| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
96,679 |
87,575 |
$3.83M |
| Z7502 |
|
34,501 |
33,676 |
$1.29M |
| 70450 |
|
9,893 |
9,394 |
$1.08M |
| 99281 |
|
12,563 |
10,371 |
$1.06M |
| 74176 |
|
8,438 |
7,996 |
$905K |
| 80053 |
|
54,157 |
50,917 |
$576K |
| 93005 |
|
25,372 |
23,756 |
$543K |
| 96374 |
|
9,713 |
9,202 |
$473K |
| 94642 |
|
3,862 |
3,596 |
$389K |
| 85025 |
|
54,870 |
51,439 |
$389K |
| 96372 |
|
14,673 |
13,967 |
$344K |
| 99284 |
|
4,296 |
4,064 |
$309K |
| 96365 |
|
4,982 |
4,835 |
$293K |
| 71045 |
|
21,207 |
20,277 |
$269K |
| J3490 |
Drugs unclassified injection |
40,480 |
20,209 |
$269K |
| Z7610 |
|
21,022 |
18,384 |
$265K |
| 96375 |
|
7,618 |
7,201 |
$255K |
| 76705 |
|
5,202 |
5,116 |
$253K |
| 99285 |
|
1,400 |
1,345 |
$246K |
| 99283 |
|
3,933 |
3,685 |
$241K |
| 74177 |
|
1,011 |
994 |
$215K |
| 96361 |
|
6,966 |
6,570 |
$208K |
| 99199 |
|
5,948 |
5,516 |
$195K |
| 84484 |
|
19,175 |
17,799 |
$157K |
| 72125 |
|
1,419 |
1,404 |
$153K |
| 83880 |
|
6,899 |
6,540 |
$148K |
| 83690 |
|
20,777 |
19,787 |
$125K |
| 96360 |
|
2,483 |
2,434 |
$123K |
| 96366 |
|
2,376 |
2,237 |
$96K |
| 76856 |
|
1,581 |
1,553 |
$85K |
| 80305 |
|
8,796 |
8,401 |
$84K |
| 76801 |
|
1,764 |
1,626 |
$82K |
| 87635 |
|
2,349 |
2,260 |
$80K |
| 70486 |
|
709 |
701 |
$77K |
| 0250 |
|
20,938 |
19,064 |
$76K |
| 0272 |
|
5,153 |
4,760 |
$75K |
| 0270 |
|
16,593 |
12,867 |
$70K |
| 90715 |
|
2,243 |
2,097 |
$70K |
| 0636 |
|
5,253 |
4,757 |
$64K |
| 87040 |
|
3,632 |
3,529 |
$56K |
| 81001 |
|
18,485 |
17,985 |
$56K |
| 87426 |
|
2,913 |
2,785 |
$51K |
| 87086 |
|
7,738 |
7,567 |
$50K |
| 76700 |
|
810 |
801 |
$48K |
| 81025 |
|
9,996 |
9,679 |
$46K |
| J1885 |
Ketorolac tromethamine inj |
9,534 |
8,641 |
$46K |
| 83605 |
|
4,739 |
4,402 |
$42K |
| 72100 |
|
1,667 |
1,651 |
$40K |
| 73562 |
|
1,893 |
1,848 |
$39K |
| 73130 |
|
1,805 |
1,770 |
$39K |
| 84703 |
|
6,064 |
5,904 |
$39K |
| 80048 |
|
3,351 |
3,194 |
$37K |
| 71046 |
|
1,937 |
1,904 |
$35K |
| 73630 |
|
1,704 |
1,670 |
$35K |
| 76830 |
|
685 |
669 |
$35K |
| 73610 |
|
1,539 |
1,510 |
$34K |
| 85730 |
|
6,971 |
6,734 |
$33K |
| 93970 |
|
224 |
215 |
$33K |
| 81003 |
|
15,272 |
14,735 |
$32K |
| 96368 |
|
1,597 |
1,530 |
$31K |
| 0206 |
|
13 |
13 |
$30K |
| G0480 |
Drug test def 1-7 classes |
470 |
463 |
$29K |
| 94640 |
|
1,342 |
1,201 |
$29K |
| 84702 |
|
2,399 |
2,225 |
$29K |
| 99282 |
|
850 |
752 |
$26K |
| 0762 |
|
145 |
133 |
$26K |
| 76817 |
|
462 |
424 |
$26K |
| J0696 |
Ceftriaxone sodium injection |
5,367 |
4,909 |
$25K |
| J2930 |
Methylprednisolone injection |
