| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
77,641 |
68,835 |
$3.94M |
| 99283 |
|
47,961 |
43,185 |
$2.77M |
| 70450 |
|
10,140 |
9,828 |
$1.49M |
| G0480 |
Drug test def 1-7 classes |
17,287 |
14,401 |
$1.26M |
| 0360 |
|
8,682 |
5,087 |
$1.02M |
| 96372 |
|
27,106 |
24,661 |
$896K |
| 74176 |
|
7,233 |
7,047 |
$875K |
| 74177 |
|
3,748 |
3,638 |
$849K |
| 96374 |
|
11,952 |
11,305 |
$802K |
| 80053 |
|
45,949 |
42,219 |
$788K |
| 85025 |
|
53,778 |
48,690 |
$685K |
| 99221 |
|
2,760 |
2,729 |
$473K |
| 93005 |
|
15,942 |
15,010 |
$471K |
| 99070 |
|
68,765 |
29,221 |
$403K |
| 72125 |
|
2,009 |
1,976 |
$378K |
| 96361 |
|
6,302 |
5,991 |
$355K |
| Z7502 |
|
9,285 |
9,044 |
$336K |
| 96375 |
|
7,548 |
6,769 |
$324K |
| 49322 |
|
1,522 |
1,492 |
$309K |
| 96365 |
|
2,753 |
2,679 |
$257K |
| 0762 |
|
4,169 |
2,911 |
$242K |
| 58558 |
|
3,058 |
2,990 |
$234K |
| G0378 |
Hospital observation per hr |
3,577 |
1,937 |
$227K |
| 70486 |
|
1,380 |
1,360 |
$223K |
| U0002 |
Covid-19 lab test non-cdc |
3,646 |
3,550 |
$220K |
| 84484 |
|
12,633 |
11,702 |
$211K |
| L8699 |
Prosthetic implant nos |
42 |
38 |
$186K |
| 71045 |
|
15,808 |
15,225 |
$185K |
| 99499 |
|
4,797 |
4,095 |
$181K |
| 0710 |
|
5,712 |
4,820 |
$174K |
| 76705 |
|
2,940 |
2,868 |
$170K |
| 76856 |
|
2,516 |
2,464 |
$168K |
| J3490 |
Drugs unclassified injection |
44,568 |
22,546 |
$164K |
| 76801 |
|
2,678 |
2,443 |
$158K |
| 76815 |
|
2,812 |
2,451 |
$157K |
| 83690 |
|
13,886 |
13,094 |
$154K |
| 93971 |
|
1,380 |
1,356 |
$148K |
| 83880 |
|
4,827 |
4,594 |
$144K |
| 81025 |
|
20,215 |
19,177 |
$141K |
| 96360 |
|
1,840 |
1,795 |
$133K |
| 96366 |
|
1,570 |
1,515 |
$131K |
| 59025 |
|
5,512 |
3,920 |
$125K |
| 81015 |
|
23,385 |
21,979 |
$123K |
| 84702 |
|
5,900 |
5,360 |
$119K |
| 71046 |
|
5,788 |
5,544 |
$117K |
| 99231 |
|
1,680 |
1,666 |
$115K |
| 71275 |
|
502 |
499 |
$115K |
| 76819 |
|
2,068 |
1,669 |
$111K |
| 88305 |
|
4,022 |
3,909 |
$106K |
| 84703 |
|
8,009 |
7,699 |
$105K |
| 72131 |
|
624 |
616 |
$100K |
| 94640 |
|
4,588 |
3,828 |
$100K |
| 99238 |
|
2,918 |
2,875 |
$96K |
| 58662 |
|
463 |
455 |
$95K |
| 76700 |
|
1,051 |
1,036 |
$82K |
| 99284 |
|
1,203 |
1,148 |
$81K |
| 80048 |
|
5,426 |
5,141 |
$78K |
| 87088 |
|
9,028 |
8,556 |
$77K |
| 80307 |
|
1,507 |
1,411 |
$75K |
| 82553 |
