| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
39,482 |
36,780 |
$6.94M |
| 99284 |
|
8,205 |
7,803 |
$4.05M |
| 74176 |
|
2,057 |
2,031 |
$516K |
| 0270 |
|
38,678 |
24,871 |
$512K |
| 70450 |
|
2,047 |
2,001 |
$351K |
| J3490 |
Drugs unclassified injection |
34,528 |
17,157 |
$325K |
| 0360 |
|
2,979 |
2,070 |
$320K |
| 99281 |
|
3,778 |
3,439 |
$235K |
| 80053 |
|
20,822 |
19,588 |
$226K |
| 99199 |
|
4,431 |
4,013 |
$191K |
| 93458 |
|
194 |
188 |
$187K |
| 96374 |
|
6,537 |
6,299 |
$184K |
| 93005 |
|
12,826 |
12,069 |
$176K |
| S3620 |
Newborn metabolic screening |
1,125 |
958 |
$166K |
| 99285 |
|
492 |
470 |
$158K |
| 0710 |
|
3,711 |
3,613 |
$158K |
| U0003 |
Cov-19 amp prb hgh thruput |
5,144 |
4,799 |
$152K |
| Z7502 |
|
3,832 |
3,773 |
$136K |
| 71045 |
|
12,725 |
12,261 |
$126K |
| 0250 |
|
6,946 |
4,002 |
$115K |
| C9803 |
Hopd covid-19 spec collect |
4,822 |
4,426 |
$111K |
| 99283 |
|
1,347 |
1,284 |
$110K |
| 85025 |
|
23,207 |
21,257 |
$106K |
| 76815 |
|
1,535 |
1,401 |
$103K |
| 96375 |
|
4,485 |
4,204 |
$91K |
| 0160 |
|
557 |
454 |
$89K |
| 96372 |
|
6,186 |
6,011 |
$87K |
| 81001 |
|
14,788 |
14,114 |
$85K |
| 97139 |
|
4,106 |
1,287 |
$72K |
| J2704 |
Inj, propofol, 10 mg |
1,228 |
1,065 |
$69K |
| 84484 |
|
8,867 |
8,281 |
$67K |
| 97110 |
|
5,756 |
1,526 |
$60K |
| 85730 |
|
8,725 |
8,374 |
$60K |
| Z7610 |
|
4,236 |
3,260 |
$60K |
| 87811 |
|
2,581 |
2,521 |
$58K |
| G0378 |
Hospital observation per hr |
149 |
113 |
$51K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,746 |
1,605 |
$50K |
| J7030 |
Normal saline solution infus |
8,548 |
6,853 |
$48K |
| 87635 |
|
1,395 |
1,366 |
$45K |
| 96365 |
|
1,159 |
1,132 |
$41K |
| 85610 |
|
8,829 |
8,445 |
$40K |
| G0480 |
Drug test def 1-7 classes |
1,020 |
964 |
$40K |
| 0272 |
|
4,367 |
3,304 |
$39K |
| 76705 |
|
1,303 |
1,280 |
$39K |
| 96361 |
|
3,091 |
3,001 |
$35K |
| 81025 |
|
6,898 |
6,643 |
$32K |
| 83880 |
|
3,144 |
3,022 |
$31K |
| A4217 |
Sterile water/saline, 500 ml |
3,897 |
3,214 |
$31K |
| 83690 |
|
6,726 |
6,472 |
$30K |
| 87086 |
|
3,521 |
3,428 |
$30K |
| 0762 |
|
262 |
204 |
$28K |
| J2405 |
Ondansetron hcl injection |
4,738 |
4,540 |
$27K |
| 97799 |
|
1,903 |
617 |
$26K |
| Z9725 |
|
599 |
594 |
$26K |
| J7120 |
Ringers lactate infusion |
1,861 |
1,649 |
$25K |
| 87804 |
|
2,958 |
2,897 |
