| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
|
22,812 |
20,819 |
$770K |
| 70450 |
|
3,713 |
3,622 |
$349K |
| 36415 |
|
10,102 |
9,286 |
$337K |
| 0270 |
|
3,729 |
3,349 |
$318K |
| 74176 |
|
2,440 |
2,357 |
$220K |
| G0480 |
Drug test def 1-7 classes |
5,029 |
4,781 |
$215K |
| 87635 |
|
6,253 |
5,966 |
$201K |
| 99281 |
|
2,165 |
1,890 |
$188K |
| 99284 |
|
1,837 |
1,740 |
$166K |
| 74177 |
|
786 |
768 |
$154K |
| 93005 |
|
8,159 |
7,563 |
$149K |
| 96374 |
|
3,965 |
3,812 |
$149K |
| 90853 |
|
55,295 |
5,730 |
$113K |
| 80053 |
|
16,506 |
15,407 |
$112K |
| Z7502 |
|
2,964 |
2,795 |
$109K |
| 96360 |
|
2,831 |
2,752 |
$104K |
| 71045 |
|
9,801 |
9,372 |
$91K |
| 85025 |
|
17,622 |
16,332 |
$88K |
| 96375 |
|
3,121 |
2,989 |
$88K |
| 72125 |
|
683 |
676 |
$75K |
| 0120 |
|
691 |
646 |
$72K |
| 96365 |
|
1,272 |
1,238 |
$66K |
| 0301 |
|
2,413 |
2,274 |
$58K |
| 84443 |
|
4,347 |
4,138 |
$56K |
| 84484 |
|
7,075 |
6,784 |
$44K |
| 96361 |
|
3,103 |
2,990 |
$43K |
| 99283 |
|
635 |
609 |
$42K |
| 0259 |
|
6,638 |
6,269 |
$41K |
| 99199 |
|
1,228 |
1,128 |
$40K |
| 72131 |
|
372 |
366 |
$39K |
| 96372 |
|
2,019 |
1,971 |
$38K |
| 0214 |
|
362 |
333 |
$35K |
| J7030 |
Normal saline solution infus |
4,401 |
4,120 |
$31K |
| 87040 |
|
2,658 |
2,583 |
$30K |
| 90840 |
|
13 |
13 |
$28K |
| 0002A |
|
730 |
730 |
$27K |
| 70486 |
|
282 |
278 |
$26K |
| J3490 |
Drugs unclassified injection |
3,768 |
2,526 |
$24K |
| 0001A |
|
692 |
692 |
$24K |
| 0121 |
|
80 |
77 |
$23K |
| 83605 |
|
2,610 |
2,529 |
$21K |
| J1885 |
Ketorolac tromethamine inj |
5,144 |
4,920 |
$18K |
| 81001 |
|
9,024 |
8,669 |
$17K |
| 85730 |
|
4,707 |
4,509 |
$16K |
| 83690 |
|
3,991 |
3,823 |
$16K |
| Q3014 |
Telehealth facility fee |
15,667 |
1,981 |
$16K |
| 83520 |
|
2,180 |
2,122 |
$14K |
| 90714 |
|
609 |
602 |
$14K |
| 71250 |
|
112 |
108 |
$13K |
| 80143 |
|
1,264 |
1,189 |
$13K |
| Z7610 |
|
1,000 |
936 |
$13K |
| 99285 |
|
62 |
58 |
$13K |
| 81025 |
|
3,377 |
3,258 |
$12K |
| 85610 |
|
5,022 |
4,794 |
$12K |
| 76700 |
|
247 |
243 |
$12K |
| 87086 |
|
2,583 |
2,527 |
$11K |
| 80179 |
|
1,122 |
1,055 |
$11K |
| 0300 |
|
1,344 |
1,253 |
$11K |
| 96379 |
|
2,426 |
2,118 |
$10K |
| 90839 |
|
48 |
45 |
$9K |
| 94640 |
|
598 |
565 |
$9K |
| 84703 |
|
1,369 |
1,308 |
$6K |
| 0278 |
|
460 |
447 |
$6K |
| J2405 |
Ondansetron hcl injection |
2,983 |
2,861 |
$6K |
| 83735 |
|
1,318 |
1,273 |
$5K |
| 82803 |
|
482 |
464 |
$5K |
| 85379 |
|
877 |
852 |
$5K |
| 93970 |
|
38 |
38 |
$5K |
| 86328 |
|
206 |
197 |
$5K |
| 83036 |
|
795 |
773 |
$4K |
| J2270 |
Morphine sulfate injection |
1,071 |
1,016 |
$4K |
| 87400 |
|
1,165 |
1,147 |
$4K |
| 90834 |
|
2,015 |
1,405 |
$4K |
| 80061 |
|
478 |
465 |
$4K |
| 87186 |
|
647 |
641 |
$4K |
| J0696 |
Ceftriaxone sodium injection |
1,065 |
1,041 |
$3K |
| 90471 |
|
709 |
699 |
$3K |
| 74178 |
|
30 |
29 |
$3K |
| 0250 |
|
2,019 |
1,898 |
$3K |
| 73562 |
|
197 |
178 |
$3K |
| 73130 |
|
133 |
127 |
$3K |
| 0004A |
|
63 |
63 |
$3K |
| 84436 |
|
