| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 8888888 |
|
2,898 |
1,586 |
$2.48M |
| 36415 |
|
5,748 |
5,089 |
$402K |
| 99284 |
|
9,699 |
8,309 |
$295K |
| C9803 |
Hopd covid-19 spec collect |
2,096 |
1,913 |
$144K |
| 99282 |
|
1,089 |
1,027 |
$110K |
| 80053 |
|
10,652 |
8,755 |
$102K |
| J1885 |
Ketorolac tromethamine inj |
2,853 |
2,476 |
$101K |
| 0202U |
|
1,462 |
1,397 |
$93K |
| 99283 |
|
5,637 |
5,036 |
$87K |
| 87400 |
|
2,242 |
1,156 |
$48K |
| 96372 |
|
2,161 |
1,832 |
$48K |
| J7120 |
Ringers lactate infusion |
3,281 |
2,956 |
$44K |
| 81001 |
|
6,621 |
5,614 |
$37K |
| 70450 |
|
734 |
676 |
$32K |
| 71046 |
|
1,724 |
1,562 |
$29K |
| 76856 |
|
415 |
381 |
$29K |
| J7030 |
Normal saline solution infus |
1,088 |
939 |
$27K |
| A9579 |
Gad-base mr contrast nos,1ml |
72 |
64 |
$22K |
| 96365 |
|
3,352 |
2,409 |
$19K |
| 87430 |
|
1,384 |
1,305 |
$19K |
| 87510 |
|
117 |
116 |
$18K |
| 87086 |
|
2,319 |
2,087 |
$15K |
| 80307 |
|
2,298 |
1,943 |
$15K |
| 87491 |
|
965 |
894 |
$13K |
| 96361 |
|
3,184 |
2,682 |
$13K |
| 74176 |
|
155 |
141 |
$12K |
| 85025 |
|
11,589 |
9,331 |
$11K |
| 76816 |
|
139 |
121 |
$11K |
| 82962 |
|
953 |
711 |
$10K |
| 87077 |
|
1,067 |
960 |
$10K |
| 76705 |
|
196 |
187 |
$10K |
| 99285 |
|
3,142 |
2,763 |
$9K |
| J0696 |
Ceftriaxone sodium injection |
759 |
601 |
$8K |
| 96360 |
|
738 |
660 |
$8K |
| J2405 |
Ondansetron hcl injection |
4,133 |
3,608 |
$7K |
| J1100 |
Dexamethasone sodium phos |
1,706 |
1,594 |
$6K |
| 88305 |
|
169 |
114 |
$6K |
| 93005 |
|
3,103 |
2,653 |
$6K |
| 71045 |
|
970 |
879 |
$6K |
| P9612 |
Catheterize for urine spec |
81 |
80 |
$6K |
| 76805 |
|
41 |
39 |
$5K |
| 90715 |
|
30 |
28 |
$5K |
| 74177 |
|
1,482 |
1,324 |
$5K |
| 80048 |
|
525 |
461 |
$4K |
| U0002 |
Covid-19 lab test non-cdc |
289 |
275 |
$4K |
| 87070 |
|
144 |
130 |
$3K |
| 96374 |
|
3,261 |
2,844 |
$3K |
| 81025 |
|
749 |
658 |
$3K |
| 73130 |
|
58 |
50 |
$3K |
| J2001 |
Lidocaine injection |
995 |
910 |
$3K |
| 96375 |
|
3,896 |
3,129 |
$3K |
| 87624 |
|
41 |
39 |
$3K |
| 84439 |
|
841 |
807 |
$2K |
| J2270 |
Morphine sulfate injection |
1,257 |
1,054 |
$2K |
| 80061 |
|
411 |
399 |
$2K |
| 87420 |
|
539 |
493 |
$2K |
| 84703 |
|
1,750 |
1,582 |
$2K |
| 73564 |
|
27 |
25 |
$2K |
| 73110 |
|
30 |
25 |
$1K |
| 73030 |
|
57 |
50 |
$1K |
| 41899 |
|
627 |
607 |
$1K |
| 73630 |
|
50 |
46 |
$1K |
| 84443 |
|
2,536 |
2,366 |
$1K |
| 73610 |
|
27 |
24 |
$1K |
| 87633 |
|
63 |
62 |
$1K |
| 77063 |
|
14 |
14 |
$1K |
| 80055 |
|
26 |
25 |
$941.99 |
| 83036 |
|
948 |
893 |
$798.39 |
| J2250 |
Inj midazolam hydrochloride |
806 |
718 |
$708.62 |
| 88175 |
|
179 |
175 |
