| Code | Description | Claims | Beneficiaries | Total Paid |
| 87637 |
|
9,584 |
9,166 |
$1.43M |
| 80053 |
|
12,953 |
11,070 |
$1.03M |
| 99282 |
|
4,077 |
3,887 |
$530K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,819 |
2,469 |
$443K |
| 36415 |
|
14,956 |
11,603 |
$383K |
| 99283 |
|
11,434 |
10,672 |
$260K |
| 80048 |
|
4,260 |
3,532 |
$248K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,695 |
1,635 |
$152K |
| 87426 |
|
1,437 |
1,320 |
$123K |
| 96372 |
|
2,474 |
1,983 |
$121K |
| 97110 |
|
3,272 |
935 |
$111K |
| 87086 |
|
4,204 |
3,880 |
$91K |
| 81025 |
|
4,317 |
4,017 |
$89K |
| 81001 |
|
7,215 |
6,474 |
$88K |
| 87651 |
|
4,716 |
4,561 |
$78K |
| 81003 |
|
3,210 |
2,992 |
$76K |
| 87081 |
|
549 |
532 |
$71K |
| 96375 |
|
2,330 |
1,885 |
$68K |
| 99281 |
|
418 |
389 |
$67K |
| 70450 |
|
1,986 |
1,880 |
$65K |
| 73610 |
|
816 |
770 |
$64K |
| 86850 |
|
678 |
567 |
$63K |
| 82947 |
|
1,464 |
1,037 |
$59K |
| 99284 |
|
7,358 |
6,876 |
$58K |
| 73130 |
|
552 |
530 |
$56K |
| 87804 |
|
2,073 |
993 |
$55K |
| 87077 |
|
1,592 |
1,374 |
$53K |
| 73630 |
|
923 |
871 |
$52K |
| 80307 |
|
1,965 |
1,780 |
$49K |
| 71046 |
|
2,321 |
2,210 |
$42K |
| 71045 |
|
3,894 |
3,425 |
$40K |
| 73562 |
|
742 |
669 |
$39K |
| 86900 |
|
857 |
730 |
$39K |
| 74176 |
|
913 |
865 |
$36K |
| 87491 |
|
805 |
777 |
$35K |
| 84702 |
|
1,217 |
951 |
$35K |
| 96365 |
|
1,363 |
1,197 |
$35K |
| 69436 |
|
288 |
285 |
$33K |
| 87635 |
|
462 |
446 |
$32K |
| 73030 |
|
646 |
593 |
$30K |
| 85025 |
|
13,712 |
11,243 |
$30K |
| 96374 |
|
3,754 |
3,290 |
$28K |
| 87210 |
|
425 |
399 |
$27K |
| 88304 |
|
154 |
150 |
$26K |
| 73110 |
|
381 |
365 |
$26K |
| 77067 |
|
491 |
487 |
$24K |
| 99285 |
|
4,114 |
3,655 |
$24K |
| 74018 |
|
510 |
493 |
$21K |
| 72100 |
|
515 |
495 |
$20K |
| 99211 |
|
468 |
446 |
$19K |
| 93306 |
|
142 |
140 |
$17K |
| 88305 |
|
175 |
167 |
$16K |
| 96361 |
|
2,195 |
1,872 |
$13K |
| 0202U |
|
29 |
29 |
$13K |
| 80061 |
|
2,371 |
2,324 |
$13K |
| 82306 |
|
1,150 |
1,118 |
$12K |
| 99212 |
|
355 |
333 |
$12K |
| 92507 |
|
151 |
62 |
$12K |
| 85027 |
|
3,665 |
3,071 |
$10K |
| 84439 |
|
863 |
830 |
$9K |
| 97161 |
|
287 |
277 |
$9K |
| 73721 |
|
15 |
14 |
$8K |
| 78452 |
|
27 |
27 |
$7K |
| 87807 |
|
196 |
183 |
$7K |
| 83735 |
|
3,498 |
2,773 |
$7K |
| 87880 |
|
778 |
753 |
$7K |
| 93005 |
|
4,245 |
3,641 |
$7K |
| 76705 |
|
122 |
119 |
$7K |
| 82728 |
|
546 |
521 |
$6K |
| 82607 |
|
549 |
533 |
$5K |
| 59025 |
|
319 |
198 |
$5K |
| 95810 |
|
12 |
12 |
$5K |
| G0378 |
Hospital observation per hr |
587 |
282 |
$5K |
| 85007 |
|
1,159 |
833 |
$5K |
| 84443 |
|
3,028 |
2,919 |
$5K |
| 42820 |
|
32 |
32 |
$4K |
| 93971 |
|
15 |
15 |
$4K |
| J2270 |
Morphine sulfate injection |
1,630 |
1,345 |
$4K |
| 74177 |
|
1,586 |
1,505 |
$4K |
| J2704 |
Inj, propofol, 10 mg |
2,523 |
1,504 |
$3K |
| 85610 |
|
1,055 |
849 |
$3K |
| J2550 |
Promethazine hcl injection |
574 |
330 |
$3K |
| 31231 |
|
14 |
14 |
$3K |
| 87389 |
|
629 |
618 |
$3K |
| 72040 |
|
31 |
29 |
$3K |
| 83036 |
|
1,832 |
1,786 |
$3K |
| 96360 |
|
765 |
720 |
$3K |
| 84550 |
|
70 |
69 |
$3K |
| 73140 |
|
13 |
13 |
$2K |
| 86140 |
|
457 |
420 |
$2K |
| 71260 |
|
511 |
484 |
$2K |
| 83690 |
|
2,340 |
2,100 |
$2K |
| 76775 |
|
29 |
29 |
$2K |
| 71250 |
|
12 |
12 |
$2K |
| 99213 |
|
111 |
93 |
$2K |
| 73560 |
|
12 |
12 |
$2K |
| 72125 |
|
379 |
360 |
$2K |
