| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
61,726 |
54,112 |
$7.81M |
| 99199 |
|
24,676 |
21,102 |
$1.31M |
| 74177 |
|
4,753 |
4,494 |
$511K |
| 96372 |
|
13,449 |
12,446 |
$469K |
| 70450 |
|
5,310 |
5,012 |
$425K |
| 87637 |
|
4,811 |
4,697 |
$375K |
| 87502 |
|
7,349 |
7,062 |
$331K |
| 80053 |
|
30,172 |
27,462 |
$265K |
| 96374 |
|
7,610 |
7,019 |
$251K |
| 87798 |
|
7,358 |
7,067 |
$246K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,358 |
4,248 |
$220K |
| 74176 |
|
2,874 |
2,712 |
$208K |
| 93005 |
|
13,863 |
12,770 |
$196K |
| 71046 |
|
16,214 |
15,273 |
$190K |
| 85025 |
|
34,946 |
31,665 |
$188K |
| 96361 |
|
6,426 |
5,827 |
$187K |
| G0480 |
Drug test def 1-7 classes |
5,391 |
4,728 |
$175K |
| 87635 |
|
5,189 |
5,035 |
$149K |
| 96365 |
|
3,139 |
2,908 |
$131K |
| 96360 |
|
2,774 |
2,686 |
$130K |
| 96375 |
|
5,905 |
5,359 |
$124K |
| 0360 |
|
750 |
652 |
$119K |
| 80306 |
|
9,752 |
9,330 |
$117K |
| J3490 |
Drugs unclassified injection |
24,806 |
15,726 |
$105K |
| 99070 |
|
14,836 |
8,335 |
$102K |
| 76700 |
|
2,815 |
2,708 |
$97K |
| 71045 |
|
12,284 |
11,032 |
$95K |
| 76856 |
|
2,714 |
2,603 |
$85K |
| 99283 |
|
1,285 |
1,228 |
$79K |
| 81001 |
|
26,347 |
24,610 |
$78K |
| Z7502 |
|
2,715 |
2,606 |
$76K |
| 72125 |
|
757 |
716 |
$75K |
| 84484 |
|
11,299 |
9,827 |
$74K |
| 76705 |
|
2,195 |
2,060 |
$71K |
| 0270 |
|
27,861 |
16,381 |
$70K |
| 71275 |
|
621 |
590 |
$62K |
| 83880 |
|
3,745 |
3,536 |
$59K |
| 83690 |
|
12,874 |
12,068 |
$59K |
| 93010 |
|
8,241 |
7,479 |
$59K |
| 87651 |
|
2,412 |
2,363 |
$57K |
| 99284 |
|
1,057 |
1,002 |
$57K |
| 76801 |
|
1,710 |
1,516 |
$49K |
| 87086 |
|
9,666 |
9,180 |
$48K |
| 76830 |
|
1,301 |
1,254 |
$45K |
| 83605 |
|
6,133 |
5,329 |
$44K |
| 81025 |
|
10,374 |
9,929 |
$41K |
| 93971 |
|
722 |
685 |
$39K |
| 99285 |
|
781 |
727 |
$39K |
| 94640 |
|
2,631 |
2,408 |
$38K |
| 0402 |
|
400 |
364 |
$37K |
| J1885 |
Ketorolac tromethamine inj |
9,340 |
8,762 |
$34K |
| 87804 |
|
3,626 |
1,793 |
$31K |
| 73130 |
|
1,651 |
1,524 |
$31K |
| 76805 |
|
607 |
570 |
$28K |
| 72148 |
|
293 |
289 |
$28K |
| 73610 |
|
1,491 |
1,400 |
$28K |
| 73630 |
|
1,631 |
1,497 |
$27K |
| 0710 |
|
1,166 |
1,138 |
$27K |
| Q9962 |
Hocm 300-349mg/ml iodine,1ml |
2,908 |
2,826 |
$26K |
| 90715 |
|
1,184 |
1,178 |
$25K |
| 87040 |
|
2,935 |
1,834 |
$24K |
| J7030 |
Normal saline solution infus |
5,917 |
5,461 |
$24K |
| 0250 |
|
4,720 |
4,091 |
$23K |
| J7120 |
Ringers lactate infusion |
4,886 |
4,543 |
$23K |
| 73562 |
|
1,341 |
1,245 |
$23K |
| 80048 |
|
3,565 |
3,378 |
$22K |
| 73030 |
|
1,237 |
1,147 |
$22K |
| J8499 |
Oral prescrip drug non chemo |
3,871 |
3,104 |
$22K |
| T1999 |
Noc retail items andsupplies |
4,309 |
2,793 |
$21K |
| 76817 |
|
601 |
509 |
$20K |
| 84443 |
|
1,967 |
1,934 |
$19K |
| J2270 |
Morphine sulfate injection |
3,967 |
3,549 |
$19K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,431 |
2,382 |
$19K |
| J0696 |
Ceftriaxone sodium injection |
4,179 |
4,037 |
$18K |
| J2405 |
