| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
|
2,046 |
1,950 |
$258K |
| G0463 |
Hospital outpt clinic visit |
6,744 |
5,814 |
$127K |
| 80053 |
|
13,744 |
12,016 |
$91K |
| 85025 |
|
17,154 |
14,524 |
$85K |
| 99284 |
|
1,541 |
1,378 |
$73K |
| G0480 |
Drug test def 1-7 classes |
822 |
773 |
$60K |
| 99283 |
|
1,740 |
1,564 |
$59K |
| 97110 |
|
1,466 |
550 |
$49K |
| 70450 |
|
1,198 |
1,154 |
$47K |
| 71275 |
|
429 |
417 |
$45K |
| 71046 |
|
3,237 |
3,131 |
$42K |
| 87804 |
|
2,246 |
2,169 |
$41K |
| 76705 |
|
894 |
872 |
$37K |
| 74176 |
|
502 |
489 |
$33K |
| G0482 |
Drug test def 15-21 classes |
256 |
241 |
$33K |
| 96374 |
|
1,595 |
1,332 |
$30K |
| 84443 |
|
2,054 |
2,002 |
$28K |
| U0003 |
Cov-19 amp prb hgh thruput |
350 |
338 |
$25K |
| 99282 |
|
746 |
679 |
$23K |
| 87880 |
|
1,654 |
1,627 |
$23K |
| 83690 |
|
4,599 |
4,191 |
$22K |
| 80048 |
|
3,201 |
2,852 |
$19K |
| 87086 |
|
2,957 |
2,755 |
$18K |
| 82306 |
|
909 |
864 |
$18K |
| 87491 |
|
522 |
517 |
$18K |
| 84484 |
|
3,547 |
2,912 |
$18K |
| 81001 |
|
7,788 |
7,001 |
$18K |
| 87591 |
|
499 |
494 |
$17K |
| 76770 |
|
336 |
333 |
$17K |
| 81025 |
|
2,487 |
2,340 |
$17K |
| 36415 |
|
10,985 |
9,135 |
$16K |
| 71045 |
|
3,035 |
2,815 |
$15K |
| 76830 |
|
229 |
224 |
$15K |
| 83880 |
|
740 |
679 |
$14K |
| 77067 |
|
365 |
362 |
$13K |
| 83605 |
|
1,863 |
1,585 |
$13K |
| 97140 |
|
436 |
161 |
$13K |
| 71260 |
|
170 |
167 |
$12K |
| 99285 |
|
154 |
142 |
$12K |
| 80061 |
|
1,223 |
1,196 |
$12K |
| 74018 |
|
913 |
874 |
$12K |
| 70551 |
|
125 |
122 |
$10K |
| 70496 |
|
84 |
82 |
$10K |
| 87420 |
|
750 |
742 |
$10K |
| 87040 |
|
1,049 |
728 |
$10K |
| 96361 |
|
580 |
492 |
$10K |
| 83970 |
|
409 |
392 |
$10K |
| 72148 |
|
105 |
104 |
$9K |
| 87077 |
|
1,168 |
1,114 |
$9K |
| 84439 |
|
1,081 |
1,059 |
$9K |
| J7030 |
Normal saline solution infus |
4,811 |
4,279 |
$9K |
| 84702 |
|
599 |
499 |
$9K |
| 83036 |
|
1,371 |
1,325 |
$8K |
| 80306 |
|
570 |
546 |
$8K |
| 85379 |
|
860 |
838 |
$7K |
| 73610 |
|
440 |
415 |
$7K |
| 70498 |
|
56 |
55 |
$7K |
| 73564 |
|
372 |
362 |
$7K |
| 87081 |
|
922 |
911 |
$6K |
| 86140 |
|
1,502 |
1,385 |
$6K |
| 93005 |
|
2,260 |
1,893 |
$6K |
| J7120 |
Ringers lactate infusion |
3,422 |
2,655 |
$6K |
| 82962 |
|
2,175 |
1,345 |
$6K |
| 87186 |
|
789 |
752 |
$6K |
| 73630 |
|
396 |
378 |
$6K |
| 96375 |
|
537 |
461 |
$6K |
| 76817 |
|
102 |
95 |
$5K |
| 73110 |
|
256 |
248 |
$5K |
| 82728 |
|
450 |
428 |
$4K |
| 85610 |
|
1,881 |
1,393 |
$4K |
| 81003 |
|
2,070 |
1,798 |
$4K |
| 72125 |
|
85 |
80 |
$4K |
| 87635 |
|
396 |
365 |
$4K |
| 83735 |
|
1,293 |
942 |
$4K |
| 76642 |
|
111 |
111 |
$4K |
| 97162 |
|
70 |
68 |
$3K |
| 72141 |
|
26 |
26 |
$3K |
| 80069 |
|
512 |
422 |
$3K |
| J7050 |
Normal saline solution infus |
5,946 |
4,725 |
$3K |
| 87641 |
|
85 |
78 |
$3K |
| 87640 |
|
85 |
78 |
$3K |
| 73130 |
|
150 |
147 |
$2K |
| 84703 |
|
308 |
301 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
58 |
57 |
$2K |
| 73030 |
|
171 |
169 |
$2K |
| 83540 |
|
505 |
480 |
$2K |
| 83550 |
|
360 |
345 |
$2K |
| 82570 |
|
725 |
632 |
$2K |
| 36416 |
|
698 |
600 |
$2K |
| 77066 |
Tomosynthesis, mammo |
27 |
27 |
$2K |
| 76856 |
|
39 |
39 |
$2K |
| J1100 |
Dexamethasone sodium phos |
1,399 |
1,293 |
$2K |
| 85652 |
|
923 |
872 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
2,229 |
2,054 |
$2K |
| J2405 |
Ondansetron hcl injection |
3,425 |
