| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpt clinic visit |
42,287 |
36,343 |
$4.70M |
| 99283 |
|
28,535 |
26,236 |
$3.68M |
| 99285 |
|
29,607 |
25,758 |
$3.48M |
| 99284 |
|
27,009 |
24,254 |
$3.43M |
| 71045 |
|
13,625 |
11,985 |
$1.61M |
| 93005 |
|
25,033 |
21,823 |
$1.44M |
| 96374 |
|
24,522 |
21,451 |
$1.29M |
| 11042 |
|
1,459 |
694 |
$775K |
| 90834 |
|
6,371 |
4,103 |
$601K |
| 43239 |
|
514 |
484 |
$566K |
| A0429 |
Bls-emergency |
6,360 |
4,757 |
$449K |
| 59025 |
|
1,339 |
1,076 |
$417K |
| 90853 |
|
6,698 |
1,377 |
$391K |
| 96361 |
|
13,871 |
12,007 |
$387K |
| A0427 |
Als1-emergency |
5,082 |
4,209 |
$312K |
| U0004 |
Cov-19 test non-cdc hgh thru |
4,234 |
4,013 |
$306K |
| 74177 |
|
1,061 |
917 |
$285K |
| 85025 |
|
57,750 |
49,220 |
$231K |
| 90899 |
|
705 |
85 |
$224K |
| 80053 |
|
38,303 |
33,504 |
$223K |
| A0425 |
Ground mileage |
16,510 |
11,954 |
$212K |
| 92507 |
|
1,485 |
512 |
$210K |
| 80307 |
|
4,153 |
3,054 |
$205K |
| 45385 |
|
114 |
102 |
$203K |
| 71046 |
|
2,762 |
2,382 |
$153K |
| 70450 |
|
1,727 |
1,494 |
$129K |
| 36415 |
|
37,571 |
32,438 |
$127K |
| U0002 |
Covid-19 lab test non-cdc |
3,339 |
2,869 |
$125K |
| 80320 |
|
1,304 |
1,163 |
$123K |
| G0480 |
Drug test def 1-7 classes |
1,671 |
1,321 |
$118K |
| 87651 |
|
3,673 |
3,595 |
$117K |
| 97110 |
|
1,640 |
636 |
$115K |
| 97530 |
|
1,003 |
361 |
$111K |
| 99211 |
|
1,781 |
1,522 |
$105K |
| 87502 |
|
1,576 |
1,339 |
$94K |
| 99213 |
|
820 |
773 |
$88K |
| 80050 |
|
650 |
619 |
$83K |
| 93296 |
|
463 |
399 |
$76K |
| 77386 |
|
342 |
25 |
$69K |
| 84484 |
|
12,717 |
9,194 |
$68K |
| A0428 |
Bls |
3,138 |
2,326 |
$63K |
| 88305 |
|
224 |
210 |
$61K |
| 87491 |
|
1,906 |
1,722 |
$54K |
| 80061 |
|
6,130 |
5,760 |
$54K |
| 80048 |
|
13,288 |
11,452 |
$51K |
| 87591 |
|
1,786 |
1,611 |
$51K |
| 83036 |
|
8,055 |
7,531 |
$49K |
| 77336 |
|
382 |
142 |
$44K |
| 96375 |
|
9,888 |
8,351 |
$44K |
| 81003 |
|
25,265 |
21,877 |
$42K |
| H0038 |
Self-help/peer svc per 15min |
583 |
302 |
$39K |
| 99221 |
|
89 |
81 |
$39K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
585 |
503 |
$35K |
| 99212 |
|
360 |
338 |
$35K |
| 96413 |
|
291 |
121 |
$34K |
| 84443 |
|
2,915 |
2,740 |
$32K |
| 81025 |
