| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92507 |
|
9,695 |
2,383 |
$3.10M |
| X4011 |
|
8,219 |
7,536 |
$1.76M |
| 99284 |
|
8,292 |
7,940 |
$1.52M |
| G0463 |
Hospital outpt clinic visit |
29,473 |
27,600 |
$1.44M |
| 99283 |
|
6,849 |
6,691 |
$933K |
| 97530 |
|
3,725 |
1,015 |
$916K |
| 85025 |
|
31,450 |
27,681 |
$878K |
| 87804 |
|
23,147 |
15,559 |
$650K |
| Y7506 |
|
2,095 |
1,709 |
$525K |
| 36415 |
|
25,367 |
19,514 |
$497K |
| 97110 |
|
1,117 |
332 |
$482K |
| 87880 |
|
26,388 |
25,717 |
$433K |
| 93005 |
|
7,693 |
6,972 |
$415K |
| 80053 |
|
19,790 |
18,063 |
$369K |
| 87426 |
|
20,855 |
19,063 |
$357K |
| 80047 |
|
7,845 |
5,198 |
$345K |
| 96374 |
|
2,807 |
2,666 |
$284K |
| 71045 |
|
5,749 |
5,347 |
$277K |
| X4006 |
|
715 |
576 |
$253K |
| 81003 |
|
12,184 |
9,576 |
$219K |
| 80076 |
|
6,680 |
4,947 |
$215K |
| X4003 |
|
5,685 |
4,750 |
$205K |
| 87081 |
|
18,215 |
17,770 |
$202K |
| 99285 |
|
996 |
915 |
$182K |
| A0427 |
Als1-emergency |
3,252 |
2,639 |
$179K |
| 81001 |
|
3,855 |
3,322 |
$179K |
| 84443 |
|
8,937 |
8,529 |
$142K |
| 80048 |
|
4,149 |
3,743 |
$139K |
| 99282 |
|
1,539 |
1,514 |
$139K |
| Y7507 |
|
669 |
565 |
$125K |
| 0202U |
|
500 |
486 |
$122K |
| A0425 |
Ground mileage |
4,892 |
3,774 |
$121K |
| 83690 |
|
1,672 |
1,588 |
$73K |
| 85027 |
|
2,777 |
1,798 |
$70K |
| J3490 |
Drugs unclassified injection |
5,977 |
4,807 |
$68K |
| 94010 |
|
940 |
918 |
$66K |
| 85007 |
|
2,779 |
1,797 |
$66K |
| 80306 |
|
885 |
792 |
$65K |
| 83615 |
|
6,615 |
4,252 |
$62K |
| A0429 |
Bls-emergency |
1,126 |
959 |
$55K |
| 66984 |
|
81 |
68 |
$51K |
| 74177 |
|
258 |
247 |
$50K |
| 81025 |
|
1,128 |
1,083 |
$49K |
| 70450 |
|
731 |
683 |
$48K |
| 88305 |
|
940 |
893 |
$46K |
| G0480 |
Drug test def 1-7 classes |
418 |
370 |
$39K |
| 94761 |
|
2,336 |
2,114 |
$36K |
| 96375 |
|
1,031 |
970 |
$35K |
| 71046 |
|
1,266 |
1,197 |
$35K |
| 84484 |
|
2,554 |
2,134 |
$34K |
| 84439 |
|
3,523 |
3,331 |
$33K |
| 62323 |
|
506 |
326 |
$30K |
| 78815 |
|
52 |
45 |
$29K |
| 86756 |
|
1,312 |
1,259 |
$29K |
| 80061 |
|
1,917 |
1,833 |
$26K |
| 88304 |
|
13 |
13 |
$25K |
| 80305 |
|
3,074 |
2,154 |
$24K |
| 83036 |
|
2,915 |
2,838 |
$24K |
| 87491 |
|
615 |
597 |
$22K |
| 87591 |
|
516 |
499 |
$20K |
| 76816 |
|
282 |
254 |
$19K |
| 31628 |
|
125 |
122 |
$18K |
| 80081 |
|
333 |
330 |
$17K |
| 64493 |
|
66 |
53 |
$16K |
| 71260 |
|
201 |
176 |
$15K |
| 87661 |
|
468 |
459 |
$15K |
| G0378 |
Hospital observation per hr |
75 |
62 |
$15K |
| 87070 |
|
455 |
348 |
$13K |
| 51798 |
|
528 |
512 |
$12K |
| 94726 |
|
211 |
192 |
$11K |
| 76819 |
|
170 |
122 |
$11K |
| 95117 |
|
1,193 |
566 |
$10K |
| 86803 |
|
467 |
455 |
$10K |
| 94060 |
|
161 |
143 |
$9K |
| 45378 |
|
14 |
14 |
$9K |
| A9552 |
F18 fdg |
135 |
93 |
$8K |
| 45385 |
|
13 |
13 |
$8K |
| 82550 |
|
59 |
50 |
$8K |
| 94729 |
|
196 |
180 |
$6K |
| 99213 |
|
194 |
129 |
$6K |
| 96372 |
|
141 |
138 |
$6K |
