| Code | Description | Claims | Beneficiaries | Total Paid |
| 41899 |
|
619 |
582 |
$1.14M |
| 74177 |
|
2,669 |
2,514 |
$340K |
| 87502 |
|
2,753 |
2,691 |
$231K |
| 80053 |
|
21,026 |
16,240 |
$132K |
| G0480 |
Drug test def 1-7 classes |
1,399 |
1,264 |
$103K |
| 85025 |
|
22,108 |
16,848 |
$101K |
| 99284 |
|
2,705 |
2,275 |
$95K |
| 99283 |
|
2,202 |
1,892 |
$95K |
| 99285 |
|
2,213 |
1,795 |
$91K |
| 80307 |
|
1,357 |
1,264 |
$65K |
| 70450 |
|
1,424 |
1,334 |
$58K |
| G0463 |
Hospital outpt clinic visit |
9,825 |
6,756 |
$55K |
| 71275 |
|
438 |
420 |
$48K |
| 87633 |
|
120 |
118 |
$47K |
| 76705 |
|
908 |
880 |
$38K |
| 74176 |
|
539 |
524 |
$37K |
| 36415 |
|
22,407 |
18,009 |
$36K |
| 71046 |
|
2,615 |
2,502 |
$32K |
| 87634 |
|
420 |
410 |
$32K |
| 72125 |
|
471 |
455 |
$29K |
| 84484 |
|
5,559 |
3,881 |
$28K |
| 77067 |
|
662 |
655 |
$27K |
| 84443 |
|
2,223 |
2,062 |
$26K |
| 83690 |
|
5,145 |
4,533 |
$25K |
| 72148 |
|
302 |
296 |
$25K |
| 76856 |
|
431 |
416 |
$23K |
| 76830 |
|
361 |
349 |
$22K |
| 87651 |
|
603 |
592 |
$22K |
| 78452 |
|
139 |
133 |
$21K |
| 71045 |
|
4,481 |
3,996 |
$21K |
| J2469 |
Palonosetron hcl |
173 |
104 |
$21K |
| 96361 |
|
1,423 |
1,165 |
$20K |
| 76801 |
|
338 |
309 |
$19K |
| 87591 |
|
495 |
480 |
$18K |
| 87491 |
|
495 |
481 |
$18K |
| U0002 |
Covid-19 lab test non-cdc |
566 |
540 |
$17K |
| 71260 |
|
275 |
265 |
$17K |
| 87086 |
|
2,425 |
2,252 |
$16K |
| 96374 |
|
2,555 |
1,967 |
$16K |
| 81025 |
|
2,224 |
2,122 |
$15K |
| 83880 |
|
943 |
863 |
$15K |
| 76817 |
|
311 |
284 |
$14K |
| 81001 |
|
5,596 |
4,980 |
$13K |
| U0003 |
Cov-19 amp prb hgh thruput |
262 |
256 |
$13K |
| 84703 |
|
1,726 |
1,638 |
$13K |
| 84702 |
|
756 |
638 |
$11K |
| J2785 |
Regadenoson injection |
138 |
132 |
$11K |
| 83605 |
|
1,526 |
1,263 |
$11K |
| 87880 |
|
796 |
783 |
$10K |
| C9803 |
Hopd covid-19 spec collect |
1,243 |
1,143 |
$10K |
| 96375 |
|
1,989 |
1,458 |
$10K |
| 81003 |
|
5,123 |
4,720 |
$9K |
| 84439 |
|
1,168 |
1,128 |
$8K |
| 82306 |
|
390 |
380 |
$8K |
| J7120 |
Ringers lactate infusion |
2,566 |
2,348 |
$8K |
| 87040 |
|
1,057 |
613 |
$8K |
| 99212 |
|
850 |
620 |
$8K |
| J2704 |
Inj, propofol, 10 mg |
2,132 |
2,023 |
$8K |
| 87077 |
|
1,071 |
1,023 |
$8K |
| 80061 |
|
752 |
720 |
$7K |
| 82248 |
|
1,567 |
1,471 |
$7K |
| 70551 |
|
78 |
77 |
$7K |
| J1100 |
Dexamethasone sodium phos |
3,329 |
2,899 |
$6K |
| 96365 |
|
191 |
133 |
$6K |
| 83735 |
|
1,792 |
1,361 |
$6K |
| 87798 |
|
142 |
140 |
$6K |
| 87186 |
|
848 |
807 |
$6K |
| 87400 |
|
251 |