Ondansetron hcl injection |
5,617 |
4,997 |
$18K |
| 76770 |
|
487 |
470 |
$18K |
| 70486 |
|
231 |
223 |
$18K |
| 82805 |
|
971 |
902 |
$18K |
| 74018 |
|
1,461 |
1,368 |
$17K |
| 96366 |
|
525 |
456 |
$16K |
| 84702 |
|
2,589 |
2,279 |
$16K |
| J3010 |
Fentanyl citrate injection |
4,044 |
3,662 |
$15K |
| 87491 |
|
750 |
733 |
$15K |
| J1100 |
Dexamethasone sodium phos |
3,256 |
3,162 |
$14K |
| J2704 |
Inj, propofol, 10 mg |
1,681 |
1,619 |
$14K |
| 87591 |
|
736 |
720 |
$14K |
| 73110 |
|
811 |
761 |
$14K |
| 0300 |
|
1,625 |
735 |
$13K |
| 77067 |
|
544 |
537 |
$12K |
| J0690 |
Cefazolin sodium injection |
1,646 |
1,195 |
$12K |
| 87633 |
|
60 |
60 |
$11K |
| 83735 |
|
2,419 |
2,274 |
$11K |
| 59025 |
|
967 |
702 |
$11K |
| 0320 |
|
470 |
413 |
$11K |
| 74019 |
|
608 |
571 |
$11K |
| 93970 |
|
130 |
127 |
$9K |
| 76857 |
|
482 |
451 |
$9K |
| 85610 |
|
3,616 |
3,466 |
$9K |
| 76641 |
|
340 |
330 |
$9K |
| J1200 |
Diphenhydramine hcl injectio |
2,450 |
2,266 |
$9K |
| 73721 |
|
134 |
128 |
$9K |
| 72100 |
|
499 |
487 |
$8K |
| 87880 |
|
803 |
789 |
$8K |
| 85379 |
|
982 |
956 |
$7K |
| 86901 |
|
2,773 |
2,531 |
$7K |
| 73090 |
|
375 |
346 |
$7K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
667 |
642 |
$7K |
| 0351 |
|
109 |
97 |
$7K |
| U0002 |
Covid-19 lab test non-cdc |
257 |
252 |
$7K |
| 93306 |
|
142 |
141 |
$7K |
| 0760 |
|
230 |
200 |
$7K |
| 86900 |
|
2,764 |
2,522 |
$7K |
| 71260 |
|
57 |
56 |
$6K |
| Z7610 |
|
623 |
322 |
$6K |
| 90471 |
|
1,282 |
1,224 |
$6K |
| J1170 |
Hydromorphone injection |
972 |
817 |
$6K |
| 76000 |
|
426 |
398 |
$6K |
| 86140 |
|
1,389 |
1,360 |
$6K |
| 0301 |
|
1,706 |
743 |
$6K |
| 29125 |
|
156 |
153 |
$6K |
| 47562 |
|
38 |
38 |
$5K |
| 84703 |
|
2,051 |
2,012 |
$5K |
| 0352 |
|
181 |
170 |
$5K |
| 76536 |
|
195 |
193 |
$5K |
| 76870 |
|
187 |
180 |
$5K |
| 12001 |
|
89 |
89 |
$5K |
| 86850 |
|
878 |
848 |
$5K |
| J2765 |
Metoclopramide hcl injection |
1,312 |
1,242 |
$5K |
| J2250 |
Inj midazolam hydrochloride |
1,259 |
1,211 |
$5K |
| 94760 |
|
941 |
866 |
$5K |
| 0720 |
|
43 |
31 |
$5K |
| 73590 |
|
318 |
296 |
$4K |
| 85730 |
|
1,293 |
1,256 |
$4K |
| 0403 |
|
26 |
26 |
$4K |
| 73502 |
|
153 |
150 |
$4K |
| 82306 |
|
347 |
343 |
$4K |
| 94664 |
|
1,018 |
943 |
$4K |
| 83036 |
|
831 |
822 |
$4K |
| 73221 |
|
40 |
40 |
$4K |
| 73080 |
|
254 |
236 |
$4K |
| 80179 |
|
496 |
475 |
$4K |
| 82962 |
|
1,537 |
1,376 |
$4K |
| S0119 |
Ondansetron 4 mg |
2,932 |
2,823 |
$4K |
| 0259 |
|
814 |
500 |
$4K |
| 26145 |
|
36 |
36 |
$3K |
| 87420 |
|
337 |
331 |
$3K |
| 80143 |
|
299 |
289 |
$3K |
| J2001 |
Lidocaine injection |
1,170 |
1,119 |
$3K |
| 70551 |
|
25 |
25 |
$3K |
| 87081 |
|
465 |
459 |
$3K |
| 72040 |
|
158 |
155 |
$2K |
| 96376 |
|
652 |
599 |
$2K |
| 82077 |
|
570 |
531 |
$2K |
| 82550 |
|
558 |
531 |
$2K |
| 84145 |
|
284 |
278 |
$2K |
| 0305 |
|
803 |
686 |
$2K |
| J7050 |
Normal saline solution infus |
604 |
483 |
$2K |
| 72131 |
|
29 |
28 |
$2K |
| J2930 |
Methylprednisolone injection |
361 |