$25K |
| J1885 |
Ketorolac tromethamine inj |
4,810 |
4,625 |
$23K |
| 80306 |
|
1,663 |
1,612 |
$23K |
| 45380 |
|
246 |
228 |
$23K |
| J0131 |
Inj, acetaminophen (nos) |
260 |
249 |
$23K |
| 76856 |
|
660 |
655 |
$22K |
| J0696 |
Ceftriaxone sodium injection |
2,548 |
2,398 |
$22K |
| 80048 |
|
3,446 |
3,130 |
$20K |
| 97163 |
|
306 |
305 |
$20K |
| J1100 |
Dexamethasone sodium phos |
1,719 |
1,635 |
$18K |
| 96360 |
|
639 |
625 |
$18K |
| 76700 |
|
246 |
239 |
$17K |
| 87040 |
|
1,496 |
1,459 |
$17K |
| J0690 |
Cefazolin sodium injection |
1,434 |
1,275 |
$17K |
| 78454 |
|
239 |
221 |
$17K |
| 74177 |
|
65 |
62 |
$16K |
| 88305 |
|
1,026 |
1,002 |
$16K |
| 90715 |
|
697 |
694 |
$15K |
| 71046 |
|
976 |
963 |
$14K |
| 86900 |
|
1,967 |
1,862 |
$12K |
| 82550 |
|
2,345 |
2,253 |
$12K |
| J2270 |
Morphine sulfate injection |
2,869 |
2,561 |
$12K |
| 0459 |
|
154 |
131 |
$11K |
| 84702 |
|
1,311 |
1,178 |
$11K |
| 94640 |
|
904 |
833 |
$10K |
| 97161 |
|
296 |
280 |
$9K |
| A4649 |
Surgical supplies |
1,745 |
805 |
$9K |
| 74018 |
|
599 |
592 |
$9K |
| J3010 |
Fentanyl citrate injection |
3,083 |
2,978 |
$9K |
| 83605 |
|
1,606 |
1,532 |
$9K |
| 86901 |
|
2,010 |
1,899 |
$9K |
| 83735 |
|
2,464 |
2,301 |
$8K |
| J2250 |
Inj midazolam hydrochloride |
2,355 |
2,308 |
$8K |
| 76805 |
|
158 |
146 |
$8K |
| 45378 |
|
104 |
104 |
$8K |
| 93971 |
|
126 |
119 |
$8K |
| 86886 |
|
1,205 |
1,161 |
$7K |
| 85027 |
|
1,850 |
1,728 |
$7K |
| 82948 |
|
2,319 |
1,897 |
$7K |
| 43239 |
|
122 |
101 |
$7K |
| 73564 |
|
218 |
216 |
$5K |
| 85007 |
|
1,762 |
1,650 |
$5K |
| J7042 |
5% dextrose/normal saline |
530 |
508 |
$5K |
| A9502 |
Tc99m tetrofosmin |
138 |
136 |
$4K |
| 73630 |
|
299 |
294 |
$4K |
| 73610 |
|
235 |
233 |
$4K |
| 73130 |
|
226 |
223 |
$4K |
| 73030 |
|
252 |
250 |
$4K |
| 80307 |
|
129 |
126 |
$4K |
| 87070 |
|
247 |
245 |
$4K |
| 82150 |
|
788 |
772 |
$4K |
| 0750 |
|
13 |
12 |
$4K |
| 84703 |
|
1,033 |
1,011 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
286 |
191 |
$3K |
| 36415 |
|
1,327 |
1,154 |
$3K |
| 87186 |
|
346 |
340 |
$3K |
| U0002 |
Covid-19 lab test non-cdc |
127 |
119 |
$3K |
| 83520 |
|
329 |
322 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
838 |
802 |
$3K |
| 0300 |
|
122 |
109 |
$3K |
| 84443 |
|
416 |
406 |
$3K |
| 90471 |
|
672 |
667 |
$2K |
| 80061 |
|
674 |
