| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 8888888 |
|
41,649 |
19,017 |
$18.67M |
| 85025 |
|
26,056 |
21,184 |
$690K |
| 96374 |
|
12,992 |
10,419 |
$486K |
| 99284 |
|
12,993 |
11,392 |
$440K |
| 99283 |
|
11,147 |
10,001 |
$385K |
| 80050 |
|
3,946 |
3,640 |
$363K |
| 0241U |
|
2,412 |
2,211 |
$295K |
| 99285 |
|
7,182 |
6,191 |
$237K |
| 93306 |
|
848 |
788 |
$178K |
| 96365 |
|
3,407 |
1,904 |
$167K |
| 99282 |
|
3,776 |
3,465 |
$166K |
| 96372 |
|
2,035 |
1,671 |
$158K |
| 11042 |
|
1,003 |
446 |
$141K |
| 80307 |
|
3,184 |
2,607 |
$130K |
| 97110 |
|
3,699 |
1,971 |
$117K |
| 85027 |
|
4,285 |
3,808 |
$114K |
| 80081 |
|
1,149 |
1,103 |
$110K |
| 88305 |
|
3,075 |
2,809 |
$102K |
| 71046 |
|
3,064 |
2,728 |
$94K |
| 70450 |
|
2,808 |
2,485 |
$91K |
| 96375 |
|
9,121 |
7,404 |
$88K |
| 81001 |
|
13,854 |
11,992 |
$79K |
| G0463 |
Hospital outpt clinic visit |
3,008 |
2,059 |
$75K |
| J1885 |
Ketorolac tromethamine inj |
8,351 |
6,778 |
$69K |
| 72148 |
|
551 |
506 |
$67K |
| 74177 |
|
2,885 |
2,588 |
$60K |
| 87086 |
|
7,396 |
6,614 |
$58K |
| 76705 |
|
2,028 |
1,858 |
$58K |
| 87186 |
|
2,837 |
2,532 |
$57K |
| 84443 |
|
4,843 |
4,568 |
$56K |
| J2405 |
Ondansetron hcl injection |
11,372 |
8,827 |
$55K |
| J1100 |
Dexamethasone sodium phos |
5,036 |
4,127 |
$54K |
| 96361 |
|
7,045 |
5,865 |
$48K |
| 80053 |
|
24,951 |
20,555 |
$48K |
| 71045 |
|
3,760 |
3,234 |
$47K |
| 41899 |
|
959 |
654 |
$45K |
| J2704 |
Inj, propofol, 10 mg |
5,709 |
4,850 |
$45K |
| 87081 |
|
4,955 |
4,748 |
$43K |
| U0002 |
Covid-19 lab test non-cdc |
1,162 |
988 |
$40K |
| 77067 |
|
558 |
546 |
$40K |
| 74176 |
|
977 |
900 |
$34K |
| J0696 |
Ceftriaxone sodium injection |
2,123 |
1,623 |
$34K |
| 73721 |
|
170 |
154 |
$29K |
| J7120 |
Ringers lactate infusion |
2,269 |
1,784 |
$28K |
| 93005 |
|
5,778 |
4,940 |
$26K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,966 |
2,672 |
$25K |
| 87633 |
|
290 |
265 |
$24K |
| 87660 |
|
512 |
485 |
$24K |
| J1170 |
Hydromorphone injection |
4,448 |
3,342 |
$23K |
| 96360 |
|
1,499 |
1,342 |
$23K |
| 87389 |
|
249 |
241 |
$22K |
| 70551 |
|
341 |
309 |
$22K |
| J3010 |
Fentanyl citrate injection |
5,139 |
4,005 |
$22K |
| 72125 |
|
841 |
756 |
$21K |
| 87070 |
|
1,155 |
1,055 |
$21K |
| J2270 |
Morphine sulfate injection |
1,585 |
1,161 |
$21K |
| 76856 |
|
781 |
712 |
$21K |
| J2250 |
Inj midazolam hydrochloride |
2,610 |
2,282 |
$19K |
| 87591 |
|
2,178 |
2,073 |
$18K |
| J2060 |
Lorazepam injection |
1,683 |
1,387 |
$17K |
| 74018 |
|
423 |
367 |
$17K |
| 80061 |
|
4,029 |
3,811 |
$17K |
| 84702 |
|
2,901 |
2,310 |
$17K |
| 87491 |
|
2,185 |
