| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
62,962 |
56,656 |
$2.39M |
| 70450 |
|
8,643 |
8,386 |
$691K |
| 74176 |
|
8,705 |
8,455 |
$655K |
| Z7502 |
|
16,859 |
16,592 |
$635K |
| 99285 |
|
2,859 |
2,745 |
$434K |
| 99281 |
|
7,455 |
6,717 |
$421K |
| 96374 |
|
10,634 |
10,178 |
$394K |
| 93005 |
|
20,586 |
19,402 |
$340K |
| 80053 |
|
47,404 |
43,467 |
$319K |
| 80307 |
|
6,524 |
5,835 |
$315K |
| S3620 |
Newborn metabolic screening |
2,072 |
2,068 |
$292K |
| 85025 |
|
56,239 |
50,779 |
$289K |
| 76811 |
|
5,273 |
4,665 |
$284K |
| 96375 |
|
10,975 |
10,068 |
$278K |
| 96365 |
|
5,894 |
5,608 |
$270K |
| Z9725 |
|
8,464 |
8,425 |
$254K |
| 74177 |
|
1,670 |
1,639 |
$229K |
| 99199 |
|
6,190 |
5,230 |
$224K |
| 0206 |
|
629 |
608 |
$216K |
| 0370 |
|
4,334 |
2,831 |
$212K |
| G0480 |
Drug test def 1-7 classes |
4,863 |
4,423 |
$211K |
| 96361 |
|
7,949 |
7,168 |
$204K |
| 87426 |
|
10,045 |
9,358 |
$202K |
| 72125 |
|
1,946 |
1,920 |
$196K |
| 96372 |
|
11,165 |
10,046 |
$184K |
| 99284 |
|
2,419 |
2,259 |
$169K |
| 71045 |
|
18,973 |
18,070 |
$168K |
| 0171 |
Inj, epinephrine (belcher) |
479 |
475 |
$166K |
| 76700 |
|
2,914 |
2,832 |
$148K |
| 0761 |
|
5,253 |
4,493 |
$141K |
| 0762 |
|
3,397 |
2,141 |
$127K |
| 0301 |
|
4,985 |
4,560 |
$127K |
| 0710 |
|
9,593 |
9,278 |
$120K |
| 99283 |
|
2,244 |
2,038 |
$119K |
| 72131 |
|
1,235 |
1,217 |
$117K |
| 76815 |
|
2,554 |
1,246 |
$106K |
| 87502 |
|
2,507 |
2,432 |
$97K |
| 88305 |
|
4,159 |
4,063 |
$96K |
| J2405 |
Ondansetron hcl injection |
11,717 |
10,764 |
$94K |
| 87811 |
|
3,977 |
3,761 |
$89K |
| 59025 |
|
4,172 |
1,559 |
$83K |
| J7030 |
Normal saline solution infus |
11,042 |
8,943 |
$83K |
| 0121 |
|
499 |
485 |
$81K |
| 84484 |
|
13,161 |
12,134 |
$80K |
| 0270 |
|
9,639 |
8,519 |
$74K |
| 96366 |
|
2,044 |
1,675 |
$74K |
| 70486 |
|
813 |
799 |
$74K |
| 76856 |
|
1,722 |
1,689 |
$72K |
| J3490 |
Drugs unclassified injection |
6,073 |
4,998 |
$69K |
| J7120 |
Ringers lactate infusion |
9,733 |
8,569 |
$67K |
| 93970 |
|
568 |
558 |
$65K |
| 96360 |
|
1,676 |
1,644 |
$64K |
| 83690 |
|
14,207 |
13,388 |
$61K |
| 71250 |
|
595 |
590 |
$59K |
| 81025 |
|
14,139 |
13,307 |
$59K |
| 0160 |
|
2,716 |
1,622 |
$56K |
| J1885 |
Ketorolac tromethamine inj |
9,445 |
9,000 |
$55K |
| 93971 |
|
864 |
