| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 8888888 |
|
26,326 |
8,520 |
$7.21M |
| 36415 |
|
8,383 |
6,670 |
$1.06M |
| 0241U |
|
762 |
719 |
$138K |
| 99283 |
|
3,809 |
3,589 |
$128K |
| 99284 |
|
3,926 |
3,581 |
$52K |
| 87635 |
|
939 |
868 |
$51K |
| 96374 |
|
3,606 |
3,069 |
$31K |
| U0002 |
Covid-19 lab test non-cdc |
296 |
282 |
$29K |
| 99285 |
|
3,413 |
2,984 |
$27K |
| 88305 |
|
427 |
395 |
$25K |
| 71045 |
|
1,202 |
1,107 |
$22K |
| 71046 |
|
654 |
630 |
$21K |
| 96361 |
|
1,906 |
1,650 |
$21K |
| U0003 |
Cov-19 amp prb hgh thruput |
242 |
195 |
$20K |
| 81001 |
|
2,396 |
2,122 |
$18K |
| 70450 |
|
301 |
279 |
$17K |
| 74177 |
|
820 |
752 |
$15K |
| 11042 |
|
104 |
50 |
$14K |
| 82962 |
|
253 |
184 |
$14K |
| 99282 |
|
280 |
269 |
$14K |
| 81003 |
|
1,434 |
1,312 |
$13K |
| 96372 |
|
315 |
274 |
$12K |
| U0001 |
2019-ncov diagnostic p |
308 |
294 |
$9K |
| 96375 |
|
2,680 |
2,236 |
$8K |
| J7030 |
Normal saline solution infus |
1,616 |
1,251 |
$7K |
| 85025 |
|
6,094 |
4,965 |
$7K |
| 80307 |
|
726 |
639 |
$6K |
| 80053 |
|
5,483 |
4,600 |
$6K |
| 87088 |
|
418 |
381 |
$5K |
| 84703 |
|
1,676 |
1,512 |
$5K |
| 96365 |
|
281 |
200 |
$5K |
| 93005 |
|
1,713 |
1,525 |
$4K |
| 59025 |
|
507 |
361 |
$4K |
| 87502 |
|
170 |
165 |
$4K |
| 87086 |
|
277 |
248 |
$4K |
| J3490 |
Drugs unclassified injection |
29 |
22 |
$4K |
| U0004 |
Cov-19 test non-cdc hgh thru |
37 |
37 |
$4K |
| 83690 |
|
1,747 |
1,512 |
$3K |
| 99001 |
|
90 |
87 |
$3K |
| 99281 |
|
50 |
49 |
$3K |
| J2405 |
Ondansetron hcl injection |
3,649 |
2,762 |
$3K |
| 87651 |
|
66 |
62 |
$3K |
| 86710 |
|
54 |
54 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
1,758 |
1,499 |
$3K |
| J2270 |
Morphine sulfate injection |
1,837 |
1,233 |
$2K |
| 76705 |
|
82 |
72 |
$2K |
| 87400 |
|
69 |
62 |
$2K |
| G0500 |
Mod sedat endo service >5yrs |
91 |
78 |
$2K |
| 80050 |
|
624 |
577 |
$1K |
| 87880 |
|
35 |
32 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
897 |
803 |
$1K |
| 80143 |
|
154 |
135 |
$999.10 |
| 87081 |
|
18 |
17 |
$924.97 |
| 31720 |
|
19 |
15 |
$917.94 |
| J1100 |
Dexamethasone sodium phos |
840 |
736 |
$842.16 |
| 87077 |
|
44 |
43 |
$802.28 |
| 87631 |
|
13 |
13 |
$662.66 |
| 96360 |
|
86 |
82 |
$620.20 |
| 81025 |
|
281 |
253 |
$579.28 |
| J2250 |
Inj midazolam hydrochloride |
520 |
439 |
$546.08 |
| 94640 |
|
115 |
95 |
$428.80 |
| 87426 |
|
13 |
13 |
$336.51 |
| J3010 |
Fentanyl citrate injection |
1,505 |
1,033 |
$300.00 |
| J2704 |
Inj, propofol, 10 mg |
1,847 |
1,467 |
$299.59 |
| 99152 |
|
42 |
38 |
$274.11 |
| A9270 |
Non-covered item or service |
1,688 |
366 |
$248.47 |
| 94760 |
|
567 |
408 |
$181.89 |
| 93971 |
|
13 |
13 |
$115.64 |
| 97530 |
|
28 |
12 |
$68.68 |
| 74176 |
|
26 |
24 |
$65.64 |
| 84443 |
|
221 |
202 |
$40.00 |
| 82077 |
|
273 |
242 |
$0.00 |
| 96376 |
|
613 |
507 |
$0.00 |
| J1170 |
Hydromorphone injection |
781 |
477 |
$0.00 |
| 83605 |
|
159 |
135 |
$0.00 |
| 80048 |
|
338 |
268 |
$0.00 |
| 85379 |
|
109 |
104 |
$0.00 |
| 84484 |
|
1,082 |
847 |
$0.00 |
| 83036 |
|
111 |
106 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
528 |
363 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
367 |
336 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
58 |
53 |
$0.00 |
| 80320 |
|
33 |
30 |
$0.00 |
| 86140 |
|
14 |
13 |
$0.00 |
| 88342 |
|
103 |
89 |
$0.00 |
| 83880 |
|
98 |
90 |
$0.00 |
| J2060 |
Lorazepam injection |
147 |
110 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
97 |
81 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
163 |
160 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
33 |
32 |
$0.00 |
| G0378 |
Hospital observation per hr |
83 |
53 |
$0.00 |
| 85730 |
|
25 |
24 |
$0.00 |
| 83735 |
|
13 |
12 |
$0.00 |
| 85652 |
|
14 |
13 |
$0.00 |
| 82607 |
|
32 |
29 |
$0.00 |
| 71275 |
|
19 |
15 |
$0.00 |
| 80329 |
|
25 |
24 |
$0.00 |
| 87503 |
|
12 |
12 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
434 |
369 |
$0.00 |
| 80179 |
|
148 |
129 |
$0.00 |
| J7120 |
Ringers lactate infusion |
634 |
476 |
$0.00 |
| 43239 |
|
34 |
28 |
$0.00 |
| 80061 |
|
119 |
107 |
$0.00 |
| 85610 |
|
258 |
214 |
$0.00 |
| A4649 |
Surgical supplies |
34 |
31 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
25 |
24 |
$0.00 |
| 87186 |
|
63 |
59 |
$0.00 |
| 84439 |
|
44 |
41 |
$0.00 |
| 87420 |
|
31 |
29 |
$0.00 |