| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
73,247 |
60,671 |
$833K |
| 96374 |
|
17,420 |
13,703 |
$628K |
| 74176 |
|
7,820 |
6,545 |
$571K |
| 80307 |
|
11,476 |
9,393 |
$441K |
| 70450 |
|
9,241 |
8,093 |
$417K |
| G0480 |
Drug test def 1-7 classes |
8,779 |
6,854 |
$396K |
| A0429 |
Bls-emergency |
10,566 |
7,622 |
$394K |
| Z7502 |
|
9,396 |
9,177 |
$355K |
| 96375 |
|
12,529 |
9,466 |
$284K |
| 74177 |
|
1,877 |
1,563 |
$278K |
| 93005 |
|
22,044 |
17,583 |
$264K |
| 96361 |
|
13,795 |
10,641 |
$236K |
| 96365 |
|
5,413 |
4,246 |
$220K |
| 85025 |
|
45,491 |
37,087 |
$193K |
| 96372 |
|
12,003 |
8,219 |
$175K |
| 72125 |
|
2,504 |
2,258 |
$174K |
| 80053 |
|
30,236 |
24,358 |
$166K |
| J3490 |
Drugs unclassified injection |
30,636 |
15,134 |
$152K |
| 96360 |
|
4,313 |
3,458 |
$145K |
| 71045 |
|
17,113 |
14,665 |
$123K |
| J7030 |
Normal saline solution infus |
20,039 |
14,934 |
$115K |
| 71275 |
|
738 |
573 |
$106K |
| 87426 |
|
4,500 |
3,713 |
$98K |
| 99199 |
|
1,761 |
1,646 |
$93K |
| 84484 |
|
14,191 |
10,805 |
$69K |
| 83690 |
|
18,078 |
14,706 |
$66K |
| 80048 |
|
13,309 |
11,515 |
$64K |
| 87804 |
|
14,978 |
6,805 |
$63K |
| 72131 |
|
959 |
813 |
$62K |
| 76700 |
|
1,588 |
1,295 |
$62K |
| 99283 |
|
5,262 |
4,394 |
$62K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,076 |
858 |
$60K |
| 0270 |
|
58,839 |
25,872 |
$60K |
| J1885 |
Ketorolac tromethamine inj |
14,713 |
7,649 |
$59K |
| Z7610 |
|
5,123 |
3,033 |
$58K |
| 90715 |
|
2,493 |
2,027 |
$55K |
| 93971 |
|
714 |
637 |
$55K |
| 83880 |
|
3,564 |
3,091 |
$55K |
| 99285 |
|
2,091 |
1,976 |
$52K |
| 81001 |
|
32,863 |
27,288 |
$51K |
| 81025 |
|
18,767 |
15,898 |
$50K |
| 76856 |
|
1,329 |
1,161 |
$50K |
| 94640 |
|
3,816 |
2,788 |
$44K |
| 90853 |
|
13,449 |
1,320 |
$43K |
| 99284 |
|
2,048 |
1,898 |
$41K |
| 70486 |
|
599 |
542 |
$37K |
| J2405 |
Ondansetron hcl injection |
9,650 |
7,232 |
$37K |
| 87086 |
|
9,002 |
7,492 |
$36K |
| 96366 |
|
1,508 |
1,110 |
$34K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,385 |
3,233 |
$33K |
| 72193 |
|
268 |
212 |
$32K |
| 71250 |
|
584 |
526 |
$31K |
| J0696 |
Ceftriaxone sodium injection |
5,474 |
3,988 |
$27K |
| 87040 |
|
6,279 |
2,759 |
$26K |
| J2270 |
Morphine sulfate injection |
4,209 |
3,129 |
$23K |
| 87428 |
|
464 |
446 |
$21K |
