| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
19,915 |
18,458 |
$3.17M |
| 99284 |
|
14,468 |
13,174 |
$2.95M |
| A0429 |
Bls-emergency |
7,297 |
5,602 |
$2.28M |
| A0427 |
Als1-emergency |
6,492 |
5,365 |
$2.21M |
| 97530 |
|
21,632 |
4,219 |
$1.39M |
| 92507 |
|
17,857 |
3,741 |
$1.34M |
| A0425 |
Ground mileage |
15,257 |
11,254 |
$926K |
| G0463 |
Hospital outpt clinic visit |
27,401 |
21,240 |
$786K |
| 99282 |
|
4,616 |
4,330 |
$539K |
| A0998 |
Ambulance response/treatment |
2,649 |
1,658 |
$528K |
| G0381 |
Lev 2 hosp type b ed visit |
6,700 |
6,356 |
$317K |
| 97110 |
|
5,927 |
1,741 |
$308K |
| 96374 |
|
8,437 |
7,638 |
$288K |
| 99285 |
|
1,121 |
1,027 |
$231K |
| 43239 |
|
234 |
207 |
$133K |
| 87636 |
|
1,238 |
1,167 |
$73K |
| 41899 |
|
135 |
126 |
$73K |
| 69436 |
|
106 |
76 |
$71K |
| G0378 |
Hospital observation per hr |
407 |
330 |
$68K |
| 80053 |
|
15,443 |
13,903 |
$67K |
| 36415 |
|
23,131 |
20,089 |
$65K |
| 74177 |
|
282 |
254 |
$61K |
| 96375 |
|
3,864 |
3,444 |
$59K |
| 71045 |
|
3,848 |
3,549 |
$54K |
| 42820 |
|
40 |
39 |
$54K |
| 0241U |
|
348 |
333 |
$42K |
| 11042 |
|
169 |
105 |
$34K |
| 96372 |
|
2,569 |
2,144 |
$34K |
| 70553 |
|
213 |
162 |
$32K |
| 73630 |
|
1,051 |
744 |
$30K |
| 93296 |
|
1,609 |
1,553 |
$26K |
| 76816 |
|
329 |
289 |
$23K |
| 85025 |
|
25,611 |
22,781 |
$22K |
| 71046 |
|
988 |
900 |
$21K |
| 80307 |
|
1,756 |
1,534 |
$21K |
| 70450 |
|
314 |
281 |
$19K |
| 96365 |
|
350 |
239 |
$19K |
| 93005 |
|
6,443 |
5,836 |
$18K |
| 67028 |
|
104 |
95 |
$16K |
| 88305 |
|
1,004 |
786 |
$14K |
| A0428 |
Bls |
89 |
79 |
$13K |
| 97140 |
|
332 |
104 |
$12K |
| 97161 |
|
330 |
308 |
$12K |
| 95811 |
|
13 |
13 |
$12K |
| 76805 |
|
151 |
144 |
$10K |
| 76856 |
|
143 |
125 |
$9K |
| 76819 |
|
102 |
45 |
$8K |
| 80048 |
|
7,239 |
6,371 |
$8K |
| 76830 |
|
120 |
105 |
$7K |
| 88142 |
|
725 |
671 |
$7K |
| J7030 |
Normal saline solution infus |
4,667 |
3,908 |
$7K |
| 97035 |
|
334 |
125 |
$6K |
| 52000 |
|
13 |
12 |
$6K |
| U0002 |
Covid-19 lab test non-cdc |
302 |
267 |
$6K |
| G2066 |
Inter devc remote 30d |
566 |
543 |
$6K |
| 62323 |
|
28 |
25 |
$6K |
| 76817 |
|
79 |
70 |
$6K |
| 95951 |
|
18 |
13 |
$5K |
| 99281 |
|
37 |
35 |
$5K |
| 87491 |
|
148 |
132 |
$5K |
| 93976 |
|
58 |
52 |
$5K |
| 87591 |
|
146 |
131 |
$5K |
| 93306 |
|
64 |
59 |
$4K |
| 76705 |
|
70 |
61 |
$4K |
| 87651 |
|
178 |
170 |
$4K |
| 71260 |
|
56 |
53 |
$3K |
| U0004 |
Cov-19 test non-cdc hgh thru |
35 |
34 |
$3K |
| J7120 |
Ringers lactate infusion |
4,209 |
3,052 |
$3K |
| 11721 |
|
1,237 |
1,153 |
$3K |
| 82306 |
|
16 |
12 |
$3K |
| 84484 |
|
3,759 |
3,135 |
$3K |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
782 |
706 |
$3K |
| J8499 |
Oral prescrip drug non chemo |
5,048 |
3,269 |
$3K |
| J2704 |
Inj, propofol, 10 mg |
