| Code | Description | Claims | Beneficiaries | Total Paid |
| 36415 |
|
27,390 |
23,637 |
$6.70M |
| J1642 |
Inj heparin sodium per 10 u |
12,794 |
1,153 |
$2.38M |
| 99281 |
|
7,375 |
6,223 |
$1.47M |
| 99282 |
|
28,670 |
19,585 |
$1.42M |
| 87635 |
|
4,462 |
4,027 |
$867K |
| 81003 |
|
15,688 |
14,175 |
$720K |
| J0882 |
Darbepoetin alfa, esrd use |
5,620 |
1,584 |
$704K |
| Q9962 |
Hocm 300-349mg/ml iodine,1ml |
2,534 |
2,381 |
$697K |
| 99214 |
|
1,793 |
1,260 |
$605K |
| 96372 |
|
5,611 |
4,659 |
$577K |
| 77067 |
|
1,818 |
1,741 |
$555K |
| 90999 |
|
23,669 |
1,856 |
$549K |
| 87426 |
|
3,322 |
2,987 |
$522K |
| 80053 |
|
14,489 |
12,887 |
$381K |
| J2501 |
Paricalcitol |
16,933 |
1,400 |
$358K |
| 71046 |
|
3,308 |
3,060 |
$351K |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
2,254 |
213 |
$292K |
| 87070 |
|
2,325 |
2,133 |
$279K |
| 87661 |
|
1,148 |
1,057 |
$274K |
| 70450 |
|
2,298 |
2,116 |
$248K |
| J1644 |
Inj heparin sodium per 1000u |
3,180 |
496 |
$246K |
| 99283 |
|
22,094 |
15,833 |
$227K |
| 88313 |
|
2,129 |
1,838 |
$208K |
| 76815 |
|
790 |
760 |
$199K |
| 93306 |
|
551 |
508 |
$164K |
| 85025 |
|
22,326 |
19,235 |
$161K |
| 87502 |
|
1,040 |
935 |
$161K |
| 84703 |
|
2,955 |
2,662 |
$158K |
| 76856 |
|
533 |
526 |
$156K |
| 96365 |
|
2,725 |
2,071 |
$139K |
| 87491 |
|
3,239 |
3,031 |
$133K |
| G0378 |
Hospital observation per hr |
4,162 |
2,196 |
$130K |
| 71045 |
|
2,157 |
1,924 |
$102K |
| 88142 |
|
1,518 |
1,424 |
$84K |
| 94640 |
|
2,326 |
1,316 |
$82K |
| 99284 |
|
7,218 |
5,742 |
$80K |
| 74177 |
|
1,796 |
1,689 |
$71K |
| 93005 |
|
4,194 |
3,737 |
$63K |
| 82948 |
|
1,062 |
909 |
$54K |
| 87088 |
|
5,741 |
5,153 |
$52K |
| 96360 |
|
2,834 |
2,592 |
$41K |
| 99001 |
|
8,661 |
7,971 |
$38K |
| 96374 |
|
3,645 |
3,233 |
$38K |
| 74176 |
|
279 |
264 |
$35K |
| 87624 |
|
551 |
518 |
$33K |
| 99285 |
|
1,516 |
1,164 |
$29K |
| J1885 |
Ketorolac tromethamine inj |
4,911 |
4,355 |
$28K |
| 87177 |
|
1,724 |
1,696 |
$27K |
| 76801 |
|
100 |
94 |
$27K |
| 73030 |
|
148 |
132 |
$24K |
| J0696 |
Ceftriaxone sodium injection |
2,038 |
1,743 |
$24K |
| 99204 |
|
75 |
60 |
$24K |
| J7611 |
Albuterol non-comp con |
82 |
75 |
$23K |
| 80061 |
|
5,564 |
5,294 |
$21K |
| J2405 |
Ondansetron hcl injection |
5,176 |
4,361 |
$21K |
| 80048 |
|
3,340 |
3,053 |
$20K |
| 96376 |
|
246 |
230 |
$20K |
| 76805 |
|
49 |
49 |
$19K |
| 83036 |
|
4,560 |
4,292 |
$18K |
| Q0162 |
Ondansetron oral |
996 |
805 |
$17K |
| 84443 |
|
4,586 |
4,269 |
$16K |
| 90656 |
|
101 |
92 |
$16K |
| 29581 |
|
487 |
130 |
$16K |
| 72100 |
|
93 |
88 |
$14K |
| 93000 |
|
426 |
395 |
$14K |
| J1170 |
Hydromorphone injection |
826 |
554 |
$14K |
| 96361 |
|
2,688 |
2,388 |
$13K |
| 85014 |
|
759 |
681 |
$13K |
| 73630 |
|
106 |
87 |
$13K |
| 86850 |
|
