| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
|
64,660 |
53,884 |
$9.79M |
| 0761 |
|
21,132 |
20,235 |
$780K |
| 0250 |
|
70,219 |
25,973 |
$321K |
| 99284 |
|
2,847 |
2,699 |
$301K |
| 99213 |
|
4,125 |
1,913 |
$239K |
| 0370 |
|
515 |
493 |
$228K |
| 99283 |
|
2,486 |
2,343 |
$215K |
| 0360 |
|
1,609 |
1,041 |
$192K |
| 0002A |
|
4,412 |
4,412 |
$176K |
| 0001A |
|
4,405 |
4,405 |
$171K |
| Z7502 |
|
3,636 |
3,603 |
$136K |
| 0510 |
|
3,684 |
3,610 |
$97K |
| 0301 |
|
58,208 |
21,594 |
$86K |
| A4649 |
Surgical supplies |
1,880 |
564 |
$73K |
| 0762 |
|
382 |
302 |
$68K |
| 0483 |
|
336 |
318 |
$51K |
| 96379 |
|
1,761 |
700 |
$40K |
| 80053 |
|
9,420 |
8,721 |
$39K |
| 0710 |
|
1,580 |
1,194 |
$36K |
| 87635 |
|
759 |
690 |
$36K |
| 0480 |
|
419 |
213 |
$33K |
| 96374 |
|
1,451 |
1,354 |
$31K |
| 77067 |
|
299 |
295 |
$29K |
| 99285 |
|
872 |
812 |
$29K |
| 85025 |
|
9,528 |
8,886 |
$29K |
| 93303 |
|
148 |
142 |
$23K |
| 80307 |
|
575 |
511 |
$17K |
| G0480 |
Drug test def 1-7 classes |
591 |
511 |
$16K |
| 0403 |
|
154 |
154 |
$15K |
| 93005 |
|
1,683 |
1,552 |
$14K |
| 93325 |
|
149 |
142 |
$13K |
| 0305 |
|
17,424 |
12,433 |
$11K |
| 93320 |
|
143 |
137 |
$10K |
| 0272 |
|
508 |
496 |
$7K |
| 77063 |
|
299 |
295 |
$7K |
| 99070 |
|
12,552 |
6,812 |
$7K |
| 70450 |
|
349 |
332 |
$7K |
| J1100 |
Dexamethasone sodium phos |
355 |
345 |
$7K |
| 74177 |
|
129 |
125 |
$6K |
| 41899 |
|
105 |
94 |
$6K |
| Z7500 |
|
148 |
121 |
$5K |
| 0740 |
|
73 |
70 |
$5K |
| J3490 |
Drugs unclassified injection |
273 |
126 |
$5K |
| 82077 |
|
168 |
156 |
$5K |
| 0921 |
|
209 |
164 |
$5K |
| 0420 |
|
102 |
27 |
$4K |
| 59025 |
|
188 |
135 |
$4K |
| G0463 |
Hospital outpt clinic visit |
108 |
102 |
$4K |
| G0378 |
Hospital observation per hr |
148 |
138 |
$4K |
| 0730 |
|
1,054 |
1,034 |
$3K |
| 0611 |
|
12 |
12 |
$3K |
| 84443 |
|
465 |
417 |
$3K |
| Q3014 |
Telehealth facility fee |
135 |
130 |
$3K |
| 95812 |
|
46 |
43 |
$3K |
| 96375 |
|
386 |
354 |
$3K |
| 96150 |
|
398 |
340 |
$3K |
| 71046 |
|
656 |
627 |
$3K |
| 0750 |
|
21 |
14 |
$2K |
| 99281 |
|
67 |
56 |
$2K |
| 96372 |
|
292 |
257 |
$2K |
| 0320 |
|
3,111 |
2,658 |
$2K |
| Z7514 |
|
32 |
26 |
$2K |
| 71045 |
|
519 |
497 |
$2K |
| 0260 |
|
1,714 |
902 |
$2K |
| 83036 |
|
227 |
226 |
$2K |
| 84484 |
|
862 |
717 |
$1K |
| 96361 |
|
174 |
157 |
$1K |
| 87502 |
|
173 |
172 |
$1K |
| 99282 |
|
18 |
17 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
848 |
668 |
$1K |
| 83690 |
|
655 |
617 |
$1K |
| 99203 |
|
43 |
43 |
$1K |
| 82805 |
|
227 |
193 |
$996.72 |
| 81003 |
|
798 |
709 |
$980.02 |
