| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 8888888 |
|
26,327 |
7,242 |
$7.22M |
| 36415 |
|
12,962 |
10,132 |
$1.42M |
| 99283 |
|
6,517 |
5,712 |
$293K |
| 99284 |
|
6,319 |
5,495 |
$108K |
| 70450 |
|
1,787 |
1,574 |
$106K |
| 96372 |
|
2,101 |
1,858 |
$88K |
| 99285 |
|
5,831 |
4,972 |
$58K |
| 87636 |
|
1,211 |
1,064 |
$54K |
| 80047 |
|
1,435 |
1,240 |
$39K |
| 96374 |
|
4,299 |
3,617 |
$39K |
| 99282 |
|
747 |
691 |
$38K |
| 71045 |
|
2,736 |
2,309 |
$26K |
| 87635 |
|
829 |
756 |
$25K |
| 97597 |
|
315 |
96 |
$20K |
| 80307 |
|
2,818 |
2,498 |
$20K |
| 71046 |
|
727 |
647 |
$20K |
| 82962 |
|
914 |
574 |
$14K |
| 96361 |
|
2,608 |
2,259 |
$14K |
| 81003 |
|
2,328 |
2,075 |
$13K |
| 84703 |
|
1,634 |
1,439 |
$11K |
| 80053 |
|
7,006 |
5,901 |
$10K |
| 84484 |
|
2,992 |
2,240 |
$9K |
| 74177 |
|
978 |
863 |
$9K |
| 81001 |
|
2,880 |
2,496 |
$8K |
| U0002 |
Covid-19 lab test non-cdc |
290 |
256 |
$8K |
| 96360 |
|
971 |
872 |
$7K |
| 97110 |
|
1,175 |
347 |
$6K |
| 93005 |
|
4,121 |
3,429 |
$5K |
| G0378 |
Hospital observation per hr |
1,024 |
628 |
$5K |
| 81025 |
|
735 |
661 |
$5K |
| 87081 |
|
162 |
148 |
$5K |
| 88305 |
|
123 |
111 |
$5K |
| J0690 |
Cefazolin sodium injection |
1,047 |
698 |
$5K |
| 87088 |
|
832 |
723 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
2,899 |
2,326 |
$4K |
| 85025 |
|
9,863 |
7,896 |
$4K |
| J2270 |
Morphine sulfate injection |
1,475 |
1,055 |
$3K |
| 87502 |
|
167 |
153 |
$3K |
| 96365 |
|
553 |
471 |
$3K |
| 81002 |
|
60 |
51 |
$2K |
| 87077 |
|
403 |
355 |
$2K |
| U0003 |
Cov-19 amp prb hgh thruput |
29 |
18 |
$2K |
| J2405 |
Ondansetron hcl injection |
3,871 |
3,020 |
$2K |
| 99281 |
|
30 |
28 |
$2K |
| 87086 |
|
558 |
494 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
742 |
622 |
$2K |
| 85610 |
|
1,652 |
1,350 |
$2K |
| 73610 |
|
14 |
12 |
$2K |
| A9270 |
Non-covered item or service |
5,533 |
1,252 |
$1K |
| 80320 |
|
984 |
866 |
$1K |
| 80048 |
|
2,944 |
2,316 |
$1K |
| 85730 |
|
1,003 |
847 |
$1K |
| 94640 |
|
470 |
316 |
$1K |
| U0004 |
Cov-19 test non-cdc hgh thru |
13 |
13 |
$1K |
| J7030 |
Normal saline solution infus |
1,696 |
1,261 |
$1K |
| 74176 |
|
35 |
32 |
$1K |
| 83605 |
|
1,485 |
1,199 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
1,919 |
1,586 |
$1K |
| G0463 |
Hospital outpt clinic visit |
36 |
13 |
$938.61 |
| 87651 |
|
61 |
57 |
$929.48 |
| 87426 |
|
63 |
56 |
$912.36 |
| J3490 |
Drugs unclassified injection |
47 |
36 |
$857.27 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
928 |
801 |
$848.72 |
| J0330 |
Succinycholine chloride inj |
161 |
136 |
$817.37 |
| 80050 |
|
1,079 |