2,999 |
$2K |
| 70553 |
|
14 |
14 |
$2K |
| 82803 |
|
98 |
82 |
$2K |
| J2270 |
Morphine sulfate injection |
789 |
720 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
807 |
723 |
$2K |
| 85730 |
|
359 |
338 |
$2K |
| 73721 |
|
12 |
12 |
$2K |
| 72100 |
|
107 |
104 |
$2K |
| J1170 |
Hydromorphone injection |
723 |
593 |
$1K |
| 84100 |
|
868 |
618 |
$1K |
| 86901 |
|
476 |
452 |
$1K |
| 80197 |
|
589 |
351 |
$1K |
| 82607 |
|
114 |
113 |
$1K |
| J2550 |
Promethazine hcl injection |
584 |
530 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
706 |
680 |
$1K |
| 73080 |
|
76 |
73 |
$1K |
| 87210 |
|
275 |
273 |
$1K |
| J0690 |
Cefazolin sodium injection |
402 |
366 |
$1K |
| 99213 |
|
72 |
68 |
$1K |
| 73502 |
|
70 |
68 |
$1K |
| 97112 |
|
29 |
12 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
928 |
866 |
$1K |
| J3010 |
Fentanyl citrate injection |
1,810 |
1,313 |
$1K |
| J2001 |
Lidocaine injection |
1,240 |
1,017 |
$869.64 |
| 71250 |
|
14 |
14 |
$790.95 |
| J0780 |
Prochlorperazine injection |
89 |
85 |
$740.82 |
| 83516 |
|
64 |
56 |
$703.50 |
| 70486 |
|
12 |
12 |
$640.87 |
| 73140 |
|
37 |
36 |
$636.14 |
| 84156 |
|
329 |
260 |
$615.02 |
| 87070 |
|
72 |
66 |
$586.79 |
| 73090 |
|
43 |
42 |
$578.07 |
| 82746 |
|
52 |
51 |
$574.63 |
| 84481 |
|
38 |
38 |
$567.43 |
| 82565 |
|
112 |
103 |
$561.41 |
| 87205 |
|
146 |
135 |
$531.34 |
| J7512 |
Prednisone ir or dr oral 1mg |
97 |
83 |
$530.61 |
| 76815 |
|
12 |
12 |
$517.53 |
| 82550 |
|
121 |
115 |
$513.36 |
| S0119 |
Ondansetron 4 mg |
1,666 |
1,588 |
$510.78 |
| 82784 |
|
41 |
41 |
$495.83 |
| 80076 |
|
73 |
70 |
$489.62 |
| 96360 |
|
14 |
14 |
$485.03 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,319 |
1,174 |
$451.80 |
| J7040 |
Normal saline solution infus |
448 |
427 |
$442.26 |
| 86850 |
|
58 |
57 |
$435.24 |
| 77065 |
Tomosynthesis, mammo |
13 |
12 |
$412.77 |
| 81002 |
|
148 |
118 |
$389.63 |
| J7620 |
Albuterol ipratrop non-comp |
433 |
383 |
$346.35 |
| 99212 |
|
31 |
28 |
$343.56 |
| 83525 |
|
26 |
26 |
$330.19 |
| 86803 |
|
25 |
25 |
$317.00 |
| 77080 |
|
58 |
54 |
$305.62 |
| 86900 |
|
116 |
111 |
$304.77 |
| J2930 |
Methylprednisolone injection |
32 |
28 |
$279.53 |
| J2250 |
Inj midazolam hydrochloride |
960 |
895 |
$255.06 |
| 90715 |
|
13 |
13 |
$250.76 |
| 72040 |
|
15 |
15 |
$248.91 |
| J2060 |
Lorazepam injection |
323 |
297 |
$245.99 |
| 84550 |
|
85 |
79 |
$236.49 |
| 90471 |
|
14 |
14 |
$212.19 |
| 82010 |
|
26 |
24 |
$181.60 |
| 73590 |
|
14 |
13 |
$165.30 |
| 82043 |
|
70 |
65 |
$164.99 |
| J0330 |
Succinycholine chloride inj |
143 |
138 |
$129.70 |
| G0008 |
Admin influenza virus vac |
67 |
66 |
$116.29 |
| J0171 |
Adrenalin epinephrine inject |
30 |
26 |
$73.03 |
| J7611 |
Albuterol non-comp con |
121 |
106 |
$69.37 |
| J2765 |
Metoclopramide hcl injection |
107 |
99 |
$66.85 |
| U0005 |
Infec agen detec ampli probe |
39 |
37 |
$50.00 |
| J2795 |
Ropivacaine hcl injection |
57 |
48 |
$48.46 |
| 90656 |
|
21 |
21 |
$17.81 |
| 96372 |
|
19 |
16 |
$13.52 |
| J7644 |
Ipratropium bromide non-comp |
30 |
28 |
$8.00 |
| 80050 |
|
60 |
57 |
$7.64 |
| J7613 |
Albuterol non-comp unit |
13 |
13 |
$1.56 |
| G1010 |
Cdsm stanson |
1,151 |
1,017 |
$0.00 |
| G8979 |
Mobility goal status |
12 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
1,085 |
360 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
28 |
26 |
$0.00 |
| 77063 |
|
15 |
15 |
$0.00 |