| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 41899 |
Unlisted procedure, dentoalveolar structures |
3,464 |
3,397 |
$8.49M |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
584 |
568 |
$1.12M |
| J3490 |
Unclassified drugs |
11,698 |
4,720 |
$100K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,661 |
1,623 |
$65K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
4,158 |
4,084 |
$61K |
| 42830 |
|
12 |
12 |
$36K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,716 |
1,675 |
$33K |
| J2704 |
Injection, propofol, 10 mg |
3,533 |
3,477 |
$25K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
4,009 |
3,953 |
$23K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,379 |
3,331 |
$23K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
4,094 |
4,037 |
$20K |
| 70310 |
|
1,404 |
1,388 |
$20K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
3,467 |
3,119 |
$15K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,678 |
2,643 |
$13K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
261 |
258 |
$5K |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
131 |
130 |
$0.00 |
| L8613 |
Ossicula implant |
32 |
30 |
$0.00 |