| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
32,003 |
28,082 |
$1.92M |
| 11042 |
|
7,197 |
2,624 |
$894K |
| 99070 |
|
27,460 |
10,691 |
$576K |
| 96374 |
|
6,051 |
5,514 |
$535K |
| 72148 |
|
809 |
803 |
$511K |
| 74177 |
|
1,828 |
1,768 |
$492K |
| 70450 |
|
2,024 |
1,983 |
$471K |
| 93005 |
|
8,052 |
7,451 |
$364K |
| J3490 |
Drugs unclassified injection |
17,034 |
7,665 |
$307K |
| 96375 |
|
3,834 |
3,440 |
$241K |
| 99199 |
|
3,388 |
2,863 |
$227K |
| 70553 |
|
178 |
178 |
$213K |
| 97139 |
|
11,659 |
3,003 |
$210K |
| 0450 |
|
3,604 |
3,197 |
$205K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,381 |
2,345 |
$203K |
| 99221 |
|
492 |
363 |
$193K |
| 72141 |
|
276 |
275 |
$189K |
| 66984 |
|
303 |
279 |
$178K |
| 70551 |
|
294 |
291 |
$171K |
| 73721 |
|
354 |
346 |
$170K |
| 80053 |
|
13,512 |
12,366 |
$163K |
| 99232 |
|
843 |
619 |
$154K |
| 96361 |
|
3,475 |
3,205 |
$128K |
| 85025 |
|
15,660 |
14,206 |
$118K |
| 74176 |
|
760 |
754 |
$115K |
| 86480 |
|
1,461 |
1,392 |
$111K |
| 96360 |
|
1,248 |
1,206 |
$111K |
| 71045 |
|
5,752 |
5,458 |
$107K |
| G0480 |
Drug test def 1-7 classes |
1,409 |
1,335 |
$103K |
| 87502 |
|
1,486 |
1,452 |
$97K |
| 96372 |
|
2,479 |
2,330 |
$95K |
| 80307 |
|
1,498 |
1,425 |
$94K |
| 96365 |
|
739 |
706 |
$80K |
| 93306 |
|
288 |
285 |
$74K |
| J7030 |
Normal saline solution infus |
2,835 |
2,533 |
$72K |
| 82274 |
|
4,355 |
4,353 |
$63K |
| 71046 |
|
2,180 |
2,120 |
$63K |
| 72125 |
|
238 |
237 |
$62K |
| 84484 |
|
6,055 |
5,506 |
$62K |
| J2405 |
Ondansetron hcl injection |
2,934 |
2,637 |
$56K |
| A9579 |
Gad-base mr contrast nos,1ml |
896 |
872 |
$49K |
| 97110 |
|
1,645 |
711 |
$49K |
| 83690 |
|
6,287 |
5,884 |
$46K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,701 |
3,565 |
$45K |
| 0250 |
|
4,457 |
1,414 |
$43K |
| 73221 |
|
91 |
87 |
$42K |
| 97750 |
|
1,007 |
746 |
$40K |
| 87811 |
|
2,775 |
2,658 |
$39K |
| 94640 |
|
1,152 |
971 |
$37K |
| 99231 |
|
536 |
409 |
$37K |
| 71260 |
|
114 |
113 |
$36K |
| 87491 |
|
1,088 |
1,071 |
$35K |
| J1885 |
Ketorolac tromethamine inj |
4,738 |
4,284 |
$33K |
| 87591 |
|
1,088 |
1,071 |
$32K |
| 76705 |
|
390 |
384 |
$31K |
| 86703 |
|
1,752 |
1,687 |
$28K |
| T1999 |
Noc retail items andsupplies |
1,843 |
809 |
$26K |
| 73030 |
|
640 |
632 |
$23K |
| 76000 |
|
675 |
630 |
$22K |
| 86803 |
|
1,486 |
1,422 |
$22K |
| 77080 |
|
574 |
563 |
$22K |
| 83605 |
|
1,642 |
1,525 |
$21K |
| 76856 |
|
250 |
245 |
$20K |
| 82962 |
|
2,878 |
2,226 |
$20K |
| 81025 |
|
5,260 |
4,905 |
$20K |
| 84443 |
|
1,063 |
1,051 |
$19K |
| V2632 |
Post chmbr intraocular lens |
90 |
87 |
$18K |
| J1100 |
Dexamethasone sodium phos |
580 |
546 |
$18K |
| 76700 |
|
206 |
202 |
$18K |
| 81003 |
|
8,073 |
7,682 |
$17K |
| 11045 |
|
576 |
262 |
$17K |
| 87088 |
|
2,840 |
2,744 |
$16K |
| 87635 |
|
334 |
333 |
$16K |
| V2630 |
Anter chamber intraocul lens |
150 |
138 |
$15K |
| 83880 |
|
589 |
557 |
$14K |
| 73562 |
|
424 |
416 |
$14K |
| J2270 |
Morphine sulfate injection |
1,402 |
1,146 |
$14K |
| 76830 |
|
152 |
152 |
$14K |
| 36415 |
|
1,970 |
1,657 |
$14K |
