| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,988 |
2,805 |
$1.24M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,292 |
1,252 |
$636K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
423 |
336 |
$84K |
| A0425 |
Ground mileage, per statute mile |
4,158 |
3,826 |
$63K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
78 |
73 |
$36K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
380 |
369 |
$20K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
25 |
25 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
194 |
96 |
$5K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
46 |
44 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
119 |
80 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
20 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
58 |
58 |
$774.02 |
| 80061 |
Lipid panel |
44 |
44 |
$428.47 |
| 85027 |
|
301 |
279 |
$346.36 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
95 |
92 |
$329.94 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
130 |
125 |
$279.22 |
| 84443 |
Thyroid stimulating hormone (TSH) |
30 |
27 |
$243.36 |
| 36415 |
Collection of venous blood by venipuncture |
357 |
320 |
$219.24 |
| 80053 |
Comprehensive metabolic panel |
119 |
111 |
$194.93 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
54 |
49 |
$70.81 |
| 80076 |
|
13 |
13 |
$42.05 |
| 81001 |
|
28 |
28 |
$9.81 |
| 83690 |
|
12 |
12 |
$0.00 |
| 84484 |
|
18 |
15 |
$0.00 |
| 82948 |
|
96 |
79 |
$0.00 |
| 82805 |
|
16 |
12 |
$0.00 |