| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
|
57,027 |
52,310 |
$18.63M |
| 36415 |
|
65,728 |
57,827 |
$13.10M |
| A9150 |
Misc/exper non-prescript dru |
51,093 |
23,631 |
$12.62M |
| 99284 |
|
41,408 |
39,360 |
$6.96M |
| 99283 |
|
41,797 |
40,123 |
$5.07M |
| T1999 |
Noc retail items andsupplies |
19,366 |
10,570 |
$4.99M |
| 99282 |
|
22,330 |
21,446 |
$4.61M |
| 99285 |
|
16,214 |
15,155 |
$4.17M |
| 80053 |
|
85,784 |
80,633 |
$2.45M |
| 99281 |
|
8,332 |
7,985 |
$1.76M |
| 74177 |
|
8,783 |
8,581 |
$1.58M |
| 70450 |
|
10,172 |
9,860 |
$1.47M |
| G0378 |
Hospital observation per hr |
937 |
863 |
$991K |
| 0682 |
|
259 |
257 |
$980K |
| 99499 |
|
600 |
410 |
$769K |
| 72125 |
|
3,825 |
3,737 |
$721K |
| 71045 |
|
23,376 |
22,413 |
$713K |
| 71046 |
|
15,372 |
14,931 |
$647K |
| G0480 |
Drug test def 1-7 classes |
11,382 |
10,327 |
$574K |
| Z7502 |
|
14,298 |
14,139 |
$538K |
| 0762 |
|
121 |
115 |
$502K |
| 0270 |
|
39,451 |
18,056 |
$476K |
| 96374 |
|
14,153 |
13,435 |
$471K |
| 85025 |
|
91,572 |
84,755 |
$470K |
| 0250 |
|
4,367 |
1,989 |
$455K |
| 71260 |
|
1,941 |
1,915 |
$429K |
| J3490 |
Drugs unclassified injection |
48,085 |
22,723 |
$425K |
| 0241U |
|
7,753 |
7,623 |
$411K |
| 93005 |
|
32,551 |
30,366 |
$403K |
| 96375 |
|
11,091 |
9,971 |
$374K |
| J7512 |
Prednisone ir or dr oral 1mg |
1,029 |
960 |
$347K |
| 80307 |
|
9,580 |
8,974 |
$276K |
| S9484 |
Crisis intervention per hour |
623 |
596 |
$272K |
| 74176 |
|
2,863 |
2,805 |
$266K |
| 96372 |
|
10,338 |
8,652 |
$248K |
| 99199 |
|
1,424 |
1,193 |
$246K |
| 84484 |
|
24,048 |
21,792 |
$246K |
| 71275 |
|
1,811 |
1,769 |
$246K |
| 70486 |
|
1,527 |
1,501 |
$240K |
| 96365 |
|
5,114 |
4,390 |
$217K |
| 80048 |
|
10,922 |
10,072 |
$214K |
| 73130 |
|
2,813 |
2,754 |
$208K |
| 0160 |
|
204 |
193 |
$199K |
| 73610 |
|
2,403 |
2,350 |
$198K |
| 73564 |
|
2,657 |
2,597 |
$186K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,772 |
3,605 |
$175K |
| 0360 |
|
235 |
165 |
$174K |
| 81001 |
|
26,034 |
24,885 |
$173K |
| 73630 |
|
2,844 |
2,786 |
$168K |
| 87081 |
|
2,741 |
2,685 |
$155K |
| 73030 |
|
1,921 |
1,871 |
$142K |
| 87086 |
|
11,250 |
10,759 |
$142K |
| 82962 |
|
5,812 |
3,851 |
$137K |
| 83880 |
|
10,225 |
9,671 |
$125K |
| 73110 |
|
1,606 |
1,569 |
$111K |
| 81003 |
|
9,873 |
9,531 |
$111K |
| 83690 |
|
17,944 |
17,131 |
$105K |
| 84703 |
|
16,018 |
15,324 |
$103K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
12,000 |
11,611 |
$102K |
| 0949 |
|
1,011 |
817 |
