| Code | Description | Claims | Beneficiaries | Total Paid |
| 0111 |
|
8,111 |
7,380 |
$27.21M |
| 0450 |
|
111,855 |
98,023 |
$4.08M |
| 0206 |
|
1,275 |
1,178 |
$2.96M |
| 0112 |
|
647 |
622 |
$989K |
| 70450 |
|
9,957 |
9,557 |
$938K |
| 96374 |
|
15,522 |
14,576 |
$721K |
| 93005 |
|
31,291 |
28,187 |
$629K |
| 99281 |
|
12,896 |
10,485 |
$581K |
| 99285 |
|
2,344 |
2,222 |
$509K |
| G0480 |
Drug test def 1-7 classes |
11,045 |
8,365 |
$506K |
| 74176 |
|
5,442 |
5,248 |
$475K |
| Z7502 |
|
10,617 |
10,436 |
$394K |
| J3490 |
Drugs unclassified injection |
44,929 |
21,684 |
$372K |
| 96365 |
|
6,182 |
5,879 |
$362K |
| 96375 |
|
12,509 |
11,294 |
$359K |
| 80053 |
|
45,407 |
41,369 |
$356K |
| 74177 |
|
1,756 |
1,697 |
$330K |
| 71045 |
|
28,518 |
26,823 |
$306K |
| 0200 |
|
275 |
258 |
$294K |
| 0250 |
|
58,822 |
37,116 |
$285K |
| 85025 |
|
52,997 |
48,074 |
$279K |
| 96372 |
|
14,217 |
13,177 |
$271K |
| 0300 |
|
15,887 |
13,772 |
$265K |
| 99284 |
|
3,145 |
2,980 |
$253K |
| 96361 |
|
10,899 |
10,017 |
$250K |
| 99291 |
|
1,386 |
1,347 |
$246K |
| 99199 |
|
6,164 |
5,591 |
$242K |
| 72125 |
|
1,838 |
1,800 |
$230K |
| 0270 |
|
39,655 |
28,390 |
$218K |
| 80307 |
|
4,723 |
4,214 |
$199K |
| 70486 |
|
1,577 |
1,546 |
$195K |
| 83880 |
|
9,307 |
8,826 |
$181K |
| 96360 |
|
3,858 |
3,707 |
$180K |
| 99283 |
|
2,857 |
2,656 |
$175K |
| 0171 |
Inj, epinephrine (belcher) |
447 |
423 |
$171K |
| 84484 |
|
17,428 |
15,435 |
$147K |
| 87426 |
|
6,064 |
5,684 |
$139K |
| 93970 |
|
995 |
963 |
$132K |
| J7030 |
Normal saline solution infus |
20,299 |
16,856 |
$127K |
| 0762 |
|
1,831 |
1,428 |
$125K |
| 76856 |
|
2,327 |
2,247 |
$118K |
| J1953 |
Levetiracetam injection |
1,701 |
1,516 |
$112K |
| 76801 |
|
2,007 |
1,820 |
$104K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,581 |
1,478 |
$103K |
| J1885 |
Ketorolac tromethamine inj |
14,257 |
13,412 |
$100K |
| J2405 |
Ondansetron hcl injection |
10,816 |
9,483 |
$99K |
| 76830 |
|
1,974 |
1,911 |
$95K |
| 76805 |
|
1,395 |
1,310 |
$94K |
| 80305 |
|
10,758 |
10,072 |
$90K |
| G0482 |
Drug test def 15-21 classes |
923 |
827 |
$88K |
| 76705 |
|
1,986 |
1,917 |
$87K |
| 83690 |
|
16,626 |
15,382 |
$86K |
| 90715 |
|
2,724 |
2,666 |
$78K |
| 76817 |
|
1,885 |
1,724 |
$75K |
| C9803 |
Hopd covid-19 spec collect |
4,700 |
4,388 |
$74K |
| 94640 |
|
4,021 |
3,692 |
$73K |
| 81025 |
|
19,228 |
18,192 |
$73K |
| Z7610 |
|
5,246 |
3,284 |
$72K |
