| Code | Description | Claims | Beneficiaries | Total Paid |
| 0121 |
|
830 |
758 |
$481K |
| 99281 |
|
7,183 |
6,291 |
$461K |
| 0450 |
|
27,890 |
24,937 |
$451K |
| 0214 |
|
857 |
784 |
$329K |
| 93010 |
|
42,030 |
36,450 |
$319K |
| 74176 |
|
7,807 |
7,521 |
$314K |
| 70450 |
|
8,218 |
7,469 |
$255K |
| 71045 |
|
45,755 |
37,622 |
$228K |
| 74177 |
|
2,686 |
2,593 |
$137K |
| 0202U |
|
2,589 |
2,502 |
$134K |
| 96374 |
|
4,134 |
3,869 |
$91K |
| 96365 |
|
2,173 |
2,054 |
$69K |
| 93005 |
|
5,452 |
5,139 |
$69K |
| 96375 |
|
3,908 |
3,574 |
$61K |
| 76700 |
|
2,151 |
2,089 |
$59K |
| 0250 |
|
4,274 |
3,253 |
$56K |
| 71046 |
|
5,719 |
5,496 |
$55K |
| 80048 |
|
12,957 |
11,868 |
$45K |
| 0300 |
|
3,354 |
2,825 |
$44K |
| 85025 |
|
13,942 |
12,701 |
$42K |
| 76830 |
|
1,488 |
1,412 |
$41K |
| 96361 |
|
3,521 |
3,224 |
$41K |
| 71275 |
|
819 |
799 |
$37K |
| 96372 |
|
3,509 |
3,283 |
$33K |
| 93970 |
|
776 |
745 |
$27K |
| 93971 |
|
1,046 |
989 |
$25K |
| 87636 |
|
758 |
736 |
$25K |
| 0241U |
|
1,216 |
1,179 |
$24K |
| 94640 |
|
1,150 |
1,017 |
$23K |
| 87631 |
|
729 |
688 |
$21K |
| 76856 |
|
827 |
798 |
$19K |
| 76705 |
|
1,337 |
1,249 |
$19K |
| 88305 |
|
760 |
713 |
$17K |
| 80076 |
|
5,589 |
5,240 |
$17K |
| 70551 |
|
332 |
318 |
$17K |
| 84484 |
|
3,608 |
3,412 |
$16K |
| 81025 |
|
5,724 |
5,408 |
$16K |
| 99284 |
|
956 |
921 |
$15K |
| 96360 |
|
574 |
562 |
$15K |
| 83690 |
|
4,536 |
4,248 |
$12K |
| J1885 |
Ketorolac tromethamine inj |
4,498 |
4,256 |
$12K |
| 72125 |
|
307 |
302 |
$12K |
| 81002 |
|
7,771 |
7,349 |
$11K |
| J2405 |
Ondansetron hcl injection |
3,229 |
2,987 |
$10K |
| 87651 |
|
646 |
619 |
$8K |
| J0131 |
Inj, acetaminophen (nos) |
632 |
619 |
$8K |
| 73630 |
|
900 |
838 |
$7K |
| 83880 |
|
909 |
889 |
$7K |
| 76801 |
|
287 |
238 |
$7K |
| 72100 |
|
718 |
702 |
$7K |
| 87426 |
|
988 |
955 |
$6K |
| 73610 |
|
707 |
688 |
$6K |
| 27502 |
|
107 |
105 |
$6K |
| 76770 |
|
294 |
285 |
$6K |
| 87633 |
|
69 |
64 |
$6K |
| 73030 |
|
763 |
728 |
$5K |
| J2270 |
Morphine sulfate injection |
1,654 |
1,409 |
$5K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,129 |
1,101 |
$5K |
| 0510 |
|
375 |
327 |
$5K |
| 0270 |
|
2,203 |
1,646 |
$4K |
| 96366 |
|
247 |
235 |
$4K |
| 73130 |
|
350 |
331 |
$4K |
| 83605 |
|
1,076 |
1,019 |
$4K |
| 85610 |
|
2,712 |
2,616 |
$4K |
| 81001 |
|
2,378 |
2,259 |
$4K |
| 71250 |
|
153 |
149 |
$4K |
| 87086 |
|
1,306 |
1,269 |
$4K |
| 87591 |
|
299 |
295 |
$3K |
| J0134 |
Inj acetaminophen -fresenius |
577 |
555 |
$3K |
| 87491 |
|
299 |
295 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
1,074 |
1,019 |
$3K |
| 87088 |
|
878 |
823 |
$3K |
| 76815 |
|
124 |
114 |
$3K |
| 85730 |
|
1,473 |
1,434 |
$3K |
| 84702 |
|
526 |
451 |
$3K |
| 73562 |
|
365 |
342 |
$3K |
| 99239 |
|
53 |
53 |
$3K |
| 87040 |
|
485 |
469 |
$2K |
| 74018 |
|
543 |
427 |
$2K |
| 77067 |
|
155 |
149 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
44 |
39 |
$2K |
| A4649 |
Surgical supplies |
2,357 |
1,347 |
$2K |
| J3490 |
Drugs unclassified injection |
4,912 |
2,642 |
$2K |
| 73560 |
|
411 |
367 |
$2K |
| 99285 |
|
65 |
62 |
$2K |
| 87077 |
|
674 |
