1,410 |
$7K |
| J1200 |
Diphenhydramine hcl injectio |
1,164 |
1,065 |
$7K |
| J2765 |
Metoclopramide hcl injection |
1,366 |
1,286 |
$7K |
| J0690 |
Cefazolin sodium injection |
1,617 |
1,468 |
$7K |
| 87186 |
|
1,255 |
1,242 |
$7K |
| 73562 |
|
437 |
415 |
$6K |
| 83605 |
|
1,078 |
1,020 |
$6K |
| J2250 |
Inj midazolam hydrochloride |
1,020 |
999 |
$5K |
| 86901 |
|
2,117 |
2,017 |
$5K |
| A4649 |
Surgical supplies |
695 |
349 |
$5K |
| 81003 |
|
2,769 |
2,672 |
$5K |
| 73030 |
|
251 |
243 |
$5K |
| 86850 |
|
1,186 |
1,138 |
$5K |
| 71046 |
|
338 |
336 |
$4K |
| Z7610 |
|
284 |
194 |
$4K |
| 36415 |
|
2,688 |
2,305 |
$4K |
| J0131 |
Inj, acetaminophen (nos) |
751 |
716 |
$3K |
| J7060 |
5% dextrose/water |
831 |
779 |
$3K |
| 85027 |
|
790 |
764 |
$3K |
| U0002 |
Covid-19 lab test non-cdc |
80 |
78 |
$3K |
| 0324 |
|
120 |
119 |
$3K |
| 82948 |
|
1,112 |
978 |
$2K |
| P9016 |
Rbc leukocytes reduced |
16 |
12 |
$2K |
| 84703 |
|
516 |
506 |
$2K |
| 73110 |
|
112 |
109 |
$2K |
| 93971 |
|
43 |
43 |
$2K |
| 99285 |
|
18 |
18 |
$2K |
| J2060 |
Lorazepam injection |
422 |
389 |
$2K |
| 99000 |
|
924 |
909 |
$2K |
| 90471 |
|
453 |
449 |
$2K |
| 85007 |
|
788 |
764 |
$2K |
| 84443 |
|
167 |
162 |
$1K |
| 72100 |
|
64 |
64 |
$1K |
| S0164 |
Injection pantroprazole |
137 |
125 |
$1K |
| 96376 |
|
191 |
187 |
$1K |
| 76817 |
|
28 |
24 |
$1K |
| J0134 |
Inj acetaminophen -fresenius |
181 |
169 |
$1K |
| 87420 |
|
327 |
325 |
$998.88 |
| 74018 |
|
68 |
63 |
$943.68 |
| S0020 |
Injection, bupivicaine hydro |
97 |
95 |
$915.86 |
| J2272 |
Inj, morphine (fresenius) |
69 |
57 |
$764.45 |
| 85380 |
|
247 |
246 |
$636.69 |
| 45380 |
|
12 |
12 |
$603.83 |
| 93306 |
|
13 |
13 |
$603.22 |
| 87491 |
|
16 |
15 |
$541.47 |
| 0271 |
|
145 |
140 |
$480.25 |
| 76700 |
|
15 |
12 |
$477.15 |
| J1170 |
Hydromorphone injection |
56 |
55 |
$460.04 |
| 76937 |
|
29 |
27 |
$433.51 |
| 87081 |
|
97 |
93 |
$406.29 |
| J1815 |
Insulin injection |
20 |
12 |
$347.21 |
| 0459 |
|
21 |
18 |
$317.36 |
| 73080 |
|
26 |
25 |
$311.79 |
| 86141 |
|
45 |
45 |
$245.79 |
| 99070 |
|
49 |
37 |
$218.90 |
| J2001 |
Lidocaine injection |
56 |
56 |
$216.29 |
| 84439 |
|
44 |
44 |
$161.11 |
| J1630 |
Haloperidol injection |
44 |
37 |
$159.16 |
| 80061 |
|
55 |
52 |
$149.80 |
| 82550 |
|
41 |
40 |
$144.22 |
| 72040 |
|
12 |
12 |
$144.21 |
| J2175 |
Meperidine hydrochl /100 mg |
14 |
12 |
$131.98 |
| 94760 |
|
122 |
121 |
$117.02 |
| 12001 |
|
12 |
12 |
$84.00 |
| 59025 |
|
13 |
12 |
$79.69 |
| 83036 |
|
30 |
30 |
$65.68 |
| J2470 |
Inj pantoprazole sodium 40mg |
21 |
16 |
$50.52 |
| J7620 |
Albuterol ipratrop non-comp |
44 |
27 |
$49.05 |
| J1644 |
Inj heparin sodium per 1000u |
14 |
13 |
$41.94 |
| 85651 |
|
13 |
13 |
$5.70 |