1,002 |
$768.61 |
| 10060 |
|
16 |
12 |
$760.91 |
| 83690 |
|
2,175 |
1,859 |
$732.61 |
| 96375 |
|
2,621 |
2,185 |
$670.62 |
| T1015 |
Clinic service |
205 |
76 |
$644.76 |
| J2765 |
Metoclopramide hcl injection |
355 |
323 |
$603.87 |
| G0480 |
Drug test def 1-7 classes |
502 |
466 |
$583.07 |
| 80179 |
|
450 |
408 |
$582.11 |
| 93306 |
|
12 |
12 |
$581.02 |
| 72125 |
|
81 |
66 |
$564.72 |
| 87070 |
|
15 |
15 |
$517.23 |
| 87503 |
|
19 |
18 |
$513.09 |
| 97140 |
|
770 |
225 |
$500.53 |
| 80076 |
|
613 |
543 |
$488.39 |
| U0001 |
2019-ncov diagnostic p |
24 |
19 |
$417.46 |
| 84443 |
|
718 |
627 |
$387.00 |
| 87186 |
|
500 |
439 |
$238.11 |
| 83735 |
|
840 |
694 |
$236.52 |
| 99213 |
|
46 |
12 |
$204.66 |
| J3010 |
Fentanyl citrate injection |
1,645 |
1,084 |
$195.69 |
| 82553 |
|
15 |
14 |
$165.00 |
| J1170 |
Hydromorphone injection |
654 |
437 |
$87.20 |
| 82550 |
|
746 |
648 |
$42.14 |
| 83880 |
|
175 |
157 |
$33.55 |
| 59025 |
|
21 |
12 |
$29.75 |
| 85379 |
|
12 |
12 |
$8.20 |
| 96376 |
|
423 |
336 |
$7.34 |
| J1630 |
Haloperidol injection |
18 |
16 |
$5.37 |
| 86140 |
|
52 |
50 |
$4.14 |
| J2550 |
Promethazine hcl injection |
33 |
26 |
$3.86 |
| J7120 |
Ringers lactate infusion |
365 |
268 |
$2.53 |
| 85652 |
|
39 |
38 |
$2.16 |
| J1100 |
Dexamethasone sodium phos |
1,266 |
1,090 |
$0.93 |
| 87591 |
|
13 |
12 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
1,563 |
1,309 |
$0.00 |
| J2060 |
Lorazepam injection |
799 |
592 |
$0.00 |
| 87040 |
|
341 |
179 |
$0.00 |
| 83036 |
|
146 |
129 |
$0.00 |
| 82077 |
|
938 |
829 |
$0.00 |
| 94760 |
|
476 |
312 |
$0.00 |
| 87205 |
|
28 |
27 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
32 |
26 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
15 |
12 |
$0.00 |
| 85027 |
|
62 |
54 |
$0.00 |
| 80329 |
|
45 |
41 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
30 |
27 |
$0.00 |
| 94762 |
|
20 |
12 |
$0.00 |
| 86710 |
|
20 |
18 |
$0.00 |
| 71275 |
|
12 |
12 |
$0.00 |
| J3360 |
Diazepam injection |
21 |
16 |
$0.00 |
| 85651 |
|
13 |
12 |
$0.00 |
| 82607 |
|
15 |
14 |
$0.00 |
| 80143 |
|
451 |
410 |
$0.00 |
| 97161 |
|
50 |
40 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
130 |
116 |
$0.00 |
| 97530 |
|
20 |
12 |
$0.00 |
| 82947 |
|
16 |
12 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
20 |
15 |
$0.00 |
| J1645 |
Dalteparin sodium |
29 |
12 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
66 |
43 |
$0.00 |
| G8979 |
Mobility goal status |
14 |
12 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
14 |
12 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
53 |
30 |
$0.00 |
| 80061 |
|
32 |
28 |
$0.00 |