| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
|
20,047 |
14,993 |
$281K |
| 70450 |
|
2,686 |
2,343 |
$260K |
| 96365 |
|
2,653 |
2,047 |
$178K |
| 85025 |
|
22,549 |
17,714 |
$177K |
| 74177 |
|
1,135 |
957 |
$143K |
| 99283 |
|
2,829 |
2,197 |
$128K |
| 80307 |
|
2,369 |
1,823 |
$125K |
| 74176 |
|
1,757 |
1,496 |
$125K |
| 97110 |
|
4,598 |
808 |
$90K |
| 87426 |
|
3,497 |
3,224 |
$89K |
| 80305 |
|
6,884 |
5,481 |
$82K |
| 83880 |
|
3,127 |
2,698 |
$76K |
| 99284 |
|
2,362 |
1,896 |
$73K |
| 93005 |
|
5,809 |
4,848 |
$69K |
| 71045 |
|
7,487 |
6,651 |
$62K |
| 99285 |
|
2,098 |
1,739 |
$52K |
| 71046 |
|
2,840 |
2,420 |
$45K |
| 84484 |
|
4,938 |
4,040 |
$45K |
| 83874 |
|
3,100 |
2,489 |
$41K |
| 80048 |
|
3,594 |
3,113 |
$40K |
| 77067 |
|
799 |
724 |
$40K |
| 87081 |
|
4,758 |
4,393 |
$40K |
| 96374 |
|
4,006 |
3,154 |
$36K |
| 72148 |
|
162 |
118 |
$35K |
| 76801 |
|
890 |
786 |
$32K |
| 87430 |
|
2,812 |
2,572 |
$32K |
| 81001 |
|
13,770 |
11,350 |
$31K |
| 86901 |
|
1,424 |
1,191 |
$31K |
| 96372 |
|
5,321 |
4,388 |
$31K |
| 87804 |
|
2,807 |
2,579 |
$30K |
| 87880 |
|
2,581 |
2,405 |
$30K |
| 82805 |
|
1,066 |
948 |
$28K |
| 76805 |
|
513 |
486 |
$24K |
| 80050 |
|
497 |
475 |
$24K |
| 96361 |
|
3,209 |
2,546 |
$23K |
| 81025 |
|
2,740 |
2,467 |
$23K |
| 84443 |
|
2,533 |
2,045 |
$21K |
| 72125 |
|
145 |
131 |
$20K |
| J0696 |
Ceftriaxone sodium injection |
2,588 |
2,324 |
$20K |
| 94640 |
|
2,874 |
2,406 |
$20K |
| 73562 |
|
850 |
567 |
$19K |
| 83605 |
|
1,806 |
1,572 |
$19K |
| 85027 |
|
3,061 |
2,458 |
$18K |
| 82550 |
|
2,663 |
2,291 |
$18K |
| G0463 |
Hospital outpt clinic visit |
1,962 |
1,464 |
$17K |
| 83690 |
|
2,393 |
2,032 |
$17K |
| 83735 |
|
2,783 |
2,286 |
$17K |
| 87400 |
|
2,785 |
2,581 |
$16K |
| 94760 |
|
752 |
667 |
$14K |
| 96375 |
|
3,630 |
2,692 |
$14K |
| 96360 |
|
1,585 |
1,210 |
$13K |
| 80061 |
|
1,234 |
1,016 |
$13K |
| 85730 |
|
2,656 |
2,297 |
$13K |
| 87040 |
|
1,172 |
1,058 |
$13K |
| 86756 |
|
778 |
695 |
$13K |
| 80320 |
|
864 |
714 |
$13K |
| 87086 |
|
1,394 |
1,265 |
$11K |
| 11042 |
|
67 |
38 |
$11K |
| 97161 |
|
163 |
127 |
$11K |
| 59025 |
|
103 |
45 |
$11K |
| 82150 |
|
1,334 |
1,131 |
$11K |
| 84702 |
|
1,012 |
835 |
$10K |
| 76811 |
|
124 |
90 |
$10K |
| 84703 |
|
890 |
763 |
$10K |
| 85610 |
|
3,197 |
2,531 |
$10K |
| G0378 |
Hospital observation per hr |
91 |
78 |
$9K |
| 71275 |
|
57 |
51 |
$9K |
| 87807 |
|
705 |
669 |
$9K |
| 99218 |
|
184 |
172 |
$9K |
| J1885 |
Ketorolac tromethamine inj |
3,161 |
2,768 |
$8K |
| 87077 |
|
680 |
612 |
$6K |
| J2405 |
Ondansetron hcl injection |
2,618 |
2,158 |
$6K |
| 73630 |
|
333 |
258 |
$6K |
| 87186 |
|
625 |
557 |
$6K |
| 85378 |
|
918 |
818 |
$6K |
