| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage |
13,431 |
9,514 |
$761K |
| A0427 |
Als1-emergency |
6,401 |
5,155 |
$740K |
| 87502 |
|
6,462 |
4,918 |
$619K |
| 74177 |
|
3,566 |
3,092 |
$480K |
| 70450 |
|
4,143 |
3,609 |
$387K |
| A0429 |
Bls-emergency |
3,316 |
2,605 |
$319K |
| 96365 |
|
3,668 |
2,957 |
$310K |
| 80307 |
|
4,537 |
3,786 |
$291K |
| A0428 |
Bls |
4,275 |
3,050 |
$234K |
| 11042 |
|
1,917 |
1,053 |
$232K |
| 85025 |
|
27,578 |
20,948 |
$197K |
| 59025 |
|
1,334 |
818 |
$192K |
| 80048 |
|
14,092 |
11,113 |
$192K |
| 80053 |
|
11,760 |
9,620 |
$155K |
| 99283 |
|
2,917 |
2,387 |
$150K |
| 72125 |
|
1,283 |
1,133 |
$132K |
| 96374 |
|
1,557 |
1,342 |
$112K |
| 74176 |
|
1,398 |
1,238 |
$96K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,182 |
1,111 |
$96K |
| 99284 |
|
3,120 |
2,643 |
$94K |
| 93005 |
|
9,308 |
7,642 |
$89K |
| 87634 |
|
1,250 |
880 |
$72K |
| 96361 |
|
778 |
572 |
$67K |
| U0002 |
Covid-19 lab test non-cdc |
1,602 |
1,449 |
$67K |
| 71046 |
|
3,459 |
3,076 |
$64K |
| 84703 |
|
6,802 |
5,735 |
$63K |
| 97110 |
|
1,740 |
435 |
$61K |
| 83880 |
|
2,510 |
2,117 |
$60K |
| 99285 |
|
2,561 |
2,153 |
$55K |
| 71045 |
|
6,343 |
5,374 |
$50K |
| 84484 |
|
6,069 |
4,200 |
$49K |
| 87880 |
|
4,162 |
3,766 |
$47K |
| 87086 |
|
5,820 |
5,040 |
$47K |
| 83735 |
|
8,224 |
6,259 |
$46K |
| 94761 |
|
2,023 |
1,318 |
$45K |
| 80061 |
|
2,229 |
1,988 |
$37K |
| 83690 |
|
5,357 |
4,452 |
$37K |
| 96372 |
|
905 |
742 |
$36K |
| 81001 |
|
10,472 |
8,875 |
$34K |
| J1100 |
Dexamethasone sodium phos |
4,672 |
3,939 |
$34K |
| 99282 |
|
567 |
447 |
$33K |
| 84145 |
|
2,280 |
1,860 |
$33K |
| 80320 |
|
1,969 |
1,624 |
$27K |
| 73630 |
|
1,108 |
975 |
$27K |
| 84443 |
|
2,185 |
1,908 |
$25K |
| J0696 |
Ceftriaxone sodium injection |
3,050 |
2,585 |
$25K |
| 86901 |
|
1,187 |
938 |
$25K |
| 86140 |
|
4,299 |
3,584 |
$23K |
| J1885 |
Ketorolac tromethamine inj |
7,297 |
6,067 |
$22K |
| 73610 |
|
1,211 |
1,062 |
$22K |
| 73562 |
|
694 |
633 |
$21K |
| 87077 |
|
2,482 |
2,191 |
$20K |
| 76805 |
|
456 |
392 |
$18K |
| 12001 |
|
87 |
83 |
$18K |
| 82962 |
|
3,251 |
1,674 |
$18K |
| 43239 |
|
109 |
106 |
$17K |
| 73130 |
|
726 |
653 |
$17K |
| 87088 |
|
2,095 |
1,864 |
$16K |
| 94760 |
|
1,155 |
955 |
$16K |
| 83036 |
|
1,377 |
1,215 |
$16K |
| 80076 |
|
1,616 |
1,291 |
$15K |
| 73110 |
|
630 |
566 |
$15K |
| 82565 |
|
681 |
536 |
$14K |
| 93306 |
|
116 |
110 |
$14K |
| 83605 |
|
1,811 |
1,481 |
$14K |
| A0398 |
Als routine disposble suppls |
1,587 |
1,441 |
$14K |
| 82550 |
|
2,297 |
1,827 |
