| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
|
18,576 |
15,106 |
$383K |
| 11042 |
|
2,960 |
1,275 |
$291K |
| 70450 |
|
3,174 |
2,712 |
$242K |
| 74177 |
|
1,897 |
1,617 |
$206K |
| 80307 |
|
3,772 |
3,068 |
$202K |
| 87426 |
|
5,952 |
5,096 |
$188K |
| 97110 |
|
5,824 |
1,496 |
$172K |
| 87636 |
|
1,463 |
1,327 |
$163K |
| 72148 |
|
862 |
673 |
$143K |
| 80048 |
|
7,293 |
5,785 |
$117K |
| 85025 |
|
20,696 |
16,225 |
$111K |
| 73721 |
|
524 |
408 |
$109K |
| 99283 |
|
3,125 |
2,526 |
$93K |
| 74176 |
|
1,489 |
1,277 |
$84K |
| 96365 |
|
1,675 |
1,406 |
$77K |
| 87804 |
|
5,398 |
3,358 |
$74K |
| 99284 |
|
3,537 |
2,917 |
$63K |
| 93005 |
|
9,152 |
7,042 |
$60K |
| 87428 |
|
920 |
850 |
$57K |
| J1100 |
Dexamethasone sodium phos |
2,877 |
2,491 |
$56K |
| 72125 |
|
571 |
469 |
$54K |
| 71045 |
|
7,238 |
5,922 |
$49K |
| 81001 |
|
13,203 |
10,898 |
$47K |
| 84484 |
|
6,159 |
3,986 |
$47K |
| 80050 |
|
976 |
961 |
$46K |
| 77067 |
|
1,107 |
1,033 |
$45K |
| 96372 |
|
1,795 |
1,439 |
$43K |
| 78452 |
|
291 |
243 |
$41K |
| 80061 |
|
4,338 |
3,731 |
$38K |
| 71046 |
|
2,280 |
1,953 |
$35K |
| 87430 |
|
3,117 |
2,819 |
$34K |
| G0463 |
Hospital outpt clinic visit |
2,905 |
1,650 |
$32K |
| 83880 |
|
2,103 |
1,708 |
$31K |
| 85027 |
|
5,004 |
4,172 |
$31K |
| 36415 |
|
4,714 |
3,918 |
$29K |
| 81025 |
|
4,005 |
3,536 |
$28K |
| 99285 |
|
2,411 |
2,008 |
$28K |
| 87070 |
|
1,023 |
852 |
$27K |
| 97161 |
|
512 |
410 |
$27K |
| 87086 |
|
3,627 |
3,183 |
$26K |
| U0002 |
Covid-19 lab test non-cdc |
799 |
664 |
$24K |
| J0696 |
Ceftriaxone sodium injection |
2,255 |
1,906 |
$24K |
| 96374 |
|
2,141 |
1,763 |
$23K |
| 84443 |
|
4,149 |
3,580 |
$22K |
| 87186 |
|
2,021 |
1,727 |
$22K |
| 83036 |
|
3,258 |
2,830 |
$22K |
| 88305 |
|
511 |
427 |
$21K |
| 82962 |
|
4,285 |
1,705 |
$20K |
| 82553 |
|
3,128 |
2,439 |
$20K |
| 86403 |
|
1,530 |
1,396 |
$20K |
| 86901 |
|
1,137 |
924 |
$18K |
| J1885 |
Ketorolac tromethamine inj |
4,033 |
3,478 |
$17K |
| 74018 |
|
902 |
784 |
$17K |
| 83735 |
|
4,078 |
3,208 |
$17K |
| 83690 |
|
3,248 |
2,754 |
$16K |
| 11043 |
|
114 |
72 |
$15K |
| 93306 |
|
200 |
180 |
$15K |
| J2405 |
Ondansetron hcl injection |
3,255 |
2,738 |
$15K |
| 82306 |
|
914 |
805 |
$14K |
