| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
|
54,870 |
50,757 |
$2.28M |
| 74176 |
|
6,490 |
6,325 |
$808K |
| 70450 |
|
5,148 |
4,984 |
$525K |
| 99281 |
|
7,809 |
7,020 |
$427K |
| 99199 |
|
6,364 |
5,731 |
$359K |
| 80053 |
|
15,036 |
14,213 |
$349K |
| Z7502 |
|
8,935 |
8,833 |
$320K |
| J3490 |
Drugs unclassified injection |
22,652 |
12,616 |
$319K |
| 96374 |
|
7,485 |
7,175 |
$308K |
| 0360 |
|
2,784 |
2,172 |
$263K |
| 0750 |
|
1,786 |
1,616 |
$248K |
| 96372 |
|
13,132 |
12,604 |
$237K |
| 99284 |
|
1,955 |
1,843 |
$229K |
| 93005 |
|
8,953 |
8,528 |
$210K |
| 0710 |
|
5,132 |
4,910 |
$199K |
| 0270 |
|
15,186 |
9,118 |
$193K |
| 0250 |
|
15,029 |
8,572 |
$189K |
| 96375 |
|
5,216 |
4,999 |
$166K |
| 76805 |
|
2,060 |
1,935 |
$150K |
| 71045 |
|
10,377 |
10,014 |
$149K |
| 85025 |
|
18,635 |
17,439 |
$143K |
| 99283 |
|
1,789 |
1,678 |
$128K |
| C9803 |
Hopd covid-19 spec collect |
6,176 |
5,714 |
$122K |
| 81025 |
|
15,461 |
14,812 |
$121K |
| 88305 |
|
3,839 |
3,745 |
$120K |
| A4217 |
Sterile water/saline, 500 ml |
9,274 |
6,254 |
$120K |
| 43239 |
|
1,593 |
1,571 |
$116K |
| J1885 |
Ketorolac tromethamine inj |
11,921 |
11,309 |
$112K |
| S3620 |
Newborn metabolic screening |
784 |
742 |
$110K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,298 |
2,233 |
$81K |
| 80048 |
|
4,014 |
3,815 |
$81K |
| 76705 |
|
1,475 |
1,444 |
$64K |
| Z9725 |
|
1,467 |
1,458 |
$63K |
| 45380 |
|
983 |
969 |
$58K |
| 81001 |
|
13,013 |
12,514 |
$58K |
| 84484 |
|
6,277 |
5,932 |
$56K |
| J2405 |
Ondansetron hcl injection |
5,554 |
5,309 |
$54K |
| 88313 |
|
1,595 |
1,585 |
$54K |
| J7030 |
Normal saline solution infus |
7,210 |
6,696 |
$54K |
| 74177 |
|
304 |
297 |
$52K |
| 83690 |
|
7,818 |
7,522 |
$51K |
| G0480 |
Drug test def 1-7 classes |
943 |
904 |
$50K |
| 87086 |
|
5,768 |
5,561 |
$44K |
| J0696 |
Ceftriaxone sodium injection |
3,945 |
3,765 |
$43K |
| 76856 |
|
827 |
815 |
$41K |
| 80306 |
|
2,150 |
2,078 |
$37K |
| 0272 |
|
2,472 |
2,287 |
$36K |
| 87811 |
|
1,287 |
1,239 |
$34K |
| 83880 |
|
1,902 |
1,825 |
$33K |
| 85730 |
|
5,102 |
4,894 |
$33K |
| 96361 |
|
1,926 |
1,873 |
$32K |
| Z7610 |
|
2,367 |
1,654 |
$29K |
| 88312 |
|
1,564 |
1,554 |
$28K |
| J1100 |
Dexamethasone sodium phos |
2,880 |
2,811 |
$27K |
| 87040 |
|
1,503 |
1,466 |
$27K |
| 85610 |
|
5,148 |
4,938 |
$26K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,058 |
1,023 |
$25K |
| 94664 |
|
1,838 |
1,752 |
$25K |
| 73562 |
|
1,142 |
1,129 |
$25K |
| 73610 |
|
1,029 |
1,022 |
$23K |
| 72125 |
|
256 |
252 |
$23K |
| 73630 |
|
1,036 |
1,032 |
$22K |
| J2270 |
Morphine sulfate injection |
3,099 |
2,744 |
$20K |
| 0258 |
|
840 |
640 |
$20K |
| 45378 |
|
279 |
274 |
$19K |
| 59025 |
|
225 |
178 |
$19K |
| 76830 |
|
324 |
318 |
$19K |
| 87804 |
|
1,507 |
1,488 |
$16K |
| 96365 |
|
324 |
317 |
$16K |
| J7120 |
Ringers lactate infusion |
1,101 |
1,025 |
$16K |
| 71046 |
