| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 8888888 |
|
18,221 |
8,639 |
$5.73M |
| 99283 |
|
9,010 |
7,794 |
$285K |
| 80053 |
|
6,050 |
5,068 |
$258K |
| 96361 |
|
977 |
835 |
$231K |
| 80048 |
|
4,238 |
3,424 |
$164K |
| 99284 |
|
7,482 |
6,368 |
$158K |
| 36415 |
|
2,119 |
1,905 |
$123K |
| 96372 |
|
2,712 |
2,198 |
$103K |
| 99282 |
|
2,192 |
1,985 |
$99K |
| 71045 |
|
2,287 |
1,956 |
$69K |
| 99281 |
|
555 |
501 |
$61K |
| 96374 |
|
5,925 |
4,921 |
$61K |
| 81001 |
|
5,420 |
4,623 |
$56K |
| 70450 |
|
793 |
696 |
$54K |
| G0480 |
Drug test def 1-7 classes |
583 |
484 |
$50K |
| 86710 |
|
406 |
381 |
$29K |
| 71046 |
|
753 |
655 |
$26K |
| 85027 |
|
11,701 |
9,470 |
$26K |
| U0002 |
Covid-19 lab test non-cdc |
818 |
743 |
$24K |
| 87086 |
|
1,518 |
1,328 |
$23K |
| 82247 |
|
1,175 |
725 |
$18K |
| G0383 |
Lev 4 hosp type b ed visit |
704 |
500 |
$17K |
| 99285 |
|
1,364 |
1,213 |
$14K |
| J3490 |
Drugs unclassified injection |
40 |
39 |
$12K |
| J7030 |
Normal saline solution infus |
3,118 |
2,657 |
$11K |
| G0463 |
Hospital outpt clinic visit |
267 |
205 |
$10K |
| 93005 |
|
3,015 |
2,498 |
$8K |
| 87880 |
|
243 |
230 |
$8K |
| J2270 |
Morphine sulfate injection |
1,489 |
1,149 |
$7K |
| 87420 |
|
123 |
109 |
$7K |
| G0378 |
Hospital observation per hr |
531 |
476 |
$7K |
| 87400 |
|
199 |
192 |
$6K |
| 80306 |
|
380 |
332 |
$6K |
| 87633 |
|
68 |
60 |
$6K |
| 96375 |
|
2,643 |
2,133 |
$5K |
| 74018 |
|
96 |
84 |
$5K |
| 84484 |
|
1,430 |
1,050 |
$5K |
| 84702 |
|
646 |
577 |
$4K |
| 74177 |
|
463 |
418 |
$4K |
| 80076 |
|
1,183 |
1,007 |
$4K |
| 81025 |
|
1,299 |
1,174 |
$3K |
| 86140 |
|
591 |
493 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
341 |
306 |
$3K |
| J2405 |
Ondansetron hcl injection |
2,616 |
2,157 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
3,376 |
2,328 |
$2K |
| 96365 |
|
15 |
13 |
$2K |
| 83690 |
|
1,859 |
1,583 |
$2K |
| J2060 |
Lorazepam injection |
959 |
781 |
$1K |
| 73610 |
|
14 |
13 |
$1K |
| 80061 |
|
269 |
251 |
$1K |
| 82565 |
|
257 |
223 |
$1K |
| 73630 |
|
13 |
12 |
$904.29 |
| 82947 |
|
58 |
38 |
$870.03 |
| 94760 |
|
108 |
66 |
$679.65 |
| 94640 |
|
299 |
254 |
$604.36 |
| 88305 |
|
218 |
186 |
$577.13 |
| 87186 |
|
383 |
334 |
$577.10 |
| 86900 |
|
209 |
185 |
$438.97 |
| 74176 |
|
15 |
13 |
$427.40 |
| J2550 |
Promethazine hcl injection |
397 |
337 |
$412.79 |
| 84443 |
|
1,231 |
1,122 |
$339.42 |
| J1100 |
Dexamethasone sodium phos |
839 |
556 |
$317.70 |
| 76856 |
|
15 |
14 |
$265.70 |
| 73030 |
|
15 |
13 |
$156.22 |
| 82306 |
|
65 |
62 |
$150.44 |
| 84439 |
|
117 |
109 |
$138.31 |
| 84703 |
|
403 |
369 |
$137.27 |
| 81003 |
|
18 |
17 |
$122.51 |
| 99152 |
|
79 |
69 |
$119.71 |
| J7120 |
Ringers lactate infusion |
1,087 |
954 |
$116.21 |
| 80307 |
|
109 |
92 |
$115.98 |
| 85652 |
|
149 |
122 |
$78.33 |
| 83036 |
|
51 |
50 |
$49.16 |
| 85007 |
|
101 |
86 |
$47.50 |
| 87040 |
|
172 |
126 |
$39.13 |
| 83735 |
|
381 |
315 |
$16.85 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
547 |
513 |
$12.00 |
| J2765 |
Metoclopramide hcl injection |
140 |
124 |
$5.59 |
| J7040 |
Normal saline solution infus |
708 |
637 |
$0.00 |
| 85610 |
|
187 |
160 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
135 |
84 |
$0.00 |
| 86901 |
|
209 |
185 |
$0.00 |
| J7050 |
Normal saline solution infus |
98 |
86 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
298 |
257 |
$0.00 |
| 96376 |
|
437 |
336 |
$0.00 |
| J8540 |
Oral dexamethasone |
27 |
25 |
$0.00 |
| J1170 |
Hydromorphone injection |
165 |
136 |
$0.00 |
| 83605 |
|
164 |
129 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
143 |
129 |
$0.00 |
| 85379 |
|
24 |
24 |
$0.00 |
| 86850 |
|
96 |
86 |
$0.00 |
| 36000 |
|
18 |
16 |
$0.00 |
| 87426 |
|
36 |
35 |
$0.00 |
| J2360 |
Orphenadrine injection |
44 |
39 |
$0.00 |
| A9270 |
Non-covered item or service |
18 |
13 |
$0.00 |