| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
50,903 |
44,771 |
$717K |
| 74177 |
|
4,181 |
3,856 |
$708K |
| 96374 |
|
12,340 |
10,951 |
$539K |
| A0429 |
Bls-emergency |
9,041 |
6,443 |
$528K |
| Z7502 |
|
11,190 |
11,015 |
$426K |
| 70450 |
|
6,849 |
6,317 |
$324K |
| G0480 |
Drug test def 1-7 classes |
8,318 |
6,674 |
$324K |
| 74176 |
|
3,185 |
2,945 |
$274K |
| 85025 |
|
34,865 |
29,442 |
$228K |
| 59025 |
|
12,260 |
4,220 |
$226K |
| 76815 |
|
6,022 |
2,857 |
$220K |
| 93005 |
|
15,571 |
13,784 |
$217K |
| 80053 |
|
27,310 |
23,983 |
$205K |
| 96375 |
|
8,489 |
7,184 |
$198K |
| 72125 |
|
2,717 |
2,547 |
$192K |
| 96372 |
|
8,565 |
6,865 |
$164K |
| 96361 |
|
8,946 |
7,470 |
$160K |
| Z9725 |
|
2,943 |
2,920 |
$120K |
| 99199 |
|
2,057 |
1,932 |
$116K |
| 71045 |
|
13,275 |
12,029 |
$109K |
| J3490 |
Drugs unclassified injection |
23,684 |
15,199 |
$108K |
| 96360 |
|
2,774 |
2,487 |
$106K |
| 96365 |
|
2,572 |
2,331 |
$105K |
| 76705 |
|
2,296 |
2,125 |
$89K |
| 71260 |
|
1,047 |
967 |
$82K |
| 87426 |
|
3,935 |
3,532 |
$73K |
| 72131 |
|
1,195 |
1,136 |
$72K |
| 84484 |
|
9,488 |
7,913 |
$67K |
| 0160 |
|
2,174 |
1,658 |
$65K |
| 76801 |
|
1,429 |
1,292 |
$65K |
| 76805 |
|
1,302 |
1,200 |
$64K |
| J7030 |
Normal saline solution infus |
10,023 |
8,391 |
$60K |
| 72128 |
|
906 |
862 |
$60K |
| 76817 |
|
1,179 |
1,062 |
$54K |
| 93306 |
|
384 |
352 |
$50K |
| 83690 |
|
10,190 |
9,106 |
$49K |
| 76856 |
|
1,087 |
1,024 |
$48K |
| 83880 |
|
2,126 |
1,921 |
$48K |
| J1885 |
Ketorolac tromethamine inj |
9,198 |
8,057 |
$45K |
| 87635 |
|
1,934 |
1,544 |
$45K |
| J2405 |
Ondansetron hcl injection |
9,899 |
8,562 |
$44K |
| 90715 |
|
1,658 |
1,553 |
$44K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,523 |
4,141 |
$40K |
| 81001 |
|
17,287 |
15,565 |
$39K |
| 70486 |
|
553 |
528 |
$35K |
| 80048 |
|
6,961 |
5,537 |
$35K |
| 99283 |
|
3,202 |
2,931 |
$35K |
| 81025 |
|
12,303 |
11,275 |
$34K |
| 76830 |
|
703 |
669 |
$33K |
| 87631 |
|
890 |
816 |
$32K |
| J0131 |
Inj, acetaminophen (nos) |
1,105 |
1,007 |
$30K |
| Z7610 |
|
2,954 |
2,420 |
$29K |
| 96366 |
|
981 |
761 |
$28K |
| 87086 |
|
4,896 |
4,513 |
$28K |
| J2270 |
Morphine sulfate injection |
3,904 |
3,218 |
$27K |
| 0270 |
|
29,553 |
16,902 |
$25K |
| 76819 |
|
425 |
337 |
$22K |
| 85730 |
|
5,621 |
4,976 |
$21K |
| 99285 |
|
459 |
448 |
$21K |
| 87804 |
|
2,596 |
2,082 |
$20K |
| J2704 |
Inj, propofol, 10 mg |
3,122 |
2,900 |
$20K |
| 93458 |
|
29 |
27 |
$19K |
| J0690 |
Cefazolin sodium injection |
2,632 |
2,173 |
$19K |
| J3010 |
Fentanyl citrate injection |
3,906 |
3,579 |
$19K |
| 88305 |
|
1,809 |
1,655 |
$18K |
| 94640 |
|
1,325 |
976 |
$18K |
| 93971 |
|
188 |
177 |
$17K |
| 83735 |
|
4,000 |
3,303 |
$17K |
| 85610 |
|
6,585 |
5,794 |
$17K |
| J2250 |
Inj midazolam hydrochloride |
