| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
|
50,678 |
42,914 |
$619K |
| 74177 |
|
3,458 |
2,832 |
$472K |
| 74176 |
|
5,920 |
5,128 |
$451K |
| 96374 |
|
11,967 |
9,622 |
$433K |
| A0429 |
Bls-emergency |
9,235 |
6,206 |
$348K |
| 70450 |
|
6,120 |
5,499 |
$320K |
| 96375 |
|
9,949 |
7,552 |
$230K |
| U0002 |
Covid-19 lab test non-cdc |
5,306 |
4,516 |
$226K |
| 96365 |
|
4,026 |
3,207 |
$178K |
| 93005 |
|
13,090 |
10,867 |
$166K |
| 96361 |
|
10,560 |
8,170 |
$165K |
| 0360 |
|
6,571 |
3,598 |
$160K |
| 96372 |
|
8,315 |
6,767 |
$159K |
| 99199 |
|
2,255 |
1,889 |
$146K |
| 80307 |
|
3,389 |
2,834 |
$135K |
| 85025 |
|
31,786 |
23,937 |
$129K |
| 80053 |
|
18,802 |
15,282 |
$122K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,505 |
3,065 |
$107K |
| 72125 |
|
1,236 |
1,151 |
$101K |
| 71045 |
|
12,817 |
11,112 |
$97K |
| 96360 |
|
2,706 |
2,308 |
$88K |
| J7030 |
Normal saline solution infus |
14,145 |
10,386 |
$79K |
| L8699 |
Prosthetic implant nos |
46 |
40 |
$72K |
| J0131 |
Inj, acetaminophen (nos) |
2,157 |
1,671 |
$65K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,398 |
4,424 |
$62K |
| 80048 |
|
12,896 |
9,860 |
$55K |
| 99283 |
|
4,753 |
4,258 |
$53K |
| 84484 |
|
9,075 |
7,036 |
$52K |
| 88305 |
|
3,296 |
2,784 |
$51K |
| J2405 |
Ondansetron hcl injection |
13,066 |
9,769 |
$50K |
| J1885 |
Ketorolac tromethamine inj |
10,250 |
8,069 |
$48K |
| 93971 |
|
627 |
577 |
$48K |
| J3490 |
Drugs unclassified injection |
12,786 |
8,560 |
$47K |
| 76705 |
|
1,483 |
1,304 |
$45K |
| 43239 |
|
1,540 |
1,345 |
$44K |
| 83880 |
|
2,337 |
1,987 |
$39K |
| 99285 |
|
874 |
714 |
$38K |
| J2704 |
Inj, propofol, 10 mg |
6,205 |
5,033 |
$38K |
| 87804 |
|
4,580 |
3,431 |
$37K |
| 76856 |
|
1,052 |
913 |
$37K |
| 81001 |
|
21,911 |
18,406 |
$35K |
| 71275 |
|
216 |
178 |
$35K |
| 83690 |
|
9,413 |
7,694 |
$35K |
| Z7502 |
|
891 |
866 |
$33K |
| 87086 |
|
7,521 |
6,328 |
$33K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
96 |
81 |
$33K |
| J2270 |
Morphine sulfate injection |
5,429 |
3,817 |
$31K |
| 0710 |
|
5,353 |
4,494 |
$29K |
| J0696 |
Ceftriaxone sodium injection |
4,174 |
3,117 |
$28K |
| 93306 |
|
239 |
194 |
$26K |
| 0270 |
|
14,315 |
8,729 |
$24K |
| J7120 |
Ringers lactate infusion |
4,182 |
3,251 |
$22K |
| 71046 |
|
1,853 |
1,669 |
$20K |
| 96376 |
|
1,611 |
1,119 |
$19K |
| 85730 |
|
6,225 |
5,100 |
$18K |
| 80076 |
|
4,915 |
4,126 |
$18K |
| 0160 |
|
2,770 |
995 |
$18K |
| J3010 |
Fentanyl citrate injection |
4,717 |
3,811 |
$18K |
| J7060 |
5% dextrose/water |
4,126 |
2,749 |
$18K |
| 84703 |
|
11,739 |
9,940 |
$17K |
| 90715 |
|
664 |
590 |
$17K |
| 76830 |
|