846 |
$54K |
| 81001 |
|
26,862 |
25,249 |
$53K |
| C9803 |
Hopd covid-19 spec collect |
3,934 |
3,714 |
$51K |
| 93306 |
|
523 |
513 |
$50K |
| G0463 |
Hospital outpt clinic visit |
2,135 |
1,923 |
$49K |
| 0122 |
|
189 |
185 |
$44K |
| 90715 |
|
1,607 |
1,581 |
$43K |
| 83880 |
|
2,943 |
2,799 |
$43K |
| J2250 |
Inj midazolam hydrochloride |
5,935 |
5,769 |
$41K |
| 0111 |
|
41 |
38 |
$41K |
| Z7610 |
|
2,615 |
2,372 |
$39K |
| J2270 |
Morphine sulfate injection |
6,524 |
5,630 |
$38K |
| 0360 |
|
2,294 |
1,828 |
$34K |
| 0002A |
|
1,032 |
924 |
$33K |
| 84702 |
|
4,042 |
3,669 |
$32K |
| 73562 |
|
1,958 |
1,937 |
$32K |
| 71046 |
|
2,088 |
2,030 |
$31K |
| J0696 |
Ceftriaxone sodium injection |
3,761 |
3,347 |
$31K |
| 0001A |
|
1,113 |
994 |
$29K |
| 80048 |
|
8,097 |
7,560 |
$29K |
| 43239 |
|
1,915 |
1,878 |
$29K |
| 73630 |
|
1,652 |
1,610 |
$29K |
| J8499 |
Oral prescrip drug non chemo |
5,758 |
4,811 |
$29K |
| 77067 |
|
613 |
610 |
$28K |
| 72110 |
|
1,026 |
1,015 |
$28K |
| 85730 |
|
9,171 |
8,722 |
$27K |
| 94640 |
|
2,001 |
1,712 |
$27K |
| 73130 |
|
1,428 |
1,400 |
$26K |
| 73030 |
|
1,736 |
1,701 |
$26K |
| 94760 |
|
4,393 |
4,272 |
$24K |
| 73610 |
|
1,275 |
1,238 |
$24K |
| 82378 |
|
1,351 |
1,295 |
$23K |
| 0760 |
|
986 |
876 |
$23K |
| 85610 |
|
11,311 |
10,739 |
$22K |
| 71275 |
|
175 |
173 |
$21K |
| 78452 |
|
95 |
94 |
$20K |
| 99215 |
Prolong outpt/office vis |
275 |
254 |
$20K |
| 84703 |
|
5,647 |
5,435 |
$20K |
| 93307 |
|
268 |
256 |
$18K |
| 0112 |
|
40 |
40 |
$18K |
| L8699 |
Prosthetic implant nos |
18 |
15 |
$18K |
| 86906 |
|
4,571 |
4,295 |
$17K |
| 87086 |
|
4,368 |
4,187 |
$17K |
| J1170 |
Hydromorphone injection |
3,098 |
2,549 |
$16K |
| 86850 |
|
4,500 |
4,235 |
$15K |
| 86300 |
|
1,066 |
958 |
$15K |
| 84443 |
|
2,464 |
2,404 |
$15K |
| 99000 |
|
4,993 |
4,851 |
$15K |
| J3010 |
Fentanyl citrate injection |
4,650 |
4,467 |
$15K |
| J2060 |
Lorazepam injection |
2,774 |
2,410 |
$14K |
| 88312 |
|
722 |
717 |
$14K |
| J2001 |
Lidocaine injection |
2,319 |
2,249 |
$14K |
| 85027 |
|
3,443 |
3,065 |
$13K |
| 59425 |
|
512 |
367 |
$13K |
| 94761 |
|
563 |
540 |
$13K |
| 87040 |
|
1,603 |
1,551 |
$12K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,605 |
2,555 |
$12K |
| 80179 |
|
1,176 |
1,058 |
$12K |
| 80143 |
|
1,191 |
