| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
|
29,104 |
26,587 |
$9.78M |
| A9150 |
Misc/exper non-prescript dru |
22,867 |
11,735 |
$6.52M |
| 36415 |
|
29,076 |
25,763 |
$6.05M |
| 99284 |
|
19,049 |
17,976 |
$3.39M |
| 99283 |
|
20,853 |
19,731 |
$2.91M |
| T1999 |
Noc retail items andsupplies |
7,723 |
5,449 |
$2.64M |
| 99285 |
|
7,505 |
7,063 |
$2.11M |
| 80053 |
|
43,078 |
40,346 |
$1.27M |
| 99282 |
|
4,709 |
4,486 |
$937K |
| 74177 |
|
4,184 |
4,073 |
$912K |
| 70450 |
|
5,235 |
5,080 |
$909K |
| 71046 |
|
7,374 |
7,182 |
$450K |
| 71045 |
|
10,464 |
10,109 |
$432K |
| 74176 |
|
2,437 |
2,389 |
$370K |
| 96374 |
|
8,323 |
7,855 |
$319K |
| 0241U |
|
5,419 |
5,312 |
$316K |
| 0250 |
|
6,660 |
3,734 |
$296K |
| G0480 |
Drug test def 1-7 classes |
5,656 |
5,114 |
$295K |
| 96372 |
|
7,507 |
6,949 |
$295K |
| 93005 |
|
14,844 |
13,951 |
$278K |
| 85025 |
|
41,452 |
38,369 |
$268K |
| 96375 |
|
6,620 |
6,097 |
$251K |
| 72125 |
|
1,332 |
1,303 |
$233K |
| Z7502 |
|
4,766 |
4,714 |
$179K |
| 84484 |
|
9,448 |
8,533 |
$168K |
| 0360 |
|
272 |
258 |
$149K |
| 99281 |
|
795 |
738 |
$146K |
| 80307 |
|
5,001 |
4,736 |
$141K |
| 96365 |
|
3,080 |
2,933 |
$125K |
| J3490 |
Drugs unclassified injection |
19,319 |
11,681 |
$118K |
| 0270 |
|
14,692 |
7,485 |
$114K |
| 81001 |
|
12,457 |
11,875 |
$107K |
| 0762 |
|
30 |
29 |
$99K |
| 81003 |
|
6,218 |
6,000 |
$93K |
| 84703 |
|
9,127 |
8,720 |
$88K |
| 73630 |
|
1,374 |
1,353 |
$88K |
| 87040 |
|
5,146 |
4,594 |
$84K |
| 71275 |
|
577 |
565 |
$80K |
| 73610 |
|
1,007 |
989 |
$79K |
| 87081 |
|
1,733 |
1,710 |
$79K |
| 76705 |
|
1,416 |
1,387 |
$78K |
| 83690 |
|
9,244 |
8,758 |
$75K |
| 76856 |
|
1,437 |
1,395 |
$65K |
| 73564 |
|
984 |
965 |
$64K |
| 87086 |
|
4,721 |
4,526 |
$61K |
| 93971 |
|
1,022 |
999 |
$61K |
| 82962 |
|
2,884 |
2,162 |
$60K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,816 |
1,724 |
$59K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,039 |
5,703 |
$59K |
| 73030 |
|
743 |
732 |
$57K |
| 94640 |
|
2,538 |
2,258 |
$55K |
| 73130 |
|
746 |
726 |
$55K |
| 83880 |
|
2,799 |
2,711 |
$54K |
| 96361 |
|
2,437 |
2,216 |
$54K |
| 83605 |
|
4,913 |
4,593 |
$49K |
| J7512 |
Prednisone ir or dr oral 1mg |
364 |
348 |
$47K |
| 73110 |
|
538 |
528 |
$43K |
| 96376 |
|
1,217 |
1,122 |
$40K |
| 80048 |
|
2,261 |
2,109 |
$39K |
| 87077 |
|
1,682 |
1,634 |
$33K |
| J7030 |
Normal saline solution infus |
10,926 |
9,797 |
$33K |
| 99199 |
|
81 |
62 |
$33K |
| 87502 |
|
852 |
836 |
$32K |
| 96360 |
|
906 |
870 |
$32K |
| 87491 |
|
1,193 |
1,167 |
$30K |
| 76830 |
|
803 |
785 |
$30K |
| 0710 |
|
403 |
391 |
$28K |
| Q4051 |
Splint supplies misc |
27 |
17 |
$26K |
| C1781 |
Mesh (implantable) |
28 |
28 |
$25K |
| 74018 |
|
515 |
503 |
$24K |
| A9270 |
Non-covered item or service |
2,673 |
1,133 |
$24K |
| 87631 |
|
421 |
416 |
$23K |
| Z7610 |
|
2,257 |
1,149 |
$23K |
| 85379 |
|
2,287 |
2,221 |
$22K |
| 87880 |
|
1,938 |
1,913 |
$21K |
| 83735 |
|
2,461 |
2,162 |
$21K |
| 72100 |
|
450 |
445 |
$20K |
| G0378 |
Hospital observation per hr |
31 |
31 |
$20K |
| 81025 |
|
2,224 |
2,166 |
$19K |
| 87635 |
|
1,027 |
991 |
$19K |
| 85730 |
|
3,098 |
2,989 |
$19K |
| 85610 |
|
3,790 |
3,613 |
$16K |
| 85027 |
|
3,098 |
2,989 |
$16K |
