| Code | Description | Claims | Beneficiaries | Total Paid |
| 97110 |
|
24,758 |
5,834 |
$943K |
| 0450 |
|
6,978 |
6,266 |
$390K |
| 97139 |
|
11,379 |
2,131 |
$342K |
| 97750 |
|
3,871 |
2,622 |
$286K |
| 99281 |
|
1,557 |
1,438 |
$253K |
| 80053 |
|
12,199 |
10,714 |
$220K |
| 99199 |
|
3,909 |
3,502 |
$207K |
| 92507 |
|
1,560 |
741 |
$155K |
| 96361 |
|
1,558 |
1,200 |
$147K |
| 96374 |
|
2,227 |
1,733 |
$140K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,617 |
1,550 |
$126K |
| 0202U |
|
540 |
531 |
$118K |
| 85025 |
|
12,584 |
10,672 |
$114K |
| 97010 |
|
1,379 |
356 |
$105K |
| 74177 |
|
527 |
476 |
$102K |
| 0250 |
|
8,176 |
3,933 |
$99K |
| 84443 |
|
4,979 |
4,885 |
$98K |
| 96375 |
|
2,114 |
1,589 |
$90K |
| 36415 |
|
10,355 |
9,020 |
$73K |
| 80061 |
|
4,006 |
3,984 |
$54K |
| 77067 |
|
554 |
536 |
$53K |
| 93005 |
|
1,553 |
1,408 |
$48K |
| 96365 |
|
411 |
220 |
$46K |
| 82306 |
|
1,902 |
1,890 |
$41K |
| 99202 |
|
87 |
74 |
$40K |
| 87635 |
|
424 |
415 |
$38K |
| 99283 |
|
441 |
389 |
$37K |
| 83036 |
|
2,974 |
2,956 |
$37K |
| 71046 |
|
1,065 |
942 |
$32K |
| 87801 |
|
799 |
787 |
$32K |
| 70450 |
|
166 |
151 |
$32K |
| 87389 |
|
1,161 |
1,154 |
$25K |
| 97165 |
|
183 |
119 |
$21K |
| 87086 |
|
2,754 |
2,534 |
$20K |
| 97140 |
|
852 |
310 |
$19K |
| 77063 |
|
582 |
564 |
$18K |
| 97799 |
|
516 |
129 |
$18K |
| 84439 |
|
1,601 |
1,564 |
$17K |
| 80048 |
|
1,326 |
1,221 |
$17K |
| U0005 |
Infec agen detec ampli probe |
661 |
636 |
$16K |
| 76856 |
|
142 |
130 |
$16K |
| 87502 |
|
175 |
158 |
$15K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,108 |
1,022 |
$15K |
| 97113 |
|
275 |
75 |
$14K |
| 76830 |
|
109 |
100 |
$13K |
| 71045 |
|
575 |
527 |
$13K |
| 93306 |
|
56 |
50 |
$12K |
| 73721 |
|
12 |
12 |
$12K |
| 99391 |
|
110 |
108 |
$12K |
| 83690 |
|
1,460 |
1,307 |
$12K |
| J7030 |
Normal saline solution infus |
1,584 |
1,295 |
$11K |
| 86803 |
|
667 |
665 |
$11K |
| 96413 |
|
372 |
242 |
$11K |
| 96372 |
|
393 |
323 |
$11K |
| 99214 |
|
629 |
392 |
$10K |
| 85027 |
|
1,387 |
1,361 |
$10K |
| 81001 |
|
2,088 |
1,926 |
$9K |
| 87081 |
|
1,155 |
1,139 |
$9K |
| 84484 |
|
699 |
596 |
$8K |
| U0002 |
Covid-19 lab test non-cdc |
158 |
151 |
$8K |
| 99213 |
|
547 |
350 |
$8K |
| 99070 |
|
362 |
189 |
$7K |
| J2405 |
Ondansetron hcl injection |
1,335 |
1,067 |
$7K |
| Z7610 |
|
714 |
253 |
$7K |
| 87491 |
|
329 |
323 |
$7K |
| J7120 |
Ringers lactate infusion |
718 |
621 |
$6K |
| J1885 |
Ketorolac tromethamine inj |
1,104 |
741 |
$6K |
| 87591 |
|
315 |
312 |
$6K |
| 81513 |
|
88 |
88 |
