| Code | Description | Claims | Beneficiaries | Total Paid |
| 0111 |
|
307 |
289 |
$3.40M |
| 0450 |
|
32,960 |
28,794 |
$1.32M |
| G0463 |
Hospital outpt clinic visit |
12,726 |
10,490 |
$390K |
| 74174 |
|
1,641 |
1,510 |
$356K |
| 99205 |
Prolong outpt/office vis |
2,289 |
1,973 |
$303K |
| 70450 |
|
2,916 |
2,684 |
$260K |
| 93005 |
|
10,298 |
8,734 |
$188K |
| 0200 |
|
15 |
13 |
$187K |
| 99281 |
|
10,032 |
8,408 |
$185K |
| G0378 |
Hospital observation per hr |
809 |
458 |
$164K |
| 99215 |
Prolong outpt/office vis |
1,185 |
957 |
$161K |
| 72125 |
|
965 |
904 |
$125K |
| 99282 |
|
6,495 |
6,264 |
$110K |
| 0510 |
|
4,486 |
3,798 |
$101K |
| 71260 |
|
589 |
562 |
$93K |
| 99283 |
|
2,051 |
1,929 |
$75K |
| 0250 |
|
23,330 |
18,234 |
$69K |
| 80048 |
|
11,907 |
10,189 |
$66K |
| 85025 |
|
13,285 |
11,408 |
$65K |
| 99199 |
|
877 |
829 |
$60K |
| 71046 |
|
3,534 |
3,191 |
$48K |
| 70486 |
|
377 |
349 |
$42K |
| 71045 |
|
5,926 |
5,430 |
$42K |
| J7030 |
Normal saline solution infus |
6,419 |
5,344 |
$39K |
| 80076 |
|
7,581 |
6,648 |
$38K |
| J2405 |
Ondansetron hcl injection |
3,386 |
2,863 |
$36K |
| 87491 |
|
1,585 |
1,442 |
$34K |
| 87591 |
|
1,513 |
1,376 |
$33K |
| 84484 |
|
4,177 |
3,489 |
$30K |
| 99221 |
|
3,299 |
2,719 |
$28K |
| J1953 |
Levetiracetam injection |
120 |
104 |
$27K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,886 |
1,765 |
$27K |
| 83690 |
|
5,285 |
4,639 |
$22K |
| 80053 |
|
2,580 |
2,330 |
$19K |
| 83605 |
|
2,515 |
2,097 |
$19K |
| 76700 |
|
319 |
286 |
$18K |
| 83880 |
|
1,043 |
889 |
$17K |
| 76705 |
|
435 |
390 |
$17K |
| 73564 |
|
762 |
690 |
$17K |
| U0003 |
Cov-19 amp prb hgh thruput |
292 |
286 |
$15K |
| 76856 |
|
305 |
274 |
$15K |
| 73610 |
|
785 |
710 |
$15K |
| 85610 |
|
5,763 |
5,133 |
$15K |
| 93971 |
|
213 |
179 |
$14K |
| 73110 |
|
658 |
597 |
$12K |
| J1885 |
Ketorolac tromethamine inj |
2,102 |
1,876 |
$11K |
| 73030 |
|
569 |
526 |
$11K |
| J1100 |
Dexamethasone sodium phos |
500 |
440 |
$11K |
| 96413 |
|
459 |
338 |
$11K |
| 86703 |
|
1,373 |
1,267 |
$11K |
| 80047 |
|
2,028 |
1,808 |
$11K |
| 73080 |
|
475 |
426 |
$10K |
| 73590 |
|
608 |
559 |
$10K |
| 87040 |
|
805 |
701 |
$9K |
| J0696 |
Ceftriaxone sodium injection |
931 |
820 |
$9K |
| 94640 |
|
510 |
445 |
$9K |
| Q0162 |
Ondansetron oral |
1,777 |
1,523 |
$9K |
| 73090 |
|
552 |
487 |
$9K |
| 86850 |
|
2,429 |
2,183 |
$9K |
| 80306 |
|
360 |
338 |
$8K |
| 99212 |
|
253 |
229 |
$8K |
| 87522 |
Neg quan hep c or qual rna |
345 |
319 |
$8K |
| 76801 |
|
184 |
151 |
$8K |
| 99284 |
|
220 |
217 |
$8K |
| 82550 |
|