1,070 |
$12K |
| J0690 |
Cefazolin sodium injection |
3,119 |
2,807 |
$12K |
| 0272 |
|
2,491 |
2,330 |
$12K |
| 82948 |
|
5,790 |
4,579 |
$11K |
| J2175 |
Meperidine hydrochl /100 mg |
1,178 |
1,164 |
$11K |
| U0003 |
Cov-19 amp prb hgh thruput |
215 |
211 |
$11K |
| 73110 |
|
532 |
523 |
$11K |
| 83605 |
|
1,741 |
1,595 |
$11K |
| Z7500 |
|
297 |
252 |
$10K |
| 99221 |
|
264 |
233 |
$10K |
| 76380 |
|
89 |
70 |
$10K |
| 99282 |
|
347 |
302 |
$10K |
| 87651 |
|
523 |
513 |
$9K |
| 82150 |
|
2,187 |
2,089 |
$8K |
| 87635 |
|
464 |
423 |
$8K |
| H1001 |
Antepartum management |
810 |
512 |
$8K |
| 76641 |
|
151 |
144 |
$8K |
| 99291 |
|
12 |
12 |
$8K |
| 45380 |
|
655 |
644 |
$8K |
| J1100 |
Dexamethasone sodium phos |
554 |
531 |
$8K |
| 0250 |
|
5,363 |
4,652 |
$7K |
| J7040 |
Normal saline solution infus |
1,512 |
1,417 |
$7K |
| Z9727 |
|
218 |
218 |
$7K |
| 80061 |
|
2,076 |
2,007 |
$6K |
| 96368 |
|
534 |
526 |
$6K |
| 92083 |
|
632 |
600 |
$6K |
| 96376 |
|
1,436 |
987 |
$6K |
| J2765 |
Metoclopramide hcl injection |
1,693 |
1,612 |
$5K |
| 73590 |
|
364 |
353 |
$5K |
| 87186 |
|
1,065 |
1,031 |
$5K |
| J7050 |
Normal saline solution infus |
1,362 |
1,162 |
$5K |
| 92133 |
|
574 |
564 |
$4K |
| 87077 |
|
1,178 |
1,141 |
$4K |
| 92250 |
|
267 |
260 |
$4K |
| 88342 |
|
206 |
199 |
$4K |
| 0258 |
|
2,994 |
2,649 |
$4K |
| 45385 |
|
205 |
204 |
$4K |
| J2704 |
Inj, propofol, 10 mg |
614 |
599 |
$4K |
| 92134 |
|
450 |
436 |
$4K |
| 93017 |
|
93 |
88 |
$4K |
| 90471 |
|
1,234 |
1,205 |
$4K |
| 70496 |
|
40 |
40 |
$4K |
| 85379 |
|
589 |
584 |
$3K |
| J0131 |
Inj, acetaminophen (nos) |
762 |
724 |
$3K |
| 36415 |
|
3,593 |
3,040 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
693 |
632 |
$3K |
| 82607 |
|
279 |
274 |
$3K |
| 83615 |
|
790 |
746 |
$3K |
| 76512 |
|
85 |
80 |
$3K |
| 0636 |
|
2,917 |
2,523 |
$3K |
| 73565 |
|
292 |
288 |
$3K |
| 82728 |
|
308 |
302 |
$3K |
| 72170 |
|
191 |
185 |
$3K |
| 73564 |
|
156 |
155 |
$3K |
| 70498 |
|
27 |
27 |
$3K |
| J2930 |
Methylprednisolone injection |
231 |
210 |
$3K |
| 84145 |
|
296 |
287 |
$3K |
| 85651 |
|
1,132 |
1,090 |
$3K |
| 73080 |
|
157 |
154 |
$3K |
| 85007 |
|
1,167 |
1,073 |
$3K |
| 82746 |
|
204 |
201 |
$3K |
| 83036 |
|
1,283 |
1,254 |
$2K |
| 88304 |
|
723 |
703 |
$2K |
| Z1034 |
|
35 |