$643.61 |
| J7512 |
Prednisone ir or dr oral 1mg |
14 |
13 |
$622.34 |
| 88150 |
|
80 |
79 |
$615.98 |
| 76801 |
|
14 |
12 |
$570.45 |
| 87426 |
|
593 |
543 |
$493.58 |
| J1200 |
Diphenhydramine hcl injectio |
267 |
242 |
$443.64 |
| 94640 |
|
418 |
356 |
$360.69 |
| 84702 |
|
149 |
103 |
$360.42 |
| 82950 |
|
24 |
24 |
$359.30 |
| 86900 |
|
179 |
150 |
$356.74 |
| J3010 |
Fentanyl citrate injection |
1,867 |
1,727 |
$348.06 |
| 87081 |
|
28 |
28 |
$330.64 |
| 87591 |
|
966 |
894 |
$300.55 |
| 86140 |
|
591 |
539 |
$263.65 |
| 71275 |
|
365 |
336 |
$223.65 |
| 82306 |
|
98 |
94 |
$151.98 |
| 85379 |
|
807 |
752 |
$147.53 |
| 86803 |
|
16 |
16 |
$133.13 |
| 87653 |
|
27 |
26 |
$113.33 |
| 86850 |
|
38 |
30 |
$108.29 |
| 83735 |
|
1,770 |
1,544 |
$98.00 |
| 82550 |
|
1,122 |
1,018 |
$84.53 |
| U0003 |
Cov-19 amp prb hgh thruput |
270 |
249 |
$74.96 |
| 84484 |
|
2,429 |
1,753 |
$74.46 |
| 83880 |
|
514 |
473 |
$58.27 |
| 83690 |
|
2,092 |
1,800 |
$56.97 |
| 87635 |
|
521 |
500 |
$48.76 |
| 85610 |
|
1,490 |
1,303 |
$36.55 |
| 85027 |
|
739 |
688 |
$29.91 |
| 87186 |
|
815 |
727 |
$17.87 |
| 85730 |
|
764 |
699 |
$16.21 |
| 87040 |
|
766 |
389 |
$15.02 |
| 83605 |
|
572 |
488 |
$11.14 |
| 84100 |
|
533 |
479 |
$10.64 |
| 90471 |
|
65 |
62 |
$8.92 |
| 87660 |
|
117 |
116 |
$0.00 |
| 84145 |
|
255 |
226 |
$0.00 |
| J2550 |
Promethazine hcl injection |
13 |
12 |
$0.00 |
| 77067 |
|
14 |
14 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
28 |
24 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
24 |
24 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
16 |
14 |
$0.00 |
| 96366 |
|
484 |
346 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
108 |
104 |
$0.00 |
| G0378 |
Hospital observation per hr |
908 |
768 |
$0.00 |
| A9270 |
Non-covered item or service |
14 |
12 |
$0.00 |
| 96376 |
|
796 |
625 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
171 |
167 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
263 |
242 |
$0.00 |
| 85652 |
|
97 |
85 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
250 |
205 |
$0.00 |
| 87480 |
|
117 |
116 |
$0.00 |
| 87389 |
|
139 |
133 |
$0.00 |
| J7050 |
Normal saline solution infus |
12 |
12 |
$0.00 |
| 86901 |
|
179 |
150 |
$0.00 |
| J2060 |
Lorazepam injection |
42 |
38 |
$0.00 |
| M0243 |
Casirivi and imdevi inj |
30 |
27 |
$0.00 |
| 94760 |
|
70 |
64 |
$0.00 |
| 87205 |
|
104 |
95 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
57 |
56 |
$0.00 |
| J8540 |
Oral dexamethasone |
15 |
14 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
29 |
25 |
$0.00 |
| 74019 |
|
12 |
12 |
$0.00 |
| J1170 |
Hydromorphone injection |
32 |
25 |
$0.00 |