| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 8888888 |
|
38,156 |
18,907 |
$11.97M |
| 36415 |
|
21,014 |
16,867 |
$1.91M |
| 99283 |
|
15,815 |
13,838 |
$508K |
| 99284 |
|
19,396 |
16,282 |
$368K |
| 80053 |
|
17,406 |
14,337 |
$247K |
| 99282 |
|
4,877 |
4,392 |
$233K |
| 96361 |
|
820 |
730 |
$193K |
| 99281 |
|
1,377 |
1,233 |
$184K |
| J7120 |
Ringers lactate infusion |
1,944 |
1,613 |
$168K |
| 70450 |
|
2,714 |
2,341 |
$126K |
| 96372 |
|
3,605 |
3,095 |
$117K |
| G0480 |
Drug test def 1-7 classes |
1,741 |
1,442 |
$106K |
| 81003 |
|
4,550 |
3,904 |
$98K |
| 71046 |
|
2,867 |
2,560 |
$94K |
| U0002 |
Covid-19 lab test non-cdc |
1,770 |
1,541 |
$91K |
| 87400 |
|
2,310 |
1,921 |
$90K |
| 96374 |
|
11,590 |
9,582 |
$79K |
| 81001 |
|
8,441 |
7,267 |
$75K |
| 71045 |
|
5,708 |
4,810 |
$73K |
| 93306 |
|
558 |
483 |
$73K |
| 87430 |
|
1,493 |
1,386 |
$52K |
| 0241U |
|
555 |
514 |
$45K |
| 74177 |
|
2,995 |
2,652 |
$37K |
| G0463 |
Hospital outpt clinic visit |
2,950 |
1,470 |
$36K |
| 73610 |
|
488 |
430 |
$35K |
| 73562 |
|
446 |
368 |
$34K |
| G0383 |
Lev 4 hosp type b ed visit |
1,128 |
862 |
$30K |
| 87070 |
|
1,755 |
1,224 |
$25K |
| 80307 |
|
3,329 |
2,895 |
$25K |
| 87086 |
|
2,469 |
2,189 |
$24K |
| 87635 |
|
643 |
592 |
$24K |
| 87426 |
|
1,264 |
1,163 |
$22K |
| 73630 |
|
340 |
286 |
$21K |
| 73110 |
|
217 |
191 |
$21K |
| 96360 |
|
64 |
58 |
$18K |
| 99285 |
|
2,656 |
2,317 |
$18K |
| J3490 |
Drugs unclassified injection |
15 |
13 |
$17K |
| 80048 |
|
3,675 |
2,969 |
$17K |
| 73130 |
|
196 |
176 |
$17K |
| 87077 |
|
2,026 |
1,609 |
$16K |
| 72125 |
|
580 |
509 |
$14K |
| 81025 |
|
2,472 |
2,200 |
$11K |
| 73030 |
|
150 |
131 |
$11K |
| 85027 |
|
22,378 |
17,743 |
$11K |
| 87420 |
|
469 |
441 |
$11K |
| 80047 |
|
1,305 |
1,091 |
$11K |
| 76705 |
|
352 |
318 |
$10K |
| J7030 |
Normal saline solution infus |
8,488 |
7,136 |
$9K |
| 12001 |
|
74 |
69 |
$8K |
| 93005 |
|
7,485 |
5,916 |
$7K |
| G0378 |
Hospital observation per hr |
1,347 |
1,078 |
$6K |
| 87486 |
|
93 |
87 |
$6K |
| 76376 |
|
67 |
64 |
$5K |
| 84484 |
|
5,386 |
4,035 |
$5K |
| 76830 |
|
108 |
92 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
6,044 |
5,057 |
$4K |
| G0382 |
Lev 3 hosp type b ed visit |
150 |
131 |
$4K |
| 93971 |
|
244 |
220 |
$4K |
| 96375 |
|
5,056 |
4,236 |
$4K |
| 72100 |
|
92 |
79 |
$4K |
| J2060 |
Lorazepam injection |
1,334 |
1,129 |
$4K |
| 74176 |
|
474 |
425 |
$4K |
| 71275 |
|
735 |
657 |
$3K |
| 83690 |
|
6,562 |
5,504 |
$3K |
| 31720 |
|
178 |
158 |
$3K |
| U0003 |
Cov-19 amp prb hgh thruput |
69 |
64 |
$3K |
| 12011 |
|
25 |
24 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,220 |
2,944 |
$3K |
| J2405 |
Ondansetron hcl injection |
5,552 |
4,631 |
$3K |
| 84702 |
|
449 |
379 |
$3K |
| 94664 |
|
1,306 |
1,122 |
$2K |
| 84703 |
|
3,280 |
2,948 |
$2K |
| G0381 |
Lev 2 hosp type b ed visit |
46 |
40 |
$2K |
| 87490 |
|
154 |
142 |
$2K |
| 84443 |
|
2,667 |
2,379 |
$2K |
| 83880 |
|
2,522 |
2,104 |
$2K |
| 87186 |
|
2,178 |
1,650 |
$2K |
| J1170 |
Hydromorphone injection |
1,646 |
1,380 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
1,847 |
1,571 |
$2K |
| 59025 |
|
925 |
671 |
$2K |
| 76856 |
|
155 |
135 |
$2K |
| 82077 |
|
1,468 |
1,261 |
$2K |
| 87081 |
|
176 |
171 |
$2K |
