| Code | Description | Claims | Beneficiaries | Total Paid |
| A0431 |
Rotary wing air transport |
6,627 |
4,798 |
$15.40M |
| 99283 |
|
90,266 |
81,883 |
$12.92M |
| 99284 |
|
78,161 |
69,887 |
$10.72M |
| 99285 |
|
67,584 |
57,896 |
$8.35M |
| A0425 |
Ground mileage |
98,262 |
73,158 |
$7.94M |
| A0436 |
Rotary wing air mileage |
6,627 |
4,798 |
$6.93M |
| A0427 |
Als1-emergency |
22,987 |
18,713 |
$4.32M |
| G0463 |
Hospital outpt clinic visit |
56,947 |
44,083 |
$4.26M |
| 93005 |
|
67,663 |
57,424 |
$4.11M |
| A0429 |
Bls-emergency |
19,693 |
14,771 |
$3.65M |
| A0428 |
Bls |
42,966 |
33,558 |
$2.74M |
| 96374 |
|
51,858 |
44,771 |
$2.70M |
| 95810 |
|
1,793 |
1,547 |
$2.48M |
| 71046 |
|
20,933 |
18,090 |
$1.92M |
| 71045 |
|
13,019 |
11,202 |
$1.76M |
| 97110 |
|
13,900 |
4,485 |
$1.09M |
| A0433 |
Als 2 |
2,081 |
1,812 |
$1.03M |
| 95811 |
|
889 |
751 |
$978K |
| U0004 |
Cov-19 test non-cdc hgh thru |
18,028 |
13,805 |
$892K |
| 77386 |
|
848 |
61 |
$862K |
| 96361 |
|
22,873 |
18,649 |
$709K |
| 74177 |
|
2,145 |
1,827 |
$676K |
| 62370 |
|
3,349 |
2,765 |
$670K |
| 85025 |
|
162,581 |
122,359 |
$640K |
| A0426 |
Als 1 |
5,172 |
4,234 |
$628K |
| 36415 |
|
216,808 |
167,249 |
$566K |
| 96413 |
|
3,721 |
1,746 |
$528K |
| 80048 |
|
119,761 |
97,963 |
$502K |
| 99213 |
|
6,381 |
5,512 |
$483K |
| 99212 |
|
5,266 |
4,373 |
$463K |
| 70553 |
|
1,291 |
1,055 |
$411K |
| 87536 |
|
6,971 |
6,267 |
$386K |
| U0002 |
Covid-19 lab test non-cdc |
8,965 |
7,948 |
$382K |
| A0225 |
Neonatal emergency transport |
3,106 |
2,242 |
$368K |
| 87502 |
|
3,796 |
3,436 |
$308K |
| 88305 |
|
1,551 |
1,381 |
$308K |
| 80053 |
|
61,156 |
41,990 |
$291K |
| 59025 |
|
1,371 |
1,103 |
$260K |
| J7307 |
Etonogestrel implant system |
372 |
277 |
$240K |
| 80307 |
|
7,302 |
5,972 |
$235K |
| 70450 |
|
2,241 |
1,975 |
$215K |
| C9803 |
Hopd covid-19 spec collect |
3,168 |
2,700 |
$205K |
| 86360 |
|
6,792 |
5,972 |
$205K |
| 87491 |
|
6,701 |
5,906 |
$197K |
| 87591 |
|
6,393 |
5,638 |
$187K |
| 84484 |
|
31,389 |
17,427 |
$179K |
| 96372 |
|
3,654 |
2,469 |
$177K |
| 91200 |
|
687 |
564 |
$168K |
| 81025 |
|
32,186 |
28,764 |
$159K |
| 86359 |
|
6,841 |
6,168 |
$158K |
| 36224 |
|
24 |
14 |
$153K |
| J0741 |
Inj, cabote rilpivir 2mg 3mg |
26 |
26 |
$151K |
| 92134 |
|
2,849 |
2,359 |
$149K |
| 77412 |
|
561 |
52 |
$148K |
| 93010 |
|
12,819 |
8,475 |
$134K |
| 92567 |
|
