| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
17,029 |
14,035 |
$1.73M |
| 99283 |
|
20,231 |
17,782 |
$1.34M |
| 99285 |
|
9,687 |
7,454 |
$975K |
| 74177 |
|
2,854 |
2,296 |
$673K |
| 97110 |
|
8,585 |
2,145 |
$375K |
| 99282 |
|
7,874 |
6,958 |
$277K |
| A0425 |
Ground mileage |
12,247 |
6,185 |
$275K |
| A0427 |
Als1-emergency |
4,387 |
2,667 |
$258K |
| 70450 |
|
2,514 |
2,063 |
$213K |
| 74176 |
|
883 |
733 |
$173K |
| A0429 |
Bls-emergency |
2,960 |
1,772 |
$125K |
| 77067 |
|
1,493 |
1,353 |
$105K |
| 82306 |
|
4,633 |
4,076 |
$98K |
| 76801 |
|
1,234 |
983 |
$94K |
| 76805 |
|
860 |
708 |
$69K |
| 80307 |
|
4,598 |
3,627 |
$56K |
| 80053 |
|
34,137 |
26,798 |
$55K |
| A0428 |
Bls |
1,487 |
839 |
$55K |
| 96365 |
|
5,997 |
3,598 |
$55K |
| 84443 |
|
10,964 |
9,232 |
$46K |
| 87636 |
|
4,949 |
4,557 |
$45K |
| 76830 |
|
828 |
776 |
$44K |
| 76856 |
|
843 |
745 |
$43K |
| 72125 |
|
228 |
198 |
$37K |
| 97162 |
|
329 |
314 |
$35K |
| A0426 |
Als 1 |
457 |
230 |
$33K |
| 80061 |
|
10,044 |
8,810 |
$32K |
| 71046 |
|
3,440 |
2,907 |
$27K |
| 80050 |
|
644 |
642 |
$25K |
| 76705 |
|
859 |
770 |
$24K |
| 87591 |
|
1,677 |
1,430 |
$22K |
| 72148 |
|
75 |
71 |
$19K |
| 84702 |
|
3,249 |
2,498 |
$17K |
| 96374 |
|
9,652 |
7,531 |
$14K |
| 93306 |
|
97 |
90 |
$13K |
| 99213 |
|
179 |
142 |
$13K |
| 71275 |
|
71 |
64 |
$10K |
| 73562 |
|
896 |
708 |
$9K |
| 87653 |
|
615 |
581 |
$9K |
| 96375 |
|
8,277 |
6,215 |
$9K |
| 73130 |
|
1,234 |
1,037 |
$8K |
| 85025 |
|
35,657 |
27,843 |
$8K |
| U0003 |
Cov-19 amp prb hgh thruput |
437 |
419 |
$8K |
| 93005 |
|
10,037 |
7,527 |
$7K |
| 73610 |
|
1,099 |
913 |
$6K |
| 87491 |
|
1,691 |
1,443 |
$6K |
| 73630 |
|
1,018 |
860 |
$6K |
| 76815 |
|
164 |
141 |
$6K |
| G0378 |
Hospital observation per hr |
167 |
39 |
$5K |
| 87077 |
|
3,611 |
2,809 |
$5K |
| 93971 |
|
109 |
103 |
$4K |
| 76700 |
|
40 |
39 |
$4K |
| 80048 |
|
3,219 |
2,590 |
$4K |
| 73030 |
|
584 |
489 |
$4K |
| 87086 |
|
8,766 |
7,175 |
$4K |
| 83880 |
|
2,565 |
2,006 |
$3K |
| 86850 |
|
2,042 |
1,553 |
$3K |
| 99212 |
|
103 |
74 |
$3K |
| 80081 |
|
91 |
89 |
$3K |
| 74018 |
|
392 |
322 |
$3K |
| 97140 |
|
1,853 |
663 |
$2K |
| 72100 |
|
142 |
136 |
$2K |
| 87502 |
|
74 |
71 |
$2K |
| 96372 |
|
4,985 |
3,850 |
$2K |
| 82950 |
|
411 |
370 |
$2K |
| 87186 |
|
3,516 |
2,763 |
$2K |
| 87389 |
|
2,066 |
1,679 |
$2K |
| 84481 |
|
137 |
134 |
$2K |
| 73110 |
|
442 |
356 |
$2K |
| 86141 |
|
619 |
420 |
$2K |
| 80074 |
|
14 |
14 |
$1K |
| 82728 |
|
960 |
844 |
$1K |
| 83036 |
|
7,876 |
6,925 |
$1K |
| 82607 |
|
2,651 |
2,294 |
$1K |
| 59025 |
|
23 |
12 |
$1K |
| G0480 |
Drug test def 1-7 classes |
913 |
669 |
$1K |
| 87420 |
|
533 |
493 |