|
5,674 |
5,127 |
$27K |
| U0005 |
Infec agen detec ampli probe |
2,546 |
2,391 |
$25K |
| 83690 |
|
8,717 |
7,569 |
$24K |
| 87503 |
|
1,354 |
1,142 |
$22K |
| 90792 |
|
187 |
171 |
$21K |
| 87660 |
|
1,251 |
1,170 |
$20K |
| 87510 |
|
1,251 |
1,170 |
$20K |
| 87480 |
|
1,251 |
1,170 |
$20K |
| 45380 |
|
15 |
12 |
$20K |
| 90791 |
|
193 |
185 |
$19K |
| 82306 |
|
1,059 |
1,000 |
$17K |
| 76816 |
|
101 |
101 |
$17K |
| 96372 |
|
494 |
339 |
$16K |
| 81001 |
|
11,834 |
10,304 |
$16K |
| 97140 |
|
435 |
183 |
$15K |
| 96360 |
|
460 |
418 |
$14K |
| 87536 |
|
236 |
217 |
$14K |
| 80348 |
|
166 |
81 |
$14K |
| 83605 |
|
2,718 |
2,157 |
$14K |
| 80047 |
|
3,491 |
3,112 |
$12K |
| 87635 |
|
368 |
341 |
$11K |
| 87086 |
|
3,024 |
2,530 |
$11K |
| 80349 |
|
215 |
101 |
$10K |
| 82607 |
|
950 |
895 |
$10K |
| 90833 |
|
128 |
114 |
$9K |
| 85027 |
|
2,180 |
2,002 |
$9K |
| 83735 |
|
2,586 |
2,247 |
$8K |
| 80365 |
|
50 |
47 |
$8K |
| 80359 |
|
96 |
55 |
$7K |
| 86360 |
|
208 |
182 |
$7K |
| 80325 |
|
96 |
55 |
$7K |
| 86780 |
|
611 |
572 |
$7K |
| 99282 |
|
44 |
41 |
$7K |
| 87798 |
|
615 |
462 |
$6K |
| 95886 |
|
16 |
14 |
$6K |
| 86359 |
|
232 |
209 |
$6K |
| 80076 |
|
1,420 |
1,258 |
$6K |
| 97597 |
|
79 |
53 |
$5K |
| 76811 |
|
30 |
27 |
$5K |
| 72125 |
|
32 |
26 |
$5K |
| 76705 |
|
38 |
31 |
$5K |
| 73721 |
|
13 |
12 |
$4K |
| 85610 |
|
2,233 |
1,932 |
$4K |
| 87522 |
Neg quan hep c or qual rna |
118 |
109 |
$4K |
| 85014 |
|
5,215 |
4,584 |
$4K |
| 84439 |
|
558 |
534 |
$4K |
| 64483 |
|
14 |
12 |
$4K |
| 80361 |
|
50 |
47 |
$4K |
| A0426 |
Als 1 |
513 |
454 |
$4K |
| 88142 |
|
266 |
260 |
$4K |
| 87389 |
|
158 |
143 |
$3K |
| 83516 |
|
468 |
226 |
$3K |
| 82670 |
|
146 |
135 |
$3K |
| 77334 |
|
24 |
12 |
$3K |
| 99203 |
|
29 |
27 |
$3K |
| 86140 |
|
887 |
812 |
$3K |
| 83880 |
|
191 |
143 |
$2K |
| 85379 |
|
453 |
379 |
$2K |
| 83655 |
|
218 |
208 |
$2K |
| 84403 |
|
115 |
110 |
$2K |
| 80329 |
|
111 |
51 |
$2K |
| 77300 |
|
36 |
25 |
$2K |
| 86803 |
|
155 |
141 |
$2K |
| 87653 |
|
87 |
58 |
$2K |
| 84144 |
|
112 |
101 |
$2K |
| 84402 |
|
88 |
82 |
$2K |
| 87426 |
|
47 |
44 |
$2K |
| 84270 |
|
87 |
82 |
$2K |
| 82746 |
|
155 |
141 |
$2K |
| 85730 |
|
572 |
488 |
$1K |
| 82570 |
|
525 |
