| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
24,159 |
21,802 |
$8.54M |
| 99283 |
|
24,803 |
22,730 |
$6.87M |
| J3490 |
Drugs unclassified injection |
34,155 |
16,341 |
$4.84M |
| 80048 |
|
24,627 |
22,072 |
$3.15M |
| 80053 |
|
11,674 |
11,035 |
$2.11M |
| J1885 |
Ketorolac tromethamine inj |
6,233 |
5,885 |
$1.91M |
| 97139 |
|
22,044 |
3,304 |
$1.04M |
| 74177 |
|
3,660 |
3,569 |
$844K |
| 70450 |
|
4,916 |
4,772 |
$806K |
| 99284 |
|
5,326 |
4,983 |
$775K |
| 99285 |
|
3,530 |
3,346 |
$766K |
| J2405 |
Ondansetron hcl injection |
4,490 |
4,140 |
$751K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,493 |
4,344 |
$722K |
| 87636 |
|
4,102 |
4,016 |
$687K |
| 0250 |
|
12,867 |
4,733 |
$660K |
| 99499 |
|
5,928 |
4,841 |
$603K |
| 71045 |
|
13,617 |
12,986 |
$601K |
| J1170 |
Hydromorphone injection |
2,615 |
2,195 |
$570K |
| J0696 |
Ceftriaxone sodium injection |
1,747 |
1,603 |
$475K |
| 93005 |
|
16,640 |
15,553 |
$470K |
| J7030 |
Normal saline solution infus |
6,192 |
5,599 |
$448K |
| 74176 |
|
2,889 |
2,836 |
$411K |
| 85025 |
|
27,772 |
25,217 |
$366K |
| 80307 |
|
4,732 |
4,291 |
$365K |
| J1200 |
Diphenhydramine hcl injectio |
1,551 |
1,458 |
$314K |
| 72125 |
|
1,802 |
1,756 |
$307K |
| 71046 |
|
2,569 |
2,511 |
$304K |
| 99282 |
|
1,108 |
1,074 |
$275K |
| J1100 |
Dexamethasone sodium phos |
816 |
792 |
$270K |
| G0480 |
Drug test def 1-7 classes |
4,680 |
4,118 |
$266K |
| 84703 |
|
8,973 |
8,445 |
$255K |
| 81001 |
|
13,156 |
12,497 |
$240K |
| 80076 |
|
11,068 |
10,309 |
$220K |
| J2060 |
Lorazepam injection |
1,438 |
1,258 |
$200K |
| 73610 |
|
931 |
907 |
$194K |
| 97750 |
|
1,859 |
925 |
$189K |
| 87651 |
|
912 |
905 |
$182K |
| 73630 |
|
1,128 |
1,089 |
$176K |
| 0241U |
|
2,679 |
2,620 |
$174K |
| 84484 |
|
11,194 |
10,081 |
$172K |
| 76856 |
|
1,804 |
1,754 |
$169K |
| 87502 |
|
1,315 |
1,259 |
$155K |
| 97110 |
|
6,320 |
2,085 |
$153K |
| 0270 |
|
4,659 |
2,387 |
$153K |
| 73562 |
|
974 |
925 |
$152K |
| 87086 |
|
4,535 |
4,376 |
$146K |
| 83690 |
|
12,176 |
11,334 |
$137K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,165 |
1,133 |
$136K |
| 87635 |
|
1,319 |
1,276 |
$135K |
| 84702 |
|
1,576 |
1,410 |
$126K |
| 96374 |
|
2,128 |
1,954 |
$126K |
| 81003 |
|
6,181 |
5,974 |
$113K |
| 77067 |
|
