| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
64,646 |
58,560 |
$2.48M |
| 70450 |
|
8,180 |
7,894 |
$773K |
| 74177 |
|
4,429 |
4,310 |
$685K |
| 96374 |
|
16,623 |
15,518 |
$659K |
| 99284 |
|
5,309 |
4,972 |
$600K |
| 87635 |
|
12,163 |
10,361 |
$445K |
| 93005 |
|
21,492 |
20,100 |
$409K |
| 99281 |
|
9,849 |
8,936 |
$392K |
| 80053 |
|
36,239 |
33,095 |
$301K |
| 96375 |
|
13,479 |
9,426 |
$277K |
| 74176 |
|
3,121 |
3,053 |
$272K |
| 99199 |
|
8,502 |
7,779 |
$244K |
| 71045 |
|
24,719 |
23,505 |
$242K |
| 80307 |
|
5,219 |
4,904 |
$216K |
| 85025 |
|
39,718 |
35,868 |
$212K |
| Z7502 |
|
5,504 |
5,389 |
$196K |
| G0480 |
Drug test def 1-7 classes |
3,916 |
3,559 |
$172K |
| 99283 |
|
2,436 |
2,300 |
$169K |
| 72125 |
|
1,340 |
1,309 |
$143K |
| 96372 |
|
7,110 |
6,052 |
$120K |
| 84484 |
|
15,459 |
14,144 |
$118K |
| J3490 |
Drugs unclassified injection |
22,992 |
13,821 |
$104K |
| 76705 |
|
2,442 |
2,396 |
$98K |
| 83880 |
|
5,308 |
5,026 |
$97K |
| 0270 |
|
17,489 |
10,948 |
$87K |
| 0250 |
|
15,857 |
10,176 |
$83K |
| 93971 |
|
1,179 |
1,147 |
$83K |
| J2405 |
Ondansetron hcl injection |
9,049 |
8,319 |
$77K |
| 83690 |
|
13,456 |
12,626 |
$67K |
| 76856 |
|
1,504 |
1,467 |
$67K |
| 71275 |
|
506 |
496 |
$62K |
| J7030 |
Normal saline solution infus |
12,320 |
11,309 |
$62K |
| U0002 |
Covid-19 lab test non-cdc |
1,598 |
1,548 |
$61K |
| 0300 |
|
1,538 |
1,382 |
$59K |
| G0463 |
Hospital outpt clinic visit |
1,851 |
1,697 |
$57K |
| 86710 |
|
6,228 |
6,059 |
$53K |
| 84703 |
|
11,353 |
10,720 |
$52K |
| 94640 |
|
2,750 |
2,549 |
$49K |
| 0762 |
|
554 |
341 |
$49K |
| 81001 |
|
18,700 |
17,657 |
$43K |
| J2704 |
Inj, propofol, 10 mg |
1,316 |
1,197 |
$41K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,336 |
5,149 |
$40K |
| 99221 |
|
1,556 |
1,438 |
$39K |
| 36415 |
|
26,973 |
23,705 |
$36K |
| 76801 |
|
949 |
825 |
$36K |
| 87088 |
|
6,789 |
6,507 |
$36K |
| 73564 |
|
1,670 |
1,514 |
$34K |
| J1885 |
Ketorolac tromethamine inj |
6,924 |
6,566 |
$34K |
| J2270 |
Morphine sulfate injection |
5,651 |
4,916 |
$34K |
| 0510 |
|
2,004 |
1,878 |
$33K |
| 93306 |
|
270 |
264 |
$32K |
| 85610 |
|
9,863 |
9,352 |
$32K |
| J0696 |
Ceftriaxone sodium injection |
3,040 |
2,876 |
$30K |
| J1100 |
Dexamethasone sodium phos |
1,893 |
1,805 |
$30K |
| 73630 |
|
1,609 |
1,529 |
$29K |
| 87040 |
|
2,084 |
2,006 |
