| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2022 |
Case management, per month |
428 |
413 |
$129K |
| 99282 |
|
5,192 |
4,192 |
$55K |
| A0429 |
Bls-emergency |
630 |
357 |
$52K |
| 99283 |
|
3,535 |
2,689 |
$36K |
| 99284 |
|
2,774 |
2,113 |
$23K |
| 99285 |
|
1,571 |
1,176 |
$16K |
| 70450 |
|
821 |
523 |
$14K |
| 85025 |
|
11,126 |
8,594 |
$14K |
| 71046 |
|
1,586 |
1,133 |
$13K |
| 80053 |
|
8,374 |
6,513 |
$13K |
| 74177 |
|
861 |
534 |
$12K |
| 97110 |
|
4,678 |
1,308 |
$12K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,772 |
1,495 |
$8K |
| 0241U |
|
542 |
481 |
$8K |
| 96365 |
|
2,208 |
1,346 |
$7K |
| 87086 |
|
2,470 |
2,055 |
$6K |
| 73630 |
|
1,008 |
617 |
$6K |
| 42820 |
|
12 |
12 |
$6K |
| 80048 |
|
3,039 |
2,482 |
$6K |
| 96374 |
|
2,528 |
1,941 |
$6K |
| 93005 |
|
3,066 |
2,446 |
$6K |
| J2405 |
Ondansetron hcl injection |
3,002 |
2,123 |
$6K |
| 36415 |
|
13,828 |
10,747 |
$6K |
| J3010 |
Fentanyl citrate injection |
2,611 |
1,773 |
$5K |
| J1100 |
Dexamethasone sodium phos |
2,431 |
1,672 |
$5K |
| 96375 |
|
3,039 |
2,021 |
$5K |
| 74176 |
|
411 |
295 |
$4K |
| 86140 |
|
2,721 |
2,271 |
$4K |
| J2704 |
Inj, propofol, 10 mg |
2,065 |
1,508 |
$4K |
| 80076 |
|
1,666 |
1,421 |
$4K |
| 87631 |
|
205 |
185 |
$3K |
| 83690 |
|
2,369 |
1,944 |
$3K |
| 80306 |
|
1,425 |
1,218 |
$3K |
| 81001 |
|
3,971 |
3,246 |
$3K |
| 84145 |
|
608 |
520 |
$3K |
| 84439 |
|
2,832 |
2,564 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
2,860 |
2,061 |
$2K |
| 96372 |
|
1,934 |
1,536 |
$2K |
| 82728 |
|
1,137 |
1,001 |
$2K |
| A0425 |
Ground mileage |
588 |
335 |
$2K |
| 83615 |
|
1,685 |
1,413 |
$2K |
| 82150 |
|
1,682 |
1,438 |
$2K |
| 80050 |
|
562 |
510 |
$2K |
| 85652 |
|
1,653 |
1,430 |
$2K |
| 84443 |
|
2,782 |
2,551 |
$2K |
| 85027 |
|
860 |
740 |
$1K |
| 82977 |
|
1,497 |
1,290 |
$1K |
| 80061 |
|
1,818 |
1,706 |
$1K |
| 71045 |
|
1,279 |
721 |
$1K |
| 87591 |
|
390 |
355 |
$1K |
| 87491 |
|
404 |
367 |
$1K |
| 82306 |
|
880 |
816 |
$1K |
| 99281 |
|
107 |
105 |
$981.97 |
| J2250 |
Inj midazolam hydrochloride |
1,128 |
827 |
$893.49 |
| 73610 |
|
78 |
53 |
$891.90 |
| J3490 |
Drugs unclassified injection |
129 |
86 |
$884.55 |
| J0131 |
Inj, acetaminophen (nos) |
226 |
150 |
$783.76 |
| 83036 |
|
2,511 |
2,329 |
$782.79 |
| 87081 |
|
196 |
172 |
$759.57 |
| 87635 |
|
188 |
163 |
$692.49 |
| 85007 |
|
562 |
473 |
$689.55 |
| 96361 |
|
392 |
282 |
$672.36 |
| 97140 |
|
249 |
107 |
$625.00 |
| 87186 |
|
388 |
316 |
$574.20 |
| 84484 |
|
1,880 |
1,412 |
$504.88 |
| 87077 |
|
421 |
331 |
$391.50 |
| 84702 |
|
129 |
96 |
$332.09 |
| 83605 |
|
545 |
412 |
$331.00 |
| 99214 |
|
2,358 |
1,069 |
$322.55 |
| 81003 |
|
808 |
639 |
$321.25 |
| 83735 |
|
1,097 |
821 |
$319.49 |
| 87426 |
|
116 |
106 |
