| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
45,618 |
37,891 |
$3.07M |
| 99283 |
|
37,101 |
32,061 |
$2.07M |
| 70450 |
|
4,870 |
4,692 |
$757K |
| 96374 |
|
11,368 |
10,458 |
$704K |
| Z7502 |
|
19,174 |
18,604 |
$700K |
| 74177 |
|
2,863 |
2,784 |
$608K |
| 80053 |
|
32,460 |
29,254 |
$532K |
| 96372 |
|
13,251 |
12,251 |
$414K |
| 96375 |
|
9,173 |
8,400 |
$394K |
| 74176 |
|
3,548 |
3,434 |
$383K |
| 99284 |
|
3,591 |
3,330 |
$376K |
| 85025 |
|
34,068 |
30,510 |
$360K |
| 96365 |
|
4,622 |
4,367 |
$349K |
| 93005 |
|
11,392 |
10,215 |
$335K |
| 96361 |
|
9,355 |
8,702 |
$320K |
| 87635 |
|
5,626 |
5,475 |
$289K |
| 99070 |
|
48,463 |
24,181 |
$282K |
| 72125 |
|
1,369 |
1,344 |
$279K |
| 80307 |
|
6,006 |
5,492 |
$237K |
| 99285 |
|
2,836 |
2,593 |
$235K |
| Z7610 |
|
14,252 |
8,178 |
$194K |
| 71046 |
|
7,457 |
7,240 |
$188K |
| 76805 |
|
2,037 |
1,897 |
$179K |
| 96360 |
|
2,723 |
2,610 |
$167K |
| 71045 |
|
9,472 |
8,867 |
$126K |
| 84484 |
|
8,538 |
7,031 |
$120K |
| 87634 |
|
1,785 |
1,748 |
$115K |
| 94640 |
|
5,070 |
4,507 |
$106K |
| 80306 |
|
6,612 |
6,188 |
$103K |
| 87811 |
|
2,608 |
2,548 |
$102K |
| 87400 |
|
16,008 |
8,311 |
$91K |
| 77067 |
|
830 |
819 |
$91K |
| 83690 |
|
8,915 |
8,250 |
$89K |
| 76856 |
|
1,382 |
1,358 |
$89K |
| 99499 |
|
1,729 |
1,518 |
$82K |
| 96366 |
|
1,674 |
1,603 |
$79K |
| 81025 |
|
9,714 |
9,193 |
$78K |
| 83880 |
|
3,577 |
3,290 |
$78K |
| 59025 |
|
3,614 |
1,620 |
$76K |
| 81001 |
|
14,179 |
13,225 |
$70K |
| G0463 |
Hospital outpt clinic visit |
2,211 |
1,143 |
$69K |
| J3490 |
Drugs unclassified injection |
19,837 |
9,929 |
$67K |
| 87651 |
|
1,068 |
1,055 |
$66K |
| 87040 |
|
3,641 |
2,376 |
$66K |
| 87430 |
|
3,917 |
3,834 |
$61K |
| 87070 |
|
3,697 |
3,589 |
$54K |
| 84702 |
|
2,474 |
2,101 |
$50K |
| 81003 |
|
15,057 |
14,182 |
$49K |
| J7030 |
Normal saline solution infus |
10,839 |
9,516 |
$48K |
| 72131 |
|
251 |
250 |
$45K |
| 84703 |
|
3,937 |
3,785 |
$44K |
| C9803 |
Hopd covid-19 spec collect |
1,958 |
1,911 |
$43K |
| 87186 |
|
2,992 |
2,851 |
$43K |
| 87086 |
|
4,451 |
4,204 |
$42K |
| 0761 |
|
1,155 |
735 |
$41K |
| 73630 |
|
1,493 |
1,458 |
$41K |
| 70486 |
|
239 |
239 |
$41K |
| 99221 |
|
253 |
245 |
$40K |
| 93971 |
|
405 |
396 |
$40K |
| U0003 |
Cov-19 amp prb hgh thruput |
423 |
410 |
$40K |
| 82962 |
|
7,070 |
5,564 |
$39K |
| 87426 |
|
1,064 |
1,019 |
$39K |
| 73130 |
|
1,359 |
1,326 |
$37K |
| 83605 |
|
2,280 |
1,986 |
$36K |
| 76705 |
|
668 |
661 |
$35K |
| 90715 |
|
938 |
923 |
$33K |
| 73610 |
|
1,177 |
1,151 |
$33K |
| 73030 |
|
1,195 |
1,151 |
$33K |
| 73562 |
|
1,168 |
