| Code | Description | Claims | Beneficiaries | Total Paid |
| 80053 |
|
20,508 |
17,614 |
$2.22M |
| 99283 |
|
30,966 |
27,884 |
$1.76M |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,269 |
4,874 |
$1.70M |
| J7030 |
Normal saline solution infus |
9,701 |
7,931 |
$1.63M |
| 81001 |
|
16,059 |
14,452 |
$872K |
| 87636 |
|
6,200 |
5,696 |
$853K |
| 99282 |
|
3,415 |
3,068 |
$553K |
| J7120 |
Ringers lactate infusion |
2,322 |
2,107 |
$479K |
| 80048 |
|
4,764 |
3,756 |
$398K |
| 87804 |
|
2,113 |
1,946 |
$276K |
| 87081 |
|
1,445 |
1,366 |
$233K |
| 81025 |
|
9,915 |
8,973 |
$206K |
| 97110 |
|
5,008 |
1,660 |
$190K |
| 71046 |
|
3,364 |
3,171 |
$178K |
| 96372 |
|
3,733 |
3,387 |
$166K |
| J7040 |
Normal saline solution infus |
1,121 |
997 |
$141K |
| A9552 |
F18 fdg |
98 |
97 |
$138K |
| 36415 |
|
1,532 |
1,423 |
$131K |
| 73610 |
|
738 |
694 |
$123K |
| 87075 |
|
656 |
615 |
$119K |
| 71045 |
|
6,558 |
5,952 |
$115K |
| 70450 |
|
3,146 |
2,914 |
$110K |
| 73630 |
|
927 |
875 |
$101K |
| 99284 |
|
12,250 |
11,193 |
$84K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
529 |
472 |
$80K |
| A9576 |
Inj prohance multipack |
105 |
98 |
$59K |
| 73562 |
|
499 |
470 |
$52K |
| U0003 |
Cov-19 amp prb hgh thruput |
498 |
476 |
$50K |
| 81003 |
|
1,344 |
1,256 |
$46K |
| 72100 |
|
821 |
776 |
$44K |
| 73030 |
|
337 |
316 |
$42K |
| 93971 |
|
300 |
289 |
$39K |
| 70553 |
|
66 |
66 |
$38K |
| 94640 |
|
3,135 |
2,171 |
$36K |
| 73110 |
|
196 |
185 |
$33K |
| 72125 |
|
633 |
592 |
$31K |
| 80307 |
|
2,121 |
1,972 |
$31K |
| 87880 |
|
2,629 |
2,474 |
$31K |
| 96374 |
|
8,374 |
7,551 |
$30K |
| 74176 |
|
970 |
905 |
$26K |
| 85025 |
|
22,053 |
18,726 |
$24K |
| 99285 |
|
4,631 |
4,268 |
$24K |
| 73130 |
|
170 |
156 |
$23K |
| 76705 |
|
727 |
686 |
$22K |
| 84484 |
|
6,741 |
5,053 |
$21K |
| 84702 |
|
1,128 |
989 |
$20K |
| 81015 |
|
383 |
362 |
$19K |
| 72148 |
|
41 |
41 |
$19K |
| 93005 |
|
9,397 |
8,348 |
$15K |
| J7050 |
Normal saline solution infus |
175 |
143 |
$14K |
| 87077 |
|
1,051 |
975 |
$14K |
| 87807 |
|
312 |
283 |
$14K |
| 76830 |
|
164 |
158 |
$11K |
| 99214 |
|
176 |
168 |
$9K |
| 83690 |
|
10,313 |
9,242 |
$9K |
| 96361 |
|
4,232 |
3,906 |
$9K |
| 74177 |
|
3,456 |
3,234 |
$7K |
| 96360 |
|
1,182 |
1,124 |
$7K |
| 87491 |
|
1,540 |
1,447 |
$6K |
| 77063 |
|
57 |
56 |
$5K |
| 74018 |
|
81 |
73 |
$5K |
| 0241U |
|
29 |
29 |
$5K |
| G0378 |
Hospital observation per hr |
2,400 |
1,691 |
$4K |
| 96365 |
|
2,275 |
2,111 |
$4K |
| 93306 |
|
28 |
28 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
6,572 |
5,654 |
$4K |
| 87040 |
|
982 |
665 |
$4K |
| 87086 |
|
3,388 |
3,143 |
$4K |
| 99281 |
|
29 |
28 |
$4K |
| 87210 |
|
511 |
480 |
$3K |
| 85027 |
|
2,654 |
2,074 |
$3K |
| 73502 |
|
45 |
42 |
$3K |
| 88305 |
|
36 |
33 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
1,420 |
1,256 |
$2K |
| 96375 |
|
4,163 |
3,756 |
$2K |
| 83880 |
|
2,426 |
2,223 |
$2K |
| 77067 |
|
105 |
104 |
$2K |
| J2405 |
Ondansetron hcl injection |
7,557 |
6,348 |
$2K |
| J3490 |
Drugs unclassified injection |
5,042 |
3,112 |
$2K |
| 76856 |
|
321 |
309 |
$2K |
| 84443 |
|
1,457 |
1,391 |
$2K |
| 86850 |
|
183 |
174 |
$2K |
| 87661 |
|
526 |
490 |
$2K |
| 76700 |
|
15 |
15 |
$2K |
| 71260 |
|
1,033 |