| 86900 |
|
1,366 |
1,138 |
$5K |
| 74018 |
|
320 |
259 |
$5K |
| J1100 |
Dexamethasone sodium phos |
1,667 |
1,205 |
$5K |
| 73030 |
|
289 |
220 |
$5K |
| T1015 |
Clinic service |
1,445 |
703 |
$4K |
| 77063 |
|
331 |
312 |
$4K |
| 36415 |
|
8,303 |
6,210 |
$4K |
| 71250 |
|
41 |
37 |
$4K |
| 80362 |
|
528 |
274 |
$4K |
| 73610 |
|
251 |
193 |
$4K |
| 82728 |
|
618 |
432 |
$4K |
| 83036 |
|
479 |
393 |
$3K |
| 83615 |
|
684 |
397 |
$3K |
| 97597 |
|
170 |
80 |
$3K |
| 99281 |
|
108 |
65 |
$3K |
| 99282 |
|
46 |
37 |
$3K |
| 80329 |
|
145 |
116 |
$2K |
| 76856 |
|
96 |
74 |
$2K |
| 72100 |
|
113 |
89 |
$2K |
| 70486 |
|
15 |
13 |
$2K |
| C9803 |
Hopd covid-19 spec collect |
1,516 |
1,418 |
$2K |
| 82565 |
|
165 |
117 |
$2K |
| 86850 |
|
437 |
355 |
$2K |
| G0480 |
Drug test def 1-7 classes |
67 |
64 |
$1K |
| 96367 |
|
197 |
99 |
$1K |
| 82962 |
|
232 |
158 |
$1K |
| 73130 |
|
59 |
51 |
$1K |
| 83540 |
|
319 |
223 |
$1K |
| 83550 |
|
267 |
188 |
$1K |
| 71010 |
|
441 |
403 |
$884.37 |
| 71020 |
|
74 |
54 |
$882.31 |
| 74022 |
|
34 |
26 |
$768.00 |
| 73502 |
|
40 |
26 |
$739.75 |
| J1815 |
Insulin injection |
272 |
159 |
$627.02 |
| 96413 |
|
42 |
13 |
$595.00 |
| 93971 |
|
17 |
13 |
$474.97 |
| 76641 |
|
12 |
12 |
$464.74 |
| 73110 |
|
13 |
12 |
$457.99 |
| 76818 |
|
39 |
12 |
$450.84 |
| J2270 |
Morphine sulfate injection |
1,447 |
1,061 |
$440.00 |
| 76815 |
|
15 |
14 |
$383.81 |
| J2930 |
Methylprednisolone injection |
382 |
324 |
$339.43 |
| J1644 |
Inj heparin sodium per 1000u |
710 |
399 |
$287.05 |
| 84436 |
|
47 |
37 |
$222.50 |
| G0483 |
Drug test def 22+ classes |
64 |
54 |
$206.60 |
| 84520 |
|
26 |
24 |
$188.53 |
| 82306 |
|
21 |
19 |
$180.49 |
| G1004 |
Cdsm ndsc |
2,080 |
1,858 |
$133.66 |
| 86140 |
|
30 |
24 |
$120.24 |
| 82009 |
|
22 |
14 |
$107.80 |
| J2550 |
Promethazine hcl injection |
237 |
169 |
$96.27 |
| J2704 |
Inj, propofol, 10 mg |
641 |
567 |
$92.21 |
| J2250 |
Inj midazolam hydrochloride |
133 |
124 |
$92.02 |
| J1200 |
Diphenhydramine hcl injectio |
259 |
163 |
$77.61 |
| 82947 |
|
14 |
13 |
$72.80 |
| 96366 |
|
155 |
129 |
$71.08 |
| J2919 |
Inj, methylpred sod succ 5mg |
99 |
58 |
$66.24 |
| J3475 |
Inj magnesium sulfate |
74 |
63 |
$43.48 |
| 36600 |
|
280 |
254 |
$43.12 |
| J3105 |
Terbutaline sulfate inj |
53 |
41 |
$32.40 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,624 |
1,424 |
$16.53 |
| J0360 |
Hydralazine hcl injection |
105 |
92 |
$11.66 |
| J7510 |
Prednisolone oral per 5 mg |
25 |
25 |
$6.22 |
| 96376 |
|
329 |
240 |
$4.49 |
| 36416 |
|
157 |
141 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
24 |
24 |
$0.00 |
| J7030 |
Normal saline solution infus |
177 |
152 |
$0.00 |
| 93041 |
|
15 |
13 |
$0.00 |