2,673 |
2,504 |
$131K |
| 87651 |
|
5,260 |
5,000 |
$128K |
| 96375 |
|
16,832 |
13,326 |
$122K |
| 77336 |
|
817 |
344 |
$121K |
| 94010 |
|
1,376 |
1,185 |
$108K |
| 67028 |
|
746 |
574 |
$106K |
| 80076 |
|
20,843 |
18,179 |
$99K |
| U0005 |
Infec agen detec ampli probe |
6,064 |
5,217 |
$96K |
| 17311 |
|
239 |
169 |
$93K |
| 80050 |
|
719 |
635 |
$87K |
| 80061 |
|
9,194 |
8,340 |
$84K |
| 62369 |
|
600 |
522 |
$83K |
| 99221 |
|
151 |
135 |
$80K |
| 84443 |
|
7,007 |
6,435 |
$75K |
| 83036 |
|
13,030 |
11,436 |
$75K |
| 85027 |
|
24,153 |
20,046 |
$74K |
| 87503 |
|
3,102 |
2,817 |
$74K |
| G0480 |
Drug test def 1-7 classes |
2,056 |
1,703 |
$70K |
| 99282 |
|
416 |
379 |
$69K |
| 87389 |
|
3,321 |
3,005 |
$67K |
| 77334 |
|
300 |
161 |
$66K |
| 73610 |
|
1,628 |
1,423 |
$65K |
| B9998 |
Enteral supp not otherwise c |
2,052 |
203 |
$64K |
| 73562 |
|
1,890 |
1,651 |
$63K |
| 93306 |
|
346 |
258 |
$63K |
| 81003 |
|
45,479 |
39,677 |
$61K |
| 90471 |
|
1,593 |
1,401 |
$59K |
| 62368 |
|
174 |
86 |
$59K |
| J7298 |
Mirena, 52 mg |
98 |
75 |
$58K |
| 87635 |
|
1,598 |
1,452 |
$57K |
| 86807 |
|
1,716 |
1,392 |
$57K |
| 90853 |
|
3,346 |
354 |
$56K |
| 86832 |
|
610 |
466 |
$55K |
| 93303 |
|
115 |
76 |
$54K |
| A9585 |
Gadobutrol injection |
809 |
674 |
$54K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,385 |
1,097 |
$53K |
| 86833 |
|
614 |
464 |
$53K |
| 80197 |
|
17,795 |
7,738 |
$51K |
| 86780 |
|
4,883 |
4,381 |
$51K |
| 99211 |
|
561 |
444 |
$49K |
| 76816 |
|
494 |
423 |
$48K |
| 83735 |
|
23,493 |
11,456 |
$45K |
| 82306 |
|
2,450 |
2,241 |
$44K |
| 92555 |
|
969 |
914 |
$42K |
| 80365 |
|
500 |
390 |
$41K |
| 87880 |
|
2,720 |
2,605 |
$41K |
| 83690 |
|
14,009 |
11,197 |
$39K |
| 87661 |
|
1,274 |
1,124 |
$36K |
| 92507 |
|
300 |
103 |
$35K |
| 82570 |
|
20,919 |
10,795 |
$34K |
| 87480 |
|
1,893 |
1,733 |
$33K |
| 87510 |
|
1,893 |
1,733 |
$33K |
| 82948 |
|
15,371 |
7,376 |
$33K |
| 87660 |
|
1,882 |
1,722 |
$32K |
| 92552 |
|
251 |
239 |
$32K |
| 82550 |
|
19,096 |
8,479 |
$30K |
| 84100 |
|
21,951 |
10,353 |
$28K |
| 76857 |
|
366 |
262 |
$27K |
| 81001 |
|
23,332 |
14,131 |
$26K |
| 73630 |
|
608 |
534 |
$24K |
| 31575 |
|
42 |
37 |
$24K |
| 82607 |
|
2,247 |
2,049 |
$23K |
| 80361 |
|
530 |
419 |
$23K |
| 84156 |
|
19,750 |
10,044 |
$21K |
| 93922 |
|
480 |
401 |
$21K |
| A9577 |
Inj multihance |
369 |
315 |
$20K |
| 95700 |
|
