| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
37,343 |
31,545 |
$5.46M |
| 99282 |
|
33,005 |
29,379 |
$4.85M |
| 99283 |
|
31,863 |
27,739 |
$4.60M |
| 11042 |
|
5,248 |
1,635 |
$2.61M |
| G0463 |
Hospital outpt clinic visit |
24,550 |
17,895 |
$2.09M |
| A0429 |
Bls-emergency |
12,910 |
9,909 |
$1.59M |
| 88305 |
|
4,185 |
3,461 |
$1.53M |
| A0427 |
Als1-emergency |
8,522 |
7,063 |
$1.26M |
| C9803 |
Hopd covid-19 spec collect |
14,251 |
12,376 |
$978K |
| 93005 |
|
14,646 |
12,281 |
$873K |
| A0425 |
Ground mileage |
31,804 |
21,293 |
$662K |
| 41899 |
|
450 |
401 |
$651K |
| 96413 |
|
3,943 |
1,560 |
$527K |
| 87502 |
|
7,164 |
6,012 |
$422K |
| 99215 |
Prolong outpt/office vis |
4,615 |
4,079 |
$419K |
| 71046 |
|
4,476 |
3,799 |
$405K |
| U0003 |
Cov-19 amp prb hgh thruput |
5,499 |
5,009 |
$378K |
| 74177 |
|
1,076 |
880 |
$325K |
| A0428 |
Bls |
8,893 |
4,905 |
$313K |
| 96361 |
|
9,547 |
7,672 |
$302K |
| U0002 |
Covid-19 lab test non-cdc |
8,716 |
7,302 |
$295K |
| 80050 |
|
1,769 |
1,502 |
$275K |
| 85025 |
|
70,921 |
54,787 |
$265K |
| 43239 |
|
2,221 |
1,843 |
$237K |
| 96374 |
|
19,386 |
15,911 |
$224K |
| 93296 |
|
1,162 |
960 |
$211K |
| 99281 |
|
1,489 |
1,327 |
$206K |
| 99211 |
|
2,748 |
1,711 |
$204K |
| 80053 |
|
35,002 |
26,766 |
$189K |
| 36415 |
|
89,889 |
69,209 |
$176K |
| 87798 |
|
1,319 |
1,129 |
$151K |
| 71045 |
|
872 |
749 |
$141K |
| 36591 |
|
2,530 |
1,064 |
$133K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,929 |
2,420 |
$130K |
| 45380 |
|
941 |
779 |
$123K |
| 80307 |
|
2,172 |
1,823 |
$107K |
| G0480 |
Drug test def 1-7 classes |
1,176 |
1,026 |
$93K |
| 97110 |
|
920 |
255 |
$79K |
| 80048 |
|
20,640 |
16,321 |
$72K |
| 70450 |
|
878 |
757 |
$68K |
| 84443 |
|
6,886 |
6,060 |
$66K |
| 84484 |
|
7,856 |
6,225 |
$65K |
| 87634 |
|
1,200 |
1,065 |
$62K |
| 87651 |
|
2,152 |
1,947 |
$55K |
| 99285 |
|
598 |
494 |
$54K |
| 87481 |
|
1,039 |
883 |
$52K |
| 99213 |
|
868 |
775 |
$51K |
| 74176 |
|
297 |
224 |
$49K |
| 96375 |
|
10,527 |
7,734 |
$48K |
| 99214 |
|
764 |
665 |
$47K |
| 80061 |
|
5,290 |
4,850 |
$47K |
| 96372 |
|
2,865 |
2,249 |
$43K |
| 87086 |
|
8,349 |
6,697 |
$41K |
| 82306 |
|
2,557 |
2,343 |
$40K |
| 87491 |
|
1,468 |
1,288 |
$37K |
| 87591 |
|
1,448 |
1,274 |
$37K |
| 87389 |
|
2,044 |
1,817 |
$35K |
| 87661 |
|
1,398 |
1,172 |
$34K |
| J7120 |
Ringers lactate infusion |
1,138 |
947 |
$34K |
| 87512 |
|
1,041 |
884 |
$33K |
| 83036 |
|
4,696 |
4,201 |
$28K |
| J1439 |
Inj ferric carboxymaltos 1mg |
19 |
12 |
$27K |
| 84145 |
|
1,723 |
1,351 |
$27K |
| 83605 |
|
3,741 |
2,958 |
$24K |
| 81001 |
|
13,312 |
11,047 |
$24K |
| 83690 |
|
7,131 |
5,920 |
$23K |
| Q3014 |
Telehealth facility fee |
308 |
271 |
$23K |
| 45385 |
|
312 |
254 |
$21K |
| 86780 |
|
2,152 |
1,909 |
$21K |
| 87801 |
|
506 |
455 |
$19K |