466 |
397 |
$17K |
| J1100 |
Dexamethasone sodium phos |
3,578 |
2,947 |
$17K |
| 87040 |
|
2,491 |
1,530 |
$16K |
| 99284 |
|
1,267 |
1,023 |
$16K |
| J1170 |
Hydromorphone injection |
2,475 |
1,579 |
$15K |
| 73630 |
|
1,119 |
1,045 |
$15K |
| J0690 |
Cefazolin sodium injection |
2,718 |
1,893 |
$15K |
| S0020 |
Injection, bupivicaine hydro |
2,292 |
1,787 |
$14K |
| 82962 |
|
7,594 |
3,085 |
$14K |
| 82550 |
|
3,710 |
2,962 |
$13K |
| 73610 |
|
1,030 |
964 |
$13K |
| 85610 |
|
6,604 |
5,406 |
$13K |
| 85379 |
|
2,175 |
1,908 |
$13K |
| 77067 |
|
178 |
177 |
$13K |
| 80305 |
|
1,651 |
1,408 |
$13K |
| 94664 |
|
2,041 |
1,682 |
$13K |
| 87186 |
|
2,720 |
2,323 |
$12K |
| J2250 |
Inj midazolam hydrochloride |
3,684 |
2,942 |
$12K |
| 73030 |
|
890 |
817 |
$12K |
| 93970 |
|
137 |
118 |
$12K |
| 72100 |
|
639 |
584 |
$11K |
| 83605 |
|
2,129 |
1,611 |
$11K |
| 83735 |
|
3,316 |
2,371 |
$11K |
| 87077 |
|
2,565 |
2,184 |
$11K |
| 76801 |
|
225 |
196 |
$10K |
| J7050 |
Normal saline solution infus |
2,587 |
1,495 |
$9K |
| 88312 |
|
1,028 |
892 |
$9K |
| 94640 |
|
790 |
360 |
$9K |
| A9270 |
Non-covered item or service |
1,637 |
956 |
$8K |
| 70486 |
|
115 |
104 |
$8K |
| 87070 |
|
1,865 |
1,670 |
$8K |
| 96366 |
|
182 |
105 |
$7K |
| 73130 |
|
459 |
434 |
$7K |
| J1200 |
Diphenhydramine hcl injectio |
1,524 |
1,215 |
$6K |
| 73564 |
|
367 |
345 |
$6K |
| 0762 |
|
806 |
327 |
$6K |
| 45380 |
|
585 |
470 |
$5K |
| G0378 |
Hospital observation per hr |
38 |
13 |
$5K |
| J2765 |
Metoclopramide hcl injection |
1,274 |
925 |
$5K |
| 73110 |
|
364 |
342 |
$5K |
| 84443 |
|
493 |
422 |
$4K |
| S0164 |
Injection pantroprazole |
530 |
354 |
$4K |
| J2795 |
Ropivacaine hcl injection |
472 |
362 |
$4K |
| 76700 |
|
117 |
103 |
$4K |
| J8499 |
Oral prescrip drug non chemo |
2,773 |
1,347 |
$4K |
| 97161 |
|
201 |
158 |
$4K |
| 73562 |
|
260 |
244 |
$3K |
| 97597 |
|
190 |
130 |
$3K |
| J0330 |
Succinycholine chloride inj |
227 |
178 |
$3K |
| 77063 |
|
174 |
173 |
$3K |
| J2175 |
Meperidine hydrochl /100 mg |
416 |
338 |
$3K |
| J2710 |
Neostigmine methylslfte inj |
291 |
218 |
$3K |
| 90471 |
|
692 |
611 |
$3K |
| J7040 |
Normal saline solution infus |
846 |
649 |
$3K |
| 84702 |
|
623 |
526 |
$3K |
| 11042 |
|
935 |
413 |
$3K |
| J2930 |
Methylprednisolone injection |
297 |
235 |
$3K |
| 87426 |
|
128 |
104 |
$3K |
| 74018 |
|
279 |
263 |
$2K |
| J2060 |
Lorazepam injection |
581 |
412 |
$2K |
| 84100 |
|
984 |
811 |
$2K |
| 97110 |
|
84 |
40 |
$2K |
| 88304 |
|
415 |
334 |
$2K |
| 83036 |
|
275 |
218 |
$2K |
| 0011A |
|
40 |
40 |
$2K |
| 86901 |
|
807 |
685 |
$1K |
| J1644 |
Inj heparin sodium per 1000u |
313 |
