| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 8888888 |
|
4,706 |
2,194 |
$2.24M |
| 85025 |
|
2,671 |
2,213 |
$60K |
| 96374 |
|
1,317 |
1,111 |
$50K |
| 99283 |
|
1,389 |
1,206 |
$36K |
| 0241U |
|
322 |
292 |
$33K |
| 99284 |
|
1,649 |
1,404 |
$24K |
| 99285 |
|
879 |
728 |
$19K |
| 99282 |
|
137 |
122 |
$8K |
| 80050 |
|
132 |
127 |
$8K |
| J1885 |
Ketorolac tromethamine inj |
760 |
646 |
$7K |
| 80307 |
|
355 |
284 |
$6K |
| 74177 |
|
287 |
254 |
$6K |
| J2405 |
Ondansetron hcl injection |
1,385 |
1,114 |
$5K |
| 96375 |
|
777 |
646 |
$5K |
| 80053 |
|
2,411 |
2,022 |
$4K |
| 81001 |
|
1,141 |
1,008 |
$3K |
| 84702 |
|
386 |
335 |
$3K |
| 0011A |
|
96 |
88 |
$2K |
| 0012A |
|
93 |
78 |
$2K |
| 70450 |
|
47 |
37 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
138 |
115 |
$2K |
| J7120 |
Ringers lactate infusion |
212 |
183 |
$2K |
| 87086 |
|
145 |
131 |
$1K |
| 96361 |
|
239 |
204 |
$1K |
| 87804 |
|
43 |
41 |
$874.68 |
| 93005 |
|
614 |
531 |
$627.61 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
449 |
409 |
$574.07 |
| 71046 |
|
29 |
27 |
$513.00 |
| 84443 |
|
95 |
92 |
$499.65 |
| 0031A |
|
30 |
25 |
$497.28 |
| 71045 |
|
15 |
15 |
$412.91 |
| 87081 |
|
17 |
17 |
$327.23 |
| 91301 |
|
18 |
12 |
$241.58 |
| 83605 |
|
447 |
364 |
$118.09 |
| 83690 |
|
489 |
426 |
$110.32 |
| 83036 |
|
14 |
12 |
$96.82 |
| G0480 |
Drug test def 1-7 classes |
14 |
14 |
$63.95 |
| 84484 |
|
214 |
181 |
$17.03 |
| 80048 |
|
13 |
12 |
$4.46 |
| J3010 |
Fentanyl citrate injection |
459 |
338 |
$0.48 |
| J1100 |
Dexamethasone sodium phos |
294 |
262 |
$0.24 |
| J0690 |
Cefazolin sodium injection |
116 |
80 |
$0.24 |
| J2704 |
Inj, propofol, 10 mg |
743 |
432 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
109 |
100 |
$0.00 |
| 86140 |
|
29 |
24 |
$0.00 |
| J1170 |
Hydromorphone injection |
54 |
41 |
$0.00 |