48 |
36 |
$20K |
| 87086 |
|
4,880 |
4,103 |
$19K |
| 86803 |
|
1,590 |
1,433 |
$19K |
| 73502 |
|
439 |
385 |
$19K |
| 72190 |
|
269 |
252 |
$18K |
| J7297 |
Liletta, 52 mg |
15 |
12 |
$18K |
| 83655 |
|
1,248 |
1,226 |
$18K |
| 87624 |
|
591 |
544 |
$17K |
| 87522 |
Neg quan hep c or qual rna |
587 |
521 |
$16K |
| 88142 |
|
1,127 |
1,030 |
$16K |
| 76801 |
|
95 |
84 |
$16K |
| 82728 |
|
1,697 |
1,479 |
$15K |
| 73130 |
|
274 |
227 |
$15K |
| 87563 |
|
455 |
422 |
$14K |
| 80348 |
|
107 |
77 |
$14K |
| 86849 |
|
441 |
372 |
$14K |
| 95716 |
|
37 |
12 |
$14K |
| 85610 |
|
5,324 |
4,511 |
$14K |
| 92579 |
|
392 |
363 |
$13K |
| 95806 |
|
101 |
88 |
$13K |
| 96365 |
|
192 |
144 |
$12K |
| 77290 |
|
32 |
28 |
$11K |
| 93975 |
|
25 |
25 |
$11K |
| 84510 |
|
1,130 |
760 |
$10K |
| 87426 |
|
370 |
323 |
$10K |
| 77300 |
|
99 |
79 |
$10K |
| 76811 |
|
82 |
78 |
$9K |
| 87070 |
|
1,271 |
1,161 |
$9K |
| 82784 |
|
1,900 |
833 |
$9K |
| 87799 |
|
1,355 |
761 |
$9K |
| 85652 |
|
5,019 |
4,480 |
$9K |
| 97597 |
|
169 |
50 |
$9K |
| 82565 |
|
3,116 |
2,620 |
$8K |
| 83550 |
|
1,433 |
1,268 |
$8K |
| 81002 |
|
6,539 |
5,231 |
$8K |
| 82977 |
|
2,096 |
1,171 |
$8K |
| 92250 |
|
193 |
160 |
$8K |
| 84681 |
|
1,566 |
775 |
$7K |
| 84439 |
|
1,025 |
929 |
$7K |
| 87276 |
|
662 |
570 |
$7K |
| 76830 |
|
39 |
37 |
$7K |
| 84460 |
|
2,338 |
2,040 |
$7K |
| 84450 |
|
2,351 |
2,051 |
$7K |
| 83880 |
|
320 |
272 |
$7K |
| 87275 |
|
662 |
570 |
$7K |
| 96360 |
|
202 |
178 |
$7K |
| 86160 |
|
965 |
476 |
$6K |
| 17110 |
|
27 |
27 |
$6K |
| 86140 |
|
1,603 |
1,481 |
$6K |
| 83540 |
|
1,494 |
1,310 |
$6K |
| M0222 |
Bebtelovimab injection |
76 |
52 |
$6K |
| 87340 |
|
750 |
666 |
$6K |
| 80305 |
|
1,945 |
1,612 |
$6K |
| 97140 |
|
935 |
335 |
$6K |
| 94640 |
|
430 |
327 |
$5K |
| 84030 |
|
1,130 |
760 |
$5K |
| 97165 |
|
47 |
38 |
$5K |
| 77067 |
|
25 |
24 |
$5K |
| 76819 |
|
58 |
48 |
$5K |
| 73030 |
|
187 |
167 |
$5K |
| 92587 |
|
254 |
236 |
$5K |
| 82746 |
|
530 |
455 |
$5K |
| 83516 |
|
431 |
410 |
$5K |
| 83883 |
|
777 |
346 |
$5K |
| 85045 |
|
1,357 |
1,244 |
$4K |
| 82465 |
|
1,887 |
914 |
$4K |
| 72100 |
|
107 |
96 |
$4K |
| 86850 |
|
847 |
736 |
$4K |
| 86762 |
|
362 |
319 |
$4K |
| 87804 |
|
383 |
330 |
$4K |
| 70486 |
|
12 |
12 |
$4K |
| 87497 |
|
158 |
103 |
$4K |
| 82040 |
|
1,436 |
1,255 |
$4K |
| 82105 |
|
371 |
325 |
$4K |
| M0239 |
Bamlanivimab-xxxx infusion |