$27K |
| 83605 |
|
3,362 |
3,177 |
$26K |
| 90715 |
|
1,164 |
1,149 |
$26K |
| 73610 |
|
1,279 |
1,232 |
$24K |
| 72100 |
|
909 |
893 |
$23K |
| 0272 |
|
2,756 |
2,660 |
$22K |
| 87186 |
|
2,835 |
2,753 |
$20K |
| 73130 |
|
969 |
908 |
$20K |
| 86756 |
|
2,331 |
2,263 |
$20K |
| 80048 |
|
3,423 |
3,254 |
$19K |
| 73030 |
|
1,110 |
1,077 |
$19K |
| 96376 |
|
1,809 |
1,373 |
$17K |
| 88305 |
|
901 |
846 |
$15K |
| 84702 |
|
1,847 |
1,657 |
$15K |
| 96365 |
|
369 |
324 |
$15K |
| 85379 |
|
2,060 |
2,012 |
$14K |
| G0378 |
Hospital observation per hr |
130 |
114 |
$13K |
| 72131 |
|
109 |
107 |
$13K |
| 97140 |
|
640 |
309 |
$13K |
| J2001 |
Lidocaine injection |
1,406 |
1,351 |
$13K |
| 83735 |
|
2,834 |
2,721 |
$13K |
| 76700 |
|
257 |
251 |
$12K |
| 82948 |
|
3,369 |
2,841 |
$12K |
| J7060 |
5% dextrose/water |
2,765 |
2,323 |
$11K |
| 70496 |
|
75 |
75 |
$10K |
| 84443 |
|
782 |
770 |
$9K |
| 97110 |
|
832 |
409 |
$9K |
| 0160 |
|
102 |
68 |
$8K |
| 86901 |
|
3,095 |
2,988 |
$8K |
| J2060 |
Lorazepam injection |
1,779 |
1,568 |
$8K |
| 73110 |
|
411 |
390 |
$8K |
| 93970 |
|
66 |
63 |
$8K |
| J7040 |
Normal saline solution infus |
1,682 |
1,637 |
$7K |
| 85730 |
|
2,021 |
1,952 |
$7K |
| 86900 |
|
3,109 |
3,009 |
$7K |
| 43239 |
|
322 |
312 |
$7K |
| 0636 |
|
1,539 |
1,392 |
$6K |
| 70498 |
|
74 |
74 |
$6K |
| 71046 |
|
444 |
438 |
$6K |
| J1170 |
Hydromorphone injection |
899 |
694 |
$6K |
| Z7610 |
|
573 |
355 |
$6K |
| 86886 |
|
1,297 |
1,262 |
$6K |
| J7120 |
Ringers lactate infusion |
1,750 |
1,618 |
$6K |
| J7050 |
Normal saline solution infus |
1,863 |
1,679 |
$6K |
| 99070 |
|
541 |
271 |
$6K |
| 81003 |
|
3,858 |
3,718 |
$6K |
| 70486 |
|
55 |
54 |
$5K |
| 45380 |
|
150 |
142 |
$5K |
| J1200 |
Diphenhydramine hcl injectio |
1,244 |
1,107 |
$5K |
| 87591 |
|
215 |
211 |
$5K |
| 81002 |
|
3,261 |
3,140 |
$5K |
| 87491 |
|
215 |
211 |
$5K |
| 99282 |
|
135 |
118 |
$5K |
| 0761 |
|
317 |
304 |
$4K |
| 99285 |
|
31 |
24 |
$4K |
| 0760 |
|
328 |
304 |
$4K |
| 86850 |
|
877 |
854 |
$4K |
| J2765 |
Metoclopramide hcl injection |
919 |
861 |
$4K |
| 73080 |
|
155 |
145 |
$3K |
| 73502 |
|
143 |
135 |
$3K |
| 45385 |
|
69 |
68 |
$3K |
| 80061 |
|
464 |
444 |
$3K |
| 87070 |
|
579 |
557 |
$3K |
| 86140 |
|
741 |
720 |
$3K |
| 96361 |
|
50 |
39 |
$3K |
| 97530 |
|
300 |
162 |
$2K |
| 12001 |
|
39 |
39 |
$2K |
| 73590 |