26 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
358 |
240 |
$2K |
| 86140 |
|
740 |
712 |
$2K |
| J7644 |
Ipratropium bromide non-comp |
155 |
148 |
$2K |
| 83735 |
|
1,123 |
874 |
$2K |
| 82248 |
|
366 |
243 |
$2K |
| 87070 |
|
365 |
350 |
$2K |
| A9270 |
Non-covered item or service |
596 |
509 |
$2K |
| 82306 |
|
302 |
301 |
$2K |
| 76818 |
|
106 |
94 |
$2K |
| 81002 |
|
1,628 |
1,001 |
$2K |
| J3590 |
Unclassified biologics |
479 |
334 |
$2K |
| 82553 |
|
293 |
275 |
$2K |
| G0378 |
Hospital observation per hr |
35 |
14 |
$2K |
| J7512 |
Prednisone ir or dr oral 1mg |
707 |
675 |
$2K |
| 72050 |
|
64 |
63 |
$2K |
| 83550 |
|
312 |
306 |
$2K |
| 87490 |
|
118 |
117 |
$2K |
| 0320 |
|
1,122 |
1,076 |
$1K |
| J0330 |
Succinycholine chloride inj |
481 |
465 |
$1K |
| 73700 |
|
13 |
13 |
$1K |
| 84153 |
|
146 |
142 |
$1K |
| J7060 |
5% dextrose/water |
215 |
182 |
$1K |
| 0637 |
|
1,056 |
760 |
$1K |
| 76819 |
|
58 |
50 |
$1K |
| 99212 |
|
47 |
42 |
$1K |
| 82232 |
|
125 |
119 |
$1K |
| 10060 |
|
26 |
24 |
$1K |
| 76870 |
|
38 |
36 |
$977.37 |
| 76770 |
|
27 |
27 |
$974.38 |
| 87205 |
|
364 |
349 |
$965.60 |
| 73090 |
|
57 |
57 |
$951.32 |
| 59070 |
|
16 |
15 |
$935.00 |
| 82550 |
|
273 |
257 |
$925.08 |
| J2358 |
Olanzapine long-acting inj |
94 |
84 |
$845.57 |
| 0721 |
|
265 |
259 |
$789.66 |
| 96367 |
|
26 |
25 |
$787.25 |
| 76510 |
|
32 |
32 |
$783.47 |
| 73502 |
|
77 |
76 |
$780.32 |
| 80076 |
|
418 |
414 |
$734.89 |
| A4649 |
Surgical supplies |
946 |
794 |
$694.96 |
| A9150 |
Misc/exper non-prescript dru |
1,041 |
976 |
$694.95 |
| 86480 |
|
33 |
28 |
$660.45 |
| 99204 |
|
12 |
12 |
$642.09 |
| J2710 |
Neostigmine methylslfte inj |
195 |
189 |
$609.32 |
| J1630 |
Haloperidol injection |
144 |
129 |
$590.15 |
| 82247 |
|
386 |
253 |
$522.86 |
| 97530 |
|
112 |
97 |
$519.60 |
| 99201 |
|
78 |
58 |
$498.74 |
| 0306 |
|
1,960 |
1,852 |
$492.94 |
| 85008 |
|
488 |
429 |
$489.37 |
| 76937 |
|
92 |
90 |
$472.27 |
| 85018 |
|
469 |
452 |
$434.12 |
| 72100 |
|
14 |
14 |
$428.29 |
| 71010 |
|
27 |
26 |
$421.89 |
| 85044 |
|
112 |
112 |
$414.28 |
| 95816 |
|
17 |
17 |
$402.21 |
| J3370 |
Vancomycin hcl injection |
98 |
68 |
$377.66 |
| 82668 |
|
38 |
38 |
$346.77 |
| 84436 |
|
125 |
124 |
$339.33 |
| 99213 |
|
14 |
13 |
$319.67 |
| 81003 |
|
297 |
291 |
$318.63 |
