| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 8888888 |
|
46,194 |
17,266 |
$11.63M |
| 36415 |
|
18,111 |
14,774 |
$1.93M |
| 99283 |
|
9,185 |
8,581 |
$402K |
| 0241U |
|
1,724 |
1,625 |
$319K |
| 99284 |
|
9,938 |
9,115 |
$140K |
| 99282 |
|
1,301 |
1,260 |
$85K |
| 96372 |
|
2,329 |
2,125 |
$75K |
| 70450 |
|
1,997 |
1,868 |
$62K |
| 71046 |
|
2,340 |
2,209 |
$60K |
| 99285 |
|
7,255 |
6,516 |
$54K |
| 87635 |
|
1,071 |
1,028 |
$47K |
| 96374 |
|
8,248 |
7,246 |
$46K |
| 81003 |
|
3,567 |
3,204 |
$43K |
| 96361 |
|
6,001 |
5,342 |
$43K |
| 74177 |
|
2,736 |
2,505 |
$40K |
| 87631 |
|
581 |
572 |
$33K |
| 71045 |
|
3,144 |
2,888 |
$32K |
| 81001 |
|
6,317 |
5,724 |
$32K |
| 87502 |
|
688 |
665 |
$31K |
| 99281 |
|
518 |
499 |
$29K |
| 80307 |
|
3,009 |
2,710 |
$29K |
| 84703 |
|
3,534 |
3,221 |
$21K |
| 87491 |
|
1,030 |
977 |
$21K |
| 96375 |
|
6,594 |
5,674 |
$18K |
| 80053 |
|
12,046 |
10,269 |
$17K |
| 81002 |
|
209 |
158 |
$17K |
| 85025 |
|
12,988 |
10,855 |
$16K |
| 87651 |
|
680 |
659 |
$14K |
| J2405 |
Ondansetron hcl injection |
6,462 |
5,245 |
$13K |
| J7030 |
Normal saline solution infus |
4,407 |
3,618 |
$13K |
| 71275 |
|
516 |
486 |
$12K |
| 96360 |
|
1,170 |
1,100 |
$11K |
| 93005 |
|
4,122 |
3,719 |
$11K |
| 73610 |
|
103 |
98 |
$10K |
| 73562 |
|
190 |
174 |
$9K |
| U0001 |
2019-ncov diagnostic p |
124 |
113 |
$9K |
| J1885 |
Ketorolac tromethamine inj |
4,659 |
4,159 |
$9K |
| 96365 |
|
1,730 |
1,575 |
$9K |
| 87077 |
|
702 |
653 |
$8K |
| 87088 |
|
1,089 |
1,005 |
$8K |
| 80050 |
|
1,896 |
1,757 |
$7K |
| J7050 |
Normal saline solution infus |
17 |
16 |
$7K |
| 76705 |
|
210 |
195 |
$7K |
| J2765 |
Metoclopramide hcl injection |
1,266 |
1,139 |
$6K |
| 73630 |
|
111 |
109 |
$6K |
| 81025 |
|
858 |
792 |
$6K |
| 82962 |
|
1,176 |
747 |
$6K |
| U0003 |
Cov-19 amp prb hgh thruput |
54 |
38 |
$5K |
| 87086 |
|
835 |
759 |
$5K |
| J2270 |
Morphine sulfate injection |
2,713 |
2,119 |
$4K |
| 73030 |
|
68 |
62 |
$4K |
| 87880 |
|
334 |
323 |
$4K |
| 94640 |
|
1,094 |
921 |
$4K |
| 86710 |
|
57 |
48 |
$4K |
| 84484 |
|
3,550 |
2,617 |
$4K |
| U0004 |
Cov-19 test non-cdc hgh thru |
49 |
48 |
$4K |
| 93306 |
|
28 |
27 |
$3K |
| 87081 |
|
128 |
125 |
$3K |
| 88305 |
|
448 |
419 |
$3K |
| 94760 |
|
1,522 |
1,129 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
1,548 |
1,355 |
$3K |
| U0002 |
Covid-19 lab test non-cdc |
45 |
45 |
$3K |
| 87426 |
|
136 |
126 |
$3K |
| 73110 |
|
45 |
40 |
$3K |
| J3010 |
Fentanyl citrate injection |
1,918 |
1,336 |
$3K |
| 80048 |
|
1,280 |
1,071 |
$3K |
| 85610 |
|
1,355 |
1,183 |
$3K |
| 83690 |
|
4,951 |
4,332 |
$2K |
| 76830 |
|
68 |
67 |
$2K |
| J2060 |
Lorazepam injection |
1,390 |
1,141 |
$2K |
| 83880 |
|
1,041 |
947 |
$2K |
| 72125 |
|
201 |
189 |
$2K |
| 72100 |
|
40 |
38 |
$2K |
| 59025 |
|
390 |
298 |
$2K |
| J1100 |
Dexamethasone sodium phos |
1,557 |
1,410 |
$2K |
| 80329 |
|
377 |
341 |
$2K |
| J1170 |
Hydromorphone injection |
1,979 |
1,418 |
$2K |
