| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
77,739 |
68,756 |
$3.16M |
| 0202U |
|
7,432 |
6,887 |
$1.86M |
| 99285 |
|
6,240 |
5,860 |
$1.20M |
| 96374 |
|
12,627 |
11,692 |
$639K |
| 74177 |
|
2,833 |
2,736 |
$541K |
| 74176 |
|
6,083 |
5,862 |
$527K |
| 96365 |
|
7,161 |
6,555 |
$487K |
| 70450 |
|
6,153 |
5,938 |
$481K |
| 99284 |
|
4,712 |
4,461 |
$464K |
| 0241U |
|
4,308 |
4,099 |
$453K |
| 80048 |
|
39,805 |
35,726 |
$428K |
| J0131 |
Inj, acetaminophen (nos) |
2,123 |
2,003 |
$386K |
| 87636 |
|
3,240 |
3,028 |
$369K |
| 99199 |
|
10,519 |
9,287 |
$362K |
| 99283 |
|
3,792 |
3,566 |
$335K |
| 93005 |
|
17,764 |
16,428 |
$322K |
| 96375 |
|
11,314 |
10,182 |
$322K |
| J3490 |
Drugs unclassified injection |
19,690 |
11,088 |
$252K |
| 96361 |
|
10,497 |
9,543 |
$245K |
| J0134 |
Inj acetaminophen -fresenius |
1,384 |
1,334 |
$240K |
| 85025 |
|
43,500 |
38,733 |
$217K |
| 76700 |
|
3,560 |
3,443 |
$212K |
| 96372 |
|
11,039 |
9,963 |
$202K |
| 96360 |
|
3,065 |
2,917 |
$189K |
| 71045 |
|
15,993 |
14,975 |
$163K |
| 76830 |
|
2,713 |
2,573 |
$141K |
| 71046 |
|
7,356 |
7,009 |
$129K |
| 93971 |
|
1,835 |
1,766 |
$124K |
| 87633 |
|
426 |
408 |
$123K |
| J2405 |
Ondansetron hcl injection |
8,918 |
8,118 |
$118K |
| 99281 |
|
3,485 |
3,184 |
$113K |
| 87631 |
|
2,878 |
2,769 |
$110K |
| G0463 |
Hospital outpt clinic visit |
4,258 |
3,904 |
$103K |
| 71275 |
|
774 |
752 |
$100K |
| 76856 |
|
1,844 |
1,770 |
$96K |
| 80076 |
|
16,526 |
15,288 |
$90K |
| 71250 |
|
850 |
840 |
$88K |
| 76705 |
|
1,823 |
1,720 |
$79K |
| 84484 |
|
11,572 |
10,667 |
$77K |
| J1885 |
Ketorolac tromethamine inj |
12,285 |
11,510 |
$76K |
| 87426 |
|
2,799 |
2,586 |
$74K |
| 87651 |
|
2,925 |
2,799 |
$71K |
| 70551 |
|
392 |
381 |
$68K |
| 94640 |
|
4,574 |
4,103 |
$68K |
| 83880 |
|
3,933 |
3,698 |
$68K |
| 96366 |
|
2,177 |
1,831 |
$68K |
| 93970 |
|
655 |
632 |
$66K |
| 83690 |
|
13,057 |
12,104 |
$63K |
| 81025 |
|
15,820 |
14,715 |
$60K |
| 76801 |
|
1,325 |
1,116 |
$57K |
| 0637 |
|
44,351 |
24,936 |
$53K |
| 77067 |
|
1,079 |
1,050 |
$53K |
| J0696 |
Ceftriaxone sodium injection |
3,823 |
3,552 |
$47K |
| 0250 |
|
5,793 |
2,547 |
$43K |
| 72100 |
|
1,472 |
1,432 |
$43K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,589 |
4,446 |
$42K |
| 87491 |
|
1,721 |
1,662 |
$41K |
| 87591 |
|
1,722 |
1,665 |
$41K |
| G0480 |
Drug test def 1-7 classes |
916 |
524 |
$40K |
| 76770 |
|
707 |
693 |
$40K |
| 97110 |
|
3,257 |
1,404 |
$39K |
| 0300 |
|
847 |
656 |
$38K |
| 81002 |
|
20,765 |
19,409 |
$37K |
| 72125 |
|
381 |
369 |
$36K |
| 0272 |
|
10,993 |
9,606 |