2,076 |
$17K |
| 97140 |
|
734 |
389 |
$16K |
| 83036 |
|
3,598 |
3,400 |
$16K |
| 96376 |
|
1,992 |
1,689 |
$14K |
| J0690 |
Cefazolin sodium injection |
2,074 |
1,715 |
$14K |
| 80048 |
|
3,161 |
2,571 |
$14K |
| 85610 |
|
2,874 |
2,379 |
$13K |
| 71260 |
|
286 |
267 |
$13K |
| 82728 |
|
1,794 |
1,660 |
$13K |
| 82247 |
|
1,940 |
1,064 |
$13K |
| 97530 |
|
303 |
195 |
$12K |
| 82306 |
|
2,310 |
2,186 |
$12K |
| 73610 |
|
253 |
226 |
$11K |
| J2550 |
Promethazine hcl injection |
1,454 |
1,106 |
$11K |
| J1200 |
Diphenhydramine hcl injectio |
1,395 |
1,103 |
$11K |
| 84466 |
|
1,449 |
1,378 |
$10K |
| 86850 |
|
653 |
569 |
$10K |
| 0001A |
|
379 |
374 |
$10K |
| 73630 |
|
245 |
230 |
$10K |
| 87077 |
|
1,270 |
1,151 |
$10K |
| 84439 |
|
2,200 |
2,028 |
$10K |
| 0002A |
|
352 |
343 |
$10K |
| 70553 |
|
51 |
50 |
$10K |
| 84484 |
|
3,691 |
2,937 |
$10K |
| 97161 |
|
108 |
100 |
$9K |
| 88304 |
|
560 |
528 |
$9K |
| 87631 |
|
120 |
111 |
$8K |
| 88307 |
|
73 |
63 |
$7K |
| 93971 |
|
262 |
238 |
$7K |
| 84403 |
|
281 |
270 |
$7K |
| 86364 |
|
127 |
118 |
$6K |
| 86140 |
|
3,502 |
3,023 |
$6K |
| 87480 |
|
512 |
485 |
$6K |
| 87426 |
|
124 |
114 |
$6K |
| 82607 |
|
1,950 |
1,851 |
$6K |
| 71275 |
|
800 |
726 |
$5K |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
166 |
146 |
$5K |
| 72141 |
|
37 |
36 |
$5K |
| 82570 |
|
1,571 |
1,407 |
$5K |
| 76770 |
|
110 |
102 |
$5K |
| 86901 |
|
772 |
679 |
$5K |
| L4386 |
Non-pneum walk boot pre cst |
41 |
38 |
$5K |
| 84703 |
|
3,116 |
2,778 |
$5K |
| 73562 |
|
100 |
92 |
$5K |
| 83690 |
|
6,512 |
5,559 |
$5K |
| G0480 |
Drug test def 1-7 classes |
1,071 |
930 |
$5K |
| 83880 |
|
1,797 |
1,548 |
$4K |
| 80076 |
|
707 |
667 |
$4K |
| 84132 |
|
79 |
69 |
$4K |
| J3490 |
Drugs unclassified injection |
33 |
27 |
$4K |
| 93017 |
|
72 |
64 |
$4K |
| 73130 |
|
72 |
66 |
$4K |
| 76376 |
|
657 |
587 |
$4K |
| 83735 |
|
2,451 |
1,501 |
$4K |
| 84481 |
|
266 |
250 |
$4K |
| 86003 |
|
101 |
37 |
$3K |
| 84146 |
|
560 |
512 |
$3K |
| 43239 |
|
644 |
587 |
$3K |
| 85379 |
|
1,966 |
1,765 |
$3K |
| J0330 |
Succinycholine chloride inj |
594 |
509 |
$3K |
| 83516 |
|
518 |
459 |
$3K |
| 81025 |
|
136 |
126 |
$3K |
| 82805 |
|
123 |
109 |
$3K |
| 76642 |
|
127 |
110 |
$3K |
| 97162 |
|
42 |
39 |
$3K |
| 93225 |
|
75 |
68 |
$3K |
| 85651 |
|
2,496 |
2,123 |
$2K |
| 95812 |
|
12 |
12 |
$2K |
| U0005 |
Infec agen detec ampli probe |
49 |
49 |
$2K |
| 82248 |
|
728 |
462 |
$2K |
| 82950 |
|
1,196 |
1,149 |
$2K |
| 0031A |
|
115 |
101 |
$2K |
| A9585 |
Gadobutrol injection |
787 |
729 |
$2K |
| 87807 |
|
57 |
54 |
$2K |
| 87502 |
|
171 |
157 |
$2K |
| 82784 |
|
618 |