| 84702 |
|
1,227 |
1,083 |
$16K |
| 76700 |
|
406 |
390 |
$16K |
| J2405 |
Ondansetron hcl injection |
5,806 |
5,368 |
$14K |
| 76801 |
|
465 |
415 |
$13K |
| 88304 |
|
46 |
42 |
$13K |
| 87591 |
|
1,196 |
1,170 |
$13K |
| J1885 |
Ketorolac tromethamine inj |
7,215 |
6,776 |
$12K |
| J2270 |
Morphine sulfate injection |
3,321 |
2,844 |
$12K |
| 78452 |
|
32 |
26 |
$12K |
| 72131 |
|
44 |
43 |
$12K |
| J0696 |
Ceftriaxone sodium injection |
3,093 |
2,952 |
$10K |
| 0324 |
|
48 |
46 |
$9K |
| U0002 |
Covid-19 lab test non-cdc |
137 |
134 |
$8K |
| 82553 |
|
684 |
628 |
$8K |
| 12001 |
|
58 |
56 |
$8K |
| J1100 |
Dexamethasone sodium phos |
3,262 |
3,167 |
$8K |
| 29125 |
|
165 |
159 |
$7K |
| Q0111 |
Wet mounts/ w preparations |
247 |
242 |
$6K |
| 82550 |
|
842 |
766 |
$6K |
| 73080 |
|
72 |
68 |
$6K |
| 87661 |
|
488 |
480 |
$6K |
| 87186 |
|
1,320 |
1,292 |
$5K |
| 90471 |
|
604 |
581 |
$5K |
| 72040 |
|
53 |
53 |
$5K |
| 97139 |
|
449 |
131 |
$5K |
| 76817 |
|
103 |
89 |
$5K |
| 90715 |
|
577 |
572 |
$4K |
| 94644 |
|
170 |
157 |
$4K |
| J2060 |
Lorazepam injection |
1,190 |
1,049 |
$4K |
| 85007 |
|
1,231 |
1,185 |
$4K |
| A9500 |
Tc99m sestamibi |
58 |
50 |
$4K |
| 86141 |
|
486 |
465 |
$4K |
| 73140 |
|
40 |
39 |
$4K |
| 93306 |
|
42 |
41 |
$3K |
| 47562 |
|
12 |
12 |
$3K |
| J2785 |
Regadenoson injection |
31 |
26 |
$3K |
| 97750 |
|
104 |
50 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
1,186 |
1,099 |
$2K |
| 87637 |
|
181 |
179 |
$2K |
| 93017 |
|
33 |
27 |
$2K |
| J2765 |
Metoclopramide hcl injection |
885 |
827 |
$2K |
| 86901 |
|
305 |
297 |
$2K |
| 80061 |
|
138 |
129 |
$2K |
| U0005 |
Infec agen detec ampli probe |
912 |
857 |
$2K |
| 84443 |
|
151 |
151 |
$2K |
| 73502 |
|
14 |
14 |
$1K |
| 85651 |
|
205 |
195 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
297 |
285 |
$1K |
| 10060 |
|
15 |
15 |
$1K |
| 86308 |
|
232 |
229 |
$967.87 |
| J7120 |
Ringers lactate infusion |
336 |
325 |
$862.36 |
| J3475 |
Inj magnesium sulfate |
383 |
362 |
$848.85 |
| 96367 |
|
31 |
30 |
$731.03 |
| J2930 |
Methylprednisolone injection |
271 |
255 |
$704.89 |
| 74019 |
|
12 |
12 |
$682.38 |
| J1170 |
Hydromorphone injection |
237 |
210 |
$672.35 |
| 83036 |
|
41 |
40 |
$656.53 |
| 87070 |
|
13 |
13 |
$656.00 |
| J3010 |
Fentanyl citrate injection |
287 |
285 |
$612.77 |
| 97110 |
|
22 |
13 |
$394.58 |
| 0012A |
|
16 |
16 |
$390.36 |
| J0131 |
Inj, acetaminophen (nos) |
80 |
76 |
$343.02 |
| J0690 |
Cefazolin sodium injection |
139 |
134 |
$252.78 |
| J3486 |
Ziprasidone mesylate |
18 |
12 |
$228.94 |
| 86885 |
|
28 |
25 |
$181.51 |
| J1650 |
Inj enoxaparin sodium |
17 |
12 |
$160.34 |
| J2550 |
Promethazine hcl injection |
85 |
79 |
$144.90 |
| J7040 |
Normal saline solution infus |
60 |
50 |
$91.76 |
| 86900 |
|
28 |
25 |
$84.62 |
| 70486 |
|
12 |
12 |
$76.13 |
| 87147 |
|
12 |
12 |
$73.12 |
| J7050 |
Normal saline solution infus |
13 |
13 |
$45.57 |
| J0330 |
Succinycholine chloride inj |
19 |
19 |
$31.15 |
| 84145 |
|
14 |
14 |
$21.08 |
| J2543 |
Piperacillin/tazobactam |
25 |
24 |
$0.00 |
| 87205 |
|
12 |
12 |
$0.00 |
| Q9969 |
Non-heu tc-99m add-on/dose |
12 |
12 |
$0.00 |
| A4218 |
Sterile saline or water |
27 |
26 |
$0.00 |
| G8979 |
Mobility goal status |
14 |
12 |
$0.00 |