2,654 |
2,321 |
$25K |
| J2405 |
Ondansetron hcl injection |
6,081 |
5,669 |
$24K |
| 85610 |
|
7,638 |
7,382 |
$24K |
| J7050 |
Normal saline solution infus |
5,068 |
4,707 |
$24K |
| 82948 |
|
5,607 |
4,546 |
$23K |
| 74018 |
|
1,389 |
1,367 |
$22K |
| 80320 |
|
4,222 |
3,916 |
$21K |
| J2270 |
Morphine sulfate injection |
2,961 |
2,705 |
$21K |
| 87430 |
|
2,535 |
2,485 |
$20K |
| 0360 |
|
171 |
165 |
$19K |
| 87186 |
|
2,587 |
2,531 |
$18K |
| A4649 |
Surgical supplies |
4,124 |
2,447 |
$17K |
| 73110 |
|
740 |
727 |
$17K |
| 94760 |
|
831 |
697 |
$15K |
| 76805 |
|
202 |
200 |
$14K |
| 87077 |
|
2,575 |
2,522 |
$13K |
| 83735 |
|
163 |
132 |
$13K |
| 87807 |
|
1,913 |
1,872 |
$12K |
| 73030 |
|
580 |
568 |
$11K |
| Z7500 |
|
328 |
317 |
$11K |
| 72131 |
|
115 |
115 |
$11K |
| 81002 |
|
1,870 |
1,847 |
$11K |
| 73020 |
|
784 |
772 |
$11K |
| 86328 |
|
335 |
318 |
$10K |
| 74022 |
|
297 |
255 |
$10K |
| 93306 |
|
88 |
86 |
$9K |
| 84443 |
|
779 |
750 |
$9K |
| 85007 |
|
3,269 |
3,137 |
$9K |
| 90471 |
|
2,323 |
2,298 |
$9K |
| 0271 |
|
617 |
602 |
$9K |
| 87491 |
|
357 |
352 |
$8K |
| 29125 |
|
247 |
242 |
$8K |
| 12001 |
|
408 |
403 |
$8K |
| 85027 |
|
1,592 |
1,523 |
$7K |
| 0761 |
|
296 |
288 |
$7K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
560 |
551 |
$7K |
| G0463 |
Hospital outpt clinic visit |
240 |
227 |
$6K |
| 80329 |
|
1,691 |
1,417 |
$6K |
| 87400 |
|
1,420 |
1,404 |
$6K |
| 86901 |
|
2,164 |
2,069 |
$6K |
| 88305 |
|
143 |
141 |
$5K |
| 73090 |
|
370 |
366 |
$5K |
| 86769 |
|
173 |
167 |
$5K |
| 85379 |
|
789 |
774 |
$5K |
| 36415 |
|
9,116 |
8,343 |
$5K |
| 73502 |
|
212 |
208 |
$5K |
| J7040 |
Normal saline solution infus |
836 |
803 |
$5K |
| 73600 |
|
304 |
300 |
$5K |
| 0710 |
|
214 |
213 |
$5K |
| J1815 |
Insulin injection |
496 |
442 |
$5K |
| 73590 |
|
306 |
299 |
$4K |
| 93971 |
|
53 |
51 |
$4K |
| 0760 |
|
193 |
188 |
$4K |
| 73564 |
|
209 |
205 |
$4K |
| J1200 |
Diphenhydramine hcl injectio |
932 |
874 |
$4K |
| 73080 |
|
184 |
182 |
$4K |
| 80307 |
|
162 |
157 |
$4K |
| 76870 |
|
69 |
69 |
$4K |
| 72050 |
|
134 |
134 |
$4K |
| U0004 |
Cov-19 test non-cdc hgh thru |
60 |
59 |
$3K |
| 82010 |
|
583 |
557 |
$3K |
| J2470 |
Inj pantoprazole sodium 40mg |
71 |
53 |
$3K |
| 86900 |
|
935 |
903 |
$3K |
| 29515 |
|
45 |
44 |
$2K |
| J1100 |
Dexamethasone sodium phos |
230 |
221 |
$2K |
| 73060 |
|
48 |
48 |
$2K |
| 71020 |
|
86 |
43 |
$2K |
| 70496 |
|
14 |
14 |
$2K |
| 96376 |
|
229 |
214 |
$2K |
| 45380 |
|
53 |
53 |
$2K |
| 82140 |
|
236 |
230 |
$2K |
| 86850 |
|
484 |
470 |
$2K |
| 73120 |