357 |
$1K |
| 84481 |
|
90 |
87 |
$1K |
| 82043 |
|
378 |
351 |
$1K |
| 83970 |
|
77 |
74 |
$1K |
| 94760 |
|
31 |
24 |
$1K |
| 86850 |
|
244 |
215 |
$1K |
| 87880 |
|
75 |
68 |
$1K |
| 82803 |
|
105 |
81 |
$1K |
| 82553 |
|
307 |
274 |
$850.27 |
| 87624 |
|
26 |
25 |
$846.25 |
| 83001 |
|
61 |
57 |
$838.53 |
| 82550 |
|
322 |
289 |
$805.83 |
| 83002 |
|
44 |
43 |
$704.55 |
| 96365 |
|
34 |
25 |
$687.74 |
| 82627 |
|
34 |
33 |
$645.62 |
| 90471 |
|
15 |
13 |
$636.48 |
| 87340 |
|
83 |
75 |
$634.61 |
| 82728 |
|
87 |
76 |
$608.11 |
| 87040 |
|
132 |
75 |
$570.15 |
| 86900 |
|
228 |
199 |
$526.61 |
| 86901 |
|
228 |
199 |
$526.61 |
| 82948 |
|
288 |
75 |
$502.44 |
| 84702 |
|
59 |
53 |
$454.73 |
| 86762 |
|
29 |
27 |
$402.92 |
| 82951 |
|
27 |
26 |
$370.65 |
| 85652 |
|
239 |
217 |
$357.59 |
| 83540 |
|
84 |
79 |
$341.62 |
| 86317 |
|
28 |
24 |
$323.34 |
| 83550 |
|
54 |
50 |
$309.74 |
| 82330 |
|
360 |
324 |
$309.63 |
| 82150 |
|
97 |
82 |
$306.45 |
| 96366 |
|
36 |
13 |
$294.84 |
| 84156 |
|
143 |
134 |
$287.83 |
| 87150 |
|
12 |
12 |
$284.23 |
| 84425 |
|
14 |
13 |
$281.08 |
| 82565 |
|
392 |
355 |
$236.62 |
| 84295 |
|
393 |
355 |
$217.45 |
| 84132 |
|
433 |
389 |
$215.39 |
| 82947 |
|
407 |
369 |
$208.15 |
| 82435 |
|
393 |
355 |
$186.64 |
| 80069 |
|
46 |
44 |
$185.38 |
| 84520 |
|
396 |
357 |
$178.43 |
| 83615 |
|
172 |
140 |
$163.95 |
| 80143 |
|
12 |
12 |
$160.37 |
| 87077 |
|
56 |
40 |
$150.79 |
| 84480 |
|
13 |
12 |
$133.58 |
| 82374 |
|
339 |
310 |
$119.40 |
| 87186 |
|
30 |
24 |
$96.05 |
| 84100 |
|
40 |
25 |
$86.74 |
| 82977 |
|
13 |
12 |
$64.50 |
| 84450 |
|
26 |
25 |
$63.79 |
| 82950 |
|
12 |
12 |
$55.11 |
| 94640 |
|
25 |
13 |
$51.60 |
| 87070 |
|
38 |
24 |
$26.00 |
| 87205 |
|
38 |
24 |
$12.89 |
| J2405 |
Ondansetron hcl injection |
969 |
658 |
$0.00 |
| J2274 |
Inj morphine pf epid ithc |
40 |
25 |
$0.00 |
| 81291 |
|
17 |
17 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
20 |
12 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
446 |
304 |
$0.00 |
| 96376 |
|
152 |
122 |
$0.00 |
| 99459 |
|
494 |
454 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
115 |
57 |
$0.00 |
| G0378 |
Hospital observation per hr |
13 |
13 |
$0.00 |
| 0064U |
|
14 |
13 |
$0.00 |