| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
|
16,374 |
15,083 |
$2.82M |
| 0202U |
|
4,864 |
4,649 |
$911K |
| 74177 |
|
1,302 |
1,271 |
$604K |
| 99284 |
|
1,548 |
1,474 |
$565K |
| 80053 |
|
9,443 |
8,605 |
$552K |
| 96374 |
|
5,083 |
4,767 |
$440K |
| 70450 |
|
1,862 |
1,824 |
$439K |
| 93005 |
|
6,570 |
5,990 |
$283K |
| 99281 |
|
758 |
661 |
$256K |
| 99283 |
|
1,270 |
1,214 |
$219K |
| 96375 |
|
3,560 |
3,306 |
$208K |
| 74176 |
|
582 |
575 |
$176K |
| 71045 |
|
5,502 |
5,282 |
$158K |
| 96361 |
|
1,884 |
1,779 |
$110K |
| 85025 |
|
10,779 |
9,676 |
$103K |
| 0241U |
|
1,260 |
1,221 |
$99K |
| 99285 |
|
244 |
235 |
$94K |
| 99199 |
|
3,158 |
2,868 |
$88K |
| 83690 |
|
3,678 |
3,467 |
$82K |
| 0270 |
|
3,981 |
2,577 |
$75K |
| 76856 |
|
568 |
549 |
$74K |
| 96372 |
|
1,547 |
1,483 |
$71K |
| 87040 |
|
1,107 |
669 |
$69K |
| 83880 |
|
2,149 |
2,094 |
$68K |
| 76705 |
|
704 |
685 |
$68K |
| 84703 |
|
1,539 |
1,460 |
$67K |
| 84484 |
|
1,762 |
1,599 |
$67K |
| 96365 |
|
757 |
724 |
$65K |
| 87086 |
|
2,297 |
2,214 |
$58K |
| 84512 |
|
2,725 |
2,432 |
$54K |
| J0696 |
Ceftriaxone sodium injection |
975 |
923 |
$51K |
| 83605 |
|
2,081 |
1,859 |
$50K |
| 97110 |
|
2,587 |
781 |
$50K |
| 80048 |
|
1,332 |
1,270 |
$50K |
| 99282 |
|
498 |
487 |
$47K |
| 81025 |
|
1,798 |
1,655 |
$46K |
| 81001 |
|
5,246 |
5,060 |
$44K |
| 85610 |
|
2,536 |
2,373 |
$40K |
| 96360 |
|
432 |
418 |
$39K |
| 36415 |
|
932 |
822 |
$37K |
| 76830 |
|
322 |
312 |
$32K |
| 87077 |
|
1,281 |
1,183 |
$26K |
| J7030 |
Normal saline solution infus |
4,232 |
3,824 |
$24K |
| 93971 |
|
190 |
188 |
$22K |
| 76700 |
|
152 |
152 |
$21K |
| 72125 |
|
87 |
83 |
$20K |
| U0003 |
Cov-19 amp prb hgh thruput |
311 |
303 |
$20K |
| 71046 |
|
538 |
528 |
$19K |
| J2405 |
Ondansetron hcl injection |
2,741 |
2,453 |
$19K |
| 84443 |
|
1,437 |
1,372 |
$18K |
| 73630 |
|
354 |
348 |
$17K |
| 76770 |
|
202 |
194 |
$16K |
| 82948 |
|
1,410 |
876 |
$16K |
| 87186 |
|
485 |
457 |
$15K |
| 0250 |
|
3,465 |
2,679 |
$15K |
| 97140 |
|
1,688 |
504 |
$15K |
| 87651 |
|
625 |
619 |
$15K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
649 |
583 |
$15K |
| 85379 |
|
550 |
535 |
$15K |
| 94640 |
|
502 |
417 |
$14K |
| 73610 |
|
269 |
267 |
$14K |
| 81003 |
|
2,175 |
1,983 |
$14K |
| 83735 |
|
956 |
859 |
$13K |
| J3490 |
Drugs unclassified injection |
1,956 |
1,382 |
$11K |
| J1885 |
Ketorolac tromethamine inj |
2,312 |
2,220 |
$10K |
| 87661 |
|
499 |
481 |
$10K |
| 73030 |
|
224 |
217 |
$10K |
| 94760 |
|
880 |
791 |
$9K |
| 85730 |
|
578 |
542 |