| 87077 |
|
2,158 |
1,854 |
$13K |
| 83655 |
|
866 |
809 |
$13K |
| 82550 |
|
3,398 |
2,653 |
$12K |
| 87040 |
|
1,681 |
839 |
$12K |
| 84703 |
|
1,165 |
939 |
$11K |
| 71260 |
|
91 |
73 |
$10K |
| 96375 |
|
1,483 |
1,223 |
$10K |
| 85610 |
|
2,414 |
1,952 |
$8K |
| 86850 |
|
747 |
611 |
$8K |
| 73221 |
|
46 |
40 |
$8K |
| 82150 |
|
1,733 |
1,516 |
$8K |
| 85730 |
|
1,602 |
1,302 |
$8K |
| 83874 |
|
1,155 |
1,004 |
$8K |
| 84439 |
|
1,355 |
1,212 |
$8K |
| 99281 |
|
199 |
170 |
$7K |
| 88304 |
|
260 |
235 |
$7K |
| 73630 |
|
327 |
276 |
$7K |
| A9500 |
Tc99m sestamibi |
260 |
218 |
$7K |
| 87491 |
|
177 |
163 |
$7K |
| 71275 |
|
40 |
38 |
$6K |
| 73610 |
|
332 |
284 |
$6K |
| 73030 |
|
290 |
237 |
$6K |
| 72141 |
|
31 |
24 |
$6K |
| 83605 |
|
790 |
622 |
$6K |
| T1015 |
Clinic service |
494 |
281 |
$5K |
| 93458 |
|
54 |
40 |
$5K |
| 97530 |
|
113 |
41 |
$5K |
| 82805 |
|
242 |
193 |
$5K |
| 71020 |
|
377 |
343 |
$5K |
| 73560 |
|
274 |
237 |
$5K |
| 93017 |
|
406 |
330 |
$5K |
| M0243 |
Casirivi and imdevi inj |
36 |
33 |
$4K |
| C9803 |
Hopd covid-19 spec collect |
3,065 |
2,787 |
$4K |
| 94640 |
|
978 |
748 |
$4K |
| 85379 |
|
562 |
489 |
$4K |
| 96361 |
|
392 |
293 |
$4K |
| 36416 |
|
213 |
108 |
$4K |
| 69436 |
|
16 |
14 |
$4K |
| 76805 |
|
89 |
73 |
$3K |
| 97597 |
|
412 |
215 |
$3K |
| 81003 |
|
1,871 |
1,589 |
$3K |
| 73130 |
|
120 |
106 |
$3K |
| 59025 |
|
20 |
14 |
$3K |
| 71010 |
|
482 |
431 |
$3K |
| 86900 |
|
1,125 |
913 |
$3K |
| 82607 |
|
261 |
227 |
$3K |
| J0561 |
Penicillin g benzathine inj |
39 |
35 |
$2K |
| 87205 |
|
1,056 |
846 |
$2K |
| U0003 |
Cov-19 amp prb hgh thruput |
134 |
110 |
$2K |
| 70486 |
|
14 |
12 |
$1K |
| 97001 |
|
30 |
25 |
$1K |
| 84702 |
|
123 |
107 |
$1K |
| 72100 |
|
63 |
51 |
$1K |
| 74022 |
|
54 |
48 |
$1K |
| J2550 |
Promethazine hcl injection |
682 |
581 |
$955.84 |
| 82803 |
|
66 |
53 |
$900.53 |
| G0283 |
Elec stim other than wound |
345 |
93 |
$887.51 |
| 73110 |
|
48 |
41 |
$883.70 |
| J1650 |
Inj enoxaparin sodium |
45 |
30 |
$830.02 |
| 80074 |
|
75 |
68 |
$811.64 |
| J1200 |
Diphenhydramine hcl injectio |
1,326 |
1,083 |
$775.31 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,275 |
1,076 |
$774.57 |
| 36430 |
|
15 |
12 |
$750.00 |