|
151 |
149 |
$2K |
| 71275 |
|
15 |
13 |
$2K |
| 94799 |
|
138 |
136 |
$2K |
| 70498 |
|
15 |
14 |
$2K |
| 71010 |
|
105 |
105 |
$2K |
| 87420 |
|
497 |
490 |
$2K |
| J7030 |
Normal saline solution infus |
386 |
349 |
$1K |
| 10060 |
|
84 |
78 |
$1K |
| 73140 |
|
107 |
105 |
$1K |
| 73620 |
|
98 |
98 |
$1K |
| 12002 |
|
83 |
82 |
$1K |
| 0451 |
|
62 |
62 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
256 |
255 |
$1K |
| J1953 |
Levetiracetam injection |
207 |
194 |
$1K |
| 12011 |
|
39 |
39 |
$1K |
| 0324 |
|
85 |
83 |
$1K |
| J2543 |
Piperacillin/tazobactam |
114 |
94 |
$762.66 |
| J1170 |
Hydromorphone injection |
135 |
113 |
$754.34 |
| 73552 |
|
55 |
53 |
$713.40 |
| J2919 |
Inj, methylpred sod succ 5mg |
219 |
206 |
$693.18 |
| 80047 |
|
48 |
48 |
$662.20 |
| U0005 |
Infec agen detec ampli probe |
33 |
33 |
$500.81 |
| 82728 |
|
56 |
56 |
$499.43 |
| 99221 |
|
18 |
18 |
$477.40 |
| E0116 |
Crutch underarm each no wood |
47 |
45 |
$458.69 |
| 43239 |
|
14 |
14 |
$455.70 |
| G0378 |
Hospital observation per hr |
18 |
18 |
$445.95 |
| J1644 |
Inj heparin sodium per 1000u |
99 |
55 |
$426.13 |
| 83615 |
|
83 |
83 |
$404.31 |
| 82803 |
|
30 |
26 |
$370.67 |
| 88312 |
|
26 |
26 |
$368.69 |
| 80061 |
|
40 |
37 |
$310.03 |
| J7999 |
Compounded drug, noc |
47 |
43 |
$280.16 |
| 71101 |
|
13 |
13 |
$246.19 |
| 82550 |
|
79 |
73 |
$235.65 |
| 99070 |
|
153 |
103 |
$224.32 |
| 73560 |
|
12 |
12 |
$205.61 |
| S0164 |
Injection pantroprazole |
17 |
17 |
$161.46 |
| 0300 |
|
117 |
104 |
$149.51 |
| 73100 |
|
13 |
13 |
$140.46 |
| 70360 |
|
12 |
12 |
$134.61 |
| 72040 |
|
12 |
12 |
$125.85 |
| J1630 |
Haloperidol injection |
26 |
25 |
$122.79 |
| 83036 |
|
28 |
28 |
$118.53 |
| 99406 |
|
12 |
12 |
$114.51 |
| J2920 |
Methylprednisolone injection |
17 |
16 |
$113.97 |
| A6216 |
Non-sterile gauze<=16 sq in |
53 |
51 |
$108.60 |
| J0360 |
Hydralazine hcl injection |
17 |
15 |
$92.65 |
| 80076 |
|
15 |
15 |
$68.89 |
| J3370 |
Vancomycin hcl injection |
13 |
12 |
$67.95 |
| A6451 |
Mod compres band w>=3"<5"/yd |
95 |
94 |
$45.60 |
| J7512 |
Prednisone ir or dr oral 1mg |
54 |
52 |
$44.03 |
| 84100 |
|
14 |
14 |
$43.93 |
| J8540 |
Oral dexamethasone |
28 |
28 |
$40.17 |
| J1940 |
Furosemide injection |
12 |
12 |
$30.09 |
| 87210 |
|
13 |
13 |
$28.62 |
| 85651 |
|
12 |
12 |
$25.96 |
| A6220 |
Gauze >16 <=48 sq in w/bordr |
13 |
13 |
$11.55 |
| A6446 |
Conform band s w>=3" <5"/yd |
14 |
14 |
$0.00 |
| 80354 |
|
67 |
65 |
$0.00 |
| 0730 |
|
12 |
12 |
$0.00 |
| S9445 |
Pt education noc individ |
97 |
75 |
$0.00 |
| 0301 |
|
56 |
53 |
$0.00 |