| Code | Description | Claims | Beneficiaries | Total Paid |
| 0121 |
|
8,628 |
7,138 |
$62.67M |
| 0450 |
|
78,390 |
70,089 |
$3.21M |
| 0112 |
|
788 |
626 |
$2.41M |
| 99283 |
|
44,678 |
41,060 |
$2.10M |
| 0200 |
|
527 |
455 |
$1.98M |
| 70450 |
|
12,783 |
12,289 |
$1.85M |
| 74176 |
|
11,725 |
11,261 |
$1.12M |
| 0122 |
|
405 |
308 |
$1.08M |
| 0171 |
Inj, epinephrine (belcher) |
1,145 |
885 |
$1.08M |
| 93005 |
|
28,314 |
23,919 |
$709K |
| 96374 |
|
13,361 |
12,673 |
$704K |
| 80053 |
|
51,041 |
47,599 |
$686K |
| 96372 |
|
25,758 |
23,842 |
$660K |
| 72125 |
|
3,359 |
3,275 |
$606K |
| 85025 |
|
57,243 |
52,879 |
$542K |
| 80307 |
|
9,516 |
9,002 |
$496K |
| Z7502 |
|
12,852 |
12,460 |
$468K |
| 0206 |
|
354 |
301 |
$460K |
| 96365 |
|
7,315 |
6,252 |
$438K |
| 93306 |
|
3,017 |
2,980 |
$391K |
| 96375 |
|
11,090 |
10,211 |
$361K |
| 74177 |
|
2,069 |
2,031 |
$360K |
| 0762 |
|
6,984 |
3,043 |
$341K |
| 78452 |
|
1,784 |
1,760 |
$315K |
| 84484 |
|
24,123 |
17,129 |
$312K |
| 96361 |
|
9,533 |
8,791 |
$266K |
| 87426 |
|
7,666 |
7,519 |
$248K |
| A9500 |
Tc99m sestamibi |
1,202 |
1,187 |
$242K |
| G0480 |
Drug test def 1-7 classes |
3,863 |
3,630 |
$239K |
| 99499 |
|
4,531 |
4,158 |
$238K |
| 99070 |
|
33,821 |
28,974 |
$232K |
| 70486 |
|
1,458 |
1,424 |
$219K |
| 59025 |
|
11,254 |
5,182 |
$214K |
| G0378 |
Hospital observation per hr |
3,593 |
1,609 |
$211K |
| 96360 |
|
3,713 |
3,595 |
$207K |
| 99284 |
|
2,619 |
2,534 |
$190K |
| 76819 |
|
4,169 |
1,569 |
$188K |
| 71045 |
|
17,664 |
16,920 |
$184K |
| 99285 |
|
1,278 |
1,229 |
$180K |
| 71046 |
|
8,274 |
7,981 |
$169K |
| 81001 |
|
37,440 |
35,410 |
$160K |
| 71250 |
|
823 |
814 |
$157K |
| 84702 |
|
8,851 |
8,209 |
$136K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,979 |
1,890 |
$134K |
| 83880 |
|
6,824 |
6,288 |
$126K |
| 93971 |
|
1,011 |
962 |
$117K |
| 76801 |
|
2,209 |
2,037 |
$115K |
| 99221 |
|
969 |
948 |
$111K |
| J3490 |
Drugs unclassified injection |
15,869 |
13,969 |
$105K |
| Z7610 |
|
7,265 |
4,463 |
$102K |
| 0360 |
|
2,383 |
1,862 |
$98K |
| 83690 |
|
10,739 |
10,262 |
$94K |
| 83735 |
|
11,846 |
11,076 |
$89K |
| 94640 |
|
4,534 |
3,856 |
$88K |
| 76705 |
|
1,681 |
1,607 |
$87K |
| 84443 |
|
4,425 |
4,281 |
$84K |
| 72131 |
|
508 |
491 |
$76K |
| 76805 |
|
907 |
859 |
$72K |
| 76856 |
|
1,185 |
1,162 |
$68K |
| 85730 |
|
9,706 |
9,200 |
$67K |
| 96366 |
|
2,362 |
1,545 |
$66K |
| 81025 |
|
8,852 |
8,535 |
$60K |
| 87804 |
|
8,228 |
4,051 |
$58K |
| 90715 |
|
1,749 |
1,728 |
$58K |
| 76817 |
|
1,101 |
990 |
$58K |
| 80048 |
|
5,589 |
5,247 |
$57K |
| 83605 |
|
4,403 |
3,706 |
$57K |
| 73030 |
|
2,301 |
2,151 |
$52K |
| J7030 |
Normal saline solution infus |
14,087 |
13,110 |
$51K |
| 73130 |
|
2,221 |