247 |
$6K |
| 80048 |
|
1,063 |
875 |
$6K |
| 76642 |
|
186 |
178 |
$6K |
| 85379 |
|
707 |
687 |
$5K |
| J3010 |
Fentanyl citrate injection |
2,506 |
2,248 |
$5K |
| 93010 |
|
1,125 |
802 |
$5K |
| J2405 |
Ondansetron hcl injection |
6,233 |
5,418 |
$5K |
| 93005 |
|
3,195 |
2,452 |
$5K |
| 82550 |
|
1,211 |
1,092 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
4,424 |
3,851 |
$5K |
| 85610 |
|
2,141 |
1,793 |
$5K |
| 85027 |
|
929 |
809 |
$5K |
| 73610 |
|
304 |
297 |
$5K |
| 83036 |
|
760 |
739 |
$5K |
| 87081 |
|
740 |
728 |
$5K |
| 96360 |
|
161 |
138 |
$5K |
| J1170 |
Hydromorphone injection |
2,264 |
1,880 |
$5K |
| 73630 |
|
349 |
334 |
$5K |
| 82728 |
|
527 |
492 |
$5K |
| J2270 |
Morphine sulfate injection |
2,367 |
1,988 |
$4K |
| J0881 |
Darbepoetin alfa, non-esrd |
20 |
13 |
$4K |
| 73130 |
|
261 |
253 |
$4K |
| J0690 |
Cefazolin sodium injection |
974 |
862 |
$4K |
| 87486 |
|
120 |
118 |
$4K |
| 87581 |
|
120 |
118 |
$4K |
| 86140 |
|
982 |
883 |
$4K |
| J2250 |
Inj midazolam hydrochloride |
1,843 |
1,692 |
$4K |
| 87280 |
|
272 |
270 |
$4K |
| 97110 |
|
830 |
234 |
$4K |
| 85730 |
|
853 |
793 |
$4K |
| 87210 |
|
695 |
354 |
$3K |
| 84466 |
|
426 |
398 |
$3K |
| 74018 |
|
251 |
238 |
$3K |
| 96372 |
|
1,246 |
889 |
$3K |
| 86003 |
|
29 |
28 |
$3K |
| 76815 |
|
72 |
65 |
$3K |
| 82553 |
|
452 |
428 |
$3K |
| J0780 |
Prochlorperazine injection |
380 |
351 |
$3K |
| 73110 |
|
152 |
144 |
$3K |
| 80306 |
|
198 |
187 |
$3K |
| 90715 |
|
108 |
107 |
$2K |
| 99211 |
|
489 |
287 |
$2K |
| A9500 |
Tc99m sestamibi |
40 |
38 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
1,108 |
725 |
$2K |
| 82803 |
|
152 |
136 |
$2K |
| 73562 |
|
143 |
137 |
$2K |
| 97162 |
|
56 |
55 |
$2K |
| 87070 |
|
265 |
249 |
$2K |
| 86901 |
|
689 |
602 |
$2K |
| 73030 |
|
163 |
156 |
$2K |
| 70553 |
|
16 |
15 |
$2K |
| 86900 |
|
670 |
602 |
$2K |
| 83540 |
|
436 |
407 |
$2K |
| A9502 |
Tc99m tetrofosmin |
39 |
36 |
$2K |
| 99282 |
|
72 |
66 |
$2K |
| 85652 |
|
873 |
780 |
$2K |
| 72100 |
|
98 |
95 |
$1K |
| 82607 |
|
126 |
118 |
$1K |
| J2550 |
Promethazine hcl injection |
652 |
558 |
$1K |
| 74220 |
|
27 |
27 |
$1K |
| J2795 |
Ropivacaine hcl injection |
91 |
86 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
1,437 |
1,184 |
$1K |
| 86850 |
|
185 |
169 |
$1K |
| 83615 |
|
223 |
197 |
$972.38 |
| 73721 |
|
13 |
12 |
$964.81 |
| 76700 |
|
15 |
15 |
$955.64 |
| J7050 |
Normal saline solution infus |
949 |
451 |
$896.42 |
| J2765 |
Metoclopramide hcl injection |
644 |
576 |
$885.48 |
| J0330 |