|
150 |
136 |
$2K |
| 85651 |
|
969 |
932 |
$2K |
| 45378 |
|
112 |
107 |
$2K |
| 0324 |
|
138 |
136 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
650 |
627 |
$2K |
| 90471 |
|
560 |
551 |
$2K |
| 83036 |
|
311 |
293 |
$2K |
| J3475 |
Inj magnesium sulfate |
190 |
179 |
$2K |
| 88312 |
|
251 |
244 |
$2K |
| 97112 |
|
193 |
102 |
$2K |
| 74018 |
|
117 |
111 |
$2K |
| A4217 |
Sterile water/saline, 500 ml |
191 |
181 |
$1K |
| 71101 |
|
53 |
53 |
$1K |
| J2930 |
Methylprednisolone injection |
154 |
145 |
$1K |
| 29125 |
|
39 |
38 |
$1K |
| 82803 |
|
104 |
100 |
$1K |
| 0710 |
|
114 |
104 |
$1K |
| J1630 |
Haloperidol injection |
244 |
223 |
$1K |
| 96367 |
|
38 |
24 |
$1K |
| 76805 |
|
13 |
13 |
$968.72 |
| J1815 |
Insulin injection |
87 |
65 |
$897.66 |
| 72040 |
|
40 |
40 |
$882.28 |
| 59899 |
|
78 |
65 |
$813.99 |
| 71010 |
|
55 |
24 |
$807.78 |
| 96413 |
|
56 |
36 |
$760.87 |
| 73140 |
|
57 |
55 |
$648.33 |
| 76870 |
|
24 |
24 |
$647.88 |
| A4649 |
Surgical supplies |
679 |
406 |
$640.34 |
| 82728 |
|
56 |
56 |
$591.62 |
| J0780 |
Prochlorperazine injection |
121 |
115 |
$570.30 |
| 99499 |
|
13 |
13 |
$545.60 |
| 82550 |
|
122 |
116 |
$531.77 |
| J3010 |
Fentanyl citrate injection |
355 |
345 |
$530.26 |
| 81025 |
|
146 |
141 |
$511.59 |
| 83615 |
|
77 |
75 |
$490.05 |
| S0164 |
Injection pantroprazole |
42 |
40 |
$383.39 |
| 12011 |
|
12 |
12 |
$294.16 |
| Q0162 |
Ondansetron oral |
142 |
139 |
$270.37 |
| 80076 |
|
41 |
41 |
$248.11 |
| J1650 |
Inj enoxaparin sodium |
18 |
14 |
$225.23 |
| 87205 |
|
60 |
55 |
$212.72 |
| 73090 |
|
13 |
13 |
$172.84 |
| 87210 |
|
64 |
64 |
$148.07 |
| 96366 |
|
41 |
12 |
$135.52 |
| S0028 |
Injection, famotidine, 20 mg |
103 |
95 |
$112.27 |
| S0077 |
Injection, clindamycin phosp |
13 |
13 |
$111.58 |
| J1940 |
Furosemide injection |
15 |
12 |
$95.32 |
| J2543 |
Piperacillin/tazobactam |
30 |
29 |
$80.07 |
| 82140 |
|
13 |
12 |
$75.73 |
| J7510 |
Prednisolone oral per 5 mg |
27 |
26 |
$65.20 |
| 59025 |
|
14 |
12 |
$61.34 |
| 87798 |
|
12 |
12 |
$54.27 |
| J1644 |
Inj heparin sodium per 1000u |
15 |
12 |
$51.77 |
| 84100 |
|
15 |
14 |
$49.19 |
| J0690 |
Cefazolin sodium injection |
16 |
14 |
$39.71 |
| 29515 |
|
13 |
13 |
$36.00 |
| 84460 |
|
15 |
15 |
$16.96 |
| 80354 |
|
16 |
16 |
$0.00 |
| 0730 |
|
13 |
12 |
$0.00 |
| S9445 |
Pt education noc individ |
187 |
108 |
$0.00 |