| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
56,698 |
47,983 |
$2.34M |
| 74177 |
|
3,803 |
3,567 |
$592K |
| 0762 |
|
309 |
124 |
$545K |
| 96374 |
|
12,560 |
11,268 |
$518K |
| 70450 |
|
4,182 |
3,961 |
$392K |
| 87636 |
|
5,049 |
4,530 |
$381K |
| 99284 |
|
3,396 |
3,143 |
$333K |
| 99281 |
|
8,704 |
7,465 |
$291K |
| 93005 |
|
11,696 |
10,585 |
$261K |
| 96361 |
|
9,376 |
8,420 |
$252K |
| 96375 |
|
8,729 |
7,684 |
$236K |
| J3490 |
Drugs unclassified injection |
17,248 |
9,618 |
$221K |
| 80048 |
|
27,311 |
23,305 |
$202K |
| 96365 |
|
3,374 |
3,101 |
$172K |
| 99283 |
|
1,928 |
1,797 |
$172K |
| 80307 |
|
3,595 |
2,587 |
$169K |
| 74176 |
|
1,558 |
1,483 |
$166K |
| 92507 |
|
3,011 |
1,103 |
$156K |
| 0710 |
|
1,448 |
1,342 |
$151K |
| 85025 |
|
28,076 |
24,495 |
$146K |
| 99291 |
|
786 |
739 |
$131K |
| Z7502 |
|
3,326 |
3,225 |
$122K |
| 70553 |
|
141 |
127 |
$118K |
| 96360 |
|
2,692 |
2,528 |
$118K |
| 71045 |
|
10,470 |
9,641 |
$115K |
| 99199 |
|
2,720 |
2,301 |
$102K |
| 99285 |
|
341 |
317 |
$96K |
| 97110 |
|
9,565 |
4,295 |
$90K |
| 83880 |
|
4,511 |
4,192 |
$85K |
| 96372 |
|
4,774 |
4,229 |
$83K |
| J2405 |
Ondansetron hcl injection |
8,848 |
7,732 |
$81K |
| G0463 |
Hospital outpt clinic visit |
2,854 |
2,681 |
$81K |
| 87631 |
|
1,991 |
1,830 |
$79K |
| 84484 |
|
9,756 |
8,110 |
$75K |
| 71046 |
|
4,764 |
4,495 |
$74K |
| 83690 |
|
13,707 |
12,346 |
$73K |
| 93971 |
|
1,035 |
973 |
$71K |
| 97140 |
|
3,994 |
1,995 |
$61K |
| 80076 |
|
8,079 |
7,424 |
$60K |
| 0250 |
|
27,627 |
12,914 |
$60K |
| 80053 |
|
4,880 |
4,525 |
$58K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,558 |
1,453 |
$56K |
| 76856 |
|
1,054 |
975 |
$55K |
| 85610 |
|
15,258 |
13,826 |
$50K |
| 73630 |
|
2,136 |
1,853 |
$50K |
| 82150 |
|
9,643 |
8,841 |
$47K |
| 76830 |
|
843 |
781 |
$47K |
| J7030 |
Normal saline solution infus |
11,017 |
9,708 |
$45K |
| 73610 |
|
2,016 |
1,804 |
$44K |
| 76705 |
|
1,112 |
1,000 |
$44K |
| 85730 |
|
8,757 |
8,116 |
$42K |
| 0370 |
|
745 |
510 |
$41K |
| J1885 |
Ketorolac tromethamine inj |
6,782 |
6,158 |
$38K |
| 73562 |
|
2,098 |
1,770 |
$37K |
| 73030 |
|
1,998 |
1,784 |
$36K |
| 87040 |
|
3,149 |
1,671 |
$36K |
| 73502 |
|
1,517 |
1,464 |
$36K |
| 94640 |
|
2,118 |
1,700 |
$34K |
| 81001 |
|
12,966 |
11,935 |
$33K |
| 76700 |
|
586 |
557 |
$32K |
| 87491 |
|
1,381 |
1,265 |
$31K |
| 87591 |
|
1,361 |
1,245 |
$31K |
| 82550 |
|
6,501 |
5,977 |
$29K |
| 73130 |
|
1,480 |
1,260 |
$29K |
| 87086 |
|
4,628 |
4,294 |
$29K |
| J0696 |
Ceftriaxone sodium injection |
2,808 |
2,520 |
$28K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,575 |
5,150 |
$28K |
| 71275 |
|
216 |
202 |
$27K |
| 0949 |
|
686 |
589 |
$26K |