2,484 |
1,351 |
$3K |
| 97165 |
|
145 |
124 |
$3K |
| 73610 |
|
227 |
147 |
$3K |
| 74176 |
|
29 |
27 |
$2K |
| 80061 |
|
378 |
355 |
$2K |
| 93922 |
|
68 |
67 |
$2K |
| 83036 |
|
350 |
332 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,092 |
988 |
$2K |
| 73562 |
|
161 |
127 |
$2K |
| 83690 |
|
3,635 |
3,278 |
$2K |
| 97112 |
|
68 |
26 |
$2K |
| 87631 |
|
32 |
32 |
$2K |
| 97162 |
|
65 |
55 |
$2K |
| 92558 |
|
146 |
120 |
$2K |
| 73110 |
|
95 |
58 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
3,831 |
3,369 |
$1K |
| 97116 |
|
142 |
40 |
$1K |
| 97166 |
|
42 |
40 |
$1K |
| U0003 |
Cov-19 amp prb hgh thruput |
47 |
41 |
$1K |
| 81001 |
|
4,685 |
4,277 |
$1K |
| 94060 |
|
29 |
28 |
$1K |
| 88342 |
|
70 |
63 |
$1K |
| 76801 |
|
15 |
14 |
$1K |
| J3490 |
Drugs unclassified injection |
1,247 |
716 |
$1K |
| 87389 |
|
32 |
28 |
$1K |
| 83735 |
|
2,123 |
1,886 |
$1K |
| 71250 |
|
44 |
42 |
$1K |
| 85027 |
|
476 |
425 |
$985.46 |
| 80069 |
|
104 |
95 |
$879.25 |
| 72125 |
|
28 |
26 |
$873.96 |
| 84443 |
|
504 |
455 |
$869.82 |
| 94618 |
|
15 |
15 |
$807.36 |
| 73030 |
|
84 |
73 |
$794.54 |
| J2270 |
Morphine sulfate injection |
589 |
462 |
$794.18 |
| 93298 |
|
30 |
30 |
$704.53 |
| 73130 |
|
55 |
38 |
$671.36 |
| 86803 |
|
18 |
16 |
$604.05 |
| G0008 |
Admin influenza virus vac |
58 |
55 |
$585.46 |
| 93299 |
|
95 |
95 |
$575.38 |
| 92012 |
|
14 |
12 |
$434.99 |
| 87624 |
|
119 |
107 |
$434.79 |
| 80076 |
|
917 |
834 |
$409.22 |
| 76775 |
|
12 |
12 |
$400.05 |
| 76000 |
|
25 |
12 |
$387.24 |
| J3010 |
Fentanyl citrate injection |
2,848 |
1,035 |
$328.03 |
| 73140 |
|
20 |
14 |
$321.88 |
| 20610 |
|
36 |
30 |
$320.43 |
| C9803 |
Hopd covid-19 spec collect |
18 |
16 |
$315.00 |
| U0005 |
Infec agen detec ampli probe |
12 |
12 |
$275.00 |
| 73590 |
|
22 |
12 |
$265.98 |
| 81025 |
|
858 |
773 |
$256.46 |
| 93971 |
|
14 |
13 |
$245.49 |
| J2250 |
Inj midazolam hydrochloride |
1,601 |
1,068 |
$239.55 |
| 96366 |
|
15 |
12 |
$237.28 |
| J1100 |
Dexamethasone sodium phos |
1,351 |
1,031 |
$178.03 |
| 92134 |
|
114 |
109 |
$176.46 |
| J0690 |
Cefazolin sodium injection |
212 |
133 |
$163.48 |
| J2405 |
Ondansetron hcl injection |
1,768 |
1,305 |
$160.66 |
| 84145 |
|
139 |
125 |
$140.54 |
| 86140 |
|
196 |
156 |
$134.25 |
| J1644 |
Inj heparin sodium per 1000u |
362 |
122 |
$125.57 |
| 20611 |
|
13 |
12 |
$116.48 |
| 83655 |
|
15 |
14 |
$107.24 |
| 83605 |
|
370 |
336 |
$102.97 |
| L3908 |
Who cock-up nonmolde pre ots |
14 |
12 |
$102.54 |
| 74019 |
|
70 |
67 |
$98.76 |
| J1200 |
Diphenhydramine hcl injectio |
366 |
309 |
$95.37 |
| A9573 |
Inj, gadopiclenol, 1 ml |
17 |
13 |
$86.97 |
| 84703 |
|
144 |
132 |
$84.93 |
| 82565 |
|
100 |
79 |
$76.96 |
| 81003 |
|
535 |
500 |
$75.30 |
| 87880 |
|
275 |
258 |
$62.75 |
| 85379 |
|
57 |
50 |
$62.44 |
