| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 8888888 |
|
59,028 |
19,982 |
$15.87M |
| 36415 |
|
27,979 |
21,621 |
$3.26M |
| 99283 |
|
14,305 |
12,777 |
$432K |
| 0241U |
|
1,613 |
1,465 |
$269K |
| J7060 |
5% dextrose/water |
414 |
352 |
$198K |
| 96372 |
|
4,018 |
3,404 |
$184K |
| 99284 |
|
14,210 |
12,333 |
$171K |
| 99282 |
|
2,487 |
2,321 |
$126K |
| 70450 |
|
2,601 |
2,331 |
$111K |
| 96374 |
|
10,933 |
9,097 |
$100K |
| 99285 |
|
10,672 |
9,044 |
$84K |
| 71046 |
|
2,468 |
2,277 |
$81K |
| 87426 |
|
802 |
745 |
$80K |
| 71045 |
|
5,013 |
4,375 |
$69K |
| 87400 |
|
1,103 |
1,026 |
$66K |
| 96361 |
|
5,960 |
5,064 |
$61K |
| 81001 |
|
8,054 |
6,896 |
$60K |
| 81003 |
|
5,088 |
4,440 |
$58K |
| 82962 |
|
2,093 |
1,359 |
$54K |
| 87635 |
|
1,019 |
937 |
$51K |
| U0002 |
Covid-19 lab test non-cdc |
1,145 |
987 |
$50K |
| 87070 |
|
1,065 |
907 |
$47K |
| 73610 |
|
539 |
482 |
$44K |
| 99281 |
|
684 |
641 |
$38K |
| 73630 |
|
652 |
582 |
$37K |
| 87081 |
|
1,166 |
1,072 |
$34K |
| 73562 |
|
441 |
378 |
$33K |
| U0003 |
Cov-19 amp prb hgh thruput |
479 |
400 |
$33K |
| 80053 |
|
16,819 |
13,584 |
$32K |
| 84703 |
|
4,633 |
4,089 |
$31K |
| 73110 |
|
340 |
302 |
$30K |
| 74177 |
|
2,981 |
2,655 |
$29K |
| 73130 |
|
303 |
264 |
$25K |
| 97110 |
|
3,994 |
1,172 |
$24K |
| 80307 |
|
3,673 |
3,171 |
$21K |
| 87651 |
|
576 |
534 |
$21K |
| 31720 |
|
765 |
584 |
$20K |
| 89220 |
|
375 |
320 |
$20K |
| 87088 |
|
2,117 |
1,837 |
$19K |
| 87486 |
|
524 |
457 |
$19K |
| 85025 |
|
20,014 |
15,801 |
$19K |
| 12001 |
|
281 |
256 |
$18K |
| 96360 |
|
1,585 |
1,398 |
$16K |
| 87491 |
|
1,225 |
1,083 |
$15K |
| C1758 |
Catheter, ureteral |
621 |
520 |
$14K |
| 93005 |
|
6,824 |
5,676 |
$14K |
| J7030 |
Normal saline solution infus |
5,469 |
4,238 |
$14K |
| 80050 |
|
2,642 |
2,376 |
$14K |
| 87077 |
|
1,815 |
1,599 |
$13K |
| J2405 |
Ondansetron hcl injection |
9,746 |
7,672 |
$12K |
| 87086 |
|
1,929 |
1,646 |
$12K |
| 82947 |
|
320 |
226 |
$11K |
| U0004 |
Cov-19 test non-cdc hgh thru |
146 |
115 |
$11K |
| G0463 |
Hospital outpt clinic visit |
433 |
200 |
$11K |
| 73030 |
|
173 |
148 |
$10K |
| 84443 |
|
2,884 |
2,433 |
$10K |
| 72100 |
|
139 |
121 |
$10K |
| 76705 |
|
360 |
328 |
$10K |
| J7050 |
Normal saline solution infus |
28 |
26 |
$10K |
| J1885 |
Ketorolac tromethamine inj |
8,381 |
6,774 |
$9K |
| 96375 |
|
7,740 |
6,381 |
$9K |
| 88305 |
|
1,377 |
1,193 |
$9K |
| 87880 |
|
720 |
679 |
$9K |
| 11042 |
|
98 |
63 |
$8K |
| 74176 |
|
608 |
554 |
$8K |
| J1100 |
Dexamethasone sodium phos |
3,956 |
3,409 |
$8K |
| 99152 |
|
1,028 |
857 |
$8K |
| J7120 |
Ringers lactate infusion |
1,503 |
1,183 |
$8K |
| 96365 |
|
1,282 |
1,104 |
$8K |
| 94640 |
|
1,956 |
1,579 |
$8K |
| J2270 |
Morphine sulfate injection |
3,454 |
2,656 |
$7K |