165 |
$1K |
| J2550 |
Promethazine hcl injection |
259 |
217 |
$1K |
| 0250 |
|
1,068 |
756 |
$1K |
| 0012A |
|
32 |
32 |
$1K |
| G0463 |
Hospital outpt clinic visit |
38 |
24 |
$1K |
| 45385 |
|
89 |
80 |
$1K |
| 72131 |
|
12 |
12 |
$1K |
| 0272 |
|
578 |
430 |
$908.19 |
| A4217 |
Sterile water/saline, 500 ml |
165 |
143 |
$871.20 |
| J0500 |
Dicyclomine injection |
30 |
28 |
$662.08 |
| 82248 |
|
307 |
283 |
$652.27 |
| J0171 |
Adrenalin epinephrine inject |
21 |
12 |
$626.18 |
| 71250 |
|
14 |
12 |
$578.81 |
| 96367 |
|
20 |
12 |
$560.26 |
| 71010 |
|
83 |
77 |
$558.85 |
| 73080 |
|
38 |
38 |
$528.01 |
| 88307 |
|
19 |
14 |
$527.95 |
| 94760 |
|
82 |
47 |
$502.29 |
| 99070 |
|
112 |
80 |
$501.13 |
| J0360 |
Hydralazine hcl injection |
65 |
50 |
$498.15 |
| J2543 |
Piperacillin/tazobactam |
53 |
27 |
$484.28 |
| 29125 |
|
182 |
176 |
$473.99 |
| 87591 |
|
72 |
67 |
$452.00 |
| 87491 |
|
67 |
62 |
$450.00 |
| 86900 |
|
295 |
236 |
$448.43 |
| 90714 |
|
30 |
30 |
$448.20 |
| 80061 |
|
64 |
51 |
$427.76 |
| 36415 |
|
2,759 |
2,015 |
$385.37 |
| 12001 |
|
31 |
25 |
$355.41 |
| 45378 |
|
17 |
14 |
$350.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
119 |
100 |
$323.47 |
| 87075 |
|
78 |
71 |
$322.77 |
| J3370 |
Vancomycin hcl injection |
44 |
25 |
$290.88 |
| 87081 |
|
54 |
49 |
$247.19 |
| 72040 |
|
15 |
15 |
$199.75 |
| S0077 |
Injection, clindamycin phosp |
17 |
14 |
$191.18 |
| 73140 |
|
27 |
26 |
$174.81 |
| 0750 |
|
481 |
415 |
$146.17 |
| A4216 |
Sterile water/saline, 10 ml |
3,309 |
2,741 |
$135.57 |
| 82150 |
|
56 |
55 |
$131.04 |
| 71020 |
|
23 |
23 |
$124.85 |
| 83874 |
|
25 |
12 |
$122.34 |
| 85027 |
|
66 |
59 |
$111.29 |
| 82553 |
|
17 |
14 |
$106.68 |
| 10060 |
|
13 |
12 |
$104.48 |
| 99001 |
|
405 |
378 |
$99.66 |
| 99281 |
|
33 |
19 |
$99.20 |
| 87420 |
|
28 |
28 |
$94.45 |
| 86850 |
|
45 |
38 |
$64.88 |
| A9150 |
Misc/exper non-prescript dru |
1,363 |
813 |
$54.15 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
15 |
12 |
$52.30 |
| 82728 |
|
40 |
14 |
$46.83 |
| 0300 |
|
1,363 |
302 |
$34.58 |
| 88300 |
|
19 |
13 |
$31.50 |
| 29515 |
|
17 |
17 |
$31.20 |
| J1630 |
Haloperidol injection |
18 |
12 |
$2.97 |
| U0005 |
Infec agen detec ampli probe |
1,374 |
1,274 |
$0.50 |
| U0001 |
2019-ncov diagnostic p |
24 |
22 |
$0.12 |
| 0370 |
|
57 |
37 |
$0.00 |
| 0350 |
|
115 |
102 |
$0.00 |
| 0255 |
|
17 |
17 |
$0.00 |
| 0310 |
|
62 |
44 |
$0.00 |
| 0636 |
|
303 |
135 |
$0.00 |
| 0320 |
|
227 |
199 |
$0.00 |
| 0760 |
|
143 |
78 |
$0.00 |
| G9656 |
Pt trans from anest to pacu |
135 |
134 |
$0.00 |
| 0402 |
|
59 |
41 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
117 |
116 |
$0.00 |