| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
|
4,726 |
3,907 |
$682K |
| U0003 |
Cov-19 amp prb hgh thruput |
726 |
690 |
$316K |
| 81025 |
|
1,855 |
1,781 |
$212K |
| 99283 |
|
4,842 |
4,428 |
$211K |
| 80048 |
|
1,759 |
1,507 |
$165K |
| U0002 |
Covid-19 lab test non-cdc |
725 |
682 |
$150K |
| 97110 |
|
1,929 |
547 |
$138K |
| 36415 |
|
41 |
36 |
$108K |
| 81001 |
|
2,310 |
2,113 |
$107K |
| 99282 |
|
810 |
750 |
$105K |
| 99284 |
|
4,218 |
3,578 |
$92K |
| 97530 |
|
1,512 |
518 |
$87K |
| 81003 |
|
1,414 |
1,308 |
$80K |
| 96365 |
|
896 |
691 |
$72K |
| J3490 |
Drugs unclassified injection |
806 |
250 |
$58K |
| J2704 |
Inj, propofol, 10 mg |
1,528 |
1,340 |
$53K |
| A4216 |
Sterile water/saline, 10 ml |
346 |
290 |
$41K |
| J8499 |
Oral prescrip drug non chemo |
939 |
421 |
$41K |
| 96361 |
|
2,070 |
1,596 |
$38K |
| 96372 |
|
1,228 |
967 |
$38K |
| 87081 |
|
1,222 |
1,181 |
$33K |
| 92507 |
|
985 |
328 |
$28K |
| 99285 |
|
1,901 |
1,679 |
$23K |
| 85025 |
|
7,042 |
5,696 |
$18K |
| 70450 |
|
311 |
285 |
$15K |
| 87804 |
|
1,008 |
754 |
$15K |
| J2250 |
Inj midazolam hydrochloride |
1,173 |
1,086 |
$14K |
| 71045 |
|
1,165 |
1,050 |
$14K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
174 |
148 |
$14K |
| 96374 |
|
2,064 |
1,796 |
$13K |
| 88305 |
|
82 |
76 |
$11K |
| 82962 |
|
368 |
216 |
$11K |
| 93005 |
|
1,902 |
1,624 |
$8K |
| A9150 |
Misc/exper non-prescript dru |
127 |
71 |
$6K |
| J7030 |
Normal saline solution infus |
2,373 |
1,906 |
$5K |
| 96360 |
|
75 |
66 |
$3K |
| 96375 |
|
1,558 |
1,163 |
$3K |
| 87430 |
|
377 |
368 |
$3K |
| 74177 |
|
112 |
102 |
$2K |
| 87070 |
|
26 |
24 |
$2K |
| 87633 |
|
169 |
162 |
$2K |
| 80307 |
|
158 |
101 |
$2K |
| 87086 |
|
1,506 |
1,400 |
$2K |
| 84703 |
|
726 |
683 |
$1K |
| 71046 |
|
65 |
59 |
$1K |
| 84484 |
|
1,132 |
931 |
$1K |
| 99213 |
|
19 |
17 |
$869.58 |
| 84702 |
|
65 |
53 |
$741.35 |
| J7050 |
Normal saline solution infus |
1,900 |
1,476 |
$675.47 |
| 82306 |
|
14 |
14 |
$606.33 |
| 85610 |
|
626 |
560 |
$305.44 |
| U0005 |
Infec agen detec ampli probe |
201 |
188 |
$266.43 |
| 97161 |
|
12 |
12 |
$262.72 |
| 86850 |
|
58 |
52 |
$216.80 |
| 83690 |
|
1,405 |
1,211 |
$215.17 |
| 87798 |
|
116 |
86 |
$102.60 |
| 83735 |
|
1,115 |
959 |
$66.61 |
| 87077 |
|
60 |
54 |
$43.28 |
| J1100 |
Dexamethasone sodium phos |
1,204 |
1,061 |
$40.08 |
| 83880 |
|
13 |
12 |
$33.89 |
| J1885 |
Ketorolac tromethamine inj |
1,681 |
1,457 |
$30.69 |
| 86900 |
|
509 |
463 |
$27.47 |
| J2405 |
Ondansetron hcl injection |
2,756 |
2,334 |
$24.11 |
| 86901 |
|
509 |
463 |
$19.80 |
| J7120 |
Ringers lactate infusion |
1,989 |
1,678 |
$13.83 |
| 85730 |
|
442 |
400 |
$10.66 |
| J2270 |
Morphine sulfate injection |
91 |
73 |
$9.68 |
| J2550 |
Promethazine hcl injection |
64 |
50 |
$6.83 |
| J1170 |
Hydromorphone injection |
1,485 |
1,070 |
$2.14 |
| 43239 |
|
26 |
26 |
$0.00 |
| 87186 |
|
256 |
230 |
$0.00 |
| 87491 |
|
24 |
24 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
35 |
26 |
$0.00 |
| J7040 |
Normal saline solution infus |
16 |
15 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
346 |
253 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
990 |
919 |
$0.00 |
| G0378 |
Hospital observation per hr |
21 |
13 |
$0.00 |
| A9270 |
Non-covered item or service |
88 |
63 |
$0.00 |
| J7999 |
Compounded drug, noc |
12 |
12 |
$0.00 |
| 84443 |
|
50 |
50 |
$0.00 |
| 96376 |
|
74 |
55 |
$0.00 |
| 87591 |
|
24 |
24 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
112 |
99 |
$0.00 |
| 86592 |
|
12 |
12 |
$0.00 |
| 85027 |
|
13 |
12 |
$0.00 |
| 87389 |
|
13 |
13 |
$0.00 |