| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99281 |
|
31,939 |
25,726 |
$2.26M |
| 99284 |
|
8,648 |
7,696 |
$2.05M |
| 99283 |
|
7,737 |
6,837 |
$1.45M |
| A9150 |
Misc/exper non-prescript dru |
4,842 |
2,301 |
$1.44M |
| T1999 |
Noc retail items andsupplies |
28,871 |
14,873 |
$1.00M |
| 99285 |
|
960 |
918 |
$782K |
| 96374 |
|
4,513 |
4,261 |
$563K |
| 70450 |
|
2,813 |
2,712 |
$520K |
| 0450 |
|
5,392 |
4,759 |
$454K |
| G0481 |
Drug test def 8-14 classes |
2,087 |
2,014 |
$334K |
| 0241U |
|
1,543 |
1,513 |
$322K |
| 80053 |
|
8,187 |
7,600 |
$300K |
| 96372 |
|
4,095 |
3,781 |
$261K |
| 93005 |
|
7,969 |
7,364 |
$250K |
| 99282 |
|
1,602 |
1,493 |
$243K |
| 74177 |
|
586 |
566 |
$213K |
| 96365 |
|
1,467 |
1,411 |
$207K |
| 71045 |
|
4,893 |
4,601 |
$204K |
| Z7502 |
|
5,311 |
5,141 |
$204K |
| 96375 |
|
2,827 |
2,604 |
$191K |
| 96361 |
|
4,166 |
3,914 |
$189K |
| 96360 |
|
1,597 |
1,545 |
$179K |
| G0480 |
Drug test def 1-7 classes |
1,068 |
1,034 |
$149K |
| U0002 |
Covid-19 lab test non-cdc |
1,078 |
1,047 |
$103K |
| 85025 |
|
9,510 |
8,468 |
$93K |
| 82962 |
|
2,453 |
1,854 |
$81K |
| 71046 |
|
1,277 |
1,241 |
$72K |
| J7030 |
Normal saline solution infus |
5,576 |
4,892 |
$65K |
| 80048 |
|
1,718 |
1,466 |
$61K |
| J3490 |
Drugs unclassified injection |
4,917 |
3,114 |
$57K |
| 84484 |
|
3,703 |
3,337 |
$56K |
| 97110 |
|
500 |
190 |
$37K |
| 99070 |
|
2,009 |
1,129 |
$37K |
| 83880 |
|
921 |
860 |
$33K |
| 83605 |
|
2,056 |
1,903 |
$32K |
| 36415 |
|
359 |
301 |
$27K |
| 90715 |
|
617 |
609 |
$26K |
| 87086 |
|
1,352 |
1,297 |
$26K |
| 16020 |
|
1,446 |
818 |
$26K |
| 83690 |
|
2,742 |
2,605 |
$24K |
| 87040 |
|
1,096 |
976 |
$23K |
| J2405 |
Ondansetron hcl injection |
2,550 |
2,365 |
$21K |
| 81001 |
|
3,311 |
3,153 |
$20K |
| 87637 |
|
56 |
56 |
$19K |
| 0270 |
|
1,537 |
755 |
$19K |
| 87801 |
|
328 |
325 |
$18K |
| 94640 |
|
1,072 |
894 |
$17K |
| J1885 |
Ketorolac tromethamine inj |
1,986 |
1,875 |
$16K |
| G0463 |
Hospital outpt clinic visit |
315 |
202 |
$15K |
| J0696 |
Ceftriaxone sodium injection |
1,201 |
1,128 |
$11K |
| 87502 |
|
125 |
122 |
$11K |
| 72125 |
|
77 |
76 |
$10K |
| 81025 |
|
1,176 |
1,146 |
$10K |
| J2060 |
Lorazepam injection |
1,371 |
1,244 |
$10K |
| 81003 |
|
918 |
898 |
$9K |
| 99211 |
|
417 |
260 |
$8K |
| 87635 |
|
95 |
95 |
$8K |
| 83735 |
|
537 |
491 |
$6K |
| J2270 |
Morphine sulfate injection |
747 |
641 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
576 |
547 |
$6K |
| 73562 |
|
108 |
107 |
$5K |
| A9270 |
Non-covered item or service |
2,599 |
1,630 |
$5K |
| J1815 |
Insulin injection |
15 |
13 |
$4K |
| 99231 |
|
136 |
77 |
$4K |
| 85610 |
|
750 |
694 |
$3K |
| Z7610 |
|
731 |
441 |
$3K |
| 97140 |
|
72 |
27 |
$3K |
| 93971 |
|
12 |
12 |
$3K |
| 10060 |
|
97 |
95 |
$2K |
| 87186 |
|
179 |
169 |
$2K |
| 0949 |
|
67 |
37 |
$2K |
| 87491 |
|
94 |
92 |
$2K |
| 96367 |
|
27 |
27 |
$2K |
| 73130 |
|
40 |
39 |
$2K |
| 99199 |
|
41 |
24 |
$2K |
| 87804 |
|
54 |
51 |
$2K |
| 80047 |
|
50 |
46 |
$2K |
| 87631 |
|
18 |
18 |
$2K |
| 87591 |
|
94 |
92 |
$1K |
| 87077 |
|
27 |
25 |
$1K |
| 84443 |
|
67 |
66 |
$1K |
| 82550 |
|
207 |
183 |
$847.23 |
| 73502 |
|
14 |
14 |
$786.67 |
| J7060 |
5% dextrose/water |
123 |
81 |
$780.75 |
| 84703 |
|
112 |
108 |
$756.32 |
| Z7500 |
|
20 |
14 |
$682.00 |
| 90471 |
|
624 |
614 |
$651.72 |
| 71010 |
|
50 |
42 |
$552.36 |
| 71020 |
|
35 |
33 |
$547.27 |
| 85379 |
|
45 |
44 |
$525.38 |
| 73630 |
|
12 |
12 |
$502.31 |
| 80061 |
|
16 |
16 |
$370.56 |
| 73030 |
|
13 |
13 |
$365.47 |
| J1170 |
Hydromorphone injection |
56 |
53 |
$348.32 |
| 87081 |
|
38 |
38 |
$316.58 |
| 73610 |
|
13 |
13 |
$254.23 |
| J2358 |
Olanzapine long-acting inj |
31 |
25 |
$199.24 |
| J7120 |
Ringers lactate infusion |
27 |
25 |
$186.42 |
| J0780 |
Prochlorperazine injection |
13 |
13 |
$162.06 |
| 87430 |
|
13 |
12 |
$145.58 |
| J2250 |
Inj midazolam hydrochloride |
16 |
13 |
$58.18 |