| Code | Description | Claims | Beneficiaries | Total Paid |
| 99281 |
|
5,915 |
5,276 |
$195K |
| 0450 |
|
6,180 |
5,529 |
$149K |
| 70450 |
|
1,625 |
1,569 |
$127K |
| 74176 |
|
1,250 |
1,207 |
$119K |
| 99284 |
|
1,434 |
1,366 |
$111K |
| 96374 |
|
2,652 |
2,478 |
$109K |
| G0481 |
Drug test def 8-14 classes |
987 |
941 |
$71K |
| J0131 |
Inj, acetaminophen (nos) |
488 |
474 |
$66K |
| 96375 |
|
2,049 |
1,906 |
$50K |
| 93005 |
|
3,322 |
3,099 |
$48K |
| 96365 |
|
900 |
874 |
$43K |
| 74177 |
|
202 |
199 |
$31K |
| 71045 |
|
4,314 |
4,105 |
$30K |
| 80053 |
|
6,012 |
5,554 |
$30K |
| 96372 |
|
1,388 |
1,315 |
$28K |
| 87811 |
|
1,840 |
1,794 |
$28K |
| C9803 |
Hopd covid-19 spec collect |
1,628 |
1,565 |
$25K |
| 96361 |
|
1,573 |
1,472 |
$24K |
| 0710 |
|
288 |
279 |
$24K |
| 85025 |
|
6,447 |
5,894 |
$23K |
| U0003 |
Cov-19 amp prb hgh thruput |
488 |
468 |
$23K |
| 0270 |
|
3,818 |
2,879 |
$20K |
| 99199 |
|
2,502 |
2,236 |
$18K |
| G0480 |
Drug test def 1-7 classes |
357 |
331 |
$16K |
| 84484 |
|
2,985 |
2,808 |
$14K |
| 83880 |
|
821 |
799 |
$14K |
| J7030 |
Normal saline solution infus |
2,086 |
1,917 |
$12K |
| 99283 |
|
122 |
102 |
$11K |
| 83690 |
|
2,510 |
2,333 |
$8K |
| 87804 |
|
794 |
773 |
$8K |
| 85730 |
|
2,604 |
2,475 |
$8K |
| 87086 |
|
1,856 |
1,793 |
$7K |
| J1885 |
Ketorolac tromethamine inj |
1,246 |
1,202 |
$6K |
| J2405 |
Ondansetron hcl injection |
1,768 |
1,643 |
$6K |
| 87040 |
|
747 |
693 |
$6K |
| 96360 |
|
144 |
141 |
$6K |
| 81000 |
|
3,537 |
3,327 |
$6K |
| 85610 |
|
2,665 |
2,519 |
$5K |
| 0360 |
|
188 |
176 |
$5K |
| J3490 |
Drugs unclassified injection |
4,927 |
3,824 |
$5K |
| 83605 |
|
899 |
850 |
$4K |
| 81025 |
|
1,862 |
1,783 |
$3K |
| J2270 |
Morphine sulfate injection |
611 |
550 |
$3K |
| 76700 |
|
80 |
77 |
$3K |
| 83735 |
|
643 |
628 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
200 |
197 |
$2K |
| 82150 |
|
568 |
523 |
$2K |
| 43239 |
|
24 |
24 |
$2K |
| 87428 |
|
202 |
201 |
$2K |
| 81002 |
|
1,140 |
1,091 |
$2K |
| 84703 |
|
378 |
361 |
$1K |
| 94640 |
|
104 |
88 |
$1K |
| 87635 |
|
51 |
47 |
$1K |
| 88305 |
|
68 |
66 |
$901.81 |
| 80048 |
|
233 |
221 |
$827.94 |
| J7040 |
Normal saline solution infus |
198 |
186 |
$766.48 |
| 82550 |
|
211 |
201 |
$686.69 |
| J1100 |
Dexamethasone sodium phos |
85 |
64 |
$501.51 |
| G2023 |
Specimen collect covid-19 |
28 |
26 |
$492.66 |
| 71046 |
|
36 |
36 |
$417.22 |
| 81015 |
|
273 |
264 |
$388.00 |
| 80076 |
|
116 |
112 |
$387.60 |
| J2765 |
Metoclopramide hcl injection |
168 |
163 |
$320.33 |
| 73562 |
|
26 |
25 |
$301.68 |
| J2250 |
Inj midazolam hydrochloride |
285 |
273 |
$267.15 |
| 94762 |
|
13 |
13 |
$254.40 |
| 0272 |
|
606 |
543 |
$209.59 |
| 87186 |
|
44 |
43 |
$206.04 |
| U0005 |
Infec agen detec ampli probe |
208 |
200 |
$200.00 |
| 85379 |
|
43 |
42 |
$179.47 |
| 87077 |
|
44 |
43 |
$169.80 |
| 82948 |
|
134 |
125 |
$164.89 |
| 73630 |
|
13 |
13 |
$156.96 |
| 93971 |
|
12 |
12 |
$137.83 |
| J3010 |
Fentanyl citrate injection |
198 |
192 |
$101.66 |
| J1200 |
Diphenhydramine hcl injectio |
34 |
30 |
$97.28 |
| 87280 |
|
12 |
12 |
$84.84 |
| J0690 |
Cefazolin sodium injection |
42 |
39 |
$73.56 |
| 86901 |
|
53 |
51 |
$72.89 |
| 36415 |
|
219 |
185 |
$29.85 |
| 86900 |
|
12 |
12 |
$20.92 |
| J7120 |
Ringers lactate infusion |
83 |
80 |
$20.75 |
| J2704 |
Inj, propofol, 10 mg |
53 |
51 |
$9.20 |
| 0637 |
|
88 |
71 |
$0.00 |