| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
28,388 |
25,376 |
$1.46M |
| 99283 |
|
22,100 |
20,096 |
$1.25M |
| 0915 |
|
1,511 |
224 |
$1.04M |
| 99499 |
|
7,946 |
6,626 |
$705K |
| 96374 |
|
8,024 |
7,492 |
$487K |
| 80307 |
|
7,086 |
5,880 |
$442K |
| 70450 |
|
3,703 |
3,555 |
$392K |
| Z7502 |
|
9,954 |
9,713 |
$368K |
| G0480 |
Drug test def 1-7 classes |
5,948 |
5,520 |
$356K |
| 99285 |
|
3,450 |
3,212 |
$351K |
| 74177 |
|
1,480 |
1,435 |
$339K |
| 93005 |
|
13,125 |
11,790 |
$303K |
| 87426 |
|
8,306 |
7,942 |
$278K |
| 80053 |
|
27,728 |
25,342 |
$272K |
| 96375 |
|
5,532 |
5,145 |
$237K |
| 99284 |
|
3,343 |
3,073 |
$225K |
| 85025 |
|
32,509 |
29,377 |
$215K |
| 90853 |
|
12,929 |
2,354 |
$207K |
| 96372 |
|
7,060 |
6,667 |
$198K |
| 74176 |
|
1,708 |
1,660 |
$195K |
| 96365 |
|
2,048 |
1,978 |
$162K |
| 96361 |
|
5,566 |
5,189 |
$143K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,549 |
1,508 |
$126K |
| 71045 |
|
10,505 |
9,991 |
$114K |
| 72125 |
|
735 |
706 |
$109K |
| G0481 |
Drug test def 8-14 classes |
880 |
772 |
$106K |
| 0914 |
|
161 |
91 |
$88K |
| J7030 |
Normal saline solution infus |
8,744 |
7,645 |
$88K |
| 83880 |
|
4,539 |
4,308 |
$87K |
| 97110 |
|
5,149 |
1,786 |
$87K |
| 96360 |
|
1,342 |
1,297 |
$81K |
| J1885 |
Ketorolac tromethamine inj |
7,605 |
7,172 |
$79K |
| 84484 |
|
9,748 |
8,342 |
$78K |
| 31623 |
|
901 |
878 |
$76K |
| G0463 |
Hospital outpt clinic visit |
3,432 |
2,936 |
$76K |
| 0762 |
|
93 |
35 |
$74K |
| 97140 |
|
2,079 |
790 |
$63K |
| Z7610 |
|
5,956 |
3,404 |
$60K |
| 87804 |
|
7,275 |
4,553 |
$58K |
| 83690 |
|
8,678 |
8,108 |
$56K |
| 36415 |
|
15,656 |
12,894 |
$55K |
| J2405 |
Ondansetron hcl injection |
5,127 |
4,714 |
$52K |
| 0250 |
|
7,351 |
5,082 |
$49K |
| 90715 |
|
1,161 |
1,145 |
$49K |
| 94640 |
|
2,383 |
1,914 |
$44K |
| 0760 |
|
334 |
225 |
$41K |
| 84702 |
|
4,928 |
4,620 |
$39K |
| 99406 |
|
2,967 |
2,783 |
$35K |
| 0270 |
|
4,177 |
2,299 |
$35K |
| 81001 |
|
9,542 |
9,084 |
$31K |
| 97112 |
|
1,700 |
599 |
$30K |
| 88108 |
|
645 |
620 |
$30K |
| 71046 |
|
1,571 |
1,510 |
$30K |
| 87800 |
|
1,636 |
1,613 |
$30K |
| 99199 |
|
542 |
498 |
$30K |
| 0710 |
|
809 |
797 |
$26K |
| 87086 |
|
3,651 |
3,527 |
$26K |
| 82962 |
|
9,627 |
7,641 |
$26K |
| 31624 |
|
872 |
857 |
$25K |
| 80048 |
|
3,761 |
3,472 |
