| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
26,339 |
24,085 |
$2.88M |
| 99285 |
|
15,828 |
14,092 |
$2.23M |
| 99283 |
|
24,122 |
22,400 |
$2.22M |
| 96374 |
|
12,129 |
11,037 |
$771K |
| 74177 |
|
1,554 |
1,418 |
$180K |
| 85025 |
|
30,346 |
26,841 |
$158K |
| U0002 |
Covid-19 lab test non-cdc |
3,901 |
3,604 |
$150K |
| 70450 |
|
2,847 |
2,533 |
$150K |
| 84484 |
|
9,593 |
7,088 |
$139K |
| 80053 |
|
32,237 |
28,799 |
$138K |
| 96361 |
|
2,492 |
2,226 |
$122K |
| 71045 |
|
10,262 |
9,231 |
$119K |
| 96375 |
|
4,690 |
4,228 |
$93K |
| 84703 |
|
14,844 |
13,549 |
$92K |
| 93005 |
|
11,865 |
9,513 |
$64K |
| 99282 |
|
986 |
922 |
$62K |
| 96372 |
|
2,182 |
1,998 |
$60K |
| 71046 |
|
2,784 |
2,582 |
$43K |
| 87400 |
|
4,299 |
3,277 |
$34K |
| J2405 |
Ondansetron hcl injection |
3,776 |
3,393 |
$27K |
| 81001 |
|
20,860 |
19,027 |
$24K |
| 87426 |
|
993 |
913 |
$23K |
| 83690 |
|
2,899 |
2,654 |
$15K |
| 85610 |
|
3,114 |
2,793 |
$9K |
| 85027 |
|
1,598 |
1,269 |
$6K |
| 85730 |
|
1,693 |
1,528 |
$6K |
| 83880 |
|
453 |
412 |
$6K |
| 43239 |
|
12 |
12 |
$5K |
| 82565 |
|
977 |
877 |
$5K |
| 96365 |
|
81 |
73 |
$5K |
| G0378 |
Hospital observation per hr |
627 |
280 |
$5K |
| 83735 |
|
784 |
465 |
$2K |
| J1650 |
Inj enoxaparin sodium |
110 |
55 |
$2K |
| 71275 |
|
19 |
14 |
$2K |
| 96360 |
|
33 |
29 |
$2K |
| 80048 |
|
758 |
375 |
$1K |
| 85379 |
|
124 |
105 |
$817.13 |
| 84100 |
|
526 |
264 |
$758.45 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,404 |
3,982 |
$652.46 |
| 87880 |
|
60 |
57 |
$392.45 |
| 83605 |
|
45 |
36 |
$387.36 |
| 72125 |
|
34 |
29 |
$340.04 |
| 82962 |
|
124 |
36 |
$327.12 |
| J7030 |
Normal saline solution infus |
8,060 |
6,832 |
$291.08 |
| 82550 |
|
59 |
56 |
$230.07 |
| 87088 |
|
28 |
26 |
$219.51 |
| 87081 |
|
39 |
38 |
$177.84 |
| 84702 |
|
15 |
15 |
$167.27 |
| J2270 |
Morphine sulfate injection |
226 |
123 |
$116.10 |
| J1644 |
Inj heparin sodium per 1000u |
380 |
127 |
$89.22 |
| J1100 |
Dexamethasone sodium phos |
60 |
55 |
$72.91 |
| 88305 |
|
59 |
53 |
$24.85 |
| J1885 |
Ketorolac tromethamine inj |
7,027 |
6,445 |
$18.65 |
| J2250 |
Inj midazolam hydrochloride |
16 |
12 |
$8.92 |
| J7120 |
Ringers lactate infusion |
178 |
158 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
13 |
12 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
124 |
110 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
53 |
51 |
$0.00 |
| A9270 |
Non-covered item or service |
301 |
224 |
$0.00 |
| J3490 |
Drugs unclassified injection |
15 |
12 |
$0.00 |
| 88342 |
|
12 |
12 |
$0.00 |