| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99282 |
|
2,270 |
1,943 |
$282K |
| 80053 |
|
1,985 |
1,600 |
$92K |
| 99283 |
|
588 |
441 |
$76K |
| 85025 |
|
1,606 |
1,302 |
$41K |
| 97110 |
|
862 |
210 |
$40K |
| 36415 |
|
3,724 |
2,766 |
$35K |
| 87635 |
|
385 |
342 |
$33K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
585 |
509 |
$30K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
146 |
117 |
$28K |
| 87631 |
|
145 |
133 |
$27K |
| 99211 |
|
773 |
577 |
$27K |
| 99212 |
|
639 |
421 |
$18K |
| 99213 |
|
277 |
171 |
$10K |
| 85027 |
|
504 |
453 |
$8K |
| A0425 |
Ground mileage, per statute mile |
170 |
129 |
$6K |
| Q3014 |
Telehealth originating site facility fee |
153 |
142 |
$6K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
267 |
233 |
$5K |
| 71045 |
|
38 |
27 |
$3K |
| 84443 |
|
78 |
72 |
$3K |
| 87804 |
|
140 |
70 |
$3K |
| 81001 |
|
131 |
111 |
$3K |
| 81003 |
|
205 |
160 |
$2K |
| 93005 |
|
33 |
27 |
$2K |
| 0202U |
|
13 |
12 |
$2K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
123 |
74 |
$1K |
| 80061 |
|
15 |
15 |
$1K |
| 97140 |
|
35 |
12 |
$1K |
| J3490 |
Unclassified drugs |
14 |
12 |
$945.86 |
| 83036 |
|
39 |
38 |
$827.07 |
| 86710 |
|
16 |
15 |
$446.40 |
| 87807 |
|
12 |
12 |
$439.20 |
| 97530 |
|
13 |
12 |
$436.07 |
| 83518 |
|
27 |
26 |
$405.60 |
| 83735 |
|
20 |
13 |
$195.65 |
| 81002 |
|
14 |
13 |
$112.80 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
13 |
12 |
$0.00 |