| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
|
10,069 |
8,992 |
$133K |
| A0429 |
Bls-emergency |
1,913 |
1,464 |
$79K |
| 96374 |
|
1,936 |
1,709 |
$78K |
| G0480 |
Drug test def 1-7 classes |
1,777 |
1,402 |
$65K |
| 96375 |
|
1,454 |
1,231 |
$35K |
| 80053 |
|
5,171 |
4,591 |
$34K |
| 70450 |
|
624 |
576 |
$30K |
| 85025 |
|
5,252 |
4,611 |
$30K |
| 93005 |
|
2,195 |
1,971 |
$28K |
| 96372 |
|
1,639 |
1,426 |
$28K |
| 74176 |
|
320 |
295 |
$26K |
| 99199 |
|
309 |
297 |
$18K |
| 87426 |
|
847 |
752 |
$17K |
| J7030 |
Normal saline solution infus |
2,620 |
2,185 |
$17K |
| 96361 |
|
1,257 |
1,082 |
$17K |
| 71045 |
|
2,067 |
1,891 |
$15K |
| J3490 |
Drugs unclassified injection |
3,144 |
2,244 |
$13K |
| J1885 |
Ketorolac tromethamine inj |
2,356 |
2,093 |
$12K |
| 84484 |
|
1,796 |
1,587 |
$11K |
| 83690 |
|
2,279 |
2,039 |
$10K |
| Z7502 |
|
234 |
232 |
$9K |
| J2405 |
Ondansetron hcl injection |
1,906 |
1,582 |
$8K |
| 81025 |
|
2,165 |
2,018 |
$5K |
| 81001 |
|
2,703 |
2,471 |
$5K |
| 87086 |
|
742 |
666 |
$4K |
| 99283 |
|
428 |
397 |
$4K |
| 87631 |
|
139 |
121 |
$4K |
| 0270 |
|
4,756 |
2,534 |
$3K |
| 96365 |
|
69 |
62 |
$3K |
| 87804 |
|
262 |
226 |
$2K |
| J0690 |
Cefazolin sodium injection |
251 |
205 |
$2K |
| U0003 |
Cov-19 amp prb hgh thruput |
33 |
26 |
$1K |
| J1170 |
Hydromorphone injection |
203 |
146 |
$1K |
| 87635 |
|
93 |
81 |
$1K |
| J0131 |
Inj, acetaminophen (nos) |
68 |
59 |
$939.87 |
| J2704 |
Inj, propofol, 10 mg |
283 |
234 |
$795.32 |
| J3010 |
Fentanyl citrate injection |
243 |
193 |
$770.86 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
51 |
50 |
$748.07 |
| 85610 |
|
358 |
341 |
$685.05 |
| 85027 |
|
131 |
114 |
$612.51 |
| J1100 |
Dexamethasone sodium phos |
145 |
121 |
$547.30 |
| J7120 |
Ringers lactate infusion |
84 |
60 |
$530.04 |
| J0696 |
Ceftriaxone sodium injection |
87 |
76 |
$472.74 |
| 80307 |
|
12 |
12 |
$383.10 |
| 83880 |
|
28 |
27 |
$380.70 |
| 83605 |
|
42 |
37 |
$374.52 |
| 82948 |
|
134 |
111 |
$339.34 |
| 82150 |
|
109 |
107 |
$318.53 |
| 90715 |
|
12 |
12 |
$310.23 |
| J7050 |
Normal saline solution infus |
73 |
66 |
$287.76 |
| J2250 |
Inj midazolam hydrochloride |
72 |
62 |
$281.56 |
| 85730 |
|
92 |
86 |
$249.99 |
| J2270 |
Morphine sulfate injection |
32 |
29 |
$244.84 |
| 85380 |
|
61 |
54 |
$206.75 |
| Z7610 |
|
24 |
14 |
$157.97 |
| J2765 |
Metoclopramide hcl injection |
33 |
28 |
$145.12 |
| S0020 |
Injection, bupivicaine hydro |
17 |
12 |
$138.73 |
| 82550 |
|
65 |
60 |
$138.03 |
| 0360 |
|
390 |
205 |
$101.90 |
| 82553 |
|
14 |
14 |
$74.58 |
| 90471 |
|
15 |
15 |
$72.43 |
| 0710 |
|
294 |
244 |
$54.66 |
| 0250 |
|
211 |
131 |
$6.48 |
| 0100U |
|
25 |
18 |
$5.71 |
| 36415 |
|
577 |
506 |
$2.06 |
| 0352 |
|
13 |
12 |
$0.00 |
| 0324 |
|
13 |
13 |
$0.00 |
| 0636 |
|
35 |
19 |
$0.00 |
| 0300 |
|
312 |
74 |
$0.00 |
| 99001 |
|
76 |
67 |
$0.00 |
| 0260 |
|
25 |
22 |
$0.00 |
| 0320 |
|
20 |
13 |
$0.00 |