| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
12,296 |
11,435 |
$1.84M |
| 99283 |
|
9,365 |
8,938 |
$987K |
| A0429 |
Bls-emergency |
6,348 |
3,668 |
$474K |
| A0427 |
Als1-emergency |
4,713 |
2,910 |
$374K |
| 96374 |
|
3,165 |
2,894 |
$225K |
| A0425 |
Ground mileage |
13,530 |
7,836 |
$146K |
| 99285 |
|
824 |
707 |
$115K |
| A0428 |
Bls |
1,819 |
1,192 |
$73K |
| 87635 |
|
1,480 |
1,215 |
$41K |
| 87631 |
|
949 |
807 |
$34K |
| 71045 |
|
1,018 |
889 |
$23K |
| 96375 |
|
600 |
515 |
$14K |
| U0003 |
Cov-19 amp prb hgh thruput |
142 |
124 |
$9K |
| 80053 |
|
12,345 |
11,024 |
$6K |
| 87502 |
|
578 |
577 |
$6K |
| 87081 |
|
953 |
921 |
$5K |
| 71046 |
|
110 |
110 |
$3K |
| 85025 |
|
16,665 |
15,037 |
$3K |
| G0463 |
Hospital outpt clinic visit |
61 |
51 |
$3K |
| 87636 |
|
32 |
30 |
$2K |
| 86900 |
|
39 |
39 |
$2K |
| 87637 |
|
39 |
13 |
$2K |
| 36415 |
|
1,530 |
1,099 |
$1K |
| 87150 |
|
30 |
30 |
$1K |
| 87088 |
|
295 |
285 |
$1K |
| J8499 |
Oral prescrip drug non chemo |
1,919 |
1,173 |
$975.03 |
| 85027 |
|
1,119 |
770 |
$925.02 |
| 70450 |
|
12 |
12 |
$912.76 |
| 84443 |
|
76 |
73 |
$825.67 |
| 86780 |
|
53 |
52 |
$811.50 |
| U0005 |
Infec agen detec ampli probe |
51 |
39 |
$800.00 |
| 96361 |
|
14 |
14 |
$734.17 |
| 86762 |
|
38 |
38 |
$651.60 |
| 86703 |
|
51 |
51 |
$619.36 |
| 93005 |
|
1,446 |
1,195 |
$579.97 |
| 80048 |
|
1,255 |
868 |
$573.80 |
| 87400 |
|
19 |
19 |
$573.04 |
| 87340 |
|
38 |
38 |
$493.62 |
| 87634 |
|
100 |
97 |
$230.07 |
| 87880 |
|
143 |
143 |
$226.20 |
| 83605 |
|
1,280 |
1,079 |
$123.34 |
| J3490 |
Drugs unclassified injection |
1,128 |
725 |
$98.71 |
| 82803 |
|
1,065 |
913 |
$76.89 |
| 81001 |
|
613 |
542 |
$43.74 |
| 83735 |
|
742 |
648 |
$34.38 |
| 80069 |
|
16 |
12 |
$31.95 |
| 87086 |
|
36 |
36 |
$27.84 |
| 83690 |
|
459 |
413 |
$21.88 |
| 84484 |
|
174 |
143 |
$19.82 |
| J7030 |
Normal saline solution infus |
1,356 |
1,209 |
$15.66 |
| 84703 |
|
287 |
273 |
$12.64 |
| 86140 |
|
93 |
79 |
$5.18 |
| 84100 |
|
200 |
182 |
$3.98 |
| 85610 |
|
406 |
350 |
$3.42 |
| 85652 |
|
46 |
40 |
$2.70 |
| J1885 |
Ketorolac tromethamine inj |
445 |
401 |
$1.17 |
| J2405 |
Ondansetron hcl injection |
77 |
74 |
$0.98 |
| J2704 |
Inj, propofol, 10 mg |
51 |
25 |
$0.00 |
| 85730 |
|
15 |
15 |
$0.00 |
| 86901 |
|
39 |
39 |
$0.00 |
| 86850 |
|
39 |
39 |
$0.00 |
| G0378 |
Hospital observation per hr |
18 |
14 |
$0.00 |
| 82805 |
|
56 |
54 |
$0.00 |
| 84145 |
|
14 |
13 |
$0.00 |