| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
75,212 |
66,071 |
$9.58M |
| 74177 |
|
2,415 |
2,350 |
$1.19M |
| 70450 |
|
3,668 |
3,585 |
$1.01M |
| 74176 |
|
1,750 |
1,717 |
$664K |
| 80053 |
|
15,019 |
14,070 |
$654K |
| 96374 |
|
16,193 |
14,912 |
$639K |
| 93005 |
|
14,966 |
13,965 |
$599K |
| 96375 |
|
12,962 |
11,592 |
$530K |
| 85025 |
|
28,367 |
25,516 |
$518K |
| 71045 |
|
9,106 |
8,684 |
$478K |
| 87635 |
|
12,960 |
12,149 |
$464K |
| 80048 |
|
12,957 |
11,941 |
$453K |
| 99281 |
|
4,538 |
3,930 |
$413K |
| 71046 |
|
7,847 |
7,631 |
$381K |
| 99199 |
|
6,104 |
5,439 |
$349K |
| 99285 |
|
1,698 |
1,574 |
$329K |
| Z7502 |
|
8,874 |
8,697 |
$320K |
| 80307 |
|
7,878 |
7,152 |
$309K |
| 96361 |
|
9,095 |
8,288 |
$259K |
| 96372 |
|
8,458 |
7,629 |
$242K |
| 81001 |
|
23,464 |
21,842 |
$242K |
| 99284 |
|
2,907 |
2,650 |
$235K |
| 94640 |
|
4,062 |
3,683 |
$233K |
| 83690 |
|
12,069 |
11,144 |
$201K |
| 76705 |
|
2,124 |
2,065 |
$191K |
| 96365 |
|
3,344 |
3,167 |
$165K |
| 84484 |
|
9,194 |
7,560 |
$152K |
| 87086 |
|
4,932 |
4,748 |
$136K |
| 99283 |
|
2,649 |
2,426 |
$132K |
| 80076 |
|
5,536 |
5,253 |
$132K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,912 |
2,827 |
$126K |
| 87040 |
|
3,282 |
1,697 |
$123K |
| 76830 |
|
1,508 |
1,467 |
$119K |
| J7030 |
Normal saline solution infus |
9,191 |
8,087 |
$114K |
| 0250 |
|
16,574 |
11,111 |
$107K |
| 93975 |
|
650 |
635 |
$88K |
| 96376 |
|
2,424 |
2,069 |
$86K |
| 96360 |
|
2,342 |
2,274 |
$85K |
| 83880 |
|
4,644 |
4,425 |
$78K |
| 76817 |
|
943 |
834 |
$78K |
| 83605 |
|
2,495 |
2,145 |
$77K |
| 76801 |
|
1,044 |
921 |
$77K |
| J3490 |
Drugs unclassified injection |
11,944 |
10,004 |
$76K |
| J2405 |
Ondansetron hcl injection |
10,306 |
9,130 |
$73K |
| 76856 |
|
721 |
708 |
$72K |
| J1885 |
Ketorolac tromethamine inj |
9,976 |
9,326 |
$68K |
| 93971 |
|
708 |
693 |
$67K |
| J2270 |
Morphine sulfate injection |
6,417 |
5,358 |
$67K |
| 73562 |
|
1,505 |
1,387 |
$66K |
| 85610 |
|
4,912 |
4,690 |
$59K |
| 73630 |
|
1,579 |
1,508 |
$59K |
| 84702 |
|
1,368 |
1,177 |
$59K |
| 73610 |
|
1,535 |
1,483 |
$58K |
| 72125 |
|
96 |
96 |
$54K |
| 87186 |
|
1,395 |
1,356 |
$52K |
| 71275 |
|
134 |
131 |
$45K |
| 73130 |
|
1,088 |
1,037 |
$42K |
| 90715 |
|
1,263 |
1,253 |
$41K |
| 73030 |
|
791 |
758 |
$36K |
| 97110 |
|