$13K |
| 87491 |
|
299 |
283 |
$13K |
| 87591 |
|
299 |
283 |
$13K |
| 85610 |
|
3,865 |
3,240 |
$13K |
| 87186 |
|
2,389 |
2,108 |
$13K |
| 81003 |
|
4,935 |
4,244 |
$13K |
| J1650 |
Inj enoxaparin sodium |
285 |
229 |
$12K |
| J2405 |
Ondansetron hcl injection |
1,817 |
1,514 |
$12K |
| 85730 |
|
2,609 |
2,252 |
$12K |
| 76830 |
|
247 |
215 |
$12K |
| 85379 |
|
1,157 |
1,053 |
$12K |
| 82553 |
|
1,173 |
908 |
$11K |
| 71275 |
|
85 |
81 |
$11K |
| 73030 |
|
597 |
519 |
$11K |
| 90715 |
|
576 |
523 |
$11K |
| 88305 |
|
358 |
331 |
$10K |
| A0426 |
Als 1 |
184 |
136 |
$10K |
| 72110 |
|
314 |
286 |
$10K |
| 76856 |
|
293 |
258 |
$10K |
| 71020 |
|
626 |
586 |
$9K |
| 84439 |
|
883 |
816 |
$8K |
| 87807 |
|
602 |
581 |
$7K |
| 87400 |
|
1,243 |
607 |
$7K |
| 77067 |
|
157 |
139 |
$7K |
| 99281 |
|
108 |
97 |
$7K |
| 71260 |
|
62 |
55 |
$6K |
| 82805 |
|
254 |
213 |
$6K |
| 87040 |
|
646 |
376 |
$6K |
| 96375 |
|
1,249 |
1,034 |
$5K |
| 86885 |
|
479 |
370 |
$5K |
| 36415 |
|
3,014 |
2,275 |
$5K |
| 97161 |
|
118 |
88 |
$5K |
| 86900 |
|
1,188 |
938 |
$4K |
| A0422 |
Ambulance 02 life sustaining |
289 |
253 |
$4K |
| 87636 |
|
37 |
37 |
$4K |
| 81025 |
|
594 |
528 |
$4K |
| 70486 |
|
31 |
29 |
$4K |
| 82150 |
|
569 |
526 |
$4K |
| 82948 |
|
692 |
416 |
$3K |
| 80050 |
|
74 |
72 |
$3K |
| 80164 |
|
235 |
182 |
$3K |
| 84702 |
|
330 |
285 |
$3K |
| 94640 |
|
753 |
503 |
$3K |
| 76700 |
|
66 |
64 |
$3K |
| J0690 |
Cefazolin sodium injection |
1,818 |
1,479 |
$3K |
| 12011 |
|
13 |
13 |
$3K |
| 73502 |
|
90 |
87 |
$2K |
| 71010 |
|
325 |
298 |
$2K |
| 72131 |
|
29 |
25 |
$2K |
| 74018 |
|
122 |
112 |
$2K |
| 82306 |
|
103 |
92 |
$2K |
| 73080 |
|
113 |
106 |
$2K |
| 80329 |
|
159 |
119 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
2,491 |
2,115 |
$2K |
| 95811 |
|
12 |
12 |
$2K |
| 82947 |
|
294 |
263 |
$2K |
| 77066 |
Tomosynthesis, mammo |
29 |
26 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
3,898 |
3,223 |
$2K |
| 74022 |
|
71 |
63 |
$2K |
| J2001 |
Lidocaine injection |
1,818 |
1,641 |
$2K |
| 96376 |
|
32 |
24 |
$2K |
| 76705 |
|
113 |
103 |
$2K |
| 87635 |
|
367 |
276 |
$1K |
| 87210 |
|
252 |
239 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
1,392 |
1,123 |
$1K |
| 87661 |
|
30 |
30 |
$1K |
| G0463 |
Hospital outpt clinic visit |
86 |
70 |
$1K |
| J3010 |
Fentanyl citrate injection |
3,676 |
3,086 |
$1K |
| 96360 |
|
12 |
12 |
$1K |
| J1170 |
Hydromorphone injection |
3,637 |
2,834 |
$1K |
| J7030 |
Normal saline solution infus |
157 |
126 |
$1K |
| C9803 |
Hopd covid-19 spec collect |