| 93971 |
|
761 |
738 |
$61K |
| 0272 |
|
17,818 |
15,474 |
$55K |
| 0360 |
|
734 |
538 |
$52K |
| 0301 |
|
11,449 |
10,164 |
$48K |
| 73030 |
|
2,356 |
2,258 |
$48K |
| 96366 |
|
1,331 |
1,249 |
$47K |
| 73130 |
|
2,129 |
2,058 |
$47K |
| 81003 |
|
28,902 |
27,107 |
$46K |
| J2270 |
Morphine sulfate injection |
7,284 |
5,935 |
$46K |
| 73610 |
|
1,944 |
1,881 |
$42K |
| 80048 |
|
7,653 |
7,162 |
$42K |
| 73630 |
|
2,083 |
2,008 |
$41K |
| 85610 |
|
12,938 |
12,249 |
$40K |
| 87804 |
|
6,701 |
3,326 |
$38K |
| 73562 |
|
1,840 |
1,783 |
$37K |
| 83605 |
|
4,221 |
3,864 |
$35K |
| 0271 |
|
14,070 |
12,776 |
$33K |
| 87040 |
|
3,049 |
2,408 |
$33K |
| 0160 |
|
437 |
323 |
$33K |
| J0696 |
Ceftriaxone sodium injection |
3,978 |
3,800 |
$32K |
| 72100 |
|
1,181 |
1,152 |
$32K |
| J2704 |
Inj, propofol, 10 mg |
437 |
328 |
$32K |
| 84703 |
|
7,070 |
6,751 |
$32K |
| 84702 |
|
3,278 |
2,993 |
$32K |
| 87086 |
|
5,342 |
5,162 |
$30K |
| 0710 |
|
1,977 |
1,886 |
$29K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,178 |
2,990 |
$26K |
| 0002A |
|
678 |
677 |
$24K |
| 71275 |
|
165 |
161 |
$23K |
| 0001A |
|
649 |
649 |
$22K |
| 36415 |
|
32,285 |
28,241 |
$22K |
| 73110 |
|
997 |
965 |
$22K |
| J1100 |
Dexamethasone sodium phos |
1,365 |
1,310 |
$21K |
| G0481 |
Drug test def 8-14 classes |
266 |
248 |
$21K |
| 86850 |
|
4,613 |
4,385 |
$20K |
| 87591 |
|
1,429 |
1,380 |
$19K |
| 84443 |
|
1,539 |
1,505 |
$18K |
| 87491 |
|
1,362 |
1,321 |
$18K |
| Z9725 |
|
410 |
408 |
$17K |
| 59025 |
|
1,028 |
877 |
$17K |
| 0636 |
|
3,524 |
3,252 |
$17K |
| J8499 |
Oral prescrip drug non chemo |
2,243 |
1,618 |
$16K |
| 85379 |
|
2,010 |
1,942 |
$16K |
| U0005 |
Infec agen detec ampli probe |
937 |
871 |
$16K |
| J1815 |
Insulin injection |
197 |
152 |
$15K |
| J2060 |
Lorazepam injection |
3,187 |
2,553 |
$14K |
| 73590 |
|
803 |
777 |
$14K |
| 87430 |
|
1,913 |
1,866 |
$13K |
| 76700 |
|
230 |
222 |
$13K |
| 85730 |
|
2,897 |
2,766 |
$12K |
| 73560 |
|
666 |
650 |
$12K |
| 87635 |
|
306 |
301 |
$12K |
| 82962 |
|
5,576 |
4,989 |
$12K |
| 87186 |
|
1,793 |
1,712 |
$12K |
| 86901 |
|
4,701 |
4,460 |
$12K |
| J2930 |
Methylprednisolone injection |
1,279 |
1,223 |
$11K |
| 80320 |
|
1,727 |
1,544 |
$10K |
| 86900 |
|
4,683 |
4,447 |
$10K |
| 87070 |
|
1,731 |
1,690 |
$10K |
| 87077 |
|
1,974 |
1,906 |
$10K |
| 84145 |
|
678 |
657 |
$10K |
| 73502 |
|
363 |
353 |
$9K |
| 90471 |
|
2,674 |
2,617 |
$9K |
| 99406 |
