| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
8,991 |
7,203 |
$1.02M |
| 99283 |
|
8,154 |
6,592 |
$794K |
| 99285 |
|
6,830 |
5,369 |
$777K |
| 70450 |
|
1,160 |
936 |
$306K |
| 74176 |
|
552 |
507 |
$200K |
| G0257 |
Unsched dialysis esrd pt hos |
266 |
53 |
$91K |
| 99282 |
|
783 |
659 |
$75K |
| G0378 |
Hospital observation per hr |
4,017 |
1,622 |
$62K |
| 96361 |
|
2,098 |
1,569 |
$35K |
| 93306 |
|
180 |
148 |
$30K |
| 80048 |
|
1,608 |
1,068 |
$19K |
| 99281 |
|
189 |
163 |
$16K |
| 90935 |
|
28 |
12 |
$12K |
| 80307 |
|
759 |
611 |
$12K |
| U0002 |
Covid-19 lab test non-cdc |
5,415 |
4,084 |
$7K |
| 97110 |
|
270 |
50 |
$7K |
| 96365 |
|
595 |
490 |
$5K |
| 96372 |
|
3,552 |
2,094 |
$5K |
| 96374 |
|
4,961 |
3,980 |
$4K |
| 93005 |
|
5,380 |
4,267 |
$3K |
| 85025 |
|
10,949 |
7,903 |
$3K |
| 80053 |
|
9,570 |
7,199 |
$3K |
| 97162 |
|
167 |
129 |
$3K |
| J1170 |
Hydromorphone injection |
2,561 |
890 |
$2K |
| 96360 |
|
533 |
464 |
$2K |
| 96366 |
|
137 |
103 |
$2K |
| 71045 |
|
4,458 |
3,724 |
$2K |
| 85610 |
|
1,508 |
1,210 |
$2K |
| 76856 |
|
114 |
108 |
$2K |
| 86850 |
|
464 |
406 |
$2K |
| 86901 |
|
464 |
406 |
$2K |
| 86900 |
|
464 |
406 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
2,280 |
765 |
$2K |
| 72125 |
|
37 |
28 |
$1K |
| 73564 |
|
81 |
72 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
429 |
329 |
$1K |
| 36415 |
|
5,728 |
4,288 |
$1K |
| 72131 |
|
17 |
13 |
$1K |
| J2405 |
Ondansetron hcl injection |
1,799 |
1,334 |
$1K |
| J7030 |
Normal saline solution infus |
3,868 |
2,788 |
$1K |
| 96375 |
|
3,055 |
2,170 |
$1K |
| 85730 |
|
1,313 |
1,078 |
$915.21 |
| 81025 |
|
4,279 |
3,780 |
$702.66 |
| 96376 |
|
979 |
547 |
$522.23 |
| 87426 |
|
1,236 |
1,106 |
$503.58 |
| J7050 |
Normal saline solution infus |
543 |
328 |
$502.35 |
| 94640 |
|
357 |
246 |
$489.37 |
| 84484 |
|
2,542 |
1,514 |
$389.94 |
| A9270 |
Non-covered item or service |
1,020 |
448 |
$306.91 |
| 71046 |
|
68 |
64 |
$298.28 |
| 87081 |
|
316 |
279 |
$286.64 |
| 80050 |
|
44 |
41 |
$279.51 |
| 82550 |
|
843 |
640 |
$265.02 |
| J0360 |
Hydralazine hcl injection |
252 |
166 |
$257.43 |
| 84443 |
|
465 |
375 |
$255.52 |
| 82962 |
|
2,114 |
873 |
$225.20 |
| 83690 |
|
1,340 |
1,084 |
$189.05 |
| 81001 |
|
3,736 |
3,262 |
$156.20 |
| 84702 |
|
1,199 |
1,058 |
$152.57 |
| 84439 |
|
17 |
15 |
$133.10 |
| 83036 |
|
80 |
73 |
$126.57 |
| 87070 |
|
728 |
661 |
$112.66 |
| J7120 |
Ringers lactate infusion |
90 |
73 |
$75.00 |
| 76705 |
|
149 |
137 |
$71.05 |
| 94664 |
|
249 |
225 |
$70.24 |
| 99001 |
|
156 |
132 |
$67.61 |
| 76801 |