$36K |
| J2270 |
Morphine sulfate injection |
5,340 |
4,497 |
$36K |
| 73030 |
|
1,529 |
1,450 |
$34K |
| J1100 |
Dexamethasone sodium phos |
1,874 |
1,741 |
$33K |
| 73610 |
|
1,539 |
1,476 |
$33K |
| 73630 |
|
1,596 |
1,506 |
$31K |
| 83605 |
|
4,298 |
4,021 |
$31K |
| 97140 |
|
1,987 |
888 |
$29K |
| 73562 |
|
1,222 |
1,141 |
$28K |
| 87040 |
|
2,741 |
2,587 |
$27K |
| 0270 |
|
4,892 |
3,541 |
$26K |
| 73560 |
|
1,182 |
1,029 |
$26K |
| 0258 |
|
7,525 |
6,865 |
$25K |
| 80306 |
|
1,994 |
1,860 |
$24K |
| 36415 |
|
13,736 |
12,266 |
$21K |
| 72148 |
|
115 |
112 |
$21K |
| 85610 |
|
8,352 |
7,866 |
$20K |
| 81001 |
|
8,695 |
8,328 |
$20K |
| 87086 |
|
3,694 |
3,502 |
$18K |
| 85730 |
|
4,770 |
4,563 |
$18K |
| 84443 |
|
2,364 |
2,294 |
$17K |
| 84702 |
|
1,811 |
1,564 |
$16K |
| 84145 |
|
1,198 |
1,134 |
$16K |
| 87088 |
|
3,393 |
3,256 |
$15K |
| 73130 |
|
735 |
668 |
$15K |
| 76815 |
|
367 |
338 |
$15K |
| 80053 |
|
3,739 |
3,378 |
$14K |
| 87077 |
|
3,029 |
2,932 |
$14K |
| J2765 |
Metoclopramide hcl injection |
2,145 |
2,003 |
$13K |
| 82947 |
|
3,764 |
3,012 |
$13K |
| 80307 |
|
300 |
280 |
$13K |
| 73110 |
|
456 |
443 |
$12K |
| U0003 |
Cov-19 amp prb hgh thruput |
247 |
228 |
$12K |
| 87186 |
|
2,356 |
2,285 |
$12K |
| 93306 |
|
207 |
199 |
$12K |
| 85378 |
|
2,177 |
2,089 |
$12K |
| J2272 |
Inj, morphine (fresenius) |
1,140 |
1,057 |
$11K |
| 71260 |
|
78 |
77 |
$11K |
| 78815 |
|
24 |
24 |
$10K |
| 77063 |
|
684 |
677 |
$10K |
| 0259 |
|
912 |
723 |
$10K |
| 83735 |
|
2,625 |
2,345 |
$9K |
| 72040 |
|
413 |
409 |
$9K |
| J1200 |
Diphenhydramine hcl injectio |
1,842 |
1,692 |
$9K |
| 73502 |
|
396 |
384 |
$9K |
| 86140 |
|
2,605 |
2,469 |
$8K |
| 0271 |
|
895 |
823 |
$8K |
| J2060 |
Lorazepam injection |
1,546 |
1,400 |
$8K |
| 86901 |
|
2,783 |
2,606 |
$7K |
| 87661 |
|
367 |
358 |
$7K |
| 0510 |
|
833 |
758 |
$7K |
| 93296 |
|
1,279 |
1,247 |
$7K |
| 97530 |
|
514 |
279 |
$5K |
| 99282 |
|
70 |
68 |
$5K |
| 86900 |
|
2,100 |
1,968 |
$5K |
| C9803 |
Hopd covid-19 spec collect |
384 |
357 |
$5K |
| 82553 |
|
600 |
569 |
$5K |
| 86850 |
|
1,309 |
1,237 |
$5K |
| 80061 |
|
1,280 |
1,248 |
$4K |
| 94664 |
|
610 |
587 |
$4K |
| 82550 |
|
1,125 |
1,070 |
$4K |
| 96367 |
|
164 |
144 |
$4K |
| 90715 |
|
126 |
125 |
$4K |
| 87635 |
|
72 |
69 |
$3K |
| U0002 |
Covid-19 lab test non-cdc |
94 |
87 |
$3K |
| G0378 |
Hospital observation per hr |
13 |
13 |
$3K |
| 93299 |
|
254 |
254 |
$3K |
| 76642 |
|
95 |
91 |
$3K |
| 97161 |
|
160 |
149 |
$3K |
| 96376 |
|
588 |
502 |
$3K |
| 73721 |
|
15 |
12 |
$3K |
| 87430 |
|
350 |
336 |
$3K |
| A9270 |
