| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
|
13,772 |
11,353 |
$1.08M |
| 99282 |
|
4,729 |
4,348 |
$615K |
| 87637 |
|
3,294 |
3,122 |
$396K |
| 99283 |
|
14,189 |
11,851 |
$356K |
| 80048 |
|
3,235 |
2,768 |
$267K |
| 96372 |
|
6,419 |
4,895 |
$216K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,222 |
1,655 |
$210K |
| 81001 |
|
9,891 |
8,487 |
$194K |
| 36415 |
|
13,184 |
10,291 |
$155K |
| 81025 |
|
3,948 |
3,687 |
$129K |
| 99284 |
|
11,074 |
9,771 |
$108K |
| J2405 |
Ondansetron hcl injection |
3,302 |
2,701 |
$88K |
| J2550 |
Promethazine hcl injection |
1,260 |
640 |
$69K |
| 71046 |
|
2,928 |
2,712 |
$64K |
| 87081 |
|
721 |
692 |
$59K |
| 70450 |
|
1,840 |
1,613 |
$54K |
| 87400 |
|
1,091 |
1,015 |
$49K |
| 87086 |
|
1,731 |
1,534 |
$43K |
| 87635 |
|
797 |
755 |
$42K |
| 87651 |
|
1,513 |
1,485 |
$41K |
| 80307 |
|
2,001 |
1,808 |
$41K |
| 82947 |
|
1,311 |
889 |
$40K |
| J7030 |
Normal saline solution infus |
506 |
263 |
$34K |
| U0003 |
Cov-19 amp prb hgh thruput |
401 |
361 |
$31K |
| 85025 |
|
13,940 |
11,333 |
$30K |
| 73610 |
|
343 |
326 |
$28K |
| 99285 |
|
5,847 |
5,042 |
$27K |
| 97110 |
|
966 |
258 |
$27K |
| 99281 |
|
260 |
222 |
$25K |
| 86803 |
|
347 |
334 |
$21K |
| 87070 |
|
428 |
362 |
$21K |
| 71045 |
|
4,200 |
3,477 |
$18K |
| 87077 |
|
665 |
541 |
$17K |
| 93005 |
|
5,797 |
4,834 |
$16K |
| 81003 |
|
896 |
852 |
$16K |
| 87491 |
|
374 |
362 |
$16K |
| 74176 |
|
1,165 |
1,048 |
$16K |
| 87807 |
|
248 |
243 |
$15K |
| 96374 |
|
4,303 |
3,612 |
$15K |
| 96365 |
|
1,363 |
1,167 |
$14K |
| 84703 |
|
317 |
262 |
$14K |
| 88305 |
|
122 |
82 |
$14K |
| 73630 |
|
258 |
233 |
$14K |
| 96376 |
|
796 |
495 |
$13K |
| 96366 |
|
80 |
46 |
$13K |
| 73560 |
|
212 |
196 |
$11K |
| 87804 |
|
248 |
242 |
$11K |
| 85027 |
|
3,234 |
2,832 |
$10K |
| 96361 |
|
1,227 |
1,002 |
$10K |
| 96375 |
|
3,244 |
2,564 |
$9K |
| J7120 |
Ringers lactate infusion |
179 |
125 |
$9K |
| 80061 |
|
777 |
749 |
$9K |
| 87430 |
|
535 |
486 |
$9K |
| 84484 |
|
6,219 |
3,916 |
$8K |
| 93971 |
|
40 |
38 |
$8K |
| 85379 |
|
1,204 |
1,097 |
$8K |
| 94640 |
|
1,400 |
1,045 |
$7K |
| 86710 |
|
88 |
86 |
$7K |
| 84702 |
|
100 |
92 |
$5K |
| 85610 |
|
2,418 |
2,051 |
$5K |
| 77067 |
|
97 |
71 |
$5K |
| 73030 |
|
89 |
88 |
$5K |
| 0002A |
|
89 |
88 |
$5K |
| 99460 |
|
50 |
50 |
$4K |
| 0001A |
|
84 |
81 |
$4K |
| 87040 |
|
1,882 |
1,061 |
$4K |
| 85007 |
|
1,417 |
1,239 |
$3K |
| 83036 |
|
1,002 |
968 |
$3K |
| 86900 |
|
26 |
24 |
$3K |
| 99238 |
|
38 |
38 |
$3K |
| 72100 |
|
108 |
104 |
$2K |
| 82962 |
|
65 |
55 |
$2K |
| 83605 |
|
2,281 |
1,891 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
3,597 |
3,046 |
$2K |
| 87800 |
