| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Als1-emergency |
11,317 |
9,648 |
$6.99M |
| A0425 |
Ground mileage |
20,400 |
15,913 |
$4.10M |
| A0429 |
Bls-emergency |
5,392 |
4,690 |
$2.72M |
| G0463 |
Hospital outpt clinic visit |
37,895 |
34,011 |
$2.52M |
| 99284 |
|
3,590 |
3,324 |
$846K |
| 99283 |
|
4,428 |
4,151 |
$832K |
| A0428 |
Bls |
1,776 |
1,405 |
$537K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,731 |
2,468 |
$236K |
| 36415 |
|
14,246 |
12,189 |
$178K |
| 99285 |
|
499 |
452 |
$152K |
| 99282 |
|
1,055 |
999 |
$107K |
| A0426 |
Als 1 |
126 |
118 |
$89K |
| 0241U |
|
392 |
357 |
$43K |
| 96374 |
|
382 |
345 |
$37K |
| 87637 |
|
376 |
339 |
$36K |
| 87651 |
|
963 |
900 |
$25K |
| 88305 |
|
466 |
435 |
$19K |
| 43239 |
|
40 |
28 |
$18K |
| 80053 |
|
2,134 |
1,911 |
$13K |
| 97803 |
|
154 |
148 |
$13K |
| 96361 |
|
248 |
214 |
$12K |
| 11042 |
|
60 |
31 |
$12K |
| 80048 |
|
2,977 |
2,710 |
$11K |
| 85025 |
|
7,442 |
6,734 |
$11K |
| 96375 |
|
204 |
187 |
$10K |
| 84443 |
|
1,050 |
1,002 |
$9K |
| 87631 |
|
52 |
51 |
$7K |
| G0483 |
Drug test def 22+ classes |
27 |
24 |
$4K |
| 71046 |
|
80 |
71 |
$3K |
| 83036 |
|
494 |
475 |
$3K |
| 80061 |
|
197 |
192 |
$3K |
| 84439 |
|
567 |
541 |
$2K |
| 96365 |
|
12 |
12 |
$2K |
| 99000 |
|
59 |
45 |
$2K |
| 99232 |
|
37 |
14 |
$2K |
| 97597 |
|
29 |
12 |
$2K |
| G0500 |
Mod sedat endo service >5yrs |
244 |
237 |
$2K |
| 97530 |
|
30 |
12 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
14 |
12 |
$2K |
| 93005 |
|
140 |
117 |
$1K |
| 84480 |
|
230 |
222 |
$1K |
| 81001 |
|
492 |
449 |
$1K |
| 99239 |
|
14 |
14 |
$1K |
| A9270 |
Non-covered item or service |
210 |
174 |
$967.49 |
| 87880 |
|
140 |
134 |
$909.48 |
| 92557 |
|
12 |
12 |
$907.74 |
| 0002A |
|
51 |
48 |
$900.02 |
| 0001A |
|
56 |
53 |
$849.44 |
| 94726 |
|
12 |
12 |
$721.92 |
| 0004A |
|
32 |
26 |
$559.20 |
| 94729 |
|
37 |
37 |
$503.87 |
| 0124A |
|
16 |
14 |
$416.93 |
| U0005 |
Infec agen detec ampli probe |
16 |
16 |
$322.41 |
| 85027 |
|
342 |
302 |
$315.53 |
| J3010 |
Fentanyl citrate injection |
1,047 |
980 |
$314.47 |
| J2250 |
Inj midazolam hydrochloride |
1,133 |
1,058 |
$260.64 |
| 90471 |
|
13 |
13 |
$251.56 |
| 92567 |
|
27 |
27 |
$233.26 |
| 80306 |
|
13 |
12 |
$158.02 |
| J7040 |
Normal saline solution infus |
124 |
98 |
$147.43 |
| 82306 |
|
40 |
40 |
$147.27 |
| 87081 |
|
18 |
18 |
$127.64 |
| 80051 |
|
29 |
24 |
$110.80 |
| 93010 |
|
14 |
13 |
$80.83 |
| 82947 |
|
30 |
25 |
$64.86 |
| 84520 |
|
29 |
24 |
$44.53 |
| 82310 |
|
14 |
12 |
$27.75 |
| 81025 |
|
16 |
13 |
$0.00 |
| A6212 |
Foam drg <=16 sq in w/border |
50 |
24 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
14 |
12 |
$0.00 |
| 83605 |
|
15 |
14 |
$0.00 |
| 83690 |
|
42 |
40 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
12 |
12 |
$0.00 |