$102K |
| 72170 |
|
823 |
806 |
$96K |
| 95811 |
|
462 |
460 |
$91K |
| 86885 |
|
2,638 |
2,523 |
$86K |
| 96376 |
|
2,540 |
1,935 |
$85K |
| 94640 |
|
5,138 |
4,075 |
$84K |
| 96361 |
|
4,161 |
3,659 |
$82K |
| 87077 |
|
3,244 |
3,117 |
$79K |
| 87040 |
|
6,311 |
5,612 |
$78K |
| 76705 |
|
2,255 |
2,205 |
$76K |
| 95810 |
|
425 |
425 |
$75K |
| 93971 |
|
1,677 |
1,637 |
$75K |
| 78452 |
|
240 |
216 |
$74K |
| 0301 |
|
168 |
104 |
$70K |
| 87491 |
|
2,864 |
2,798 |
$68K |
| 10060 |
|
576 |
558 |
$67K |
| 83605 |
|
8,812 |
8,265 |
$66K |
| 12001 |
|
508 |
501 |
$64K |
| 76817 |
|
1,724 |
1,577 |
$63K |
| 76801 |
|
2,085 |
1,904 |
$62K |
| 73080 |
|
866 |
844 |
$60K |
| 0720 |
|
802 |
638 |
$58K |
| 99202 |
|
136 |
132 |
$57K |
| 93306 |
|
590 |
555 |
$55K |
| 76856 |
|
1,961 |
1,909 |
$54K |
| 74018 |
|
969 |
943 |
$53K |
| A9270 |
Non-covered item or service |
10,310 |
3,538 |
$52K |
| 72131 |
|
473 |
467 |
$52K |
| U0002 |
Covid-19 lab test non-cdc |
542 |
534 |
$52K |
| 87502 |
|
1,181 |
1,167 |
$51K |
| 73590 |
|
729 |
712 |
$50K |
| 76376 |
|
958 |
940 |
$50K |
| Q0111 |
Wet mounts/ w preparations |
1,836 |
1,797 |
$49K |
| 81025 |
|
3,597 |
3,522 |
$48K |
| 84702 |
|
4,492 |
4,099 |
$47K |
| 73090 |
|
769 |
751 |
$47K |
| 0324 |
|
342 |
336 |
$45K |
| 76805 |
|
621 |
584 |
$45K |
| 96112 |
|
280 |
280 |
$45K |
| Q4051 |
Splint supplies misc |
57 |
30 |
$45K |
| 87631 |
|
1,042 |
1,029 |
$45K |
| 96360 |
|
1,489 |
1,414 |
$45K |
| 76830 |
|
1,456 |
1,414 |
$45K |
| 83735 |
|
8,046 |
6,976 |
$41K |
| 96366 |
|
1,427 |
1,059 |
$40K |
| 12011 |
|
382 |
371 |
$40K |
| 87635 |
|
1,738 |
1,653 |
$39K |
| 87880 |
|
2,752 |
2,713 |
$38K |
| 85610 |
|
9,183 |
8,716 |
$37K |
| 85730 |
|
6,499 |
6,283 |
$34K |
| 99291 |
|
127 |
125 |
$33K |
| Z7610 |
|
4,323 |
1,950 |
$33K |
| J7030 |
Normal saline solution infus |
12,999 |
11,060 |
$32K |
| 85027 |
|
7,103 |
6,785 |
$31K |
| 87591 |
|
2,871 |
2,805 |
$29K |
| 0760 |
|
475 |
417 |
$28K |
| 0710 |
|
251 |
241 |
$26K |
| 0121 |
|
12 |
12 |
$25K |
| 82803 |
|
931 |
878 |
$24K |
| 76700 |
|
810 |
789 |
$24K |
| J8540 |
Oral dexamethasone |
1,106 |
1,087 |
$24K |
| 86901 |
|
4,800 |
4,612 |
$22K |
| 94644 |
|
1,380 |
1,315 |
$22K |
| J1815 |
Insulin injection |
1,390 |
905 |
$22K |
| 86880 |
|
1,099 |
1,074 |
$21K |
| 73502 |
|
354 |
346 |
$20K |
| 0761 |
|
448 |
352 |
$20K |
| 12002 |
|
240 |
238 |
$17K |
| 84443 |
|
1,577 |
1,535 |
$17K |
| 83036 |
|
1,097 |
1,047 |
$17K |
| 93017 |
|
339 |
304 |
$16K |
| J2405 |
