| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
80,040 |
71,167 |
$3.60M |
| 99283 |
|
31,056 |
28,193 |
$1.57M |
| 70450 |
|
4,899 |
4,781 |
$677K |
| Z7502 |
|
16,628 |
16,399 |
$625K |
| 96374 |
|
10,629 |
10,050 |
$611K |
| 74176 |
|
4,740 |
4,639 |
$544K |
| 93005 |
|
17,475 |
16,375 |
$421K |
| 80053 |
|
26,946 |
25,081 |
$412K |
| 87426 |
|
10,526 |
10,187 |
$374K |
| 96372 |
|
16,682 |
15,663 |
$369K |
| 85025 |
|
35,171 |
32,254 |
$317K |
| 93976 |
|
1,390 |
1,352 |
$262K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,113 |
3,023 |
$250K |
| 71045 |
|
18,301 |
17,480 |
$238K |
| 99499 |
|
3,754 |
3,368 |
$233K |
| 80307 |
|
4,166 |
3,992 |
$226K |
| G0482 |
Drug test def 15-21 classes |
1,754 |
1,624 |
$226K |
| 96375 |
|
7,770 |
7,244 |
$201K |
| 96365 |
|
2,560 |
2,453 |
$181K |
| 74177 |
|
821 |
809 |
$177K |
| 96361 |
|
8,643 |
7,950 |
$158K |
| 76705 |
|
2,813 |
2,751 |
$154K |
| 99199 |
|
3,011 |
2,764 |
$127K |
| 96360 |
|
2,164 |
2,113 |
$125K |
| 81025 |
|
19,259 |
18,148 |
$117K |
| 83690 |
|
14,020 |
13,249 |
$116K |
| 84484 |
|
10,363 |
9,619 |
$115K |
| 87804 |
|
12,064 |
11,524 |
$102K |
| 99281 |
|
2,398 |
2,181 |
$99K |
| 0241U |
|
864 |
819 |
$97K |
| 83880 |
|
3,987 |
3,825 |
$91K |
| 72125 |
|
451 |
447 |
$80K |
| 99070 |
|
16,953 |
11,183 |
$80K |
| 81002 |
|
17,919 |
17,206 |
$66K |
| 99285 |
|
471 |
452 |
$65K |
| 80048 |
|
6,633 |
6,197 |
$63K |
| J3490 |
Drugs unclassified injection |
18,765 |
12,208 |
$62K |
| 84443 |
|
3,022 |
2,909 |
$61K |
| 90715 |
|
1,800 |
1,764 |
$57K |
| 73610 |
|
2,306 |
2,261 |
$56K |
| 94640 |
|
3,140 |
2,915 |
$53K |
| 87040 |
|
4,174 |
3,920 |
$50K |
| 73562 |
|
2,253 |
2,182 |
$48K |
| 83605 |
|
3,659 |
3,493 |
$44K |
| 73630 |
|
1,842 |
1,793 |
$41K |
| 99284 |
|
805 |
781 |
$40K |
| 71046 |
|
1,681 |
1,611 |
$39K |
| 87086 |
|
5,405 |
5,232 |
$39K |
| 0370 |
|
344 |
209 |
$39K |
| 81001 |
|
8,554 |
8,227 |
$37K |
| 73030 |
|
1,597 |
1,545 |
$36K |
| 87491 |
|
1,501 |
1,464 |
$36K |
| 74018 |
|
1,869 |
1,813 |
$36K |
| 73130 |
|
1,530 |
1,492 |
$35K |
| 87635 |
|
720 |
710 |
$35K |
| 73110 |
|
1,445 |
1,405 |
$34K |
| J1885 |
Ketorolac tromethamine inj |
16,586 |
15,578 |
$33K |
| 82550 |
|
3,936 |
3,776 |
$32K |
| 72100 |
|
1,153 |
1,136 |
$30K |
| G0481 |
Drug test def 8-14 classes |
308 |
285 |
$29K |
| 84702 |
|
1,905 |
1,706 |
