| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 8888888 |
|
15,888 |
5,038 |
$4.40M |
| 36415 |
|
5,790 |
4,519 |
$747K |
| 0241U |
|
609 |
550 |
$116K |
| 99283 |
|
2,257 |
2,103 |
$73K |
| 99284 |
|
2,527 |
2,286 |
$38K |
| 96374 |
|
2,540 |
2,151 |
$28K |
| 99285 |
|
2,434 |
2,111 |
$25K |
| 87635 |
|
586 |
550 |
$25K |
| 96361 |
|
1,358 |
1,179 |
$17K |
| U0003 |
Cov-19 amp prb hgh thruput |
170 |
159 |
$17K |
| 81003 |
|
1,000 |
910 |
$10K |
| 87400 |
|
139 |
136 |
$9K |
| 71045 |
|
610 |
566 |
$9K |
| U0002 |
Covid-19 lab test non-cdc |
164 |
155 |
$9K |
| 96375 |
|
1,912 |
1,578 |
$8K |
| 70450 |
|
243 |
225 |
$8K |
| 81001 |
|
1,532 |
1,365 |
$7K |
| 85025 |
|
3,813 |
3,143 |
$7K |
| 80053 |
|
3,573 |
3,005 |
$7K |
| U0001 |
2019-ncov diagnostic p |
156 |
149 |
$5K |
| 71046 |
|
154 |
139 |
$5K |
| 96372 |
|
82 |
71 |
$5K |
| 99282 |
|
88 |
82 |
$5K |
| 74177 |
|
341 |
312 |
$4K |
| 87631 |
|
25 |
24 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
1,334 |
1,110 |
$3K |
| 83690 |
|
1,001 |
857 |
$2K |
| 96365 |
|
57 |
36 |
$2K |
| 84703 |
|
1,207 |
1,083 |
$2K |
| 80307 |
|
359 |
316 |
$2K |
| 86710 |
|
15 |
15 |
$2K |
| 93005 |
|
1,161 |
1,025 |
$1K |
| 84484 |
|
667 |
466 |
$1K |
| U0004 |
Cov-19 test non-cdc hgh thru |
14 |
13 |
$1K |
| 81025 |
|
99 |
86 |
$1K |
| J2405 |
Ondansetron hcl injection |
2,188 |
1,661 |
$1K |
| J2270 |
Morphine sulfate injection |
890 |
573 |
$887.89 |
| 80050 |
|
375 |
353 |
$885.81 |
| 96360 |
|
42 |
40 |
$699.46 |
| 82077 |
|
187 |
170 |
$548.05 |
| 59025 |
|
17 |
12 |
$507.21 |
| 87880 |
|
12 |
12 |
$428.80 |
| 87088 |
|
42 |
39 |
$335.47 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
612 |
553 |
$278.84 |
| J7030 |
Normal saline solution infus |
1,533 |
1,159 |
$188.36 |
| 94761 |
|
80 |
51 |
$186.40 |
| 76856 |
|
13 |
12 |
$102.81 |
| 85379 |
|
72 |
68 |
$26.97 |
| U0005 |
Infec agen detec ampli probe |
54 |
52 |
$25.00 |
| 96376 |
|
249 |
216 |
$16.00 |
| 80048 |
|
43 |
34 |
$15.88 |
| 80179 |
|
98 |
89 |
$14.91 |
| 80143 |
|
130 |
114 |
$14.91 |
| J2060 |
Lorazepam injection |
117 |
84 |
$10.42 |
| 85610 |
|
13 |
12 |
$2.51 |
| J1200 |
Diphenhydramine hcl injectio |
308 |
238 |
$0.00 |
| J7120 |
Ringers lactate infusion |
284 |
204 |
$0.00 |
| 74176 |
|
20 |
17 |
$0.00 |
| 84439 |
|
14 |
14 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
43 |
37 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
400 |
299 |
$0.00 |
| J1170 |
Hydromorphone injection |
409 |
194 |
$0.00 |
| 94640 |
|
22 |
15 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
473 |
275 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
376 |
262 |
$0.00 |
| 87086 |
|
81 |
72 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
350 |
266 |
$0.00 |
| 86140 |
|
13 |
13 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
77 |
52 |
$0.00 |
| 87081 |
|
13 |
13 |
$0.00 |
| 80320 |
|
13 |
13 |
$0.00 |
| A9270 |
Non-covered item or service |
50 |
12 |
$0.00 |
| 83880 |
|
13 |
12 |
$0.00 |
| 85027 |
|
13 |
13 |
$0.00 |