658 |
$2K |
| J2272 |
Inj, morphine (fresenius) |
471 |
440 |
$2K |
| 78452 |
|
74 |
74 |
$2K |
| G0480 |
Drug test def 1-7 classes |
143 |
65 |
$2K |
| C9803 |
Hopd covid-19 spec collect |
96 |
87 |
$2K |
| 85378 |
|
466 |
461 |
$1K |
| 0271 |
|
438 |
414 |
$1K |
| 0370 |
|
807 |
753 |
$1K |
| 70486 |
|
26 |
25 |
$1K |
| 72148 |
|
26 |
25 |
$1K |
| 87186 |
|
377 |
373 |
$1K |
| 73110 |
|
141 |
139 |
$1K |
| 0272 |
|
7,255 |
6,518 |
$1K |
| 0320 |
|
1,779 |
1,632 |
$1K |
| 36415 |
|
8,899 |
8,134 |
$1K |
| 71260 |
|
53 |
53 |
$1K |
| 86901 |
|
643 |
619 |
$1K |
| 83735 |
|
481 |
447 |
$1K |
| 73502 |
|
164 |
160 |
$991.46 |
| J2765 |
Metoclopramide hcl injection |
418 |
398 |
$966.76 |
| 88342 |
|
65 |
62 |
$921.72 |
| 80053 |
|
219 |
208 |
$861.59 |
| 82947 |
|
436 |
377 |
$758.98 |
| 84443 |
|
110 |
110 |
$753.75 |
| 86140 |
|
461 |
447 |
$750.21 |
| 80306 |
|
252 |
242 |
$727.59 |
| 84145 |
|
130 |
124 |
$682.39 |
| 0730 |
|
1,489 |
1,352 |
$610.00 |
| 94664 |
|
88 |
80 |
$603.89 |
| U0003 |
Cov-19 amp prb hgh thruput |
62 |
57 |
$600.00 |
| 86900 |
|
483 |
465 |
$551.57 |
| J1100 |
Dexamethasone sodium phos |
306 |
291 |
$540.87 |
| 93880 |
|
24 |
24 |
$522.69 |
| 0259 |
|
1,363 |
1,217 |
$458.51 |
| 86077 |
|
16 |
16 |
$424.97 |
| 0637 |
|
16,090 |
10,968 |
$405.31 |
| 99283 |
|
26 |
25 |
$383.82 |
| 0258 |
|
5,416 |
4,942 |
$294.66 |
| J1200 |
Diphenhydramine hcl injectio |
185 |
177 |
$286.06 |
| 71020 |
|
24 |
17 |
$269.15 |
| 0710 |
|
348 |
331 |
$260.78 |
| 73140 |
|
55 |
55 |
$245.52 |
| 87661 |
|
70 |
68 |
$242.77 |
| 71010 |
|
32 |
14 |
$235.43 |
| 76642 |
|
13 |
12 |
$165.40 |
| 0360 |
|
112 |
108 |
$146.17 |
| 72040 |
|
26 |
26 |
$141.71 |
| 96368 |
|
14 |
14 |
$135.30 |
| 77001 |
|
15 |
12 |
$128.02 |
| G0463 |
Hospital outpt clinic visit |
136 |
107 |
$94.55 |
| 86850 |
|
31 |
31 |
$84.22 |
| J7030 |
Normal saline solution infus |
57 |
56 |
$83.88 |
| 76937 |
|
13 |
12 |
$75.10 |
| 80307 |
|
13 |
12 |
$63.85 |
| 82077 |
|
12 |
12 |
$54.72 |
| 82550 |
|
26 |
26 |
$44.84 |
| 99213 |
|
16 |
12 |
$44.22 |
| 80320 |
|
14 |
13 |
$38.70 |
| 87430 |
|
12 |
12 |
$33.62 |
| 77063 |
|
83 |
83 |
$24.93 |
| J2060 |
Lorazepam injection |
27 |
25 |
$21.69 |
| 85652 |
|
25 |
25 |
$18.69 |
| 83615 |
|
14 |
13 |
$16.46 |
| 82553 |
|
12 |
12 |
$14.26 |
| 90471 |
|
14 |
13 |
$8.84 |
| A4565 |
Slings |
25 |
24 |
$4.38 |
| 0402 |
|
368 |
346 |
$0.00 |
| 99199 |
|
237 |
222 |
$0.00 |
| 0260 |
|
1,000 |
911 |
$0.00 |
| 0483 |
|
95 |
85 |
$0.00 |
| 0460 |
|
68 |
64 |
$0.00 |
| 0424 |
|
56 |
50 |
$0.00 |
| 0412 |
|
96 |
90 |
$0.00 |
| 97110 |
|
86 |
45 |
$0.00 |
| 0351 |
|
15 |
15 |
$0.00 |
| 0921 |
|
46 |
40 |
$0.00 |
| 0430 |
|
16 |
14 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 96376 |
|
307 |
282 |
$0.00 |
| 0352 |
|
534 |
485 |
$0.00 |
| 0420 |
|
58 |
52 |
$0.00 |
| 0636 |
|
45 |
43 |
$0.00 |
| 0310 |
|
102 |
97 |
$0.00 |
| S9445 |
Pt education noc individ |
234 |
146 |
$0.00 |
| 0720 |
|
31 |
28 |
$0.00 |
| 97140 |
|
46 |
25 |
$0.00 |
| 0721 |
|
29 |
26 |
$0.00 |
| 0171 |
Inj, epinephrine (belcher) |
29 |
26 |
$0.00 |
| 0471 |
|
30 |
27 |
$0.00 |
| 0434 |
|
15 |
13 |
$0.00 |