| Code | Description | Claims | Beneficiaries | Total Paid |
| 8888888 |
|
35,205 |
15,514 |
$14.59M |
| 85025 |
|
20,060 |
15,346 |
$778K |
| 96374 |
|
8,263 |
7,042 |
$347K |
| 96372 |
|
2,246 |
1,741 |
$328K |
| 99283 |
|
8,088 |
7,102 |
$327K |
| 96365 |
|
3,407 |
2,245 |
$292K |
| 11042 |
|
2,235 |
955 |
$279K |
| 99284 |
|
12,037 |
10,377 |
$269K |
| 0241U |
|
2,337 |
2,138 |
$241K |
| 99285 |
|
8,625 |
7,349 |
$225K |
| 80050 |
|
2,767 |
2,494 |
$175K |
| 80307 |
|
6,923 |
5,488 |
$150K |
| 88305 |
|
2,469 |
2,209 |
$115K |
| G0463 |
Hospital outpt clinic visit |
5,936 |
4,546 |
$114K |
| 99282 |
|
2,217 |
2,021 |
$112K |
| J2704 |
Inj, propofol, 10 mg |
6,716 |
4,985 |
$98K |
| J7120 |
Ringers lactate infusion |
2,581 |
2,082 |
$67K |
| J1885 |
Ketorolac tromethamine inj |
6,851 |
5,296 |
$63K |
| 76816 |
|
1,065 |
776 |
$62K |
| J2250 |
Inj midazolam hydrochloride |
2,742 |
2,390 |
$61K |
| 96375 |
|
6,008 |
4,910 |
$60K |
| 76805 |
|
762 |
630 |
$57K |
| 70450 |
|
2,253 |
2,007 |
$51K |
| 71046 |
|
2,329 |
2,047 |
$48K |
| J3010 |
Fentanyl citrate injection |
5,193 |
3,861 |
$47K |
| 85027 |
|
1,553 |
1,306 |
$41K |
| 96361 |
|
5,460 |
4,770 |
$41K |
| J2405 |
Ondansetron hcl injection |
8,801 |
6,391 |
$39K |
| J1170 |
Hydromorphone injection |
3,299 |
2,256 |
$37K |
| 93005 |
|
7,994 |
6,815 |
$34K |
| 87186 |
|
1,440 |
1,248 |
$32K |
| 82330 |
|
2,063 |
1,801 |
$30K |
| U0002 |
Covid-19 lab test non-cdc |
1,180 |
1,022 |
$27K |
| 93306 |
|
140 |
130 |
$27K |
| 87070 |
|
709 |
605 |
$27K |
| 81001 |
|
8,003 |
6,974 |
$27K |
| 71045 |
|
3,756 |
3,303 |
$26K |
| 86901 |
|
1,385 |
1,121 |
$25K |
| 80053 |
|
16,841 |
13,308 |
$23K |
| J2060 |
Lorazepam injection |
1,892 |
1,538 |
$23K |
| J1630 |
Haloperidol injection |
1,220 |
1,039 |
$23K |
| 80048 |
|
3,340 |
2,741 |
$22K |
| 96360 |
|
1,965 |
1,750 |
$22K |
| 85610 |
|
2,227 |
1,800 |
$21K |
| 76815 |
|
282 |
180 |
$20K |
| J0690 |
Cefazolin sodium injection |
1,926 |
1,567 |
$18K |
| 87086 |
|
2,756 |
2,450 |
$16K |
| J1100 |
Dexamethasone sodium phos |
2,915 |
2,437 |
$15K |
| 76811 |
|
121 |
97 |
$15K |
| J2270 |
Morphine sulfate injection |
2,143 |
1,773 |
$14K |
| 74177 |
|
2,564 |
2,304 |
$14K |
| 84702 |
|
4,326 |
3,838 |
$14K |
| 94729 |
|
186 |
174 |
$13K |
| 83690 |
|
5,440 |
4,676 |
$12K |
| 81025 |
|
979 |
872 |
$12K |
| G0382 |
Lev 3 hosp type b ed visit |
92 |
90 |
$12K |
| 95810 |
|
16 |
16 |
$11K |
| J1200 |
Diphenhydramine hcl injectio |
1,124 |
951 |
$11K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,610 |
2,352 |
$11K |
| 76705 |
|
598 |
558 |
$11K |
| 70553 |
|
59 |
52 |
$9K |
| J1644 |
Inj heparin sodium per 1000u |
740 |
464 |
$9K |
| 86850 |
|
765 |
578 |
$8K |
| 76856 |
|
204 |
188 |
$8K |
| 96376 |
|
1,295 |
1,117 |
$7K |
| A9585 |
Gadobutrol injection |
808 |
722 |
$7K |
| 74176 |
|
326 |
293 |
$7K |
| J0696 |
Ceftriaxone sodium injection |
1,669 |
1,307 |
$7K |
| 73630 |
|
201 |
188 |
$7K |
| G0480 |
Drug test def 1-7 classes |
3,355 |
2,924 |
$6K |
| 87591 |
|
805 |
747 |
$6K |
| 84484 |
|
4,156 |
3,456 |
$6K |
| 87491 |
|
805 |
747 |
$6K |
| 77067 |
|
84 |
78 |
$6K |
| 72125 |
|
312 |
275 |
