| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 8888888 |
|
14,613 |
6,410 |
$4.22M |
| 80053 |
|
7,290 |
5,682 |
$474K |
| 36415 |
|
4,009 |
3,134 |
$327K |
| 96361 |
|
713 |
605 |
$128K |
| 99283 |
|
4,745 |
3,886 |
$125K |
| 80048 |
|
2,677 |
1,466 |
$74K |
| 99284 |
|
7,223 |
5,699 |
$69K |
| G0480 |
Drug test def 1-7 classes |
1,145 |
961 |
$68K |
| 80047 |
|
755 |
600 |
$67K |
| G0463 |
Hospital outpt clinic visit |
1,946 |
1,342 |
$54K |
| 70450 |
|
1,132 |
910 |
$43K |
| 99282 |
|
1,032 |
911 |
$42K |
| 96374 |
|
5,508 |
4,292 |
$39K |
| 96372 |
|
1,422 |
1,123 |
$35K |
| 81001 |
|
5,801 |
4,680 |
$26K |
| 87635 |
|
1,159 |
1,037 |
$22K |
| U0002 |
Covid-19 lab test non-cdc |
531 |
474 |
$17K |
| 71045 |
|
1,778 |
1,471 |
$17K |
| 74177 |
|
1,592 |
1,367 |
$17K |
| 71046 |
|
894 |
758 |
$16K |
| 99285 |
|
1,537 |
1,304 |
$16K |
| J3490 |
Drugs unclassified injection |
47 |
41 |
$14K |
| 87502 |
|
470 |
410 |
$14K |
| 87400 |
|
212 |
203 |
$12K |
| 87086 |
|
1,326 |
1,114 |
$10K |
| 85027 |
|
10,934 |
7,435 |
$10K |
| 80306 |
|
1,314 |
1,082 |
$8K |
| 99281 |
|
56 |
50 |
$8K |
| G0378 |
Hospital observation per hr |
64 |
52 |
$6K |
| 93005 |
|
2,930 |
2,293 |
$6K |
| 84703 |
|
1,181 |
1,011 |
$5K |
| 84484 |
|
2,193 |
1,543 |
$4K |
| 96375 |
|
2,532 |
2,010 |
$4K |
| 81025 |
|
819 |
702 |
$4K |
| J2405 |
Ondansetron hcl injection |
2,386 |
1,942 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,028 |
1,635 |
$3K |
| J7030 |
Normal saline solution infus |
3,896 |
3,192 |
$3K |
| 83690 |
|
2,937 |
2,341 |
$3K |
| 80076 |
|
538 |
435 |
$2K |
| J2270 |
Morphine sulfate injection |
930 |
746 |
$2K |
| 83605 |
|
1,695 |
1,266 |
$2K |
| 87070 |
|
214 |
163 |
$2K |
| 94640 |
|
289 |
227 |
$2K |
| 87420 |
|
35 |
31 |
$1K |
| 76830 |
|
27 |
24 |
$1K |
| 96365 |
|
15 |
12 |
$1K |
| 85379 |
|
315 |
280 |
$1K |
| 96376 |
|
298 |
228 |
$881.32 |
| 80307 |
|
201 |
185 |
$876.45 |
| J7050 |
Normal saline solution infus |
1,692 |
1,433 |
$738.29 |
| J1885 |
Ketorolac tromethamine inj |
2,334 |
1,732 |
$725.49 |
| 84443 |
|
1,718 |
1,454 |
$709.84 |
| 82306 |
|
91 |
80 |
$651.62 |
| J1100 |
Dexamethasone sodium phos |
61 |
44 |
$612.81 |
| 87186 |
|
1,105 |
844 |
$604.61 |
| 73562 |
|
13 |
12 |
$555.28 |
| 87040 |
|
249 |
154 |
$502.22 |
| 85610 |
|
512 |
419 |
$492.87 |
| J1170 |
Hydromorphone injection |
725 |
543 |
$449.50 |
| 87651 |
|
66 |
63 |
$447.52 |
| 71275 |
|
153 |
133 |
$165.80 |
| 86140 |
|
51 |
39 |
$123.31 |
| 87088 |
|
13 |
12 |
$122.43 |
| 76856 |
|
15 |
12 |
$109.32 |
| 87426 |
|
42 |
35 |
$86.82 |
| 83880 |
|
309 |
257 |
$67.86 |
| 87804 |
|
72 |
55 |
$19.22 |
| 87634 |
|
99 |
86 |
$15.07 |
| J2550 |
Promethazine hcl injection |
148 |
107 |
$13.14 |
| J0696 |
Ceftriaxone sodium injection |
247 |
205 |
$10.20 |
| 80143 |
|
356 |
305 |
$8.21 |
| J2765 |
Metoclopramide hcl injection |
85 |
77 |
$3.12 |
| J1200 |
Diphenhydramine hcl injectio |
556 |
437 |
$1.15 |
| J3010 |
Fentanyl citrate injection |
26 |
24 |
$0.43 |
| J7120 |
Ringers lactate infusion |
256 |
222 |
$0.00 |
| P9604 |
One-way allow prorated trip |
134 |
70 |
$0.00 |
| 80061 |
|
45 |
42 |
$0.00 |
| 84439 |
|
20 |
18 |
$0.00 |
| J2060 |
Lorazepam injection |
228 |
204 |
$0.00 |
| 82550 |
|
16 |
15 |
$0.00 |
| J8540 |
Oral dexamethasone |
63 |
61 |
$0.00 |
| 85652 |
|
64 |
55 |
$0.00 |
| 83036 |
|
16 |
15 |
$0.00 |