| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 8888888 |
|
30,801 |
15,287 |
$12.71M |
| 96374 |
|
11,304 |
9,342 |
$525K |
| 85025 |
|
20,738 |
17,210 |
$523K |
| 99283 |
|
10,368 |
9,131 |
$350K |
| 99284 |
|
12,972 |
11,358 |
$333K |
| 96372 |
|
2,931 |
2,411 |
$295K |
| 0241U |
|
1,913 |
1,783 |
$248K |
| 80050 |
|
1,800 |
1,693 |
$149K |
| 99285 |
|
5,615 |
4,988 |
$104K |
| 99282 |
|
2,484 |
2,276 |
$100K |
| 96365 |
|
2,159 |
1,588 |
$94K |
| 80307 |
|
2,503 |
2,018 |
$87K |
| 70450 |
|
1,913 |
1,741 |
$76K |
| U0002 |
Covid-19 lab test non-cdc |
1,816 |
1,650 |
$75K |
| 85027 |
|
1,880 |
1,562 |
$69K |
| J1885 |
Ketorolac tromethamine inj |
6,079 |
5,014 |
$66K |
| 71045 |
|
3,237 |
2,953 |
$59K |
| 81001 |
|
8,263 |
7,143 |
$58K |
| G0463 |
Hospital outpt clinic visit |
2,488 |
1,666 |
$54K |
| 71046 |
|
1,577 |
1,456 |
$49K |
| J2704 |
Inj, propofol, 10 mg |
3,563 |
3,206 |
$49K |
| 96375 |
|
8,331 |
6,800 |
$47K |
| 97110 |
|
1,950 |
938 |
$47K |
| J3010 |
Fentanyl citrate injection |
3,578 |
2,610 |
$47K |
| J1100 |
Dexamethasone sodium phos |
3,326 |
3,001 |
$43K |
| J1170 |
Hydromorphone injection |
3,363 |
2,401 |
$43K |
| 74018 |
|
911 |
795 |
$40K |
| J0690 |
Cefazolin sodium injection |
1,812 |
1,550 |
$40K |
| 80053 |
|
16,878 |
14,130 |
$38K |
| J2270 |
Morphine sulfate injection |
4,338 |
3,425 |
$37K |
| J2405 |
Ondansetron hcl injection |
8,851 |
7,088 |
$36K |
| 97140 |
|
1,377 |
677 |
$34K |
| 76856 |
|
836 |
781 |
$33K |
| J7120 |
Ringers lactate infusion |
1,096 |
926 |
$30K |
| 87086 |
|
2,270 |
2,036 |
$30K |
| 87633 |
|
221 |
210 |
$29K |
| 11042 |
|
291 |
155 |
$28K |
| 96361 |
|
5,498 |
4,622 |
$27K |
| J2250 |
Inj midazolam hydrochloride |
2,528 |
2,288 |
$27K |
| 74176 |
|
901 |
837 |
$27K |
| J2060 |
Lorazepam injection |
1,931 |
1,533 |
$24K |
| 72148 |
|
169 |
161 |
$22K |
| 81025 |
|
1,007 |
931 |
$22K |
| 93005 |
|
4,445 |
3,958 |
$21K |
| 77067 |
|
300 |
290 |
$20K |
| 76705 |
|
784 |
742 |
$18K |
| 88305 |
|
648 |
600 |
$17K |
| J0696 |
Ceftriaxone sodium injection |
1,548 |
1,222 |
$16K |
| 84702 |
|
1,856 |
1,575 |
$15K |
| 80048 |
|
3,316 |
2,905 |
$14K |
| 84443 |
|
1,849 |
1,749 |
$12K |
| J1200 |
Diphenhydramine hcl injectio |
1,266 |
1,002 |
$11K |
| 87631 |
|
157 |
147 |
$11K |
| 96376 |
|
3,081 |
2,481 |
$11K |
| 82247 |
|
1,794 |
943 |
$11K |
| J2550 |
Promethazine hcl injection |
1,949 |
1,473 |
$10K |
| 84703 |
|
2,369 |
2,150 |
$10K |
| 86901 |
|
683 |
617 |
$8K |
| 81003 |
|
314 |
289 |
$8K |
| 84484 |
|
2,307 |
1,988 |
$8K |
| 96360 |
|
1,183 |
1,008 |
$8K |
| 74177 |
|
2,234 |
2,075 |
$8K |
| 73630 |
|
162 |
150 |
$7K |
| 83690 |
|
5,590 |
4,822 |
$7K |
| 97161 |
|
62 |
59 |
$7K |
| 87081 |
|
271 |
257 |
$7K |
| 87186 |
|
838 |
