| Code | Description | Claims | Beneficiaries | Total Paid |
| 8888888 |
|
33,841 |
16,251 |
$14.64M |
| 85025 |
|
23,598 |
18,702 |
$632K |
| 99283 |
|
12,212 |
10,852 |
$490K |
| 96372 |
|
2,956 |
2,241 |
$461K |
| 99284 |
|
11,288 |
9,792 |
$395K |
| 80050 |
|
3,573 |
3,320 |
$358K |
| 0241U |
|
2,072 |
1,917 |
$274K |
| 96374 |
|
9,437 |
7,512 |
$269K |
| 99282 |
|
4,197 |
3,807 |
$225K |
| 96365 |
|
3,963 |
1,876 |
$134K |
| 72148 |
|
813 |
745 |
$118K |
| 93306 |
|
537 |
504 |
$116K |
| 80081 |
|
1,056 |
1,011 |
$109K |
| 85027 |
|
2,885 |
2,585 |
$94K |
| 71046 |
|
2,347 |
2,121 |
$89K |
| 99285 |
|
5,553 |
4,747 |
$78K |
| 71045 |
|
4,676 |
4,121 |
$73K |
| G0463 |
Hospital outpt clinic visit |
2,720 |
1,808 |
$68K |
| 70450 |
|
1,966 |
1,745 |
$67K |
| 81001 |
|
11,842 |
10,092 |
$63K |
| 96375 |
|
6,692 |
5,062 |
$60K |
| 80053 |
|
21,566 |
17,419 |
$51K |
| J1885 |
Ketorolac tromethamine inj |
5,678 |
4,745 |
$47K |
| 87389 |
|
556 |
528 |
$45K |
| 74177 |
|
2,723 |
2,444 |
$45K |
| 87086 |
|
5,384 |
4,776 |
$45K |
| 74176 |
|
829 |
775 |
$37K |
| J0696 |
Ceftriaxone sodium injection |
2,915 |
2,164 |
$36K |
| 88305 |
|
1,018 |
922 |
$36K |
| 96361 |
|
5,819 |
4,674 |
$36K |
| 80307 |
|
2,405 |
2,003 |
$35K |
| 77067 |
|
481 |
467 |
$34K |
| 81025 |
|
1,035 |
956 |
$34K |
| 87186 |
|
1,650 |
1,469 |
$33K |
| 76805 |
|
399 |
368 |
$33K |
| U0002 |
Covid-19 lab test non-cdc |
732 |
685 |
$33K |
| 70553 |
|
184 |
173 |
$32K |
| 96360 |
|
2,663 |
1,922 |
$32K |
| 73721 |
|
165 |
143 |
$29K |
| 87633 |
|
342 |
321 |
$29K |
| J2405 |
Ondansetron hcl injection |
8,621 |
6,360 |
$28K |
| 72100 |
|
486 |
467 |
$28K |
| 73562 |
|
593 |
546 |
$27K |
| 97602 |
|
605 |
283 |
$26K |
| J1170 |
Hydromorphone injection |
1,769 |
1,339 |
$26K |
| 76856 |
|
406 |
389 |
$25K |
| 84443 |
|
3,325 |
3,109 |
$25K |
| 87081 |
|
1,633 |
1,551 |
$23K |
| 80306 |
|
567 |
513 |
$23K |
| 76705 |
|
516 |
476 |
$23K |
| J1100 |
Dexamethasone sodium phos |
3,620 |
2,904 |
$22K |
| 72141 |
|
179 |
166 |
$21K |
| J2270 |
Morphine sulfate injection |
1,844 |
1,479 |
$21K |
| 73110 |
|
238 |
219 |
$20K |
| J2704 |
Inj, propofol, 10 mg |
3,693 |
3,174 |
$19K |
| 97530 |
|
320 |
131 |
$18K |
| J3010 |
Fentanyl citrate injection |
2,159 |
1,814 |
$18K |
| 87491 |
|
2,033 |
1,906 |
$18K |
| 87591 |
|
1,941 |
1,827 |
$18K |