| 93970 |
|
32 |
27 |
$1K |
| 12002 |
|
13 |
13 |
$1K |
| 82550 |
|
689 |
560 |
$1K |
| J2765 |
Metoclopramide hcl injection |
984 |
902 |
$1K |
| 87040 |
|
2,011 |
1,310 |
$1K |
| 82306 |
|
97 |
85 |
$1K |
| 73090 |
|
13 |
12 |
$1K |
| 80061 |
|
320 |
294 |
$883.18 |
| 74018 |
|
27 |
27 |
$801.20 |
| 86850 |
|
261 |
234 |
$776.00 |
| J2270 |
Morphine sulfate injection |
2,029 |
1,685 |
$772.91 |
| 82607 |
|
19 |
15 |
$685.47 |
| J2360 |
Orphenadrine injection |
130 |
118 |
$672.17 |
| 86900 |
|
597 |
528 |
$659.40 |
| 87389 |
|
13 |
13 |
$637.46 |
| 85379 |
|
980 |
871 |
$587.15 |
| 85610 |
|
1,934 |
1,366 |
$529.96 |
| 83735 |
|
416 |
365 |
$526.61 |
| 73590 |
|
13 |
12 |
$505.84 |
| J1100 |
Dexamethasone sodium phos |
1,093 |
771 |
$464.30 |
| 88305 |
|
60 |
51 |
$267.29 |
| 84481 |
|
16 |
12 |
$265.39 |
| 36000 |
|
349 |
301 |
$240.07 |
| 29125 |
|
12 |
12 |
$215.84 |
| 84439 |
|
129 |
111 |
$178.64 |
| 83605 |
|
2,359 |
1,925 |
$177.80 |
| 83036 |
|
268 |
243 |
$169.75 |
| 70491 |
|
13 |
12 |
$165.80 |
| 87205 |
|
14 |
13 |
$134.73 |
| 93017 |
|
19 |
12 |
$134.63 |
| 86140 |
|
504 |
431 |
$124.06 |
| J7512 |
Prednisone ir or dr oral 1mg |
176 |
158 |
$122.17 |
| 71260 |
|
40 |
37 |
$110.64 |
| 86803 |
|
15 |
13 |
$108.12 |
| J7050 |
Normal saline solution infus |
3,572 |
2,877 |
$89.68 |
| 80076 |
|
1,868 |
1,604 |
$80.65 |
| 82728 |
|
22 |
16 |
$74.94 |
| 96376 |
|
602 |
513 |
$57.02 |
| 83550 |
|
37 |
28 |
$22.30 |
| 87088 |
|
16 |
13 |
$21.82 |
| C1769 |
Guide wire |
280 |
205 |
$20.52 |
| 90715 |
|
83 |
80 |
$19.88 |
| 83540 |
|
39 |
30 |
$17.78 |
| 80143 |
|
996 |
886 |
$14.17 |
| J8540 |
Oral dexamethasone |
521 |
489 |
$11.42 |
| 87590 |
|
154 |
142 |
$8.69 |
| 85730 |
|
219 |
180 |
$4.34 |
| A9270 |
Non-covered item or service |
2,580 |
1,133 |
$3.70 |
| 86901 |
|
597 |
528 |
$2.45 |
| J1200 |
Diphenhydramine hcl injectio |
1,164 |
1,032 |
$1.06 |
| P9604 |
One-way allow prorated trip |
236 |
89 |
$0.00 |
| 93976 |
|
172 |
155 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
216 |
207 |
$0.00 |
| 80179 |
|
957 |
855 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
137 |
82 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
127 |
89 |
$0.00 |
| J2930 |
Methylprednisolone injection |
53 |
50 |
$0.00 |
| J7040 |
Normal saline solution infus |
148 |
101 |
$0.00 |
| 87798 |
|
107 |
87 |
$0.00 |
| 87633 |
|
93 |
87 |
$0.00 |
| 99152 |
|
88 |
64 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
14 |
13 |
$0.00 |
| 84100 |
|
27 |
25 |
$0.00 |
| J2550 |
Promethazine hcl injection |
17 |
12 |
$0.00 |
| 84550 |
|
13 |
13 |
$0.00 |
| 90471 |
|
91 |
87 |
$0.00 |
| 87581 |
|
93 |
87 |
$0.00 |
| J1790 |
Droperidol injection |
319 |
285 |
$0.00 |
| 94640 |
|
102 |
76 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
1,116 |
850 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
47 |
40 |
$0.00 |
| 85651 |
|
93 |
75 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
847 |
568 |
$0.00 |
| 76801 |
|
26 |
24 |
$0.00 |
| J1815 |
Insulin injection |
51 |
24 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
20 |
17 |
$0.00 |
| M0243 |
Casirivi and imdevi inj |
13 |
12 |
$0.00 |
| 88304 |
|
12 |
12 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
27 |
24 |
$0.00 |
| 97597 |
|
54 |
31 |
$0.00 |