| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
|
15,602 |
13,534 |
$496K |
| 99281 |
|
2,393 |
1,648 |
$100K |
| 70450 |
|
1,029 |
989 |
$83K |
| 96374 |
|
2,131 |
1,923 |
$78K |
| 0270 |
|
7,210 |
4,436 |
$67K |
| 0272 |
|
6,266 |
5,668 |
$58K |
| 93005 |
|
3,625 |
3,306 |
$55K |
| 74176 |
|
616 |
595 |
$48K |
| J3490 |
Drugs unclassified injection |
4,809 |
3,663 |
$41K |
| 96372 |
|
2,626 |
2,149 |
$40K |
| 96375 |
|
1,661 |
1,497 |
$34K |
| 80048 |
|
5,746 |
5,298 |
$34K |
| 87426 |
|
1,451 |
1,350 |
$34K |
| 71045 |
|
3,515 |
3,328 |
$31K |
| 85025 |
|
6,566 |
6,054 |
$31K |
| 80076 |
|
4,667 |
4,348 |
$28K |
| 99285 |
|
121 |
111 |
$27K |
| 99199 |
|
534 |
491 |
$25K |
| 96361 |
|
1,290 |
1,190 |
$19K |
| 80307 |
|
552 |
515 |
$18K |
| 0250 |
|
2,497 |
1,623 |
$18K |
| 84484 |
|
2,616 |
2,349 |
$15K |
| 0258 |
|
573 |
508 |
$11K |
| 96365 |
|
261 |
251 |
$11K |
| 99284 |
|
210 |
203 |
$10K |
| 83880 |
|
608 |
592 |
$9K |
| 83690 |
|
1,958 |
1,831 |
$9K |
| G0480 |
Drug test def 1-7 classes |
252 |
232 |
$8K |
| 81001 |
|
2,960 |
2,775 |
$7K |
| 84703 |
|
1,352 |
1,287 |
$7K |
| A9150 |
Misc/exper non-prescript dru |
854 |
747 |
$6K |
| J1885 |
Ketorolac tromethamine inj |
1,284 |
1,198 |
$5K |
| Z7502 |
|
140 |
132 |
$5K |
| J2405 |
Ondansetron hcl injection |
987 |
888 |
$4K |
| 85730 |
|
1,194 |
1,127 |
$4K |
| 87086 |
|
1,008 |
957 |
$4K |
| 80053 |
|
506 |
498 |
$3K |
| J7040 |
Normal saline solution infus |
778 |
734 |
$3K |
| 76856 |
|
41 |
37 |
$3K |
| Z7610 |
|
157 |
103 |
$3K |
| 87040 |
|
401 |
355 |
$2K |
| 99406 |
|
328 |
280 |
$2K |
| U0003 |
Cov-19 amp prb hgh thruput |
34 |
33 |
$2K |
| J1170 |
Hydromorphone injection |
382 |
274 |
$2K |
| 94640 |
|
141 |
124 |
$2K |
| 80299 |
|
197 |
186 |
$2K |
| 83605 |
|
319 |
300 |
$2K |
| 96360 |
|
38 |
38 |
$2K |
| 83735 |
|
288 |
280 |
$1K |
| J7030 |
Normal saline solution infus |
322 |
295 |
$1K |
| 85379 |
|
213 |
212 |
$1K |
| 84702 |
|
250 |
235 |
$1K |
| 99283 |
|
41 |
38 |
$800.92 |
| 36415 |
|
1,081 |
949 |
$780.80 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
113 |
105 |
$723.36 |
| 81003 |
|
498 |
487 |
$621.94 |
| 87804 |
|
116 |
91 |
$600.52 |
| J2270 |
Morphine sulfate injection |
123 |
109 |
$581.45 |
| 87400 |
|
197 |
195 |
$546.43 |
| 87070 |
|
33 |
31 |
$517.66 |
| 84443 |
|
45 |
45 |
$504.65 |
| 80320 |
|
80 |
74 |
$402.50 |
| 0320 |
|
24 |
24 |
$365.28 |
| 81000 |
|
183 |
165 |
$290.38 |
| J1200 |
Diphenhydramine hcl injectio |
58 |
51 |
$244.40 |
| J3590 |
Unclassified biologics |
42 |
40 |
$230.83 |
| A4649 |
Surgical supplies |
870 |
421 |
$179.35 |
| 86403 |
|
33 |
32 |
$172.45 |
| J0696 |
Ceftriaxone sodium injection |
27 |
27 |
$169.91 |
| 73630 |
|
13 |
12 |
$157.33 |
| Q0162 |
Ondansetron oral |
12 |
12 |
$103.23 |
| J0780 |
Prochlorperazine injection |
14 |
14 |
$80.31 |
| 0636 |
|
27 |
25 |
$61.78 |
| J2060 |
Lorazepam injection |
15 |
13 |
$53.77 |
| 82550 |
|
12 |
12 |
$45.62 |
| J7512 |
Prednisone ir or dr oral 1mg |
15 |
14 |
$41.33 |
| 82962 |
|
16 |
12 |
$9.93 |
| S9445 |
Pt education noc individ |
341 |
151 |
$0.00 |