Non-covered item or service |
536 |
218 |
$2K |
| 73140 |
|
176 |
170 |
$2K |
| J2930 |
Methylprednisolone injection |
215 |
196 |
$2K |
| 96368 |
|
150 |
145 |
$2K |
| 71100 |
|
142 |
134 |
$2K |
| 76870 |
|
52 |
51 |
$2K |
| 83036 |
|
996 |
984 |
$2K |
| 70486 |
|
16 |
12 |
$2K |
| 0320 |
|
106 |
102 |
$2K |
| 0636 |
|
241 |
221 |
$2K |
| 85652 |
|
951 |
916 |
$2K |
| 82306 |
|
360 |
356 |
$2K |
| 83615 |
|
373 |
340 |
$2K |
| 74018 |
|
71 |
62 |
$2K |
| 77080 |
|
97 |
95 |
$2K |
| 80179 |
|
134 |
133 |
$1K |
| 84439 |
|
604 |
581 |
$1K |
| 80143 |
|
125 |
125 |
$1K |
| 72141 |
|
12 |
12 |
$1K |
| 73080 |
|
59 |
59 |
$1K |
| A0429 |
Bls-emergency |
64 |
26 |
$1K |
| 76536 |
|
40 |
38 |
$1K |
| G2066 |
Inter devc remote 30d |
152 |
152 |
$1K |
| 84100 |
|
713 |
601 |
$1K |
| 85027 |
|
610 |
567 |
$909.00 |
| 82077 |
|
110 |
108 |
$845.54 |
| 87798 |
|
43 |
40 |
$805.73 |
| 0720 |
|
34 |
29 |
$805.13 |
| 71020 |
|
32 |
16 |
$730.38 |
| J3370 |
Vancomycin hcl injection |
29 |
25 |
$687.26 |
| 73590 |
|
44 |
43 |
$683.77 |
| 87210 |
|
225 |
221 |
$658.88 |
| 97535 |
|
106 |
72 |
$642.60 |
| 87581 |
|
26 |
25 |
$568.51 |
| 93880 |
|
14 |
14 |
$544.73 |
| J1815 |
Insulin injection |
87 |
48 |
$530.88 |
| 87486 |
|
26 |
25 |
$524.01 |
| 84550 |
|
478 |
457 |
$521.01 |
| 71010 |
|
35 |
13 |
$506.26 |
| 0710 |
|
53 |
51 |
$449.69 |
| 90471 |
|
154 |
152 |
$437.08 |
| J2919 |
Inj, methylpred sod succ 5mg |
13 |
13 |
$419.37 |
| 80320 |
|
173 |
153 |
$414.65 |
| J3010 |
Fentanyl citrate injection |
119 |
113 |
$311.06 |
| 0370 |
|
26 |
25 |
$292.34 |
| 72070 |
|
14 |
13 |
$279.45 |
| J7050 |
Normal saline solution infus |
45 |
36 |
$278.71 |
| 72110 |
|
13 |
13 |
$271.68 |
| Z7610 |
|
18 |
16 |
$265.37 |
| 73660 |
|
12 |
12 |
$190.92 |
| 74019 |
|
12 |
12 |
$161.69 |
| 10060 |
|
13 |
12 |
$134.85 |
| 97112 |
|
20 |
13 |
$132.75 |
| 87070 |
|
28 |
27 |
$131.83 |
| 87205 |
|
44 |
42 |
$119.60 |
| 82728 |
|
187 |
183 |
$103.44 |
| 83550 |
|
166 |
164 |
$100.30 |
| J2704 |
Inj, propofol, 10 mg |
13 |
12 |
$96.60 |
| 11042 |
|
17 |
12 |
$83.10 |
| 87081 |
|
17 |
16 |
$80.04 |
| 83540 |
|
190 |
188 |
$79.71 |
| 82607 |
|
53 |
53 |
$72.75 |
| J7620 |
Albuterol ipratrop non-comp |
17 |
16 |
$70.96 |
| 0760 |
|
15 |
15 |
$68.20 |
| 82746 |
|
55 |
55 |
$54.67 |
| J7030 |
Normal saline solution infus |
29 |
14 |
$50.78 |
| 82570 |
|
102 |
100 |
$36.94 |
| 84153 |
|
27 |
27 |
$18.02 |
| 82043 |
|
222 |
221 |
$16.40 |
| 84156 |
|
63 |
62 |
$13.78 |
| J1630 |
Haloperidol injection |
28 |
26 |
$12.92 |
| 85045 |
|
85 |
85 |
$7.48 |
| 83970 |
|
52 |
51 |
$0.00 |
| 84481 |
|
14 |
13 |
$0.00 |