| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
26,561 |
24,584 |
$507K |
| 95810 |
|
1,214 |
1,213 |
$100K |
| 70450 |
|
1,537 |
1,476 |
$68K |
| 95782 |
|
316 |
313 |
$64K |
| 87635 |
|
2,763 |
2,642 |
$53K |
| A0429 |
Bls-emergency |
4,289 |
3,768 |
$47K |
| 0241U |
|
2,898 |
2,649 |
$45K |
| 76705 |
|
2,159 |
2,020 |
$42K |
| 96374 |
|
2,063 |
1,824 |
$41K |
| 80307 |
|
1,887 |
1,674 |
$38K |
| 74177 |
|
318 |
294 |
$38K |
| 99199 |
|
1,040 |
931 |
$34K |
| J3490 |
Drugs unclassified injection |
13,230 |
7,507 |
$30K |
| 71045 |
|
4,029 |
3,820 |
$30K |
| 95716 |
|
55 |
54 |
$27K |
| 93005 |
|
2,359 |
2,174 |
$27K |
| 80053 |
|
5,087 |
4,602 |
$24K |
| 85025 |
|
6,538 |
5,871 |
$17K |
| 0160 |
|
450 |
243 |
$16K |
| 71046 |
|
2,591 |
2,488 |
$15K |
| 96361 |
|
654 |
569 |
$9K |
| 72125 |
|
69 |
64 |
$8K |
| 96360 |
|
269 |
236 |
$8K |
| 87804 |
|
3,178 |
3,011 |
$8K |
| 73110 |
|
960 |
931 |
$8K |
| J7030 |
Normal saline solution infus |
2,223 |
1,697 |
$8K |
| 87636 |
|
69 |
68 |
$7K |
| 87086 |
|
2,964 |
2,767 |
$7K |
| 94640 |
|
1,265 |
1,009 |
$7K |
| 73610 |
|
924 |
889 |
$7K |
| 96375 |
|
546 |
477 |
$6K |
| 74018 |
|
910 |
881 |
$6K |
| 73630 |
|
664 |
646 |
$6K |
| 83690 |
|
2,366 |
2,133 |
$5K |
| 80048 |
|
1,718 |
1,582 |
$5K |
| 81001 |
|
5,196 |
4,799 |
$5K |
| 99283 |
|
68 |
64 |
$4K |
| 87420 |
|
1,712 |
1,654 |
$4K |
| 84703 |
|
1,590 |
1,453 |
$4K |
| 84145 |
|
357 |
331 |
$3K |
| J1100 |
Dexamethasone sodium phos |
1,792 |
1,465 |
$3K |
| J2405 |
Ondansetron hcl injection |
1,801 |
1,405 |
$3K |
| G0480 |
Drug test def 1-7 classes |
45 |
43 |
$3K |
| Z7502 |
|
77 |
73 |
$3K |
| 73080 |
|
287 |
275 |
$3K |
| 73562 |
|
291 |
277 |
$3K |
| 86140 |
|
1,699 |
1,520 |
$3K |
| U0003 |
Cov-19 amp prb hgh thruput |
136 |
131 |
$3K |
| 87807 |
|
1,794 |
1,694 |
$3K |
| 76856 |
|
119 |
116 |
$2K |
| 84443 |
|
468 |
434 |
$2K |
| 87081 |
|
1,287 |
1,212 |
$2K |
| 87040 |
|
343 |
308 |
$2K |
| 87880 |
|
756 |
734 |
$2K |
| 76770 |
|
112 |
110 |
$2K |
| 96372 |
|
185 |
165 |
$2K |
| 87631 |
|
75 |
75 |
$996.69 |
| 73090 |
|
196 |
192 |
$981.97 |
| 0360 |
|
277 |
232 |
$964.73 |
| 73130 |
|
179 |
177 |
$954.05 |
| 0270 |
|
7,190 |
4,346 |
$876.70 |
| 80143 |
|
28 |
28 |
$674.27 |
| 81003 |
|
2,232 |
2,066 |
$605.41 |
| 0710 |
|
492 |
366 |
$578.03 |
| 87430 |
|
311 |
298 |
$565.22 |