712 |
712 |
$111K |
| 85027 |
|
8,982 |
8,330 |
$104K |
| 76705 |
|
1,689 |
1,641 |
$100K |
| 96372 |
|
1,607 |
1,330 |
$97K |
| 97140 |
|
4,422 |
1,438 |
$96K |
| 87077 |
|
2,456 |
2,387 |
$95K |
| 73030 |
|
503 |
495 |
$94K |
| 73130 |
|
552 |
526 |
$80K |
| 76830 |
|
994 |
974 |
$79K |
| 90715 |
|
211 |
210 |
$78K |
| 76700 |
|
649 |
646 |
$76K |
| 72131 |
|
619 |
614 |
$73K |
| 84443 |
|
3,283 |
3,169 |
$62K |
| J7040 |
Normal saline solution infus |
1,056 |
1,013 |
$62K |
| 94640 |
|
1,381 |
1,243 |
$60K |
| 86901 |
|
2,154 |
2,034 |
$60K |
| J7120 |
Ringers lactate infusion |
711 |
658 |
$59K |
| J2765 |
Metoclopramide hcl injection |
622 |
593 |
$55K |
| 71275 |
|
353 |
347 |
$47K |
| 93971 |
|
645 |
628 |
$43K |
| 87503 |
|
867 |
846 |
$43K |
| 87040 |
|
1,275 |
1,198 |
$35K |
| 83605 |
|
2,647 |
2,460 |
$32K |
| 0762 |
|
89 |
87 |
$32K |
| 96375 |
|
1,555 |
1,390 |
$31K |
| 97799 |
|
653 |
115 |
$31K |
| 82550 |
|
1,971 |
1,810 |
$29K |
| 77063 |
|
696 |
696 |
$28K |
| 83880 |
|
2,077 |
2,004 |
$27K |
| 76801 |
|
619 |
527 |
$27K |
| 73110 |
|
195 |
194 |
$27K |
| 83735 |
|
3,366 |
3,053 |
$26K |
| 72128 |
|
258 |
257 |
$25K |
| 85379 |
|
2,111 |
2,062 |
$25K |
| A4216 |
Sterile water/saline, 10 ml |
3,837 |
3,324 |
$25K |
| J0780 |
Prochlorperazine injection |
44 |
42 |
$24K |
| 85610 |
|
4,786 |
4,451 |
$24K |
| 87186 |
|
1,734 |
1,691 |
$23K |
| 87880 |
|
218 |
211 |
$22K |
| J2270 |
Morphine sulfate injection |
2,540 |
2,223 |
$22K |
| J0131 |
Inj, acetaminophen (nos) |
29 |
29 |
$20K |
| 70498 |
|
248 |
247 |
$19K |
| 71260 |
|
162 |
162 |
$18K |
| 85730 |
|
2,405 |
2,330 |
$17K |
| 99281 |
|
273 |
260 |
$14K |
| Z7502 |
|
424 |
399 |
$14K |
| 70496 |
|
193 |
192 |
$13K |
| 86140 |
|
1,597 |
1,512 |
$12K |
| 96365 |
|
197 |
190 |
$11K |
| 86885 |
|
849 |
824 |
$10K |
| 97014 |
|
83 |
26 |
$10K |
| 97530 |
|
1,217 |
670 |
$10K |
| J1815 |
Insulin injection |
63 |
39 |
$10K |
| C9803 |
Hopd covid-19 spec collect |
213 |
207 |
$9K |
| 73502 |
|
100 |
98 |
$8K |
| 94760 |
|
2,139 |
1,771 |
$8K |
| 82962 |
|
317 |
233 |
$7K |
| 82553 |
|
140 |
126 |
$7K |
| 77080 |
|
166 |
166 |
$7K |
| 87491 |
|
175 |
171 |
$6K |
| J2550 |
Promethazine hcl injection |
308 |
275 |
$6K |
| 93970 |
|
76 |
76 |
$6K |
| 76770 |
|
52 |
52 |
$6K |
