| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
8,261 |
7,458 |
$1.43M |
| A0427 |
Als1-emergency |
6,893 |
5,998 |
$1.36M |
| A0429 |
Bls-emergency |
4,006 |
3,525 |
$788K |
| 99283 |
|
4,478 |
4,294 |
$545K |
| A0425 |
Ground mileage |
11,803 |
9,950 |
$215K |
| 99282 |
|
2,623 |
2,536 |
$195K |
| 96374 |
|
1,981 |
1,803 |
$69K |
| 87637 |
|
359 |
357 |
$48K |
| 85025 |
|
10,821 |
9,739 |
$24K |
| 99281 |
|
355 |
343 |
$16K |
| 99285 |
|
76 |
67 |
$15K |
| 80053 |
|
9,130 |
8,260 |
$15K |
| 36415 |
|
14,866 |
13,209 |
$9K |
| 96375 |
|
246 |
232 |
$4K |
| 71045 |
|
187 |
167 |
$2K |
| 84703 |
|
442 |
409 |
$1K |
| 74177 |
|
12 |
12 |
$1K |
| 87804 |
|
103 |
101 |
$942.94 |
| 93005 |
|
326 |
285 |
$726.48 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
30 |
27 |
$670.00 |
| 71046 |
|
25 |
25 |
$658.78 |
| J2405 |
Ondansetron hcl injection |
466 |
391 |
$580.71 |
| 84484 |
|
54 |
39 |
$480.35 |
| 81001 |
|
1,059 |
981 |
$382.11 |
| 85027 |
|
200 |
187 |
$343.17 |
| 96372 |
|
39 |
38 |
$120.60 |
| 80048 |
|
113 |
104 |
$98.26 |
| 87430 |
|
16 |
14 |
$86.25 |
| 87070 |
|
13 |
12 |
$56.12 |
| 85610 |
|
29 |
28 |
$43.19 |
| J1100 |
Dexamethasone sodium phos |
273 |
192 |
$41.40 |
| 83690 |
|
13 |
12 |
$27.06 |
| J2270 |
Morphine sulfate injection |
18 |
13 |
$7.68 |
| J1885 |
Ketorolac tromethamine inj |
223 |
194 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
243 |
196 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
206 |
139 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
220 |
172 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
89 |
85 |
$0.00 |