| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
88,239 |
77,210 |
$3.12M |
| 99070 |
|
21,889 |
15,786 |
$2.17M |
| J3490 |
Drugs unclassified injection |
9,820 |
7,743 |
$1.60M |
| 0241U |
|
9,438 |
9,256 |
$1.55M |
| 0202U |
|
2,196 |
2,170 |
$1.54M |
| 96374 |
|
12,116 |
11,179 |
$1.49M |
| 74177 |
|
2,952 |
2,880 |
$1.18M |
| 93005 |
|
28,921 |
26,742 |
$972K |
| 80053 |
|
48,741 |
44,785 |
$860K |
| 74176 |
|
4,379 |
4,292 |
$846K |
| 70450 |
|
6,036 |
5,846 |
$824K |
| 96375 |
|
8,661 |
7,629 |
$685K |
| 96372 |
|
12,289 |
10,876 |
$646K |
| 85025 |
|
55,703 |
50,233 |
$619K |
| 96361 |
|
9,314 |
8,636 |
$601K |
| 80307 |
|
4,836 |
4,506 |
$515K |
| 96365 |
|
3,298 |
3,002 |
$465K |
| 0450 |
|
10,527 |
9,503 |
$436K |
| 77067 |
|
1,973 |
1,966 |
$417K |
| U0003 |
Cov-19 amp prb hgh thruput |
5,519 |
5,295 |
$405K |
| G0378 |
Hospital observation per hr |
491 |
340 |
$392K |
| 96360 |
|
3,056 |
2,935 |
$382K |
| 84484 |
|
19,698 |
15,919 |
$346K |
| 71045 |
|
13,634 |
12,925 |
$322K |
| 87502 |
|
2,000 |
1,827 |
$319K |
| J7030 |
Normal saline solution infus |
20,792 |
11,160 |
$229K |
| 87426 |
|
3,287 |
3,176 |
$222K |
| 83880 |
|
3,896 |
3,664 |
$207K |
| 71046 |
|
3,964 |
3,868 |
$181K |
| Z7502 |
|
4,698 |
4,455 |
$170K |
| 99199 |
|
2,994 |
2,888 |
$148K |
| 94640 |
|
4,588 |
4,154 |
$145K |
| 83690 |
|
11,158 |
10,461 |
$131K |
| 76700 |
|
1,120 |
1,112 |
$119K |
| 96413 |
|
1,477 |
844 |
$116K |
| 87040 |
|
4,508 |
3,568 |
$112K |
| 99231 |
|
4,279 |
3,406 |
$103K |
| 80306 |
|
3,439 |
3,263 |
$103K |
| J1100 |
Dexamethasone sodium phos |
3,194 |
2,895 |
$93K |
| 72125 |
|
711 |
707 |
$90K |
| 88342 |
|
1,421 |
1,391 |
$89K |
| J2405 |
Ondansetron hcl injection |
6,405 |
5,843 |
$84K |
| 88305 |
|
3,054 |
2,732 |
$80K |
| J1885 |
Ketorolac tromethamine inj |
8,522 |
8,033 |
$75K |
| 78815 |
|
35 |
35 |
$74K |
| 87088 |
|
6,266 |
6,039 |
$74K |
| 93971 |
|
518 |
512 |
$71K |
| 83605 |
|
3,930 |
3,631 |
$68K |
| 87491 |
|
1,220 |
1,189 |
$67K |
| 80048 |
|
4,222 |
3,897 |
$66K |
| 77063 |
|
1,363 |
1,361 |
$65K |
| 99283 |
|
815 |
757 |
$64K |
| 87591 |
|
1,208 |
1,180 |
$64K |
| 0250 |
|
1,830 |
1,718 |
$61K |
| 71275 |
|
184 |
183 |
$61K |
| 73562 |
|
1,734 |
1,610 |
$55K |
| 84703 |
|
4,168 |
3,967 |
$53K |
| 99281 |
|
1,180 |
1,070 |
$53K |
| 87798 |
|
773 |
701 |
$53K |
| G0108 |
Diab manage trn per indiv |
876 |
684 |
$50K |
| 0270 |
|
2,600 |
1,993 |
$50K |
| 81003 |
|
13,830 |
13,192 |
$48K |
| 96367 |
|
662 |
508 |
$48K |
| 82962 |
|
7,925 |
5,533 |
$47K |
| 87430 |
|
2,687 |
2,642 |
$47K |
| 81015 |
|
8,853 |
8,520 |
$46K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,078 |
4,829 |
$46K |
| 71260 |
|
246 |
245 |
$44K |
| G0480 |
