| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
|
24,946 |
22,226 |
$6.72M |
| A9150 |
Misc/exper non-prescript dru |
25,291 |
10,934 |
$6.15M |
| 99284 |
|
22,415 |
20,895 |
$4.49M |
| 36415 |
|
34,769 |
29,923 |
$4.42M |
| 99283 |
|
24,005 |
22,404 |
$3.47M |
| 99285 |
|
11,403 |
10,683 |
$3.40M |
| T1999 |
Noc retail items andsupplies |
10,162 |
5,710 |
$2.61M |
| 99282 |
|
6,135 |
5,843 |
$1.20M |
| 80053 |
|
38,565 |
35,661 |
$898K |
| 74177 |
|
3,703 |
3,626 |
$645K |
| 70450 |
|
5,060 |
4,911 |
$562K |
| 99499 |
|
1,546 |
959 |
$471K |
| 99281 |
|
2,578 |
2,359 |
$445K |
| J3490 |
Drugs unclassified injection |
42,088 |
20,187 |
$350K |
| 0270 |
|
24,331 |
10,495 |
$336K |
| 96374 |
|
7,930 |
7,409 |
$307K |
| 71045 |
|
10,948 |
10,428 |
$304K |
| 71046 |
|
8,938 |
8,552 |
$303K |
| 93005 |
|
20,107 |
18,565 |
$302K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,576 |
3,472 |
$291K |
| 96372 |
|
8,891 |
8,148 |
$276K |
| 74176 |
|
2,604 |
2,536 |
$256K |
| 0360 |
|
1,631 |
1,098 |
$250K |
| G0480 |
Drug test def 1-7 classes |
5,790 |
5,328 |
$239K |
| 85025 |
|
42,665 |
38,705 |
$216K |
| 80048 |
|
11,886 |
10,914 |
$215K |
| G0378 |
Hospital observation per hr |
220 |
205 |
$214K |
| U0002 |
Covid-19 lab test non-cdc |
1,522 |
1,479 |
$213K |
| 99199 |
|
1,757 |
1,360 |
$210K |
| 97750 |
|
8,218 |
4,820 |
$202K |
| 99202 |
|
462 |
429 |
$199K |
| 97110 |
|
10,463 |
4,786 |
$198K |
| J7512 |
Prednisone ir or dr oral 1mg |
612 |
582 |
$189K |
| 0250 |
|
3,181 |
1,576 |
$187K |
| 96375 |
|
5,544 |
5,066 |
$172K |
| 0241U |
|
3,909 |
3,829 |
$165K |
| 71275 |
|
947 |
928 |
$164K |
| 84484 |
|
13,800 |
12,127 |
$161K |
| 80307 |
|
6,368 |
6,004 |
$158K |
| 72125 |
|
1,116 |
1,095 |
$141K |
| Z7502 |
|
3,684 |
3,648 |
$137K |
| 96365 |
|
3,229 |
2,486 |
$135K |
| 66984 |
|
189 |
185 |
$122K |
| 99201 |
|
383 |
271 |
$120K |
| 0710 |
|
1,329 |
1,260 |
$117K |
| 97139 |
|
15,135 |
4,629 |
$102K |
| P9016 |
Rbc leukocytes reduced |
362 |
267 |
$98K |
| 93306 |
|
679 |
656 |
$96K |
| 94640 |
|
4,375 |
3,632 |
$88K |
| 81001 |
|
14,513 |
13,749 |
$85K |
| 76700 |
|
1,846 |
1,807 |
$83K |
| 82962 |
|
5,311 |
3,887 |
$79K |
| 83880 |
|
4,984 |
4,672 |
$77K |
| 87086 |
|
7,257 |
6,897 |
$76K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,895 |
6,038 |
$71K |
| 83690 |
|
12,502 |