Ondansetron hcl injection |
6,527 |
6,015 |
$16K |
| L1830 |
Ko immob canvas long pre ots |
138 |
136 |
$16K |
| 86141 |
|
2,835 |
2,713 |
$16K |
| J7120 |
Ringers lactate infusion |
4,072 |
3,705 |
$15K |
| 85379 |
|
2,648 |
2,583 |
$15K |
| 86900 |
|
3,769 |
3,629 |
$14K |
| 90471 |
|
2,030 |
1,954 |
$14K |
| 29125 |
|
566 |
538 |
$14K |
| 70551 |
|
43 |
40 |
$13K |
| 43239 |
|
34 |
32 |
$13K |
| 73140 |
|
127 |
125 |
$13K |
| 84145 |
|
1,789 |
1,737 |
$13K |
| J1885 |
Ketorolac tromethamine inj |
7,845 |
7,441 |
$12K |
| 90715 |
|
1,787 |
1,758 |
$12K |
| 87661 |
|
1,022 |
1,009 |
$11K |
| 80061 |
|
919 |
854 |
$11K |
| J0696 |
Ceftriaxone sodium injection |
4,493 |
4,144 |
$10K |
| 0305 |
|
28 |
28 |
$10K |
| J2270 |
Morphine sulfate injection |
4,591 |
3,953 |
$10K |
| 87186 |
|
2,714 |
2,621 |
$10K |
| 82550 |
|
1,126 |
1,023 |
$10K |
| J0131 |
Inj, acetaminophen (nos) |
643 |
605 |
$9K |
| 0272 |
|
105 |
98 |
$8K |
| 76770 |
|
192 |
186 |
$8K |
| 85007 |
|
2,882 |
2,746 |
$8K |
| A9500 |
Tc99m sestamibi |
266 |
236 |
$8K |
| 97750 |
|
595 |
329 |
$7K |
| J3010 |
Fentanyl citrate injection |
2,055 |
1,904 |
$7K |
| 85651 |
|
1,103 |
1,037 |
$7K |
| 88305 |
|
165 |
130 |
$7K |
| 93970 |
|
98 |
92 |
$7K |
| J2060 |
Lorazepam injection |
2,436 |
2,136 |
$7K |
| 36430 |
|
13 |
12 |
$6K |
| 71250 |
|
52 |
52 |
$6K |
| U0005 |
Infec agen detec ampli probe |
2,412 |
2,310 |
$6K |
| J1100 |
Dexamethasone sodium phos |
2,607 |
2,510 |
$6K |
| 0370 |
|
21 |
20 |
$5K |
| J1200 |
Diphenhydramine hcl injectio |
2,374 |
2,195 |
$5K |
| J2250 |
Inj midazolam hydrochloride |
1,384 |
1,302 |
$5K |
| 72100 |
|
93 |
92 |
$5K |
| 99401 |
|
195 |
137 |
$4K |
| 99153 |
Mod sedat endo service >5yrs |
73 |
72 |
$4K |
| 99152 |
|
25 |
25 |
$4K |
| 76870 |
|
137 |
132 |
$4K |
| Z4301 |
|
157 |
157 |
$4K |
| 87637 |
|
243 |
240 |
$4K |
| 87147 |
|
491 |
481 |
$4K |
| 59025 |
|
277 |
120 |
$4K |
| J2704 |
Inj, propofol, 10 mg |
670 |
624 |
$4K |
| J1650 |
Inj enoxaparin sodium |
590 |
281 |
$3K |
| 0300 |
|
28 |
28 |
$3K |
| J0780 |
Prochlorperazine injection |
1,332 |
1,281 |
$3K |
| 29515 |
|
128 |
123 |
$3K |
| 64400 |
|
15 |
13 |
$3K |
| J7050 |
Normal saline solution infus |
370 |
277 |
$3K |
| J2765 |
Metoclopramide hcl injection |
1,843 |
1,750 |
$3K |
| J1170 |
Hydromorphone injection |
1,205 |
925 |
$2K |
| H1003 |
Prenatal at risk education |
109 |
73 |
$2K |
| 82150 |
|
108 |
104 |
$2K |
| 73060 |
|
67 |
66 |
$2K |
| 70491 |
|
15 |
15 |
$2K |
| 84112 |
|
201 |
186 |