75 |
52 |
$4K |
| 86225 |
|
408 |
357 |
$4K |
| M0247 |
Sotrovimab infusion |
12 |
12 |
$4K |
| 90791 |
|
31 |
25 |
$4K |
| 88300 |
|
90 |
89 |
$3K |
| 93320 |
|
177 |
114 |
$3K |
| 82150 |
|
2,131 |
1,012 |
$3K |
| 36592 |
|
44 |
25 |
$3K |
| 11900 |
|
13 |
12 |
$3K |
| 73110 |
|
67 |
52 |
$3K |
| 92553 |
|
26 |
24 |
$3K |
| 86334 |
|
355 |
274 |
$3K |
| 76817 |
|
24 |
22 |
$3K |
| 78452 |
|
15 |
12 |
$3K |
| U0003 |
Cov-19 amp prb hgh thruput |
563 |
148 |
$3K |
| 82248 |
|
932 |
682 |
$3K |
| 91010 |
|
61 |
53 |
$3K |
| 84403 |
|
124 |
117 |
$3K |
| 93351 |
|
46 |
27 |
$3K |
| 99214 |
|
28 |
27 |
$3K |
| 97760 |
|
129 |
106 |
$2K |
| 77295 |
|
15 |
12 |
$2K |
| 85379 |
|
416 |
346 |
$2K |
| 87641 |
|
91 |
80 |
$2K |
| 83615 |
|
513 |
427 |
$2K |
| 87801 |
|
49 |
48 |
$2K |
| 11100 |
|
41 |
29 |
$2K |
| 86480 |
|
81 |
76 |
$2K |
| 87186 |
|
374 |
273 |
$2K |
| 80195 |
|
842 |
366 |
$2K |
| 84402 |
|
100 |
93 |
$2K |
| 83970 |
|
170 |
130 |
$2K |
| 84270 |
|
112 |
105 |
$2K |
| M0243 |
Casirivi and imdevi inj |
73 |
57 |
$2K |
| 87636 |
|
13 |
13 |
$2K |
| 73521 |
|
45 |
38 |
$2K |
| 97162 |
|
27 |
24 |
$2K |
| 82627 |
|
83 |
77 |
$2K |
| 82043 |
|
383 |
337 |
$1K |
| 84550 |
|
529 |
454 |
$1K |
| 86003 |
|
41 |
31 |
$1K |
| 77063 |
|
25 |
24 |
$1K |
| L3808 |
Whfo, rigid w/o joints |
14 |
13 |
$1K |
| 97161 |
|
14 |
12 |
$1K |
| 86900 |
|
504 |
441 |
$1K |
| 84165 |
|
444 |
359 |
$1K |
| 80074 |
|
30 |
30 |
$1K |
| 51798 |
|
35 |
27 |
$1K |
| 84144 |
|
57 |
50 |
$987.80 |
| 93017 |
|
17 |
14 |
$987.48 |
| 94060 |
|
21 |
13 |
$978.34 |
| 86901 |
|
391 |
341 |
$949.10 |
| 76770 |
|
15 |
13 |
$949.06 |
| 73590 |
|
77 |
63 |
$944.85 |
| 86704 |
|
134 |
115 |
$924.13 |
| 82670 |
|
40 |
37 |
$912.25 |
| 92136 |
|
18 |
12 |
$903.56 |
| 92582 |
|
13 |
12 |
$860.58 |
| 93325 |
|
175 |
112 |
$837.88 |
| 86481 |
|
33 |
25 |
$825.88 |
| 72170 |
|
26 |
25 |
$785.71 |
| 86592 |
|
211 |
188 |
$783.25 |
| 86708 |
|
97 |
85 |
$772.28 |
| 83605 |
|
211 |
151 |
$771.15 |
| 92083 |
|
21 |
13 |
$734.40 |
| 82785 |
|
46 |
43 |
$727.89 |
| 91122 |
|
13 |
12 |
$707.40 |
| 82140 |
|
145 |
104 |
$701.29 |
| 83020 |
|
65 |
62 |
$624.36 |
| M0245 |
Bamlan and etesev infusion |
20 |
18 |
$621.50 |
| 72050 |
|
22 |
13 |
$557.04 |
| 87517 |
|
14 |
14 |
$556.90 |
| 80069 |
|
126 |
108 |
$535.61 |
| 86317 |
|
47 |
39 |
$520.77 |
| 86706 |
|
80 |
74 |
$487.37 |
| 87077 |
|
148 |
118 |