11,711 |
$67K |
| 93971 |
|
1,200 |
1,171 |
$65K |
| Z9725 |
|
2,050 |
2,046 |
$62K |
| 0760 |
|
1,680 |
1,500 |
$60K |
| 73562 |
|
1,152 |
1,136 |
$58K |
| 76815 |
|
1,362 |
750 |
$55K |
| 87040 |
|
4,108 |
3,694 |
$52K |
| 73610 |
|
1,016 |
989 |
$52K |
| 73630 |
|
1,305 |
1,278 |
$51K |
| 84703 |
|
7,042 |
6,746 |
$49K |
| 96361 |
|
2,107 |
1,826 |
$49K |
| 81003 |
|
7,236 |
6,384 |
$48K |
| 0160 |
|
86 |
81 |
$47K |
| 73030 |
|
861 |
846 |
$45K |
| 83605 |
|
5,714 |
5,330 |
$44K |
| 88305 |
|
2,978 |
2,750 |
$43K |
| 87491 |
|
1,774 |
1,726 |
$43K |
| 87081 |
|
1,762 |
1,710 |
$42K |
| 76856 |
|
1,199 |
1,164 |
$41K |
| 59025 |
|
3,088 |
1,077 |
$41K |
| A9270 |
Non-covered item or service |
7,338 |
2,733 |
$40K |
| 81025 |
|
4,046 |
3,946 |
$37K |
| 85027 |
|
9,146 |
8,567 |
$36K |
| 73130 |
|
666 |
651 |
$35K |
| 87077 |
|
2,166 |
2,089 |
$35K |
| 76830 |
|
943 |
916 |
$33K |
| 99153 |
Mod sedat endo service >5yrs |
634 |
614 |
$33K |
| 76801 |
|
901 |
831 |
$30K |
| J1644 |
Inj heparin sodium per 1000u |
2,952 |
1,373 |
$29K |
| G0500 |
Mod sedat endo service >5yrs |
343 |
338 |
$28K |
| 0324 |
|
188 |
184 |
$27K |
| 87635 |
|
1,171 |
1,141 |
$27K |
| 87502 |
|
809 |
798 |
$26K |
| 96376 |
|
615 |
523 |
$26K |
| J7030 |
Normal saline solution infus |
9,214 |
7,930 |
$25K |
| 84702 |
|
2,440 |
2,223 |
$24K |
| 83735 |
|
3,936 |
3,330 |
$21K |
| 45380 |
|
50 |
50 |
$20K |
| 85610 |
|
5,783 |
5,413 |
$20K |
| J1815 |
Insulin injection |
1,258 |
860 |
$19K |
| 87591 |
|
1,788 |
1,741 |
$19K |
| 73110 |
|
346 |
339 |
$19K |
| 76817 |
|
650 |
601 |
$19K |
| Q0111 |
Wet mounts/ w preparations |
742 |
717 |
$19K |
| 96360 |
|
844 |
801 |
$19K |
| J1885 |
Ketorolac tromethamine inj |
9,362 |
8,871 |
$18K |
| J2405 |
Ondansetron hcl injection |
6,018 |
5,452 |
$17K |
| 82803 |
|
1,037 |
949 |
$17K |
| 94060 |
|
1,216 |
1,197 |
$17K |
| 99152 |
|
220 |
215 |
$17K |
| T5999 |
Supply, nos |
150 |
129 |
$17K |
| U0005 |
Infec agen detec ampli probe |
2,060 |
2,001 |
$16K |
| 87631 |
|
412 |
403 |
$16K |
| 94729 |
|
1,380 |
1,355 |
$15K |
| 85730 |
|
2,707 |
2,581 |
$15K |
| 70486 |
|
68 |
67 |
$15K |
| 10060 |
|
155 |
148 |
$15K |
| J3010 |
Fentanyl citrate injection |
4,605 |
4,092 |
$14K |
| J2250 |
Inj midazolam hydrochloride |
3,001 |
2,882 |
$14K |
| J1100 |
Dexamethasone sodium phos |
3,479 |
