| Code | Description | Claims | Beneficiaries | Total Paid |
| 8888888 |
|
22,997 |
10,843 |
$9.23M |
| 85025 |
|
10,110 |
8,239 |
$345K |
| 96374 |
|
5,785 |
4,893 |
$262K |
| 99283 |
|
5,762 |
5,118 |
$236K |
| 0241U |
|
1,633 |
1,526 |
$204K |
| 80050 |
|
1,299 |
1,174 |
$115K |
| 99284 |
|
7,257 |
6,335 |
$115K |
| 96372 |
|
781 |
662 |
$107K |
| 99282 |
|
1,583 |
1,444 |
$79K |
| 96375 |
|
4,084 |
3,435 |
$75K |
| 96365 |
|
1,271 |
975 |
$71K |
| 99285 |
|
4,599 |
4,022 |
$59K |
| J1885 |
Ketorolac tromethamine inj |
4,058 |
3,466 |
$54K |
| 80307 |
|
2,326 |
1,838 |
$39K |
| J2704 |
Inj, propofol, 10 mg |
2,532 |
2,180 |
$39K |
| J2405 |
Ondansetron hcl injection |
5,547 |
4,293 |
$34K |
| 96361 |
|
3,284 |
2,807 |
$33K |
| 81001 |
|
5,352 |
4,669 |
$32K |
| J3010 |
Fentanyl citrate injection |
2,692 |
1,957 |
$31K |
| 70450 |
|
1,230 |
1,094 |
$29K |
| J1100 |
Dexamethasone sodium phos |
1,896 |
1,658 |
$27K |
| 71046 |
|
1,397 |
1,269 |
$26K |
| U0002 |
Covid-19 lab test non-cdc |
674 |
601 |
$23K |
| J7120 |
Ringers lactate infusion |
1,129 |
920 |
$23K |
| 80053 |
|
8,732 |
7,268 |
$22K |
| 85027 |
|
726 |
650 |
$21K |
| 82330 |
|
1,188 |
1,045 |
$20K |
| 71045 |
|
1,961 |
1,760 |
$20K |
| 84702 |
|
2,918 |
2,589 |
$19K |
| 88305 |
|
598 |
558 |
$18K |
| J2270 |
Morphine sulfate injection |
1,583 |
1,310 |
$17K |
| 93005 |
|
4,367 |
3,777 |
$17K |
| 97110 |
|
513 |
279 |
$16K |
| 77067 |
|
218 |
214 |
$15K |
| 76856 |
|
296 |
284 |
$15K |
| G0463 |
Hospital outpt clinic visit |
371 |
279 |
$14K |
| J0690 |
Cefazolin sodium injection |
1,506 |
1,233 |
$13K |
| J2060 |
Lorazepam injection |
848 |
682 |
$13K |
| 74177 |
|
1,723 |
1,557 |
$11K |
| 96376 |
|
960 |
831 |
$11K |
| J1170 |
Hydromorphone injection |
1,476 |
1,117 |
$10K |
| 87086 |
|
1,784 |
1,555 |
$9K |
| 76705 |
|
401 |
366 |
$8K |
| J2250 |
Inj midazolam hydrochloride |
1,959 |
1,666 |
$8K |
| J1200 |
Diphenhydramine hcl injectio |
789 |
632 |
$7K |
| 83690 |
|
3,407 |
2,940 |
$6K |
| 84484 |
|
2,329 |
1,977 |
$6K |
| 80048 |
|
1,788 |
1,525 |
$6K |
| 96360 |
|
749 |
647 |
$5K |
| 74176 |
|
67 |
62 |
$5K |
| 87502 |
|
167 |
149 |
$4K |
| 86901 |
|
41 |
39 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
475 |
403 |
$3K |
| J2550 |
Promethazine hcl injection |
646 |
535 |
$3K |
| G0480 |
Drug test def 1-7 classes |
859 |
746 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,651 |
1,493 |
$2K |
| 87186 |
|
249 |
218 |
$2K |
| 87804 |
|
58 |
52 |
$2K |
| 83605 |
|
2,443 |
2,030 |
$2K |
| 85610 |
|
598 |
503 |
$2K |
| 81025 |
|
44 |
41 |
$1K |
| 76830 |
|
120 |
116 |
$1K |
| 97161 |
|
14 |
14 |
$1K |
| 93971 |
|
41 |
39 |
$1K |
| 84443 |
|
372 |
344 |
$1K |
| 94640 |
|
298 |
259 |
$987.95 |
| A9585 |
Gadobutrol injection |
29 |
28 |
$758.76 |
| 85379 |
|
850 |
774 |
$703.82 |
| 86140 |
|
395 |
335 |
$642.86 |
| 73610 |
|
27 |
24 |
$510.65 |
| 73630 |
|
13 |
12 |
$462.71 |
| 76770 |
|
15 |
13 |
$401.78 |
| 82247 |
|
50 |
24 |
$319.10 |
| 87088 |
|
171 |
154 |
$268.94 |
| 87591 |
|
47 |
43 |
$253.12 |
| 97140 |
|
19 |
13 |
$238.87 |
| 73562 |
|
16 |
13 |
$218.52 |
| 87880 |
|
35 |
33 |
$218.23 |
| 76801 |
|
14 |
12 |
$205.34 |
| 82803 |
|
270 |
238 |
$158.56 |
| 83735 |
|
488 |
340 |
$121.90 |
| 90715 |
|
13 |
12 |
$80.00 |
| 83880 |
|
52 |
45 |
$57.37 |
| J3490 |
Drugs unclassified injection |
14 |
12 |
$55.36 |
| 82248 |
|
20 |
16 |
$50.18 |
| 86850 |
|
12 |
12 |
$46.86 |
| 84439 |
|
28 |
27 |
$36.88 |
| 80061 |
|
13 |
12 |
$33.26 |
| 71275 |
|
171 |
155 |
$26.87 |
| 82728 |
|
48 |
45 |
$23.02 |
| 84703 |
|
527 |
486 |
$18.94 |
| 87040 |
|
131 |
95 |
$13.90 |
| 85651 |
|
104 |
82 |
$0.00 |
| 87426 |
|
16 |
16 |
$0.00 |
| G0378 |
Hospital observation per hr |
61 |
53 |
$0.00 |
| 82306 |
|
26 |
25 |
$0.00 |
| 87070 |
|
16 |
12 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
12 |
12 |
$0.00 |
| 83036 |
|
12 |
12 |
$0.00 |
| 90471 |
|
83 |
79 |
$0.00 |
| 84478 |
|
15 |
13 |
$0.00 |
| 90686 |
|
23 |
21 |
$0.00 |
| 88304 |
|
13 |
13 |
$0.00 |
| 83615 |
|
16 |
14 |
$0.00 |
| 66984 |
|
18 |
13 |
$0.00 |
| J1630 |
Haloperidol injection |
18 |
12 |
$0.00 |
| 72125 |
|
45 |
42 |
$0.00 |
| 43239 |
|
25 |
24 |
$0.00 |
| 86900 |
|
12 |
12 |
$0.00 |
| 87491 |
|
59 |
55 |
$0.00 |