| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 27447 |
|
1,199 |
1,141 |
$6.54M |
| 27130 |
|
414 |
402 |
$3.00M |
| C1713 |
Anchor/screw bn/bn,tis/bn |
3,042 |
2,584 |
$478K |
| 73721 |
|
879 |
783 |
$115K |
| 29827 |
|
27 |
26 |
$74K |
| 72148 |
|
797 |
740 |
$70K |
| 73700 |
|
1,240 |
1,163 |
$59K |
| 87635 |
|
1,607 |
1,478 |
$55K |
| 73221 |
|
269 |
246 |
$30K |
| 64721 |
|
29 |
27 |
$25K |
| 72141 |
|
116 |
105 |
$14K |
| C1776 |
Joint device (implantable) |
2,742 |
2,034 |
$13K |
| 29881 |
|
12 |
12 |
$13K |
| 71046 |
|
71 |
67 |
$3K |
| A4649 |
Surgical supplies |
3,373 |
1,388 |
$2K |
| 64447 |
|
660 |
651 |
$917.92 |
| 86900 |
|
67 |
65 |
$659.07 |
| 85730 |
|
257 |
246 |
$424.15 |
| 80053 |
|
723 |
655 |
$20.69 |
| 80048 |
|
2,021 |
1,700 |
$17.76 |
| C9803 |
Hopd covid-19 spec collect |
1,594 |
1,473 |
$13.92 |
| 85027 |
|
2,628 |
2,088 |
$0.53 |
| 97110 |
|
2,118 |
1,629 |
$0.00 |
| 97161 |
|
2,150 |
2,042 |
$0.00 |
| 20985 |
|
82 |
79 |
$0.00 |
| 97116 |
|
2,705 |
1,981 |
$0.00 |
| J7030 |
Normal saline solution infus |
1,409 |
1,298 |
$0.00 |
| 81025 |
|
702 |
680 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
3,848 |
3,317 |
$0.00 |
| J2270 |
Morphine sulfate injection |
522 |
422 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
138 |
133 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
617 |
593 |
$0.00 |
| 76942 |
|
471 |
465 |
$0.00 |
| 85610 |
|
374 |
358 |
$0.00 |
| J7120 |
Ringers lactate infusion |
1,812 |
1,623 |
$0.00 |
| 0055T |
|
599 |
560 |
$0.00 |
| J0735 |
Clonidine hydrochloride |
38 |
38 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
112 |
110 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
40 |
36 |
$0.00 |
| 76000 |
|
181 |
167 |
$0.00 |
| 36415 |
|
3,404 |
2,493 |
$0.00 |
| 82962 |
|
963 |
696 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
2,564 |
2,482 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
2,322 |
1,761 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
1,115 |
1,074 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
320 |
312 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
166 |
148 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
3,758 |
3,323 |
$0.00 |
| 73560 |
|
1,613 |
1,509 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
3,700 |
2,391 |
$0.00 |
| J1170 |
Hydromorphone injection |
2,380 |
2,202 |
$0.00 |
| 36416 |
|
228 |
206 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
2,889 |
2,211 |
$0.00 |
| 97535 |
|
175 |
151 |
$0.00 |
| 85025 |
|
175 |
170 |
$0.00 |
| J3360 |
Diazepam injection |
77 |
77 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
668 |
649 |
$0.00 |
| 73501 |
|
443 |
404 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
105 |
100 |
$0.00 |
| J1094 |
Inj dexamethasone acetate |
186 |
167 |
$0.00 |
| 86850 |
|
68 |
66 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
138 |
131 |
$0.00 |
| 86901 |
|
67 |
65 |
$0.00 |
| 64415 |
|
75 |
72 |
$0.00 |
| 72170 |
|
16 |
16 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
124 |
123 |
$0.00 |
| 29826 |
|
13 |
12 |
$0.00 |