$25K |
| J0696 |
Ceftriaxone sodium injection |
1,551 |
1,511 |
$23K |
| 73630 |
|
879 |
832 |
$22K |
| 0241U |
|
177 |
177 |
$22K |
| 0510 |
|
1,333 |
1,032 |
$22K |
| 76856 |
|
239 |
228 |
$21K |
| 73562 |
|
894 |
831 |
$21K |
| 88312 |
|
688 |
661 |
$20K |
| 73610 |
|
701 |
663 |
$20K |
| 87070 |
|
1,735 |
891 |
$20K |
| 82550 |
|
3,483 |
3,307 |
$19K |
| C9803 |
Hopd covid-19 spec collect |
873 |
844 |
$18K |
| 83605 |
|
1,823 |
1,529 |
$17K |
| 76801 |
|
235 |
215 |
$17K |
| J3490 |
Drugs unclassified injection |
39,346 |
22,428 |
$15K |
| 87430 |
|
1,463 |
1,434 |
$15K |
| 73130 |
|
526 |
510 |
$15K |
| 87186 |
|
2,116 |
2,018 |
$15K |
| 87015 |
|
1,726 |
890 |
$14K |
| 87101 |
|
1,312 |
651 |
$14K |
| J2270 |
Morphine sulfate injection |
1,545 |
1,348 |
$13K |
| 87040 |
|
1,262 |
661 |
$12K |
| 87206 |
|
1,556 |
784 |
$12K |
| 76817 |
|
169 |
155 |
$12K |
| J2930 |
Methylprednisolone injection |
1,045 |
997 |
$12K |
| 73030 |
|
481 |
449 |
$12K |
| 90832 |
|
509 |
425 |
$11K |
| 84703 |
|
2,986 |
2,852 |
$11K |
| 85730 |
|
2,481 |
2,328 |
$11K |
| 87635 |
|
237 |
218 |
$11K |
| 87220 |
|
1,751 |
891 |
$10K |
| J1100 |
Dexamethasone sodium phos |
316 |
293 |
$10K |
| 85610 |
|
3,205 |
3,023 |
$9K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
106 |
87 |
$8K |
| 81003 |
|
3,530 |
3,405 |
$8K |
| J7050 |
Normal saline solution infus |
1,494 |
1,360 |
$8K |
| 76700 |
|
106 |
100 |
$8K |
| J1200 |
Diphenhydramine hcl injectio |
1,178 |
1,098 |
$7K |
| 29125 |
|
195 |
190 |
$7K |
| 84443 |
|
1,182 |
1,155 |
$7K |
| 81025 |
|
1,342 |
1,288 |
$7K |
| J2250 |
Inj midazolam hydrochloride |
831 |
799 |
$7K |
| 87077 |
|
1,159 |
1,084 |
$7K |
| 88184 |
|
145 |
141 |
$7K |
| 76705 |
|
89 |
88 |
$7K |
| 87205 |
|
946 |
496 |
$6K |
| 72100 |
|
211 |
208 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,746 |
2,534 |
$6K |
| 97530 |
|
514 |
255 |
$6K |
| J3010 |
Fentanyl citrate injection |
1,092 |
1,034 |
$6K |
| 94644 |
|
239 |
221 |
$5K |
| 90471 |
|
1,338 |
1,284 |
$5K |
| 83735 |
|
1,370 |
1,311 |
$5K |
| 93971 |
|
41 |
40 |
$5K |
| 96366 |
|
92 |
91 |
$5K |
| J2060 |
Lorazepam injection |
713 |
651 |
$4K |
| 70486 |
|
38 |
37 |
$4K |
| 99281 |
|
185 |
169 |
$4K |
| 85379 |
|
423 |
408 |
$4K |
| 90834 |
|
150 |
86 |
$3K |
| 88185 |
|
144 |
140 |
$3K |
| 82553 |
|
318 |
303 |
$3K |