634 |
$2K |
| J7050 |
Normal saline solution infus |
513 |
464 |
$2K |
| 93017 |
|
154 |
152 |
$2K |
| 87420 |
|
295 |
293 |
$2K |
| 94664 |
|
288 |
275 |
$2K |
| 88313 |
|
71 |
67 |
$2K |
| 99070 |
|
348 |
175 |
$2K |
| J0780 |
Prochlorperazine injection |
294 |
286 |
$1K |
| J7121 |
5% dextrose in lac ringers |
190 |
170 |
$1K |
| 81002 |
|
988 |
950 |
$1K |
| 76817 |
|
48 |
38 |
$1K |
| 88312 |
|
46 |
42 |
$939.45 |
| 99221 |
|
54 |
49 |
$928.69 |
| J2785 |
Regadenoson injection |
95 |
94 |
$806.76 |
| J2765 |
Metoclopramide hcl injection |
237 |
230 |
$782.38 |
| 88304 |
|
134 |
129 |
$756.10 |
| 85379 |
|
159 |
155 |
$750.92 |
| J0330 |
Succinycholine chloride inj |
50 |
50 |
$704.18 |
| J2060 |
Lorazepam injection |
177 |
163 |
$685.29 |
| J0153 |
Adenosine inj 1mg |
28 |
26 |
$646.68 |
| 71010 |
|
50 |
28 |
$640.27 |
| 87430 |
|
98 |
98 |
$627.07 |
| J7040 |
Normal saline solution infus |
298 |
291 |
$616.38 |
| G0463 |
Hospital outpt clinic visit |
38 |
30 |
$574.01 |
| 99152 |
|
24 |
24 |
$559.80 |
| 73110 |
|
41 |
41 |
$474.24 |
| 76830 |
|
26 |
26 |
$460.75 |
| 72100 |
|
15 |
14 |
$458.45 |
| 0320 |
|
91 |
88 |
$432.53 |
| 97140 |
|
98 |
25 |
$413.36 |
| 97165 |
|
30 |
29 |
$382.72 |
| S0164 |
Injection pantroprazole |
79 |
70 |
$332.14 |
| 86920 |
|
29 |
26 |
$311.75 |
| 87081 |
|
86 |
72 |
$276.47 |
| 93306 |
|
29 |
27 |
$235.86 |
| 99153 |
Mod sedat endo service >5yrs |
32 |
28 |
$232.03 |
| 99282 |
|
14 |
14 |
$204.35 |
| 96366 |
|
15 |
13 |
$200.15 |
| J3370 |
Vancomycin hcl injection |
31 |
29 |
$186.33 |
| 84145 |
|
28 |
28 |
$162.60 |
| 86140 |
|
30 |
30 |
$154.96 |
| S0077 |
Injection, clindamycin phosp |
13 |
13 |
$148.75 |
| 0636 |
|
44 |
38 |
$140.85 |
| 12001 |
|
13 |
13 |
$109.03 |
| 83036 |
|
52 |
48 |
$99.94 |
| J1170 |
Hydromorphone injection |
47 |
41 |
$86.72 |
| 82553 |
|
22 |
20 |
$83.89 |
| 94150 |
|
12 |
12 |
$83.50 |
| 73140 |
|
12 |
12 |
$59.04 |
| J2930 |
Methylprednisolone injection |
13 |
13 |
$57.36 |
| J2470 |
Inj pantoprazole sodium 40mg |
30 |
28 |
$53.15 |
| 94200 |
|
12 |
12 |
$30.70 |
| 94729 |
|
12 |
12 |
$27.80 |
| 94726 |
|
12 |
12 |
$23.10 |
| 85651 |
|
30 |
28 |
$21.68 |
| 94760 |
|
12 |
12 |
$14.43 |
| 99072 |
|
106 |
42 |
$0.00 |
| 29799 |
|
12 |
12 |
$0.00 |
| S9445 |
Pt education noc individ |
28 |
17 |
$0.00 |
| 43264 |
|
12 |
12 |
$0.00 |