1,199 |
1,022 |
$13K |
| 88141 |
|
215 |
191 |
$12K |
| 96375 |
|
3,837 |
3,410 |
$12K |
| 87804 |
|
501 |
426 |
$12K |
| 82485 |
|
2,641 |
2,451 |
$11K |
| 94664 |
|
472 |
390 |
$10K |
| 82310 |
|
1,150 |
1,107 |
$10K |
| 82272 |
|
281 |
276 |
$9K |
| J2001 |
Lidocaine injection |
2,857 |
2,498 |
$9K |
| 87807 |
|
543 |
493 |
$9K |
| M0243 |
Casirivi and imdevi inj |
44 |
42 |
$9K |
| 87077 |
|
3,119 |
2,857 |
$9K |
| 82553 |
|
1,046 |
972 |
$9K |
| 73562 |
|
65 |
54 |
$9K |
| J2916 |
Na ferric gluconate complex |
3,750 |
1,114 |
$9K |
| 84484 |
|
2,609 |
2,334 |
$8K |
| 84702 |
|
932 |
770 |
$8K |
| 73610 |
|
32 |
27 |
$8K |
| 88108 |
|
237 |
236 |
$8K |
| J0735 |
Clonidine hydrochloride |
64 |
44 |
$7K |
| J7613 |
Albuterol non-comp unit |
379 |
319 |
$7K |
| J2270 |
Morphine sulfate injection |
1,225 |
1,039 |
$6K |
| 80307 |
|
273 |
250 |
$6K |
| 90837 |
|
34 |
12 |
$6K |
| 88305 |
|
1,331 |
1,174 |
$5K |
| G0008 |
Admin influenza virus vac |
50 |
50 |
$5K |
| 66984 |
|
14 |
14 |
$5K |
| 72125 |
|
41 |
40 |
$5K |
| 85610 |
|
1,615 |
1,448 |
$5K |
| 87481 |
|
36 |
36 |
$5K |
| 90792 |
|
28 |
17 |
$5K |
| J0690 |
Cefazolin sodium injection |
1,537 |
1,218 |
$4K |
| 82803 |
|
591 |
538 |
$4K |
| 78452 |
|
14 |
13 |
$4K |
| 76819 |
|
34 |
15 |
$4K |
| S0119 |
Ondansetron 4 mg |
680 |
636 |
$4K |
| 87040 |
|
264 |
241 |
$4K |
| 86703 |
|
1,338 |
1,271 |
$3K |
| 84153 |
|
770 |
708 |
$3K |
| 82465 |
|
1,717 |
1,684 |
$3K |
| 84550 |
|
1,665 |
1,498 |
$3K |
| J7120 |
Ringers lactate infusion |
279 |
221 |
$3K |
| 97602 |
|
155 |
38 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
1,917 |
1,684 |
$3K |
| 99211 |
|
100 |
25 |
$3K |
| 83880 |
|
607 |
562 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
228 |
196 |
$3K |
| J2175 |
Meperidine hydrochl /100 mg |
45 |
40 |
$3K |
| 87186 |
|
2,556 |
2,357 |
$3K |
| 71260 |
|
102 |
94 |
$3K |
| 84439 |
|
1,606 |
1,479 |
$3K |
| 86900 |
|
1,538 |
1,307 |
$3K |
| 90714 |
|
245 |
242 |
$2K |
| 83550 |
|
430 |
367 |
$2K |
| J2060 |
Lorazepam injection |
133 |
121 |
$2K |
| J0131 |
Inj, acetaminophen (nos) |
134 |
100 |
$2K |
| J7030 |
Normal saline solution infus |
42 |
37 |
$2K |
| 83735 |
|
1,260 |
1,133 |
$2K |
| 86592 |
|
1,520 |
1,478 |
$2K |
| 83690 |
|
1,798 |
1,638 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
1,047 |
777 |
$2K |
| 73130 |
|
12 |
12 |
$2K |
| 84132 |
|
2,716 |
2,518 |
$2K |
| J7510 |
Prednisolone oral per 5 mg |
21 |
12 |
$2K |
| 71275 |
|
13 |
13 |
$1K |
| 85651 |
|
1,508 |
1,410 |
$1K |
| 85379 |
|
256 |
244 |
$1K |
| 82270 |
|
168 |
149 |
$1K |
| 87591 |
|
3,233 |
3,030 |
$1K |
| J2930 |
Methylprednisolone injection |
79 |
73 |
$1K |
| J7620 |
Albuterol ipratrop non-comp |
250 |
190 |
$1K |
| 99212 |
|
50 |
12 |
$1K |
| J3010 |
Fentanyl citrate injection |
2,316 |