| 71275 |
|
697 |
611 |
$7K |
| 80081 |
|
184 |
164 |
$6K |
| A6222 |
Gauze <=16 in no w/sal w/o b |
142 |
126 |
$6K |
| 72125 |
|
359 |
328 |
$6K |
| 83690 |
|
5,992 |
4,995 |
$5K |
| 86850 |
|
1,361 |
1,165 |
$5K |
| 81025 |
|
1,326 |
1,185 |
$5K |
| J2175 |
Meperidine hydrochl /100 mg |
194 |
163 |
$4K |
| 87389 |
|
1,522 |
1,331 |
$4K |
| 59025 |
|
994 |
663 |
$4K |
| 86592 |
|
834 |
730 |
$4K |
| 84484 |
|
5,120 |
3,882 |
$4K |
| J2765 |
Metoclopramide hcl injection |
2,196 |
1,873 |
$3K |
| 12011 |
|
55 |
48 |
$3K |
| 80048 |
|
2,613 |
2,124 |
$3K |
| 87480 |
|
63 |
55 |
$3K |
| 87420 |
|
250 |
238 |
$3K |
| 93971 |
|
125 |
116 |
$3K |
| A6402 |
Sterile gauze <= 16 sq in |
209 |
181 |
$3K |
| 84702 |
|
1,275 |
952 |
$3K |
| C1769 |
Guide wire |
34 |
24 |
$3K |
| G0500 |
Mod sedat endo service >5yrs |
233 |
200 |
$3K |
| 85379 |
|
1,119 |
999 |
$2K |
| 86900 |
|
1,528 |
1,306 |
$2K |
| 76830 |
|
75 |
69 |
$2K |
| 80329 |
|
860 |
675 |
$2K |
| T1015 |
Clinic service |
816 |
255 |
$2K |
| 43239 |
|
308 |
274 |
$2K |
| 74018 |
|
43 |
40 |
$2K |
| 97140 |
|
1,578 |
467 |
$2K |
| J2060 |
Lorazepam injection |
2,195 |
1,723 |
$2K |
| 96376 |
|
1,519 |
1,237 |
$2K |
| 80320 |
|
1,101 |
985 |
$2K |
| 87804 |
|
341 |
163 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
1,742 |
1,442 |
$1K |
| J3010 |
Fentanyl citrate injection |
5,548 |
3,972 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,697 |
2,360 |
$1K |
| 94760 |
|
1,355 |
1,038 |
$1K |
| J1170 |
Hydromorphone injection |
2,528 |
1,762 |
$1K |
| 90471 |
|
206 |
195 |
$1K |
| 85610 |
|
1,467 |
1,206 |
$1K |
| J3490 |
Drugs unclassified injection |
306 |
235 |
$1K |
| 76856 |
|
179 |
170 |
$1K |
| 0064U |
|
73 |
62 |
$1K |
| 80061 |
|
1,362 |
1,220 |
$1K |
| 77067 |
|
15 |
14 |
$1K |
| 97161 |
|
411 |
336 |
$1K |
| J7512 |
Prednisone ir or dr oral 1mg |
725 |
658 |
$1K |
| 86140 |
|
749 |
613 |
$1K |
| 87807 |
|
98 |
92 |
$1K |
| 82805 |
|
47 |
24 |
$1K |
| 73080 |
|
13 |
12 |
$1K |
| A9270 |
Non-covered item or service |
7,582 |
1,968 |
$952.28 |
| J0690 |
Cefazolin sodium injection |
3,081 |
2,035 |
$897.72 |
| 82550 |
|
1,009 |
865 |
$859.94 |
| G0480 |
Drug test def 1-7 classes |
684 |
613 |
$833.85 |
| J2704 |
Inj, propofol, 10 mg |
4,658 |
3,937 |
$722.02 |
| 84439 |
|
1,200 |
1,049 |
$721.04 |
| J0171 |
Adrenalin epinephrine inject |
939 |
732 |
$692.77 |
| 99291 |
|
49 |
42 |
$643.24 |
| G0378 |
Hospital observation per hr |
909 |
505 |
$629.03 |
| 80055 |
|
34 |
34 |
$628.95 |
| 83880 |
|
1,912 |
1,627 |
$609.30 |
| 76801 |
|
59 |
49 |
$519.24 |
| 82803 |
|
16 |
14 |
$501.48 |
| J2250 |
Inj midazolam hydrochloride |
2,319 |
1,984 |
$485.18 |
| 90714 |
|
167 |
158 |
$474.57 |
| 97112 |
|
283 |
99 |
$450.94 |
| Q0244 |
Casirivi and imdevi 1200 mg |
33 |
22 |