| 74176 |
|
210 |
201 |
$2K |
| 31720 |
|
55 |
48 |
$2K |
| 80320 |
|
683 |
636 |
$2K |
| G0378 |
Hospital observation per hr |
353 |
180 |
$1K |
| 73130 |
|
36 |
36 |
$1K |
| J2550 |
Promethazine hcl injection |
170 |
124 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
2,043 |
1,646 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,376 |
2,145 |
$1K |
| 43239 |
|
56 |
54 |
$1K |
| A9270 |
Non-covered item or service |
5,181 |
1,407 |
$1K |
| 94761 |
|
119 |
84 |
$1K |
| 96376 |
|
1,446 |
1,225 |
$857.23 |
| 80179 |
|
603 |
549 |
$736.46 |
| G0480 |
Drug test def 1-7 classes |
340 |
318 |
$625.47 |
| 76856 |
|
119 |
116 |
$625.29 |
| 87591 |
|
1,190 |
1,121 |
$566.21 |
| 82947 |
|
90 |
61 |
$498.75 |
| J0696 |
Ceftriaxone sodium injection |
1,775 |
1,538 |
$476.01 |
| 83605 |
|
2,359 |
1,967 |
$443.47 |
| 84443 |
|
1,014 |
948 |
$440.79 |
| 97110 |
|
253 |
82 |
$436.97 |
| 85379 |
|
1,018 |
954 |
$372.50 |
| 82550 |
|
39 |
37 |
$353.71 |
| 84439 |
|
248 |
223 |
$349.07 |
| 76700 |
|
14 |
14 |
$334.97 |
| 73502 |
|
15 |
13 |
$280.03 |
| 87186 |
|
806 |
750 |
$266.20 |
| 87040 |
|
548 |
374 |
$237.26 |
| 87624 |
|
12 |
12 |
$172.74 |
| 85730 |
|
119 |
109 |
$163.02 |
| 84702 |
|
583 |
506 |
$149.92 |
| 74018 |
|
29 |
24 |
$140.44 |
| 80061 |
|
777 |
734 |
$139.82 |
| 96366 |
|
272 |
253 |
$106.69 |
| 99291 |
|
112 |
98 |
$89.89 |
| 83036 |
|
573 |
539 |
$51.26 |
| 85027 |
|
657 |
603 |
$40.09 |
| 97140 |
|
40 |
12 |
$30.44 |
| 87503 |
|
118 |
112 |
$26.78 |
| 80143 |
|
603 |
548 |
$25.04 |
| J3490 |
Drugs unclassified injection |
215 |
170 |
$24.58 |
| J7120 |
Ringers lactate infusion |
570 |
438 |
$23.31 |
| J8540 |
Oral dexamethasone |
13 |
12 |
$12.50 |
| 86901 |
|
357 |
313 |
$12.13 |
| 82805 |
|
29 |
25 |
$10.13 |
| 83735 |
|
207 |
167 |
$9.83 |
| 86140 |
|
110 |
102 |
$9.35 |
| 86900 |
|
357 |
313 |
$8.61 |
| 82077 |
|
798 |
708 |
$8.10 |
| J1630 |
Haloperidol injection |
118 |
103 |
$6.41 |
| J0690 |
Cefazolin sodium injection |
511 |
379 |
$6.00 |
| J2250 |
Inj midazolam hydrochloride |
450 |
381 |
$5.11 |
| 85652 |
|
81 |
75 |
$2.52 |
| U0005 |
Infec agen detec ampli probe |
77 |
75 |
$0.00 |
| 88342 |
|
51 |
44 |
$0.00 |
| 82553 |
|
12 |
12 |
$0.00 |
| 82306 |
|
195 |
183 |
$0.00 |
| 94762 |
|
94 |
65 |
$0.00 |
| 70486 |
|
15 |
12 |
$0.00 |
| 86850 |
|
87 |
72 |
$0.00 |
| 86762 |
|
13 |
12 |
$0.00 |
| 86308 |
|
59 |
45 |
$0.00 |
| 86592 |
|
31 |
26 |
$0.00 |
| 82950 |
|
13 |
12 |
$0.00 |
| 85651 |
|
13 |
13 |
$0.00 |
| 87340 |
|
14 |
13 |
$0.00 |
| 84436 |
|
27 |
27 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
13 |
13 |
$0.00 |
| J7040 |
Normal saline solution infus |
77 |
66 |
$0.00 |
| A6402 |
Sterile gauze <= 16 sq in |
13 |
12 |
$0.00 |
| 85007 |
|
66 |
56 |
$0.00 |
| 88175 |
|
13 |
13 |
$0.00 |
| A4649 |
Surgical supplies |
53 |
51 |
$0.00 |
| J0780 |
Prochlorperazine injection |
33 |
26 |
$0.00 |
| 90715 |
|
14 |
12 |
$0.00 |
| 86703 |
|
15 |
12 |
$0.00 |
| 86787 |
|
16 |
13 |
$0.00 |