| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
|
61,568 |
54,810 |
$2.77M |
| 99283 |
|
25,461 |
22,901 |
$1.50M |
| 70450 |
|
3,267 |
3,176 |
$501K |
| 96374 |
|
8,532 |
7,889 |
$494K |
| 74176 |
|
3,562 |
3,455 |
$383K |
| 96372 |
|
17,367 |
15,833 |
$382K |
| 87426 |
|
9,308 |
8,975 |
$336K |
| Z7502 |
|
8,240 |
8,131 |
$309K |
| 80053 |
|
17,496 |
16,124 |
$284K |
| 93005 |
|
10,357 |
9,640 |
$267K |
| 85025 |
|
24,005 |
21,838 |
$250K |
| 99499 |
|
2,917 |
2,529 |
$217K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,539 |
2,387 |
$205K |
| G0482 |
Drug test def 15-21 classes |
1,451 |
1,376 |
$181K |
| 96375 |
|
6,481 |
5,814 |
$163K |
| 0762 |
|
943 |
583 |
$163K |
| 74177 |
|
707 |
697 |
$148K |
| 96365 |
|
2,146 |
2,058 |
$148K |
| 71045 |
|
12,073 |
11,515 |
$147K |
| 96361 |
|
6,638 |
5,993 |
$120K |
| 81025 |
|
17,624 |
16,257 |
$119K |
| 87804 |
|
10,627 |
8,061 |
$87K |
| 96360 |
|
1,462 |
1,430 |
$86K |
| 99070 |
|
23,178 |
14,803 |
$85K |
| 83690 |
|
8,776 |
8,205 |
$84K |
| 99199 |
|
1,847 |
1,690 |
$80K |
| 76705 |
|
1,394 |
1,350 |
$80K |
| 84484 |
|
6,264 |
5,559 |
$78K |
| 80048 |
|
5,276 |
4,972 |
$68K |
| J3490 |
Drugs unclassified injection |
14,317 |
8,980 |
$59K |
| 87086 |
|
6,585 |
6,290 |
$56K |
| 81002 |
|
13,131 |
12,501 |
$55K |
| 94640 |
|
2,763 |
2,526 |
$53K |
| 83880 |
|
2,275 |
2,170 |
$53K |
| 99281 |
|
1,329 |
1,215 |
$49K |
| 81001 |
|
9,118 |
8,664 |
$46K |
| 99285 |
|
315 |
308 |
$46K |
| 87491 |
|
892 |
867 |
$42K |
| 73610 |
|
1,512 |
1,469 |
$41K |
| 99284 |
|
490 |
464 |
$36K |
| 73630 |
|
1,398 |
1,338 |
$35K |
| J1885 |
Ketorolac tromethamine inj |
16,785 |
15,496 |
$34K |
| 84702 |
|
2,074 |
1,843 |
$33K |
| 0370 |
|
257 |
182 |
$32K |
| 73130 |
|
1,127 |
1,089 |
$30K |
| 45378 |
|
1,108 |
1,071 |
$30K |
| 90715 |
|
911 |
892 |
$29K |
| 87040 |
|
2,272 |
1,780 |
$29K |
| 88305 |
|
994 |
962 |
$27K |
| J7030 |
Normal saline solution infus |
7,001 |
6,294 |
$25K |
| 80076 |
|
1,930 |
1,855 |
$24K |
| 83605 |
|
1,759 |
1,595 |
$23K |
| Z9725 |
|
778 |
775 |
$23K |
| 73110 |
|
840 |
807 |
$23K |
| G0378 |
Hospital observation per hr |
352 |
242 |
$23K |
| 73030 |
|
885 |
840 |
$23K |
| 80305 |
|
2,074 |
1,989 |
$23K |
| 76817 |
|
394 |
371 |
$22K |
| 76856 |
|
344 |
342 |
$21K |
| J2270 |
Morphine sulfate injection |
4,839 |
3,916 |
$21K |
| 74018 |
|
1,136 |
1,104 |
$20K |
| A4217 |
Sterile water/saline, 500 ml |
3,122 |
2,976 |
$20K |
| 87070 |
|
1,580 |
1,547 |
$19K |
| 82948 |
|
2,401 |
2,114 |
$19K |
| 45385 |
|
837 |
812 |
$17K |
| 87081 |
|
2,073 |
2,010 |
$17K |
| 71046 |
|
686 |
661 |
$16K |
| 72125 |
|
80 |
80 |
$15K |
| 87420 |
|
1,109 |
1,081 |
$15K |
| 85730 |
|
2,081 |
1,986 |
$14K |
| 0250 |
|
2,596 |
1,803 |
$13K |
| 85610 |
|
2,430 |
2,319 |
$12K |
| 0270 |
|
3,131 |
2,070 |
$12K |
| 43239 |
|
561 |
531 |
$12K |
| 86901 |
|
2,074 |
1,967 |
$11K |
| 73564 |
|
355 |
349 |
$11K |
| 84443 |
|
453 |
439 |
$10K |
| 73562 |
|
406 |
395 |
$10K |
| 85379 |
|
635 |
613 |
$9K |
| Q0162 |
Ondansetron oral |
3,740 |
3,600 |
$9K |
| 0710 |
|
353 |
335 |
