| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99499 |
|
8,066 |
6,120 |
$2.25M |
| 0450 |
|
18,509 |
16,588 |
$1.33M |
| 99283 |
|
11,235 |
10,834 |
$896K |
| 0762 |
|
440 |
420 |
$702K |
| 96374 |
|
7,191 |
6,516 |
$508K |
| 74177 |
|
1,455 |
1,348 |
$388K |
| 70450 |
|
2,618 |
2,450 |
$381K |
| 72125 |
|
1,195 |
1,142 |
$276K |
| 93005 |
|
8,748 |
8,012 |
$258K |
| 96375 |
|
4,567 |
3,840 |
$212K |
| 99284 |
|
2,006 |
1,865 |
$196K |
| 99285 |
|
1,377 |
1,271 |
$194K |
| 85025 |
|
22,537 |
20,085 |
$188K |
| 80053 |
|
12,759 |
11,652 |
$174K |
| 87636 |
|
823 |
809 |
$129K |
| 80307 |
|
1,571 |
1,431 |
$99K |
| 0710 |
|
940 |
879 |
$99K |
| J3490 |
Drugs unclassified injection |
27,248 |
10,490 |
$99K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,122 |
1,101 |
$96K |
| 74176 |
|
591 |
572 |
$82K |
| 71045 |
|
5,430 |
5,010 |
$77K |
| 96361 |
|
2,250 |
1,969 |
$74K |
| 96372 |
|
2,294 |
1,867 |
$72K |
| U0002 |
Covid-19 lab test non-cdc |
1,581 |
1,529 |
$66K |
| Z7502 |
|
1,710 |
1,673 |
$62K |
| A4217 |
Sterile water/saline, 500 ml |
4,515 |
3,854 |
$60K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,949 |
2,646 |
$52K |
| 96365 |
|
539 |
489 |
$48K |
| J7120 |
Ringers lactate infusion |
5,461 |
4,652 |
$47K |
| 80048 |
|
5,423 |
4,639 |
$44K |
| J1170 |
Hydromorphone injection |
3,574 |
2,555 |
$43K |
| 0270 |
|
2,730 |
2,114 |
$35K |
| 0272 |
|
1,413 |
1,269 |
$30K |
| J2405 |
Ondansetron hcl injection |
3,961 |
3,223 |
$29K |
| 84484 |
|
3,322 |
2,857 |
$29K |
| 83690 |
|
3,639 |
3,219 |
$27K |
| 0360 |
|
350 |
227 |
$27K |
| 99199 |
|
403 |
358 |
$26K |
| 87502 |
|
338 |
302 |
$25K |
| 96379 |
|
1,433 |
1,074 |
$24K |
| 66984 |
|
13 |
13 |
$23K |
| J1885 |
Ketorolac tromethamine inj |
2,186 |
1,952 |
$20K |
| 43239 |
|
75 |
75 |
$20K |
| 96360 |
|
324 |
311 |
$17K |
| 83880 |
|
658 |
603 |
$13K |
| 88305 |
|
398 |
396 |
$11K |
| 83735 |
|
1,986 |
1,612 |
$11K |
| 71046 |
|
407 |
383 |
$10K |
| J2704 |
Inj, propofol, 10 mg |
904 |
721 |
$9K |
| 0259 |
|
1,658 |
1,031 |
$8K |
| J2250 |
Inj midazolam hydrochloride |
1,380 |
1,318 |
$8K |
| J3010 |
Fentanyl citrate injection |
1,707 |
1,565 |
$8K |
| 83605 |
|
956 |
839 |
$8K |
| 81001 |
|
2,472 |
2,315 |
$8K |
| J2060 |
Lorazepam injection |
878 |
787 |
$8K |
| 87086 |
|
912 |
875 |
$7K |
| J1100 |
Dexamethasone sodium phos |
606 |
543 |
$7K |
| 0250 |
|
282 |
234 |
$7K |
| 94640 |
|
318 |
253 |
$6K |
| 36415 |
|
3,717 |
2,635 |