$418.48 |
| 83605 |
|
1,330 |
1,114 |
$407.24 |
| 87205 |
|
1,039 |
877 |
$400.36 |
| 87633 |
|
214 |
197 |
$388.39 |
| J1200 |
Diphenhydramine hcl injectio |
1,856 |
1,572 |
$387.60 |
| 87581 |
|
214 |
197 |
$384.80 |
| 87186 |
|
2,028 |
1,790 |
$358.61 |
| 74022 |
|
16 |
16 |
$346.17 |
| 87798 |
|
234 |
216 |
$343.21 |
| M0243 |
Casirivi and imdevi inj |
52 |
34 |
$341.05 |
| 82306 |
|
668 |
588 |
$314.79 |
| 99153 |
Mod sedat endo service >5yrs |
723 |
616 |
$310.48 |
| 85027 |
|
1,513 |
1,300 |
$235.63 |
| G0237 |
Therapeutic procd strg endur |
86 |
56 |
$206.19 |
| 86403 |
|
24 |
23 |
$173.24 |
| 87591 |
|
1,544 |
1,346 |
$136.03 |
| 86762 |
|
281 |
237 |
$117.52 |
| 86593 |
|
22 |
18 |
$104.85 |
| 83036 |
|
1,407 |
1,219 |
$96.88 |
| G8978 |
Mobility current status |
124 |
98 |
$91.17 |
| 87340 |
|
629 |
551 |
$89.06 |
| 85007 |
|
681 |
605 |
$77.50 |
| 87040 |
|
934 |
615 |
$67.01 |
| J2360 |
Orphenadrine injection |
113 |
102 |
$52.04 |
| 87653 |
|
104 |
95 |
$51.51 |
| 83735 |
|
546 |
419 |
$48.73 |
| 80179 |
|
454 |
410 |
$24.55 |
| 80143 |
|
471 |
424 |
$24.55 |
| 82077 |
|
542 |
467 |
$23.42 |
| 94664 |
|
77 |
68 |
$22.91 |
| 86901 |
|
1,542 |
1,318 |
$21.22 |
| 86780 |
|
281 |
257 |
$12.36 |
| G8979 |
Mobility goal status |
142 |
110 |
$10.90 |
| 29125 |
|
16 |
15 |
$10.90 |
| 85730 |
|
258 |
224 |
$10.50 |
| J2550 |
Promethazine hcl injection |
89 |
72 |
$6.63 |
| J7040 |
Normal saline solution infus |
115 |
87 |
$1.90 |
| 85651 |
|
110 |
75 |
$1.90 |
| 80159 |
|
179 |
134 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
479 |
268 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
282 |
234 |
$0.00 |
| 88313 |
|
276 |
252 |
$0.00 |
| 87260 |
|
38 |
34 |
$0.00 |
| 87660 |
|
63 |
55 |
$0.00 |
| 86703 |
|
22 |
22 |
$0.00 |
| A4649 |
Surgical supplies |
233 |
197 |
$0.00 |
| 83525 |
|
16 |
13 |
$0.00 |
| 84466 |
|
13 |
12 |
$0.00 |
| 86787 |
|
64 |
52 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
104 |
39 |
$0.00 |
| 93976 |
|
70 |
69 |
$0.00 |
| 83540 |
|
13 |
12 |
$0.00 |
| J2930 |
Methylprednisolone injection |
29 |
25 |
$0.00 |
| J3486 |
Ziprasidone mesylate |
22 |
12 |
$0.00 |
| 87502 |
|
13 |
12 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
624 |
562 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
473 |
412 |
$0.00 |
| 82728 |
|
14 |
13 |
$0.00 |
| 99213 |
|
57 |
29 |
$0.00 |
| 87158 |
|
63 |
59 |
$0.00 |
| J8540 |
Oral dexamethasone |
34 |
31 |
$0.00 |
| 82607 |
|
29 |
26 |
$0.00 |
| J2001 |
Lidocaine injection |
60 |
48 |
$0.00 |
| A9585 |
Gadobutrol injection |
14 |
12 |
$0.00 |
| 87510 |
|
63 |
55 |
$0.00 |
| 82553 |
|
14 |
12 |
$0.00 |
| 88304 |
|
16 |
14 |
$0.00 |
| J1630 |
Haloperidol injection |
21 |
12 |
$0.00 |
| 86803 |
|
17 |
16 |
$0.00 |
| 83001 |
|
13 |
12 |
$0.00 |