| Code | Description | Claims | Beneficiaries | Total Paid |
| 36415 |
|
23,590 |
18,415 |
$1.77M |
| 80053 |
|
20,769 |
18,848 |
$867K |
| 99283 |
|
20,172 |
19,183 |
$724K |
| 99282 |
|
4,861 |
4,742 |
$517K |
| 0241U |
|
4,933 |
4,747 |
$412K |
| 80048 |
|
9,540 |
7,905 |
$272K |
| C9803 |
Hopd covid-19 spec collect |
2,911 |
2,791 |
$256K |
| 86850 |
|
1,843 |
1,721 |
$253K |
| 96372 |
|
6,227 |
3,927 |
$237K |
| 81025 |
|
7,999 |
7,531 |
$237K |
| 96374 |
|
7,588 |
6,934 |
$234K |
| 96361 |
|
6,462 |
5,641 |
$231K |
| 76830 |
|
737 |
722 |
$220K |
| 93306 |
|
1,140 |
1,125 |
$140K |
| 11042 |
|
468 |
289 |
$134K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,211 |
2,115 |
$125K |
| 87086 |
|
7,997 |
7,553 |
$109K |
| 80307 |
|
5,011 |
4,541 |
$108K |
| 81001 |
|
11,084 |
10,319 |
$102K |
| 99284 |
|
12,982 |
12,195 |
$97K |
| 87081 |
|
2,594 |
2,558 |
$94K |
| 70553 |
|
111 |
109 |
$92K |
| 71046 |
|
5,449 |
5,272 |
$90K |
| 99281 |
|
618 |
591 |
$88K |
| 73610 |
|
1,475 |
1,412 |
$84K |
| 87070 |
|
1,035 |
970 |
$83K |
| 87077 |
|
3,639 |
3,457 |
$81K |
| 96360 |
|
2,001 |
1,923 |
$78K |
| 87804 |
|
1,388 |
1,362 |
$72K |
| 96365 |
|
3,023 |
2,747 |
$71K |
| 71260 |
|
425 |
411 |
$71K |
| 70450 |
|
3,055 |
2,887 |
$70K |
| 73130 |
|
1,016 |
981 |
$66K |
| 73630 |
|
1,678 |
1,605 |
$64K |
| U0005 |
Infec agen detec ampli probe |
854 |
829 |
$63K |
| 74177 |
|
3,420 |
3,290 |
$61K |
| 81003 |
|
3,203 |
3,065 |
$53K |
| 73110 |
|
838 |
814 |
$50K |
| 73564 |
|
1,467 |
1,377 |
$49K |
| 99285 |
|
11,364 |
10,502 |
$42K |
| 74176 |
|
1,162 |
1,140 |
$41K |
| 82565 |
|
309 |
262 |
$36K |
| 76705 |
|
960 |
940 |
$36K |
| 71045 |
|
5,517 |
5,108 |
$36K |
| 86900 |
|
2,106 |
1,946 |
$35K |
| 73030 |
|
993 |
960 |
$32K |
| 76856 |
|
531 |
520 |
$31K |
| 99214 |
|
1,268 |
973 |
$31K |
| 93971 |
|
241 |
238 |
$27K |
| 87651 |
|
1,047 |
1,033 |
$27K |
| 85025 |
|
28,201 |
24,071 |
$26K |
| 84702 |
|
2,068 |
1,684 |
$25K |
| 71250 |
|
126 |
125 |
$23K |
| 87389 |
|
1,962 |
1,874 |
$23K |
| 87637 |
|
453 |
446 |
$22K |
| 72100 |
|
979 |
964 |
$22K |
| 87210 |
|
819 |
801 |
$21K |
| 74018 |
|
657 |
636 |
$19K |
| 97597 |
|
503 |
260 |
$19K |
| 77063 |
|
201 |
201 |
$18K |
| 76642 |
|
524 |
449 |
$16K |
| 80061 |
|
3,759 |
3,717 |
$13K |
| 93005 |
|
9,424 |
8,339 |
$12K |
| J2405 |
Ondansetron hcl injection |
7,450 |
6,035 |
$11K |
| 87491 |
|
1,069 |
1,045 |
$11K |
| 71275 |
|
581 |
565 |
$10K |
| 84443 |
|
6,143 |
6,001 |
$10K |
| 82950 |
|
1,196 |
1,184 |
$9K |
| 87880 |
|
1,474 |
1,460 |
$8K |
| 73090 |
|
135 |
131 |
$8K |
| 73080 |
|
127 |
124 |
$8K |
| J7120 |
Ringers lactate infusion |
5,678 |
4,683 |
$7K |
| 82306 |
|
956 |
948 |
$7K |
| 96375 |
|
5,728 |
4,968 |
$7K |
| J0330 |
Succinycholine chloride inj |
1,255 |
753 |
$7K |
| 96376 |
|
2,020 |
1,402 |