3,950 |
3,606 |
$16K |
| J0696 |
Ceftriaxone sodium injection |
2,951 |
2,535 |
$16K |
| 84702 |
|
2,023 |
1,838 |
$16K |
| 82550 |
|
3,537 |
3,064 |
$15K |
| 82948 |
|
5,466 |
3,606 |
$14K |
| 93308 |
|
174 |
164 |
$14K |
| 0360 |
|
4,929 |
2,928 |
$13K |
| 95816 |
|
329 |
325 |
$13K |
| 83605 |
|
1,876 |
1,648 |
$13K |
| 84443 |
|
1,050 |
968 |
$12K |
| J1170 |
Hydromorphone injection |
1,570 |
1,341 |
$11K |
| J7120 |
Ringers lactate infusion |
1,552 |
1,183 |
$11K |
| 99284 |
|
696 |
650 |
$11K |
| 86901 |
|
4,857 |
4,430 |
$10K |
| J1100 |
Dexamethasone sodium phos |
2,068 |
1,913 |
$10K |
| 86900 |
|
4,858 |
4,429 |
$10K |
| 71275 |
|
58 |
52 |
$10K |
| 73630 |
|
584 |
561 |
$9K |
| J1200 |
Diphenhydramine hcl injectio |
1,956 |
1,646 |
$9K |
| 86850 |
|
3,694 |
3,365 |
$9K |
| 87040 |
|
1,027 |
829 |
$9K |
| 76811 |
|
86 |
84 |
$8K |
| 80061 |
|
1,056 |
918 |
$8K |
| 82803 |
|
689 |
633 |
$8K |
| 73610 |
|
497 |
479 |
$8K |
| 73130 |
|
505 |
487 |
$7K |
| G0390 |
Trauma respons w/hosp criti |
256 |
237 |
$7K |
| J2765 |
Metoclopramide hcl injection |
1,351 |
1,181 |
$7K |
| 82330 |
|
608 |
574 |
$7K |
| 87186 |
|
990 |
947 |
$7K |
| 85027 |
|
1,402 |
1,075 |
$6K |
| 73564 |
|
361 |
349 |
$6K |
| 76700 |
|
113 |
112 |
$6K |
| J1815 |
Insulin injection |
634 |
516 |
$5K |
| 80307 |
|
123 |
117 |
$5K |
| 90471 |
|
1,400 |
1,297 |
$5K |
| J2175 |
Meperidine hydrochl /100 mg |
400 |
392 |
$5K |
| J0561 |
Penicillin g benzathine inj |
16 |
15 |
$5K |
| 0762 |
|
1,422 |
1,296 |
$4K |
| 71250 |
|
79 |
76 |
$4K |
| J2060 |
Lorazepam injection |
931 |
710 |
$4K |
| 82553 |
|
667 |
613 |
$4K |
| J2930 |
Methylprednisolone injection |
385 |
310 |
$4K |
| 71046 |
|
266 |
258 |
$4K |
| 73030 |
|
190 |
178 |
$4K |
| J7040 |
Normal saline solution infus |
778 |
683 |
$4K |
| 72170 |
|
234 |
226 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
503 |
398 |
$3K |
| 97750 |
|
87 |
80 |
$2K |
| 88342 |
|
271 |
241 |
$2K |
| 0250 |
|
2,898 |
1,854 |
$2K |
| 0710 |
|
3,174 |
2,866 |
$2K |
| 80305 |
|
231 |
229 |
$2K |
| 58661 |
|
12 |
12 |
$2K |
| J0360 |
Hydralazine hcl injection |
280 |
241 |
$2K |
| S0020 |
Injection, bupivicaine hydro |
187 |
178 |
$2K |
| J2710 |
Neostigmine methylslfte inj |
320 |
291 |
$2K |
| C9803 |
Hopd covid-19 spec collect |
108 |
97 |
$2K |
| 87077 |
|
262 |
248 |
$2K |
| G0378 |
Hospital observation per hr |
46 |
35 |
$2K |
| 84295 |
|
524 |
504 |
$2K |
| 84132 |
|
518 |
500 |
$2K |
| 82947 |
|
519 |
499 |
$1K |
| 84703 |
|
566 |
529 |
$1K |
| 87650 |
|
82 |
81 |
$1K |
| 97139 |
|
97 |
65 |
$1K |
| 73020 |
|
130 |
127 |
$1K |
| 93017 |
|
32 |
26 |
$1K |
| 43239 |
|
54 |
43 |
$1K |
| 10060 |
|
113 |
105 |
$1K |
| 85380 |
|
399 |
387 |
$1K |
| 80047 |
|
348 |
343 |
$1K |
| 99152 |
|
250 |
224 |
$1K |
| S9445 |
Pt education noc individ |