$273.59 |
| 87389 |
|
265 |
244 |
$270.90 |
| J0696 |
Ceftriaxone sodium injection |
113 |
78 |
$264.05 |
| 82077 |
|
227 |
175 |
$261.66 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
177 |
140 |
$259.21 |
| 81025 |
|
280 |
235 |
$257.52 |
| 87040 |
|
198 |
121 |
$220.48 |
| 87651 |
|
16 |
15 |
$208.80 |
| 73562 |
|
22 |
12 |
$198.00 |
| 86900 |
|
214 |
180 |
$198.00 |
| J1170 |
Hydromorphone injection |
180 |
100 |
$194.92 |
| 99213 |
|
2,319 |
1,026 |
$172.80 |
| 83880 |
|
1,187 |
948 |
$161.99 |
| 86803 |
|
352 |
320 |
$156.60 |
| 87502 |
|
62 |
49 |
$131.40 |
| 83550 |
|
138 |
121 |
$120.60 |
| 86901 |
|
213 |
180 |
$120.60 |
| J2765 |
Metoclopramide hcl injection |
255 |
202 |
$115.38 |
| 93010 |
|
358 |
267 |
$112.58 |
| 94640 |
|
19 |
12 |
$108.90 |
| 83540 |
|
154 |
134 |
$96.30 |
| 87070 |
|
32 |
26 |
$90.00 |
| 86850 |
|
226 |
190 |
$85.50 |
| 87880 |
|
59 |
52 |
$67.50 |
| 85610 |
|
377 |
275 |
$32.39 |
| 82947 |
|
240 |
157 |
$10.87 |
| 76816 |
|
144 |
126 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
282 |
141 |
$0.00 |
| 82607 |
|
306 |
279 |
$0.00 |
| 36591 |
|
151 |
75 |
$0.00 |
| 99202 |
|
127 |
77 |
$0.00 |
| 82950 |
|
54 |
54 |
$0.00 |
| 77063 |
|
48 |
38 |
$0.00 |
| 85379 |
|
91 |
74 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
91 |
65 |
$0.00 |
| 76830 |
|
39 |
37 |
$0.00 |
| 71275 |
|
42 |
24 |
$0.00 |
| 86780 |
|
88 |
84 |
$0.00 |
| 87340 |
|
130 |
116 |
$0.00 |
| G0008 |
Admin influenza virus vac |
60 |
57 |
$0.00 |
| 82550 |
|
37 |
36 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
13 |
12 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
32 |
24 |
$0.00 |
| 0240U |
|
17 |
13 |
$0.00 |
| G0283 |
Elec stim other than wound |
29 |
14 |
$0.00 |
| 86592 |
|
13 |
12 |
$0.00 |
| 99212 |
|
395 |
253 |
$0.00 |
| 77067 |
|
48 |
38 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
119 |
92 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
29 |
25 |
$0.00 |
| 82570 |
|
27 |
25 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
17 |
12 |
$0.00 |
| J2930 |
Methylprednisolone injection |
90 |
64 |
$0.00 |
| 87210 |
|
14 |
12 |
$0.00 |
| 99391 |
|
15 |
13 |
$0.00 |
| G8978 |
Mobility current status |
24 |
15 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
17 |
15 |
$0.00 |
| 97530 |
|
60 |
29 |
$0.00 |
| 99490 |
Ccm add 20min |
25 |
13 |
$0.00 |
| 99211 |
|
30 |
14 |
$0.00 |
| 71250 |
|
56 |
36 |
$0.00 |
| 96360 |
|
20 |
15 |
$0.00 |
| 87804 |
|
15 |
13 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
29 |
24 |
$0.00 |
| 99203 |
|
20 |
15 |
$0.00 |
| 76705 |
|
17 |
12 |
$0.00 |
| 80307 |
|
15 |
13 |
$0.00 |
| G8979 |
Mobility goal status |
24 |
15 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
28 |
13 |
$0.00 |
| 82565 |
|
27 |
26 |
$0.00 |