| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
|
6,457 |
5,624 |
$252.54 |
| 96374 |
|
896 |
847 |
$153.81 |
| 70450 |
|
127 |
124 |
$116.55 |
| 80053 |
|
3,260 |
2,927 |
$22.26 |
| 85025 |
|
3,666 |
3,209 |
$16.20 |
| 81025 |
|
232 |
221 |
$5.60 |
| 83690 |
|
653 |
597 |
$4.86 |
| 36415 |
|
1,559 |
1,370 |
$3.57 |
| 81002 |
|
435 |
403 |
$1.72 |
| 0270 |
|
1,288 |
888 |
$0.02 |
| J3490 |
Drugs unclassified injection |
1,860 |
987 |
$0.01 |
| 0250 |
|
1,574 |
1,382 |
$0.00 |
| 71045 |
|
1,519 |
1,442 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
49 |
41 |
$0.00 |
| 96375 |
|
699 |
622 |
$0.00 |
| 84703 |
|
514 |
472 |
$0.00 |
| 0636 |
|
503 |
448 |
$0.00 |
| 84484 |
|
1,065 |
843 |
$0.00 |
| 0301 |
|
75 |
70 |
$0.00 |
| 0710 |
|
564 |
512 |
$0.00 |
| 87635 |
|
341 |
307 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
259 |
257 |
$0.00 |
| 81001 |
|
941 |
878 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
37 |
37 |
$0.00 |
| 0271 |
|
364 |
341 |
$0.00 |
| 0241U |
|
312 |
284 |
$0.00 |
| 87086 |
|
126 |
122 |
$0.00 |
| 96361 |
|
339 |
308 |
$0.00 |
| 0259 |
|
225 |
159 |
$0.00 |
| 0305 |
|
75 |
71 |
$0.00 |
| 83605 |
|
258 |
217 |
$0.00 |
| S9445 |
Pt education noc individ |
211 |
138 |
$0.00 |
| 86141 |
|
27 |
27 |
$0.00 |
| 0370 |
|
124 |
114 |
$0.00 |
| 0352 |
|
12 |
12 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
30 |
30 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
86 |
77 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
60 |
54 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
41 |
40 |
$0.00 |
| 99000 |
|
165 |
161 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
15 |
12 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
12 |
12 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
15 |
12 |
$0.00 |
| 76700 |
|
39 |
39 |
$0.00 |
| 96365 |
|
15 |
14 |
$0.00 |
| 85730 |
|
43 |
37 |
$0.00 |
| 86140 |
|
33 |
32 |
$0.00 |
| 0307 |
|
14 |
14 |
$0.00 |
| 86901 |
|
14 |
12 |
$0.00 |
| 81003 |
|
1,084 |
1,009 |
$0.00 |
| 0320 |
|
244 |
228 |
$0.00 |
| 0121 |
|
159 |
152 |
$0.00 |
| U0003 |
Cov-19 amp prb hgh thruput |
258 |
256 |
$0.00 |
| 93005 |
|
1,680 |
1,536 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
368 |
340 |
$0.00 |
| 0272 |
|
575 |
533 |
$0.00 |
| 0300 |
|
620 |
557 |
$0.00 |
| 85610 |
|
1,179 |
1,102 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
922 |
810 |
$0.00 |
| 0360 |
|
95 |
91 |
$0.00 |
| J7030 |
Normal saline solution infus |
602 |
544 |
$0.00 |
| J7120 |
Ringers lactate infusion |
29 |
29 |
$0.00 |
| 84145 |
|
14 |
13 |
$0.00 |
| 80306 |
|
58 |
52 |
$0.00 |
| 0202U |
|
175 |
172 |
$0.00 |
| 0730 |
|
71 |
67 |
$0.00 |
| 0402 |
|
26 |
26 |
$0.00 |
| J2270 |
Morphine sulfate injection |
56 |
44 |
$0.00 |
| 86900 |
|
14 |
12 |
$0.00 |
| 0460 |
|
60 |
54 |
$0.00 |
| 0278 |
|
14 |
14 |
$0.00 |
| 0160 |
|
31 |
24 |
$0.00 |
| 74177 |
|
40 |
36 |
$0.00 |