| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 8888888 |
|
5,861 |
3,603 |
$2.78M |
| 0241U |
|
1,084 |
1,013 |
$137K |
| 85025 |
|
3,486 |
2,961 |
$135K |
| 96374 |
|
2,084 |
1,747 |
$92K |
| 99283 |
|
2,105 |
1,946 |
$61K |
| 99282 |
|
654 |
613 |
$37K |
| 99284 |
|
2,519 |
2,231 |
$35K |
| 96372 |
|
441 |
402 |
$33K |
| 96375 |
|
1,502 |
1,277 |
$32K |
| 97110 |
|
554 |
281 |
$13K |
| 80307 |
|
491 |
428 |
$12K |
| 80053 |
|
3,133 |
2,671 |
$10K |
| 80050 |
|
316 |
301 |
$10K |
| 70450 |
|
361 |
338 |
$8K |
| 99285 |
|
1,376 |
1,246 |
$8K |
| 71045 |
|
845 |
780 |
$7K |
| 96376 |
|
462 |
396 |
$7K |
| 76856 |
|
154 |
139 |
$6K |
| 83690 |
|
1,224 |
1,057 |
$6K |
| 81001 |
|
1,947 |
1,726 |
$6K |
| U0002 |
Covid-19 lab test non-cdc |
149 |
132 |
$5K |
| 74177 |
|
710 |
644 |
$5K |
| 87086 |
|
536 |
486 |
$4K |
| 76705 |
|
257 |
239 |
$4K |
| 74176 |
|
110 |
102 |
$3K |
| 97140 |
|
99 |
52 |
$3K |
| 81025 |
|
312 |
295 |
$3K |
| G0463 |
Hospital outpt clinic visit |
96 |
74 |
$3K |
| 86901 |
|
53 |
51 |
$3K |
| 96365 |
|
408 |
346 |
$3K |
| 71046 |
|
85 |
81 |
$2K |
| 96361 |
|
1,214 |
1,030 |
$2K |
| 85379 |
|
504 |
454 |
$1K |
| 88305 |
|
55 |
52 |
$1K |
| 73630 |
|
13 |
13 |
$1K |
| J2270 |
Morphine sulfate injection |
635 |
521 |
$903.61 |
| 84484 |
|
775 |
681 |
$874.82 |
| 80048 |
|
366 |
342 |
$838.27 |
| 84703 |
|
651 |
602 |
$681.73 |
| 84702 |
|
477 |
447 |
$584.53 |
| 85610 |
|
188 |
171 |
$554.43 |
| 74018 |
|
15 |
13 |
$519.96 |
| 73562 |
|
13 |
13 |
$431.68 |
| 87880 |
|
27 |
26 |
$423.68 |
| 93005 |
|
1,420 |
1,262 |
$368.51 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,104 |
1,004 |
$362.64 |
| G0480 |
Drug test def 1-7 classes |
169 |
157 |
$337.78 |
| 71275 |
|
132 |
115 |
$270.91 |
| 87186 |
|
62 |
59 |
$252.49 |
| 93971 |
|
13 |
13 |
$95.96 |
| 96360 |
|
295 |
249 |
$63.71 |
| J2405 |
Ondansetron hcl injection |
1,707 |
1,367 |
$63.24 |
| 83735 |
|
137 |
114 |
$56.88 |
| 87040 |
|
196 |
148 |
$31.30 |
| 87088 |
|
58 |
55 |
$24.48 |
| 87081 |
|
16 |
13 |
$24.13 |
| 83880 |
|
76 |
67 |
$24.12 |
| 83605 |
|
622 |
550 |
$21.22 |
| 86140 |
|
387 |
331 |
$14.68 |
| J1885 |
Ketorolac tromethamine inj |
1,328 |
1,145 |
$12.12 |
| J0696 |
Ceftriaxone sodium injection |
226 |
212 |
$4.08 |
| J1170 |
Hydromorphone injection |
557 |
419 |
$2.86 |
| J1200 |
Diphenhydramine hcl injectio |
128 |
122 |
$1.60 |
| J2550 |
Promethazine hcl injection |
247 |
202 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
449 |
324 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
386 |
355 |
$0.00 |
| 85651 |
|
15 |
13 |
$0.00 |
| 94640 |
|
13 |
13 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
531 |
457 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
216 |
192 |
$0.00 |
| J2060 |
Lorazepam injection |
37 |
25 |
$0.00 |
| 99291 |
|
17 |
16 |
$0.00 |
| 83615 |
|
51 |
46 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
55 |
54 |
$0.00 |
| A9585 |
Gadobutrol injection |
13 |
12 |
$0.00 |