Succinycholine chloride inj |
235 |
223 |
$881.14 |
| 82150 |
|
142 |
137 |
$865.21 |
| 87635 |
|
212 |
196 |
$827.77 |
| 93306 |
|
13 |
12 |
$816.23 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
124 |
121 |
$765.68 |
| P9612 |
Catheterize for urine spec |
363 |
353 |
$738.42 |
| 76536 |
|
12 |
12 |
$735.20 |
| 82570 |
|
176 |
152 |
$712.66 |
| J2930 |
Methylprednisolone injection |
179 |
158 |
$709.44 |
| 87205 |
|
213 |
193 |
$664.35 |
| 84100 |
|
235 |
201 |
$633.65 |
| 71250 |
|
32 |
30 |
$607.52 |
| 76770 |
|
12 |
12 |
$585.77 |
| 93016 |
|
37 |
36 |
$582.01 |
| 73080 |
|
42 |
42 |
$579.62 |
| 81002 |
|
215 |
198 |
$563.47 |
| J7040 |
Normal saline solution infus |
753 |
604 |
$485.39 |
| 97166 |
|
15 |
13 |
$473.07 |
| 82785 |
|
29 |
27 |
$457.23 |
| J2060 |
Lorazepam injection |
723 |
643 |
$426.53 |
| 73090 |
|
30 |
30 |
$394.09 |
| 77080 |
|
41 |
41 |
$392.55 |
| J7030 |
Normal saline solution infus |
1,181 |
755 |
$372.01 |
| 93018 |
|
37 |
36 |
$334.88 |
| J0171 |
Adrenalin epinephrine inject |
44 |
40 |
$303.60 |
| J1815 |
Insulin injection |
105 |
53 |
$303.20 |
| 82746 |
|
26 |
24 |
$300.95 |
| J1630 |
Haloperidol injection |
286 |
232 |
$271.85 |
| 94640 |
|
108 |
71 |
$267.68 |
| 82378 |
|
18 |
17 |
$203.85 |
| 84156 |
|
51 |
43 |
$191.76 |
| J8540 |
Oral dexamethasone |
93 |
83 |
$191.37 |
| 73502 |
|
13 |
12 |
$189.42 |
| G0008 |
Admin influenza virus vac |
32 |
29 |
$160.89 |
| 82390 |
|
12 |
12 |
$137.23 |
| J8597 |
Antiemetic drug oral nos |
1,373 |
1,330 |
$135.58 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,252 |
1,164 |
$132.36 |
| 82247 |
|
21 |
12 |
$116.97 |
| 82565 |
|
24 |
24 |
$108.72 |
| 84550 |
|
29 |
25 |
$104.39 |
| 73590 |
|
12 |
12 |
$102.95 |
| J3475 |
Inj magnesium sulfate |
40 |
26 |
$101.53 |
| J3370 |
Vancomycin hcl injection |
12 |
12 |
$94.68 |
| A9585 |
Gadobutrol injection |
100 |
98 |
$78.96 |
| 90686 |
|
16 |
15 |
$68.41 |
| 96376 |
|
19 |
12 |
$64.98 |
| J7512 |
Prednisone ir or dr oral 1mg |
160 |
139 |
$63.95 |
| 93017 |
|
13 |
13 |
$43.05 |
| 36416 |
|
14 |
12 |
$39.00 |
| 77063 |
|
603 |
596 |
$20.64 |
| J3480 |
Inj potassium chloride |
19 |
13 |
$17.05 |
| J2710 |
Neostigmine methylslfte inj |
59 |
52 |
$14.93 |
| 97802 |
|
50 |
50 |
$0.00 |
| 97140 |
|
21 |
12 |
$0.00 |
| G8980 |
Mobility d/c status |
28 |
25 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
106 |
102 |
$0.00 |
| 88305 |
|
13 |
13 |
$0.00 |
| G8978 |
Mobility current status |
40 |
37 |
$0.00 |
| G8979 |
Mobility goal status |
55 |
38 |
$0.00 |