Drug test def 1-7 classes |
702 |
667 |
$43K |
| J0696 |
Ceftriaxone sodium injection |
3,439 |
3,145 |
$42K |
| 73030 |
|
1,172 |
1,144 |
$40K |
| 70496 |
|
133 |
131 |
$40K |
| 71250 |
|
384 |
382 |
$39K |
| 0258 |
|
3,205 |
1,170 |
$37K |
| 70498 |
|
153 |
151 |
$37K |
| 73630 |
|
1,105 |
1,076 |
$37K |
| 76856 |
|
374 |
364 |
$37K |
| 72131 |
|
332 |
331 |
$36K |
| J2270 |
Morphine sulfate injection |
4,479 |
3,981 |
$33K |
| 74018 |
|
900 |
880 |
$33K |
| C9803 |
Hopd covid-19 spec collect |
1,587 |
1,519 |
$32K |
| 81001 |
|
5,608 |
5,423 |
$32K |
| 97140 |
|
484 |
169 |
$30K |
| 87081 |
|
2,478 |
2,435 |
$30K |
| 85379 |
|
1,653 |
1,613 |
$30K |
| 73610 |
|
802 |
785 |
$29K |
| 72100 |
|
706 |
700 |
$29K |
| 80047 |
|
1,253 |
1,217 |
$29K |
| 99291 |
|
57 |
56 |
$27K |
| 85610 |
|
4,126 |
3,910 |
$26K |
| 90715 |
|
396 |
394 |
$25K |
| 96366 |
|
312 |
259 |
$25K |
| 85730 |
|
2,539 |
2,451 |
$25K |
| 84443 |
|
1,065 |
1,039 |
$24K |
| 87186 |
|
1,615 |
1,523 |
$23K |
| 76830 |
|
231 |
228 |
$21K |
| 76705 |
|
263 |
256 |
$21K |
| 99218 |
|
520 |
263 |
$21K |
| U0002 |
Covid-19 lab test non-cdc |
399 |
392 |
$20K |
| 84702 |
|
728 |
618 |
$20K |
| J1815 |
Insulin injection |
1,624 |
885 |
$19K |
| 76770 |
|
239 |
239 |
$18K |
| 81025 |
|
2,432 |
2,368 |
$17K |
| 83735 |
|
1,589 |
1,459 |
$17K |
| 76801 |
|
138 |
133 |
$16K |
| 83036 |
|
1,226 |
1,200 |
$16K |
| 77080 |
|
141 |
141 |
$15K |
| 11042 |
|
710 |
493 |
$14K |
| 87635 |
|
243 |
223 |
$14K |
| 87631 |
|
100 |
92 |
$13K |
| 73502 |
|
371 |
367 |
$13K |
| J2919 |
Inj, methylpred sod succ 5mg |
145 |
140 |
$13K |
| 73130 |
|
350 |
339 |
$13K |
| 76805 |
|
84 |
83 |
$12K |
| 87077 |
|
1,028 |
959 |
$12K |
| 70486 |
|
97 |
97 |
$11K |
| 76817 |
|
100 |
87 |
$11K |
| 86900 |
|
1,925 |
1,710 |
$11K |
| J1200 |
Diphenhydramine hcl injectio |
2,174 |
1,862 |
$11K |
| 73110 |
|
276 |
274 |
$10K |
| J2765 |
Metoclopramide hcl injection |
1,920 |
1,788 |
$10K |
| 77065 |
Tomosynthesis, mammo |
57 |
55 |
$9K |
| 96523 |
|
181 |
146 |
$9K |
| 86901 |
|
1,925 |
1,711 |
$9K |
| 76815 |
|
94 |
91 |
$9K |
| J1644 |
Inj heparin sodium per 1000u |
494 |
246 |
$8K |
| 94644 |
|
209 |
200 |
$8K |
| 99221 |
|
219 |
108 |
$8K |
| 93970 |
|
51 |
49 |
$8K |
| J2060 |
Lorazepam injection |
1,454 |
1,321 |
$8K |
| 93798 |
|
130 |
24 |
$7K |
| 84439 |
|
522 |
509 |
$6K |
| 87641 |
|
207 |
181 |
$6K |
| 82553 |
|
309 |
274 |
$6K |
| 72110 |
|
101 |
101 |
$6K |
| 71020 |
|
141 |
110 |
$5K |
| 99285 |
|
12 |
12 |
$5K |
| A9552 |
F18 fdg |
31 |
31 |
$5K |
| 73080 |
|
150 |
148 |
$5K |
| 94060 |
|
40 |
40 |
$5K |
| 93010 |
|
256 |
188 |
$5K |
| 86850 |
|
1,064 |
904 |
$5K |
| J2003 |
Inj, lidocaine hcl, 1 mg |
170 |
47 |
$5K |