$6K |
| Z7502 |
|
160 |
150 |
$6K |
| 87340 |
|
459 |
457 |
$5K |
| 0258 |
|
907 |
689 |
$5K |
| J7040 |
Normal saline solution infus |
853 |
562 |
$5K |
| 81025 |
|
892 |
812 |
$5K |
| 99284 |
|
145 |
137 |
$5K |
| J3490 |
Drugs unclassified injection |
777 |
457 |
$4K |
| 84466 |
|
350 |
345 |
$4K |
| 86140 |
|
774 |
697 |
$4K |
| 87070 |
|
422 |
415 |
$4K |
| 87481 |
|
152 |
152 |
$4K |
| 80305 |
|
112 |
106 |
$4K |
| 99285 |
|
122 |
109 |
$4K |
| 82728 |
|
339 |
337 |
$4K |
| 87186 |
|
492 |
467 |
$4K |
| 82077 |
|
198 |
176 |
$3K |
| 85652 |
|
989 |
889 |
$3K |
| 81002 |
|
895 |
808 |
$3K |
| 76642 |
|
26 |
26 |
$3K |
| 84153 |
|
152 |
149 |
$3K |
| 71260 |
|
16 |
12 |
$3K |
| 87077 |
|
407 |
383 |
$3K |
| 83540 |
|
395 |
390 |
$3K |
| 82607 |
|
270 |
269 |
$3K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
25 |
24 |
$2K |
| 76536 |
|
13 |
13 |
$2K |
| 83880 |
|
83 |
76 |
$2K |
| 81003 |
|
727 |
706 |
$2K |
| 85610 |
|
427 |
345 |
$2K |
| 76705 |
|
28 |
24 |
$2K |
| 87799 |
|
68 |
68 |
$2K |
| 92650 |
|
26 |
25 |
$2K |
| 87512 |
|
154 |
154 |
$1K |
| 82570 |
|
300 |
292 |
$1K |
| 73610 |
|
25 |
25 |
$1K |
| 96360 |
|
26 |
25 |
$1K |
| 87661 |
|
170 |
170 |
$1K |
| 0272 |
|
758 |
448 |
$1K |
| 0270 |
|
542 |
390 |
$1K |
| 83735 |
|
199 |
173 |
$1K |
| Z1034 |
|
20 |
13 |
$1K |
| 0710 |
|
15 |
15 |
$1K |
| 94640 |
|
31 |
24 |
$1K |
| Z7500 |
|
37 |
36 |
$1K |
| 73030 |
|
29 |
27 |
$838.86 |
| 92586 |
|
12 |
12 |
$832.80 |
| 86780 |
|
89 |
87 |
$822.94 |
| 73110 |
|
25 |
25 |
$770.74 |
| J7050 |
Normal saline solution infus |
138 |
69 |
$755.02 |
| 82043 |
|
113 |
113 |
$693.69 |
| 87804 |
|
46 |
32 |
$666.49 |
| 86850 |
|
54 |
52 |
$631.55 |
| 85379 |
|
52 |
50 |
$624.52 |
| J2704 |
Inj, propofol, 10 mg |
179 |
99 |
$598.74 |
| 86901 |
|
111 |
108 |
$522.80 |
| 80143 |
|
26 |
24 |
$497.88 |
| 90686 |
|
16 |
15 |
$382.87 |
| 87040 |
|
18 |
13 |
$309.92 |
| 86900 |
|
84 |
81 |
$307.74 |
| 80179 |
|
25 |
24 |
$279.94 |
| 80076 |
|
38 |
37 |
$272.58 |
| J2270 |
Morphine sulfate injection |
47 |
39 |
$269.40 |
| 84550 |
|
58 |
51 |
$266.15 |
| 86704 |
|
24 |
24 |
$262.60 |
| 87880 |
|
27 |
24 |
$262.23 |
| 86762 |
|
12 |
12 |
$182.57 |
| 82746 |
|
13 |
13 |
$169.91 |
| J2060 |
Lorazepam injection |
33 |
25 |
$155.74 |
| 83615 |
|
14 |
13 |
$92.51 |
| 84702 |
|
12 |
12 |
$91.33 |
| J3010 |
Fentanyl citrate injection |
20 |
12 |
$79.96 |
| 82950 |
|
14 |
14 |
$64.77 |
| 87147 |
|
15 |
14 |
$42.97 |
| 87205 |
|
12 |
12 |
$41.84 |
| 97530 |
|
21 |
13 |
$33.95 |
| J8540 |
Oral dexamethasone |
13 |
13 |
$0.00 |