| 73562 |
|
1,614 |
1,413 |
$21K |
| 73610 |
|
1,394 |
1,304 |
$19K |
| 73630 |
|
1,392 |
1,288 |
$19K |
| 83605 |
|
4,028 |
3,017 |
$18K |
| 87491 |
|
1,243 |
1,022 |
$18K |
| 76801 |
|
422 |
340 |
$18K |
| 87591 |
|
1,247 |
1,024 |
$18K |
| 73030 |
|
1,337 |
1,179 |
$17K |
| 73130 |
|
1,128 |
1,031 |
$16K |
| J1200 |
Diphenhydramine hcl injectio |
3,651 |
2,752 |
$15K |
| 87186 |
|
3,440 |
2,811 |
$15K |
| C9803 |
Hopd covid-19 spec collect |
942 |
779 |
$15K |
| 71046 |
|
1,322 |
1,246 |
$14K |
| 85379 |
|
2,584 |
2,218 |
$13K |
| J1170 |
Hydromorphone injection |
2,247 |
1,598 |
$13K |
| J2060 |
Lorazepam injection |
3,062 |
2,273 |
$13K |
| J7040 |
Normal saline solution infus |
3,227 |
2,634 |
$12K |
| 84443 |
|
1,354 |
1,171 |
$11K |
| J2765 |
Metoclopramide hcl injection |
2,452 |
1,943 |
$11K |
| J1100 |
Dexamethasone sodium phos |
2,689 |
1,676 |
$11K |
| 85610 |
|
5,222 |
4,451 |
$9K |
| 76830 |
|
243 |
222 |
$9K |
| 87088 |
|
2,060 |
1,741 |
$8K |
| 82962 |
|
5,007 |
3,123 |
$7K |
| 73110 |
|
489 |
462 |
$6K |
| 0250 |
|
7,100 |
4,345 |
$6K |
| 70496 |
|
33 |
26 |
$6K |
| 90471 |
|
1,840 |
1,639 |
$6K |
| 84702 |
|
1,029 |
844 |
$6K |
| J7060 |
5% dextrose/water |
1,210 |
845 |
$5K |
| 87077 |
|
1,229 |
1,030 |
$5K |
| 85730 |
|
1,820 |
1,570 |
$5K |
| 87070 |
|
2,135 |
1,798 |
$5K |
| 10060 |
|
355 |
314 |
$4K |
| 96376 |
|
2,128 |
1,559 |
$4K |
| 99281 |
|
424 |
288 |
$4K |
| 73080 |
|
264 |
242 |
$4K |
| J2930 |
Methylprednisolone injection |
422 |
346 |
$3K |
| 70498 |
|
33 |
26 |
$3K |
| 0011A |
|
77 |
77 |
$3K |
| 0012A |
|
76 |
76 |
$3K |
| 12001 |
|
342 |
326 |
$3K |
| 87420 |
|
1,696 |
1,600 |
$3K |
| Q0144 |
Azithromycin dihydrate, oral |
90 |
88 |
$3K |
| 0272 |
|
4,459 |
4,044 |
$3K |
| 83735 |
|
879 |
732 |
$3K |
| 29125 |
|
787 |
742 |
$2K |
| 0160 |
|
266 |
155 |
$2K |
| 82805 |
|
201 |
168 |
$2K |
| 84145 |
|
188 |
159 |
$2K |
| 96367 |
|
105 |
79 |
$2K |
| 80076 |
|
373 |
363 |
$2K |
| 86901 |
|
1,120 |
951 |
$2K |
| 36415 |
|
13,805 |
11,324 |
$2K |
| 86900 |
|
1,116 |
949 |
$2K |
| J3370 |
Vancomycin hcl injection |
249 |
202 |
$2K |
| S0164 |
Injection pantroprazole |
252 |
180 |
$2K |
| 74018 |
|
192 |
172 |
$2K |
| 76805 |
|
30 |
27 |
$2K |
| 76705 |
|
46 |
39 |
$1K |
| 93970 |
|
16 |
12 |
$1K |
| 71260 |
|
12 |
12 |
$1K |
| J1815 |