$1K |
| 87400 |
|
3,817 |
1,685 |
$1K |
| 86803 |
|
905 |
818 |
$950.63 |
| 76816 |
|
19 |
15 |
$863.20 |
| 85027 |
|
3,795 |
2,953 |
$859.12 |
| 87070 |
|
619 |
517 |
$840.88 |
| 71045 |
|
7,381 |
5,891 |
$768.25 |
| J3490 |
Drugs unclassified injection |
16,079 |
8,277 |
$766.35 |
| 83655 |
|
120 |
119 |
$764.88 |
| 80320 |
|
1,756 |
1,486 |
$757.79 |
| 96360 |
|
266 |
229 |
$743.44 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,312 |
3,501 |
$724.92 |
| 87635 |
|
1,019 |
957 |
$692.80 |
| 83690 |
|
6,125 |
4,994 |
$679.75 |
| 82947 |
|
4,857 |
2,628 |
$674.59 |
| J2930 |
Methylprednisolone injection |
303 |
220 |
$646.40 |
| 82951 |
|
13 |
12 |
$645.77 |
| 81025 |
|
4,561 |
3,827 |
$634.91 |
| 96361 |
|
2,119 |
1,706 |
$585.95 |
| 86038 |
|
235 |
197 |
$555.68 |
| 87651 |
|
1,356 |
1,296 |
$520.54 |
| J8499 |
Oral prescrip drug non chemo |
12,221 |
7,682 |
$514.50 |
| 87040 |
|
3,598 |
1,548 |
$476.51 |
| 73502 |
|
71 |
66 |
$450.54 |
| 84484 |
|
7,628 |
5,077 |
$441.61 |
| J7030 |
Normal saline solution infus |
8,422 |
6,441 |
$437.86 |
| 99281 |
|
26 |
26 |
$411.16 |
| 85610 |
|
4,277 |
2,994 |
$408.06 |
| J8597 |
Antiemetic drug oral nos |
2,225 |
1,777 |
$388.16 |
| 94640 |
|
1,485 |
1,037 |
$380.55 |
| 81001 |
|
12,106 |
9,820 |
$374.99 |
| 85730 |
|
845 |
642 |
$371.67 |
| 12001 |
|
17 |
16 |
$371.03 |
| 85652 |
|
1,840 |
1,519 |
$325.18 |
| 96376 |
|
1,176 |
814 |
$280.83 |
| 87340 |
|
1,480 |
1,165 |
$240.47 |
| 87522 |
Neg quan hep c or qual rna |
14 |
12 |
$239.95 |
| 90471 |
|
271 |
228 |
$225.29 |
| 90715 |
|
264 |
228 |
$210.29 |
| J7120 |
Ringers lactate infusion |
3,295 |
2,301 |
$187.60 |
| 84466 |
|
748 |
661 |
$186.86 |
| 83605 |
|
3,638 |
2,539 |
$185.61 |
| 74021 |
|
126 |
69 |
$182.97 |
| 87880 |
|
1,452 |
1,304 |
$167.26 |
| 82043 |
|
1,126 |
1,053 |
$165.05 |
| 84403 |
|
78 |
72 |
$161.47 |
| 81003 |
|
5,117 |
4,330 |
$158.28 |
| 86787 |
|
298 |
254 |
$154.96 |
| J1885 |
Ketorolac tromethamine inj |
8,639 |
6,634 |
$149.81 |
| 86140 |
|
973 |
888 |
$148.10 |
| 84156 |
|
79 |
52 |
$131.28 |
| J2405 |
Ondansetron hcl injection |
8,263 |
6,167 |
$127.44 |
| 84153 |
|
112 |
106 |
$125.38 |
| 36415 |
|
12,325 |
9,335 |
$114.81 |
| 86762 |
|
919 |
684 |
$113.50 |
| 85210 |
|
18 |
13 |
$112.96 |
| 83540 |
|
1,247 |
1,095 |
$111.49 |
| J0696 |
Ceftriaxone sodium injection |
3,003 |
1,846 |
$94.50 |
| J3475 |
Inj magnesium sulfate |
1,096 |
836 |
$88.03 |
| 85055 |
|
25 |
24 |
$81.01 |
| 84100 |
|
115 |
82 |
$79.89 |
| 86900 |
|
2,188 |
1,678 |
$76.66 |
| 83735 |
|
2,696 |
2,069 |
$76.26 |
| U0005 |
Infec agen detec ampli probe |
350 |
338 |
$75.00 |
| J2270 |
Morphine sulfate injection |
2,526 |
1,866 |
$70.63 |
