| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
|
41,028 |
36,768 |
$1.36M |
| 0270 |
|
32,869 |
26,124 |
$376K |
| 99281 |
|
6,229 |
4,424 |
$353K |
| 70450 |
|
3,659 |
3,556 |
$310K |
| 96374 |
|
6,324 |
5,994 |
$215K |
| 99285 |
|
1,558 |
1,479 |
$199K |
| G0480 |
Drug test def 1-7 classes |
4,157 |
3,594 |
$192K |
| 74176 |
|
2,475 |
2,411 |
$168K |
| 80307 |
|
3,896 |
3,283 |
$153K |
| 87426 |
|
5,777 |
4,898 |
$152K |
| 93005 |
|
8,714 |
7,809 |
$146K |
| J3490 |
Drugs unclassified injection |
13,198 |
10,604 |
$130K |
| 0301 |
|
2,094 |
1,729 |
$115K |
| 99284 |
|
1,507 |
1,438 |
$112K |
| 80048 |
|
18,341 |
16,598 |
$99K |
| Z7502 |
|
2,402 |
2,324 |
$90K |
| 85025 |
|
19,448 |
17,646 |
$90K |
| 99199 |
|
1,856 |
1,733 |
$87K |
| 71045 |
|
9,501 |
9,090 |
$86K |
| C9803 |
Hopd covid-19 spec collect |
4,682 |
4,053 |
$83K |
| 96375 |
|
4,308 |
4,042 |
$81K |
| 96372 |
|
5,038 |
4,551 |
$79K |
| 72125 |
|
593 |
582 |
$67K |
| 80076 |
|
13,805 |
12,513 |
$67K |
| 99283 |
|
1,328 |
1,235 |
$66K |
| G0463 |
Hospital outpt clinic visit |
2,139 |
1,667 |
$63K |
| 96365 |
|
1,332 |
1,282 |
$57K |
| 96361 |
|
4,175 |
3,991 |
$51K |
| 0272 |
|
5,286 |
4,583 |
$41K |
| 96360 |
|
1,125 |
1,099 |
$41K |
| Z7610 |
|
2,471 |
1,609 |
$39K |
| 74177 |
|
312 |
306 |
$36K |
| 84484 |
|
5,917 |
5,349 |
$35K |
| U0003 |
Cov-19 amp prb hgh thruput |
508 |
492 |
$32K |
| 80143 |
|
2,726 |
2,305 |
$28K |
| 0250 |
|
5,507 |
4,175 |
$26K |
| 76856 |
|
646 |
617 |
$23K |
| J7030 |
Normal saline solution infus |
5,264 |
4,937 |
$22K |
| 83690 |
|
5,210 |
4,977 |
$20K |
| 83880 |
|
1,139 |
1,106 |
$16K |
| J1885 |
Ketorolac tromethamine inj |
4,041 |
3,881 |
$16K |
| 87086 |
|
3,694 |
3,536 |
$16K |
| 84703 |
|
3,854 |
3,690 |
$15K |
| J2405 |
Ondansetron hcl injection |
3,527 |
3,252 |
$13K |
| 81001 |
|
7,033 |
6,621 |
$13K |
| 76705 |
|
355 |
350 |
$12K |
| 94640 |
|
920 |
784 |
$11K |
| 85730 |
|
3,434 |
3,327 |
$11K |
| 90715 |
|
432 |
422 |
$10K |
| A9150 |
Misc/exper non-prescript dru |
2,401 |
2,222 |
$9K |
| 80305 |
|
1,065 |
946 |
$9K |
| 73564 |
|
500 |
442 |
$8K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,206 |
1,174 |
$8K |
| 87804 |
|
1,433 |
989 |
$7K |
| 73630 |
|
453 |
427 |
$6K |
| J2270 |
Morphine sulfate injection |
1,514 |
1,382 |
$6K |
| 99406 |
|
879 |
824 |
$6K |
| 84702 |
|
724 |
682 |
$6K |
| 73610 |
|
379 |
357 |
$6K |
| 80299 |
|
439 |
374 |
$5K |
| Q0162 |
Ondansetron oral |
454 |
441 |
$5K |
| 73030 |