$2K |
| 73552 |
|
26 |
25 |
$2K |
| 95816 |
|
12 |
12 |
$2K |
| 0306 |
|
13 |
13 |
$2K |
| 94729 |
|
96 |
94 |
$2K |
| 96367 |
|
136 |
125 |
$2K |
| 70496 |
|
13 |
13 |
$2K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
15 |
15 |
$2K |
| 94726 |
|
93 |
91 |
$2K |
| A9502 |
Tc99m tetrofosmin |
54 |
54 |
$2K |
| J2930 |
Methylprednisolone injection |
544 |
501 |
$2K |
| 70498 |
|
25 |
25 |
$2K |
| 0258 |
|
38 |
27 |
$2K |
| 80164 |
|
190 |
170 |
$1K |
| 87420 |
|
55 |
51 |
$1K |
| J3475 |
Inj magnesium sulfate |
509 |
443 |
$1K |
| 82010 |
|
169 |
155 |
$1K |
| 99070 |
|
124 |
88 |
$1K |
| J2785 |
Regadenoson injection |
28 |
27 |
$1K |
| 74174 |
|
25 |
25 |
$1K |
| 84132 |
|
306 |
251 |
$1K |
| 88720 |
|
268 |
243 |
$1K |
| 71101 |
|
12 |
12 |
$1K |
| 0750 |
|
26 |
26 |
$907.94 |
| 94060 |
|
41 |
41 |
$828.12 |
| 87275 |
|
55 |
55 |
$768.28 |
| 29105 |
|
12 |
12 |
$677.41 |
| J0690 |
Cefazolin sodium injection |
298 |
278 |
$654.59 |
| 82140 |
|
71 |
66 |
$599.70 |
| G0500 |
Mod sedat endo service >5yrs |
15 |
15 |
$562.37 |
| 84550 |
|
90 |
87 |
$509.69 |
| J7040 |
Normal saline solution infus |
189 |
162 |
$505.89 |
| J2560 |
Phenobarbital sodium inj |
26 |
25 |
$464.81 |
| 82553 |
|
45 |
26 |
$464.67 |
| 94645 |
|
15 |
15 |
$420.10 |
| 84100 |
|
177 |
160 |
$380.58 |
| J1644 |
Inj heparin sodium per 1000u |
123 |
65 |
$344.77 |
| 74019 |
|
13 |
13 |
$328.00 |
| G8978 |
Mobility current status |
66 |
61 |
$273.00 |
| M0243 |
Casirivi and imdevi inj |
12 |
12 |
$267.96 |
| 87276 |
|
55 |
55 |
$246.25 |
| J1630 |
Haloperidol injection |
82 |
68 |
$206.12 |
| J0561 |
Penicillin g benzathine inj |
14 |
13 |
$193.40 |
| J1953 |
Levetiracetam injection |
45 |
38 |
$153.22 |
| 70487 |
|
14 |
12 |
$151.72 |
| J3486 |
Ziprasidone mesylate |
13 |
13 |
$117.18 |
| J0360 |
Hydralazine hcl injection |
16 |
12 |
$75.17 |
| C1769 |
Guide wire |
25 |
24 |
$54.12 |
| 80178 |
|
15 |
14 |
$35.28 |
| 87070 |
|
13 |
12 |
$34.47 |
| J2919 |
Inj, methylpred sod succ 5mg |
17 |
16 |
$17.65 |
| J3480 |
Inj potassium chloride |
16 |
13 |
$14.56 |
| J1836 |
Inj, metronidazole, 10 mg |
15 |
15 |
$12.19 |
| 90686 |
|
15 |
15 |
$8.38 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
14 |
14 |
$6.92 |
| 36600 |
|
15 |
15 |
$5.80 |
| 84295 |
|
12 |
12 |
$5.18 |
| Q9969 |
Non-heu tc-99m add-on/dose |
225 |
216 |
$0.58 |
| G8979 |
Mobility goal status |
66 |
61 |
$0.00 |
| G8980 |
Mobility d/c status |
15 |
14 |
$0.00 |
| 41899 |
|
12 |
12 |
$0.00 |
| 87205 |
|
14 |
12 |
$0.00 |