| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
55,795 |
47,125 |
$9.12M |
| 99284 |
|
44,231 |
34,598 |
$6.65M |
| 71045 |
|
13,465 |
10,243 |
$1.79M |
| 43239 |
|
1,865 |
1,340 |
$1.08M |
| 99282 |
|
7,363 |
6,403 |
$885K |
| 99285 |
|
7,111 |
5,130 |
$878K |
| 93005 |
|
14,835 |
10,309 |
$846K |
| A0425 |
Ground mileage |
9,987 |
7,783 |
$776K |
| A0428 |
Bls |
5,561 |
4,471 |
$420K |
| C9803 |
Hopd covid-19 spec collect |
6,156 |
5,132 |
$415K |
| A0426 |
Als 1 |
3,539 |
2,757 |
$359K |
| 74177 |
|
1,078 |
723 |
$328K |
| 71046 |
|
3,513 |
2,913 |
$296K |
| 87426 |
|
8,372 |
7,190 |
$243K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,641 |
1,897 |
$239K |
| 45385 |
|
181 |
111 |
$200K |
| 16020 |
|
926 |
448 |
$183K |
| 85025 |
|
40,269 |
28,153 |
$177K |
| 87804 |
|
13,507 |
7,125 |
$176K |
| 70450 |
|
1,901 |
1,413 |
$166K |
| 97602 |
|
1,769 |
584 |
$165K |
| 80053 |
|
23,181 |
16,657 |
$138K |
| 45380 |
|
154 |
127 |
$138K |
| 99218 |
|
436 |
242 |
$136K |
| 93304 |
|
230 |
187 |
$134K |
| 74018 |
|
933 |
783 |
$131K |
| 88305 |
|
2,446 |
1,526 |
$121K |
| 36415 |
|
55,465 |
37,248 |
$110K |
| 96374 |
|
9,088 |
7,281 |
$105K |
| 71275 |
|
296 |
181 |
$98K |
| 80050 |
|
909 |
748 |
$90K |
| 99217 |
|
183 |
139 |
$77K |
| 96361 |
|
4,488 |
3,484 |
$60K |
| 0241U |
|
521 |
454 |
$58K |
| 99221 |
|
126 |
96 |
$51K |
| 99238 |
|
138 |
108 |
$49K |
| 99211 |
|
769 |
345 |
$43K |
| 84484 |
|
7,267 |
4,308 |
$42K |
| U0003 |
Cov-19 amp prb hgh thruput |
624 |
522 |
$40K |
| 87430 |
|
3,144 |
2,714 |
$35K |
| G0463 |
Hospital outpt clinic visit |
1,016 |
653 |
$33K |
| 80048 |
|
8,566 |
6,039 |
$32K |
| G0378 |
Hospital observation per hr |
364 |
175 |
$24K |
| 99212 |
|
662 |
359 |
$23K |
| 72125 |
|
177 |
123 |
$21K |
| 96375 |
|
2,973 |
2,290 |
$19K |
| 99281 |
|
223 |
200 |
$18K |
| 81001 |
|
9,312 |
7,175 |
$18K |
| 81025 |
|
2,742 |
2,236 |
$16K |
| 83690 |
|
5,210 |
3,863 |
$15K |
| 87807 |
|
1,584 |
1,392 |
$15K |
| 96372 |
|
1,085 |
841 |
$12K |
| 99213 |
|
598 |
288 |
$11K |
| 84443 |
|
935 |
762 |
$10K |
| 85027 |
|
5,160 |
3,622 |
$10K |
| 97530 |
|
102 |
29 |
$8K |
| 83036 |
|
1,183 |
992 |
$8K |
| 0240U |
|
99 |
83 |
$8K |
| 99214 |
|
106 |
76 |
$7K |
| 82728 |
|
593 |
490 |
$7K |
| 87428 |
|
208 |
172 |
$6K |
| 83735 |
|
2,265 |
1,293 |
$6K |
| 84703 |
|
1,106 |
831 |
$5K |
| 82947 |
|
4,428 |
2,785 |
$5K |
| 80051 |
|
3,039 |
2,208 |
$5K |
| 97803 |
|
48 |
43 |
$5K |
| 80061 |
|
667 |
511 |
$4K |
| 87086 |
|
1,005 |
801 |
$4K |
| 81003 |
|
4,499 |
3,472 |
$4K |
| 87491 |
|
147 |
110 |
$4K |
| 87591 |
|
147 |
110 |
$4K |
| 82306 |
|
147 |
122 |
$4K |
| 82565 |
|
3,069 |
2,220 |
$4K |
| 82248 |
|
1,112 |
565 |
$4K |
| 80076 |
|
1,353 |
1,054 |
$3K |
| 96360 |
|
213 |
176 |
$3K |
| 93321 |
|
392 |
324 |
$3K |
| 82247 |
|
964 |