| J2060 |
Lorazepam injection |
706 |
599 |
$711.53 |
| J2270 |
Morphine sulfate injection |
1,796 |
1,447 |
$646.37 |
| 99282 |
|
16 |
13 |
$644.48 |
| M0239 |
Bamlanivimab-xxxx infusion |
12 |
12 |
$619.20 |
| 74010 |
|
28 |
27 |
$611.57 |
| 73502 |
|
31 |
24 |
$592.78 |
| 76801 |
|
17 |
13 |
$586.59 |
| 76775 |
|
49 |
41 |
$565.17 |
| 77065 |
Tomosynthesis, mammo |
12 |
12 |
$553.33 |
| 90715 |
|
42 |
36 |
$460.80 |
| 86922 |
|
31 |
24 |
$454.96 |
| J2785 |
Regadenoson injection |
19 |
13 |
$452.40 |
| J2250 |
Inj midazolam hydrochloride |
757 |
649 |
$436.44 |
| 76642 |
|
16 |
16 |
$399.71 |
| 85652 |
|
212 |
184 |
$381.30 |
| 93971 |
|
15 |
13 |
$375.96 |
| 86920 |
|
40 |
26 |
$340.00 |
| 84520 |
|
16 |
14 |
$338.80 |
| 73120 |
|
13 |
13 |
$320.16 |
| 85018 |
|
153 |
125 |
$318.95 |
| 71250 |
|
12 |
12 |
$309.94 |
| 83540 |
|
54 |
40 |
$265.68 |
| 82274 |
|
31 |
27 |
$242.44 |
| J3010 |
Fentanyl citrate injection |
1,093 |
927 |
$236.22 |
| 85576 |
|
15 |
13 |
$214.76 |
| 85014 |
|
78 |
72 |
$202.80 |
| 86592 |
|
26 |
24 |
$196.20 |
| 73070 |
|
14 |
12 |
$180.00 |
| 74000 |
|
13 |
12 |
$180.00 |
| 94760 |
|
26 |
14 |
$168.00 |
| 71015 |
|
12 |
12 |
$154.00 |
| J2765 |
Metoclopramide hcl injection |
223 |
197 |
$137.81 |
| 82565 |
|
18 |
16 |
$131.76 |
| J0690 |
Cefazolin sodium injection |
161 |
136 |
$128.85 |
| J1170 |
Hydromorphone injection |
605 |
467 |
$121.43 |
| J0780 |
Prochlorperazine injection |
342 |
285 |
$121.42 |
| 85007 |
|
36 |
32 |
$108.24 |
| J2274 |
Inj morphine pf epid ithc |
33 |
27 |
$107.93 |
| 87635 |
|
265 |
221 |
$100.00 |
| Q0162 |
Ondansetron oral |
1,653 |
1,458 |
$54.16 |
| 84436 |
|
13 |
12 |
$44.50 |
| 86140 |
|
14 |
12 |
$44.34 |
| 90471 |
|
32 |
26 |
$39.42 |
| J0360 |
Hydralazine hcl injection |
230 |
181 |
$35.08 |
| J1940 |
Furosemide injection |
78 |
51 |
$21.29 |
| J3475 |
Inj magnesium sulfate |
53 |
43 |
$14.37 |
| J2704 |
Inj, propofol, 10 mg |
283 |
245 |
$13.56 |
| J7030 |
Normal saline solution infus |
843 |
613 |
$1.15 |
| C9113 |
Inj pantoprazole sodium, via |
46 |
38 |
$0.00 |
| 99152 |
|
17 |
13 |
$0.00 |
| J7040 |
Normal saline solution infus |
15 |
13 |
$0.00 |
| P9016 |
Rbc leukocytes reduced |
15 |
12 |
$0.00 |
| 96366 |
|
17 |
12 |
$0.00 |