$27K |
| 87070 |
|
2,581 |
2,525 |
$26K |
| 87430 |
|
2,268 |
2,225 |
$25K |
| 76856 |
|
374 |
364 |
$23K |
| J7030 |
Normal saline solution infus |
6,617 |
6,203 |
$23K |
| 84480 |
|
1,210 |
1,178 |
$20K |
| 85730 |
|
3,140 |
3,013 |
$20K |
| 76830 |
|
384 |
368 |
$20K |
| 87420 |
|
1,870 |
1,817 |
$19K |
| 93971 |
|
198 |
195 |
$19K |
| 99406 |
|
1,849 |
1,753 |
$19K |
| 29125 |
|
1,798 |
1,746 |
$18K |
| 76817 |
|
356 |
330 |
$18K |
| 73080 |
|
709 |
682 |
$17K |
| 83735 |
|
2,366 |
2,081 |
$16K |
| 85610 |
|
3,537 |
3,397 |
$16K |
| 87591 |
|
986 |
956 |
$16K |
| Z7610 |
|
1,052 |
896 |
$16K |
| 82150 |
|
1,747 |
1,679 |
$15K |
| 0710 |
|
655 |
606 |
$15K |
| 82962 |
|
3,626 |
3,169 |
$14K |
| 73140 |
|
944 |
917 |
$14K |
| 87186 |
|
1,498 |
1,465 |
$14K |
| 0250 |
|
2,333 |
1,757 |
$14K |
| J2270 |
Morphine sulfate injection |
3,490 |
3,167 |
$14K |
| 80076 |
|
1,689 |
1,660 |
$13K |
| G0480 |
Drug test def 1-7 classes |
219 |
197 |
$12K |
| 81003 |
|
3,957 |
3,852 |
$11K |
| 12001 |
|
593 |
577 |
$11K |
| 84436 |
|
1,441 |
1,374 |
$11K |
| 85378 |
|
1,255 |
1,224 |
$11K |
| 80061 |
|
845 |
823 |
$11K |
| J2405 |
Ondansetron hcl injection |
6,967 |
6,575 |
$10K |
| 83036 |
|
903 |
868 |
$10K |
| 0270 |
|
2,637 |
1,987 |
$9K |
| 76376 |
|
1,171 |
1,097 |
$9K |
| 87077 |
|
1,541 |
1,505 |
$8K |
| 84439 |
|
787 |
764 |
$8K |
| 86901 |
|
1,729 |
1,677 |
$8K |
| 90471 |
|
1,875 |
1,843 |
$7K |
| Q0092 |
Set up port xray equipment |
907 |
835 |
$7K |
| Q0162 |
Ondansetron oral |
3,054 |
2,940 |
$6K |
| J0696 |
Ceftriaxone sodium injection |
3,261 |
3,119 |
$6K |
| 86900 |
|
1,729 |
1,676 |
$6K |
| 82140 |
|
452 |
432 |
$6K |
| 86140 |
|
951 |
922 |
$6K |
| 83718 |
|
600 |
577 |
$5K |
| 29515 |
|
453 |
434 |
$5K |
| G0378 |
Hospital observation per hr |
87 |
46 |
$5K |
| 84703 |
|
528 |
516 |
$5K |
| 87428 |
|
63 |
62 |
$4K |
| 74022 |
|
131 |
129 |
$4K |
| 71101 |
|
127 |
126 |
$4K |
| 10060 |
|
222 |
212 |
$4K |
| 29505 |
|
382 |
371 |
$4K |
| 73590 |
|
206 |
202 |
$4K |
| 83721 |
|
399 |
385 |
$4K |
| 82803 |
|
165 |
158 |
$4K |
| A0429 |
Bls-emergency |
128 |
105 |
$3K |
| J3010 |
Fentanyl citrate injection |
2,364 |
2,252 |
$3K |
| 12011 |
|
169 |
167 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
1,646 |
1,543 |
$3K |
| 73090 |
|
189 |
183 |
$3K |
| 84479 |
|
453 |
440 |
$3K |
| J1100 |
Dexamethasone sodium phos |