|
955 |
931 |
$9K |
| A4649 |
Surgical supplies |
6,758 |
3,300 |
$9K |
| 0306 |
|
7,109 |
6,373 |
$8K |
| 93976 |
|
51 |
49 |
$8K |
| J1200 |
Diphenhydramine hcl injectio |
1,926 |
1,727 |
$8K |
| 96376 |
|
1,102 |
982 |
$8K |
| 73080 |
|
363 |
353 |
$7K |
| 0730 |
|
8,190 |
7,386 |
$7K |
| 0278 |
|
418 |
394 |
$7K |
| 80076 |
|
1,484 |
1,433 |
$7K |
| J2765 |
Metoclopramide hcl injection |
1,472 |
1,397 |
$7K |
| 0004A |
|
160 |
160 |
$6K |
| 80185 |
|
496 |
454 |
$6K |
| 73090 |
|
338 |
327 |
$6K |
| J1630 |
Haloperidol injection |
1,279 |
1,052 |
$6K |
| Q0162 |
Ondansetron oral |
563 |
535 |
$6K |
| 82550 |
|
1,226 |
1,147 |
$6K |
| 76818 |
|
254 |
220 |
$6K |
| J2250 |
Inj midazolam hydrochloride |
576 |
480 |
$5K |
| 29125 |
|
257 |
253 |
$4K |
| 0214 |
|
12 |
12 |
$4K |
| J0690 |
Cefazolin sodium injection |
386 |
362 |
$4K |
| 0255 |
|
1,863 |
1,749 |
$4K |
| 74018 |
|
254 |
248 |
$4K |
| 0258 |
|
5,135 |
4,756 |
$3K |
| 87420 |
|
666 |
647 |
$3K |
| 82805 |
|
140 |
137 |
$3K |
| 0324 |
|
8,200 |
7,383 |
$3K |
| 70496 |
|
12 |
12 |
$3K |
| 71046 |
|
218 |
210 |
$3K |
| 83735 |
|
699 |
661 |
$3K |
| 82140 |
|
326 |
312 |
$3K |
| J3010 |
Fentanyl citrate injection |
586 |
481 |
$3K |
| 10060 |
|
153 |
146 |
$3K |
| L1830 |
Ko immob canvas long pre ots |
41 |
39 |
$3K |
| 99070 |
|
620 |
336 |
$2K |
| J1165 |
Phenytoin sodium injection |
41 |
37 |
$2K |
| 94644 |
|
156 |
152 |
$2K |
| 0801 |
|
75 |
71 |
$2K |
| J7620 |
Albuterol ipratrop non-comp |
213 |
173 |
$2K |
| 0351 |
|
2,489 |
2,329 |
$2K |
| 76815 |
|
33 |
25 |
$2K |
| 96367 |
|
73 |
68 |
$2K |
| J7611 |
Albuterol non-comp con |
1,600 |
1,284 |
$2K |
| 12001 |
|
89 |
89 |
$2K |
| 0352 |
|
2,795 |
2,608 |
$2K |
| A4217 |
Sterile water/saline, 500 ml |
231 |
224 |
$2K |
| 72131 |
|
17 |
16 |
$1K |
| 80165 |
|
173 |
162 |
$1K |
| J3475 |
Inj magnesium sulfate |
79 |
70 |
$1K |
| S0020 |
Injection, bupivicaine hydro |
125 |
110 |
$1K |
| 73140 |
|
108 |
104 |
$1K |
| 0305 |
|
10,898 |
9,676 |
$1K |
| 82010 |
|
221 |
203 |
$1K |
| 70498 |
|
13 |
13 |
$1K |
| 82375 |
|
143 |
137 |
$1K |
| 12002 |
|
63 |
62 |
$1K |
| 0483 |
|
3,485 |
3,296 |
$1K |
| 71101 |
|
41 |
41 |
$986.64 |
| J7040 |
Normal saline solution infus |
273 |
235 |
$969.86 |
| 81001 |
|
548 |
513 |
$948.23 |
| 0920 |
|
3,887 |
3,615 |
$920.05 |
| 0370 |
|
695 |
660 |
$904.98 |
| 12011 |
|
53 |
53 |
$894.80 |
| 0350 |
|
633 |
594 |
$889.59 |
| 80156 |
|
109 |
104 |
$866.86 |