| 97750 |
|
53 |
53 |
$3K |
| 73110 |
|
89 |
83 |
$3K |
| 97116 |
|
215 |
98 |
$3K |
| 80076 |
|
359 |
347 |
$3K |
| J1815 |
Insulin injection |
99 |
88 |
$2K |
| 80164 |
|
222 |
209 |
$2K |
| J2765 |
Metoclopramide hcl injection |
371 |
354 |
$2K |
| 11042 |
|
93 |
39 |
$2K |
| 99282 |
|
77 |
74 |
$2K |
| 12001 |
|
41 |
39 |
$2K |
| 59025 |
|
86 |
63 |
$2K |
| 86901 |
|
562 |
530 |
$2K |
| 88305 |
|
133 |
133 |
$1K |
| 29505 |
|
27 |
27 |
$1K |
| 80061 |
|
1,032 |
1,011 |
$1K |
| 76770 |
|
15 |
13 |
$1K |
| 12002 |
|
15 |
15 |
$1K |
| 82306 |
|
353 |
349 |
$1K |
| 51701 |
|
13 |
12 |
$1K |
| 84439 |
|
510 |
499 |
$1K |
| J2001 |
Lidocaine injection |
173 |
127 |
$970.92 |
| 87420 |
|
86 |
81 |
$944.24 |
| 93306 |
|
12 |
12 |
$933.74 |
| 74022 |
|
27 |
27 |
$880.56 |
| 88112 |
|
68 |
67 |
$876.72 |
| 81002 |
|
402 |
361 |
$872.77 |
| 83036 |
|
862 |
844 |
$785.49 |
| 72040 |
|
28 |
26 |
$703.73 |
| 10060 |
|
15 |
15 |
$671.81 |
| 0324 |
|
13 |
13 |
$671.56 |
| J3535 |
Metered dose inhaler drug |
17 |
15 |
$645.71 |
| 87491 |
|
58 |
58 |
$606.95 |
| 82948 |
|
231 |
177 |
$599.20 |
| 87591 |
|
57 |
57 |
$597.79 |
| 90840 |
|
21 |
12 |
$541.51 |
| J1170 |
Hydromorphone injection |
54 |
45 |
$454.26 |
| 73080 |
|
12 |
12 |
$390.57 |
| 82150 |
|
50 |
50 |
$384.92 |
| J1644 |
Inj heparin sodium per 1000u |
39 |
25 |
$271.15 |
| 94645 |
|
12 |
12 |
$205.14 |
| S0020 |
Injection, bupivicaine hydro |
26 |
26 |
$201.15 |
| 84100 |
|
54 |
51 |
$176.79 |
| J1630 |
Haloperidol injection |
28 |
27 |
$168.07 |
| 86850 |
|
41 |
40 |
$153.56 |
| 86900 |
|
53 |
52 |
$126.43 |
| J2704 |
Inj, propofol, 10 mg |
13 |
13 |
$99.92 |
| J2919 |
Inj, methylpred sod succ 5mg |
16 |
16 |
$98.09 |
| 97161 |
|
12 |
12 |
$97.20 |
| J7611 |
Albuterol non-comp con |
200 |
164 |
$96.10 |
| 90839 |
|
13 |
12 |
$95.51 |
| Q3014 |
Telehealth facility fee |
17 |
15 |
$68.35 |
| 96376 |
|
25 |
25 |
$67.20 |
| J7060 |
5% dextrose/water |
14 |
13 |
$59.28 |
| 87147 |
|
12 |
12 |
$46.17 |
| J7613 |
Albuterol non-comp unit |
604 |
561 |
$43.36 |
| J7512 |
Prednisone ir or dr oral 1mg |
76 |
73 |
$8.41 |
| 82947 |
|
15 |
15 |
$4.28 |
| G0410 |
Grp psych php/iop 45-50 |
992 |
177 |
$0.00 |
| 0258 |
|
29 |
27 |
$0.00 |
| G0008 |
Admin influenza virus vac |
12 |
12 |
$0.00 |
| 0370 |
|
19 |
12 |
$0.00 |
| 82570 |
|
13 |
12 |
$0.00 |