| J7999 |
Compounded drug, noc |
16 |
15 |
$56.57 |
| 51798 |
|
64 |
58 |
$50.40 |
| 87086 |
|
527 |
480 |
$43.81 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
93 |
89 |
$32.31 |
| 85652 |
|
227 |
189 |
$30.22 |
| 84702 |
|
13 |
12 |
$30.10 |
| J2765 |
Metoclopramide hcl injection |
39 |
39 |
$24.16 |
| 87210 |
|
33 |
24 |
$5.81 |
| J2060 |
Lorazepam injection |
70 |
57 |
$0.70 |
| G8980 |
Mobility d/c status |
95 |
85 |
$0.00 |
| A9585 |
Gadobutrol injection |
264 |
202 |
$0.00 |
| 87510 |
|
120 |
103 |
$0.00 |
| 96376 |
|
210 |
142 |
$0.00 |
| A9270 |
Non-covered item or service |
783 |
443 |
$0.00 |
| 94760 |
|
225 |
140 |
$0.00 |
| 87280 |
|
20 |
20 |
$0.00 |
| J7050 |
Normal saline solution infus |
327 |
194 |
$0.00 |
| C1769 |
Guide wire |
393 |
232 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
146 |
106 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
201 |
126 |
$0.00 |
| 87480 |
|
120 |
103 |
$0.00 |
| 82962 |
|
189 |
163 |
$0.00 |
| 82728 |
|
17 |
15 |
$0.00 |
| 92567 |
|
423 |
359 |
$0.00 |
| 87040 |
|
89 |
75 |
$0.00 |
| G8988 |
Self care goal status |
67 |
44 |
$0.00 |
| 94640 |
|
322 |
219 |
$0.00 |
| 87088 |
|
85 |
77 |
$0.00 |
| 83880 |
|
81 |
70 |
$0.00 |
| 96127 |
|
25 |
24 |
$0.00 |
| G8987 |
Self care current status |
54 |
40 |
$0.00 |
| 86901 |
|
12 |
12 |
$0.00 |
| 82550 |
|
36 |
28 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
17 |
14 |
$0.00 |
| 85730 |
|
48 |
39 |
$0.00 |
| 85018 |
|
94 |
71 |
$0.00 |
| 86850 |
|
12 |
12 |
$0.00 |
| 83615 |
|
16 |
12 |
$0.00 |
| 97535 |
|
171 |
74 |
$0.00 |
| 90686 |
|
14 |
13 |
$0.00 |
| 73502 |
|
17 |
15 |
$0.00 |
| 87077 |
|
29 |
26 |
$0.00 |
| A4217 |
Sterile water/saline, 500 ml |
13 |
12 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
16 |
12 |
$0.00 |
| V5266 |
Battery for hearing device |
64 |
59 |
$0.00 |
| 85049 |
|
70 |
57 |
$0.00 |
| G8978 |
Mobility current status |
216 |
192 |
$0.00 |
| 74018 |
|
43 |
31 |
$0.00 |
| A4216 |
Sterile water/saline, 10 ml |
457 |
356 |
$0.00 |
| 87502 |
|
191 |
185 |
$0.00 |
| 94729 |
|
16 |
15 |
$0.00 |
| 87660 |
|
120 |
103 |
$0.00 |
| 85610 |
|
387 |
304 |
$0.00 |
| 87186 |
|
137 |
130 |
$0.00 |
| C1887 |
Catheter, guiding |
34 |
24 |
$0.00 |
| G8979 |
Mobility goal status |
281 |
215 |
$0.00 |
| 84100 |
|
44 |
28 |
$0.00 |
| J7699 |
Inhalation solution for dme |
12 |
12 |
$0.00 |
| 86900 |
|
12 |
12 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
128 |
77 |
$0.00 |
| 92557 |
|
32 |
28 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
13 |
12 |
$0.00 |
| 87804 |
|
64 |
61 |
$0.00 |
| 99152 |
|
15 |
12 |
$0.00 |
| 84460 |
|
31 |
27 |
$0.00 |
| J0585 |
Injection,onabotulinumtoxina |
13 |
13 |
$0.00 |
| G8985 |
Carry goal status |
15 |
12 |
$0.00 |
| 84439 |
|
13 |
13 |
$0.00 |
| 94726 |
|
15 |
14 |
$0.00 |