135 |
83 |
$1K |
| 96376 |
|
605 |
461 |
$1K |
| 85014 |
|
552 |
521 |
$959.14 |
| 99153 |
Mod sedat endo service >5yrs |
180 |
161 |
$950.72 |
| 85018 |
|
547 |
521 |
$938.28 |
| 82150 |
|
307 |
294 |
$879.48 |
| 71010 |
|
77 |
71 |
$843.77 |
| 73560 |
|
67 |
64 |
$793.23 |
| J2919 |
Inj, methylpred sod succ 5mg |
58 |
54 |
$741.00 |
| 88307 |
|
39 |
38 |
$739.17 |
| J1650 |
Inj enoxaparin sodium |
87 |
40 |
$700.03 |
| 84145 |
|
51 |
43 |
$624.00 |
| S0164 |
Injection pantroprazole |
89 |
51 |
$544.17 |
| 94664 |
|
65 |
46 |
$527.79 |
| 0760 |
|
2,010 |
1,520 |
$511.50 |
| J2358 |
Olanzapine long-acting inj |
88 |
65 |
$505.66 |
| 97116 |
|
74 |
56 |
$479.15 |
| Z7500 |
|
14 |
12 |
$477.40 |
| 0300 |
|
1,939 |
544 |
$435.22 |
| 45385 |
|
14 |
14 |
$420.00 |
| 73590 |
|
31 |
27 |
$418.45 |
| 88313 |
|
63 |
54 |
$384.87 |
| 73110 |
|
26 |
26 |
$365.15 |
| 81003 |
|
158 |
151 |
$347.79 |
| J3475 |
Inj magnesium sulfate |
82 |
65 |
$344.85 |
| 82570 |
|
67 |
48 |
$340.03 |
| 36415 |
|
4,762 |
4,038 |
$339.42 |
| 84550 |
|
83 |
62 |
$333.21 |
| 81002 |
|
359 |
352 |
$323.46 |
| 29125 |
|
82 |
76 |
$306.84 |
| 87210 |
|
70 |
61 |
$288.88 |
| A4217 |
Sterile water/saline, 500 ml |
63 |
50 |
$285.30 |
| 80076 |
|
81 |
75 |
$245.86 |
| H1003 |
Prenatal at risk education |
46 |
25 |
$237.97 |
| 74018 |
|
14 |
14 |
$234.47 |
| 73080 |
|
14 |
12 |
$210.89 |
| 87147 |
|
55 |
54 |
$205.61 |
| 99281 |
|
145 |
93 |
$198.40 |
| J3105 |
Terbutaline sulfate inj |
32 |
29 |
$187.74 |
| C1894 |
Intro/sheath, non-laser |
71 |
53 |
$184.20 |
| 87070 |
|
27 |
27 |
$182.66 |
| 84156 |
|
52 |
36 |
$173.07 |
| J0171 |
Adrenalin epinephrine inject |
24 |
24 |
$159.96 |
| 87420 |
|
86 |
85 |
$140.37 |
| 0100U |
|
293 |
214 |
$122.73 |
| C9113 |
Inj pantoprazole sodium, via |
38 |
25 |
$121.62 |
| 88302 |
|
13 |
13 |
$118.24 |
| Q0162 |
Ondansetron oral |
115 |
110 |
$107.21 |
| 84460 |
|
20 |
13 |
$104.87 |
| 84450 |
|
20 |
13 |
$101.27 |
| 97162 |
|
45 |
39 |
$90.06 |
| J2470 |
Inj pantoprazole sodium 40mg |
17 |
13 |
$65.79 |
| 12001 |
|
14 |
13 |
$62.40 |
| J1953 |
Levetiracetam injection |
16 |
12 |
$54.60 |
| J3411 |
Thiamine hcl 100 mg |
17 |
12 |
$39.52 |
| 0510 |
|
132 |
79 |
$34.10 |
| 97161 |
|
15 |
12 |
$33.68 |
| 99001 |
|
928 |
844 |
$17.30 |
| Q0163 |
Diphenhydramine hcl 50mg |
59 |
53 |
$8.09 |
| 0636 |
|
249 |
150 |
$2.18 |
| J0330 |
Succinycholine chloride inj |
12 |
12 |
$0.66 |
| 0272 |
|
260 |
187 |
$0.04 |
| 0402 |
|
146 |
88 |
$0.00 |
| 0260 |
|
271 |
157 |
$0.00 |
| 0351 |
|
54 |
45 |
$0.00 |
| 77002 |
|
12 |
12 |
$0.00 |
| 76818 |
|
26 |
16 |
$0.00 |
| 0320 |
|
83 |
63 |
$0.00 |
| 0352 |
|
111 |
75 |
$0.00 |
| 0370 |
|
236 |
202 |
$0.00 |
| 80320 |
|
88 |
84 |
$0.00 |
| 0310 |
|
56 |
30 |
$0.00 |
| 0324 |
|
136 |
126 |
$0.00 |
| 80329 |
|
154 |
149 |
$0.00 |