$5K |
| 84100 |
|
1,304 |
776 |
$5K |
| 73562 |
|
116 |
110 |
$5K |
| J2550 |
Promethazine hcl injection |
912 |
702 |
$5K |
| 85379 |
|
1,412 |
1,284 |
$4K |
| 72148 |
|
28 |
27 |
$4K |
| J3475 |
Inj magnesium sulfate |
1,511 |
1,189 |
$4K |
| J1815 |
Insulin injection |
171 |
103 |
$4K |
| 84443 |
|
899 |
814 |
$3K |
| 43239 |
|
876 |
772 |
$3K |
| 87077 |
|
405 |
320 |
$3K |
| 83605 |
|
4,561 |
3,840 |
$3K |
| 59025 |
|
156 |
62 |
$3K |
| 83735 |
|
3,277 |
2,077 |
$3K |
| 76801 |
|
142 |
124 |
$3K |
| 82565 |
|
87 |
80 |
$2K |
| J3490 |
Drugs unclassified injection |
159 |
146 |
$2K |
| 73130 |
|
58 |
54 |
$2K |
| 87210 |
|
235 |
221 |
$2K |
| 93971 |
|
127 |
117 |
$2K |
| 73721 |
|
13 |
12 |
$2K |
| 84703 |
|
1,153 |
1,019 |
$2K |
| 94640 |
|
878 |
716 |
$2K |
| 87040 |
|
724 |
530 |
$1K |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
30 |
26 |
$1K |
| 73030 |
|
49 |
45 |
$1K |
| 87804 |
|
66 |
60 |
$1K |
| 94010 |
|
144 |
135 |
$1K |
| 84439 |
|
437 |
374 |
$1K |
| 86140 |
|
1,075 |
924 |
$1K |
| 87880 |
|
54 |
53 |
$1K |
| 88307 |
|
43 |
43 |
$990.45 |
| 86900 |
|
852 |
632 |
$975.46 |
| 82803 |
|
890 |
809 |
$973.40 |
| 83036 |
|
630 |
584 |
$924.62 |
| 71275 |
|
579 |
532 |
$889.89 |
| 90686 |
|
124 |
114 |
$888.71 |
| 83880 |
|
577 |
510 |
$848.58 |
| 87088 |
|
921 |
827 |
$847.45 |
| 87502 |
|
205 |
185 |
$810.50 |
| 73610 |
|
45 |
40 |
$789.32 |
| 45378 |
|
13 |
12 |
$761.24 |
| 76882 |
|
16 |
12 |
$682.88 |
| 85651 |
|
755 |
631 |
$515.12 |
| J0330 |
Succinycholine chloride inj |
773 |
497 |
$482.74 |
| U0005 |
Infec agen detec ampli probe |
24 |
21 |
$453.53 |
| 45380 |
|
213 |
182 |
$384.63 |
| 10060 |
|
15 |
14 |
$384.08 |
| 90694 |
|
16 |
15 |
$322.14 |
| 87081 |
|
28 |
24 |
$280.16 |
| 70551 |
|
13 |
12 |
$267.58 |
| 90662 |
|
17 |
16 |
$234.55 |
| 87389 |
|
13 |
12 |
$214.76 |
| 80076 |
|
76 |
69 |
$184.40 |
| 80061 |
|
103 |
93 |
$167.05 |
| 82947 |
|
446 |
353 |
$148.60 |
| 82550 |
|
82 |
71 |
$120.89 |
| 90471 |
|
367 |
341 |
$110.21 |
| 76817 |
|
15 |
13 |
$102.81 |
| 82784 |
|
135 |
83 |
$102.72 |
| 76830 |
|
37 |
34 |
$70.83 |
| 82306 |
|
175 |
159 |
$66.39 |
| 82607 |
|
29 |
28 |
$40.68 |
| 88342 |
|
125 |
117 |
$10.43 |
| 82248 |
|
135 |
75 |
$9.56 |
| 84132 |
|
445 |
384 |
$6.96 |
| 96366 |
|
85 |
72 |
$0.00 |
| 85730 |
|
134 |
116 |
$0.00 |
| G0378 |
Hospital observation per hr |
240 |
223 |
$0.00 |
| J1790 |
Droperidol injection |
165 |
147 |
$0.00 |
| 83615 |
|
88 |
80 |
$0.00 |
| 86803 |
|
13 |
13 |
$0.00 |
| 70498 |
|
12 |
12 |
$0.00 |
| 82728 |
|
45 |
43 |
$0.00 |
| 88184 |
|
16 |
12 |
$0.00 |
| 87426 |
|
43 |
41 |
$0.00 |
| 88304 |
|
38 |
33 |
$0.00 |
| 71260 |
|
32 |
29 |
$0.00 |
| 90870 |
|
43 |
12 |
$0.00 |
| 87147 |
|
13 |
12 |
$0.00 |
| 70496 |
|
13 |
13 |
$0.00 |
| 84478 |
|
14 |
14 |
$0.00 |
| 88185 |
|
16 |
12 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
12 |
12 |
$0.00 |
| J0780 |
Prochlorperazine injection |
27 |
24 |
$0.00 |
| 88302 |
|
25 |
24 |
$0.00 |
| 10061 |
|
18 |
15 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
15 |
12 |
$0.00 |
| M0220 |
Tixagev and cilgav inj |
30 |
27 |
$0.00 |
| 87075 |
|
18 |
15 |
$0.00 |