| Code | Description | Claims | Beneficiaries | Total Paid |
| 80053 |
|
5,684 |
4,521 |
$297K |
| 97110 |
|
2,381 |
619 |
$183K |
| 85025 |
|
6,375 |
4,753 |
$167K |
| 99284 |
|
2,773 |
1,916 |
$138K |
| 80307 |
|
1,666 |
1,432 |
$116K |
| 36415 |
|
7,461 |
5,431 |
$90K |
| 99213 |
|
5,110 |
3,689 |
$85K |
| G0482 |
Drug test def 15-21 classes |
986 |
899 |
$85K |
| 96372 |
|
2,936 |
2,357 |
$80K |
| 99283 |
|
1,847 |
1,555 |
$79K |
| 99282 |
|
2,047 |
1,801 |
$74K |
| 84484 |
|
1,425 |
846 |
$67K |
| 99212 |
|
4,038 |
3,424 |
$59K |
| 82306 |
|
920 |
867 |
$57K |
| G0480 |
Drug test def 1-7 classes |
703 |
646 |
$57K |
| 93005 |
|
1,640 |
1,204 |
$56K |
| 84443 |
|
1,893 |
1,718 |
$49K |
| G0483 |
Drug test def 22+ classes |
618 |
587 |
$46K |
| 80061 |
|
1,075 |
1,016 |
$45K |
| 71046 |
|
787 |
703 |
$41K |
| 87426 |
|
1,076 |
947 |
$41K |
| G0378 |
Hospital observation per hr |
273 |
93 |
$40K |
| 74176 |
|
68 |
61 |
$39K |
| 70450 |
|
141 |
117 |
$32K |
| 83735 |
|
1,245 |
1,015 |
$31K |
| 82550 |
|
1,046 |
753 |
$30K |
| 87086 |
|
603 |
519 |
$30K |
| A0425 |
Ground mileage |
554 |
364 |
$29K |
| 99281 |
|
1,000 |
920 |
$27K |
| 83721 |
|
880 |
833 |
$25K |
| 81003 |
|
2,006 |
1,631 |
$25K |
| 96374 |
|
805 |
630 |
$25K |
| 71045 |
|
546 |
427 |
$24K |
| U0002 |
Covid-19 lab test non-cdc |
206 |
196 |
$24K |
| 87804 |
|
564 |
513 |
$23K |
| 82553 |
|
462 |
292 |
$23K |
| J1885 |
Ketorolac tromethamine inj |
1,223 |
1,060 |
$20K |
| 99211 |
|
1,449 |
1,229 |
$19K |
| 80305 |
|
588 |
494 |
$18K |
| 96365 |
|
389 |
260 |
$17K |
| 96375 |
|
603 |
429 |
$14K |
| J0696 |
Ceftriaxone sodium injection |
485 |
378 |
$13K |
| 99214 |
|
1,487 |
1,369 |
$13K |
| 97140 |
|
306 |
104 |
$12K |
| 80048 |
|
379 |
259 |
$12K |
| 96361 |
|
305 |
212 |
$11K |
| J7050 |
Normal saline solution infus |
629 |
445 |
$11K |
| 82607 |
|
362 |
342 |
$10K |
| 83036 |
|
756 |
722 |
$10K |
| 97010 |
|
898 |
277 |
$10K |
| 83690 |
|
246 |
195 |
$9K |
| J7030 |
Normal saline solution infus |
355 |
262 |
$7K |
| 87880 |
|
191 |
183 |
$6K |
| 83605 |
|
267 |
211 |
$6K |
| 82150 |
|
96 |
74 |
$5K |
| 97014 |
|
154 |
58 |
$5K |
| J1100 |
Dexamethasone sodium phos |
495 |
441 |
$5K |
| 81025 |
|
122 |
99 |
$4K |
| 99285 |
|
48 |
42 |
$4K |
| J2930 |
Methylprednisolone injection |
251 |
212 |
$3K |
| 94640 |
|
285 |
145 |
$3K |
| 85610 |
|
115 |
93 |
$2K |
| 96376 |
|
69 |
39 |
$2K |
| J2405 |
Ondansetron hcl injection |
164 |
126 |
$2K |
| A0427 |
Als1-emergency |
15 |
12 |
$2K |
| J2360 |
Orphenadrine injection |
42 |
38 |
$2K |
| 82746 |
|
307 |
288 |
$1K |
| 84100 |
|
62 |
58 |
$1K |
| 72100 |
|
24 |
24 |
$1K |
| 0001A |
|
15 |
14 |
$798.00 |
| 80320 |
|
32 |
25 |
$677.55 |
| 96360 |
|
12 |
12 |
$603.93 |
| 85730 |
|
33 |
28 |
$599.98 |
| 99441 |
|
74 |
65 |
$541.07 |
| 85378 |
|
13 |
12 |
$484.22 |
| J2550 |
Promethazine hcl injection |
35 |
26 |
$328.14 |
| 87186 |
|
20 |
13 |
$285.65 |
| 87070 |
|
14 |
12 |
$230.07 |
| 99072 |
|
39 |
12 |
$194.04 |
| 99442 |
|
36 |
35 |
$90.51 |
| 91300 |
|
34 |
30 |
$0.00 |