| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
10,772 |
10,154 |
$1.63M |
| 99284 |
|
6,449 |
6,007 |
$1.48M |
| 99285 |
|
3,044 |
2,838 |
$1.08M |
| 96374 |
|
3,604 |
3,362 |
$391K |
| A0427 |
Als1-emergency |
1,458 |
1,284 |
$359K |
| A0425 |
Ground mileage |
2,233 |
1,841 |
$351K |
| 74177 |
|
1,257 |
1,227 |
$256K |
| 99282 |
|
2,642 |
2,545 |
$240K |
| 96365 |
|
1,972 |
1,417 |
$208K |
| 87637 |
|
1,667 |
1,630 |
$182K |
| 71046 |
|
3,555 |
3,441 |
$163K |
| 96375 |
|
3,630 |
3,152 |
$148K |
| 96361 |
|
3,835 |
3,345 |
$140K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,342 |
1,284 |
$71K |
| 87635 |
|
1,171 |
1,127 |
$70K |
| 77067 |
|
1,141 |
1,140 |
$68K |
| 80061 |
|
4,692 |
4,577 |
$65K |
| 70450 |
|
664 |
654 |
$64K |
| 97110 |
|
1,924 |
549 |
$52K |
| 80053 |
|
12,438 |
11,306 |
$44K |
| 93306 |
|
181 |
177 |
$42K |
| 97140 |
|
1,303 |
360 |
$32K |
| 84443 |
|
3,989 |
3,864 |
$32K |
| 85025 |
|
15,356 |
13,013 |
$32K |
| 82306 |
|
1,503 |
1,478 |
$26K |
| 71045 |
|
490 |
476 |
$24K |
| 96360 |
|
222 |
213 |
$23K |
| G0378 |
Hospital observation per hr |
97 |
90 |
$20K |
| 93005 |
|
4,170 |
3,804 |
$18K |
| 77063 |
|
919 |
918 |
$15K |
| 74176 |
|
100 |
94 |
$15K |
| 83036 |
|
2,513 |
2,465 |
$13K |
| 11042 |
|
107 |
37 |
$11K |
| 36415 |
|
17,368 |
14,197 |
$10K |
| 84439 |
|
1,599 |
1,569 |
$7K |
| C9803 |
Hopd covid-19 spec collect |
2,280 |
2,207 |
$6K |
| 73630 |
|
412 |
392 |
$5K |
| 73130 |
|
486 |
463 |
$5K |
| 82607 |
|
524 |
520 |
$5K |
| 76705 |
|
54 |
52 |
$4K |
| 83735 |
|
3,093 |
2,661 |
$3K |
| G0463 |
Hospital outpt clinic visit |
40 |
28 |
$3K |
| 80048 |
|
3,386 |
2,953 |
$3K |
| 87086 |
|
2,291 |
2,176 |
$3K |
| 87880 |
|
1,103 |
1,088 |
$2K |
| 96372 |
|
2,148 |
2,001 |
$2K |
| 97162 |
|
26 |
26 |
$2K |
| 73610 |
|
243 |
234 |
$2K |
| 71275 |
|
14 |
14 |
$2K |
| 73030 |
|
105 |
102 |
$2K |
| 82043 |
|
476 |
468 |
$2K |
| A0429 |
Bls-emergency |
13 |
12 |
$1K |
| 85610 |
|
2,479 |
2,229 |
$1K |
| 83880 |
|
565 |
520 |
$1K |
| G0103 |
Psa screening |
81 |
80 |
$920.40 |
| 83690 |
|
2,857 |
2,555 |
$816.44 |
| 93971 |
|
12 |
12 |
$805.90 |
| 87804 |
|
797 |
763 |
$792.00 |
| 83540 |
|
242 |
232 |
$783.16 |
| 87186 |
|
338 |
326 |
$751.42 |
| 82728 |
|
110 |
106 |
$740.72 |
| 73110 |
|
42 |
40 |
$733.77 |
| 81001 |
|
3,738 |
3,527 |
$671.96 |
| 84702 |
|
88 |
73 |
$619.74 |
| 87070 |
|
551 |
543 |
$611.53 |
| 73562 |
|
14 |
14 |
$575.10 |
| 73564 |
|
12 |
12 |
$472.76 |
| 0012A |
|
13 |
13 |
$458.69 |
| 0011A |
|
14 |
14 |
$376.60 |
| 85730 |
|
1,587 |
1,499 |
$369.47 |
| 84484 |
|
2,375 |
2,024 |
$330.60 |
| G0480 |
Drug test def 1-7 classes |
109 |
102 |
$320.83 |
| 87088 |
|
217 |
211 |
$320.33 |
| 81003 |
|
1,871 |
1,801 |
$300.26 |
| 85379 |
|
527 |
506 |
$292.66 |
| 81025 |
|
2,020 |
1,936 |
$234.02 |
| 85652 |
|
195 |
176 |
$222.70 |
| G0008 |
Admin influenza virus vac |
30 |
30 |
$189.00 |
| 83550 |
|
41 |
40 |
$169.14 |
| 94640 |
|
1,573 |
1,297 |
$154.86 |
| 80305 |
|
448 |
414 |
$132.53 |
| 84703 |
|
448 |
435 |
$114.82 |
| 90471 |
|
14 |
14 |
$78.94 |
| A9270 |
Non-covered item or service |
10,149 |
9,620 |
$76.55 |
| 87502 |
|
110 |
107 |
$73.09 |
| 82150 |
|
151 |
142 |
$53.69 |
| 83605 |
|
1,415 |
1,178 |
$42.18 |
| 86140 |
|
14 |
12 |
$33.95 |
| 84460 |
|
185 |
174 |
$33.27 |
| 84450 |
|
185 |
174 |
$32.49 |
| 86308 |
|
12 |
12 |
$18.08 |
| 87807 |
|
59 |
57 |
$17.26 |
| 80143 |
|
12 |
12 |
$15.43 |
| 84100 |
|
18 |
17 |
$14.28 |
| 90715 |
|
13 |
13 |
$12.73 |
| 82247 |
|
15 |
14 |
$11.01 |
| J1100 |
Dexamethasone sodium phos |
1,423 |
1,372 |
$7.82 |
| J2405 |
Ondansetron hcl injection |
2,813 |
2,492 |
$5.96 |
| J1885 |
Ketorolac tromethamine inj |
3,315 |
3,114 |
$5.00 |
| J2250 |
Inj midazolam hydrochloride |
407 |
399 |
$4.22 |
| 82550 |
|
13 |
12 |
$4.09 |
| 82248 |
|
12 |
12 |
$3.83 |
| J0696 |
Ceftriaxone sodium injection |
96 |
69 |
$0.00 |
| 96376 |
|
737 |
477 |
$0.00 |
| 0241U |
|
57 |
54 |
$0.00 |
| J2060 |
Lorazepam injection |
12 |
12 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
178 |
172 |
$0.00 |
| 88305 |
|
12 |
12 |
$0.00 |
| 87040 |
|
29 |
25 |
$0.00 |
| J3490 |
Drugs unclassified injection |
13 |
13 |
$0.00 |
| 82962 |
|
15 |
12 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
16 |
15 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,427 |
1,397 |
$0.00 |
| J2274 |
Inj morphine pf epid ithc |
665 |
534 |
$0.00 |
| J2270 |
Morphine sulfate injection |
119 |
96 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
65 |
53 |
$0.00 |