644 |
565 |
$1K |
| 76642 |
|
76 |
55 |
$1K |
| 81511 |
|
27 |
14 |
$1K |
| J2270 |
Morphine sulfate injection |
2,561 |
1,946 |
$1K |
| 77063 |
|
90 |
76 |
$965.02 |
| 76801 |
|
25 |
24 |
$940.50 |
| M0243 |
Casirivi and imdevi inj |
26 |
26 |
$928.80 |
| J2930 |
Methylprednisolone injection |
339 |
269 |
$843.06 |
| J0330 |
Succinycholine chloride inj |
575 |
476 |
$720.92 |
| 90471 |
|
101 |
87 |
$666.66 |
| 74019 |
|
28 |
28 |
$661.57 |
| J2550 |
Promethazine hcl injection |
655 |
528 |
$648.11 |
| 73090 |
|
40 |
36 |
$634.29 |
| 88342 |
|
40 |
39 |
$603.80 |
| J2060 |
Lorazepam injection |
506 |
429 |
$594.99 |
| 74230 |
|
16 |
15 |
$582.66 |
| 87389 |
|
22 |
20 |
$559.52 |
| 82010 |
|
93 |
73 |
$513.21 |
| 80055 |
|
16 |
16 |
$474.76 |
| 82728 |
|
28 |
28 |
$408.45 |
| 93971 |
|
12 |
12 |
$333.72 |
| G0279 |
Tomosynthesis, mammo |
42 |
40 |
$314.00 |
| 83540 |
|
53 |
48 |
$307.04 |
| P9612 |
Catheterize for urine spec |
139 |
129 |
$286.05 |
| 80178 |
|
32 |
26 |
$285.08 |
| 86787 |
|
15 |
15 |
$220.80 |
| J2710 |
Neostigmine methylslfte inj |
193 |
146 |
$211.32 |
| 73140 |
|
21 |
13 |
$196.32 |
| 97150 |
|
93 |
25 |
$173.86 |
| 87070 |
|
12 |
12 |
$158.80 |
| 86308 |
|
25 |
24 |
$156.37 |
| 82607 |
|
12 |
12 |
$150.64 |
| 83615 |
|
24 |
24 |
$142.74 |
| 82570 |
|
20 |
15 |
$118.24 |
| G0378 |
Hospital observation per hr |
297 |
270 |
$106.04 |
| G0480 |
Drug test def 1-7 classes |
17 |
13 |
$102.58 |
| 84156 |
|
21 |
15 |
$89.25 |
| 85651 |
|
26 |
24 |
$81.12 |
| 84100 |
|
34 |
27 |
$76.41 |
| 84550 |
|
14 |
13 |
$71.06 |
| J3475 |
Inj magnesium sulfate |
182 |
137 |
$34.57 |
| J0171 |
Adrenalin epinephrine inject |
14 |
12 |
$32.80 |
| J0780 |
Prochlorperazine injection |
95 |
91 |
$30.15 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,477 |
1,966 |
$23.47 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
46 |
31 |
$9.35 |
| J2175 |
Meperidine hydrochl /100 mg |
28 |
27 |
$8.76 |
| J2470 |
Inj pantoprazole sodium 40mg |
29 |
26 |
$7.78 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
20 |
15 |
$2.70 |
| J3490 |
Drugs unclassified injection |
477 |
345 |
$2.45 |
| U0005 |
Infec agen detec ampli probe |
210 |
191 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
17 |
15 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
68 |
66 |
$0.00 |
| A0394 |
Als iv drug therapy supplies |
186 |
91 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
18 |
14 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
26 |
15 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
98 |
82 |
$0.00 |