| 74018 |
|
27 |
26 |
$300.84 |
| 97161 |
|
80 |
78 |
$292.01 |
| G2023 |
Specimen collect covid-19 |
56 |
56 |
$286.21 |
| 99214 |
|
12 |
12 |
$276.31 |
| J7613 |
Albuterol non-comp unit |
287 |
267 |
$254.57 |
| 45378 |
|
38 |
38 |
$187.60 |
| J0360 |
Hydralazine hcl injection |
44 |
37 |
$186.98 |
| J3360 |
Diazepam injection |
12 |
12 |
$179.83 |
| 86304 |
|
27 |
27 |
$174.20 |
| 84550 |
|
194 |
192 |
$172.49 |
| 84100 |
|
376 |
266 |
$162.44 |
| 86038 |
|
41 |
41 |
$152.44 |
| 99153 |
Mod sedat endo service >5yrs |
38 |
38 |
$151.25 |
| 87650 |
|
14 |
14 |
$148.38 |
| J1956 |
Levofloxacin injection |
24 |
24 |
$147.36 |
| J3475 |
Inj magnesium sulfate |
16 |
15 |
$141.07 |
| 99152 |
|
29 |
29 |
$139.48 |
| A9505 |
Tl201 thallium |
12 |
12 |
$132.90 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
37 |
37 |
$111.88 |
| 92025 |
|
16 |
16 |
$73.46 |
| C1769 |
Guide wire |
28 |
26 |
$69.00 |
| 76514 |
|
25 |
25 |
$67.52 |
| 86780 |
|
14 |
14 |
$63.84 |
| 83655 |
|
13 |
13 |
$60.75 |
| J0456 |
Azithromycin |
23 |
13 |
$50.39 |
| J1815 |
Insulin injection |
34 |
29 |
$33.51 |
| 88302 |
|
13 |
12 |
$19.76 |
| J1940 |
Furosemide injection |
23 |
12 |
$17.97 |
| 87075 |
|
15 |
14 |
$11.40 |
| 0300 |
|
3,124 |
2,743 |
$9.98 |
| 0305 |
|
2,638 |
2,473 |
$6.75 |
| 0730 |
|
774 |
741 |
$0.00 |
| 0402 |
|
434 |
424 |
$0.00 |
| 0302 |
|
1,786 |
1,464 |
$0.00 |
| 0390 |
|
83 |
80 |
$0.00 |
| 0921 |
|
146 |
140 |
$0.00 |
| 96379 |
|
130 |
119 |
$0.00 |
| 0424 |
|
318 |
305 |
$0.00 |
| 0480 |
|
343 |
336 |
$0.00 |
| 0260 |
|
26 |
26 |
$0.00 |
| H1000 |
Prenatal care atrisk assessm |
15 |
12 |
$0.00 |
| 0278 |
|
110 |
108 |
$0.00 |
| 0430 |
|
12 |
12 |
$0.00 |
| 0460 |
|
13 |
13 |
$0.00 |
| 0481 |
|
15 |
14 |
$0.00 |
| 0120 |
|
12 |
12 |
$0.00 |
| 84439 |
|
14 |
13 |
$0.00 |
| 0352 |
|
130 |
124 |
$0.00 |
| 0310 |
|
269 |
262 |
$0.00 |
| 0410 |
|
163 |
156 |
$0.00 |
| 0307 |
|
484 |
470 |
$0.00 |
| 0350 |
|
279 |
269 |
$0.00 |
| 0420 |
|
323 |
310 |
$0.00 |
| J3480 |
Inj potassium chloride |
17 |
12 |
$0.00 |
| S9445 |
Pt education noc individ |
30 |
25 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
114 |
60 |
$0.00 |
| 0257 |
|
12 |
12 |
$0.00 |
| 97535 |
|
15 |
12 |
$0.00 |
| 0614 |
|
27 |
25 |
$0.00 |
| 0391 |
|
13 |
12 |
$0.00 |
| 0771 |
|
12 |
12 |
$0.00 |