607 |
595 |
$2K |
| 80048 |
|
546 |
502 |
$2K |
| 0636 |
|
1,142 |
1,099 |
$2K |
| 82140 |
|
252 |
248 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
508 |
483 |
$2K |
| 76856 |
|
27 |
26 |
$2K |
| 73030 |
|
99 |
93 |
$1K |
| 73630 |
|
91 |
85 |
$1K |
| 82306 |
|
62 |
61 |
$1K |
| 73610 |
|
67 |
65 |
$1K |
| 94761 |
|
545 |
523 |
$1K |
| J7050 |
Normal saline solution infus |
290 |
250 |
$1K |
| 80197 |
|
101 |
99 |
$1K |
| 0258 |
|
1,683 |
1,582 |
$782.43 |
| J1100 |
Dexamethasone sodium phos |
272 |
264 |
$772.22 |
| 90832 |
|
1,970 |
1,138 |
$697.54 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
637 |
622 |
$631.81 |
| 94645 |
|
54 |
48 |
$613.40 |
| 83615 |
|
162 |
157 |
$602.77 |
| 0324 |
|
496 |
463 |
$551.01 |
| 87420 |
|
127 |
125 |
$498.89 |
| 71046 |
|
28 |
28 |
$458.88 |
| J2250 |
Inj midazolam hydrochloride |
306 |
294 |
$453.92 |
| 96368 |
|
26 |
25 |
$416.24 |
| J3370 |
Vancomycin hcl injection |
112 |
105 |
$394.18 |
| 73110 |
|
15 |
15 |
$384.81 |
| J2060 |
Lorazepam injection |
114 |
112 |
$355.31 |
| 0305 |
|
1,287 |
1,204 |
$336.33 |
| J2930 |
Methylprednisolone injection |
78 |
74 |
$297.24 |
| 86141 |
|
48 |
45 |
$294.78 |
| 87811 |
|
13 |
13 |
$289.66 |
| 0306 |
|
743 |
702 |
$252.10 |
| 82550 |
|
79 |
79 |
$245.91 |
| 87806 |
|
13 |
13 |
$209.68 |
| 80320 |
|
109 |
106 |
$194.25 |
| 82553 |
|
30 |
29 |
$193.75 |
| 82150 |
|
67 |
64 |
$187.19 |
| C9113 |
Inj pantoprazole sodium, via |
83 |
82 |
$159.05 |
| J0290 |
Ampicillin 500 mg inj |
276 |
270 |
$149.13 |
| J0360 |
Hydralazine hcl injection |
29 |
28 |
$143.56 |
| A4649 |
Surgical supplies |
145 |
121 |
$127.84 |
| 83874 |
|
14 |
14 |
$120.21 |
| J2919 |
Inj, methylpred sod succ 5mg |
28 |
28 |
$104.94 |
| 82728 |
|
13 |
13 |
$95.94 |
| 86803 |
|
13 |
13 |
$95.62 |
| 87070 |
|
39 |
38 |
$75.00 |
| 74018 |
|
12 |
12 |
$67.00 |
| J2765 |
Metoclopramide hcl injection |
72 |
70 |
$64.09 |
| J1630 |
Haloperidol injection |
12 |
12 |
$63.72 |
| J1170 |
Hydromorphone injection |
37 |
36 |
$50.90 |
| 0307 |
|
343 |
326 |
$41.08 |
| 86592 |
|
15 |
15 |
$28.46 |
| 0710 |
|
895 |
862 |
$26.13 |
| 96376 |
|
28 |
28 |
$16.91 |
| J0690 |
Cefazolin sodium injection |
13 |
13 |
$16.40 |
| J2543 |
Piperacillin/tazobactam |
12 |
12 |
$11.65 |
| J3010 |
Fentanyl citrate injection |
269 |
264 |
$6.08 |
| 0272 |
|
239 |
232 |
$0.00 |
| 0480 |
|
89 |
85 |
$0.00 |
| C7901 |
Hopd mntl hlt, 30-60 min |
3,573 |
459 |
$0.00 |
| 0252 |
|
22 |
20 |
$0.00 |
| 90837 |
|
70 |
50 |
$0.00 |
| 0360 |
|
588 |
463 |
$0.00 |
| 0730 |
|
308 |
289 |
$0.00 |
| 90863 |
|
212 |
87 |
$0.00 |
| 0320 |
|
107 |
104 |
$0.00 |
| 0402 |
|
103 |
97 |
$0.00 |
| 0424 |
|
193 |
186 |
$0.00 |
| 0302 |
|
155 |
150 |
$0.00 |
| 0921 |
|
47 |
45 |
$0.00 |
| G0177 |
Opps/php/iop; train & educ |
60 |
25 |
$0.00 |
| 0410 |
|
125 |
118 |
$0.00 |
| 0370 |
|
696 |
576 |
$0.00 |
| S9445 |
Pt education noc individ |
164 |
128 |
$0.00 |
| 0915R |
|
219 |
27 |
$0.00 |
| 0352 |
|
45 |
43 |
$0.00 |
| 94760 |
|
14 |
14 |
$0.00 |