| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36415 |
|
28,589 |
22,420 |
$1.74M |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,320 |
3,975 |
$724K |
| 99283 |
|
17,119 |
15,943 |
$567K |
| 97110 |
|
8,223 |
2,199 |
$357K |
| 99282 |
|
3,567 |
3,415 |
$350K |
| 99281 |
|
2,716 |
2,557 |
$325K |
| 0241U |
|
3,196 |
3,001 |
$256K |
| 96372 |
|
5,153 |
4,104 |
$188K |
| 96374 |
|
9,016 |
7,778 |
$170K |
| J7030 |
Normal saline solution infus |
1,736 |
1,421 |
$148K |
| 81001 |
|
10,565 |
9,526 |
$137K |
| 99284 |
|
15,537 |
14,027 |
$132K |
| 70450 |
|
4,395 |
3,968 |
$120K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,474 |
1,380 |
$106K |
| 87635 |
|
2,073 |
1,875 |
$106K |
| 71046 |
|
5,384 |
5,065 |
$101K |
| J7120 |
Ringers lactate infusion |
1,408 |
1,171 |
$88K |
| 81003 |
|
3,815 |
3,513 |
$69K |
| 81025 |
|
5,553 |
5,206 |
$68K |
| 77063 |
|
839 |
820 |
$63K |
| 87804 |
|
2,757 |
1,843 |
$58K |
| 87651 |
|
1,087 |
1,049 |
$55K |
| 73610 |
|
817 |
764 |
$51K |
| 80048 |
|
12,005 |
10,146 |
$51K |
| 92507 |
|
363 |
125 |
$46K |
| 73630 |
|
991 |
918 |
$46K |
| 71045 |
|
7,289 |
6,382 |
$38K |
| 80053 |
|
12,999 |
10,802 |
$36K |
| 96361 |
|
4,607 |
3,725 |
$33K |
| 73030 |
|
780 |
721 |
$33K |
| 73130 |
|
503 |
459 |
$32K |
| 36416 |
|
3,596 |
2,136 |
$30K |
| 96365 |
|
2,047 |
1,820 |
$28K |
| 93005 |
|
11,121 |
9,221 |
$26K |
| 74176 |
|
1,458 |
1,360 |
$25K |
| 80307 |
|
2,434 |
2,234 |
$25K |
| 87070 |
|
381 |
368 |
$23K |
| 99285 |
|
9,009 |
7,925 |
$21K |
| 87086 |
|
2,369 |
2,224 |
$21K |
| 93306 |
|
202 |
194 |
$18K |
| 73721 |
|
26 |
25 |
$16K |
| 73110 |
|
229 |
214 |
$14K |
| 73564 |
|
302 |
261 |
$13K |
| 77067 |
|
1,124 |
1,095 |
$13K |
| 73562 |
|
343 |
298 |
$12K |
| 94640 |
|
2,204 |
1,673 |
$12K |
| 97161 |
|
456 |
435 |
$11K |
| 96375 |
|
6,035 |
4,862 |
$11K |
| 85025 |
|
23,246 |
18,456 |
$10K |
| 72100 |
|
301 |
292 |
$10K |
| Q0162 |
Ondansetron oral |
138 |
127 |
$9K |
| 74018 |
|
193 |
179 |
$8K |
| 59025 |
|
172 |
119 |
$8K |
| G0378 |
Hospital observation per hr |
2,821 |
1,541 |
$7K |
| 96376 |
|
2,159 |
1,372 |
$7K |
| 74177 |
|
3,104 |
2,883 |
$7K |
| 82948 |
|
2,208 |
869 |
$7K |
| 82803 |
|
742 |
633 |
$6K |
| 87040 |
|
3,648 |
2,032 |
$6K |
| 87491 |
|
362 |
355 |
$5K |
| 96360 |
|
1,372 |
1,294 |
$5K |
| 87077 |
|
628 |
578 |
$5K |
| 72125 |
|
860 |
795 |
$4K |
| 76805 |
|
28 |
27 |
$4K |
| 73502 |
|
171 |
153 |
$4K |
| J2405 |
Ondansetron hcl injection |
5,467 |
4,712 |
$3K |
| J7050 |
Normal saline solution infus |
827 |
526 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
2,449 |
2,104 |
$2K |
| 71250 |
|
28 |
26 |
$2K |
| 76705 |
|
26 |
26 |
$2K |
| 87591 |
|
464 |
444 |
$2K |
| J7040 |
Normal saline solution infus |
37 |
34 |
$2K |
| J2270 |
Morphine sulfate injection |
2,345 |
1,929 |
$2K |
| 87807 |
|
134 |
130 |
$2K |
| 87430 |
|
361 |
349 |
$2K |
| 97162 |
|
104 |
102 |
$2K |
| 92523 |
|
12 |
12 |
$2K |
| 73080 |
|
30 |
27 |
$2K |
| 87210 |
|
83 |
77 |
$1K |
| 76830 |
|
14 |
14 |
$1K |
| 84145 |
|
2,639 |
2,192 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
1,413 |
1,333 |
$1K |
| 97535 |
|
18 |
12 |
$1K |
| 84702 |
|
835 |
751 |
$1K |
| 86850 |
|
497 |
434 |
$1K |
| 36600 |
|
375 |
335 |
$996.74 |
| 80076 |
|
1,939 |
1,822 |
$828.49 |
| 80061 |
|
1,106 |
1,064 |
$799.75 |
| J1100 |
Dexamethasone sodium phos |
2,439 |
2,309 |
$716.24 |
| J7060 |
