| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
|
19,635 |
16,823 |
$1.87M |
| 99283 |
|
27,535 |
24,781 |
$1.51M |
| J7030 |
Normal saline solution infus |
7,871 |
6,301 |
$1.22M |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,548 |
3,307 |
$991K |
| 87636 |
|
6,116 |
5,749 |
$960K |
| 81001 |
|
14,220 |
12,583 |
$656K |
| 99282 |
|
3,380 |
3,171 |
$497K |
| 80048 |
|
4,019 |
3,229 |
$276K |
| 87804 |
|
2,385 |
2,273 |
$254K |
| 87081 |
|
1,718 |
1,678 |
$194K |
| 71046 |
|
4,577 |
4,298 |
$166K |
| 96372 |
|
3,452 |
3,105 |
$135K |
| 87491 |
|
3,263 |
3,123 |
$134K |
| 87075 |
|
1,103 |
1,074 |
$130K |
| 36415 |
|
1,680 |
1,560 |
$129K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,359 |
1,302 |
$125K |
| 73630 |
|
1,076 |
1,015 |
$107K |
| 80307 |
|
3,219 |
2,924 |
$105K |
| 73610 |
|
712 |
678 |
$92K |
| 81025 |
|
6,656 |
6,031 |
$87K |
| 71045 |
|
6,645 |
5,968 |
$81K |
| 85025 |
|
22,058 |
18,672 |
$80K |
| 70450 |
|
2,909 |
2,699 |
$71K |
| J7040 |
Normal saline solution infus |
927 |
827 |
$66K |
| 73130 |
|
458 |
439 |
$65K |
| 73562 |
|
808 |
774 |
$62K |
| 99284 |
|
9,106 |
8,266 |
$52K |
| 81003 |
|
984 |
904 |
$51K |
| 86780 |
|
923 |
901 |
$50K |
| 87880 |
|
2,675 |
2,600 |
$35K |
| 73030 |
|
389 |
368 |
$33K |
| 87086 |
|
5,308 |
4,898 |
$32K |
| 94640 |
|
3,019 |
2,123 |
$30K |
| 73110 |
|
192 |
181 |
$27K |
| 84439 |
|
1,059 |
1,035 |
$25K |
| 93005 |
|
9,641 |
8,306 |
$24K |
| 87077 |
|
1,692 |
1,593 |
$23K |
| 81015 |
|
333 |
312 |
$22K |
| 72100 |
|
534 |
502 |
$21K |
| 99285 |
|
4,948 |
4,457 |
$17K |
| 96374 |
|
6,847 |
6,111 |
$17K |
| 83655 |
|
572 |
566 |
$17K |
| 84484 |
|
7,281 |
5,322 |
$16K |
| 80061 |
|
2,275 |
2,174 |
$13K |
| 84443 |
|
2,939 |
2,814 |
$13K |
| 87661 |
|
1,784 |
1,699 |
$13K |
| 74176 |
|
602 |
567 |
$11K |
| 72125 |
|
364 |
354 |
$10K |
| J7120 |
Ringers lactate infusion |
47 |
42 |
$10K |
| 83690 |
|
7,854 |
6,960 |
$9K |
| 83036 |
|
1,614 |
1,540 |
$9K |
| 76830 |
|
52 |
50 |
$8K |
| 83880 |
|
3,145 |
2,703 |
$6K |
| 84702 |
|
324 |
247 |
$6K |
| 87581 |
|
108 |
108 |
$6K |
| 87040 |
|
1,890 |
1,195 |
$5K |
| 87807 |
|
227 |
217 |
$5K |
| 73502 |
|
138 |
129 |
$5K |
| J7050 |
Normal saline solution infus |
118 |
91 |
$4K |
| 85027 |
|
1,499 |
1,241 |
$3K |
| 86803 |
|
780 |
761 |
$3K |
| 0241U |
|
26 |
26 |
$3K |
| 99281 |
|
27 |
25 |
$3K |
| 76705 |
|
31 |
28 |
$2K |
| 82728 |
|
153 |
148 |
$2K |
| 87210 |
|
161 |
157 |
$2K |
| 73080 |
|
15 |
15 |
$2K |
| U0001 |
2019-ncov diagnostic p |
51 |
49 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
30 |
30 |
$2K |
| 96365 |
|
2,443 |
2,243 |
$2K |
| 74021 |
|
39 |
39 |
$1K |
| 83735 |
|
3,822 |
3,224 |
$1K |
| 83605 |
|
2,524 |
2,018 |
$1K |
| 87340 |
|
826 |
814 |
$1K |
| 96361 |
|
2,870 |
2,626 |
$1K |
| 85610 |
|
2,523 |
2,219 |
$1K |
| 82043 |
|
189 |
170 |
