| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 8888888 |
|
7,127 |
3,941 |
$2.70M |
| 85025 |
|
4,745 |
3,833 |
$196K |
| 99283 |
|
3,787 |
3,237 |
$117K |
| 96374 |
|
2,076 |
1,648 |
$103K |
| 0241U |
|
709 |
640 |
$73K |
| 99282 |
|
1,418 |
1,248 |
$70K |
| 99284 |
|
2,220 |
1,872 |
$31K |
| U0002 |
Covid-19 lab test non-cdc |
842 |
779 |
$31K |
| 96372 |
|
360 |
285 |
$28K |
| 80050 |
|
272 |
245 |
$25K |
| 96375 |
|
1,323 |
1,089 |
$20K |
| U0005 |
Infec agen detec ampli probe |
260 |
233 |
$15K |
| 81001 |
|
1,933 |
1,676 |
$13K |
| 99285 |
|
1,148 |
984 |
$12K |
| 71045 |
|
721 |
647 |
$11K |
| 80053 |
|
4,527 |
3,700 |
$11K |
| 71046 |
|
492 |
440 |
$11K |
| 87086 |
|
1,092 |
987 |
$9K |
| 87081 |
|
374 |
361 |
$9K |
| 84443 |
|
563 |
540 |
$8K |
| J1885 |
Ketorolac tromethamine inj |
840 |
698 |
$8K |
| 80048 |
|
98 |
90 |
$6K |
| 96361 |
|
737 |
623 |
$5K |
| 84702 |
|
329 |
286 |
$4K |
| J2405 |
Ondansetron hcl injection |
1,511 |
1,218 |
$4K |
| J7120 |
Ringers lactate infusion |
168 |
144 |
$3K |
| 74018 |
|
82 |
77 |
$3K |
| 87502 |
|
49 |
47 |
$2K |
| 80307 |
|
189 |
166 |
$2K |
| 80061 |
|
370 |
355 |
$2K |
| 87804 |
|
79 |
71 |
$2K |
| 96376 |
|
14 |
13 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
43 |
39 |
$1K |
| 93005 |
|
943 |
829 |
$1K |
| 97110 |
|
28 |
13 |
$1K |
| 74177 |
|
172 |
161 |
$1K |
| 87077 |
|
13 |
12 |
$1K |
| 87186 |
|
51 |
50 |
$944.69 |
| J2704 |
Inj, propofol, 10 mg |
241 |
222 |
$877.71 |
| 83880 |
|
91 |
81 |
$773.96 |
| 87631 |
|
16 |
16 |
$515.25 |
| J1100 |
Dexamethasone sodium phos |
89 |
77 |
$467.53 |
| 85027 |
|
13 |
12 |
$431.12 |
| 83605 |
|
1,043 |
872 |
$416.16 |
| 83036 |
|
126 |
114 |
$390.71 |
| 86140 |
|
525 |
452 |
$388.11 |
| 84484 |
|
451 |
386 |
$374.50 |
| 83690 |
|
1,100 |
958 |
$367.94 |
| 70450 |
|
34 |
31 |
$298.85 |
| 82607 |
|
54 |
51 |
$197.01 |
| 85610 |
|
180 |
131 |
$145.40 |
| 85379 |
|
317 |
285 |
$99.30 |
| 82306 |
|
42 |
40 |
$59.72 |
| 87070 |
|
12 |
12 |
$48.24 |
| 82570 |
|
12 |
12 |
$32.57 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
505 |
460 |
$14.26 |
| J3010 |
Fentanyl citrate injection |
42 |
32 |
$5.45 |
| 85651 |
|
56 |
49 |
$3.94 |
| 82728 |
|
43 |
37 |
$0.00 |
| J1170 |
Hydromorphone injection |
68 |
53 |
$0.00 |
| 87426 |
|
16 |
14 |
$0.00 |
| 71275 |
|
14 |
13 |
$0.00 |
| 87088 |
|
12 |
12 |
$0.00 |
| 96365 |
|
18 |
15 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
12 |
12 |
$0.00 |
| 83615 |
|
37 |
32 |
$0.00 |
| 84478 |
|
19 |
18 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
17 |
12 |
$0.00 |
| J2270 |
Morphine sulfate injection |
61 |
53 |
$0.00 |
| J2550 |
Promethazine hcl injection |
16 |
13 |
$0.00 |