1,548 |
1,274 |
$8K |
| 87088 |
|
1,963 |
1,734 |
$7K |
| 73130 |
|
411 |
372 |
$7K |
| 74177 |
|
178 |
174 |
$7K |
| J2250 |
Inj midazolam hydrochloride |
671 |
610 |
$7K |
| 99217 |
|
47 |
46 |
$7K |
| 86901 |
|
2,602 |
2,260 |
$6K |
| 73630 |
|
378 |
353 |
$6K |
| 0241U |
|
275 |
268 |
$6K |
| 81000 |
|
3,191 |
2,806 |
$6K |
| 0255 |
|
107 |
106 |
$6K |
| Q0144 |
Azithromycin dihydrate, oral |
358 |
321 |
$6K |
| 81025 |
|
2,033 |
1,742 |
$6K |
| 81001 |
|
3,072 |
2,677 |
$6K |
| 0761 |
|
470 |
390 |
$5K |
| J2001 |
Lidocaine injection |
363 |
328 |
$5K |
| 0516 |
|
188 |
170 |
$5K |
| 73120 |
|
410 |
380 |
$5K |
| 86900 |
|
2,591 |
2,250 |
$5K |
| U0005 |
Infec agen detec ampli probe |
516 |
507 |
$5K |
| 73620 |
|
395 |
355 |
$5K |
| 99218 |
|
84 |
82 |
$5K |
| 86141 |
|
771 |
671 |
$5K |
| 85730 |
|
1,271 |
1,162 |
$5K |
| 84703 |
|
1,043 |
900 |
$5K |
| 94760 |
|
615 |
548 |
$5K |
| J0780 |
Prochlorperazine injection |
412 |
380 |
$5K |
| J1630 |
Haloperidol injection |
1,027 |
888 |
$5K |
| 71275 |
|
30 |
26 |
$4K |
| 0760 |
|
289 |
224 |
$4K |
| J2060 |
Lorazepam injection |
882 |
741 |
$4K |
| 70498 |
|
25 |
25 |
$4K |
| J7120 |
Ringers lactate infusion |
636 |
562 |
$4K |
| 83036 |
|
602 |
573 |
$3K |
| 93010 |
|
597 |
520 |
$3K |
| 85027 |
|
808 |
726 |
$3K |
| 36415 |
|
10,419 |
8,814 |
$3K |
| J1170 |
Hydromorphone injection |
540 |
417 |
$3K |
| 80061 |
|
357 |
339 |
$3K |
| S0077 |
Injection, clindamycin phosp |
137 |
94 |
$3K |
| 80305 |
|
489 |
399 |
$3K |
| 72100 |
|
142 |
127 |
$3K |
| 81015 |
|
1,445 |
1,374 |
$3K |
| 87070 |
|
485 |
406 |
$3K |
| J8540 |
Oral dexamethasone |
216 |
161 |
$3K |
| 87210 |
|
869 |
780 |
$3K |
| 82306 |
|
104 |
101 |
$2K |
| J2270 |
Morphine sulfate injection |
583 |
478 |
$2K |
| J3010 |
Fentanyl citrate injection |
595 |
548 |
$2K |
| 73060 |
|
146 |
129 |
$2K |
| J7040 |
Normal saline solution infus |
628 |
549 |
$2K |
| 72170 |
|
153 |
134 |
$2K |
| 92012 |
|
76 |
72 |
$2K |
| 87536 |
|
62 |
59 |
$2K |
| 88305 |
|
137 |
130 |
$2K |
| 87186 |
|
396 |
346 |
$2K |
| 82962 |
|
1,279 |
1,094 |
$2K |
| 93041 |
|
273 |
182 |
$2K |
| J3475 |
Inj magnesium sulfate |
197 |
168 |
$2K |
| 73502 |
|
84 |
71 |
$2K |
| 97161 |
|
73 |
72 |
$2K |
| 81002 |
|
1,286 |
1,093 |
$2K |
| 77067 |
|
29 |
29 |
$2K |
| J7644 |
Ipratropium bromide non-comp |
704 |
531 |
$2K |
| 73552 |
|
96 |
90 |
$2K |
| 83026 |
|
872 |
789 |
$2K |
| J7050 |
Normal saline solution infus |
731 |
564 |
$1K |
| 83735 |
|
303 |
230 |
$1K |
| 90999 |
|
62 |
59 |
$1K |
| 82140 |
|
184 |
167 |
$1K |
| 86592 |
|
502 |
471 |
$1K |