| 84439 |
|
4,117 |
3,529 |
$69.16 |
| 84703 |
|
414 |
382 |
$69.16 |
| 82270 |
|
143 |
98 |
$57.03 |
| 73080 |
|
14 |
13 |
$53.70 |
| J1100 |
Dexamethasone sodium phos |
3,145 |
2,331 |
$53.07 |
| 73090 |
|
15 |
14 |
$51.14 |
| J8540 |
Oral dexamethasone |
1,728 |
1,404 |
$42.46 |
| 85379 |
|
318 |
297 |
$37.83 |
| 87210 |
|
40 |
39 |
$37.58 |
| 86592 |
|
2,244 |
1,906 |
$34.45 |
| J2704 |
Inj, propofol, 10 mg |
2,869 |
1,988 |
$34.21 |
| 73140 |
|
14 |
12 |
$28.36 |
| 96367 |
|
32 |
26 |
$26.69 |
| 80076 |
|
27 |
24 |
$25.33 |
| A9270 |
Non-covered item or service |
8,371 |
2,862 |
$23.22 |
| 86901 |
|
2,468 |
1,893 |
$22.44 |
| 84550 |
|
283 |
244 |
$12.32 |
| J3010 |
Fentanyl citrate injection |
2,817 |
1,921 |
$12.03 |
| J2710 |
Neostigmine methylslfte inj |
19 |
15 |
$11.90 |
| 82105 |
|
44 |
38 |
$11.42 |
| 86780 |
|
394 |
323 |
$9.03 |
| 82550 |
|
130 |
99 |
$8.88 |
| 87205 |
|
250 |
195 |
$8.73 |
| J1200 |
Diphenhydramine hcl injectio |
936 |
679 |
$8.37 |
| J2765 |
Metoclopramide hcl injection |
730 |
496 |
$8.12 |
| J2060 |
Lorazepam injection |
346 |
232 |
$3.54 |
| 82565 |
|
14 |
12 |
$3.50 |
| J7512 |
Prednisone ir or dr oral 1mg |
288 |
246 |
$2.42 |
| J2250 |
Inj midazolam hydrochloride |
1,505 |
975 |
$2.31 |
| J2001 |
Lidocaine injection |
702 |
496 |
$1.70 |
| J1630 |
Haloperidol injection |
108 |
92 |
$1.07 |
| J1644 |
Inj heparin sodium per 1000u |
36 |
25 |
$0.65 |
| J7999 |
Compounded drug, noc |
145 |
137 |
$0.53 |
| J0330 |
Succinycholine chloride inj |
50 |
36 |
$0.05 |
| 85007 |
|
104 |
87 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
16 |
14 |
$0.00 |
| 82570 |
|
102 |
84 |
$0.00 |
| 87631 |
|
1,970 |
1,876 |
$0.00 |
| 83718 |
|
68 |
68 |
$0.00 |
| 82465 |
|
70 |
70 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
78 |
40 |
$0.00 |
| J7040 |
Normal saline solution infus |
474 |
373 |
$0.00 |
| 86431 |
|
30 |
28 |
$0.00 |
| 83525 |
|
45 |
45 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
79 |
38 |
$0.00 |
| J0780 |
Prochlorperazine injection |
83 |
63 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
13 |
13 |
$0.00 |
| 94664 |
|
100 |
71 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
22 |
12 |
$0.00 |
| 86200 |
|
13 |
12 |
$0.00 |
| 86336 |
|
13 |
12 |
$0.00 |
| 82746 |
|
175 |
157 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
297 |
198 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
64 |
39 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
15 |
13 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
89 |
67 |
$0.00 |
| 97112 |
|
34 |
13 |
$0.00 |
| J7050 |
Normal saline solution infus |
36 |
26 |
$0.00 |
| 82677 |
|
13 |
12 |
$0.00 |
| 96366 |
|
36 |
27 |
$0.00 |