|
4,102 |
3,910 |
$74K |
| 85730 |
|
7,490 |
7,206 |
$74K |
| 87426 |
|
2,150 |
2,114 |
$73K |
| 83605 |
|
4,116 |
3,922 |
$72K |
| 87804 |
|
5,719 |
4,227 |
$69K |
| 49329 |
|
271 |
265 |
$63K |
| 99285 |
|
725 |
686 |
$59K |
| 99218 |
|
276 |
276 |
$56K |
| 73130 |
|
2,020 |
1,968 |
$54K |
| 76770 |
|
697 |
683 |
$53K |
| 73610 |
|
2,004 |
1,961 |
$53K |
| 81003 |
|
15,900 |
15,171 |
$53K |
| 73030 |
|
1,967 |
1,905 |
$53K |
| J7030 |
Normal saline solution infus |
13,225 |
11,874 |
$51K |
| 73630 |
|
2,043 |
1,995 |
$50K |
| 58563 |
|
580 |
568 |
$48K |
| 85610 |
|
7,769 |
7,474 |
$47K |
| 87040 |
|
1,782 |
1,694 |
$47K |
| 73562 |
|
1,947 |
1,898 |
$47K |
| Z9725 |
|
1,249 |
1,245 |
$47K |
| A4217 |
Sterile water/saline, 500 ml |
2,892 |
2,705 |
$46K |
| 90715 |
|
1,364 |
1,331 |
$46K |
| 87077 |
|
5,588 |
5,415 |
$45K |
| 84443 |
|
1,555 |
1,515 |
$45K |
| 87880 |
|
2,474 |
2,427 |
$39K |
| 87635 |
|
856 |
842 |
$38K |
| 76805 |
|
434 |
402 |
$38K |
| 58670 |
|
168 |
167 |
$34K |
| J1885 |
Ketorolac tromethamine inj |
21,755 |
19,671 |
$32K |
| 72100 |
|
1,043 |
1,024 |
$31K |
| 82150 |
|
2,947 |
2,851 |
$31K |
| 85378 |
|
2,479 |
2,374 |
$30K |
| 73110 |
|
1,106 |
1,073 |
$29K |
| 74018 |
|
1,248 |
1,221 |
$27K |
| 83735 |
|
2,527 |
2,423 |
$27K |
| 86850 |
|
2,149 |
2,077 |
$25K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,974 |
3,751 |
$22K |
| J7120 |
Ringers lactate infusion |
4,239 |
3,801 |
$22K |
| 58300 |
|
583 |
572 |
$22K |
| J2930 |
Methylprednisolone injection |
3,141 |
2,996 |
$22K |
| 76999 |
|
77 |
76 |
$21K |
| Z7610 |
|
1,703 |
1,124 |
$21K |
| J2270 |
Morphine sulfate injection |
2,870 |
2,418 |
$20K |
| 87420 |
|
1,521 |
1,500 |
$20K |
| J0696 |
Ceftriaxone sodium injection |
14,703 |
10,833 |
$19K |
| J2175 |
Meperidine hydrochl /100 mg |
1,765 |
1,704 |
$19K |
| 49320 |
|
97 |
94 |
$19K |
| 58671 |
|
112 |
100 |
$19K |
| Q4100 |
Skin substitute, nos |
12 |
12 |
$18K |
| J1170 |
Hydromorphone injection |
4,623 |
4,211 |
$17K |
| 99232 |
|
246 |
244 |
$16K |
| 93970 |
|
78 |
78 |
$16K |
| 85027 |
|
1,637 |
1,566 |
$15K |
| 86901 |
|
2,179 |
2,102 |
$14K |
| 0100U |
|
419 |
400 |
$13K |
| J0330 |
Succinycholine chloride inj |
5,379 |
5,240 |
$13K |
| 72040 |
|
505 |
494 |
$13K |
| J2765 |
Metoclopramide hcl injection |
6,835 |
6,562 |
$13K |
