| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
56,542 |
50,901 |
$2.04M |
| 0450 |
|
9,267 |
8,479 |
$1.31M |
| 96374 |
|
11,538 |
10,718 |
$1.14M |
| 74177 |
|
2,169 |
2,114 |
$775K |
| 80053 |
|
30,608 |
27,825 |
$613K |
| 93005 |
|
19,828 |
18,299 |
$610K |
| 70450 |
|
3,399 |
3,316 |
$561K |
| 87635 |
|
6,560 |
6,409 |
$555K |
| 99070 |
|
29,273 |
13,874 |
$489K |
| 96375 |
|
6,964 |
6,424 |
$460K |
| 85025 |
|
36,570 |
33,062 |
$391K |
| 99199 |
|
6,176 |
5,475 |
$384K |
| Z7502 |
|
9,521 |
9,359 |
$355K |
| 96372 |
|
6,618 |
6,261 |
$300K |
| 74176 |
|
1,339 |
1,313 |
$281K |
| 87811 |
|
3,535 |
3,445 |
$240K |
| 96365 |
|
1,643 |
1,542 |
$208K |
| 71045 |
|
10,090 |
9,575 |
$199K |
| 59050 |
|
1,381 |
875 |
$177K |
| 83880 |
|
4,168 |
3,952 |
$174K |
| 96360 |
|
1,546 |
1,485 |
$167K |
| J3490 |
Drugs unclassified injection |
23,117 |
14,349 |
$158K |
| 84484 |
|
10,863 |
9,563 |
$156K |
| 96361 |
|
3,520 |
3,320 |
$152K |
| 71046 |
|
4,091 |
3,987 |
$142K |
| 80306 |
|
4,249 |
4,050 |
$120K |
| 99221 |
|
389 |
210 |
$110K |
| 81001 |
|
19,024 |
17,872 |
$105K |
| 83690 |
|
9,379 |
8,793 |
$104K |
| 87275 |
|
8,239 |
7,997 |
$102K |
| 87276 |
|
8,239 |
7,996 |
$95K |
| 76856 |
|
1,084 |
1,060 |
$93K |
| 80048 |
|
4,409 |
4,195 |
$72K |
| 80299 |
|
3,046 |
1,636 |
$65K |
| 87280 |
|
3,740 |
3,625 |
$63K |
| J7030 |
Normal saline solution infus |
8,451 |
7,807 |
$62K |
| 99218 |
|
369 |
303 |
$62K |
| 76801 |
|
637 |
572 |
$60K |
| 87426 |
|
1,019 |
991 |
$59K |
| 71275 |
|
149 |
148 |
$58K |
| 81025 |
|
9,699 |
9,217 |
$55K |
| 87430 |
|
3,331 |
3,256 |
$53K |
| T1999 |
Noc retail items andsupplies |
3,255 |
2,032 |
$51K |
| 87491 |
|
918 |
897 |
$51K |
| 87088 |
|
4,807 |
4,658 |
$51K |
| 72125 |
|
195 |
192 |
$50K |
| 99283 |
|
854 |
813 |
$49K |
| 94640 |
|
1,800 |
1,566 |
$49K |
| 76700 |
|
519 |
509 |
$48K |
| 87070 |
|
3,214 |
3,128 |
$46K |
| Z7610 |
|
5,221 |
3,009 |
$44K |
| 83605 |
|
2,667 |
2,418 |
$43K |
| 88305 |
|
344 |
339 |
$42K |
| 84443 |
|
1,574 |
1,539 |
$39K |
| 71250 |
|
221 |
220 |
$37K |
| 59025 |
|
1,291 |
786 |
$37K |
| J1885 |
Ketorolac tromethamine inj |
6,202 |
5,879 |
$37K |
| 83735 |
|
3,909 |
3,327 |
$37K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,400 |
3,319 |
$36K |
| 87040 |
|
1,800 |
1,264 |
$35K |
| J2405 |
Ondansetron hcl injection |
5,379 |
4,838 |
$34K |
| 99231 |
|
1,285 |
902 |
$34K |
| 76830 |
|
387 |
379 |
$32K |
| 73560 |
|
1,238 |
883 |
$32K |
| J2270 |
Morphine sulfate injection |
4,021 |
3,249 |
$31K |
| 76705 |
|
406 |
398 |
$31K |
| 84702 |
|
1,323 |
1,184 |
$29K |
| 73610 |
|
722 |
695 |
$25K |
| 73630 |
|
765 |
738 |
$25K |
| 81003 |
|
4,599 |
4,470 |
$24K |
| 93306 |
|
99 |
95 |
$24K |
| Z9725 |
|
519 |
519 |
$22K |
| 36415 |
|
3,083 |
2,922 |
$22K |
| 87186 |
|
1,827 |
1,762 |
$22K |
| 85379 |
|
1,380 |
1,351 |
$21K |
| 0250 |
|
6,208 |
3,200 |
$21K |
| 94060 |
|
309 |
309 |
$20K |
| 73564 |
|
431 |
424 |
$20K |
| 87797 |
|
695 |
666 |
$20K |
| 85610 |
|
3,452 |
3,058 |
$19K |
| 94644 |
|
598 |
550 |
$19K |
| 88342 |
|
176 |
175 |
$19K |
| 86141 |
|
1,019 |
1,001 |
$18K |
| G0480 |
Drug test def 1-7 classes |
332 |
301 |
$18K |
| 73030 |
|
440 |
426 |
$15K |
| 87804 |
|
935 |
850 |
$14K |
| J7120 |
Ringers lactate infusion |
1,823 |
1,763 |
$14K |
| 87081 |
|
1,223 |