439 |
$2K |
| 87804 |
|
144 |
135 |
$2K |
| 77066 |
Tomosynthesis, mammo |
15 |
15 |
$2K |
| 84100 |
|
803 |
543 |
$2K |
| 87088 |
|
2,362 |
2,118 |
$2K |
| 82043 |
|
888 |
843 |
$1K |
| 83540 |
|
1,600 |
1,515 |
$1K |
| 87040 |
|
1,245 |
890 |
$1K |
| 87880 |
|
254 |
226 |
$1K |
| 95806 |
|
13 |
13 |
$1K |
| 86787 |
|
1,183 |
1,132 |
$1K |
| 94640 |
|
590 |
469 |
$1K |
| 86038 |
|
200 |
188 |
$1K |
| 96413 |
|
582 |
370 |
$960.48 |
| 82550 |
|
190 |
146 |
$881.68 |
| 84153 |
|
67 |
65 |
$867.69 |
| 72100 |
|
21 |
19 |
$811.41 |
| 83605 |
|
2,333 |
1,917 |
$775.41 |
| 76700 |
|
12 |
12 |
$773.76 |
| 86803 |
|
434 |
418 |
$670.97 |
| 96366 |
|
83 |
40 |
$664.44 |
| 12001 |
|
29 |
28 |
$602.60 |
| L1902 |
Afo ankle gauntlet pre ots |
15 |
12 |
$590.83 |
| 87798 |
|
13 |
12 |
$590.39 |
| G0378 |
Hospital observation per hr |
70 |
65 |
$485.52 |
| 84460 |
|
156 |
150 |
$472.74 |
| J2765 |
Metoclopramide hcl injection |
12 |
12 |
$443.69 |
| 76815 |
|
15 |
12 |
$435.08 |
| 81003 |
|
120 |
112 |
$379.93 |
| 97116 |
|
34 |
25 |
$341.98 |
| 76801 |
|
48 |
37 |
$317.00 |
| 86900 |
|
416 |
352 |
$308.80 |
| 73590 |
|
12 |
12 |
$278.91 |
| 88302 |
|
29 |
26 |
$264.32 |
| 83970 |
|
16 |
13 |
$230.12 |
| 36415 |
|
74 |
67 |
$207.38 |
| 86376 |
|
127 |
120 |
$207.17 |
| 84478 |
|
83 |
72 |
$206.20 |
| 85007 |
|
325 |
291 |
$191.20 |
| 86780 |
|
12 |
12 |
$136.64 |
| 87340 |
|
170 |
167 |
$131.64 |
| 85018 |
|
30 |
24 |
$125.64 |
| 84156 |
|
85 |
68 |
$118.73 |
| 83525 |
|
41 |
40 |
$114.95 |
| 82785 |
|
13 |
12 |
$103.06 |
| 93226 |
|
87 |
82 |
$102.69 |
| 91300 |
|
13 |
13 |
$85.38 |
| 85730 |
|
260 |
232 |
$75.18 |
| 87510 |
|
512 |
485 |
$66.84 |
| 83001 |
|
43 |
40 |
$64.34 |
| 84144 |
|
13 |
12 |
$58.79 |
| 82746 |
|
55 |
55 |
$56.51 |
| 83615 |
|
208 |
185 |
$52.24 |
| 90471 |
|
291 |
252 |
$38.58 |
| 87147 |
|
26 |
25 |
$37.67 |
| 84450 |
|
78 |
74 |
$34.91 |
| G8979 |
Mobility goal status |
20 |
16 |
$32.98 |
| 86800 |
|
54 |
54 |
$28.99 |
| 90686 |
|
33 |
28 |
$17.13 |
| 82150 |
|
13 |
12 |
$3.55 |
| J1756 |
Iron sucrose injection |
34 |
12 |
$0.00 |
| 90715 |
|
55 |
54 |
$0.00 |
| J0780 |
Prochlorperazine injection |
54 |
49 |
$0.00 |
| 86480 |
|
14 |
14 |
$0.00 |
| 43249 |
|
18 |
13 |
$0.00 |
| G8978 |
Mobility current status |
20 |
16 |
$0.00 |
| 82627 |
|
16 |
12 |
$0.00 |
| J2930 |
Methylprednisolone injection |
19 |
15 |
$0.00 |
| J1630 |
Haloperidol injection |
28 |
26 |
$0.00 |
| 84270 |
|
30 |
27 |
$0.00 |
| 84402 |
|
13 |
13 |
$0.00 |
| 82670 |
|
31 |
26 |
$0.00 |
| 96415 |
|
27 |
24 |
$0.00 |
| 99291 |
|
75 |
69 |
$0.00 |
| 45380 |
|
44 |
38 |
$0.00 |
| 77063 |
|
14 |
12 |
$0.00 |