| 82728 |
|
3,171 |
2,498 |
$19K |
| 85027 |
|
3,825 |
3,476 |
$19K |
| 81025 |
|
3,713 |
3,125 |
$19K |
| 90677 |
|
167 |
111 |
$18K |
| 96365 |
|
767 |
429 |
$17K |
| 71250 |
|
95 |
68 |
$15K |
| 99212 |
|
179 |
162 |
$14K |
| 92567 |
|
441 |
382 |
$14K |
| 83735 |
|
4,413 |
2,390 |
$14K |
| 86803 |
|
1,336 |
1,205 |
$14K |
| 82607 |
|
1,761 |
1,604 |
$13K |
| 88312 |
|
814 |
692 |
$13K |
| 83550 |
|
3,116 |
2,476 |
$12K |
| 36416 |
|
2,086 |
1,593 |
$12K |
| 96367 |
|
563 |
243 |
$10K |
| 90471 |
|
628 |
557 |
$10K |
| 84439 |
|
1,713 |
1,285 |
$10K |
| 71260 |
|
42 |
36 |
$10K |
| 86762 |
|
946 |
824 |
$10K |
| 82248 |
|
3,103 |
2,571 |
$9K |
| 83540 |
|
3,135 |
2,494 |
$9K |
| 78815 |
|
12 |
12 |
$8K |
| 83970 |
|
566 |
503 |
$8K |
| 96360 |
|
304 |
266 |
$7K |
| 83037 |
|
1,532 |
1,265 |
$7K |
| 84100 |
|
3,059 |
1,360 |
$7K |
| U0005 |
Infec agen detec ampli probe |
402 |
349 |
$7K |
| 88175 |
|
545 |
464 |
$6K |
| 92587 |
|
198 |
170 |
$6K |
| 87635 |
|
141 |
139 |
$6K |
| 87340 |
|
1,074 |
932 |
$6K |
| 99238 |
|
16 |
15 |
$5K |
| 99205 |
Prolong outpt/office vis |
60 |
52 |
$5K |
| 80076 |
|
1,858 |
1,524 |
$5K |
| 90670 |
|
17 |
16 |
$5K |
| 80069 |
|
1,277 |
1,107 |
$5K |
| P9603 |
One-way allow prorated miles |
5,545 |
3,660 |
$5K |
| 91322 |
|
122 |
101 |
$5K |
| 86850 |
|
1,023 |
883 |
$4K |
| 81003 |
|
3,916 |
3,318 |
$4K |
| 82962 |
|
2,147 |
1,746 |
$4K |
| 11045 |
|
28 |
15 |
$4K |
| 73610 |
|
198 |
186 |
$4K |
| 85380 |
|
600 |
514 |
$4K |
| 90791 |
|
63 |
50 |
$3K |
| 73130 |
|
172 |
155 |
$3K |
| J7050 |
Normal saline solution infus |
126 |
19 |
$3K |
| 73630 |
|
145 |
138 |
$3K |
| A0426 |
Als 1 |
14 |
14 |
$3K |
| 12001 |
|
12 |
12 |
$2K |
| 83525 |
|
235 |
219 |
$2K |
| 97530 |
|
124 |
39 |
$2K |
| 84481 |
|
136 |
127 |
$2K |
| 96366 |
|
161 |
67 |
$2K |
| J2469 |
Palonosetron hcl |
267 |
93 |
$2K |
| 84702 |
|
217 |
163 |
$2K |
| 84482 |
|
125 |
117 |
$2K |
| 82570 |
|
382 |
358 |
$2K |
| 86900 |
|
832 |
713 |
$2K |
| 86376 |
|
128 |
114 |
$2K |
| J1756 |
Iron sucrose injection |
68 |
17 |
$2K |
| 86901 |
|
832 |
713 |
$2K |
| 88142 |
|
127 |
115 |
$2K |
| 87653 |
|
69 |
58 |
$1K |
| 74018 |
|
22 |
18 |
$1K |
| 90480 |
|
121 |
100 |
$1K |
| 36592 |
|
242 |
140 |
$1K |
| 0124A |
|
389 |
240 |
$1K |
| 97112 |
|
221 |
62 |
$1K |
| 99204 |
|
17 |
14 |
$1K |
| 77067 |
|
12 |
12 |
$1K |
| 84550 |
|
348 |
308 |
$1K |
| 96116 |
|
61 |
49 |
$1K |
| 87522 |
Neg quan hep c or qual rna |
30 |
27 |
$1K |
| 83880 |
|
76 |
66 |
$1K |
| 82043 |
|
323 |
305 |
$1K |
| 97140 |
|
33 |
12 |
$970.55 |
| 87624 |
|
41 |
33 |
$964.99 |
| P9604 |
One-way allow prorated trip |
1,112 |
587 |
$781.29 |
| 73110 |
|
25 |
25 |
$738.73 |
| 59025 |
|
171 |
102 |
$703.66 |
| 86480 |
|
30 |
24 |
$681.78 |
| 92579 |
|
34 |
26 |
$670.85 |
| 87070 |
|
104 |
94 |
$640.44 |
| 87077 |
|