| J2405 |
Ondansetron hcl injection |
905 |
855 |
$962.40 |
| 0003A |
|
24 |
24 |
$960.00 |
| 96365 |
|
230 |
177 |
$835.31 |
| 0307 |
|
691 |
585 |
$802.84 |
| 0011A |
|
41 |
41 |
$694.54 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
542 |
527 |
$666.20 |
| 85027 |
|
306 |
254 |
$606.60 |
| 0258 |
|
444 |
362 |
$563.55 |
| 99204 |
|
14 |
14 |
$534.66 |
| J2250 |
Inj midazolam hydrochloride |
607 |
585 |
$527.83 |
| 72125 |
|
13 |
13 |
$482.28 |
| Z7610 |
|
381 |
185 |
$463.61 |
| 83735 |
|
132 |
92 |
$433.06 |
| J3010 |
Fentanyl citrate injection |
558 |
510 |
$418.42 |
| 0760 |
|
12 |
12 |
$409.20 |
| 82375 |
|
227 |
193 |
$399.85 |
| 83605 |
|
214 |
179 |
$380.85 |
| 81001 |
|
605 |
585 |
$370.56 |
| J1885 |
Ketorolac tromethamine inj |
241 |
230 |
$364.17 |
| 82947 |
|
543 |
375 |
$336.98 |
| 96360 |
|
59 |
55 |
$332.62 |
| 0270 |
|
37 |
25 |
$300.07 |
| S0077 |
Injection, clindamycin phosp |
62 |
62 |
$272.25 |
| 87086 |
|
194 |
187 |
$270.07 |
| 99152 |
|
54 |
52 |
$251.36 |
| 85007 |
|
154 |
121 |
$243.64 |
| 84703 |
|
79 |
71 |
$221.82 |
| 83615 |
|
51 |
27 |
$218.91 |
| 97110 |
|
826 |
292 |
$217.05 |
| 85610 |
|
322 |
303 |
$203.19 |
| 71275 |
|
14 |
14 |
$203.18 |
| J1170 |
Hydromorphone injection |
212 |
159 |
$202.89 |
| 83880 |
|
42 |
39 |
$183.08 |
| 84100 |
|
52 |
27 |
$174.73 |
| C1769 |
Guide wire |
14 |
14 |
$168.51 |
| J7040 |
Normal saline solution infus |
134 |
114 |
$151.98 |
| 86140 |
|
182 |
175 |
$150.27 |
| 88305 |
|
56 |
40 |
$133.66 |
| 94640 |
|
30 |
25 |
$132.71 |
| J0290 |
Ampicillin 500 mg inj |
44 |
44 |
$126.13 |
| J0131 |
Inj, acetaminophen (nos) |
13 |
13 |
$125.00 |
| 80047 |
|
93 |
86 |
$107.52 |
| J1642 |
Inj heparin sodium per 10 u |
195 |
85 |
$99.35 |
| 87040 |
|
68 |
44 |
$67.11 |
| 80076 |
|
26 |
25 |
$61.69 |
| 87077 |
|
73 |
64 |
$58.66 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
66 |
66 |
$47.89 |
| 36600 |
|
12 |
12 |
$44.05 |
| 85379 |
|
13 |
13 |
$32.50 |
| 80069 |
|
12 |
12 |
$30.40 |
| 86901 |
|
36 |
36 |
$25.07 |
| J0690 |
Cefazolin sodium injection |
44 |
42 |
$24.99 |
| J0330 |
Succinycholine chloride inj |
12 |
12 |
$24.24 |
| 86850 |
|
12 |
12 |
$23.00 |
| 0306 |
|
371 |
188 |
$21.60 |
| 86900 |
|
24 |
24 |
$11.80 |
| 87186 |
|
12 |
12 |
$6.06 |
| J2060 |
Lorazepam injection |
13 |
12 |
$4.00 |
| G8978 |
Mobility current status |
27 |
27 |
$0.00 |
| G8979 |
Mobility goal status |
90 |
84 |
$0.00 |
| 0302 |
|
28 |
13 |
$0.00 |
| 97530 |
|
34 |
15 |
$0.00 |
| 0352 |
|
29 |
24 |
$0.00 |
| 97140 |
|
32 |
12 |
$0.00 |
| 96366 |
|
54 |
38 |
$0.00 |
| 97112 |
|
30 |
12 |
$0.00 |