| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
|
33,541 |
30,236 |
$1.81M |
| L8699 |
Prosthetic implant nos |
412 |
342 |
$1.19M |
| 99283 |
|
20,526 |
18,645 |
$1.19M |
| 74177 |
|
3,759 |
3,656 |
$1.14M |
| 96374 |
|
11,448 |
10,600 |
$944K |
| 70450 |
|
5,146 |
5,005 |
$603K |
| 93975 |
|
1,535 |
1,481 |
$487K |
| 93005 |
|
16,142 |
14,784 |
$476K |
| 74176 |
|
2,717 |
2,651 |
$409K |
| 96375 |
|
7,621 |
6,975 |
$403K |
| 99499 |
|
4,232 |
3,857 |
$394K |
| 99285 |
|
3,035 |
2,821 |
$350K |
| 80053 |
|
24,500 |
22,302 |
$280K |
| 72125 |
|
1,591 |
1,566 |
$271K |
| 96365 |
|
2,586 |
2,388 |
$247K |
| 85025 |
|
29,297 |
26,481 |
$240K |
| 71275 |
|
972 |
959 |
$239K |
| 96372 |
|
6,395 |
5,899 |
$237K |
| 80307 |
|
3,151 |
2,890 |
$233K |
| 99284 |
|
2,308 |
2,138 |
$225K |
| 71045 |
|
13,256 |
12,594 |
$205K |
| 84484 |
|
14,418 |
10,979 |
$153K |
| 76705 |
|
1,940 |
1,865 |
$141K |
| U0004 |
Cov-19 test non-cdc hgh thru |
2,228 |
2,194 |
$141K |
| C9803 |
Hopd covid-19 spec collect |
4,080 |
3,978 |
$121K |
| 87502 |
|
1,348 |
1,318 |
$119K |
| 93971 |
|
830 |
806 |
$108K |
| 96361 |
|
2,528 |
2,351 |
$101K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,051 |
5,863 |
$99K |
| 83880 |
|
2,689 |
2,582 |
$83K |
| 83690 |
|
10,954 |
10,269 |
$82K |
| 76856 |
|
884 |
864 |
$77K |
| 96360 |
|
774 |
756 |
$71K |
| 0241U |
|
344 |
341 |
$57K |
| 71046 |
|
2,089 |
2,028 |
$56K |
| 80048 |
|
6,222 |
5,764 |
$55K |
| J3490 |
Drugs unclassified injection |
17,337 |
9,906 |
$47K |
| 0710 |
|
752 |
701 |
$44K |
| 87635 |
|
853 |
829 |
$41K |
| 99070 |
|
18,089 |
9,576 |
$40K |
| 83605 |
|
2,934 |
2,603 |
$38K |
| 87086 |
|
4,467 |
4,229 |
$38K |
| 81001 |
|
10,523 |
9,950 |
$37K |
| 84443 |
|
2,143 |
2,100 |
$37K |
| Z7502 |
|
926 |
919 |
$36K |
| 73630 |
|
1,203 |
1,167 |
$35K |
| U0003 |
Cov-19 amp prb hgh thruput |
373 |
366 |
$34K |
| 73610 |
|
1,106 |
1,072 |
$34K |
| 84703 |
|
3,754 |
3,632 |
$30K |
| 81025 |
|
5,890 |
5,607 |
$30K |
| 73562 |
|
1,078 |
1,047 |
$29K |
| 85730 |
|
4,584 |
4,297 |
$28K |
| 73030 |
|
918 |
874 |
$27K |
| J1885 |
Ketorolac tromethamine inj |
8,714 |
8,230 |
$27K |
| 0762 |
|
68 |
52 |
$27K |
| J2405 |
Ondansetron hcl injection |
7,440 |
6,964 |
$26K |
| 94640 |
|
1,218 |
1,138 |
$25K |
| 73130 |
|
872 |
853 |
$25K |
| 84702 |