|
228 |
202 |
$65.29 |
| 76805 |
|
24 |
24 |
$65.29 |
| 73610 |
|
30 |
26 |
$64.23 |
| 74018 |
|
284 |
214 |
$55.31 |
| 87804 |
|
4,839 |
2,593 |
$49.26 |
| 87086 |
|
1,496 |
1,310 |
$45.92 |
| 87635 |
|
66 |
58 |
$33.34 |
| S0028 |
Injection, famotidine, 20 mg |
293 |
221 |
$25.74 |
| 83880 |
|
529 |
437 |
$20.53 |
| 85027 |
|
433 |
297 |
$20.03 |
| 83735 |
|
946 |
726 |
$15.97 |
| J2250 |
Inj midazolam hydrochloride |
151 |
126 |
$14.08 |
| J1644 |
Inj heparin sodium per 1000u |
93 |
42 |
$14.08 |
| J2270 |
Morphine sulfate injection |
866 |
586 |
$9.75 |
| 81003 |
|
588 |
510 |
$6.63 |
| 87040 |
|
683 |
310 |
$4.55 |
| 86140 |
|
17 |
14 |
$3.53 |
| 80061 |
|
24 |
24 |
$2.67 |
| J1885 |
Ketorolac tromethamine inj |
1,491 |
1,241 |
$2.54 |
| 87430 |
|
359 |
332 |
$2.28 |
| 87880 |
|
221 |
214 |
$2.28 |
| 84100 |
|
180 |
132 |
$1.57 |
| 72170 |
|
17 |
12 |
$0.00 |
| 83605 |
|
443 |
302 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
171 |
157 |
$0.00 |
| 85379 |
|
242 |
215 |
$0.00 |
| 87808 |
|
147 |
138 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
576 |
467 |
$0.00 |
| 87077 |
|
428 |
365 |
$0.00 |
| J2060 |
Lorazepam injection |
698 |
451 |
$0.00 |
| 90471 |
|
39 |
29 |
$0.00 |
| 87205 |
|
421 |
358 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
14 |
13 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
391 |
275 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
82 |
66 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
158 |
134 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
478 |
380 |
$0.00 |
| J1815 |
Insulin injection |
197 |
68 |
$0.00 |
| 85651 |
|
35 |
25 |
$0.00 |
| 80047 |
|
14 |
13 |
$0.00 |
| J2360 |
Orphenadrine injection |
27 |
26 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
68 |
46 |
$0.00 |
| 87807 |
|
56 |
55 |
$0.00 |
| 84703 |
|
35 |
25 |
$0.00 |
| J1212 |
Dimethyl sulfoxide 50% 50 ml |
16 |
12 |
$0.00 |
| 88305 |
|
17 |
12 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
331 |
189 |
$0.00 |
| 85045 |
|
157 |
92 |
$0.00 |
| J7040 |
Normal saline solution infus |
230 |
189 |
$0.00 |
| 80076 |
|
99 |
88 |
$0.00 |
| A4216 |
Sterile water/saline, 10 ml |
1,018 |
465 |
$0.00 |
| 90714 |
|
31 |
26 |
$0.00 |
| J2930 |
Methylprednisolone injection |
109 |
96 |
$0.00 |
| 80143 |
|
41 |
40 |
$0.00 |
| 87186 |
|
443 |
377 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
480 |
307 |
$0.00 |
| 87491 |
|
125 |
118 |
$0.00 |
| J1953 |
Levetiracetam injection |
97 |
67 |
$0.00 |
| 97116 |
|
66 |
25 |
$0.00 |
| 72100 |
|
16 |
12 |
$0.00 |
| 80179 |
|
25 |
24 |
$0.00 |