| J2930 |
Methylprednisolone injection |
434 |
406 |
$4K |
| G0279 |
Tomosynthesis, mammo |
235 |
235 |
$4K |
| 82805 |
|
91 |
90 |
$4K |
| T1999 |
Noc retail items andsupplies |
83 |
72 |
$4K |
| J1170 |
Hydromorphone injection |
443 |
392 |
$4K |
| 77336 |
|
41 |
14 |
$3K |
| 90471 |
|
446 |
431 |
$3K |
| 97530 |
|
203 |
133 |
$3K |
| 76604 |
|
32 |
31 |
$3K |
| 72040 |
|
81 |
81 |
$3K |
| 97016 |
|
221 |
88 |
$3K |
| Z7610 |
|
201 |
184 |
$2K |
| 86140 |
|
376 |
364 |
$2K |
| 76811 |
|
13 |
13 |
$2K |
| G0202 |
Scr mammo bi incl cad |
18 |
18 |
$2K |
| 97110 |
|
200 |
117 |
$2K |
| 71101 |
|
54 |
54 |
$2K |
| 84145 |
|
56 |
54 |
$2K |
| J1453 |
Fosaprepitant injection |
28 |
12 |
$2K |
| 36415 |
|
1,243 |
1,165 |
$1K |
| 76641 |
|
14 |
14 |
$1K |
| J1940 |
Furosemide injection |
220 |
166 |
$1K |
| 99282 |
|
33 |
33 |
$1K |
| J0131 |
Inj, acetaminophen (nos) |
24 |
12 |
$1K |
| 73140 |
|
39 |
38 |
$1K |
| 97116 |
|
133 |
112 |
$1K |
| 82247 |
|
171 |
155 |
$1K |
| 94729 |
|
26 |
26 |
$956.31 |
| 76536 |
|
15 |
15 |
$936.32 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
67 |
46 |
$803.20 |
| 76870 |
|
15 |
14 |
$747.85 |
| G0463 |
Hospital outpt clinic visit |
172 |
161 |
$740.91 |
| 82550 |
|
78 |
75 |
$716.23 |
| J3475 |
Inj magnesium sulfate |
47 |
38 |
$700.13 |
| 73590 |
|
13 |
13 |
$690.89 |
| 85652 |
|
192 |
182 |
$648.19 |
| 82310 |
|
112 |
112 |
$527.00 |
| 80061 |
|
53 |
51 |
$500.29 |
| 91200 |
|
12 |
12 |
$489.83 |
| 73564 |
|
12 |
12 |
$475.48 |
| J0500 |
Dicyclomine injection |
12 |
12 |
$420.80 |
| 82330 |
|
14 |
13 |
$388.92 |
| 80051 |
|
39 |
39 |
$387.23 |
| 82803 |
|
14 |
13 |
$376.60 |
| J2550 |
Promethazine hcl injection |
55 |
53 |
$366.56 |
| 87389 |
|
12 |
12 |
$351.37 |
| 82947 |
|
71 |
69 |
$334.16 |
| J1630 |
Haloperidol injection |
60 |
56 |
$324.32 |
| 73560 |
|
16 |
16 |
$281.61 |
| J0360 |
Hydralazine hcl injection |
47 |
42 |
$272.76 |
| 82565 |
|
56 |
56 |
$253.12 |
| 82010 |
|
26 |
25 |
$249.98 |
| 86308 |
|
28 |
28 |
$249.05 |
| J0780 |
Prochlorperazine injection |
28 |
28 |
$202.45 |
| 84460 |
|
40 |
40 |
$160.12 |
| 84450 |
|
40 |
40 |
$154.27 |
| 84075 |
|
40 |
40 |
$145.05 |
| 84132 |
|
15 |
14 |
$124.96 |
| 84520 |
|
40 |
40 |
$113.55 |
| 84295 |
|
14 |
13 |
$111.58 |
| 85027 |
|
16 |
12 |
$89.94 |
| 87210 |
|
12 |
12 |
$88.88 |
| 87070 |
|
12 |
12 |
$85.25 |
| 82009 |
|
12 |
12 |
$72.08 |
| 85014 |
|
14 |
13 |
$68.32 |
| 87205 |
|
13 |
13 |
$39.25 |
| J7613 |
Albuterol non-comp unit |
209 |
193 |
$33.08 |
| J3010 |
Fentanyl citrate injection |
12 |
12 |
$27.15 |
| C1751 |
Cath, inf, per/cent/midline |
20 |
12 |
$23.64 |
| 0270R |
|
346 |
230 |
$0.00 |
| 0258R |
|
15 |
14 |
$0.00 |
| 0250R |
|
254 |
243 |
$0.00 |