$7K |
| 86780 |
|
1,464 |
1,398 |
$7K |
| 87635 |
|
2,470 |
2,374 |
$7K |
| 80076 |
|
1,669 |
1,500 |
$7K |
| 77067 |
|
528 |
525 |
$6K |
| 76770 |
|
73 |
72 |
$6K |
| 84439 |
|
1,031 |
1,005 |
$5K |
| 83036 |
|
2,931 |
2,879 |
$5K |
| G0378 |
Hospital observation per hr |
1,675 |
1,428 |
$4K |
| 72125 |
|
786 |
755 |
$4K |
| 96366 |
|
917 |
543 |
$4K |
| 87502 |
|
89 |
89 |
$4K |
| 73502 |
|
175 |
170 |
$4K |
| 82607 |
|
730 |
719 |
$4K |
| 82728 |
|
558 |
542 |
$4K |
| 82105 |
|
283 |
274 |
$3K |
| 83735 |
|
4,595 |
3,570 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
6,754 |
5,659 |
$3K |
| 96367 |
|
144 |
123 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,811 |
5,394 |
$3K |
| 99213 |
|
106 |
84 |
$3K |
| 84484 |
|
6,542 |
4,859 |
$3K |
| 0202U |
|
18 |
18 |
$3K |
| 93970 |
|
12 |
12 |
$2K |
| J7030 |
Normal saline solution infus |
6,866 |
6,009 |
$2K |
| 93017 |
|
40 |
38 |
$2K |
| 82043 |
|
294 |
293 |
$2K |
| 87807 |
|
82 |
82 |
$2K |
| 73140 |
|
26 |
26 |
$2K |
| 83605 |
|
2,867 |
2,357 |
$2K |
| 76536 |
|
13 |
13 |
$2K |
| J3490 |
Drugs unclassified injection |
5,724 |
2,904 |
$2K |
| 74022 |
|
109 |
105 |
$2K |
| 85379 |
|
1,473 |
1,422 |
$1K |
| 73590 |
|
85 |
79 |
$1K |
| 88305 |
|
97 |
90 |
$1K |
| 87205 |
|
757 |
700 |
$1K |
| 93976 |
|
1,136 |
1,092 |
$1K |
| 82550 |
|
560 |
495 |
$1K |
| J3475 |
Inj magnesium sulfate |
868 |
768 |
$1K |
| J2930 |
Methylprednisolone injection |
333 |
250 |
$1K |
| 85027 |
|
2,666 |
2,454 |
$1K |
| 88304 |
|
38 |
38 |
$1K |
| J1170 |
Hydromorphone injection |
1,996 |
1,676 |
$1K |
| 90471 |
|
190 |
176 |
$1K |
| J2272 |
Inj, morphine (fresenius) |
837 |
722 |
$1K |
| 85014 |
|
117 |
100 |
$987.32 |
| 76700 |
|
12 |
12 |
$958.92 |
| 87186 |
|
2,793 |
2,651 |
$883.59 |
| 12001 |
|
14 |
14 |
$812.00 |
| 82570 |
|
418 |
376 |
$805.19 |
| 86803 |
|
495 |
492 |
$706.47 |
| J3010 |
Fentanyl citrate injection |
2,172 |
1,999 |
$650.75 |
| J2060 |
Lorazepam injection |
277 |
217 |
$646.98 |
| 86140 |
|
1,926 |
1,775 |
$621.15 |
| C1894 |
Intro/sheath, non-laser |
13 |
13 |
$516.86 |
| A9585 |
Gadobutrol injection |
636 |
551 |
$507.81 |
| 80074 |
|
12 |
12 |
$506.84 |
| 94640 |
|
2,285 |
1,917 |
$504.65 |
| 76775 |
|
14 |
14 |
$493.36 |
| 83880 |
|
1,962 |
1,792 |
$446.41 |
| 84156 |
|
83 |
73 |
$442.00 |
| 85007 |
|
598 |
532 |
$423.17 |
| G1004 |
Cdsm ndsc |
4,030 |
3,159 |
$354.50 |
| 99291 |
|
148 |
142 |
$343.10 |
| J1650 |
Inj enoxaparin sodium |
604 |
203 |
$329.85 |
| 86592 |
|
45 |
37 |
$317.92 |
| 84145 |
|
991 |
901 |
$280.11 |
| J2550 |
Promethazine hcl injection |
370 |
317 |
$243.51 |
| 76942 |
|
60 |
59 |
$236.45 |
| 82247 |
|
133 |
61 |
$223.94 |
| 82140 |
|
27 |
24 |
$220.82 |
| 82040 |
|
39 |
26 |
$190.84 |
| 85018 |
|
795 |
745 |
$164.03 |
| 84146 |
|
27 |
25 |
$163.36 |
| 86762 |
|
886 |
