| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
71,309 |
63,317 |
$3.74M |
| 99213 |
|
107,669 |
93,957 |
$3.55M |
| A0427 |
Als1-emergency |
11,017 |
9,575 |
$1.79M |
| 99214 |
|
31,027 |
28,310 |
$1.53M |
| 99212 |
|
47,017 |
41,732 |
$1.09M |
| 74177 |
|
2,603 |
2,497 |
$638K |
| A0425 |
Ground mileage |
13,021 |
11,201 |
$624K |
| 80053 |
|
28,824 |
26,590 |
$440K |
| 70450 |
|
3,043 |
2,934 |
$358K |
| 96374 |
|
5,576 |
5,005 |
$347K |
| 59425 |
|
4,489 |
2,989 |
$326K |
| 90832 |
|
6,101 |
4,508 |
$323K |
| J3490 |
Drugs unclassified injection |
15,064 |
9,951 |
$306K |
| 87502 |
|
3,814 |
3,714 |
$267K |
| 77067 |
|
2,643 |
2,636 |
$265K |
| Z7502 |
|
7,521 |
7,345 |
$264K |
| 96372 |
|
9,898 |
8,837 |
$262K |
| 74176 |
|
1,872 |
1,814 |
$260K |
| 97110 |
|
5,653 |
1,661 |
$253K |
| 85025 |
|
27,739 |
25,539 |
$247K |
| 99211 |
|
8,702 |
7,618 |
$241K |
| Q3014 |
Telehealth facility fee |
7,869 |
6,938 |
$213K |
| 96375 |
|
3,904 |
3,491 |
$176K |
| 99393 |
|
3,231 |
3,228 |
$175K |
| 99394 |
|
2,526 |
2,521 |
$172K |
| 97139 |
|
8,387 |
1,474 |
$170K |
| 87635 |
|
3,583 |
2,684 |
$169K |
| 90471 |
|
11,323 |
11,211 |
$160K |
| 71046 |
|
6,366 |
6,142 |
$150K |
| 99392 |
|
3,140 |
3,127 |
$145K |
| 93005 |
|
6,813 |
6,434 |
$145K |
| 84443 |
|
6,567 |
6,491 |
$139K |
| 99203 |
|
1,966 |
1,956 |
$136K |
| 76856 |
|
2,112 |
2,070 |
$134K |
| 82306 |
|
4,182 |
4,147 |
$131K |
| 92552 |
|
6,205 |
6,198 |
$123K |
| 76700 |
|
1,572 |
1,523 |
$120K |
| 80061 |
|
7,209 |
7,145 |
$109K |
| 76830 |
|
1,715 |
1,685 |
$106K |
| 96365 |
|
1,346 |
1,165 |
$104K |
| 96360 |
|
1,507 |
1,388 |
$103K |
| 96361 |
|
3,636 |
3,280 |
$101K |
| H1001 |
Antepartum management |
1,240 |
759 |
$100K |
| 90715 |
|
3,369 |
3,355 |
$99K |
| 0270 |
|
11,239 |
7,139 |
$98K |
| 83036 |
|
7,183 |
7,102 |
$92K |
| 76801 |
|
1,376 |
1,278 |
$90K |
| 71045 |
|
6,254 |
5,967 |
$84K |
| 0360 |
|
583 |
579 |
$80K |
| 99202 |
|
1,875 |
1,875 |
$73K |
| 99215 |
Prolong outpt/office vis |
900 |
862 |
$73K |
| 87086 |
|
8,835 |
8,357 |
$72K |
| 87631 |
|
973 |
952 |
$70K |
| 83880 |
|
2,365 |
2,264 |
$66K |
| 81001 |
|
15,579 |
14,613 |
$65K |
| 85730 |
|
9,356 |
8,762 |
$65K |
| 83690 |
|
8,217 |
7,596 |
$62K |
| J1885 |
Ketorolac tromethamine inj |
9,881 |
8,670 |
$61K |
| 84484 |
|
4,951 |
4,602 |
$61K |
| C9803 |