| 99224 |
|
140 |
140 |
$11K |
| 87181 |
|
4,604 |
4,075 |
$10K |
| 99217 |
|
280 |
277 |
$10K |
| 73090 |
|
459 |
440 |
$10K |
| 86900 |
|
2,149 |
2,069 |
$10K |
| 73080 |
|
358 |
351 |
$10K |
| 87070 |
|
984 |
911 |
$9K |
| 76811 |
|
107 |
99 |
$8K |
| 87389 |
|
384 |
376 |
$8K |
| 73590 |
|
381 |
369 |
$8K |
| J3010 |
Fentanyl citrate injection |
7,702 |
7,375 |
$8K |
| 90471 |
|
1,331 |
1,305 |
$7K |
| 87631 |
|
108 |
105 |
$7K |
| 80321 |
|
429 |
394 |
$6K |
| 83036 |
|
375 |
369 |
$6K |
| 73502 |
|
206 |
190 |
$6K |
| J7050 |
Normal saline solution infus |
3,866 |
3,300 |
$5K |
| 88304 |
|
264 |
258 |
$5K |
| 0750 |
|
49 |
41 |
$5K |
| J2710 |
Neostigmine methylslfte inj |
2,761 |
2,732 |
$5K |
| 82803 |
|
154 |
124 |
$5K |
| 0370 |
|
29 |
29 |
$4K |
| 12001 |
|
295 |
291 |
$4K |
| 71250 |
|
25 |
25 |
$4K |
| 82550 |
|
360 |
344 |
$4K |
| S0164 |
Injection pantroprazole |
428 |
393 |
$4K |
| 0270 |
|
1,717 |
1,140 |
$4K |
| J2060 |
Lorazepam injection |
2,562 |
2,217 |
$4K |
| 87491 |
|
189 |
186 |
$4K |
| 0250 |
|
2,177 |
1,458 |
$4K |
| 86780 |
|
258 |
249 |
$4K |
| 73140 |
|
190 |
178 |
$3K |
| J0690 |
Cefazolin sodium injection |
1,716 |
1,566 |
$3K |
| 73700 |
|
15 |
15 |
$3K |
| 71101 |
|
91 |
83 |
$3K |
| 86140 |
|
354 |
351 |
$3K |
| 29125 |
|
519 |
511 |
$3K |
| 93306 |
|
14 |
13 |
$3K |
| 71020 |
|
128 |
110 |
$3K |
| J2920 |
Methylprednisolone injection |
511 |
490 |
$3K |
| 80305 |
|
288 |
279 |
$3K |
| 81305 |
|
21 |
20 |
$3K |
| J2919 |
Inj, methylpred sod succ 5mg |
572 |
547 |
$3K |
| 29515 |
|
315 |
310 |
$3K |
| 99203 |
|
41 |
36 |
$2K |
| 12002 |
|
142 |
138 |
$2K |
| J0360 |
Hydralazine hcl injection |
374 |
348 |
$2K |
| J0500 |
Dicyclomine injection |
57 |
56 |
$2K |
| 12011 |
|
111 |
107 |
$2K |
| 76870 |
|
37 |
37 |
$2K |
| J7040 |
Normal saline solution infus |
947 |
911 |
$2K |
| Q0144 |
Azithromycin dihydrate, oral |
80 |
78 |
$2K |
| J0131 |
Inj, acetaminophen (nos) |
2,959 |
2,910 |
$1K |
| 96376 |
|
26 |
15 |
$1K |
| J2001 |
Lidocaine injection |
1,214 |
1,186 |
$1K |
| 71010 |
|
88 |
84 |
$1K |
| 72128 |
|
13 |
13 |
$1K |
| J1630 |
Haloperidol injection |
453 |
356 |
$1K |
| 58301 |
|
41 |
41 |
$1K |
| 99152 |
|
30 |
25 |
$1K |
| 99199 |
|
26 |
24 |
$1K |
| 99213 |
|
47 |
47 |
$1K |
| 87210 |
|
161 |
158 |
$1K |
| 96368 |
|
40 |
38 |
$1K |