2,097 |
$51K |
| 0250 |
|
12,433 |
9,062 |
$49K |
| 87040 |
|
3,924 |
2,180 |
$48K |
| 72100 |
|
1,816 |
1,789 |
$47K |
| 93458 |
|
66 |
66 |
$47K |
| 85610 |
|
10,639 |
10,038 |
$46K |
| 81002 |
|
11,664 |
5,768 |
$44K |
| 73610 |
|
1,892 |
1,815 |
$44K |
| 73562 |
|
2,237 |
2,042 |
$44K |
| 99238 |
|
1,114 |
1,081 |
$42K |
| 36415 |
|
6,194 |
5,512 |
$42K |
| 73630 |
|
1,807 |
1,733 |
$38K |
| 85379 |
|
2,945 |
2,864 |
$36K |
| 82962 |
|
7,359 |
4,913 |
$36K |
| 71275 |
|
227 |
217 |
$35K |
| 73110 |
|
1,389 |
1,322 |
$33K |
| J1885 |
Ketorolac tromethamine inj |
11,300 |
10,761 |
$31K |
| J0696 |
Ceftriaxone sodium injection |
9,913 |
9,353 |
$31K |
| 83036 |
|
2,708 |
2,659 |
$31K |
| 0710 |
|
5,486 |
3,967 |
$30K |
| 94760 |
|
3,695 |
2,436 |
$27K |
| 93017 |
|
572 |
569 |
$27K |
| 72040 |
|
1,119 |
1,103 |
$26K |
| 80061 |
|
1,879 |
1,848 |
$25K |
| 82150 |
|
2,857 |
2,732 |
$23K |
| J2930 |
Methylprednisolone injection |
3,118 |
2,929 |
$22K |
| Z9725 |
|
506 |
498 |
$21K |
| 74018 |
|
1,198 |
1,158 |
$20K |
| 71260 |
|
102 |
99 |
$19K |
| C9803 |
Hopd covid-19 spec collect |
1,085 |
1,061 |
$19K |
| 86850 |
|
2,040 |
1,961 |
$19K |
| 99199 |
|
451 |
435 |
$19K |
| 82306 |
|
794 |
783 |
$18K |
| J2270 |
Morphine sulfate injection |
4,137 |
3,730 |
$18K |
| 88305 |
|
573 |
545 |
$16K |
| 93970 |
|
81 |
79 |
$15K |
| 99218 |
|
128 |
126 |
$15K |
| G0463 |
Hospital outpt clinic visit |
1,200 |
734 |
$14K |
| 85027 |
|
1,774 |
1,676 |
$13K |
| 87491 |
|
660 |
651 |
$13K |
| 87591 |
|
661 |
651 |
$13K |
| 87086 |
|
1,622 |
1,566 |
$12K |
| 12002 |
|
716 |
708 |
$12K |
| J2405 |
Ondansetron hcl injection |
8,123 |
7,603 |
$12K |
| 12001 |
|
676 |
675 |
$11K |
| 86901 |
|
2,202 |
2,116 |
$11K |
| 87880 |
|
907 |
889 |
$11K |
| 73080 |
|
435 |
412 |
$11K |
| 87807 |
|
1,607 |
1,567 |
$11K |
| 93010 |
|
1,276 |
1,065 |
$11K |
| 73090 |
|
569 |
514 |
$11K |
| 0270 |
|
4,329 |
3,382 |
$11K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
853 |
789 |
$10K |
| 73700 |
|
55 |
53 |
$9K |
| Z7500 |
|
256 |
137 |
$9K |
| 87070 |
|
745 |
717 |
$8K |
| 76830 |
|
136 |
134 |
$8K |
| 76815 |
|
152 |
131 |
$8K |
| 84439 |
|
620 |
610 |
$8K |
| 12011 |
|
392 |
383 |
$8K |
| 82805 |
|
206 |
170 |
$8K |
| 94060 |
|
130 |
130 |
$8K |
| 86900 |
|
2,140 |
2,053 |
$7K |
| 29125 |
|
1,031 |
1,014 |
$7K |
| 0481 |
|
621 |
559 |
$7K |
| J1100 |
Dexamethasone sodium phos |
3,991 |
3,884 |
$7K |
| 90471 |
|
1,766 |
1,742 |
$7K |
| 99213 |
|
1,063 |
540 |
$7K |
| J0153 |
Adenosine inj 1mg |
551 |
517 |
$6K |
| 85007 |
|
1,761 |
1,671 |
$6K |
| J1170 |
Hydromorphone injection |
1,594 |
1,461 |
$6K |
| 86141 |
|
755 |
725 |
$6K |
| J7120 |
Ringers lactate infusion |
1,732 |
1,519 |
$6K |
| J0171 |
Adrenalin epinephrine inject |