1,150 |
$30K |
| 74018 |
|
1,564 |
1,520 |
$29K |
| 71250 |
|
180 |
179 |
$27K |
| 80048 |
|
1,340 |
1,262 |
$24K |
| 74022 |
|
534 |
510 |
$23K |
| 85670 |
|
3,068 |
2,940 |
$23K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,081 |
2,002 |
$22K |
| 73110 |
|
747 |
720 |
$21K |
| 84443 |
|
881 |
856 |
$21K |
| 85610 |
|
3,343 |
3,189 |
$18K |
| 87591 |
|
1,459 |
1,429 |
$16K |
| 87491 |
|
1,460 |
1,431 |
$16K |
| 76817 |
|
277 |
254 |
$16K |
| 76830 |
|
223 |
223 |
$16K |
| 82805 |
|
377 |
347 |
$15K |
| J1885 |
Ketorolac tromethamine inj |
8,661 |
7,918 |
$15K |
| 72100 |
|
507 |
496 |
$14K |
| 76801 |
|
242 |
224 |
$14K |
| 99281 |
|
83 |
65 |
$13K |
| 86850 |
|
1,055 |
987 |
$13K |
| 87077 |
|
1,866 |
1,758 |
$12K |
| G0480 |
Drug test def 1-7 classes |
178 |
168 |
$11K |
| J2274 |
Inj morphine pf epid ithc |
820 |
768 |
$11K |
| 0250 |
|
4,388 |
2,186 |
$11K |
| 86756 |
|
462 |
442 |
$10K |
| 0710 |
|
225 |
217 |
$10K |
| 86901 |
|
1,501 |
1,400 |
$10K |
| J2270 |
Morphine sulfate injection |
2,279 |
2,019 |
$9K |
| J2930 |
Methylprednisolone injection |
1,480 |
1,365 |
$9K |
| 0360 |
|
69 |
45 |
$8K |
| 86900 |
|
1,858 |
1,731 |
$8K |
| J0696 |
Ceftriaxone sodium injection |
3,466 |
3,300 |
$8K |
| 99231 |
|
124 |
122 |
$8K |
| 85380 |
|
1,642 |
1,588 |
$8K |
| 76775 |
|
146 |
144 |
$7K |
| 99238 |
|
264 |
261 |
$7K |
| J1170 |
Hydromorphone injection |
2,083 |
1,852 |
$7K |
| 83735 |
|
848 |
798 |
$7K |
| 51702 |
|
82 |
76 |
$7K |
| J7040 |
Normal saline solution infus |
985 |
903 |
$7K |
| 87210 |
|
992 |
951 |
$7K |
| 93970 |
|
38 |
38 |
$7K |
| 90471 |
|
1,343 |
1,328 |
$6K |
| J2405 |
Ondansetron hcl injection |
6,908 |
6,317 |
$6K |
| 82550 |
|
620 |
581 |
$6K |
| 76700 |
|
71 |
69 |
$5K |
| Z7500 |
|
136 |
94 |
$5K |
| 85027 |
|
499 |
487 |
$4K |
| 99218 |
|
26 |
26 |
$4K |
| P9016 |
Rbc leukocytes reduced |
13 |
12 |
$3K |
| 86403 |
|
181 |
179 |
$3K |
| 82150 |
|
328 |
319 |
$3K |
| 83036 |
|
223 |
219 |
$3K |
| 73080 |
|
96 |
92 |
$3K |
| 92588 |
|
54 |
54 |
$2K |
| 0270 |
|
269 |
114 |
$2K |
| 96367 |
|
51 |
51 |
$2K |
| 71260 |
|
13 |
13 |
$2K |
| 73140 |
|
105 |
98 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
553 |
517 |
$2K |
| 82010 |
|
161 |
155 |
$2K |
| 71275 |
|
14 |
14 |
$2K |
| 73090 |
|
60 |
57 |
$2K |
| 29125 |
|
82 |
77 |
$2K |
| S0164 |
Injection pantroprazole |
270 |
254 |
$2K |
| 29515 |
|
86 |
85 |
$2K |
| 76641 |
|
24 |
24 |
$2K |
| 86922 |
|
12 |
12 |
$2K |
| 12001 |
|
86 |
85 |
$2K |
| 0258 |
|
544 |
396 |
$2K |
| 82274 |
|
37 |
37 |
$1K |
| J2765 |
Metoclopramide hcl injection |
1,134 |
1,070 |
$1K |
