| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 8888888 |
|
17,221 |
7,725 |
$5.01M |
| 96361 |
|
829 |
725 |
$182K |
| 99283 |
|
4,819 |
4,250 |
$146K |
| 80053 |
|
6,085 |
5,023 |
$112K |
| 99284 |
|
7,039 |
5,851 |
$110K |
| 96372 |
|
1,171 |
947 |
$57K |
| 99282 |
|
1,610 |
1,507 |
$54K |
| 81001 |
|
5,253 |
4,480 |
$44K |
| 80048 |
|
2,780 |
2,132 |
$39K |
| 70450 |
|
1,017 |
882 |
$38K |
| 86710 |
|
587 |
547 |
$36K |
| U0002 |
Covid-19 lab test non-cdc |
1,059 |
973 |
$30K |
| 71045 |
|
2,145 |
1,819 |
$27K |
| 96374 |
|
5,150 |
4,152 |
$24K |
| 96360 |
|
95 |
83 |
$24K |
| 80307 |
|
1,172 |
1,075 |
$20K |
| 71046 |
|
436 |
376 |
$20K |
| G0480 |
Drug test def 1-7 classes |
524 |
462 |
$19K |
| 99281 |
|
173 |
160 |
$19K |
| 99285 |
|
1,632 |
1,446 |
$14K |
| 85027 |
|
9,239 |
7,256 |
$12K |
| 87086 |
|
893 |
797 |
$7K |
| 93005 |
|
2,862 |
2,351 |
$7K |
| J7030 |
Normal saline solution infus |
4,296 |
3,580 |
$6K |
| 74177 |
|
1,196 |
1,072 |
$6K |
| 83605 |
|
2,744 |
2,129 |
$6K |
| 87502 |
|
48 |
47 |
$6K |
| 96375 |
|
2,782 |
2,203 |
$6K |
| 84484 |
|
1,860 |
1,364 |
$4K |
| 80076 |
|
1,968 |
1,563 |
$3K |
| 81025 |
|
1,112 |
945 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
33 |
24 |
$3K |
| J2270 |
Morphine sulfate injection |
1,805 |
1,448 |
$3K |
| 83690 |
|
2,742 |
2,256 |
$3K |
| 87077 |
|
169 |
148 |
$3K |
| 80143 |
|
130 |
124 |
$2K |
| 84443 |
|
1,513 |
1,356 |
$2K |
| J2405 |
Ondansetron hcl injection |
3,082 |
2,411 |
$2K |
| 96376 |
|
1,535 |
1,150 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
990 |
908 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
716 |
619 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
1,577 |
949 |
$2K |
| 80305 |
|
220 |
192 |
$2K |
| 84703 |
|
1,412 |
1,263 |
$2K |
| 87081 |
|
70 |
68 |
$1K |
| 82247 |
|
25 |
12 |
$1K |
| J2550 |
Promethazine hcl injection |
265 |
204 |
$1K |
| 82550 |
|
801 |
670 |
$1K |
| 84439 |
|
597 |
526 |
$1K |
| 85610 |
|
109 |
78 |
$887.49 |
| 87040 |
|
874 |
637 |
$726.45 |
| 76856 |
|
15 |
15 |
$723.11 |
| 86140 |
|
86 |
67 |
$614.32 |
| G0378 |
Hospital observation per hr |
531 |
402 |
$612.12 |
| 86900 |
|
87 |
76 |
$560.81 |
| 80320 |
|
17 |
13 |
$507.13 |
| G0381 |
Lev 2 hosp type b ed visit |
16 |
15 |
$356.81 |
| 87633 |
|
16 |
13 |
$337.80 |
| 86850 |
|
14 |
12 |
$210.26 |
| 83880 |
|
182 |
156 |
$200.60 |
| 88305 |
|
73 |
64 |
$98.65 |
| 85379 |
|
336 |
301 |
$70.08 |
| 82077 |
|
602 |
544 |
$60.40 |
| 87186 |
|
168 |
148 |
$42.67 |
| 97116 |
|
28 |
25 |
$22.60 |
| J2060 |
Lorazepam injection |
172 |
144 |
$5.21 |
| J1100 |
Dexamethasone sodium phos |
83 |
58 |
$0.77 |
| J7050 |
Normal saline solution infus |
89 |
74 |
$0.67 |
| 80179 |
|
115 |
110 |
$0.00 |
| 87634 |
|
13 |
13 |
$0.00 |
| 74176 |
|
13 |
12 |
$0.00 |
| 87420 |
|
17 |
17 |
$0.00 |
| 87798 |
|
49 |
48 |
$0.00 |
| 72125 |
|
24 |
24 |
$0.00 |
| 99152 |
|
58 |
55 |
$0.00 |
| 76376 |
|
74 |
66 |
$0.00 |
| 97110 |
|
16 |
13 |
$0.00 |
| 97161 |
|
13 |
13 |
$0.00 |
| J1170 |
Hydromorphone injection |
388 |
277 |
$0.00 |
| 87426 |
|
118 |
99 |
$0.00 |
| 86901 |
|
87 |
76 |
$0.00 |
| 36000 |
|
59 |
49 |
$0.00 |
| 94640 |
|
21 |
13 |
$0.00 |
| J1790 |
Droperidol injection |
30 |
26 |
$0.00 |
| A9270 |
Non-covered item or service |
45 |
13 |
$0.00 |
| 83735 |
|
15 |
12 |
$0.00 |