| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 8888888 |
|
20,600 |
10,986 |
$9.73M |
| 85025 |
|
10,956 |
8,900 |
$344K |
| 96374 |
|
6,169 |
5,135 |
$256K |
| 0241U |
|
1,985 |
1,851 |
$196K |
| 99283 |
|
6,318 |
5,756 |
$192K |
| 96372 |
|
1,197 |
1,030 |
$86K |
| 99282 |
|
1,665 |
1,553 |
$77K |
| 99284 |
|
7,343 |
6,438 |
$73K |
| 96375 |
|
4,352 |
3,575 |
$55K |
| U0002 |
Covid-19 lab test non-cdc |
1,004 |
939 |
$36K |
| J1885 |
Ketorolac tromethamine inj |
4,262 |
3,682 |
$35K |
| 99285 |
|
3,564 |
3,158 |
$30K |
| J2704 |
Inj, propofol, 10 mg |
2,423 |
2,116 |
$29K |
| 80050 |
|
563 |
526 |
$29K |
| 70450 |
|
1,137 |
1,032 |
$28K |
| 80307 |
|
1,559 |
1,235 |
$28K |
| 93306 |
|
127 |
121 |
$26K |
| 71045 |
|
2,357 |
2,134 |
$24K |
| 71046 |
|
943 |
856 |
$23K |
| 76856 |
|
499 |
474 |
$22K |
| 81001 |
|
5,280 |
4,662 |
$21K |
| 97110 |
|
675 |
251 |
$19K |
| 96365 |
|
1,314 |
759 |
$18K |
| J2405 |
Ondansetron hcl injection |
4,745 |
3,778 |
$14K |
| 76705 |
|
635 |
597 |
$14K |
| 80053 |
|
9,459 |
7,686 |
$14K |
| 87086 |
|
2,084 |
1,899 |
$12K |
| 85027 |
|
296 |
247 |
$9K |
| G0463 |
Hospital outpt clinic visit |
340 |
261 |
$9K |
| 74176 |
|
271 |
248 |
$9K |
| 96361 |
|
3,475 |
2,963 |
$9K |
| 84702 |
|
2,338 |
2,092 |
$8K |
| 74177 |
|
1,982 |
1,827 |
$7K |
| J1170 |
Hydromorphone injection |
1,058 |
851 |
$7K |
| 96376 |
|
1,056 |
881 |
$7K |
| J2060 |
Lorazepam injection |
690 |
579 |
$7K |
| J2270 |
Morphine sulfate injection |
1,304 |
1,103 |
$7K |
| 73630 |
|
120 |
110 |
$6K |
| 87081 |
|
422 |
410 |
$5K |
| 87186 |
|
642 |
578 |
$5K |
| J3010 |
Fentanyl citrate injection |
2,360 |
1,589 |
$5K |
| J1200 |
Diphenhydramine hcl injectio |
901 |
781 |
$5K |
| J0696 |
Ceftriaxone sodium injection |
745 |
662 |
$5K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,151 |
1,977 |
$4K |
| 76830 |
|
232 |
223 |
$4K |
| 86901 |
|
201 |
182 |
$4K |
| 97140 |
|
195 |
78 |
$4K |
| 93005 |
|
3,580 |
3,134 |
$3K |
| J1100 |
Dexamethasone sodium phos |
1,388 |
1,251 |
$3K |
| 72148 |
|
27 |
25 |
$3K |
| 88305 |
|
190 |
180 |
$3K |
| 73610 |
|
56 |
54 |
$2K |
| 70553 |
|
15 |
13 |
$2K |
| 80048 |
|
1,564 |
1,325 |
$2K |
| U0005 |
Infec agen detec ampli probe |
39 |
37 |
$2K |
| 87631 |
|
93 |
84 |
$2K |
| 43239 |
|
288 |
282 |
$2K |
| 83880 |
|
331 |
288 |
$2K |
| 93971 |
|
99 |
84 |
$2K |
| 80047 |
|
39 |
37 |
$2K |
| 72125 |
|
70 |
65 |
$2K |
| 83735 |
|
961 |
539 |
$2K |
| 83605 |
|
2,632 |
2,224 |
$2K |
| 84484 |
|
2,146 |
1,822 |
$2K |
| 84703 |
|
679 |
618 |
$1K |
| 73562 |
|
45 |
43 |
$1K |
| 87880 |
|
164 |
161 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
895 |
834 |
$1K |
| 85379 |
|
739 |
660 |
$1K |
| J7120 |
Ringers lactate infusion |
434 |
368 |
$1K |
| 87426 |
|
78 |
72 |
$1K |
| 87502 |
|
117 |
105 |
$918.62 |
| 84443 |
|
176 |
166 |
$681.11 |
| 87591 |
|
83 |
79 |
$679.69 |
| 83690 |
|
3,397 |
2,968 |
$665.19 |
| 74018 |
|
15 |
14 |
$630.55 |
| 73030 |
|
12 |
12 |
$591.36 |
| 87633 |
|
16 |
15 |
$585.67 |
| 82565 |
|
164 |
148 |
$552.52 |
| J1790 |
Droperidol injection |
395 |
356 |
$510.59 |
| 87040 |
|
640 |
455 |
$488.70 |
| 71275 |
|
278 |
259 |
$406.27 |
| G0480 |
Drug test def 1-7 classes |
543 |
481 |
$391.79 |
| 85610 |
|
528 |
470 |
$319.06 |
| 76817 |
|
13 |
12 |
$304.65 |
| 76801 |
|
48 |
42 |
$149.39 |
| 87088 |
|
512 |
463 |
$125.79 |
| 94640 |
|
369 |
315 |
$84.95 |
| 86140 |
|
1,207 |
1,000 |
$64.79 |
| 84100 |
|
57 |
39 |
$64.07 |
| 96360 |
|
603 |
559 |
$63.71 |
| 87491 |
|
95 |
91 |
$31.17 |
| 86900 |
|
62 |
54 |
$19.06 |
| 83615 |
|
49 |
38 |
$10.68 |
| J0690 |
Cefazolin sodium injection |
770 |
683 |
$0.00 |
| 85651 |
|
239 |
180 |
$0.00 |
| 87070 |
|
14 |
12 |
$0.00 |
| 90471 |
|
54 |
39 |
$0.00 |
| A9585 |
Gadobutrol injection |
68 |
63 |
$0.00 |
| J1630 |
Haloperidol injection |
15 |
13 |
$0.00 |
| 45380 |
|
67 |
64 |
$0.00 |
| 82803 |
|
96 |
88 |
$0.00 |
| 86850 |
|
56 |
52 |
$0.00 |
| 71260 |
|
12 |
12 |
$0.00 |
| 82728 |
|
15 |
12 |
$0.00 |
| 84478 |
|
13 |
12 |
$0.00 |
| 84132 |
|
13 |
12 |
$0.00 |
| J0780 |
Prochlorperazine injection |
27 |
24 |
$0.00 |
| J2550 |
Promethazine hcl injection |
63 |
50 |
$0.00 |
| 45385 |
|
14 |
13 |
$0.00 |