251 |
215 |
$595.61 |
| 90686 |
|
1,684 |
1,323 |
$570.58 |
| 87186 |
|
234 |
200 |
$549.30 |
| 84155 |
|
245 |
230 |
$522.90 |
| 88300 |
|
12 |
12 |
$458.64 |
| 83516 |
|
32 |
16 |
$446.69 |
| 80074 |
|
13 |
13 |
$428.67 |
| 96118 |
|
17 |
12 |
$418.60 |
| 85610 |
|
186 |
152 |
$357.68 |
| 77063 |
|
12 |
12 |
$322.44 |
| G0008 |
Admin influenza virus vac |
1,936 |
1,475 |
$313.95 |
| 87210 |
|
128 |
120 |
$310.20 |
| 90834 |
|
15 |
12 |
$265.23 |
| 83090 |
|
34 |
25 |
$210.76 |
| 87081 |
|
53 |
44 |
$201.86 |
| 80055 |
|
17 |
16 |
$184.25 |
| 84146 |
|
13 |
13 |
$180.61 |
| 73562 |
|
35 |
28 |
$175.09 |
| 97803 |
|
41 |
40 |
$142.76 |
| 85652 |
|
96 |
86 |
$136.33 |
| 85014 |
|
69 |
63 |
$129.54 |
| 85018 |
|
69 |
63 |
$129.53 |
| 85730 |
|
40 |
36 |
$122.43 |
| 86256 |
|
13 |
12 |
$117.00 |
| 0002A |
|
82 |
71 |
$115.08 |
| 82950 |
|
30 |
26 |
$100.25 |
| 87040 |
|
48 |
44 |
$95.78 |
| 82784 |
|
13 |
12 |
$92.25 |
| 0004A |
|
152 |
99 |
$86.16 |
| 86140 |
|
19 |
16 |
$81.07 |
| 87015 |
|
18 |
14 |
$66.80 |
| 94640 |
|
12 |
12 |
$57.33 |
| 82746 |
|
52 |
48 |
$45.28 |
| 90662 |
|
12 |
12 |
$44.72 |
| 87205 |
|
44 |
40 |
$35.93 |
| 0054A |
|
52 |
37 |
$35.67 |
| J2270 |
Morphine sulfate injection |
919 |
730 |
$9.87 |
| J1885 |
Ketorolac tromethamine inj |
5,268 |
4,379 |
$4.92 |
| J2405 |
Ondansetron hcl injection |
5,369 |
4,309 |
$1.67 |
| 0001A |
|
40 |
37 |
$0.60 |
| J2001 |
Lidocaine injection |
1,311 |
1,027 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
566 |
458 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
5,878 |
1,475 |
$0.00 |
| J1170 |
Hydromorphone injection |
1,871 |
1,461 |
$0.00 |
| Q0162 |
Ondansetron oral |
698 |
584 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
1,905 |
1,500 |
$0.00 |
| 99406 |
|
480 |
397 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
15 |
14 |
$0.00 |
| J2780 |
Ranitidine hydrochloride inj |
24 |
15 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
1,377 |
575 |
$0.00 |
| G0471 |
Ven blood coll snf/hha |
2,190 |
1,129 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
150 |
109 |
$0.00 |
| 96376 |
|
123 |
97 |
$0.00 |
| Q2036 |
Flulaval vacc, 3 yrs & >, im |
311 |
276 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
152 |
125 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
44 |
43 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
139 |
123 |
$0.00 |
| G1004 |
Cdsm ndsc |
336 |
265 |
$0.00 |
| J2550 |
Promethazine hcl injection |
611 |
493 |
$0.00 |
| 90658 |
|
71 |
57 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
97 |
83 |
$0.00 |
| J7030 |
Normal saline solution infus |
124 |
53 |
$0.00 |
| A9552 |
F18 fdg |
27 |
25 |
$0.00 |
| 90715 |
|
78 |
69 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
33 |
30 |
$0.00 |
| 90472 |
|
111 |
100 |
$0.00 |
| 99188 |
|
12 |
12 |
$0.00 |