| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
|
2,418 |
2,121 |
$1.97M |
| 99283 |
|
6,789 |
5,885 |
$1.52M |
| 99282 |
|
9,122 |
8,154 |
$1.40M |
| 70450 |
|
2,039 |
1,700 |
$877K |
| 99284 |
|
2,440 |
1,982 |
$646K |
| 80053 |
|
13,265 |
10,172 |
$242K |
| 71045 |
|
2,742 |
2,363 |
$208K |
| 97110 |
|
3,506 |
741 |
$195K |
| 87633 |
|
1,519 |
1,305 |
$189K |
| 93005 |
|
3,295 |
2,818 |
$178K |
| 36415 |
|
24,573 |
12,946 |
$167K |
| 85025 |
|
11,486 |
9,333 |
$146K |
| 71046 |
|
1,354 |
1,128 |
$109K |
| 99285 |
|
311 |
254 |
$101K |
| 87502 |
|
977 |
893 |
$62K |
| 87635 |
|
1,121 |
1,017 |
$59K |
| 87486 |
|
1,820 |
1,583 |
$59K |
| 87581 |
|
1,788 |
1,575 |
$57K |
| 80061 |
|
2,101 |
1,906 |
$56K |
| 84484 |
|
2,930 |
2,320 |
$40K |
| J7030 |
Normal saline solution infus |
3,647 |
2,438 |
$40K |
| 96361 |
|
561 |
458 |
$39K |
| 83735 |
|
3,270 |
2,614 |
$37K |
| 96375 |
|
446 |
393 |
$35K |
| 84443 |
|
2,256 |
2,048 |
$34K |
| J3490 |
Drugs unclassified injection |
2,556 |
1,537 |
$32K |
| 83036 |
|
1,532 |
1,363 |
$32K |
| 87651 |
|
1,092 |
994 |
$31K |
| 83690 |
|
2,595 |
2,239 |
$28K |
| 96374 |
|
523 |
466 |
$28K |
| 81001 |
|
2,711 |
2,199 |
$27K |
| 82550 |
|
2,918 |
2,372 |
$27K |
| 82553 |
|
2,350 |
1,826 |
$26K |
| 73630 |
|
165 |
141 |
$26K |
| 82150 |
|
2,550 |
2,222 |
$24K |
| 96372 |
|
608 |
507 |
$23K |
| 87798 |
|
605 |
516 |
$22K |
| 81025 |
|
1,545 |
1,374 |
$22K |
| 80305 |
|
914 |
794 |
$21K |
| 83615 |
|
2,246 |
1,775 |
$20K |
| 72125 |
|
38 |
36 |
$19K |
| 94640 |
|
416 |
291 |
$19K |
| J1885 |
Ketorolac tromethamine inj |
3,467 |
2,883 |
$18K |
| 82306 |
|
726 |
655 |
$18K |
| 99235 |
|
43 |
38 |
$17K |
| 96365 |
|
279 |
154 |
$16K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
299 |
268 |
$16K |
| 77067 |
|
149 |
126 |
$16K |
| 73130 |
|
100 |
63 |
$14K |
| 73610 |
|
59 |
52 |
$12K |
| 80307 |
|
245 |
222 |
$12K |
| J2405 |
Ondansetron hcl injection |
2,754 |
2,240 |
$11K |
| 81003 |
|
2,021 |
1,773 |
$10K |
| 85379 |
|
293 |
263 |
$9K |
| J7050 |
Normal saline solution infus |
822 |
418 |
$8K |
| 85027 |
|
761 |
651 |
$8K |
| 77063 |
|
235 |
191 |
$7K |
| 72131 |
|
14 |
13 |
$7K |
| A4216 |
Sterile water/saline, 10 ml |
971 |
834 |
$7K |
| 99234 |
|
15 |
13 |
$7K |
| 87081 |
|
789 |
693 |
$7K |
| 87077 |
|
534 |
469 |
$6K |
| J2930 |
Methylprednisolone injection |
224 |
186 |
$6K |
| 87086 |
|
582 |
506 |
$6K |
| 71250 |
|
12 |
12 |
$6K |
| U0001 |
2019-ncov diagnostic p |
96 |
74 |
$6K |
| J2704 |
Inj, propofol, 10 mg |
689 |
621 |
$6K |
| 90715 |
|
56 |
51 |
$5K |
| 80048 |
|
380 |
268 |
$5K |
| 96360 |
|
60 |
53 |
$5K |
| 82607 |
|
303 |
273 |
$4K |
| 86140 |
|
547 |
477 |
$4K |
| J0696 |
Ceftriaxone sodium injection |
712 |
537 |
$4K |
| 85007 |
|
762 |
648 |
$4K |
| 85610 |
|
416 |
339 |
$4K |
| 87040 |
|
65 |
63 |
$3K |
| 85651 |
|
236 |
221 |
$3K |
| 87184 |
|
241 |
219 |
$3K |
| 73030 |
|
12 |
12 |
$3K |
| 73110 |
|
14 |
14 |
$2K |
| 83880 |
|
98 |
70 |
$2K |
| 87430 |
|
141 |
120 |
$2K |
| 87400 |
|
100 |
91 |
$2K |
| 97162 |
|
33 |
25 |
$2K |
| 12001 |
|
13 |
13 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
296 |
271 |
$2K |
| J3010 |
Fentanyl citrate injection |
352 |
317 |
$2K |
| J7121 |
5% dextrose in lac ringers |
120 |
89 |
$1K |
| 80320 |
|
95 |
87 |
$1K |
| J2919 |
Inj, methylpred sod succ 5mg |
30 |
25 |
$1K |
| 86710 |
|
56 |
52 |
$973.48 |
| J2001 |
Lidocaine injection |
215 |
200 |
$957.70 |
| J2270 |
Morphine sulfate injection |
102 |
64 |
$941.29 |
| J1100 |
Dexamethasone sodium phos |
149 |
134 |
$711.56 |
| 85730 |
|
71 |
67 |
$691.47 |
| 86762 |
|
26 |
12 |
$499.06 |
| J7040 |
Normal saline solution infus |
46 |
29 |
$476.03 |
| J7613 |
Albuterol non-comp unit |
245 |
193 |
$471.38 |
| 90471 |
|
12 |
12 |
$434.83 |
| 97750 |
|
12 |
12 |
$411.14 |
| 36600 |
|
31 |
26 |
$341.48 |
| J2550 |
Promethazine hcl injection |
46 |
38 |
$292.50 |
| J1170 |
Hydromorphone injection |
18 |
12 |
$177.53 |
| 84703 |
|
12 |
12 |
$173.87 |
| J7120 |
Ringers lactate infusion |
15 |
12 |
$114.45 |
| J1200 |
Diphenhydramine hcl injectio |
14 |
13 |
$43.20 |