| 81025 |
|
5,467 |
5,040 |
$24K |
| 72100 |
|
1,053 |
1,001 |
$24K |
| J2274 |
Inj morphine pf epid ithc |
1,432 |
1,248 |
$21K |
| 99282 |
|
411 |
377 |
$21K |
| 86900 |
|
2,070 |
1,857 |
$21K |
| Q3014 |
Telehealth facility fee |
1,976 |
1,857 |
$21K |
| J1170 |
Hydromorphone injection |
2,534 |
1,879 |
$20K |
| 73110 |
|
1,077 |
914 |
$20K |
| 84460 |
|
5,840 |
5,448 |
$19K |
| 84450 |
|
5,805 |
5,413 |
$19K |
| 73564 |
|
1,013 |
749 |
$19K |
| 84443 |
|
1,888 |
1,813 |
$19K |
| 83605 |
|
2,182 |
1,871 |
$19K |
| 84075 |
|
5,790 |
5,399 |
$18K |
| 96376 |
|
1,156 |
1,016 |
$18K |
| 41899 |
|
25 |
25 |
$18K |
| 87637 |
|
247 |
236 |
$18K |
| 82040 |
|
5,806 |
5,414 |
$18K |
| 73560 |
|
918 |
787 |
$17K |
| 85027 |
|
3,763 |
3,315 |
$17K |
| 97161 |
|
596 |
582 |
$16K |
| 86850 |
|
1,957 |
1,807 |
$16K |
| 83735 |
|
3,288 |
2,643 |
$15K |
| 73590 |
|
538 |
475 |
$15K |
| J2704 |
Inj, propofol, 10 mg |
1,453 |
1,280 |
$15K |
| J1100 |
Dexamethasone sodium phos |
1,502 |
1,389 |
$15K |
| J2270 |
Morphine sulfate injection |
2,353 |
2,087 |
$14K |
| 82248 |
|
4,281 |
4,012 |
$14K |
| 85379 |
|
1,646 |
1,547 |
$14K |
| 84703 |
|
2,615 |
2,449 |
$14K |
| 71250 |
|
133 |
133 |
$14K |
| 72125 |
|
139 |
135 |
$14K |
| 99000 |
|
4,623 |
3,820 |
$13K |
| 97112 |
|
812 |
515 |
$13K |
| 93970 |
|
150 |
145 |
$13K |
| 70551 |
|
68 |
64 |
$13K |
| 86140 |
|
2,317 |
2,145 |
$12K |
| 86901 |
|
2,359 |
2,141 |
$11K |
| 71260 |
|
92 |
91 |
$11K |
| 73552 |
|
309 |
280 |
$10K |
| 97530 |
|
784 |
557 |
$10K |
| 87088 |
|
2,237 |
2,077 |
$10K |
| 87186 |
|
1,544 |
1,335 |
$10K |
| 87077 |
|
1,995 |
1,672 |
$9K |
| 94761 |
|
1,280 |
1,222 |
$9K |
| 96366 |
|
259 |
228 |
$9K |
| 81002 |
|
4,525 |
4,241 |
$9K |
| 87635 |
|
439 |
405 |
$9K |
| J3010 |
Fentanyl citrate injection |
1,985 |
1,781 |
$8K |
| 87070 |
|
988 |
854 |
$8K |
| 82077 |
|
1,108 |
950 |
$8K |
| 83036 |
|
1,438 |
1,408 |
$8K |
| 84702 |
|
783 |
680 |
$8K |
| J7040 |
Normal saline solution infus |
1,893 |
1,717 |
$8K |
| 87880 |
|
1,290 |
1,210 |
$8K |
| 80061 |
|
1,030 |
1,012 |
$7K |
| J2250 |
Inj midazolam hydrochloride |
1,271 |
1,185 |
$7K |
| J2060 |
Lorazepam injection |
1,286 |
1,133 |
$7K |
| 70486 |
|
43 |
42 |
$7K |
| 84100 |
|
2,060 |
1,770 |
$6K |
| 0270 |
|
3,742 |
1,999 |
$6K |
| 80143 |
|
722 |
637 |
$6K |
| 80179 |
|
692 |
620 |
$6K |
| 82247 |
|
1,880 |
1,772 |
$5K |
| 90715 |
|
242 |
236 |
$5K |
| 99203 |
|
75 |
75 |
$5K |
| 85652 |
|
1,874 |
1,742 |
$5K |
| 82306 |
|
228 |
225 |
$5K |
| 82962 |
|
1,762 |
1,547 |
$4K |
| 77080 |
|
253 |
253 |
$4K |
| 87389 |
|
254 |
243 |
$4K |
| J1200 |
Diphenhydramine hcl injectio |
826 |
723 |
$4K |
| 74018 |
|
177 |
165 |
$3K |
| 87502 |
|
70 |
69 |
$3K |