| 76801 |
|
121 |
110 |
$6K |
| 11721 |
|
882 |
824 |
$6K |
| 87205 |
|
197 |
186 |
$6K |
| 83605 |
|
762 |
710 |
$5K |
| 84146 |
|
190 |
157 |
$5K |
| 82962 |
|
1,384 |
1,318 |
$5K |
| U0003 |
Cov-19 amp prb hgh thruput |
706 |
674 |
$4K |
| 82728 |
|
126 |
119 |
$4K |
| 11102 |
|
58 |
58 |
$4K |
| 83550 |
|
127 |
120 |
$4K |
| 31623 |
|
129 |
126 |
$4K |
| 99212 |
|
228 |
214 |
$4K |
| 86580 |
|
167 |
121 |
$4K |
| 83540 |
|
127 |
120 |
$4K |
| 83880 |
|
193 |
186 |
$4K |
| 31624 |
|
130 |
127 |
$3K |
| 76815 |
|
38 |
37 |
$3K |
| 83921 |
|
13 |
12 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
262 |
226 |
$3K |
| 85014 |
|
68 |
67 |
$3K |
| 85018 |
|
67 |
66 |
$3K |
| 96361 |
|
65 |
62 |
$3K |
| 82306 |
|
145 |
143 |
$3K |
| 99211 |
|
101 |
97 |
$2K |
| 94640 |
|
41 |
40 |
$2K |
| 99406 |
|
214 |
201 |
$2K |
| 96365 |
|
13 |
13 |
$2K |
| 86762 |
|
13 |
13 |
$2K |
| 86850 |
|
13 |
13 |
$1K |
| 87389 |
|
44 |
43 |
$1K |
| 86900 |
|
13 |
13 |
$1K |
| 86901 |
|
12 |
12 |
$1K |
| 95165 |
|
15 |
13 |
$1K |
| 95910 |
|
12 |
12 |
$1K |
| 80164 |
|
65 |
64 |
$1K |
| 77067 |
|
12 |
12 |
$1K |
| 94618 |
|
135 |
117 |
$983.54 |
| 82948 |
|
81 |
74 |
$870.39 |
| 83655 |
|
26 |
26 |
$848.44 |
| 86780 |
|
42 |
41 |
$786.80 |
| 88175 |
|
38 |
37 |
$753.47 |
| 72125 |
|
13 |
13 |
$751.71 |
| 82805 |
|
14 |
12 |
$746.95 |
| 17000 |
|
12 |
12 |
$630.00 |
| 87086 |
|
91 |
84 |
$609.46 |
| 82553 |
|
31 |
25 |
$595.92 |
| 76536 |
|
17 |
17 |
$594.00 |
| 87522 |
Neg quan hep c or qual rna |
15 |
13 |
$591.56 |
| 83735 |
|
125 |
117 |
$456.20 |
| 84436 |
|
50 |
27 |
$447.68 |
| 85730 |
|
130 |
123 |
$436.05 |
| 80069 |
|
68 |
68 |
$415.27 |
| 85610 |
|
162 |
152 |
$394.43 |
| J3010 |
Fentanyl citrate injection |
157 |
138 |
$386.41 |
| G0127 |
Trim nail(s) |
53 |
45 |
$349.17 |
| 82950 |
|
12 |
12 |
$255.68 |
| 86300 |
|
15 |
12 |
$222.87 |
| 82607 |
|
27 |
27 |
$217.11 |
| 86140 |
|
79 |
78 |
$191.01 |
| 84460 |
|
57 |
57 |
$175.13 |
| 87040 |
|
22 |
12 |
$163.04 |
| 84075 |
|
45 |
45 |
$150.42 |
| 84450 |
|
45 |
45 |
$150.42 |
| 82247 |
|
45 |
45 |
$145.86 |
| 82248 |
|
45 |
45 |
$145.86 |
| 82378 |
|
14 |
12 |
$136.48 |
| 85651 |
|
54 |
53 |
$112.81 |
| 82565 |
|
56 |
54 |
$110.71 |
| 84155 |
|
45 |
45 |
$106.57 |
| 84681 |
|
14 |
14 |
$103.94 |
| J2405 |
Ondansetron hcl injection |
87 |
76 |
$94.64 |
| 11055 |
|
20 |
12 |
$71.10 |
| 82570 |
|
14 |
14 |
$69.67 |
| 82043 |
|
12 |
12 |
$67.34 |
| J1100 |
Dexamethasone sodium phos |
13 |
13 |
$67.20 |
| J1040 |
Methylprednisolone 80 mg inj |
197 |
135 |
$64.40 |
| J2704 |
Inj, propofol, 10 mg |
21 |
12 |
$48.00 |
| 85652 |
|
26 |
26 |
$30.59 |
| J1885 |
Ketorolac tromethamine inj |
26 |
26 |
$29.88 |
| J1010 |
Inj, methylpred acetate 1 mg |
14 |
14 |
$0.00 |
| A0888 |
Noncovered ambulance mileage |
61 |
53 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
64 |
54 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
22 |
12 |
$0.00 |