$9K |
| 87186 |
|
760 |
719 |
$9K |
| 29125 |
|
839 |
815 |
$8K |
| 99221 |
|
45 |
45 |
$8K |
| 86900 |
|
2,023 |
1,925 |
$8K |
| 93971 |
|
64 |
63 |
$7K |
| 83735 |
|
788 |
699 |
$6K |
| 0259 |
|
1,116 |
969 |
$6K |
| Z7610 |
|
377 |
322 |
$6K |
| J2405 |
Ondansetron hcl injection |
5,266 |
4,753 |
$5K |
| J3010 |
Fentanyl citrate injection |
3,873 |
3,639 |
$5K |
| 82150 |
|
553 |
524 |
$5K |
| 86886 |
|
636 |
622 |
$5K |
| 76801 |
|
92 |
85 |
$5K |
| J0696 |
Ceftriaxone sodium injection |
2,452 |
2,307 |
$5K |
| Q0092 |
Set up port xray equipment |
541 |
523 |
$5K |
| 73080 |
|
163 |
154 |
$5K |
| 90471 |
|
1,084 |
1,055 |
$5K |
| 87635 |
|
94 |
86 |
$4K |
| 88313 |
|
244 |
224 |
$4K |
| 73140 |
|
218 |
213 |
$4K |
| J1200 |
Diphenhydramine hcl injectio |
2,131 |
1,898 |
$4K |
| 93976 |
|
14 |
14 |
$4K |
| 82550 |
|
409 |
387 |
$3K |
| C9803 |
Hopd covid-19 spec collect |
150 |
141 |
$3K |
| 76805 |
|
44 |
40 |
$3K |
| 88342 |
|
64 |
64 |
$3K |
| J2001 |
Lidocaine injection |
3,192 |
2,928 |
$3K |
| J1100 |
Dexamethasone sodium phos |
2,404 |
2,301 |
$3K |
| 12001 |
|
171 |
170 |
$2K |
| 0011A |
|
67 |
65 |
$2K |
| 99291 |
|
12 |
12 |
$2K |
| J2060 |
Lorazepam injection |
999 |
892 |
$2K |
| 99238 |
|
54 |
54 |
$2K |
| J2930 |
Methylprednisolone injection |
242 |
221 |
$2K |
| 71101 |
|
39 |
38 |
$2K |
| J2765 |
Metoclopramide hcl injection |
767 |
719 |
$1K |
| 88312 |
|
90 |
89 |
$1K |
| 0012A |
|
32 |
32 |
$1K |
| 72100 |
|
38 |
38 |
$1K |
| 29515 |
|
105 |
104 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
2,641 |
2,314 |
$1K |
| 10060 |
|
62 |
62 |
$999.20 |
| 73090 |
|
48 |
44 |
$990.46 |
| S0077 |
Injection, clindamycin phosp |
102 |
89 |
$960.04 |
| 12011 |
|
25 |
24 |
$954.31 |
| J7510 |
Prednisolone oral per 5 mg |
1,199 |
1,153 |
$907.42 |
| 76830 |
|
14 |
13 |
$905.52 |
| 59025 |
|
60 |
52 |
$764.14 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,078 |
1,065 |
$755.84 |
| 96366 |
|
41 |
34 |
$738.89 |
| G0480 |
Drug test def 1-7 classes |
12 |
12 |
$570.36 |
| 74022 |
|
12 |
12 |
$515.75 |
| 12002 |
|
26 |
26 |
$455.29 |
| 43235 |
|
27 |
24 |
$441.75 |
| 87880 |
|
24 |
24 |
$415.25 |
| 36415 |
|
298 |
247 |
$400.63 |
| 0301 |
|
12 |
12 |
$398.46 |
| 29130 |
|
52 |
52 |
$386.04 |
| 73502 |
|
13 |
13 |
$385.81 |
| J0780 |
Prochlorperazine injection |
74 |
72 |
$345.36 |
| 73590 |
|
13 |
12 |
$321.63 |
| 81003 |
|
82 |
81 |
$272.80 |
| 87210 |
|
40 |
40 |
$247.42 |
| J1630 |
Haloperidol injection |
84 |
63 |
$244.38 |
| 81000 |
|
43 |
37 |
$206.03 |
| 87077 |
|
24 |
17 |
$179.88 |
| 84100 |
|
29 |
28 |
$165.85 |
| 82553 |
|
15 |
12 |
$165.64 |
| 45380 |
|
16 |
14 |
$140.00 |
| J2550 |
Promethazine hcl injection |
43 |
42 |
$133.48 |
| S0020 |
Injection, bupivicaine hydro |
28 |
25 |
$92.17 |
| J2704 |
Inj, propofol, 10 mg |
296 |
258 |
$84.35 |
| 86140 |
|
14 |
13 |
$81.13 |
| J1170 |
Hydromorphone injection |
15 |
13 |
$68.02 |
| Q0163 |
Diphenhydramine hcl 50mg |
258 |
245 |
$57.98 |
| J7060 |
5% dextrose/water |
12 |
12 |
$27.28 |
| J7620 |
Albuterol ipratrop non-comp |
125 |
121 |
$17.62 |