| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
99,244 |
82,604 |
$13.17M |
| 99284 |
|
48,027 |
38,146 |
$5.34M |
| 41899 |
|
1,952 |
1,702 |
$3.14M |
| 99282 |
|
14,244 |
12,451 |
$1.72M |
| 71045 |
|
10,914 |
9,093 |
$1.41M |
| A0425 |
Ground mileage |
10,642 |
8,816 |
$963K |
| 87636 |
|
9,230 |
8,148 |
$810K |
| 93005 |
|
13,218 |
10,803 |
$752K |
| 99221 |
|
1,429 |
569 |
$735K |
| 99285 |
|
4,452 |
3,726 |
$679K |
| A0428 |
Bls |
7,712 |
6,388 |
$622K |
| 71046 |
|
6,020 |
5,071 |
$419K |
| A0431 |
Rotary wing air transport |
193 |
165 |
$405K |
| 99218 |
|
700 |
332 |
$393K |
| 85025 |
|
85,431 |
64,556 |
$336K |
| A0427 |
Als1-emergency |
1,084 |
989 |
$286K |
| 97110 |
|
2,679 |
830 |
$233K |
| 80048 |
|
59,151 |
46,325 |
$225K |
| A0436 |
Rotary wing air mileage |
193 |
165 |
$201K |
| 96413 |
|
1,522 |
646 |
$161K |
| 97597 |
|
764 |
295 |
$85K |
| 87502 |
|
2,084 |
1,770 |
$78K |
| A0426 |
Als 1 |
358 |
326 |
$73K |
| 96374 |
|
2,966 |
2,475 |
$67K |
| 36415 |
|
43,580 |
33,417 |
$67K |
| 81001 |
|
33,599 |
28,280 |
$55K |
| 74177 |
|
130 |
106 |
$48K |
| 87637 |
|
430 |
411 |
$47K |
| 96361 |
|
1,172 |
963 |
$45K |
| 11042 |
|
73 |
27 |
$40K |
| 97530 |
|
308 |
119 |
$35K |
| 99211 |
|
398 |
319 |
$35K |
| 80076 |
|
9,059 |
6,372 |
$33K |
| 80053 |
|
4,372 |
2,610 |
$30K |
| U0003 |
Cov-19 amp prb hgh thruput |
423 |
403 |
$28K |
| 95810 |
|
47 |
40 |
$27K |
| 70450 |
|
322 |
254 |
$22K |
| 36591 |
|
4,087 |
1,446 |
$22K |
| 84484 |
|
2,906 |
2,316 |
$21K |
| 74230 |
|
229 |
191 |
$21K |
| 74018 |
|
86 |
81 |
$17K |
| 87591 |
|
864 |
722 |
$16K |
| 96375 |
|
1,374 |
852 |
$16K |
| 92611 |
|
169 |
130 |
$16K |
| 87491 |
|
829 |
695 |
$16K |
| 96372 |
|
809 |
427 |
$15K |
| 87651 |
|
472 |
438 |
$13K |
| 95822 |
|
40 |
25 |
$12K |
| 81000 |
|
3,695 |
3,232 |
$12K |
| 95819 |
|
15 |
15 |
$11K |
| 97112 |
|
228 |
106 |
$11K |
| 84703 |
|
2,742 |
2,374 |
$10K |
| 93010 |
|
5,017 |
3,753 |
$10K |
| 83690 |
|
3,309 |
2,767 |
$10K |
| 76805 |
|
97 |
81 |
$9K |
| 85045 |
|
2,551 |
1,933 |
$9K |
| G0463 |
Hospital outpt clinic visit |
152 |
110 |
$9K |
| 99213 |
|
116 |
57 |
$8K |
| 97605 |
|
78 |
12 |
$8K |
| U0005 |
Infec agen detec ampli probe |
352 |
335 |
$8K |
| 73630 |
|
236 |
157 |
$8K |
| 83735 |
|
2,632 |
1,118 |
$7K |
| 87635 |
|
223 |
209 |
$7K |
| G0378 |
Hospital observation per hr |
69 |
24 |
$6K |
| 31231 |
|
15 |
15 |
$5K |
| 36430 |
|
14 |
13 |
$5K |
| 82728 |
|
406 |
342 |
$5K |
| 97116 |
|
111 |
42 |
$4K |
| 73130 |
|
95 |
39 |
$4K |
| P9016 |
Rbc leukocytes reduced |
13 |
12 |
$4K |
| 94640 |
|
80 |
51 |
$3K |
| 99281 |
|
17 |
16 |
$3K |
| 84100 |
|
1,457 |
515 |
$3K |
| 87798 |
|
150 |
128 |
$2K |
| 83020 |
|
193 |
157 |
$2K |
| 80307 |
|
93 |
68 |
$2K |
| 85027 |
|
558 |
317 |
$2K |
| 76816 |
|
29 |
28 |
$2K |
| 81025 |
|
251 |
224 |
$1K |
| 85660 |
|
156 |
101 |
$1K |
| 87210 |
|
296 |
243 |
$1K |
| 87880 |
|
189 |
175 |
$1K |
| 80069 |
|
181 |
132 |
$937.44 |
| 82077 |
|
70 |
52 |
$777.14 |
| 96367 |
|
28 |
12 |
$737.10 |
| 72040 |
|
14 |
13 |
$729.74 |
| 72100 |
|
13 |
12 |
$663.40 |
| 87086 |
|
156 |
128 |
$369.69 |
| 82948 |
|
112 |
90 |
$359.82 |
| 87081 |
|
124 |
114 |
$317.09 |
| 87661 |
|
16 |
13 |
$297.06 |
| 96376 |
|
213 |
67 |
$221.13 |
| J2405 |
Ondansetron hcl injection |
2,229 |
1,866 |
$214.73 |
| 82803 |
|
15 |
12 |
$209.96 |
| 85379 |
|
18 |
12 |
$163.87 |
| 83605 |
|
13 |
12 |
$150.41 |
| 86850 |
|
13 |
13 |
$127.01 |
| 83550 |
|
12 |
12 |
$104.88 |
| 84702 |
|
13 |
13 |
$92.20 |
| 83540 |
|
12 |
12 |
$77.64 |
| 86901 |
|
13 |
13 |
$38.87 |
| 86900 |
|
13 |
13 |
$38.87 |
| J1885 |
Ketorolac tromethamine inj |
3,551 |
2,944 |
$29.37 |
| 85007 |
|
13 |
12 |
$4.11 |
| J2704 |
Inj, propofol, 10 mg |
955 |
776 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
3,228 |
1,157 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
875 |
699 |
$0.00 |
| Q0162 |
Ondansetron oral |
97 |
86 |
$0.00 |
| A0434 |
Specialty care transport |
929 |
797 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
402 |
318 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
49 |
42 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
48 |
41 |
$0.00 |
| 90471 |
|
14 |
12 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
15 |
12 |
$0.00 |
| J2001 |
Lidocaine injection |
39 |
38 |
$0.00 |
| 88305 |
|
52 |
35 |
$0.00 |
| G0008 |
Admin influenza virus vac |
14 |
12 |
$0.00 |
| 90715 |
|
104 |
87 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
398 |
335 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
675 |
572 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
210 |
64 |
$0.00 |
| J0670 |
Inj mepivacaine hcl/10 ml |
63 |
54 |
$0.00 |
| J2274 |
Inj morphine pf epid ithc |
31 |
25 |
$0.00 |