828 |
$124.91 |
| 85610 |
|
2,255 |
2,023 |
$121.10 |
| 83540 |
|
427 |
422 |
$113.65 |
| J1815 |
Insulin injection |
700 |
326 |
$82.79 |
| 83690 |
|
5,820 |
5,362 |
$72.25 |
| 87591 |
|
1,003 |
978 |
$64.12 |
| 90715 |
|
250 |
242 |
$33.90 |
| 85651 |
|
651 |
612 |
$24.95 |
| 97162 |
|
157 |
146 |
$24.81 |
| J0690 |
Cefazolin sodium injection |
1,662 |
1,488 |
$20.88 |
| 84132 |
|
12 |
12 |
$16.31 |
| 84550 |
|
26 |
25 |
$14.45 |
| 82077 |
|
1,357 |
1,254 |
$13.82 |
| J2250 |
Inj midazolam hydrochloride |
2,737 |
2,163 |
$2.38 |
| J2270 |
Morphine sulfate injection |
1,861 |
1,592 |
$1.26 |
| J1200 |
Diphenhydramine hcl injectio |
788 |
718 |
$0.47 |
| 86901 |
|
2,105 |
1,945 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
576 |
427 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
3,300 |
3,086 |
$0.00 |
| 85730 |
|
1,033 |
963 |
$0.00 |
| 87340 |
|
1,091 |
1,026 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
506 |
478 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
2,136 |
1,755 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
72 |
69 |
$0.00 |
| 85652 |
|
536 |
504 |
$0.00 |
| 82677 |
|
32 |
28 |
$0.00 |
| 87040 |
|
1,402 |
943 |
$0.00 |
| 87426 |
|
83 |
77 |
$0.00 |
| 87661 |
|
234 |
225 |
$0.00 |
| 76817 |
|
13 |
12 |
$0.00 |
| 90870 |
|
37 |
12 |
$0.00 |
| 82746 |
|
25 |
25 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
13 |
13 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
39 |
39 |
$0.00 |
| 86580 |
|
45 |
39 |
$0.00 |
| 70498 |
|
25 |
25 |
$0.00 |
| 76801 |
|
44 |
40 |
$0.00 |
| G0472 |
Hep c screen high risk/other |
18 |
15 |
$0.00 |
| 94761 |
|
18 |
12 |
$0.00 |
| 70496 |
|
13 |
13 |
$0.00 |
| 82803 |
|
13 |
13 |
$0.00 |
| 84100 |
|
1,323 |
956 |
$0.00 |
| 80143 |
|
494 |
454 |
$0.00 |
| 80179 |
|
410 |
376 |
$0.00 |
| 86336 |
|
32 |
28 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
1,336 |
635 |
$0.00 |
| 76000 |
|
100 |
98 |
$0.00 |
| 82805 |
|
178 |
144 |
$0.00 |
| J7040 |
Normal saline solution infus |
150 |
146 |
$0.00 |
| J0688 |
Inj cefazolin sodium, hikma |
14 |
14 |
$0.00 |
| 84466 |
|
411 |
406 |
$0.00 |
| 97530 |
|
22 |
12 |
$0.00 |
| 82248 |
|
163 |
95 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
151 |
141 |
$0.00 |
| J0780 |
Prochlorperazine injection |
154 |
144 |
$0.00 |
| 97116 |
|
89 |
36 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
148 |
145 |
$0.00 |
| G0279 |
Tomosynthesis, mammo |
16 |
16 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
32 |
31 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
20 |
15 |
$0.00 |
| 84403 |
|
13 |
12 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
203 |
167 |
$0.00 |
| 86038 |
|
13 |
13 |
$0.00 |
| 36600 |
|
31 |
26 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
52 |
40 |
$0.00 |
| 51701 |
|
13 |
12 |
$0.00 |