345 |
$2K |
| 84439 |
|
462 |
457 |
$2K |
| 87186 |
|
1,138 |
1,075 |
$2K |
| 73564 |
|
142 |
125 |
$2K |
| 64721 |
|
39 |
39 |
$2K |
| P9016 |
Rbc leukocytes reduced |
15 |
14 |
$2K |
| 80061 |
|
442 |
435 |
$2K |
| 87070 |
|
220 |
216 |
$2K |
| 80305 |
|
126 |
124 |
$2K |
| J2919 |
Inj, methylpred sod succ 5mg |
283 |
275 |
$2K |
| 0324 |
|
330 |
324 |
$2K |
| 0307 |
|
828 |
645 |
$2K |
| 99281 |
|
176 |
159 |
$2K |
| 71250 |
|
28 |
28 |
$2K |
| J2060 |
Lorazepam injection |
455 |
409 |
$1K |
| 36415 |
|
1,810 |
1,607 |
$1K |
| J0561 |
Penicillin g benzathine inj |
16 |
16 |
$1K |
| 87077 |
|
1,154 |
1,089 |
$1K |
| J2003 |
Inj, lidocaine hcl, 1 mg |
132 |
120 |
$1K |
| 0306 |
|
278 |
254 |
$1K |
| S0020 |
Injection, bupivicaine hydro |
131 |
127 |
$1K |
| J7040 |
Normal saline solution infus |
415 |
400 |
$1K |
| J0131 |
Inj, acetaminophen (nos) |
80 |
79 |
$1K |
| 12002 |
|
26 |
26 |
$1K |
| 29515 |
|
36 |
36 |
$1K |
| 72070 |
|
45 |
43 |
$1K |
| 84100 |
|
479 |
429 |
$986.17 |
| 12011 |
|
20 |
20 |
$890.03 |
| 0302 |
|
199 |
118 |
$783.71 |
| 82248 |
|
256 |
251 |
$741.22 |
| 82553 |
|
92 |
85 |
$676.02 |
| 85651 |
|
248 |
241 |
$640.18 |
| 85652 |
|
367 |
360 |
$604.34 |
| 77066 |
Tomosynthesis, mammo |
13 |
12 |
$545.56 |
| J2550 |
Promethazine hcl injection |
98 |
89 |
$467.61 |
| 88304 |
|
18 |
18 |
$447.94 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
21 |
20 |
$444.53 |
| J0780 |
Prochlorperazine injection |
94 |
91 |
$429.51 |
| 87205 |
|
117 |
102 |
$393.88 |
| 86920 |
|
14 |
13 |
$391.55 |
| 73140 |
|
26 |
26 |
$369.40 |
| J2920 |
Methylprednisolone injection |
65 |
65 |
$367.91 |
| 80076 |
|
82 |
82 |
$354.53 |
| 0730 |
|
12 |
12 |
$345.60 |
| J1815 |
Insulin injection |
101 |
94 |
$332.14 |
| 82140 |
|
53 |
52 |
$321.74 |
| 80307 |
|
27 |
24 |
$311.67 |
| J2543 |
Piperacillin/tazobactam |
54 |
49 |
$311.06 |
| 84481 |
|
27 |
27 |
$286.85 |
| 86780 |
|
39 |
37 |
$269.44 |
| 99211 |
|
25 |
17 |
$265.19 |
| 87210 |
|
86 |
85 |
$258.75 |
| 87220 |
|
81 |
80 |
$256.47 |
| 82803 |
|
16 |
12 |
$232.71 |
| 86703 |
|
26 |
25 |
$212.39 |
| 94644 |
|
25 |
25 |
$177.68 |
| J7613 |
Albuterol non-comp unit |
313 |
294 |
$167.00 |
| 0410 |
|
15 |
14 |
$166.24 |
| J1953 |
Levetiracetam injection |
29 |
26 |
$154.95 |
| 73552 |
|
13 |
13 |
$143.29 |
| A9577 |
Inj multihance |
12 |
12 |
$136.48 |
| 93356 |
|
16 |
16 |
$117.41 |
| 87899 |
|
14 |
13 |
$102.24 |
| J7512 |
Prednisone ir or dr oral 1mg |
200 |
192 |
$96.46 |
| J3370 |
Vancomycin hcl injection |
14 |
14 |
$91.68 |
| 84436 |
|
12 |
12 |
$85.87 |
| J0736 |
Inj, clindamycin phosp 300mg |
13 |
12 |
$84.30 |
| 72170 |
|
14 |
14 |
$82.47 |
| 83540 |
|
29 |
29 |
$62.50 |
| J3475 |
Inj magnesium sulfate |
26 |
25 |
$50.33 |
| J1630 |
Haloperidol injection |
173 |
160 |
$43.40 |
| 86592 |
|
16 |
14 |
$37.71 |
| 0771 |
|
15 |
15 |
$25.67 |
| J8540 |
Oral dexamethasone |
237 |
233 |
$2.41 |
| A4649 |
Surgical supplies |
53 |
26 |
$0.00 |
| G0328 |
Fecal blood scrn immunoassay |
14 |
14 |
$0.00 |