2,127 |
2,061 |
$3K |
| 73502 |
|
101 |
98 |
$3K |
| J2930 |
Methylprednisolone injection |
424 |
411 |
$3K |
| 76801 |
|
43 |
43 |
$3K |
| 82465 |
|
715 |
686 |
$2K |
| J2060 |
Lorazepam injection |
1,342 |
1,217 |
$2K |
| U0005 |
Infec agen detec ampli probe |
248 |
236 |
$2K |
| J2001 |
Lidocaine injection |
2,049 |
1,982 |
$2K |
| 99221 |
|
12 |
12 |
$2K |
| 0011A |
|
52 |
52 |
$2K |
| 29130 |
|
245 |
238 |
$2K |
| 99238 |
|
71 |
69 |
$2K |
| 86885 |
|
272 |
269 |
$2K |
| 0012A |
|
46 |
46 |
$2K |
| J2765 |
Metoclopramide hcl injection |
712 |
670 |
$2K |
| J7613 |
Albuterol non-comp unit |
1,877 |
1,762 |
$1K |
| J0780 |
Prochlorperazine injection |
93 |
88 |
$996.80 |
| 82009 |
|
162 |
158 |
$846.41 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,983 |
1,907 |
$736.52 |
| 36600 |
|
95 |
92 |
$646.67 |
| 84100 |
|
197 |
145 |
$619.34 |
| 12002 |
|
42 |
40 |
$599.36 |
| 88305 |
|
43 |
42 |
$564.72 |
| 85651 |
|
142 |
136 |
$510.06 |
| 82947 |
|
139 |
138 |
$478.59 |
| 82728 |
|
27 |
24 |
$387.40 |
| 72040 |
|
15 |
15 |
$343.22 |
| 87205 |
|
74 |
70 |
$336.71 |
| 96366 |
|
12 |
12 |
$249.36 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,119 |
1,084 |
$229.69 |
| 87880 |
|
22 |
22 |
$203.07 |
| 83615 |
|
28 |
25 |
$196.18 |
| 71010 |
|
13 |
13 |
$193.57 |
| 29105 |
|
29 |
28 |
$166.11 |
| 87210 |
|
34 |
32 |
$158.68 |
| J1170 |
Hydromorphone injection |
38 |
37 |
$156.84 |
| 85007 |
|
81 |
79 |
$152.81 |
| 73660 |
|
12 |
12 |
$149.81 |
| 85379 |
|
14 |
14 |
$146.36 |
| 76882 |
|
12 |
12 |
$145.48 |
| 82553 |
|
12 |
12 |
$141.22 |
| 0272 |
|
29 |
28 |
$133.31 |
| J7060 |
5% dextrose/water |
52 |
52 |
$113.02 |
| 84550 |
|
24 |
24 |
$109.43 |
| J2250 |
Inj midazolam hydrochloride |
347 |
322 |
$105.00 |
| 0636 |
|
15 |
14 |
$75.48 |
| J2920 |
Methylprednisolone injection |
12 |
12 |
$75.47 |
| J7120 |
Ringers lactate infusion |
31 |
31 |
$73.74 |
| J2919 |
Inj, methylpred sod succ 5mg |
43 |
42 |
$44.12 |
| J7620 |
Albuterol ipratrop non-comp |
129 |
121 |
$37.97 |
| J1630 |
Haloperidol injection |
14 |
12 |
$35.96 |
| J0690 |
Cefazolin sodium injection |
27 |
26 |
$30.80 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
32 |
31 |
$24.27 |
| J7644 |
Ipratropium bromide non-comp |
31 |
30 |
$7.66 |
| 0259 |
|
17 |
14 |
$0.09 |
| 36415 |
|
55 |
53 |
$0.00 |
| 96376 |
|
19 |
19 |
$0.00 |