| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 41899 |
|
3,464 |
3,397 |
$8.49M |
| 69436 |
|
584 |
568 |
$1.12M |
| J3490 |
Drugs unclassified injection |
11,698 |
4,720 |
$100K |
| 87426 |
|
1,661 |
1,623 |
$65K |
| J7120 |
Ringers lactate infusion |
4,158 |
4,084 |
$61K |
| 42830 |
|
12 |
12 |
$36K |
| C9803 |
Hopd covid-19 spec collect |
1,716 |
1,675 |
$33K |
| J2704 |
Inj, propofol, 10 mg |
3,533 |
3,477 |
$25K |
| J1100 |
Dexamethasone sodium phos |
4,009 |
3,953 |
$23K |
| J1885 |
Ketorolac tromethamine inj |
3,379 |
3,331 |
$23K |
| J2405 |
Ondansetron hcl injection |
4,094 |
4,037 |
$20K |
| 70310 |
|
1,404 |
1,388 |
$20K |
| J8499 |
Oral prescrip drug non chemo |
3,467 |
3,119 |
$15K |
| J2270 |
Morphine sulfate injection |
2,678 |
2,643 |
$13K |
| J3010 |
Fentanyl citrate injection |
261 |
258 |
$5K |
| J2272 |
Inj, morphine (fresenius) |
131 |
130 |
$0.00 |
| L8613 |
Ossicular implant |
32 |
30 |
$0.00 |