| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80048 |
|
2,500 |
1,724 |
$774K |
| 80053 |
|
4,525 |
3,751 |
$654K |
| U0002 |
Covid-19 lab test non-cdc |
2,192 |
2,092 |
$488K |
| 99283 |
|
6,934 |
6,438 |
$389K |
| 99284 |
|
5,591 |
4,487 |
$260K |
| 97530 |
|
2,945 |
959 |
$212K |
| 92507 |
|
4,434 |
1,426 |
$204K |
| 97110 |
|
1,783 |
574 |
$201K |
| 81001 |
|
2,534 |
2,322 |
$174K |
| 99282 |
|
1,492 |
1,420 |
$167K |
| J8499 |
Oral prescrip drug non chemo |
3,172 |
1,781 |
$157K |
| J3490 |
Drugs unclassified injection |
1,134 |
699 |
$86K |
| U0003 |
Cov-19 amp prb hgh thruput |
373 |
359 |
$82K |
| 81003 |
|
1,316 |
1,237 |
$69K |
| 96374 |
|
2,407 |
2,062 |
$68K |
| 96361 |
|
2,126 |
1,754 |
$47K |
| 87804 |
|
1,417 |
744 |
$42K |
| 96372 |
|
679 |
592 |
$40K |
| 84703 |
|
2,028 |
1,923 |
$38K |
| 96360 |
|
453 |
429 |
$37K |
| 71046 |
|
858 |
823 |
$35K |
| 87070 |
|
679 |
661 |
$35K |
| 70450 |
|
573 |
528 |
$30K |
| 96365 |
|
494 |
383 |
$29K |
| 99285 |
|
2,160 |
1,839 |
$25K |
| A9150 |
Misc/exper non-prescript dru |
389 |
262 |
$22K |
| 71045 |
|
1,470 |
1,347 |
$21K |
| 85025 |
|
7,190 |
5,274 |
$13K |
| J7030 |
Normal saline solution infus |
2,794 |
2,265 |
$6K |
| 96375 |
|
1,324 |
1,113 |
$5K |
| 74177 |
|
140 |
132 |
$5K |
| 93005 |
|
1,670 |
1,463 |
$4K |
| 85610 |
|
244 |
218 |
$3K |
| 80305 |
|
29 |
29 |
$3K |
| 87502 |
|
1,690 |
1,620 |
$3K |
| 94640 |
|
223 |
189 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
17 |
15 |
$2K |
| 80307 |
|
151 |
132 |
$2K |
| J2405 |
Ondansetron hcl injection |
2,074 |
1,739 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
397 |
366 |
$1K |
| 84702 |
|
32 |
25 |
$901.03 |
| 76641 |
|
12 |
12 |
$833.55 |
| J7050 |
Normal saline solution infus |
1,495 |
1,176 |
$805.87 |
| 94664 |
|
67 |
65 |
$557.49 |
| 87086 |
|
861 |
815 |
$539.88 |
| 84484 |
|
845 |
684 |
$229.17 |
| J1100 |
Dexamethasone sodium phos |
619 |
590 |
$157.75 |
| 87807 |
|
173 |
169 |
$147.91 |
| 87081 |
|
42 |
41 |
$124.43 |
| 87798 |
|
161 |
155 |
$81.05 |
| 80076 |
|
15 |
15 |
$63.64 |
| J7120 |
Ringers lactate infusion |
884 |
744 |
$46.28 |
| 87040 |
|
86 |
55 |
$41.28 |
| 83690 |
|
1,107 |
991 |
$40.98 |
| 87077 |
|
132 |
123 |
$33.56 |
| 83605 |
|
284 |
261 |
$27.43 |
| 83735 |
|
448 |
373 |
$22.79 |
| 84443 |
|
12 |
12 |
$22.58 |
| J1885 |
Ketorolac tromethamine inj |
789 |
708 |
$22.25 |
| J1170 |
Hydromorphone injection |
1,062 |
738 |
$17.67 |
| 82550 |
|
155 |
139 |
$5.79 |
| 82150 |
|
30 |
29 |
$5.18 |
| 84100 |
|
82 |
67 |
$3.00 |
| 87430 |
|
391 |
384 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
275 |
242 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
128 |
115 |
$0.00 |
| 88305 |
|
17 |
12 |
$0.00 |
| 87426 |
|
39 |
38 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
18 |
18 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
106 |
91 |
$0.00 |
| 86901 |
|
28 |
26 |
$0.00 |
| 86140 |
|
61 |
52 |
$0.00 |
| 96376 |
|
19 |
13 |
$0.00 |
| A9270 |
Non-covered item or service |
23 |
12 |
$0.00 |
| 85730 |
|
27 |
25 |
$0.00 |
| 74176 |
|
13 |
13 |
$0.00 |
| J2270 |
Morphine sulfate injection |
14 |
12 |
$0.00 |
| J7040 |
Normal saline solution infus |
13 |
13 |
$0.00 |