| 76815 |
|
25 |
24 |
$1K |
| 73590 |
|
67 |
62 |
$1K |
| U0002 |
Covid-19 lab test non-cdc |
26 |
25 |
$1K |
| 99217 |
|
47 |
47 |
$1K |
| 96376 |
|
72 |
64 |
$1K |
| V5008 |
Hearing screening |
30 |
28 |
$1K |
| J2360 |
Orphenadrine injection |
211 |
198 |
$1K |
| 0370 |
|
19 |
18 |
$1K |
| J1100 |
Dexamethasone sodium phos |
1,588 |
1,546 |
$1K |
| J2550 |
Promethazine hcl injection |
421 |
394 |
$1K |
| 85007 |
|
266 |
262 |
$1K |
| 86592 |
|
164 |
164 |
$1K |
| 82553 |
|
64 |
61 |
$1K |
| J3010 |
Fentanyl citrate injection |
330 |
324 |
$1K |
| 83874 |
|
47 |
44 |
$887.23 |
| J1200 |
Diphenhydramine hcl injectio |
925 |
851 |
$844.01 |
| 86920 |
|
12 |
12 |
$801.71 |
| J2060 |
Lorazepam injection |
653 |
584 |
$801.71 |
| J2919 |
Inj, methylpred sod succ 5mg |
136 |
130 |
$787.17 |
| 86140 |
|
113 |
110 |
$786.43 |
| J7120 |
Ringers lactate infusion |
199 |
181 |
$728.30 |
| 87389 |
|
38 |
38 |
$642.93 |
| J1815 |
Insulin injection |
56 |
45 |
$630.27 |
| 84100 |
|
115 |
112 |
$545.80 |
| 71101 |
|
14 |
14 |
$538.53 |
| 71020 |
|
24 |
15 |
$510.93 |
| 73502 |
|
19 |
18 |
$498.40 |
| J0131 |
Inj, acetaminophen (nos) |
68 |
67 |
$488.37 |
| 76536 |
|
12 |
12 |
$452.40 |
| 73600 |
|
24 |
24 |
$429.00 |
| J0360 |
Hydralazine hcl injection |
93 |
88 |
$427.09 |
| J0690 |
Cefazolin sodium injection |
171 |
163 |
$423.74 |
| J7042 |
5% dextrose/normal saline |
268 |
246 |
$397.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
89 |
85 |
$358.36 |
| 72040 |
|
13 |
13 |
$274.60 |
| 80061 |
|
16 |
16 |
$239.09 |
| J7050 |
Normal saline solution infus |
268 |
220 |
$236.55 |
| 87081 |
|
30 |
30 |
$205.43 |
| 82140 |
|
16 |
15 |
$191.80 |
| 94761 |
|
18 |
16 |
$175.78 |
| J3475 |
Inj magnesium sulfate |
45 |
38 |
$173.54 |
| 86702 |
|
12 |
12 |
$169.76 |
| 12002 |
|
13 |
13 |
$158.40 |
| 85651 |
|
27 |
25 |
$126.86 |
| J1953 |
Levetiracetam injection |
13 |
12 |
$103.50 |
| 36600 |
|
28 |
27 |
$84.15 |
| J2250 |
Inj midazolam hydrochloride |
227 |
218 |
$75.40 |
| J1940 |
Furosemide injection |
74 |
63 |
$74.06 |
| J8540 |
Oral dexamethasone |
13 |
13 |
$40.96 |
| Q0162 |
Ondansetron oral |
96 |
94 |
$37.80 |
| J7512 |
Prednisone ir or dr oral 1mg |
70 |
69 |
$27.20 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
70 |
58 |
$21.20 |
| J1644 |
Inj heparin sodium per 1000u |
13 |
12 |
$14.72 |
| 0255 |
|
12 |
12 |
$14.43 |
| J3480 |
Inj potassium chloride |
14 |
14 |
$12.65 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
45 |
43 |
$9.07 |
| J2001 |
Lidocaine injection |
19 |
18 |
$0.38 |
| G1004 |
Cdsm ndsc |
434 |
417 |
$0.00 |
| 36415 |
|
46 |
45 |
$0.00 |