1,636 |
557 |
$31K |
| 87633 |
|
134 |
132 |
$31K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,839 |
3,731 |
$29K |
| J0696 |
Ceftriaxone sodium injection |
3,407 |
3,259 |
$29K |
| 85730 |
|
2,003 |
1,949 |
$28K |
| 87807 |
|
1,275 |
1,256 |
$28K |
| 97530 |
|
1,562 |
613 |
$27K |
| 81003 |
|
3,760 |
3,663 |
$26K |
| 87077 |
|
1,234 |
1,210 |
$25K |
| 87491 |
|
2,337 |
2,289 |
$24K |
| 87591 |
|
2,336 |
2,281 |
$23K |
| 81025 |
|
2,358 |
2,216 |
$22K |
| 87651 |
|
873 |
864 |
$22K |
| 80143 |
|
922 |
880 |
$21K |
| J2060 |
Lorazepam injection |
2,201 |
1,909 |
$21K |
| 87804 |
|
1,518 |
1,485 |
$20K |
| 86900 |
|
1,957 |
1,898 |
$20K |
| 80179 |
|
893 |
858 |
$20K |
| 87210 |
|
1,009 |
988 |
$20K |
| J1200 |
Diphenhydramine hcl injectio |
2,576 |
2,353 |
$19K |
| 97112 |
|
724 |
229 |
$18K |
| 70498 |
|
57 |
57 |
$18K |
| 86901 |
|
1,971 |
1,899 |
$18K |
| 70496 |
|
55 |
55 |
$17K |
| 0270 |
|
9,117 |
6,585 |
$17K |
| J1100 |
Dexamethasone sodium phos |
2,260 |
2,169 |
$16K |
| 97140 |
|
517 |
233 |
$16K |
| J2765 |
Metoclopramide hcl injection |
2,335 |
2,178 |
$15K |
| 96366 |
|
204 |
187 |
$15K |
| 87880 |
|
745 |
733 |
$14K |
| 86850 |
|
818 |
793 |
$14K |
| J7050 |
Normal saline solution infus |
1,135 |
962 |
$13K |
| G0480 |
Drug test def 1-7 classes |
406 |
383 |
$11K |
| 78452 |
|
29 |
29 |
$11K |
| 72100 |
|
151 |
151 |
$10K |
| 87798 |
|
136 |
133 |
$9K |
| 90471 |
|
1,309 |
1,297 |
$9K |
| 99282 |
|
228 |
219 |
$8K |
| J2001 |
Lidocaine injection |
1,375 |
1,321 |
$8K |
| 0762 |
|
78 |
42 |
$8K |
| 87081 |
|
740 |
729 |
$8K |
| J1170 |
Hydromorphone injection |
901 |
733 |
$8K |
| 0761 |
|
264 |
230 |
$8K |
| 73110 |
|
243 |
234 |
$8K |
| 87661 |
|
365 |
357 |
$8K |
| U0005 |
Infec agen detec ampli probe |
1,155 |
1,120 |
$7K |
| J2272 |
Inj, morphine (fresenius) |
567 |
498 |
$7K |
| 83735 |
|
517 |
474 |
$7K |
| S9484 |
Crisis intervention per hour |
46 |
31 |
$7K |
| 77067 |
|
74 |
74 |
$6K |
| 0350 |
|
379 |
373 |
$6K |
| J1815 |
Insulin injection |
180 |
160 |
$4K |
| 84703 |
|
181 |
176 |
$4K |
| 76770 |
|
38 |
38 |
$3K |
| 70486 |
|
15 |
15 |
$3K |
| 73502 |
|
56 |
53 |
$3K |
| 96367 |
|
68 |
68 |
$2K |
| 0324 |
|
81 |
81 |
$2K |
| 85379 |
|
268 |
264 |
$2K |
| 93017 |
|
29 |
29 |
$2K |
| A9500 |
Tc99m sestamibi |
29 |
27 |
$2K |
| G1004 |
Cdsm ndsc |
1,655 |