1,173 |
$13K |
| 94726 |
|
279 |
279 |
$13K |
| 90715 |
|
241 |
241 |
$13K |
| 94729 |
|
283 |
283 |
$13K |
| 99281 |
|
278 |
254 |
$13K |
| 73562 |
|
398 |
365 |
$12K |
| 85730 |
|
1,226 |
1,180 |
$11K |
| 86900 |
|
1,193 |
1,154 |
$11K |
| J0696 |
Ceftriaxone sodium injection |
1,841 |
1,673 |
$10K |
| 80307 |
|
101 |
68 |
$10K |
| 82962 |
|
1,976 |
1,896 |
$9K |
| 86901 |
|
1,608 |
1,539 |
$9K |
| 76817 |
|
97 |
87 |
$9K |
| J2765 |
Metoclopramide hcl injection |
1,747 |
1,610 |
$9K |
| 76805 |
|
59 |
59 |
$9K |
| 93971 |
|
58 |
56 |
$7K |
| 73565 |
|
338 |
333 |
$7K |
| 82010 |
|
596 |
577 |
$7K |
| 43239 |
|
145 |
144 |
$7K |
| J1200 |
Diphenhydramine hcl injectio |
1,206 |
1,122 |
$6K |
| 87807 |
|
376 |
342 |
$6K |
| 87806 |
|
104 |
102 |
$6K |
| 73130 |
|
154 |
151 |
$6K |
| 96367 |
|
80 |
71 |
$6K |
| J2060 |
Lorazepam injection |
1,021 |
897 |
$5K |
| 72100 |
|
145 |
144 |
$5K |
| 84439 |
|
371 |
367 |
$5K |
| 99232 |
|
55 |
55 |
$5K |
| J1170 |
Hydromorphone injection |
734 |
549 |
$5K |
| 87210 |
|
675 |
651 |
$5K |
| 86850 |
|
626 |
608 |
$5K |
| J3010 |
Fentanyl citrate injection |
499 |
477 |
$4K |
| J2250 |
Inj midazolam hydrochloride |
522 |
482 |
$4K |
| 83036 |
|
235 |
233 |
$4K |
| 73502 |
|
73 |
68 |
$4K |
| 77067 |
|
17 |
17 |
$4K |
| 82803 |
|
127 |
95 |
$3K |
| 87880 |
|
220 |
201 |
$3K |
| 85651 |
|
677 |
661 |
$3K |
| J1815 |
Insulin injection |
446 |
300 |
$3K |
| 84703 |
|
252 |
249 |
$3K |
| 86480 |
|
58 |
58 |
$3K |
| 74018 |
|
86 |
80 |
$3K |
| 87449 |
|
226 |
222 |
$3K |
| 95816 |
|
40 |
40 |
$3K |
| 70551 |
|
12 |
12 |
$2K |
| 82550 |
|
269 |
254 |
$2K |
| J7512 |
Prednisone ir or dr oral 1mg |
413 |
395 |
$2K |
| Q0162 |
Ondansetron oral |
770 |
729 |
$2K |
| J3475 |
Inj magnesium sulfate |
404 |
288 |
$2K |
| 73020 |
|
84 |
80 |
$2K |
| J1100 |
Dexamethasone sodium phos |
311 |
304 |
$2K |
| J2930 |
Methylprednisolone injection |
237 |
185 |
$2K |
| 45384 |
|
47 |
47 |
$2K |
| A9500 |
Tc99m sestamibi |
12 |
12 |
$2K |
| 95819 |
|
29 |
29 |
$2K |
| 84145 |
|
59 |
59 |
$2K |
| 86592 |
|
173 |
170 |
$2K |
| 73110 |
|
40 |
40 |
$2K |
| 90471 |
|
189 |
187 |
$2K |
| 0270 |
|
182 |
95 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
397 |
388 |
$1K |
| 86762 |
|
44 |
44 |
$1K |
| 94617 |
|
14 |
14 |
$1K |
| 73120 |
|
42 |
39 |
$1K |
| 74740 |
|
12 |
12 |
$1K |
| J7040 |
Normal saline solution infus |
180 |
177 |
$978.55 |
| J1630 |
Haloperidol injection |
212 |
183 |
$914.55 |
| 80320 |
|
455 |
431 |
$845.99 |
| 88304 |
|
13 |
13 |
$838.20 |
| 87147 |
|
82 |
79 |
$617.63 |
| J0131 |
Inj, acetaminophen (nos) |
161 |
159 |
$593.33 |
| 96366 |
|
15 |
12 |
$589.54 |
| J2001 |
Lidocaine injection |
96 |
89 |
$522.39 |
| 80061 |
|
25 |
25 |
$485.17 |
| J1940 |
Furosemide injection |
136 |
93 |
$460.48 |
| 45378 |
|
15 |
13 |
$424.89 |
| 86308 |
|
52 |
52 |
$406.24 |
| 87205 |
|
56 |
54 |
$315.77 |
| A9270 |
Non-covered item or service |
1,576 |
721 |
$313.25 |
| 72170 |
|
14 |
14 |
$285.42 |
| 84550 |
|
26 |
25 |
$195.55 |
| 82950 |
|
18 |
18 |
$178.16 |
| 0637 |
|
1,064 |
676 |
$151.24 |
| J2704 |
Inj, propofol, 10 mg |
46 |
41 |
$134.91 |
| 85008 |
|
104 |
100 |
$109.77 |
| J1644 |
Inj heparin sodium per 1000u |
26 |
14 |
$109.55 |
| A4554 |
Disposable underpads |
16 |
13 |
$59.04 |
| 0271 |
|
16 |
12 |
$17.96 |