365 |
332 |
$5K |
| J2704 |
Inj, propofol, 10 mg |
1,540 |
1,464 |
$5K |
| 86703 |
|
371 |
369 |
$5K |
| 73502 |
|
211 |
190 |
$5K |
| 71101 |
|
124 |
121 |
$5K |
| 87340 |
|
285 |
284 |
$4K |
| 0510 |
|
318 |
200 |
$4K |
| 94729 |
|
99 |
99 |
$4K |
| J2060 |
Lorazepam injection |
2,306 |
2,037 |
$3K |
| 99281 |
|
148 |
143 |
$3K |
| 99217 |
|
138 |
136 |
$3K |
| 84550 |
|
591 |
511 |
$3K |
| J0690 |
Cefazolin sodium injection |
1,125 |
1,048 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
2,173 |
1,990 |
$3K |
| J0500 |
Dicyclomine injection |
147 |
145 |
$3K |
| 82948 |
|
726 |
279 |
$3K |
| 94727 |
|
99 |
99 |
$3K |
| 93880 |
|
30 |
30 |
$3K |
| 96367 |
|
99 |
93 |
$3K |
| J3010 |
Fentanyl citrate injection |
2,872 |
2,730 |
$3K |
| 96376 |
|
41 |
39 |
$3K |
| 87635 |
|
65 |
64 |
$3K |
| 73590 |
|
153 |
145 |
$3K |
| 72070 |
|
104 |
104 |
$3K |
| 0272 |
|
10,105 |
7,731 |
$3K |
| 86762 |
|
157 |
156 |
$3K |
| S0164 |
Injection pantroprazole |
384 |
372 |
$3K |
| 0750 |
|
571 |
511 |
$2K |
| J1953 |
Levetiracetam injection |
187 |
171 |
$2K |
| 29515 |
|
209 |
206 |
$2K |
| 86592 |
|
989 |
951 |
$2K |
| 0301 |
|
11,141 |
8,317 |
$2K |
| J7040 |
Normal saline solution infus |
1,095 |
1,046 |
$2K |
| J2550 |
Promethazine hcl injection |
699 |
662 |
$2K |
| J1815 |
Insulin injection |
183 |
162 |
$2K |
| 82570 |
|
326 |
266 |
$2K |
| 73140 |
|
97 |
90 |
$2K |
| 84481 |
|
90 |
89 |
$2K |
| 92950 |
|
12 |
12 |
$2K |
| 73620 |
|
111 |
100 |
$2K |
| 88342 |
|
43 |
42 |
$2K |
| 87186 |
|
139 |
137 |
$2K |
| 99282 |
|
59 |
56 |
$1K |
| 96368 |
|
75 |
74 |
$1K |
| 85652 |
|
468 |
448 |
$1K |
| 76870 |
|
24 |
24 |
$1K |
| 84144 |
|
40 |
38 |
$1K |
| J2001 |
Lidocaine injection |
1,134 |
1,091 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
2,768 |
2,563 |
$1K |
| A0429 |
Bls-emergency |
34 |
29 |
$1K |
| 43239 |
|
27 |
25 |
$1K |
| 29999 |
|
14 |
12 |
$1K |
| 0370 |
|
1,973 |
1,727 |
$1K |
| J0780 |
Prochlorperazine injection |
220 |
213 |
$1K |
| J2175 |
Meperidine hydrochl /100 mg |
201 |
195 |
$1K |
| J2765 |
Metoclopramide hcl injection |
661 |
644 |
$1K |
| 82043 |
|
104 |
103 |
$940.98 |
| 99212 |
|
124 |
67 |
$898.47 |
| Z7514 |
|
13 |
12 |
$760.11 |
| 96379 |
|
118 |
114 |
$715.39 |
| 80076 |
|
66 |
65 |
$706.06 |
| 82550 |
|
82 |
78 |
$652.09 |
| 99239 |
|
13 |
12 |
$634.44 |
| 0271 |
|
10,518 |
8,101 |
$565.20 |
| 45380 |
|
12 |
12 |
$564.88 |
| 36600 |
|
127 |
115 |
$550.43 |
| 86803 |
|
25 |
25 |
$527.92 |
| J0330 |
Succinycholine chloride inj |
15 |
15 |
$497.54 |
| 82728 |
|
189 |
179 |
$496.02 |
| 82951 |
|
28 |
28 |
$485.21 |
| 82607 |
|
29 |
29 |
$417.06 |
| J3105 |
Terbutaline sulfate inj |
220 |
184 |
$396.80 |
| 87210 |
|
56 |
52 |
$363.27 |
| J2920 |