$6K |
| 71275 |
|
27 |
26 |
$6K |
| 70496 |
|
24 |
24 |
$6K |
| 70498 |
|
25 |
25 |
$6K |
| 80306 |
|
190 |
179 |
$5K |
| 73562 |
|
147 |
139 |
$5K |
| 85610 |
|
1,891 |
1,730 |
$5K |
| 97140 |
|
146 |
67 |
$5K |
| 84703 |
|
717 |
662 |
$5K |
| J1200 |
Diphenhydramine hcl injectio |
490 |
434 |
$4K |
| 97110 |
|
297 |
150 |
$4K |
| 85730 |
|
994 |
926 |
$4K |
| 99282 |
|
91 |
90 |
$3K |
| Z7610 |
|
302 |
231 |
$3K |
| J2765 |
Metoclopramide hcl injection |
376 |
322 |
$3K |
| 73030 |
|
82 |
78 |
$3K |
| G0378 |
Hospital observation per hr |
14 |
12 |
$3K |
| 81003 |
|
654 |
633 |
$3K |
| 93971 |
|
27 |
25 |
$2K |
| 71260 |
|
12 |
12 |
$2K |
| 87040 |
|
187 |
159 |
$2K |
| 0750 |
|
14 |
14 |
$2K |
| 70486 |
|
12 |
12 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
134 |
118 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
217 |
160 |
$2K |
| 71250 |
|
12 |
12 |
$2K |
| J2550 |
Promethazine hcl injection |
151 |
108 |
$2K |
| 76641 |
|
28 |
28 |
$2K |
| C1894 |
Intro/sheath, non-laser |
79 |
77 |
$2K |
| 85379 |
|
168 |
163 |
$2K |
| 86900 |
|
215 |
198 |
$2K |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$2K |
| 73610 |
|
44 |
41 |
$1K |
| 86850 |
|
100 |
93 |
$1K |
| 86901 |
|
203 |
186 |
$1K |
| 0370 |
|
28 |
28 |
$925.60 |
| J0690 |
Cefazolin sodium injection |
116 |
66 |
$858.63 |
| 72100 |
|
26 |
26 |
$800.80 |
| 86140 |
|
142 |
140 |
$791.02 |
| V2632 |
Post chmbr intraocular lens |
40 |
40 |
$768.01 |
| 87798 |
|
16 |
16 |
$758.94 |
| 88304 |
|
65 |
65 |
$745.49 |
| 71010 |
|
42 |
24 |
$743.82 |
| J2270 |
Morphine sulfate injection |
71 |
66 |
$707.00 |
| 81025 |
|
56 |
56 |
$706.33 |
| 71020 |
|
23 |
12 |
$685.56 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
164 |
62 |
$652.14 |
| 87186 |
|
98 |
97 |
$628.04 |
| 73630 |
|
15 |
14 |
$618.81 |
| 87077 |
|
130 |
129 |
$603.20 |
| 76856 |
|
12 |
12 |
$559.35 |
| J0171 |
Adrenalin epinephrine inject |
43 |
43 |
$506.35 |
| 76705 |
|
12 |
12 |
$452.14 |
| 87651 |
|
14 |
13 |
$451.43 |
| C1769 |
Guide wire |
28 |
26 |
$424.02 |
| 73130 |
|
12 |
12 |
$391.03 |
| 84145 |
|
14 |
14 |
$330.41 |
| 99070 |
|
170 |
78 |
$304.86 |
| 84443 |
|
19 |
15 |
$206.82 |
| 85652 |
|
65 |
65 |
$175.14 |
| U0005 |
Infec agen detec ampli probe |
45 |
44 |
$129.89 |
| G1004 |
Cdsm ndsc |
32 |
30 |
$54.00 |
| J7030 |
Normal saline solution infus |
48 |
40 |
$51.59 |
| 87205 |
|
16 |
13 |
$45.68 |
| 80061 |
|
12 |
12 |
$0.00 |
| 0258 |
|
15 |
15 |
$0.00 |