| 93005 |
|
4,586 |
3,887 |
$18K |
| 73630 |
|
299 |
288 |
$17K |
| 73610 |
|
367 |
348 |
$17K |
| 80061 |
|
3,511 |
3,289 |
$17K |
| 73030 |
|
323 |
277 |
$16K |
| 82306 |
|
2,660 |
2,471 |
$15K |
| 84702 |
|
2,001 |
1,489 |
$15K |
| 80048 |
|
2,504 |
1,955 |
$14K |
| J1200 |
Diphenhydramine hcl injectio |
1,228 |
1,050 |
$13K |
| 87631 |
|
238 |
223 |
$13K |
| 72110 |
|
168 |
154 |
$13K |
| 83036 |
|
2,977 |
2,784 |
$12K |
| J0690 |
Cefazolin sodium injection |
1,466 |
1,223 |
$12K |
| 84481 |
|
1,290 |
1,203 |
$11K |
| 97110 |
|
254 |
95 |
$11K |
| 82247 |
|
1,610 |
829 |
$10K |
| J2060 |
Lorazepam injection |
1,260 |
1,048 |
$10K |
| 96413 |
|
280 |
158 |
$9K |
| 84439 |
|
2,621 |
2,396 |
$9K |
| 96366 |
|
68 |
27 |
$9K |
| J7120 |
Ringers lactate infusion |
1,289 |
1,049 |
$8K |
| 86901 |
|
521 |
455 |
$8K |
| 84484 |
|
3,162 |
2,534 |
$8K |
| 85379 |
|
2,015 |
1,806 |
$8K |
| 87502 |
|
333 |
298 |
$7K |
| 83880 |
|
1,640 |
1,406 |
$7K |
| 73130 |
|
89 |
82 |
$6K |
| 93971 |
|
195 |
178 |
$6K |
| 74018 |
|
119 |
97 |
$6K |
| G0480 |
Drug test def 1-7 classes |
1,595 |
1,370 |
$6K |
| 94729 |
|
60 |
58 |
$5K |
| 85610 |
|
2,644 |
2,071 |
$5K |
| 92507 |
|
95 |
35 |
$5K |
| J3490 |
Drugs unclassified injection |
124 |
106 |
$5K |
| 87804 |
|
266 |
242 |
$5K |
| 84703 |
|
1,883 |
1,703 |
$5K |
| 82950 |
|
1,002 |
968 |
$4K |
| 97597 |
|
106 |
52 |
$4K |
| 76642 |
|
132 |
115 |
$4K |
| 87880 |
|
375 |
354 |
$4K |
| 84403 |
|
337 |
314 |
$3K |
| 73502 |
|
78 |
75 |
$3K |
| 84466 |
|
1,046 |
937 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,582 |
2,336 |
$3K |
| 71275 |
|
551 |
510 |
$3K |
| 72125 |
|
100 |
95 |
$3K |
| J1630 |
Haloperidol injection |
946 |
852 |
$3K |
| 86003 |
|
116 |
51 |
$3K |
| 83605 |
|
3,698 |
3,004 |
$3K |
| 83690 |
|
4,248 |
3,530 |
$3K |
| 87426 |
|
18 |
17 |
$2K |
| 76536 |
|
26 |
26 |
$2K |
| 82607 |
|
2,093 |
1,952 |
$2K |
| 82728 |
|
1,112 |
923 |
$2K |
| 87077 |
|
116 |
102 |
$2K |
| 83735 |
|
2,513 |
1,815 |
$2K |
| 82570 |
|
1,029 |
925 |
$2K |
| 72040 |
|
41 |
39 |
$2K |
| 94060 |
|
55 |
53 |
$2K |
| 96376 |
|
1,024 |
868 |
$2K |
| 70486 |
|
14 |
14 |
$2K |
| A9585 |
Gadobutrol injection |
803 |
740 |
$2K |
| 82565 |
|
254 |
216 |
$1K |
| 86140 |
|
2,434 |
2,076 |
$1K |
| 36415 |
|
337 |
270 |
$1K |
| 76801 |
|
77 |
62 |
$1K |
| 83516 |
|
65 |
56 |
$1K |