984 |
$2K |
| 85379 |
|
1,032 |
989 |
$2K |
| 41899 |
|
14 |
12 |
$2K |
| 83735 |
|
4,700 |
3,543 |
$1K |
| 76536 |
|
12 |
12 |
$1K |
| J2001 |
Lidocaine injection |
3,637 |
2,569 |
$1K |
| J1650 |
Inj enoxaparin sodium |
779 |
333 |
$1K |
| 83605 |
|
1,977 |
1,707 |
$1K |
| 85610 |
|
2,310 |
2,052 |
$904.31 |
| J8597 |
Antiemetic drug oral nos |
918 |
846 |
$842.90 |
| J1170 |
Hydromorphone injection |
1,589 |
1,232 |
$802.86 |
| 97140 |
|
1,393 |
540 |
$622.54 |
| 97530 |
|
510 |
277 |
$610.29 |
| 71275 |
|
118 |
102 |
$602.50 |
| 86140 |
|
1,164 |
1,054 |
$503.03 |
| 86900 |
|
1,002 |
937 |
$497.07 |
| 97161 |
|
635 |
603 |
$475.05 |
| 99291 |
|
254 |
237 |
$445.76 |
| J3010 |
Fentanyl citrate injection |
1,987 |
1,748 |
$403.13 |
| J0696 |
Ceftriaxone sodium injection |
2,293 |
1,790 |
$224.49 |
| 85730 |
|
1,978 |
1,810 |
$215.47 |
| G1004 |
Cdsm ndsc |
2,965 |
2,326 |
$209.33 |
| 87591 |
|
1,527 |
1,433 |
$155.31 |
| 76817 |
|
57 |
51 |
$143.05 |
| J2270 |
Morphine sulfate injection |
3,396 |
2,793 |
$121.11 |
| 85652 |
|
98 |
95 |
$117.43 |
| 84439 |
|
39 |
37 |
$113.92 |
| 80061 |
|
70 |
69 |
$96.94 |
| J1100 |
Dexamethasone sodium phos |
5,191 |
3,711 |
$92.49 |
| 82607 |
|
15 |
13 |
$89.30 |
| 87186 |
|
1,103 |
995 |
$72.73 |
| 96376 |
|
470 |
428 |
$65.72 |
| 76801 |
|
89 |
77 |
$61.84 |
| 82077 |
|
590 |
543 |
$60.66 |
| 86901 |
|
1,002 |
937 |
$41.37 |
| 82550 |
|
141 |
118 |
$40.96 |
| J1644 |
Inj heparin sodium per 1000u |
454 |
197 |
$27.99 |
| J0780 |
Prochlorperazine injection |
573 |
502 |
$5.96 |
| Q0162 |
Ondansetron oral |
1,304 |
1,188 |
$1.01 |
| A9270 |
Non-covered item or service |
919 |
826 |
$0.13 |
| J3475 |
Inj magnesium sulfate |
166 |
140 |
$0.00 |
| 85007 |
|
42 |
39 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
198 |
119 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
19 |
17 |
$0.00 |
| J2550 |
Promethazine hcl injection |
68 |
64 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
23 |
20 |
$0.00 |
| 78815 |
|
81 |
80 |
$0.00 |
| 90715 |
|
16 |
12 |
$0.00 |
| 82272 |
|
15 |
12 |
$0.00 |
| G0659 |
Drug test def simple all cl |
28 |
27 |
$0.00 |
| 84100 |
|
74 |
61 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
37 |
14 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
3,222 |
1,888 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
931 |
709 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
160 |
124 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
153 |
142 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
408 |
393 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
518 |
454 |
$0.00 |
| 87140 |
|
471 |
427 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
1,336 |
1,173 |
$0.00 |
| J2060 |
Lorazepam injection |
87 |
79 |
$0.00 |
| 97535 |
|
58 |
41 |
$0.00 |
| 82803 |
|
43 |
40 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
40 |
38 |
$0.00 |
| 64483 |
|
44 |
38 |
$0.00 |
| 97162 |
|
117 |
116 |
$0.00 |
| 83036 |
|
71 |
70 |
$0.00 |
| J1790 |
Droperidol injection |
14 |
13 |
$0.00 |
| 97165 |
|
129 |
120 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
13 |
12 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
63 |
30 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
51 |
35 |
$0.00 |