| 88305 |
|
68 |
62 |
$3K |
| 73523 |
|
44 |
44 |
$3K |
| 76817 |
|
67 |
52 |
$2K |
| 82553 |
|
245 |
219 |
$2K |
| G0378 |
Hospital observation per hr |
19 |
12 |
$2K |
| 70496 |
|
12 |
12 |
$2K |
| A9585 |
Gadobutrol injection |
450 |
424 |
$2K |
| 87205 |
|
485 |
432 |
$2K |
| 99221 |
|
55 |
54 |
$2K |
| 96367 |
|
53 |
51 |
$2K |
| 0258 |
|
1,389 |
1,132 |
$2K |
| J0780 |
Prochlorperazine injection |
301 |
272 |
$2K |
| 0301 |
|
70 |
63 |
$1K |
| 83550 |
|
269 |
264 |
$1K |
| J2765 |
Metoclopramide hcl injection |
343 |
298 |
$1K |
| 82728 |
|
172 |
167 |
$1K |
| 74183 |
|
12 |
12 |
$1K |
| 90471 |
|
358 |
324 |
$1K |
| 0761 |
|
251 |
237 |
$1K |
| 82570 |
|
413 |
328 |
$1K |
| S0164 |
Injection pantroprazole |
134 |
108 |
$1K |
| 83540 |
|
275 |
269 |
$1K |
| 87340 |
|
102 |
102 |
$1K |
| 73140 |
|
88 |
82 |
$1K |
| Z7610 |
|
142 |
75 |
$974.95 |
| 94644 |
|
68 |
55 |
$961.12 |
| J3370 |
Vancomycin hcl injection |
73 |
52 |
$943.57 |
| 0324 |
|
76 |
74 |
$858.68 |
| 82803 |
|
83 |
51 |
$846.28 |
| 86803 |
|
59 |
58 |
$822.37 |
| 73090 |
|
46 |
40 |
$749.88 |
| 99152 |
|
40 |
40 |
$743.05 |
| 72040 |
|
33 |
29 |
$737.13 |
| 36415 |
|
1,627 |
1,349 |
$721.33 |
| 87081 |
|
161 |
154 |
$715.58 |
| 73070 |
|
44 |
38 |
$713.92 |
| J0690 |
Cefazolin sodium injection |
125 |
94 |
$679.04 |
| 82746 |
|
81 |
80 |
$648.99 |
| 73080 |
|
42 |
38 |
$618.34 |
| 71010 |
|
31 |
12 |
$605.59 |
| 82105 |
|
24 |
24 |
$593.22 |
| S0020 |
Injection, bupivicaine hydro |
53 |
51 |
$549.45 |
| 72170 |
|
14 |
13 |
$520.27 |
| 82607 |
|
95 |
94 |
$517.43 |
| 86592 |
|
134 |
128 |
$513.84 |
| A4649 |
Surgical supplies |
3,123 |
1,818 |
$509.27 |
| 97116 |
|
67 |
50 |
$434.68 |
| 84145 |
|
37 |
35 |
$434.62 |
| 70498 |
|
13 |
13 |
$425.87 |
| 87651 |
|
16 |
15 |
$410.04 |
| J2930 |
Methylprednisolone injection |
42 |
41 |
$354.78 |
| Q0144 |
Azithromycin dihydrate, oral |
53 |
53 |
$297.84 |
| 84156 |
|
98 |
91 |
$273.77 |
| 71100 |
|
12 |
12 |
$253.52 |
| 73060 |
|
13 |
13 |
$248.01 |
| 84439 |
|
58 |
58 |
$242.28 |
| J7999 |
Compounded drug, noc |
71 |
37 |
$237.32 |
| 0636 |
|
266 |
211 |
$212.51 |
| 10060 |
|
13 |
12 |
$143.37 |
| G8978 |
Mobility current status |
58 |
55 |
$136.04 |
| J3475 |
Inj magnesium sulfate |
15 |
13 |
$124.32 |
| 0305 |
|
12 |
12 |
$77.60 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
12 |
12 |
$76.53 |
| J7120 |
Ringers lactate infusion |
337 |
281 |
$54.93 |
| 82565 |
|
14 |
12 |
$51.24 |
| J7050 |
Normal saline solution infus |
481 |
388 |
$47.60 |
| 0637 |
|
43 |
30 |
$45.78 |
| 84550 |
|
12 |
12 |
$37.78 |
| 83615 |
|
15 |
12 |
$33.70 |
| G8979 |
Mobility goal status |
62 |
59 |
$24.04 |
| 0510 |
|
23 |
21 |
$0.00 |
| 0272 |
|
13 |
12 |
$0.00 |