|
566 |
543 |
$14K |
| 87186 |
|
1,641 |
1,592 |
$14K |
| 82948 |
|
2,287 |
2,017 |
$14K |
| 36415 |
|
1,789 |
1,562 |
$14K |
| 93971 |
|
172 |
166 |
$13K |
| 83605 |
|
1,276 |
1,224 |
$12K |
| 84702 |
|
853 |
778 |
$11K |
| 83735 |
|
2,148 |
2,025 |
$11K |
| 73030 |
|
554 |
548 |
$11K |
| 0762 |
|
37 |
12 |
$10K |
| 84443 |
|
717 |
697 |
$10K |
| U0002 |
Covid-19 lab test non-cdc |
252 |
239 |
$8K |
| 27502 |
|
16 |
16 |
$7K |
| 82150 |
|
867 |
850 |
$7K |
| 73130 |
|
365 |
364 |
$7K |
| 76817 |
|
141 |
129 |
$6K |
| 85379 |
|
693 |
677 |
$6K |
| 85027 |
|
1,033 |
999 |
$6K |
| J0690 |
Cefazolin sodium injection |
578 |
516 |
$6K |
| 94760 |
|
633 |
594 |
$5K |
| 80307 |
|
410 |
400 |
$5K |
| 81002 |
|
1,518 |
1,471 |
$5K |
| J2930 |
Methylprednisolone injection |
454 |
432 |
$5K |
| 72131 |
|
55 |
53 |
$5K |
| J2765 |
Metoclopramide hcl injection |
1,120 |
1,056 |
$5K |
| 86900 |
|
649 |
616 |
$5K |
| 71250 |
|
41 |
39 |
$4K |
| 86901 |
|
884 |
838 |
$4K |
| 85007 |
|
971 |
942 |
$4K |
| J2250 |
Inj midazolam hydrochloride |
702 |
675 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
663 |
641 |
$3K |
| 0459 |
|
82 |
66 |
$3K |
| 82248 |
|
771 |
766 |
$3K |
| 99000 |
|
694 |
693 |
$3K |
| 0300 |
|
146 |
125 |
$2K |
| J2919 |
Inj, methylpred sod succ 5mg |
34 |
28 |
$2K |
| 99282 |
|
26 |
26 |
$2K |
| J2001 |
Lidocaine injection |
70 |
69 |
$2K |
| A4649 |
Surgical supplies |
1,371 |
750 |
$2K |
| J2060 |
Lorazepam injection |
410 |
383 |
$2K |
| 76815 |
|
49 |
40 |
$2K |
| 90714 |
|
77 |
76 |
$2K |
| 76700 |
|
38 |
36 |
$2K |
| 96360 |
|
28 |
28 |
$2K |
| 90471 |
|
452 |
450 |
$2K |
| 72110 |
|
52 |
51 |
$1K |
| 84703 |
|
258 |
255 |
$1K |
| 43264 |
|
12 |
12 |
$1K |
| 71010 |
|
84 |
74 |
$1K |
| 72100 |
|
55 |
54 |
$1K |
| 83520 |
|
97 |
96 |
$990.34 |
| 87420 |
|
40 |
40 |
$685.79 |
| 99152 |
|
14 |
12 |
$653.10 |
| 86850 |
|
132 |
123 |
$564.61 |
| 45385 |
|
16 |
16 |
$534.65 |
| 73080 |
|
38 |
38 |
$492.56 |
| 83036 |
|
95 |
92 |
$476.71 |
| 73110 |
|
25 |
25 |
$466.24 |
| 29799 |
|
12 |
12 |
$437.28 |
| 74018 |
|
36 |
36 |
$419.38 |
| 94640 |
|
42 |
33 |
$417.14 |
| J2175 |
Meperidine hydrochl /100 mg |
80 |
63 |
$393.57 |
| 88304 |
|
48 |
47 |
$383.09 |
| 82805 |
|
12 |
12 |
$336.95 |
| 90715 |
|
12 |
12 |
$324.55 |
| 0320 |
|
68 |
66 |
$320.17 |
| J1644 |
Inj heparin sodium per 1000u |
22 |
12 |
$313.96 |
| 73140 |
|
26 |
26 |
$266.60 |
| J2710 |
Neostigmine methylslfte inj |
55 |
52 |
$193.48 |
| 99070 |
|
127 |
73 |
$159.90 |
| 73100 |
|
13 |
13 |
$147.94 |
| J2470 |
Inj pantoprazole sodium 40mg |
43 |
36 |
$130.36 |
| 0279 |
|
14 |
14 |
$115.69 |
| S0020 |
Injection, bupivicaine hydro |
13 |
13 |
$85.25 |
| S0164 |
Injection pantroprazole |
14 |
12 |
$82.35 |
| 82550 |
|
13 |
13 |
$63.32 |
| 80076 |
|
15 |
15 |
$56.07 |
| 76818 |
|
56 |
49 |
$0.00 |
| 0760 |
|
12 |
12 |
$0.00 |
| 0636 |
|
30 |
28 |
$0.00 |
| 96376 |
|
13 |
13 |
$0.00 |