3,348 |
$14K |
| C1894 |
Intro/sheath, non-laser |
156 |
152 |
$14K |
| 86885 |
|
1,555 |
1,368 |
$14K |
| 0720 |
|
272 |
219 |
$13K |
| 85379 |
|
1,984 |
1,919 |
$13K |
| 94726 |
|
1,211 |
1,194 |
$13K |
| 78452 |
|
43 |
41 |
$12K |
| J2270 |
Morphine sulfate injection |
2,843 |
2,517 |
$12K |
| 87880 |
|
1,429 |
1,400 |
$12K |
| 45378 |
|
31 |
31 |
$11K |
| 80076 |
|
1,544 |
1,515 |
$11K |
| 86901 |
|
1,973 |
1,896 |
$10K |
| 80061 |
|
775 |
736 |
$10K |
| 97161 |
|
311 |
302 |
$10K |
| 87661 |
|
760 |
750 |
$9K |
| G0463 |
Hospital outpt clinic visit |
385 |
357 |
$8K |
| 99070 |
|
859 |
586 |
$8K |
| J7120 |
Ringers lactate infusion |
2,205 |
1,763 |
$8K |
| 83036 |
|
572 |
545 |
$8K |
| 93798 |
|
953 |
174 |
$7K |
| 85007 |
|
2,384 |
2,220 |
$7K |
| J0696 |
Ceftriaxone sodium injection |
2,590 |
2,421 |
$7K |
| 87186 |
|
1,765 |
1,701 |
$7K |
| 0949 |
|
134 |
114 |
$7K |
| Z7610 |
|
1,034 |
513 |
$7K |
| 84145 |
|
691 |
678 |
$6K |
| J0690 |
Cefazolin sodium injection |
1,250 |
1,086 |
$6K |
| 86141 |
|
1,128 |
1,088 |
$6K |
| 86900 |
|
2,165 |
1,947 |
$6K |
| 86923 |
|
139 |
96 |
$6K |
| 97140 |
|
310 |
190 |
$6K |
| 0301 |
|
59 |
34 |
$6K |
| 87637 |
|
261 |
248 |
$6K |
| 90715 |
|
511 |
494 |
$6K |
| 50590 |
|
13 |
12 |
$6K |
| 36430 |
|
79 |
69 |
$5K |
| 72131 |
|
50 |
50 |
$5K |
| 86880 |
|
575 |
540 |
$5K |
| 84443 |
|
555 |
550 |
$5K |
| C1769 |
Guide wire |
94 |
92 |
$5K |
| V2632 |
Post chmbr intraocular lens |
84 |
82 |
$5K |
| J2785 |
Regadenoson injection |
69 |
65 |
$4K |
| J1200 |
Diphenhydramine hcl injectio |
1,804 |
1,661 |
$4K |
| 0272 |
|
230 |
220 |
$4K |
| 93017 |
|
70 |
68 |
$3K |
| J0171 |
Adrenalin epinephrine inject |
414 |
403 |
$3K |
| 90471 |
|
631 |
598 |
$3K |
| 73590 |
|
28 |
28 |
$3K |
| 76705 |
|
28 |
27 |
$3K |
| 72100 |
|
108 |
107 |
$3K |
| 82010 |
|
237 |
228 |
$3K |
| 94644 |
|
241 |
220 |
$3K |
| 73502 |
|
72 |
67 |
$3K |
| 73090 |
|
51 |
51 |
$3K |
| 29125 |
|
156 |
149 |
$3K |
| 0370 |
|
200 |
198 |
$3K |
| 0761 |
|
84 |
65 |
$3K |
| J2704 |
Inj, propofol, 10 mg |
1,109 |
1,063 |
$3K |
| 73080 |
|
43 |
43 |
$2K |
| J7050 |
Normal saline solution infus |
671 |
468 |
$2K |
| J2765 |
Metoclopramide hcl injection |
1,266 |
1,198 |
$2K |
| J2060 |
Lorazepam injection |
867 |
756 |
$2K |
| 74018 |
|
89 |
86 |
$2K |
| 92507 |
|
55 |
26 |
$2K |