|
1,439 |
1,309 |
$24K |
| 83735 |
|
3,503 |
3,139 |
$23K |
| 85610 |
|
5,493 |
5,126 |
$21K |
| 87040 |
|
1,775 |
1,004 |
$21K |
| 85379 |
|
1,696 |
1,649 |
$19K |
| 87634 |
|
250 |
232 |
$18K |
| U0002 |
Covid-19 lab test non-cdc |
380 |
378 |
$18K |
| 76801 |
|
193 |
173 |
$18K |
| 99238 |
|
521 |
464 |
$18K |
| 72100 |
|
534 |
525 |
$17K |
| 73110 |
|
564 |
535 |
$17K |
| J3010 |
Fentanyl citrate injection |
2,043 |
2,000 |
$17K |
| 90715 |
|
487 |
481 |
$17K |
| 93306 |
|
101 |
99 |
$16K |
| 36415 |
|
10,214 |
8,577 |
$15K |
| 84439 |
|
1,588 |
1,566 |
$15K |
| 87276 |
|
1,575 |
1,473 |
$15K |
| J2270 |
Morphine sulfate injection |
2,836 |
2,546 |
$14K |
| J1100 |
Dexamethasone sodium phos |
2,476 |
2,395 |
$13K |
| 81003 |
|
5,060 |
4,865 |
$13K |
| 87491 |
|
455 |
439 |
$12K |
| 87591 |
|
455 |
439 |
$12K |
| 87430 |
|
1,064 |
1,033 |
$12K |
| 99221 |
|
59 |
59 |
$11K |
| 87275 |
|
1,580 |
1,477 |
$11K |
| 87186 |
|
1,278 |
1,183 |
$11K |
| 87077 |
|
1,334 |
1,203 |
$11K |
| 87651 |
|
263 |
258 |
$11K |
| 0250 |
|
3,176 |
1,814 |
$10K |
| 0270 |
|
3,533 |
2,745 |
$10K |
| J2704 |
Inj, propofol, 10 mg |
1,821 |
1,692 |
$10K |
| 70496 |
|
36 |
36 |
$10K |
| J0696 |
Ceftriaxone sodium injection |
2,053 |
1,910 |
$9K |
| 99152 |
|
242 |
242 |
$9K |
| J1170 |
Hydromorphone injection |
1,634 |
1,380 |
$8K |
| 85027 |
|
1,242 |
1,091 |
$8K |
| 87561 |
|
194 |
187 |
$7K |
| 82962 |
|
2,138 |
1,323 |
$7K |
| 70486 |
|
54 |
54 |
$7K |
| 87081 |
|
915 |
890 |
$6K |
| G0378 |
Hospital observation per hr |
75 |
75 |
$6K |
| 70498 |
|
27 |
27 |
$5K |
| J0690 |
Cefazolin sodium injection |
1,073 |
950 |
$5K |
| 73080 |
|
175 |
171 |
$5K |
| 36000 |
|
792 |
778 |
$5K |
| J2250 |
Inj midazolam hydrochloride |
1,884 |
1,846 |
$5K |
| 93970 |
|
27 |
27 |
$5K |
| 93458 |
|
12 |
12 |
$4K |
| J0131 |
Inj, acetaminophen (nos) |
182 |
179 |
$4K |
| 86901 |
|
1,211 |
1,153 |
$4K |
| J1200 |
Diphenhydramine hcl injectio |
1,681 |
1,578 |
$4K |
| 86900 |
|
1,211 |
1,152 |
$4K |
| 88305 |
|
78 |
39 |
$3K |
| J2060 |
Lorazepam injection |
1,207 |
1,087 |
$3K |
| 76830 |
|
42 |
42 |
$3K |
| J7030 |
Normal saline solution infus |
1,061 |
982 |
$3K |
| 82550 |
|
388 |
360 |
$3K |
| 74018 |
|
132 |
127 |
$3K |
| J2765 |
Metoclopramide hcl injection |
1,247 |
1,194 |
$3K |
| 43239 |
|
69 |
69 |
