| Code | Description | Claims | Beneficiaries | Total Paid |
| 8888888 |
|
1,591 |
780 |
$1.45M |
| 85025 |
|
8,245 |
6,835 |
$427K |
| 96372 |
|
1,458 |
1,296 |
$268K |
| 99283 |
|
4,848 |
4,465 |
$261K |
| 80050 |
|
1,983 |
1,891 |
$217K |
| 0241U |
|
922 |
885 |
$152K |
| J1100 |
Dexamethasone sodium phos |
1,297 |
1,172 |
$144K |
| 99282 |
|
1,746 |
1,649 |
$126K |
| 99284 |
|
3,447 |
3,114 |
$105K |
| 96374 |
|
2,100 |
1,807 |
$93K |
| 71046 |
|
1,292 |
1,208 |
$48K |
| J1885 |
Ketorolac tromethamine inj |
2,191 |
1,937 |
$43K |
| 96365 |
|
1,425 |
878 |
$42K |
| 81001 |
|
3,106 |
2,815 |
$36K |
| 81025 |
|
660 |
615 |
$35K |
| 80053 |
|
7,564 |
6,517 |
$30K |
| 99285 |
|
1,857 |
1,674 |
$29K |
| 87086 |
|
2,006 |
1,878 |
$25K |
| 84443 |
|
1,672 |
1,613 |
$23K |
| 70450 |
|
461 |
427 |
$21K |
| U0002 |
Covid-19 lab test non-cdc |
549 |
528 |
$19K |
| 96375 |
|
1,565 |
1,341 |
$16K |
| 80306 |
|
213 |
182 |
$14K |
| 73562 |
|
215 |
210 |
$13K |
| J2405 |
Ondansetron hcl injection |
2,550 |
2,191 |
$11K |
| 80307 |
|
758 |
688 |
$11K |
| 73030 |
|
135 |
120 |
$11K |
| 74177 |
|
639 |
607 |
$10K |
| 87186 |
|
691 |
641 |
$10K |
| J2704 |
Inj, propofol, 10 mg |
1,844 |
1,563 |
$9K |
| 72148 |
|
82 |
75 |
$9K |
| 71045 |
|
939 |
856 |
$9K |
| 87491 |
|
618 |
602 |
$8K |
| 85027 |
|
289 |
254 |
$8K |
| 73110 |
|
74 |
68 |
$7K |
| 73630 |
|
142 |
133 |
$7K |
| 76815 |
|
66 |
51 |
$7K |
| 87591 |
|
603 |
587 |
$6K |
| 73610 |
|
104 |
99 |
$6K |
| 76816 |
|
72 |
64 |
$6K |
| 83036 |
|
1,713 |
1,665 |
$5K |
| 82306 |
|
1,125 |
1,090 |
$5K |
| 80061 |
|
1,632 |
1,587 |
$5K |
| 87631 |
|
51 |
50 |
$4K |
| 84439 |
|
1,209 |
1,163 |
$4K |
| 87804 |
|
132 |
128 |
$4K |
| J2270 |
Morphine sulfate injection |
225 |
190 |
$4K |
| 93005 |
|
2,060 |
1,892 |
$4K |
| 84702 |
|
289 |
226 |
$4K |
| 87502 |
|
76 |
74 |
$3K |
| 87660 |
|
101 |
98 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
190 |
167 |
$3K |
| J0690 |
Cefazolin sodium injection |
419 |
378 |
$3K |
| 80048 |
|
633 |
566 |
$3K |
| 74176 |
|
32 |
30 |
$3K |
| J7120 |
Ringers lactate infusion |
700 |
612 |
$3K |
| 76705 |
|
54 |
49 |
$3K |
| 87480 |
|
101 |
98 |
$2K |
| 77067 |
|
28 |
28 |
$2K |
| 83735 |
|
724 |
563 |
$2K |
| 73590 |
|
14 |
13 |
$2K |
| 76801 |
|
28 |
25 |
$2K |
| 87633 |
|
50 |
48 |
$2K |
| 96361 |
|
1,050 |
930 |
$2K |
| 87389 |
|
12 |
12 |
$2K |
| G0480 |
Drug test def 1-7 classes |
423 |
378 |
$1K |
| 84484 |
|
869 |
772 |
$1K |
| 82607 |
|
838 |
817 |
$1K |
| 76856 |
|
14 |
14 |
$1K |
| G0463 |
Hospital outpt clinic visit |
161 |
112 |
$1K |
| J3301 |
Triamcinolone acet inj nos |
258 |
231 |
$1K |
| 83690 |
|
1,345 |
1,217 |
$972.27 |
| 76805 |
|
12 |
12 |
$950.96 |
| J1170 |
Hydromorphone injection |
159 |
116 |
$869.43 |
| 74018 |
|
17 |
12 |
$840.09 |
| 83880 |
|
209 |
192 |
$837.52 |
| 72100 |
|
13 |
13 |
$780.61 |
| 81003 |
|
74 |
68 |
$776.00 |
| 82570 |
|
406 |
364 |
$719.42 |
| 84466 |
|
72 |
71 |
$713.11 |
| 85610 |
|
856 |
767 |
$671.97 |
| 96360 |
|
49 |
43 |
$605.65 |
| 87070 |
|
37 |
36 |
$540.39 |
| 87081 |
|
51 |
50 |
$529.54 |
| 86140 |
|
1,341 |
1,193 |
$516.10 |
| 96376 |
|
58 |
50 |
$510.56 |
| 83605 |
|
1,185 |
1,031 |
$499.27 |
| 87088 |
|
401 |
377 |
$436.35 |
| 85379 |
|
375 |
357 |
$362.36 |
| 36415 |
|
75 |
70 |
$215.98 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
772 |
733 |
$149.41 |
| 82728 |
|
45 |
45 |
$126.45 |
| 80069 |
|
12 |
12 |
$105.82 |
| 82043 |
|
45 |
45 |
$73.72 |
| 94640 |
|
28 |
24 |
$56.14 |
| 87807 |
|
32 |
30 |
$45.87 |
| J3010 |
Fentanyl citrate injection |
1,389 |
1,158 |
$38.62 |
| 85651 |
|
669 |
585 |
$24.87 |
| 90686 |
|
28 |
28 |
$24.04 |
| 84703 |
|
25 |
24 |
$10.60 |
| 86803 |
|
57 |
54 |
$10.27 |
| 83615 |
|
66 |
60 |
$8.72 |
| 90471 |
|
55 |
54 |
$4.46 |
| J1200 |
Diphenhydramine hcl injectio |
14 |
13 |
$2.38 |
| 83540 |
|
87 |
84 |
$0.00 |
| 62323 |
|
13 |
13 |
$0.00 |
| J2550 |
Promethazine hcl injection |
14 |
12 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
12 |
12 |
$0.00 |
| 84481 |
|
13 |
13 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
819 |
717 |
$0.00 |
| 87510 |
|
101 |
98 |
$0.00 |
| 88305 |
|
67 |
62 |
$0.00 |
| 85730 |
|
13 |
12 |
$0.00 |
| 77063 |
|
15 |
15 |
$0.00 |