| J0780 |
Prochlorperazine injection |
465 |
443 |
$2K |
| 76770 |
|
54 |
51 |
$2K |
| 76805 |
|
27 |
26 |
$2K |
| 97530 |
|
180 |
114 |
$2K |
| 12001 |
|
30 |
24 |
$2K |
| S0020 |
Injection, bupivicaine hydro |
232 |
220 |
$2K |
| 85651 |
|
307 |
297 |
$2K |
| 88342 |
|
152 |
148 |
$2K |
| 87147 |
|
129 |
125 |
$1K |
| 74174 |
|
13 |
13 |
$1K |
| 36600 |
|
155 |
141 |
$1K |
| 87275 |
|
75 |
71 |
$1K |
| 93970 |
|
29 |
29 |
$1K |
| 88341 |
|
27 |
26 |
$1K |
| A9500 |
Tc99m sestamibi |
16 |
15 |
$1K |
| Q9969 |
Non-heu tc-99m add-on/dose |
411 |
402 |
$1K |
| 82550 |
|
187 |
169 |
$1K |
| 96366 |
|
114 |
68 |
$980.07 |
| 93000 |
|
13 |
13 |
$916.19 |
| J0131 |
Inj, acetaminophen (nos) |
73 |
69 |
$909.69 |
| 0002A |
|
26 |
26 |
$904.54 |
| 96367 |
|
47 |
39 |
$898.60 |
| A9502 |
Tc99m tetrofosmin |
37 |
37 |
$878.76 |
| 71020 |
|
23 |
12 |
$865.39 |
| 84132 |
|
175 |
164 |
$715.30 |
| 0001A |
|
37 |
37 |
$664.44 |
| 76816 |
|
15 |
14 |
$620.90 |
| J3475 |
Inj magnesium sulfate |
82 |
63 |
$516.10 |
| 88304 |
|
72 |
72 |
$463.78 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
76 |
74 |
$446.64 |
| J3370 |
Vancomycin hcl injection |
78 |
63 |
$393.74 |
| 87428 |
|
31 |
31 |
$363.00 |
| J2274 |
Inj morphine pf epid ithc |
30 |
27 |
$359.01 |
| 87276 |
|
76 |
71 |
$320.16 |
| 70551 |
|
13 |
13 |
$319.55 |
| 97112 |
|
64 |
42 |
$318.16 |
| G8978 |
Mobility current status |
839 |
810 |
$306.91 |
| 94618 |
|
50 |
50 |
$228.40 |
| 88720 |
|
86 |
79 |
$181.90 |
| C9399 |
Unclassified drugs or biolog |
130 |
126 |
$142.54 |
| J0360 |
Hydralazine hcl injection |
27 |
24 |
$141.11 |
| J2930 |
Methylprednisolone injection |
58 |
55 |
$93.15 |
| 82553 |
|
17 |
13 |
$91.60 |
| J7040 |
Normal saline solution infus |
73 |
60 |
$89.15 |
| J1170 |
Hydromorphone injection |
62 |
53 |
$53.54 |
| J1630 |
Haloperidol injection |
39 |
27 |
$49.97 |
| 86308 |
|
13 |
12 |
$34.18 |
| G8979 |
Mobility goal status |
1,112 |
1,053 |
$31.34 |
| J1940 |
Furosemide injection |
26 |
25 |
$27.83 |
| G8980 |
Mobility d/c status |
307 |
299 |
$23.49 |
| J0689 |
Inj cefazolin sodium, baxter |
65 |
63 |
$17.93 |
| G8984 |
Carry current status |
96 |
96 |
$11.22 |
| G8985 |
Carry goal status |
163 |
157 |
$5.61 |
| 91300 |
|
16 |
14 |
$0.05 |
| S9484 |
Crisis intervention per hour |
95 |
93 |
$0.00 |
| 82140 |
|
12 |
12 |
$0.00 |