|
306 |
290 |
$4K |
| 80053 |
|
741 |
720 |
$4K |
| 93971 |
|
64 |
63 |
$4K |
| 81000 |
|
2,149 |
1,994 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
689 |
622 |
$3K |
| 73130 |
|
216 |
204 |
$3K |
| 83605 |
|
545 |
492 |
$3K |
| J2060 |
Lorazepam injection |
752 |
701 |
$3K |
| A4606 |
Oxygen probe used w oximeter |
72 |
62 |
$3K |
| 87077 |
|
599 |
565 |
$3K |
| J7050 |
Normal saline solution infus |
871 |
847 |
$2K |
| 86403 |
|
343 |
336 |
$2K |
| 87186 |
|
526 |
491 |
$2K |
| 81003 |
|
1,721 |
1,643 |
$2K |
| 98960 |
|
92 |
86 |
$2K |
| 87040 |
|
429 |
342 |
$2K |
| A4649 |
Surgical supplies |
2,629 |
1,321 |
$2K |
| 82962 |
|
1,614 |
1,411 |
$2K |
| 87070 |
|
338 |
321 |
$2K |
| 0510 |
|
472 |
346 |
$2K |
| 90471 |
|
546 |
530 |
$2K |
| 70486 |
|
26 |
26 |
$2K |
| 0259 |
|
491 |
462 |
$2K |
| 72131 |
|
13 |
13 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
401 |
382 |
$1K |
| 0320 |
|
105 |
101 |
$1K |
| 84443 |
|
202 |
199 |
$1K |
| 87400 |
|
201 |
196 |
$1K |
| J1100 |
Dexamethasone sodium phos |
156 |
145 |
$1K |
| 36415 |
|
3,614 |
3,187 |
$1K |
| 96376 |
|
105 |
97 |
$1K |
| 83735 |
|
243 |
237 |
$755.19 |
| 73110 |
|
54 |
52 |
$738.07 |
| 87491 |
|
52 |
50 |
$693.79 |
| 29125 |
|
73 |
67 |
$668.28 |
| J7040 |
Normal saline solution infus |
205 |
196 |
$639.21 |
| 85378 |
|
156 |
152 |
$624.29 |
| 87591 |
|
39 |
38 |
$544.46 |
| 71046 |
|
43 |
41 |
$418.02 |
| J2001 |
Lidocaine injection |
112 |
102 |
$417.40 |
| J3590 |
Unclassified biologics |
88 |
86 |
$379.22 |
| 87420 |
|
73 |
73 |
$345.45 |
| J1170 |
Hydromorphone injection |
106 |
98 |
$332.59 |
| 0761 |
|
46 |
33 |
$323.08 |
| 85007 |
|
198 |
192 |
$265.84 |
| J7512 |
Prednisone ir or dr oral 1mg |
128 |
114 |
$249.46 |
| J2765 |
Metoclopramide hcl injection |
82 |
75 |
$232.19 |
| 0300 |
|
25 |
24 |
$135.66 |
| 0760 |
|
31 |
26 |
$129.49 |
| 80329 |
|
35 |
31 |
$102.90 |
| 87081 |
|
26 |
25 |
$101.63 |
| J7060 |
5% dextrose/water |
36 |
36 |
$84.99 |
| 0636 |
|
28 |
26 |
$79.70 |
| 86850 |
|
24 |
24 |
$68.20 |
| A6403 |
Sterile gauze>16 <= 48 sq in |
30 |
27 |
$58.77 |
| A6402 |
Sterile gauze <= 16 sq in |
56 |
51 |
$42.20 |
| 80061 |
|
12 |
12 |
$23.08 |
| 85652 |
|
27 |
27 |
$19.22 |
| 86140 |
|
12 |
12 |
$8.28 |
| Q0163 |
Diphenhydramine hcl 50mg |
13 |
12 |
$7.92 |
| J7611 |
Albuterol non-comp con |
17 |
15 |
$1.33 |
| S9445 |
Pt education noc individ |
2,133 |
1,231 |
$0.00 |
| 0258 |
|
14 |
14 |
$0.00 |
| 99072 |
|
15 |
15 |
$0.00 |