759 |
$6K |
| 93306 |
|
29 |
29 |
$6K |
| 85379 |
|
1,336 |
1,235 |
$5K |
| 76830 |
|
308 |
296 |
$5K |
| 80061 |
|
1,410 |
1,350 |
$5K |
| 87880 |
|
323 |
309 |
$4K |
| 87502 |
|
204 |
183 |
$4K |
| 73610 |
|
62 |
52 |
$3K |
| 85610 |
|
1,049 |
849 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,280 |
2,116 |
$3K |
| 83036 |
|
1,018 |
985 |
$3K |
| 85651 |
|
1,753 |
1,523 |
$3K |
| 93971 |
|
119 |
105 |
$3K |
| 84439 |
|
1,237 |
1,172 |
$3K |
| 73721 |
|
13 |
12 |
$3K |
| 70551 |
|
26 |
25 |
$3K |
| U0005 |
Infec agen detec ampli probe |
27 |
24 |
$2K |
| J1630 |
Haloperidol injection |
372 |
314 |
$2K |
| 86140 |
|
2,886 |
2,490 |
$2K |
| 82306 |
|
829 |
802 |
$2K |
| 87635 |
|
50 |
48 |
$2K |
| 76642 |
|
128 |
108 |
$2K |
| 72125 |
|
90 |
79 |
$2K |
| G0480 |
Drug test def 1-7 classes |
879 |
778 |
$2K |
| 83735 |
|
1,262 |
927 |
$2K |
| 73110 |
|
26 |
24 |
$1K |
| 73130 |
|
20 |
16 |
$1K |
| 0202U |
|
13 |
12 |
$1K |
| 87804 |
|
107 |
103 |
$1K |
| 80164 |
|
126 |
116 |
$1K |
| 76801 |
|
31 |
26 |
$1K |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
12 |
12 |
$982.06 |
| 87807 |
|
12 |
12 |
$974.26 |
| 94640 |
|
393 |
343 |
$856.26 |
| 83605 |
|
1,379 |
1,201 |
$585.46 |
| 86850 |
|
200 |
179 |
$583.35 |
| 73562 |
|
12 |
12 |
$564.12 |
| 82570 |
|
117 |
99 |
$444.96 |
| 73030 |
|
19 |
15 |
$418.40 |
| 82550 |
|
30 |
25 |
$384.24 |
| 82565 |
|
95 |
91 |
$359.47 |
| 87491 |
|
13 |
12 |
$344.28 |
| 82805 |
|
14 |
12 |
$339.27 |
| 84146 |
|
96 |
92 |
$289.91 |
| 84481 |
|
15 |
15 |
$288.69 |
| 72100 |
|
13 |
12 |
$245.20 |
| 83516 |
|
27 |
26 |
$229.15 |
| 85007 |
|
448 |
361 |
$218.57 |
| 85730 |
|
129 |
122 |
$169.18 |
| 84466 |
|
58 |
54 |
$159.45 |
| 87040 |
|
819 |
645 |
$149.63 |
| 82728 |
|
79 |
71 |
$146.25 |
| 71275 |
|
482 |
455 |
$127.22 |
| 83880 |
|
302 |
277 |
$118.95 |
| 84156 |
|
51 |
41 |
$107.13 |
| 86900 |
|
85 |
74 |
$105.16 |
| 80178 |
|
13 |
12 |
$100.40 |
| 87088 |
|
638 |
580 |
$96.99 |
| 82607 |
|
121 |
118 |
$88.19 |
| 82248 |
|
16 |
13 |
$71.10 |
| 36415 |
|
36 |
30 |
$52.24 |
| J3490 |
Drugs unclassified injection |
44 |
41 |
$36.58 |
| 84132 |
|
38 |
37 |
$0.00 |
| 99291 |
|
29 |
29 |
$0.00 |
| 90471 |
|
106 |
102 |
$0.00 |
| A9585 |
Gadobutrol injection |
154 |
146 |
$0.00 |
| 83615 |
|
176 |
162 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
31 |
27 |
$0.00 |
| 88304 |
|
40 |
38 |
$0.00 |
| 90686 |
|
57 |
54 |
$0.00 |
| 71260 |
|
27 |
25 |
$0.00 |
| 77063 |
|
26 |
25 |
$0.00 |
| 87070 |
|
18 |
17 |
$0.00 |
| 87591 |
|
13 |
12 |
$0.00 |
| 83540 |
|
61 |
58 |
$0.00 |
| J2930 |
Methylprednisolone injection |
144 |
128 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
13 |
12 |
$0.00 |
| 84100 |
|
18 |
13 |
$0.00 |
| 87075 |
|
13 |
13 |
$0.00 |