1,433 |
$2K |
| 82550 |
|
113 |
105 |
$2K |
| 93970 |
|
12 |
12 |
$2K |
| J7040 |
Normal saline solution infus |
155 |
148 |
$2K |
| Z7610 |
|
355 |
290 |
$2K |
| 29125 |
|
104 |
103 |
$2K |
| Z9725 |
|
40 |
40 |
$2K |
| 85027 |
|
163 |
152 |
$2K |
| 84443 |
|
38 |
38 |
$2K |
| J3486 |
Ziprasidone mesylate |
51 |
44 |
$2K |
| 71101 |
|
14 |
14 |
$2K |
| 73140 |
|
59 |
59 |
$1K |
| 0351 |
|
229 |
223 |
$1K |
| J2785 |
Regadenoson injection |
27 |
27 |
$1K |
| J2930 |
Methylprednisolone injection |
119 |
109 |
$1K |
| 36415 |
|
243 |
182 |
$1K |
| 76870 |
|
13 |
13 |
$1K |
| 87088 |
|
198 |
188 |
$1K |
| 73590 |
|
27 |
25 |
$1K |
| J3370 |
Vancomycin hcl injection |
14 |
13 |
$972.05 |
| 97116 |
|
65 |
40 |
$971.80 |
| 87205 |
|
28 |
27 |
$880.47 |
| 84100 |
|
63 |
61 |
$850.84 |
| 0258 |
|
44 |
37 |
$843.36 |
| J7120 |
Ringers lactate infusion |
178 |
147 |
$638.53 |
| 82248 |
|
53 |
53 |
$620.34 |
| 76815 |
|
25 |
25 |
$608.05 |
| 0710 |
|
130 |
116 |
$566.36 |
| 73080 |
|
15 |
15 |
$437.34 |
| J2250 |
Inj midazolam hydrochloride |
63 |
53 |
$433.57 |
| 81002 |
|
253 |
187 |
$428.85 |
| 73090 |
|
13 |
12 |
$399.34 |
| 0636 |
|
1,165 |
839 |
$345.74 |
| J1644 |
Inj heparin sodium per 1000u |
29 |
12 |
$297.70 |
| 82077 |
|
16 |
15 |
$271.17 |
| 83036 |
|
25 |
24 |
$265.70 |
| A4217 |
Sterile water/saline, 500 ml |
28 |
24 |
$246.63 |
| J2704 |
Inj, propofol, 10 mg |
13 |
13 |
$234.67 |
| 82010 |
|
15 |
12 |
$220.99 |
| S0164 |
Injection pantroprazole |
30 |
27 |
$215.10 |
| 87070 |
|
12 |
12 |
$196.89 |
| J7512 |
Prednisone ir or dr oral 1mg |
437 |
415 |
$196.56 |
| 0301 |
|
30 |
24 |
$161.01 |
| 87389 |
|
13 |
13 |
$132.90 |
| J3010 |
Fentanyl citrate injection |
28 |
25 |
$130.14 |
| 87420 |
|
12 |
12 |
$128.94 |
| J8540 |
Oral dexamethasone |
149 |
146 |
$107.20 |
| 86592 |
|
13 |
13 |
$104.26 |
| J0780 |
Prochlorperazine injection |
13 |
13 |
$93.84 |
| J1940 |
Furosemide injection |
14 |
12 |
$87.79 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
32 |
31 |
$60.07 |
| 0760 |
|
22 |
22 |
$40.54 |
| 0637 |
|
42 |
34 |
$20.31 |
| 29130 |
|
14 |
13 |
$6.12 |
| J7510 |
Prednisolone oral per 5 mg |
14 |
14 |
$2.51 |
| S9445 |
Pt education noc individ |
206 |
171 |
$0.00 |
| A9270 |
Non-covered item or service |
32 |
12 |
$0.00 |
| 0305 |
|
14 |
14 |
$0.00 |
| 0300 |
|
14 |
14 |
$0.00 |