2,002 |
$1K |
| 96366 |
|
84 |
52 |
$1K |
| 82570 |
|
331 |
316 |
$918.50 |
| 87389 |
|
50 |
50 |
$901.36 |
| 93017 |
|
14 |
13 |
$764.00 |
| V2632 |
Post chmbr intraocular lens |
16 |
16 |
$726.00 |
| 84446 |
|
236 |
210 |
$678.38 |
| 83605 |
|
1,452 |
1,324 |
$665.06 |
| 80069 |
|
65 |
52 |
$516.19 |
| 96367 |
|
166 |
157 |
$492.78 |
| A9500 |
Tc99m sestamibi |
15 |
14 |
$466.80 |
| 82306 |
|
448 |
442 |
$450.68 |
| J1094 |
Inj dexamethasone acetate |
1,589 |
1,332 |
$409.29 |
| 81015 |
|
3,191 |
2,737 |
$408.29 |
| 80076 |
|
42 |
42 |
$402.01 |
| J1756 |
Iron sucrose injection |
36 |
15 |
$402.01 |
| 83021 |
|
973 |
957 |
$402.01 |
| 76000 |
|
30 |
30 |
$385.80 |
| 86901 |
|
992 |
824 |
$380.02 |
| 84295 |
|
2,643 |
2,453 |
$360.38 |
| 82550 |
|
867 |
842 |
$324.89 |
| 85730 |
|
1,172 |
1,087 |
$311.57 |
| 83615 |
|
797 |
778 |
$290.20 |
| 86140 |
|
541 |
499 |
$284.78 |
| 82565 |
|
2,088 |
1,979 |
$205.87 |
| 83874 |
|
1,046 |
972 |
$158.14 |
| 82728 |
|
787 |
709 |
$71.39 |
| 87563 |
|
51 |
51 |
$43.60 |
| 90471 |
|
84 |
83 |
$43.06 |
| 86141 |
|
108 |
100 |
$42.00 |
| 84100 |
|
752 |
730 |
$40.83 |
| 82607 |
|
101 |
87 |
$37.59 |
| 82746 |
|
101 |
87 |
$37.59 |
| J2550 |
Promethazine hcl injection |
79 |
66 |
$26.00 |
| 84481 |
|
30 |
25 |
$23.60 |
| 85018 |
|
58 |
53 |
$22.09 |
| 84479 |
|
72 |
66 |
$18.35 |
| 83921 |
|
13 |
12 |
$17.91 |
| 82150 |
|
13 |
12 |
$17.73 |
| 82043 |
|
37 |
26 |
$13.15 |
| 86803 |
|
46 |
37 |
$12.80 |
| 94760 |
|
13 |
13 |
$12.19 |
| 82947 |
|
2,639 |
2,449 |
$5.39 |
| J2765 |
Metoclopramide hcl injection |
16 |
13 |
$5.00 |
| 87340 |
|
369 |
349 |
$4.80 |
| J7040 |
Normal saline solution infus |
99 |
57 |
$4.15 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
84 |
55 |
$4.00 |
| 83655 |
|
1,202 |
1,178 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
100 |
84 |
$0.00 |
| J2274 |
Inj morphine pf epid ithc |
21 |
16 |
$0.00 |
| 81513 |
|
37 |
37 |
$0.00 |
| 87535 |
|
52 |
52 |
$0.00 |
| 86336 |
|
20 |
20 |
$0.00 |
| 84156 |
|
14 |
14 |
$0.00 |
| 84165 |
|
12 |
12 |
$0.00 |
| 86235 |
|
39 |
39 |
$0.00 |
| 83540 |
|
24 |
24 |
$0.00 |
| S5010 |
5% dextrose and 0.45% saline |
16 |
14 |
$0.00 |
| 84155 |
|
12 |
12 |
$0.00 |
| 84478 |
|
685 |
669 |
$0.00 |
| 86701 |
|
50 |
50 |
$0.00 |
| 85660 |
|
972 |
956 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
170 |
155 |
$0.00 |
| 85027 |
|
21 |
20 |
$0.00 |
| 99213 |
|
28 |
12 |
$0.00 |
| 86762 |
|
98 |
96 |
$0.00 |
| 86225 |
|
43 |
43 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
29 |
28 |
$0.00 |
| 82677 |
|
19 |
19 |
$0.00 |
| 82105 |
|
19 |
19 |
$0.00 |
| 88304 |
|
13 |
12 |
$0.00 |
| 87184 |
|
15 |
13 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
14 |
13 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
13 |
13 |
$0.00 |