$3K |
| 99199 |
|
56 |
52 |
$3K |
| 96366 |
|
45 |
37 |
$3K |
| 99217 |
|
74 |
64 |
$3K |
| 90471 |
|
480 |
471 |
$2K |
| 86850 |
|
460 |
432 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
1,460 |
851 |
$2K |
| 99281 |
|
96 |
90 |
$2K |
| J2001 |
Lidocaine injection |
1,688 |
1,617 |
$2K |
| A0429 |
Bls-emergency |
103 |
76 |
$2K |
| 71010 |
|
76 |
73 |
$2K |
| J2003 |
Inj, lidocaine hcl, 1 mg |
57 |
56 |
$2K |
| 72040 |
|
51 |
51 |
$1K |
| C1894 |
Intro/sheath, non-laser |
12 |
12 |
$1K |
| U0005 |
Infec agen detec ampli probe |
468 |
463 |
$1K |
| J2930 |
Methylprednisolone injection |
191 |
181 |
$1K |
| 73090 |
|
54 |
53 |
$1K |
| 73590 |
|
52 |
52 |
$1K |
| J0780 |
Prochlorperazine injection |
245 |
237 |
$1K |
| 71020 |
|
30 |
28 |
$1K |
| 87798 |
|
32 |
31 |
$1K |
| 96376 |
|
136 |
104 |
$1K |
| J0171 |
Adrenalin epinephrine inject |
69 |
65 |
$1K |
| 99153 |
Mod sedat endo service >5yrs |
82 |
82 |
$1K |
| 99282 |
|
34 |
31 |
$1K |
| 82553 |
|
91 |
81 |
$1K |
| 73502 |
|
24 |
24 |
$961.23 |
| 99231 |
|
12 |
12 |
$912.12 |
| 45380 |
|
15 |
15 |
$821.11 |
| J2919 |
Inj, methylpred sod succ 5mg |
56 |
56 |
$820.92 |
| 82803 |
|
40 |
36 |
$749.74 |
| 12001 |
|
12 |
12 |
$640.85 |
| 87420 |
|
66 |
66 |
$584.12 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
101 |
99 |
$560.38 |
| A9270 |
Non-covered item or service |
613 |
225 |
$489.43 |
| 10060 |
|
14 |
14 |
$343.26 |
| J0500 |
Dicyclomine injection |
13 |
13 |
$289.16 |
| 73140 |
|
13 |
12 |
$280.92 |
| J2305 |
Inj, nitroglycerin, 5 mg |
26 |
26 |
$270.90 |
| 84100 |
|
51 |
51 |
$255.57 |
| J7512 |
Prednisone ir or dr oral 1mg |
278 |
265 |
$241.30 |
| 86141 |
|
24 |
24 |
$229.73 |
| 86140 |
|
37 |
37 |
$226.78 |
| 94664 |
|
16 |
13 |
$217.44 |
| 88342 |
|
17 |
12 |
$183.05 |
| J2710 |
Neostigmine methylslfte inj |
12 |
12 |
$160.16 |
| 87070 |
|
14 |
13 |
$114.82 |
| 80061 |
|
16 |
13 |
$106.96 |
| 83721 |
|
16 |
13 |
$94.18 |
| 86308 |
|
14 |
14 |
$79.46 |
| J0360 |
Hydralazine hcl injection |
25 |
24 |
$69.66 |
| 0272 |
|
12 |
12 |
$65.10 |
| Q4051 |
Splint supplies misc |
29 |
19 |
$49.60 |
| J3475 |
Inj magnesium sulfate |
16 |
14 |
$46.50 |
| 85652 |
|
12 |
12 |
$34.35 |
| J1630 |
Haloperidol injection |
15 |
13 |
$23.36 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
16 |
15 |
$10.35 |