5% dextrose/water |
21 |
13 |
$701.22 |
| 83880 |
|
2,836 |
2,532 |
$672.61 |
| 84484 |
|
8,904 |
6,387 |
$615.51 |
| 82306 |
|
1,135 |
1,106 |
$522.97 |
| 76641 |
|
16 |
16 |
$519.40 |
| J1885 |
Ketorolac tromethamine inj |
3,974 |
3,651 |
$504.13 |
| 74022 |
|
65 |
64 |
$464.56 |
| 86900 |
|
807 |
727 |
$437.77 |
| J1170 |
Hydromorphone injection |
595 |
455 |
$359.15 |
| 84443 |
|
3,098 |
2,893 |
$259.70 |
| 97140 |
|
137 |
50 |
$229.50 |
| A9270 |
Non-covered item or service |
2,234 |
1,331 |
$201.46 |
| 84439 |
|
876 |
846 |
$184.37 |
| 97530 |
|
174 |
78 |
$151.57 |
| U0005 |
Infec agen detec ampli probe |
1,221 |
1,141 |
$100.00 |
| C9803 |
Hopd covid-19 spec collect |
533 |
488 |
$95.35 |
| 82550 |
|
290 |
250 |
$75.31 |
| 85610 |
|
3,788 |
3,355 |
$73.86 |
| 83735 |
|
9,479 |
7,487 |
$66.23 |
| 86140 |
|
250 |
211 |
$33.72 |
| 71275 |
|
925 |
879 |
$32.82 |
| 80179 |
|
398 |
361 |
$24.04 |
| 80143 |
|
431 |
384 |
$24.04 |
| 80069 |
|
16 |
13 |
$22.40 |
| 83655 |
|
138 |
133 |
$21.71 |
| 82077 |
|
907 |
803 |
$20.60 |
| 83690 |
|
6,097 |
5,362 |
$20.00 |
| 85027 |
|
2,314 |
2,137 |
$18.50 |
| 83036 |
|
1,251 |
1,210 |
$15.31 |
| 86738 |
|
186 |
179 |
$13.24 |
| 85730 |
|
3,170 |
2,857 |
$9.19 |
| J2060 |
Lorazepam injection |
185 |
143 |
$7.69 |
| J1200 |
Diphenhydramine hcl injectio |
691 |
597 |
$4.09 |
| J2272 |
Inj, morphine (fresenius) |
196 |
162 |
$4.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
929 |
772 |
$0.23 |
| 96366 |
|
430 |
344 |
$0.00 |
| 83605 |
|
4,161 |
3,310 |
$0.00 |
| 87205 |
|
67 |
39 |
$0.00 |
| 86901 |
|
808 |
728 |
$0.00 |
| 85379 |
|
630 |
599 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
1,121 |
1,032 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
596 |
532 |
$0.00 |
| J3490 |
Drugs unclassified injection |
1,315 |
1,147 |
$0.00 |
| 90471 |
|
75 |
68 |
$0.00 |
| 85651 |
|
60 |
52 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
1,151 |
1,074 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
245 |
224 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
19 |
17 |
$0.00 |
| 84703 |
|
174 |
164 |
$0.00 |
| 70498 |
|
17 |
14 |
$0.00 |
| 70496 |
|
17 |
14 |
$0.00 |
| 88305 |
|
125 |
121 |
$0.00 |
| 71260 |
|
27 |
26 |
$0.00 |
| 94760 |
|
137 |
82 |
$0.00 |
| 80320 |
|
140 |
130 |
$0.00 |
| 97165 |
|
46 |
41 |
$0.00 |
| J1940 |
Furosemide injection |
60 |
40 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
40 |
38 |
$0.00 |
| 87147 |
|
33 |
30 |
$0.00 |
| 80329 |
|
16 |
16 |
$0.00 |
| J8540 |
Oral dexamethasone |
34 |
33 |
$0.00 |
| 87081 |
|
14 |
13 |
$0.00 |
| J2550 |
Promethazine hcl injection |
608 |
522 |
$0.00 |
| 87186 |
|
943 |
844 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
68 |
50 |
$0.00 |
| 90715 |
|
99 |
96 |
$0.00 |
| J2930 |
Methylprednisolone injection |
110 |
102 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
231 |
192 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
159 |
131 |
$0.00 |
| 84100 |
|
557 |
477 |
$0.00 |
| 83525 |
|
270 |
267 |
$0.00 |
| 82565 |
|
42 |
40 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
110 |
101 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
118 |
67 |
$0.00 |
| 87798 |
|
170 |
164 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
54 |
28 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
31 |
26 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
16 |
12 |
$0.00 |