| 87210 |
|
220 |
210 |
$713.47 |
| 80329 |
|
469 |
432 |
$678.71 |
| 76857 |
|
26 |
24 |
$617.52 |
| 0341 |
|
386 |
376 |
$572.12 |
| E0114 |
Crutch underarm pair no wood |
16 |
16 |
$565.08 |
| 80184 |
|
93 |
90 |
$564.17 |
| 83036 |
|
97 |
93 |
$535.70 |
| 82947 |
|
288 |
228 |
$526.70 |
| J7610 |
Albuterol comp con |
50 |
40 |
$524.73 |
| 82553 |
|
43 |
38 |
$518.95 |
| S0164 |
Injection pantroprazole |
64 |
58 |
$511.93 |
| 96368 |
|
36 |
36 |
$466.75 |
| 76870 |
|
15 |
13 |
$463.76 |
| J3370 |
Vancomycin hcl injection |
41 |
37 |
$446.13 |
| 0420 |
|
1,938 |
1,828 |
$413.17 |
| J7060 |
5% dextrose/water |
69 |
64 |
$390.50 |
| 36600 |
|
46 |
45 |
$381.03 |
| 72040 |
|
15 |
15 |
$366.99 |
| Q0163 |
Diphenhydramine hcl 50mg |
182 |
169 |
$358.31 |
| 0611 |
|
575 |
548 |
$303.67 |
| J1170 |
Hydromorphone injection |
62 |
60 |
$274.97 |
| 85027 |
|
60 |
57 |
$270.23 |
| 0740 |
|
131 |
125 |
$260.03 |
| 72170 |
|
12 |
12 |
$235.15 |
| 73060 |
|
12 |
12 |
$231.97 |
| 0307 |
|
7,185 |
6,647 |
$209.37 |
| J7050 |
Normal saline solution infus |
48 |
41 |
$197.73 |
| 73552 |
|
12 |
12 |
$186.66 |
| 0402 |
|
2,802 |
2,624 |
$184.30 |
| J2919 |
Inj, methylpred sod succ 5mg |
51 |
49 |
$165.02 |
| 0921 |
|
398 |
382 |
$159.64 |
| 0430 |
|
539 |
510 |
$158.81 |
| J1940 |
Furosemide injection |
43 |
37 |
$154.25 |
| J0131 |
Inj, acetaminophen (nos) |
33 |
32 |
$130.93 |
| 0259 |
|
1,811 |
1,611 |
$118.52 |
| 0320 |
|
1,242 |
1,159 |
$110.05 |
| 90999 |
|
18 |
12 |
$101.44 |
| 84100 |
|
37 |
37 |
$91.12 |
| 0343 |
|
383 |
375 |
$77.45 |
| 0482 |
|
119 |
118 |
$74.34 |
| 80061 |
|
12 |
12 |
$71.91 |
| 84439 |
|
13 |
13 |
$63.93 |
| 99072 |
|
50 |
31 |
$57.90 |
| 86140 |
|
12 |
12 |
$54.19 |
| 0302 |
|
2,444 |
2,285 |
$49.71 |
| 0460 |
|
460 |
436 |
$49.60 |
| 0471 |
|
471 |
444 |
$43.03 |
| 0410 |
|
2,458 |
2,162 |
$31.69 |
| 0424 |
|
621 |
568 |
$26.13 |
| 0434 |
|
240 |
227 |
$19.50 |
| 0946 |
|
126 |
118 |
$3.09 |
| 0760 |
|
15 |
14 |
$0.00 |
| 0390 |
|
71 |
67 |
$0.00 |
| 0361 |
|
140 |
133 |
$0.00 |
| 0312 |
|
269 |
256 |
$0.00 |
| 0510 |
|
78 |
74 |
$0.00 |
| 0121 |
|
75 |
70 |
$0.00 |
| 0381 |
|
12 |
12 |
$0.00 |
| 0412 |
|
44 |
43 |
$0.00 |
| 96379 |
|
21 |
13 |
$0.00 |
| 0720 |
|
600 |
577 |
$0.00 |
| Q4051 |
Splint supplies misc |
51 |
20 |
$0.00 |
| 0440 |
|
184 |
176 |
$0.00 |
| S9445 |
Pt education noc individ |
126 |
72 |
$0.00 |
| 0612 |
Calcium glucon (wg critical) |
30 |
28 |
$0.00 |