| 76815 |
|
16 |
12 |
$1K |
| 87088 |
|
1,555 |
1,400 |
$1K |
| 11042 |
|
31 |
12 |
$1K |
| 87070 |
|
109 |
101 |
$1K |
| 85730 |
|
779 |
684 |
$972.48 |
| 82805 |
|
103 |
81 |
$969.51 |
| 86900 |
|
339 |
280 |
$944.29 |
| 72050 |
|
14 |
13 |
$936.13 |
| 82784 |
|
115 |
78 |
$908.68 |
| 85651 |
|
1,824 |
1,565 |
$874.54 |
| 84550 |
|
263 |
236 |
$859.03 |
| 82105 |
|
16 |
16 |
$819.34 |
| J1644 |
Inj heparin sodium per 1000u |
133 |
88 |
$800.68 |
| 76700 |
|
12 |
12 |
$799.86 |
| J2550 |
Promethazine hcl injection |
258 |
200 |
$766.86 |
| 73080 |
|
13 |
12 |
$761.98 |
| 86038 |
|
161 |
142 |
$754.62 |
| 80069 |
|
68 |
51 |
$703.56 |
| 94640 |
|
934 |
765 |
$692.09 |
| 71260 |
|
172 |
157 |
$655.17 |
| 86850 |
|
208 |
174 |
$649.35 |
| 83540 |
|
1,186 |
1,070 |
$626.28 |
| 0450 |
|
16 |
12 |
$599.74 |
| 86803 |
|
273 |
257 |
$570.68 |
| 70551 |
|
16 |
15 |
$453.97 |
| 83970 |
|
119 |
108 |
$422.52 |
| 80074 |
|
27 |
24 |
$402.75 |
| 82746 |
|
149 |
139 |
$386.50 |
| J2250 |
Inj midazolam hydrochloride |
475 |
415 |
$369.69 |
| 82947 |
|
155 |
150 |
$342.55 |
| 80076 |
|
41 |
38 |
$308.34 |
| 84460 |
|
16 |
12 |
$236.95 |
| 84100 |
|
206 |
153 |
$220.18 |
| 82043 |
|
403 |
365 |
$202.91 |
| 84478 |
|
103 |
93 |
$171.66 |
| 86431 |
|
25 |
24 |
$162.81 |
| 86376 |
|
96 |
92 |
$160.82 |
| 87040 |
|
460 |
330 |
$154.37 |
| 84153 |
|
40 |
37 |
$136.98 |
| 84156 |
|
132 |
97 |
$127.14 |
| 84144 |
|
18 |
12 |
$119.35 |
| 83001 |
|
15 |
12 |
$90.83 |
| 82670 |
|
25 |
24 |
$63.23 |
| 82140 |
|
13 |
12 |
$55.93 |
| 83615 |
|
308 |
260 |
$52.32 |
| 82150 |
|
753 |
640 |
$47.91 |
| 88302 |
|
16 |
14 |
$41.66 |
| 86800 |
|
16 |
14 |
$28.43 |
| 90471 |
|
89 |
83 |
$25.43 |
| 86592 |
|
28 |
26 |
$24.35 |
| J1790 |
Droperidol injection |
162 |
146 |
$15.68 |
| J2930 |
Methylprednisolone injection |
155 |
110 |
$4.01 |
| 85007 |
|
33 |
30 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
44 |
41 |
$0.00 |
| 90715 |
|
53 |
51 |
$0.00 |
| 86677 |
|
13 |
12 |
$0.00 |
| 29125 |
|
12 |
12 |
$0.00 |
| 94726 |
|
14 |
14 |
$0.00 |
| 86336 |
|
14 |
14 |
$0.00 |
| 77063 |
|
70 |
68 |
$0.00 |
| 86780 |
|
77 |
73 |
$0.00 |
| 84270 |
|
13 |
12 |
$0.00 |
| G0378 |
Hospital observation per hr |
16 |
13 |
$0.00 |
| 85018 |
|
17 |
12 |
$0.00 |
| 82677 |
|
14 |
14 |
$0.00 |
| 90686 |
|
17 |
15 |
$0.00 |
| 41899 |
|
24 |
15 |
$0.00 |