| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 41899 |
|
711 |
687 |
$3.05M |
| 99284 |
|
3,077 |
2,806 |
$242K |
| 99283 |
|
1,875 |
1,707 |
$118K |
| G0378 |
Hospital observation per hr |
551 |
444 |
$90K |
| 99285 |
|
673 |
623 |
$64K |
| 99281 |
|
941 |
811 |
$46K |
| J2405 |
Ondansetron hcl injection |
1,849 |
1,626 |
$9K |
| J2704 |
Inj, propofol, 10 mg |
702 |
658 |
$9K |
| J3010 |
Fentanyl citrate injection |
714 |
676 |
$6K |
| J1885 |
Ketorolac tromethamine inj |
927 |
825 |
$5K |
| J1100 |
Dexamethasone sodium phos |
541 |
514 |
$5K |
| 80048 |
|
3,011 |
2,275 |
$3K |
| 70450 |
|
1,183 |
1,112 |
$3K |
| 85025 |
|
5,349 |
4,010 |
$3K |
| 36415 |
|
5,674 |
4,343 |
$2K |
| 84484 |
|
2,991 |
2,191 |
$2K |
| 93005 |
|
3,595 |
2,905 |
$2K |
| J2270 |
Morphine sulfate injection |
345 |
277 |
$2K |
| 81001 |
|
2,610 |
2,362 |
$2K |
| 71045 |
|
2,214 |
2,002 |
$1K |
| 80053 |
|
2,687 |
2,216 |
$846.24 |
| 87086 |
|
370 |
329 |
$822.94 |
| J7030 |
Normal saline solution infus |
1,053 |
821 |
$626.16 |
| 71046 |
|
104 |
99 |
$607.48 |
| 87400 |
|
41 |
29 |
$585.22 |
| J7120 |
Ringers lactate infusion |
85 |
78 |
$329.43 |
| 0223U |
|
15 |
14 |
$196.49 |
| J2765 |
Metoclopramide hcl injection |
33 |
30 |
$191.71 |
| U0003 |
Cov-19 amp prb hgh thruput |
16 |
15 |
$179.99 |
| 85610 |
|
320 |
275 |
$173.26 |
| 87635 |
|
976 |
840 |
$154.77 |
| 83690 |
|
162 |
145 |
$113.76 |
| 85730 |
|
119 |
109 |
$82.18 |
| J0696 |
Ceftriaxone sodium injection |
15 |
13 |
$81.22 |
| 80076 |
|
88 |
81 |
$78.06 |
| J1200 |
Diphenhydramine hcl injectio |
14 |
13 |
$61.56 |
| J2060 |
Lorazepam injection |
15 |
13 |
$40.52 |
| 85027 |
|
46 |
38 |
$30.12 |
| 87040 |
|
23 |
12 |
$5.30 |
| 84443 |
|
13 |
12 |
$0.00 |
| 82077 |
|
50 |
40 |
$0.00 |
| 82550 |
|
15 |
14 |
$0.00 |
| 83735 |
|
71 |
51 |
$0.00 |
| 86850 |
|
14 |
14 |
$0.00 |
| 82553 |
|
15 |
14 |
$0.00 |
| 86901 |
|
14 |
14 |
$0.00 |
| 87811 |
|
52 |
51 |
$0.00 |
| 80307 |
|
30 |
28 |
$0.00 |
| 81003 |
|
27 |
25 |
$0.00 |
| 86900 |
|
14 |
14 |
$0.00 |