| 73562 |
|
53 |
50 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
359 |
316 |
$1K |
| Q0163 |
Diphenhydramine hcl 50mg |
687 |
595 |
$1K |
| 76870 |
|
33 |
28 |
$1K |
| 84439 |
|
212 |
198 |
$1K |
| 88182 |
|
39 |
37 |
$1K |
| J2765 |
Metoclopramide hcl injection |
236 |
195 |
$941.66 |
| 87880 |
|
155 |
142 |
$895.33 |
| 84100 |
|
282 |
217 |
$889.17 |
| 87340 |
|
179 |
164 |
$881.94 |
| J1940 |
Furosemide injection |
117 |
87 |
$832.55 |
| 90792 |
|
14 |
14 |
$758.69 |
| 59025 |
|
16 |
13 |
$755.70 |
| J3370 |
Vancomycin hcl injection |
72 |
53 |
$737.45 |
| 99222 |
|
13 |
12 |
$724.70 |
| 85378 |
|
155 |
137 |
$724.50 |
| J7510 |
Prednisolone oral per 5 mg |
168 |
152 |
$715.30 |
| 86593 |
|
314 |
296 |
$706.92 |
| 93306 |
|
13 |
13 |
$681.40 |
| 86480 |
|
25 |
24 |
$665.93 |
| 87086 |
|
158 |
149 |
$661.75 |
| J7512 |
Prednisone ir or dr oral 1mg |
97 |
82 |
$656.94 |
| 99213 |
|
87 |
85 |
$648.07 |
| 76770 |
|
14 |
13 |
$595.74 |
| 84702 |
|
56 |
54 |
$562.44 |
| J7611 |
Albuterol non-comp con |
477 |
421 |
$547.90 |
| G0481 |
Drug test def 8-14 classes |
14 |
14 |
$488.97 |
| 85007 |
|
264 |
217 |
$436.44 |
| 97110 |
|
102 |
77 |
$414.26 |
| 80185 |
|
86 |
57 |
$398.73 |
| 88142 |
|
100 |
96 |
$377.89 |
| 84145 |
|
26 |
26 |
$361.79 |
| 0320 |
|
126 |
103 |
$357.57 |
| 90471 |
|
124 |
121 |
$341.33 |
| 82274 |
|
28 |
26 |
$335.51 |
| 93000 |
|
13 |
13 |
$321.67 |
| 87205 |
|
115 |
84 |
$277.57 |
| J7060 |
5% dextrose/water |
92 |
63 |
$232.25 |
| J7613 |
Albuterol non-comp unit |
654 |
496 |
$231.30 |
| S0028 |
Injection, famotidine, 20 mg |
264 |
215 |
$214.80 |
| 73501 |
|
14 |
14 |
$200.74 |
| 96365 |
|
18 |
16 |
$171.16 |
| 80320 |
|
493 |
432 |
$170.54 |
| G0480 |
Drug test def 1-7 classes |
42 |
41 |
$163.96 |
| 84443 |
|
12 |
12 |
$161.00 |
| 85652 |
|
85 |
81 |
$155.32 |
| 98960 |
|
89 |
63 |
$152.20 |
| 74018 |
|
13 |
12 |
$149.73 |
| 73140 |
|
13 |
13 |
$143.35 |
| 96366 |
|
31 |
25 |
$139.38 |
| 0300 |
|
28 |
14 |
$114.17 |
| 88187 |
|
16 |
12 |
$111.96 |
| 81003 |
|
103 |
102 |
$92.48 |
| 82043 |
|
16 |
16 |
$89.21 |
| 96374 |
|
15 |
12 |
$66.35 |
| 86780 |
|
13 |
12 |
$66.12 |
| 82540 |
|
16 |
16 |
$62.75 |
| G0008 |
Admin influenza virus vac |
12 |
12 |
$53.06 |
| A4216 |
Sterile water/saline, 10 ml |
53 |
25 |
$51.03 |
| 80329 |
|
517 |
427 |
$49.98 |
| S5550 |
Insulin rapid 5 u |
59 |
39 |
$48.22 |
| J2930 |
Methylprednisolone injection |
16 |
12 |
$23.62 |
| 96415 |
|
15 |
12 |
$22.88 |
| 89050 |
|
23 |
13 |
$18.88 |
| 85008 |
|
15 |
15 |
$9.03 |
| 92557 |
|
25 |
24 |
$1.98 |
| 91300 |
|
12 |
12 |
$0.00 |