|
29 |
26 |
$2K |
| 73130 |
|
26 |
25 |
$2K |
| 71260 |
|
162 |
154 |
$1K |
| 87420 |
|
45 |
42 |
$1K |
| 97161 |
|
149 |
116 |
$1K |
| 84443 |
|
1,098 |
1,018 |
$1K |
| 82550 |
|
1,457 |
1,095 |
$1K |
| 73562 |
|
16 |
16 |
$1K |
| 87186 |
|
337 |
283 |
$1K |
| G0378 |
Hospital observation per hr |
859 |
330 |
$1K |
| 83735 |
|
4,194 |
3,540 |
$1K |
| 83880 |
|
1,681 |
1,462 |
$966.40 |
| 74018 |
|
14 |
14 |
$898.54 |
| 83690 |
|
3,186 |
2,709 |
$816.80 |
| 73110 |
|
14 |
12 |
$656.71 |
| 74019 |
|
39 |
37 |
$620.89 |
| G8978 |
Mobility current status |
26 |
13 |
$531.76 |
| 73502 |
|
15 |
15 |
$528.32 |
| J2001 |
Lidocaine injection |
44 |
36 |
$524.66 |
| 71250 |
|
14 |
14 |
$481.96 |
| 82306 |
|
89 |
88 |
$442.38 |
| 36600 |
|
247 |
180 |
$351.53 |
| 87150 |
|
15 |
15 |
$310.38 |
| J2250 |
Inj midazolam hydrochloride |
269 |
243 |
$268.64 |
| 74177 |
|
985 |
942 |
$252.13 |
| 87389 |
|
358 |
343 |
$197.05 |
| 87591 |
|
379 |
368 |
$188.32 |
| 76882 |
|
16 |
15 |
$177.81 |
| 84436 |
|
12 |
12 |
$152.64 |
| J0690 |
Cefazolin sodium injection |
483 |
418 |
$85.18 |
| 87661 |
|
128 |
121 |
$75.01 |
| J2270 |
Morphine sulfate injection |
3,469 |
2,254 |
$18.28 |
| J0696 |
Ceftriaxone sodium injection |
2,382 |
2,016 |
$15.22 |
| 82247 |
|
31 |
29 |
$12.94 |
| 86140 |
|
27 |
26 |
$8.54 |
| 85651 |
|
110 |
107 |
$4.66 |
| 96360 |
|
93 |
90 |
$2.80 |
| J2930 |
Methylprednisolone injection |
459 |
357 |
$0.23 |
| 82803 |
|
178 |
131 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
2,107 |
1,791 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
1,661 |
1,309 |
$0.00 |
| 85730 |
|
1,733 |
1,433 |
$0.00 |
| 82553 |
|
463 |
188 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
559 |
502 |
$0.00 |
| 82077 |
|
56 |
52 |
$0.00 |
| J3490 |
Drugs unclassified injection |
180 |
85 |
$0.00 |
| 84075 |
|
29 |
28 |
$0.00 |
| 80320 |
|
202 |
185 |
$0.00 |
| 82150 |
|
98 |
55 |
$0.00 |
| 87205 |
|
60 |
42 |
$0.00 |
| 82040 |
|
30 |
28 |
$0.00 |
| 86901 |
|
12 |
12 |
$0.00 |
| J1170 |
Hydromorphone injection |
36 |
26 |
$0.00 |
| 90471 |
|
13 |
13 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
38 |
38 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
494 |
359 |
$0.00 |
| 82805 |
|
141 |
111 |
$0.00 |
| J0595 |
Butorphanol tartrate 1 mg |
355 |
144 |
$0.00 |
| T1015 |
Clinic service |
115 |
98 |
$0.00 |
| 43239 |
|
26 |
26 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
52 |
43 |
$0.00 |
| 93010 |
|
18 |
14 |
$0.00 |
| 72125 |
|
28 |
27 |
$0.00 |
| 84450 |
|
30 |
28 |
$0.00 |
| 84155 |
|
31 |
29 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
42 |
36 |
$0.00 |
| G8979 |
Mobility goal status |
26 |
13 |
$0.00 |