Insulin injection |
261 |
168 |
$1K |
| 29515 |
|
310 |
293 |
$1K |
| 99070 |
|
269 |
171 |
$1K |
| 73090 |
|
96 |
87 |
$957.41 |
| 12011 |
|
97 |
94 |
$894.35 |
| 85651 |
|
665 |
582 |
$833.79 |
| 82947 |
|
286 |
173 |
$814.68 |
| 73590 |
|
65 |
51 |
$742.76 |
| 85027 |
|
2,015 |
1,674 |
$702.40 |
| J1630 |
Haloperidol injection |
700 |
467 |
$650.36 |
| J7050 |
Normal saline solution infus |
166 |
143 |
$528.61 |
| 99291 |
|
14 |
14 |
$460.77 |
| 94762 |
|
61 |
53 |
$429.02 |
| J3475 |
Inj magnesium sulfate |
103 |
78 |
$428.72 |
| 87205 |
|
184 |
129 |
$334.26 |
| 72100 |
|
13 |
13 |
$313.44 |
| 73620 |
|
26 |
24 |
$303.96 |
| 29505 |
|
74 |
70 |
$283.32 |
| J0171 |
Adrenalin epinephrine inject |
51 |
28 |
$269.69 |
| 93306 |
|
13 |
13 |
$266.73 |
| 73140 |
|
29 |
28 |
$214.64 |
| J1953 |
Levetiracetam injection |
21 |
12 |
$206.27 |
| 86850 |
|
144 |
117 |
$201.15 |
| J3010 |
Fentanyl citrate injection |
65 |
53 |
$198.73 |
| U0005 |
Infec agen detec ampli probe |
513 |
429 |
$192.24 |
| 0301 |
|
1,060 |
355 |
$191.85 |
| 71101 |
|
15 |
13 |
$175.84 |
| 87210 |
|
64 |
51 |
$155.30 |
| 87299 |
|
20 |
19 |
$149.15 |
| 87184 |
|
64 |
52 |
$132.32 |
| 0271 |
|
65 |
64 |
$111.53 |
| 82550 |
|
37 |
30 |
$95.67 |
| S0020 |
Injection, bupivicaine hydro |
16 |
12 |
$91.24 |
| J2704 |
Inj, propofol, 10 mg |
24 |
12 |
$77.77 |
| 12002 |
|
12 |
12 |
$75.84 |
| 0636 |
|
716 |
527 |
$75.17 |
| J3480 |
Inj potassium chloride |
19 |
15 |
$62.97 |
| J0690 |
Cefazolin sodium injection |
16 |
12 |
$53.65 |
| 81005 |
|
144 |
140 |
$52.95 |
| 81003 |
|
593 |
572 |
$51.71 |
| A4217 |
Sterile water/saline, 500 ml |
15 |
15 |
$36.00 |
| 82803 |
|
17 |
13 |
$23.93 |
| 85008 |
|
292 |
241 |
$8.16 |
| A6402 |
Sterile gauze <= 16 sq in |
40 |
39 |
$1.82 |
| 90834 |
|
540 |
114 |
$0.00 |
| 0305 |
|
493 |
332 |
$0.00 |
| G0411 |
Interactive grp psyc php/iop |
2,968 |
183 |
$0.00 |
| 0307 |
|
117 |
111 |
$0.00 |
| 0306 |
|
346 |
153 |
$0.00 |
| 0352 |
|
140 |
114 |
$0.00 |
| 0324 |
|
177 |
173 |
$0.00 |
| 0710 |
|
17 |
12 |
$0.00 |
| 90832 |
|
696 |
127 |
$0.00 |
| G0176 |
Opps/php/iop; activity thrpy |
824 |
150 |
$0.00 |
| 0402 |
|
74 |
47 |
$0.00 |
| 0320 |
|
120 |
100 |
$0.00 |
| 0351 |
|
71 |
69 |
$0.00 |
| G0479 |
Drug test presump not opt |
52 |
50 |
$0.00 |
| 0300 |
|
13 |
13 |
$0.00 |