| 86900 |
|
940 |
915 |
$6K |
| 72100 |
|
39 |
39 |
$6K |
| 99070 |
|
2,102 |
858 |
$5K |
| 0761 |
|
67 |
49 |
$5K |
| 71250 |
|
44 |
44 |
$5K |
| 90686 |
|
13 |
13 |
$5K |
| 85652 |
|
1,074 |
1,019 |
$5K |
| 73140 |
|
14 |
14 |
$4K |
| 73590 |
|
41 |
40 |
$4K |
| 84100 |
|
782 |
709 |
$4K |
| 93306 |
|
56 |
56 |
$4K |
| 0258 |
|
540 |
421 |
$4K |
| 96361 |
|
152 |
138 |
$4K |
| 85007 |
|
652 |
617 |
$4K |
| 97116 |
|
475 |
318 |
$4K |
| G0279 |
Tomosynthesis, mammo |
40 |
39 |
$3K |
| 84145 |
|
199 |
187 |
$3K |
| 76817 |
|
93 |
83 |
$3K |
| 80061 |
|
911 |
900 |
$3K |
| 0451 |
|
54 |
52 |
$3K |
| 99213 |
|
63 |
51 |
$2K |
| 87591 |
|
175 |
171 |
$2K |
| 83036 |
|
1,110 |
1,091 |
$2K |
| 0255 |
|
100 |
82 |
$2K |
| Z7610 |
|
198 |
127 |
$2K |
| 87661 |
|
141 |
128 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
28 |
13 |
$2K |
| 87070 |
|
29 |
26 |
$2K |
| 92507 |
|
29 |
12 |
$2K |
| 97161 |
|
172 |
171 |
$2K |
| 74018 |
|
27 |
27 |
$2K |
| G0463 |
Hospital outpt clinic visit |
126 |
56 |
$2K |
| 76536 |
|
14 |
14 |
$2K |
| J1630 |
Haloperidol injection |
62 |
54 |
$2K |
| 70486 |
|
12 |
12 |
$2K |
| 71010 |
|
31 |
16 |
$1K |
| J3010 |
Fentanyl citrate injection |
27 |
27 |
$1K |
| 90471 |
|
171 |
166 |
$1K |
| 0710 |
|
12 |
12 |
$1K |
| 82306 |
|
216 |
213 |
$1K |
| 86308 |
|
12 |
12 |
$1K |
| 87081 |
|
14 |
13 |
$1K |
| G0283 |
Elec stim other than wound |
73 |
28 |
$947.78 |
| 36415 |
|
1,707 |
1,367 |
$863.10 |
| 82805 |
|
42 |
41 |
$862.42 |
| 94644 |
|
49 |
43 |
$749.13 |
| 92526 |
|
13 |
13 |
$624.83 |
| 97162 |
|
49 |
48 |
$603.38 |
| 82728 |
|
69 |
68 |
$586.62 |
| 94645 |
|
51 |
43 |
$552.02 |
| 0324 |
|
12 |
12 |
$549.18 |
| 84439 |
|
170 |
167 |
$503.05 |
| 74022 |
|
12 |
12 |
$484.82 |
| 83615 |
|
77 |
76 |
$434.45 |
| J2250 |
Inj midazolam hydrochloride |
30 |
24 |
$389.47 |
| 82607 |
|
102 |
102 |
$374.10 |
| 0272 |
|
43 |
40 |
$343.57 |
| 97535 |
|
103 |
77 |
$194.48 |
| 97112 |
|
27 |
13 |
$166.13 |
| U0005 |
Infec agen detec ampli probe |
42 |
41 |
$162.95 |
| 82248 |
|
15 |
12 |
$107.75 |
| J7050 |
Normal saline solution infus |
16 |
13 |
$87.01 |
| J0134 |
Inj acetaminophen -fresenius |
15 |
14 |
$4.75 |
| J0136 |
Inj, acetaminophen (b braun) |
19 |
18 |
$4.12 |
| J0137 |
Inj, acetaminophen (hikma) |
25 |
25 |
$0.00 |