| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 8888888 |
|
1,405 |
757 |
$995K |
| 85025 |
|
5,005 |
4,168 |
$350K |
| 80050 |
|
929 |
867 |
$179K |
| 99283 |
|
3,166 |
2,817 |
$136K |
| 96374 |
|
2,110 |
1,626 |
$65K |
| 0241U |
|
391 |
376 |
$64K |
| 96372 |
|
426 |
383 |
$63K |
| 99284 |
|
2,339 |
1,995 |
$58K |
| J1885 |
Ketorolac tromethamine inj |
2,040 |
1,318 |
$57K |
| 99282 |
|
809 |
744 |
$48K |
| 99285 |
|
1,742 |
1,420 |
$27K |
| 80053 |
|
4,984 |
4,227 |
$26K |
| J2405 |
Ondansetron hcl injection |
1,825 |
1,524 |
$22K |
| 96375 |
|
2,186 |
1,417 |
$22K |
| 71046 |
|
835 |
756 |
$21K |
| 84443 |
|
1,007 |
954 |
$20K |
| 87086 |
|
1,132 |
1,018 |
$20K |
| J7120 |
Ringers lactate infusion |
534 |
455 |
$17K |
| 87631 |
|
124 |
115 |
$15K |
| 81001 |
|
2,345 |
2,081 |
$15K |
| 85027 |
|
216 |
194 |
$14K |
| 80306 |
|
154 |
145 |
$12K |
| 96361 |
|
1,173 |
1,042 |
$11K |
| 87081 |
|
175 |
170 |
$10K |
| 80061 |
|
814 |
787 |
$10K |
| 96365 |
|
532 |
345 |
$9K |
| J2704 |
Inj, propofol, 10 mg |
326 |
294 |
$7K |
| 80307 |
|
830 |
672 |
$5K |
| 70450 |
|
122 |
114 |
$5K |
| 74177 |
|
568 |
526 |
$4K |
| 87070 |
|
74 |
71 |
$3K |
| 87491 |
|
39 |
38 |
$2K |
| J1100 |
Dexamethasone sodium phos |
399 |
359 |
$2K |
| 87186 |
|
97 |
91 |
$2K |
| 84439 |
|
155 |
146 |
$2K |
| 93005 |
|
1,443 |
1,251 |
$2K |
| 80048 |
|
127 |
111 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
321 |
240 |
$2K |
| 82306 |
|
163 |
155 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
120 |
108 |
$1K |
| 84484 |
|
1,273 |
1,059 |
$1K |
| 86140 |
|
1,829 |
1,600 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
148 |
117 |
$1K |
| 85610 |
|
248 |
198 |
$1K |
| 83735 |
|
573 |
483 |
$969.05 |
| 82607 |
|
123 |
123 |
$879.62 |
| 87633 |
|
16 |
16 |
$847.98 |
| 83690 |
|
1,124 |
1,010 |
$841.66 |
| 83605 |
|
1,525 |
1,277 |
$528.25 |
| 87502 |
|
17 |
16 |
$509.39 |
| G0480 |
Drug test def 1-7 classes |
373 |
332 |
$506.27 |
| 83036 |
|
39 |
37 |
$401.55 |
| 87880 |
|
67 |
66 |
$284.20 |
| 83655 |
|
13 |
13 |
$193.21 |
| 85379 |
|
163 |
149 |
$140.03 |
| 87040 |
|
32 |
25 |
$39.78 |
| 87591 |
|
39 |
38 |
$33.44 |
| 84703 |
|
231 |
211 |
$27.61 |
| 82728 |
|
29 |
28 |
$23.99 |
| 85651 |
|
119 |
97 |
$20.36 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
533 |
503 |
$16.28 |
| J2765 |
Metoclopramide hcl injection |
13 |
12 |
$5.50 |
| 84100 |
|
168 |
152 |
$1.21 |
| J3010 |
Fentanyl citrate injection |
14 |
12 |
$0.00 |
| 71045 |
|
30 |
28 |
$0.00 |
| 83880 |
|
14 |
12 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
14 |
13 |
$0.00 |
| 87088 |
|
13 |
12 |
$0.00 |
| 83540 |
|
26 |
26 |
$0.00 |
| J2270 |
Morphine sulfate injection |
63 |
49 |
$0.00 |
| 84466 |
|
24 |
24 |
$0.00 |
| 96360 |
|
39 |
38 |
$0.00 |