| J7120 |
Ringers lactate infusion |
137 |
98 |
$457.60 |
| 80179 |
|
15 |
15 |
$456.62 |
| 80299 |
|
136 |
130 |
$398.54 |
| 81025 |
|
237 |
223 |
$395.75 |
| 12011 |
|
79 |
76 |
$382.54 |
| J2704 |
Inj, propofol, 10 mg |
215 |
167 |
$367.77 |
| J8499 |
Oral prescrip drug non chemo |
1,379 |
1,129 |
$364.06 |
| 82150 |
|
395 |
359 |
$342.82 |
| J1885 |
Ketorolac tromethamine inj |
188 |
130 |
$313.75 |
| 83605 |
|
42 |
37 |
$254.49 |
| 73030 |
|
45 |
41 |
$247.40 |
| 83735 |
|
162 |
150 |
$212.26 |
| J0696 |
Ceftriaxone sodium injection |
129 |
92 |
$209.28 |
| J2001 |
Lidocaine injection |
114 |
109 |
$196.29 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
87 |
76 |
$187.28 |
| 0250 |
|
1,067 |
815 |
$181.57 |
| J7050 |
Normal saline solution infus |
73 |
55 |
$181.48 |
| 73140 |
|
61 |
61 |
$173.77 |
| 84702 |
|
43 |
37 |
$170.49 |
| 86141 |
|
122 |
109 |
$170.05 |
| 73590 |
|
13 |
12 |
$140.61 |
| J3010 |
Fentanyl citrate injection |
130 |
77 |
$125.34 |
| 72170 |
|
17 |
14 |
$106.72 |
| 88304 |
|
30 |
25 |
$104.87 |
| 96365 |
|
13 |
12 |
$87.64 |
| 29125 |
|
115 |
115 |
$75.00 |
| 85027 |
|
27 |
25 |
$72.84 |
| J0131 |
Inj, acetaminophen (nos) |
34 |
24 |
$71.19 |
| J2270 |
Morphine sulfate injection |
53 |
36 |
$69.74 |
| Q0162 |
Ondansetron oral |
367 |
356 |
$54.82 |
| J2250 |
Inj midazolam hydrochloride |
68 |
51 |
$53.54 |
| 82550 |
|
15 |
13 |
$46.70 |
| 86308 |
|
27 |
26 |
$43.83 |
| 84484 |
|
13 |
13 |
$37.96 |
| 87077 |
|
12 |
12 |
$37.31 |
| 71010 |
|
57 |
57 |
$36.78 |
| 73502 |
|
13 |
12 |
$36.69 |
| 29515 |
|
24 |
24 |
$30.00 |
| J7620 |
Albuterol ipratrop non-comp |
144 |
139 |
$29.41 |
| 71020 |
|
113 |
108 |
$24.97 |
| 87899 |
|
32 |
15 |
$16.57 |
| 87045 |
|
17 |
15 |
$13.32 |
| 80047 |
|
13 |
12 |
$13.08 |
| 80076 |
|
28 |
27 |
$11.88 |
| 85007 |
|
13 |
13 |
$8.68 |
| 85652 |
|
15 |
14 |
$7.72 |
| 87205 |
|
18 |
15 |
$5.54 |
| 87046 |
|
17 |
15 |
$4.18 |
| J7613 |
Albuterol non-comp unit |
16 |
15 |
$2.12 |
| 85014 |
|
12 |
12 |
$2.11 |
| J7611 |
Albuterol non-comp con |
18 |
15 |
$2.10 |
| G1004 |
Cdsm ndsc |
593 |
433 |
$0.15 |
| 94664 |
|
29 |
26 |
$0.00 |
| 0320 |
|
121 |
90 |
$0.00 |
| 93976 |
|
13 |
12 |
$0.00 |
| 0300 |
|
249 |
64 |
$0.00 |
| 0636 |
|
62 |
42 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
121 |
118 |
$0.00 |
| 0301 |
|
46 |
41 |
$0.00 |