| 45380 |
|
16 |
14 |
$1K |
| J1100 |
Dexamethasone sodium phos |
1,723 |
1,675 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
4,121 |
3,920 |
$994.36 |
| J2550 |
Promethazine hcl injection |
422 |
397 |
$971.93 |
| J2310 |
Inj naloxone hydrochloride |
48 |
41 |
$882.96 |
| 72110 |
|
14 |
14 |
$801.64 |
| S0077 |
Injection, clindamycin phosp |
86 |
65 |
$731.94 |
| J1953 |
Levetiracetam injection |
786 |
714 |
$719.72 |
| 73552 |
|
26 |
26 |
$716.16 |
| J1815 |
Insulin injection |
438 |
362 |
$654.06 |
| 86631 |
|
38 |
37 |
$624.31 |
| 76937 |
|
27 |
27 |
$596.02 |
| J2405 |
Ondansetron hcl injection |
2,698 |
2,490 |
$526.56 |
| 87591 |
|
13 |
13 |
$512.70 |
| 82140 |
|
29 |
26 |
$503.40 |
| 73060 |
|
20 |
14 |
$426.36 |
| J2250 |
Inj midazolam hydrochloride |
2,100 |
1,911 |
$416.05 |
| 86592 |
|
67 |
66 |
$357.96 |
| C9113 |
Inj pantoprazole sodium, via |
43 |
42 |
$326.81 |
| 72072 |
|
13 |
13 |
$317.22 |
| 84550 |
|
47 |
40 |
$315.27 |
| J1200 |
Diphenhydramine hcl injectio |
346 |
323 |
$256.37 |
| J3370 |
Vancomycin hcl injection |
59 |
57 |
$241.63 |
| 83874 |
|
13 |
13 |
$225.54 |
| 99212 |
|
12 |
12 |
$224.82 |
| 99281 |
|
27 |
27 |
$220.17 |
| 85652 |
|
41 |
41 |
$199.70 |
| 88300 |
|
70 |
69 |
$195.78 |
| 99153 |
Mod sedat endo service >5yrs |
16 |
12 |
$138.86 |
| 88302 |
|
13 |
13 |
$138.18 |
| 29505 |
|
14 |
14 |
$122.16 |
| 85384 |
|
14 |
12 |
$118.37 |
| 0272 |
|
218 |
187 |
$116.49 |
| J0461 |
Atropine sulfate injection |
427 |
426 |
$110.49 |
| J3105 |
Terbutaline sulfate inj |
60 |
52 |
$94.69 |
| J1040 |
Methylprednisolone 80 mg inj |
12 |
12 |
$83.51 |
| 82009 |
|
12 |
12 |
$80.45 |
| J1650 |
Inj enoxaparin sodium |
66 |
40 |
$77.87 |
| 82728 |
|
13 |
13 |
$61.26 |
| J0456 |
Azithromycin |
15 |
15 |
$60.45 |
| J3475 |
Inj magnesium sulfate |
44 |
37 |
$56.54 |
| J0171 |
Adrenalin epinephrine inject |
27 |
26 |
$33.99 |
| J7644 |
Ipratropium bromide non-comp |
42 |
41 |
$13.56 |
| J1644 |
Inj heparin sodium per 1000u |
33 |
27 |
$12.33 |
| Q0163 |
Diphenhydramine hcl 50mg |
29 |
29 |
$11.39 |
| J7510 |
Prednisolone oral per 5 mg |
74 |
73 |
$8.34 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
13 |
13 |
$3.28 |
| J7613 |
Albuterol non-comp unit |
28 |
21 |
$3.00 |
| 80329 |
|
32 |
28 |
$0.00 |
| Q4051 |
Splint supplies misc |
29 |
20 |
$0.00 |