| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 8888888 |
|
8,895 |
4,744 |
$3.14M |
| 85025 |
|
4,109 |
3,557 |
$157K |
| 99283 |
|
3,725 |
3,416 |
$139K |
| 99282 |
|
1,589 |
1,467 |
$86K |
| 96374 |
|
1,624 |
1,445 |
$67K |
| 0241U |
|
503 |
483 |
$64K |
| J1100 |
Dexamethasone sodium phos |
1,586 |
1,166 |
$62K |
| 92507 |
|
1,036 |
628 |
$61K |
| 99284 |
|
2,445 |
2,221 |
$46K |
| 97110 |
|
724 |
413 |
$43K |
| 85027 |
|
896 |
804 |
$36K |
| 96372 |
|
509 |
448 |
$27K |
| 81001 |
|
2,241 |
2,031 |
$23K |
| 71046 |
|
483 |
446 |
$22K |
| 96375 |
|
1,254 |
1,107 |
$17K |
| 97112 |
|
303 |
190 |
$16K |
| G0463 |
Hospital outpt clinic visit |
589 |
438 |
$16K |
| 80050 |
|
109 |
109 |
$15K |
| 80053 |
|
3,761 |
3,325 |
$15K |
| J2405 |
Ondansetron hcl injection |
2,674 |
2,087 |
$14K |
| J1885 |
Ketorolac tromethamine inj |
1,659 |
1,386 |
$13K |
| T1015 |
Clinic service |
654 |
467 |
$12K |
| U0002 |
Covid-19 lab test non-cdc |
194 |
186 |
$12K |
| 87086 |
|
781 |
712 |
$11K |
| 96361 |
|
1,031 |
927 |
$6K |
| J7120 |
Ringers lactate infusion |
632 |
435 |
$6K |
| J3010 |
Fentanyl citrate injection |
1,576 |
1,073 |
$5K |
| 93005 |
|
794 |
729 |
$4K |
| 99285 |
|
588 |
544 |
$4K |
| 84443 |
|
470 |
447 |
$4K |
| 80048 |
|
309 |
284 |
$4K |
| 76856 |
|
37 |
37 |
$4K |
| 81025 |
|
131 |
119 |
$3K |
| J2270 |
Morphine sulfate injection |
246 |
192 |
$3K |
| 83690 |
|
1,021 |
921 |
$3K |
| 41899 |
|
459 |
243 |
$3K |
| 82247 |
|
400 |
235 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
562 |
495 |
$3K |
| 74177 |
|
195 |
182 |
$2K |
| 71045 |
|
179 |
165 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
504 |
474 |
$2K |
| 77067 |
|
25 |
25 |
$1K |
| 87804 |
|
29 |
29 |
$1K |
| 84439 |
|
326 |
313 |
$1K |
| 80061 |
|
181 |
172 |
$1K |
| 86901 |
|
42 |
38 |
$906.23 |
| 87633 |
|
16 |
15 |
$751.54 |
| 83036 |
|
92 |
91 |
$566.29 |
| 87502 |
|
29 |
27 |
$524.94 |
| J2704 |
Inj, propofol, 10 mg |
1,471 |
1,072 |
$522.10 |
| 97530 |
|
27 |
14 |
$485.78 |
| 84703 |
|
541 |
500 |
$467.68 |
| 85007 |
|
254 |
222 |
$455.62 |
| 87081 |
|
12 |
12 |
$451.73 |
| 86140 |
|
519 |
457 |
$416.29 |
| 84702 |
|
80 |
68 |
$285.30 |
| 70450 |
|
16 |
15 |
$202.40 |
| 85651 |
|
131 |
108 |
$144.54 |
| 84484 |
|
195 |
179 |
$103.40 |
| 87491 |
|
13 |
12 |
$86.66 |
| 87186 |
|
13 |
12 |
$80.80 |
| 80307 |
|
16 |
12 |
$59.14 |
| 83605 |
|
139 |
130 |
$18.66 |
| J0690 |
Cefazolin sodium injection |
210 |
196 |
$0.00 |
| 85379 |
|
31 |
26 |
$0.00 |
| 82306 |
|
13 |
13 |
$0.00 |
| J1170 |
Hydromorphone injection |
41 |
36 |
$0.00 |
| 90471 |
|
15 |
14 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
15 |
13 |
$0.00 |
| 96376 |
|
13 |
13 |
$0.00 |