Methylprednisolone injection |
38 |
38 |
$353.03 |
| 10060 |
|
24 |
24 |
$349.56 |
| 82010 |
|
34 |
31 |
$336.92 |
| J2470 |
Inj pantoprazole sodium 40mg |
82 |
77 |
$327.69 |
| 73552 |
|
13 |
12 |
$315.39 |
| 84403 |
|
12 |
12 |
$281.40 |
| J2919 |
Inj, methylpred sod succ 5mg |
344 |
331 |
$274.36 |
| 51702 |
|
19 |
15 |
$269.70 |
| 81003 |
|
104 |
104 |
$262.48 |
| 83655 |
|
26 |
26 |
$251.96 |
| 73060 |
|
12 |
12 |
$228.04 |
| J1644 |
Inj heparin sodium per 1000u |
509 |
336 |
$224.14 |
| 0636 |
|
10,275 |
6,598 |
$214.76 |
| J2300 |
Inj nalbuphine hydrochloride |
67 |
65 |
$189.91 |
| 80320 |
|
98 |
84 |
$187.78 |
| 73600 |
|
15 |
12 |
$186.85 |
| J3475 |
Inj magnesium sulfate |
42 |
27 |
$148.79 |
| 0483 |
|
2,640 |
2,326 |
$146.17 |
| 0258 |
|
3,596 |
2,952 |
$131.73 |
| S0077 |
Injection, clindamycin phosp |
56 |
52 |
$131.16 |
| 84156 |
|
42 |
26 |
$110.27 |
| 87077 |
|
15 |
12 |
$89.17 |
| 29105 |
|
12 |
12 |
$72.00 |
| 0320 |
|
1,249 |
1,057 |
$68.18 |
| Q0162 |
Ondansetron oral |
133 |
124 |
$64.56 |
| 87400 |
|
13 |
13 |
$60.19 |
| 29130 |
|
12 |
12 |
$60.00 |
| 87205 |
|
14 |
13 |
$57.82 |
| J1940 |
Furosemide injection |
34 |
12 |
$51.50 |
| S0020 |
Injection, bupivicaine hydro |
13 |
12 |
$47.47 |
| J3420 |
Vitamin b12 injection |
66 |
49 |
$37.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
45 |
44 |
$26.71 |
| J7050 |
Normal saline solution infus |
34 |
34 |
$21.81 |
| 0306 |
|
6,887 |
5,651 |
$8.72 |
| 0307 |
|
7,965 |
6,614 |
$2.51 |
| 0921 |
|
1,472 |
1,272 |
$0.00 |
| 0730 |
|
5,958 |
4,988 |
$0.00 |
| 0300 |
|
11,037 |
8,251 |
$0.00 |
| 76818 |
|
137 |
54 |
$0.00 |
| 0412 |
|
2,473 |
2,102 |
$0.00 |
| 0312 |
|
1,841 |
1,445 |
$0.00 |
| 0351 |
|
2,009 |
1,738 |
$0.00 |
| 0402 |
|
2,277 |
1,955 |
$0.00 |
| 0424 |
|
954 |
834 |
$0.00 |
| 0343 |
|
775 |
682 |
$0.00 |
| 0381 |
|
428 |
362 |
$0.00 |
| 0361 |
|
975 |
779 |
$0.00 |
| 0460 |
|
451 |
375 |
$0.00 |
| 0302 |
|
5,329 |
3,969 |
$0.00 |
| 0920 |
|
1,973 |
1,689 |
$0.00 |
| 0722 |
|
703 |
560 |
$0.00 |
| 0260 |
|
2,295 |
1,059 |
$0.00 |
| 0390 |
|
60 |
60 |
$0.00 |
| 0278 |
|
1,455 |
1,258 |
$0.00 |
| 0259 |
|
9,241 |
6,595 |
$0.00 |
| 0740 |
|
334 |
278 |
$0.00 |
| 0771 |
|
1,289 |
903 |
$0.00 |
| 0310 |
|
337 |
305 |
$0.00 |
| 0610 |
|
25 |
25 |
$0.00 |
| 0410 |
|
3,453 |
2,750 |
$0.00 |
| 94761 |
|
30 |
30 |
$0.00 |
| 0482 |
|
313 |
277 |
$0.00 |
| 0305 |
|
10,137 |
8,170 |
$0.00 |
| 0324 |
|
6,925 |
5,813 |
$0.00 |
| 0352 |
|
4,475 |
3,798 |
$0.00 |
| 0420 |
|
929 |
817 |
$0.00 |
| 0720 |
|
1,159 |
890 |
$0.00 |
| 0341 |
|
802 |
705 |
$0.00 |
| 0801 |
|
188 |
167 |
$0.00 |
| 0611 |
|
198 |
163 |
$0.00 |
| 0275 |
|
40 |
38 |
$0.00 |
| 0761 |
|
61 |
59 |
$0.00 |
| Q4051 |
Splint supplies misc |
34 |
21 |
$0.00 |