$9K |
| 0636 |
|
910 |
517 |
$9K |
| 87491 |
|
441 |
431 |
$9K |
| 87591 |
|
438 |
429 |
$8K |
| J2270 |
Morphine sulfate injection |
1,234 |
1,045 |
$8K |
| 84702 |
|
229 |
211 |
$8K |
| J2272 |
Inj, morphine (fresenius) |
486 |
397 |
$7K |
| 86900 |
|
616 |
588 |
$7K |
| 84100 |
|
696 |
631 |
$6K |
| 80307 |
|
195 |
193 |
$6K |
| 0637 |
|
2,101 |
1,623 |
$5K |
| 80306 |
|
327 |
314 |
$5K |
| 86850 |
|
524 |
501 |
$5K |
| G0480 |
Drug test def 1-7 classes |
133 |
111 |
$5K |
| J1100 |
Dexamethasone sodium phos |
440 |
431 |
$4K |
| 87798 |
|
132 |
129 |
$4K |
| 87426 |
|
160 |
150 |
$4K |
| 96376 |
|
263 |
246 |
$3K |
| Z7502 |
|
87 |
85 |
$3K |
| 86901 |
|
623 |
593 |
$3K |
| 90715 |
|
102 |
102 |
$3K |
| J7040 |
Normal saline solution infus |
805 |
794 |
$3K |
| 73130 |
|
78 |
75 |
$3K |
| 87633 |
|
14 |
14 |
$3K |
| 86140 |
|
283 |
274 |
$3K |
| 72100 |
|
38 |
38 |
$3K |
| 84145 |
|
135 |
132 |
$2K |
| 82077 |
|
121 |
118 |
$2K |
| 90471 |
|
136 |
136 |
$2K |
| 85651 |
|
188 |
185 |
$2K |
| 0251 |
|
882 |
806 |
$2K |
| J1170 |
Hydromorphone injection |
173 |
136 |
$2K |
| 73562 |
|
41 |
41 |
$1K |
| 80061 |
|
292 |
289 |
$1K |
| 87081 |
|
58 |
58 |
$1K |
| 97112 |
|
218 |
96 |
$1K |
| A9270 |
Non-covered item or service |
709 |
521 |
$1K |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
86 |
50 |
$1K |
| 87641 |
|
114 |
111 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
277 |
247 |
$967.40 |
| U0001 |
2019-ncov diagnostic p |
39 |
37 |
$905.75 |
| 73110 |
|
12 |
12 |
$868.32 |
| 85007 |
|
102 |
94 |
$679.66 |
| 73564 |
|
13 |
12 |
$561.19 |
| 73502 |
|
13 |
13 |
$520.98 |
| 94664 |
|
13 |
12 |
$509.74 |
| J2060 |
Lorazepam injection |
131 |
118 |
$483.89 |
| 83036 |
|
226 |
223 |
$473.75 |
| 80143 |
|
41 |
40 |
$464.80 |
| J7060 |
5% dextrose/water |
175 |
139 |
$459.40 |
| J0136 |
Inj, acetaminophen (b braun) |
40 |
30 |
$451.39 |
| J7120 |
Ringers lactate infusion |
47 |
45 |
$430.17 |
| 73140 |
|
14 |
14 |
$406.20 |
| 80179 |
|
27 |
27 |
$368.63 |
| 82150 |
|
16 |
16 |
$356.26 |
| 0301 |
|
12 |
12 |
$319.75 |
| 87486 |
|
14 |
14 |
$287.31 |
| 84439 |
|
13 |
13 |
$284.06 |
| 87581 |
|
14 |
14 |
$269.14 |
| S0164 |
Injection pantroprazole |
34 |
27 |
$243.73 |
| 80354 |
|
53 |
53 |
$241.18 |
| J2704 |
Inj, propofol, 10 mg |
14 |
13 |
$195.98 |
| A4649 |
Surgical supplies |
46 |
13 |
$191.08 |
| Q0162 |
Ondansetron oral |
12 |
12 |
$44.57 |
| J2250 |
Inj midazolam hydrochloride |
13 |
13 |
$32.48 |
| 82550 |
|
13 |
12 |
$25.12 |
| S9445 |
Pt education noc individ |
369 |
214 |
$0.00 |