$484.48 |
| 87653 |
|
15 |
14 |
$476.56 |
| 85576 |
|
21 |
12 |
$463.02 |
| 87640 |
|
31 |
29 |
$458.12 |
| 86235 |
|
48 |
12 |
$434.75 |
| 86808 |
|
14 |
14 |
$419.06 |
| 84436 |
|
80 |
76 |
$393.91 |
| 87147 |
|
70 |
64 |
$329.76 |
| 80047 |
|
79 |
64 |
$304.78 |
| 73140 |
|
14 |
12 |
$249.75 |
| 91320 |
|
46 |
39 |
$249.13 |
| 86769 |
|
17 |
13 |
$209.62 |
| 87210 |
|
45 |
37 |
$204.57 |
| 87102 |
|
29 |
26 |
$196.34 |
| C1726 |
Cath, bal dil, non-vascular |
28 |
24 |
$187.20 |
| 84155 |
|
198 |
164 |
$173.44 |
| 87205 |
|
45 |
40 |
$168.34 |
| 83721 |
|
13 |
13 |
$122.16 |
| 85384 |
|
15 |
12 |
$122.10 |
| 86705 |
|
13 |
13 |
$109.92 |
| 84478 |
|
19 |
12 |
$109.06 |
| 84145 |
|
26 |
22 |
$105.60 |
| 85730 |
|
43 |
27 |
$87.74 |
| 90480 |
|
15 |
12 |
$85.12 |
| 82310 |
|
46 |
38 |
$84.55 |
| 84520 |
|
38 |
25 |
$80.41 |
| 82947 |
|
38 |
25 |
$79.90 |
| 86682 |
|
14 |
12 |
$78.06 |
| 85347 |
|
21 |
12 |
$59.22 |
| 96376 |
|
294 |
181 |
$51.03 |
| 0124A |
|
18 |
14 |
$46.83 |
| 84075 |
|
20 |
18 |
$31.08 |
| 36416 |
|
32 |
27 |
$25.20 |
| 82247 |
|
19 |
17 |
$25.10 |
| 85018 |
|
12 |
12 |
$23.70 |
| J2405 |
Ondansetron hcl injection |
844 |
532 |
$0.00 |
| 94729 |
|
66 |
56 |
$0.00 |
| 90472 |
|
74 |
72 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
39 |
25 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
71 |
49 |
$0.00 |
| 94726 |
|
50 |
41 |
$0.00 |
| J2274 |
Inj morphine pf epid ithc |
110 |
69 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
54 |
25 |
$0.00 |
| C1776 |
Joint device (implantable) |
54 |
25 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
362 |
236 |
$0.00 |
| 0064U |
|
426 |
385 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
1,900 |
567 |
$0.00 |
| 90870 |
|
4,759 |
1,166 |
$0.00 |
| 99459 |
|
224 |
209 |
$0.00 |
| 80320 |
|
14 |
12 |
$0.00 |
| J1170 |
Hydromorphone injection |
191 |
109 |
$0.00 |
| 96366 |
|
15 |
13 |
$0.00 |
| A0434 |
Specialty care transport |
74 |
64 |
$0.00 |
| C1769 |
Guide wire |
61 |
39 |
$0.00 |
| 81372 |
|
12 |
12 |
$0.00 |
| 99406 |
|
114 |
105 |
$0.00 |
| G0008 |
Admin influenza virus vac |
29 |
25 |
$0.00 |
| 0065U |
|
23 |
14 |
$0.00 |
| 81375 |
|
12 |
12 |
$0.00 |
| 17312 |
|
17 |
12 |
$0.00 |
| J1250 |
Inj dobutamine hcl/250 mg |
41 |
26 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
14 |
12 |
$0.00 |
| 90686 |
|
15 |
13 |
$0.00 |
| 92604 |
|
14 |
13 |
$0.00 |