$907.09 |
| G0378 |
Hospital observation per hr |
563 |
422 |
$905.48 |
| 87140 |
|
704 |
646 |
$860.01 |
| 86308 |
|
15 |
13 |
$850.47 |
| 96375 |
|
3,408 |
3,008 |
$818.56 |
| 73590 |
|
13 |
12 |
$769.69 |
| 85379 |
|
484 |
462 |
$723.87 |
| 76856 |
|
107 |
103 |
$722.05 |
| 87389 |
|
872 |
849 |
$680.58 |
| J0696 |
Ceftriaxone sodium injection |
2,067 |
1,628 |
$657.72 |
| J1650 |
Inj enoxaparin sodium |
158 |
52 |
$602.52 |
| 96360 |
|
576 |
555 |
$402.30 |
| 82570 |
|
300 |
266 |
$367.75 |
| 86850 |
|
134 |
133 |
$354.44 |
| 99291 |
|
54 |
50 |
$335.00 |
| 82306 |
|
81 |
80 |
$285.81 |
| 82272 |
|
28 |
27 |
$212.47 |
| 74177 |
|
2,350 |
2,213 |
$187.85 |
| 87591 |
|
3,198 |
3,040 |
$102.26 |
| 85652 |
|
114 |
108 |
$58.41 |
| 85014 |
|
183 |
176 |
$57.48 |
| 86140 |
|
901 |
797 |
$56.86 |
| 80143 |
|
17 |
16 |
$53.81 |
| 85018 |
|
368 |
355 |
$48.67 |
| 86900 |
|
345 |
313 |
$24.28 |
| 85730 |
|
2,222 |
2,033 |
$17.78 |
| J2405 |
Ondansetron hcl injection |
4,181 |
3,612 |
$10.46 |
| J1885 |
Ketorolac tromethamine inj |
4,479 |
3,966 |
$5.65 |
| J1100 |
Dexamethasone sodium phos |
2,522 |
1,391 |
$1.93 |
| J2001 |
Lidocaine injection |
879 |
623 |
$1.14 |
| J2270 |
Morphine sulfate injection |
1,823 |
1,522 |
$0.23 |
| J8597 |
Antiemetic drug oral nos |
697 |
653 |
$0.00 |
| Q0162 |
Ondansetron oral |
1,094 |
1,018 |
$0.00 |
| J3490 |
Drugs unclassified injection |
1,551 |
1,308 |
$0.00 |
| 90471 |
|
12 |
12 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
404 |
282 |
$0.00 |
| J2060 |
Lorazepam injection |
61 |
51 |
$0.00 |
| 82077 |
|
1,281 |
1,123 |
$0.00 |
| 86901 |
|
346 |
313 |
$0.00 |
| J2920 |
Methylprednisolone injection |
46 |
27 |
$0.00 |
| A9270 |
Non-covered item or service |
928 |
812 |
$0.00 |
| 71260 |
|
715 |
683 |
$0.00 |
| 96376 |
|
273 |
248 |
$0.00 |
| 82803 |
|
178 |
155 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
45 |
44 |
$0.00 |
| 82550 |
|
95 |
76 |
$0.00 |
| 86762 |
|
67 |
66 |
$0.00 |
| 71275 |
|
39 |
38 |
$0.00 |
| 80320 |
|
49 |
44 |
$0.00 |
| 82607 |
|
12 |
12 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
69 |
65 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
60 |
52 |
$0.00 |
| 86738 |
|
12 |
12 |
$0.00 |
| J1940 |
Furosemide injection |
16 |
12 |
$0.00 |
| 87186 |
|
1,982 |
1,809 |
$0.00 |
| 90715 |
|
70 |
67 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
674 |
600 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
153 |
138 |
$0.00 |
| G1004 |
Cdsm ndsc |
2,118 |
1,671 |
$0.00 |
| J0780 |
Prochlorperazine injection |
205 |
180 |
$0.00 |
| 83540 |
|
13 |
13 |
$0.00 |
| G0659 |
Drug test def simple all cl |
329 |
306 |
$0.00 |
| 84466 |
|
14 |
14 |
$0.00 |
| 80179 |
|
15 |
14 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
16 |
16 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
13 |
12 |
$0.00 |