461 |
$3K |
| 84520 |
|
3,038 |
2,208 |
$3K |
| 94010 |
|
31 |
27 |
$3K |
| 80307 |
|
103 |
67 |
$3K |
| U0005 |
Infec agen detec ampli probe |
129 |
115 |
$3K |
| 84460 |
|
787 |
405 |
$3K |
| 84450 |
|
787 |
405 |
$3K |
| 84075 |
|
787 |
405 |
$3K |
| 88342 |
|
174 |
137 |
$2K |
| 86001 |
|
28 |
25 |
$2K |
| 85610 |
|
1,180 |
794 |
$2K |
| 76805 |
|
20 |
14 |
$2K |
| 80197 |
|
690 |
315 |
$2K |
| 87641 |
|
259 |
172 |
$2K |
| 36591 |
|
223 |
51 |
$2K |
| 84439 |
|
181 |
161 |
$1K |
| 88312 |
|
262 |
190 |
$1K |
| 87635 |
|
35 |
29 |
$1K |
| 85730 |
|
546 |
378 |
$1K |
| 99220 |
|
35 |
15 |
$1K |
| 82550 |
|
910 |
441 |
$1K |
| 83605 |
|
221 |
153 |
$918.89 |
| 85046 |
|
186 |
157 |
$895.29 |
| 82570 |
|
890 |
410 |
$878.14 |
| 83516 |
|
69 |
51 |
$858.93 |
| 94640 |
|
121 |
89 |
$824.71 |
| 83880 |
|
59 |
39 |
$790.18 |
| 84550 |
|
840 |
380 |
$695.42 |
| 84100 |
|
556 |
361 |
$624.87 |
| 84156 |
|
890 |
411 |
$619.26 |
| 85045 |
|
137 |
117 |
$584.84 |
| 82607 |
|
73 |
51 |
$557.96 |
| 82746 |
|
73 |
51 |
$543.90 |
| 73630 |
|
12 |
12 |
$512.55 |
| 82150 |
|
92 |
66 |
$498.30 |
| 82330 |
|
77 |
54 |
$407.66 |
| 83540 |
|
124 |
96 |
$403.08 |
| 86255 |
|
30 |
25 |
$389.62 |
| 87040 |
|
69 |
29 |
$368.42 |
| 96376 |
|
91 |
27 |
$294.84 |
| 87210 |
|
64 |
53 |
$292.03 |
| 87799 |
|
14 |
12 |
$285.91 |
| 82657 |
|
54 |
15 |
$259.44 |
| 84481 |
|
13 |
13 |
$229.92 |
| 86140 |
|
47 |
39 |
$198.68 |
| 87081 |
|
31 |
30 |
$192.27 |
| 83550 |
|
47 |
42 |
$186.20 |
| 87070 |
|
41 |
36 |
$168.67 |
| 82784 |
|
15 |
13 |
$143.91 |
| 90744 |
|
179 |
150 |
$110.12 |
| 88302 |
|
84 |
79 |
$96.90 |
| 93325 |
|
392 |
324 |
$84.43 |
| 87205 |
|
16 |
12 |
$48.42 |
| J2704 |
Inj, propofol, 10 mg |
3,532 |
2,182 |
$23.76 |
| J1885 |
Ketorolac tromethamine inj |
3,062 |
2,453 |
$0.49 |
| J7030 |
Normal saline solution infus |
596 |
534 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
2,558 |
2,009 |
$0.00 |
| 0202U |
|
28 |
25 |
$0.00 |
| J2270 |
Morphine sulfate injection |
600 |
455 |
$0.00 |
| 90471 |
|
182 |
152 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
80 |
38 |
$0.00 |
| J2001 |
Lidocaine injection |
87 |
77 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
130 |
110 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
69 |
49 |
$0.00 |
| A9270 |
Non-covered item or service |
59 |
53 |
$0.00 |
| Q0162 |
Ondansetron oral |
47 |
29 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
205 |
174 |
$0.00 |
| 90686 |
|
17 |
15 |
$0.00 |
| J3490 |
Drugs unclassified injection |
17 |
15 |
$0.00 |
| G0008 |
Admin influenza virus vac |
27 |
26 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
14 |
14 |
$0.00 |
| J8540 |
Oral dexamethasone |
23 |
12 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
16 |
12 |
$0.00 |
| 90688 |
|
39 |
33 |
$0.00 |