| 72100 |
|
388 |
385 |
$12K |
| 83735 |
|
1,665 |
1,571 |
$11K |
| J7120 |
Ringers lactate infusion |
1,019 |
935 |
$11K |
| 73564 |
|
295 |
275 |
$10K |
| 97140 |
|
689 |
324 |
$10K |
| 80048 |
|
1,103 |
956 |
$10K |
| 87400 |
|
553 |
520 |
$9K |
| 87040 |
|
603 |
564 |
$9K |
| 73630 |
|
294 |
290 |
$8K |
| 87880 |
|
1,051 |
1,013 |
$8K |
| 87081 |
|
1,354 |
1,303 |
$8K |
| 81001 |
|
2,381 |
2,296 |
$8K |
| J0696 |
Ceftriaxone sodium injection |
834 |
786 |
$8K |
| J3301 |
Triamcinolone acet inj nos |
243 |
233 |
$8K |
| 73130 |
|
225 |
220 |
$7K |
| 70498 |
|
25 |
25 |
$7K |
| 72170 |
|
292 |
288 |
$7K |
| 85027 |
|
1,030 |
887 |
$6K |
| 73610 |
|
149 |
147 |
$6K |
| 97597 |
|
120 |
91 |
$5K |
| 87490 |
|
194 |
185 |
$5K |
| 87634 |
|
87 |
84 |
$5K |
| 93308 |
|
24 |
24 |
$5K |
| 84702 |
|
430 |
407 |
$5K |
| 85610 |
|
1,322 |
1,243 |
$5K |
| J2765 |
Metoclopramide hcl injection |
696 |
650 |
$5K |
| 85379 |
|
415 |
409 |
$4K |
| 87590 |
|
194 |
185 |
$4K |
| 99218 |
|
129 |
119 |
$4K |
| 87186 |
|
594 |
555 |
$4K |
| J2250 |
Inj midazolam hydrochloride |
464 |
452 |
$4K |
| 84466 |
|
348 |
333 |
$4K |
| J1200 |
Diphenhydramine hcl injectio |
506 |
466 |
$3K |
| 87086 |
|
475 |
460 |
$3K |
| 70496 |
|
13 |
13 |
$3K |
| 85730 |
|
450 |
438 |
$3K |
| 87341 |
|
295 |
295 |
$3K |
| 87077 |
|
429 |
407 |
$3K |
| 83036 |
|
322 |
317 |
$2K |
| J7324 |
Orthovisc inj per dose |
46 |
45 |
$2K |
| 82803 |
|
181 |
173 |
$2K |
| 97799 |
|
252 |
78 |
$2K |
| 73110 |
|
60 |
60 |
$2K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
125 |
116 |
$2K |
| 93971 |
|
30 |
28 |
$2K |
| 73502 |
|
49 |
49 |
$2K |
| 85652 |
|
672 |
663 |
$2K |
| 77067 |
|
13 |
13 |
$2K |
| 71020 |
|
48 |
39 |
$2K |
| Z7502 |
|
41 |
40 |
$1K |
| 94150 |
|
133 |
106 |
$1K |
| 99283 |
|
41 |
39 |
$1K |
| 76536 |
|
30 |
28 |
$1K |
| J3010 |
Fentanyl citrate injection |
185 |
182 |
$1K |
| J2001 |
Lidocaine injection |
60 |
59 |
$1K |
| G0463 |
Hospital outpt clinic visit |
93 |
87 |
$1K |
| 99152 |
|
17 |
16 |
$1K |
| 87210 |
|
276 |
272 |
$1K |
| J1170 |
Hydromorphone injection |
102 |
84 |
$1K |
| 90715 |
|
24 |
24 |
$1K |
| 82375 |
|
61 |
60 |
$968.14 |
| 90656 |
|
24 |
24 |
$955.88 |
| 80143 |
|
63 |
62 |
$952.02 |
| J7040 |
Normal saline solution infus |
41 |
40 |
$807.05 |
| 71010 |
|
41 |
33 |
$781.42 |
| 80179 |
|
38 |
38 |
$638.58 |
| 83540 |
|
95 |
93 |
$608.26 |
| 81015 |
|
150 |
133 |
$557.80 |
| 64483 |
|
27 |
27 |
$545.02 |
| 86140 |
|
114 |
106 |
$527.78 |
| 86850 |
|
70 |
70 |
$417.72 |
| 90471 |
|
68 |
63 |
$397.00 |
| 86900 |
|
84 |
82 |
$377.65 |
| 86780 |
|
32 |
32 |
$353.40 |
| 84439 |
|
38 |
38 |
$343.84 |
| 86901 |
|
72 |
70 |
$339.38 |
| 87340 |
|
34 |
33 |
$313.39 |
| 81002 |
|
94 |
87 |
$313.24 |
| J3475 |
Inj magnesium sulfate |
15 |
14 |
$253.92 |
| 80061 |
|
13 |
13 |
$138.48 |
| 64493 |
|
18 |
15 |
$132.30 |
| 64484 |
|
13 |
13 |
$76.86 |
| 86706 |
|
15 |
15 |
$71.25 |
| 0270 |
|
324 |
152 |
$62.78 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
13 |
13 |
$58.32 |
| J2060 |
Lorazepam injection |
15 |
12 |
$33.50 |
| 0250R |
|
417 |
260 |
$0.00 |