| 73502 |
|
125 |
120 |
$2K |
| 96366 |
|
230 |
155 |
$2K |
| 82550 |
|
607 |
550 |
$2K |
| M0243 |
Casirivi and imdevi inj |
12 |
12 |
$2K |
| 96376 |
|
660 |
428 |
$2K |
| 93017 |
|
83 |
82 |
$1K |
| 84153 |
|
55 |
54 |
$1K |
| 36600 |
|
21 |
14 |
$1K |
| 94640 |
|
654 |
548 |
$1K |
| 83540 |
|
672 |
642 |
$1K |
| 84145 |
|
464 |
409 |
$1K |
| 73090 |
|
37 |
37 |
$911.69 |
| 82570 |
|
432 |
387 |
$770.44 |
| J2405 |
Ondansetron hcl injection |
3,577 |
3,139 |
$764.90 |
| 85379 |
|
158 |
150 |
$706.77 |
| 84484 |
|
3,977 |
2,433 |
$680.06 |
| 87591 |
|
790 |
757 |
$651.09 |
| 80143 |
|
288 |
249 |
$549.63 |
| 90471 |
|
80 |
76 |
$544.03 |
| 73590 |
|
26 |
25 |
$497.55 |
| 72070 |
|
13 |
12 |
$406.53 |
| 82746 |
|
324 |
317 |
$382.04 |
| 82247 |
|
19 |
14 |
$327.10 |
| 71100 |
|
12 |
12 |
$266.64 |
| 97140 |
|
91 |
38 |
$240.52 |
| 74019 |
|
15 |
15 |
$215.51 |
| 86038 |
|
26 |
26 |
$187.09 |
| 82803 |
|
82 |
68 |
$79.15 |
| U0005 |
Infec agen detec ampli probe |
870 |
836 |
$75.00 |
| 85652 |
|
432 |
408 |
$55.02 |
| 83880 |
|
979 |
884 |
$53.51 |
| G0463 |
Hospital outpt clinic visit |
28 |
26 |
$39.82 |
| 87040 |
|
824 |
419 |
$25.81 |
| 84132 |
|
15 |
14 |
$24.89 |
| J1100 |
Dexamethasone sodium phos |
1,856 |
1,701 |
$22.87 |
| 87661 |
|
363 |
348 |
$19.15 |
| 80179 |
|
282 |
246 |
$14.91 |
| 82077 |
|
695 |
629 |
$13.82 |
| 85046 |
|
120 |
51 |
$6.13 |
| J1200 |
Diphenhydramine hcl injectio |
743 |
436 |
$5.26 |
| 84156 |
|
239 |
212 |
$4.82 |
| J1170 |
Hydromorphone injection |
1,141 |
586 |
$3.06 |
| J1885 |
Ketorolac tromethamine inj |
2,411 |
2,173 |
$0.94 |
| J3010 |
Fentanyl citrate injection |
1,307 |
1,204 |
$0.85 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
151 |
145 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
27 |
27 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
78 |
25 |
$0.00 |
| 84100 |
|
372 |
280 |
$0.00 |
| J2930 |
Methylprednisolone injection |
63 |
53 |
$0.00 |
| 85045 |
|
100 |
51 |
$0.00 |
| 90715 |
|
64 |
63 |
$0.00 |
| 87186 |
|
1,081 |
974 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
103 |
76 |
$0.00 |
| 82248 |
|
42 |
40 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
22 |
13 |
$0.00 |
| 83970 |
|
72 |
70 |
$0.00 |
| 82565 |
|
14 |
13 |
$0.00 |
| 84295 |
|
14 |
13 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
72 |
61 |
$0.00 |
| J0780 |
Prochlorperazine injection |
26 |
26 |
$0.00 |
| 84520 |
|
14 |
13 |
$0.00 |
| 82310 |
|
14 |
13 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
986 |
930 |
$0.00 |
| A9270 |
Non-covered item or service |
396 |
298 |
$0.00 |
| 86901 |
|
858 |
731 |
$0.00 |
| J3490 |
Drugs unclassified injection |
89 |
70 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
1,032 |
903 |
$0.00 |
| 83605 |
|
1,410 |
1,204 |
$0.00 |
| 85730 |
|
284 |
249 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
305 |
295 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
381 |
329 |
$0.00 |
| 80329 |
|
69 |
68 |
$0.00 |
| J2060 |
Lorazepam injection |
90 |
65 |
$0.00 |
| 83550 |
|
294 |
276 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
63 |
59 |
$0.00 |
| 80320 |
|
181 |
174 |
$0.00 |
| J3480 |
Inj potassium chloride |
17 |
13 |
$0.00 |
| G0481 |
Drug test def 8-14 classes |
69 |
65 |
$0.00 |
| J2785 |
Regadenoson injection |
27 |
27 |
$0.00 |
| 71275 |
|
13 |
12 |
$0.00 |
| 82435 |
|
14 |
13 |
$0.00 |