Hopd covid-19 spec collect |
3,331 |
2,434 |
$56K |
| 73562 |
|
2,132 |
2,040 |
$56K |
| 94640 |
|
3,196 |
2,784 |
$55K |
| 81025 |
|
11,002 |
10,556 |
$54K |
| 90686 |
|
2,465 |
2,462 |
$54K |
| A0429 |
Bls-emergency |
371 |
342 |
$51K |
| 76641 |
|
717 |
712 |
$50K |
| 99395 |
|
400 |
395 |
$50K |
| 73630 |
|
1,778 |
1,711 |
$47K |
| 76805 |
|
558 |
553 |
$47K |
| 85610 |
|
10,022 |
9,328 |
$46K |
| 82150 |
|
6,380 |
5,976 |
$46K |
| 99391 |
|
1,098 |
1,093 |
$45K |
| 96110 |
|
629 |
622 |
$44K |
| 80305 |
|
2,878 |
2,724 |
$41K |
| 99283 |
|
985 |
919 |
$41K |
| 73030 |
|
1,517 |
1,469 |
$39K |
| 90656 |
|
2,324 |
2,322 |
$37K |
| 76705 |
|
643 |
633 |
$37K |
| J2405 |
Ondansetron hcl injection |
7,163 |
6,011 |
$36K |
| 81003 |
|
15,081 |
13,114 |
$36K |
| 73610 |
|
1,173 |
1,146 |
$35K |
| 80307 |
|
543 |
496 |
$32K |
| J2270 |
Morphine sulfate injection |
3,507 |
2,671 |
$30K |
| 97530 |
|
1,606 |
1,048 |
$30K |
| 83874 |
|
2,590 |
2,468 |
$29K |
| 72110 |
|
717 |
706 |
$29K |
| 87186 |
|
2,826 |
2,737 |
$28K |
| J0696 |
Ceftriaxone sodium injection |
3,149 |
2,980 |
$28K |
| 83735 |
|
3,694 |
3,456 |
$27K |
| 72125 |
|
147 |
147 |
$26K |
| 87426 |
|
628 |
618 |
$26K |
| 87077 |
|
3,376 |
3,272 |
$24K |
| T1999 |
Noc retail items andsupplies |
7,483 |
4,241 |
$24K |
| 97750 |
|
392 |
389 |
$23K |
| 87040 |
|
1,182 |
1,115 |
$22K |
| 87880 |
|
2,290 |
2,264 |
$22K |
| 0637 |
|
14,545 |
9,404 |
$21K |
| 97802 |
|
968 |
924 |
$21K |
| J1170 |
Hydromorphone injection |
2,578 |
1,868 |
$21K |
| 87591 |
|
1,773 |
1,747 |
$21K |
| 99204 |
|
246 |
245 |
$21K |
| 97140 |
|
454 |
189 |
$20K |
| 99173 |
|
4,977 |
4,972 |
$20K |
| 87491 |
|
1,693 |
1,667 |
$20K |
| 73130 |
|
713 |
684 |
$20K |
| 82043 |
|
2,258 |
2,234 |
$19K |
| 99291 |
|
115 |
115 |
$18K |
| J1100 |
Dexamethasone sodium phos |
1,697 |
1,608 |
$18K |
| 83605 |
|
1,334 |
1,265 |
$17K |
| 73110 |
|
561 |
541 |
$17K |
| 72100 |
|
553 |
544 |
$17K |
| 84703 |
|
2,108 |
2,014 |
$16K |
| 84439 |
|
1,310 |
1,298 |
$16K |
| 99284 |
|
209 |
203 |
$14K |
| 82570 |
|
2,359 |
2,328 |
$14K |
| 82948 |
|
2,776 |
2,239 |
$14K |
| 99281 |
|
281 |
265 |
$13K |
| 86703 |
|
628 |
627 |
$13K |
| 82607 |
|
646 |
637 |
$12K |
| 0272 |
|
1,275 |
1,193 |
$12K |
| A0433 |
Als 2 |
60 |
59 |
$12K |
| Z7610 |
|
1,527 |
998 |
$12K |
| 99401 |
|
787 |
751 |
$12K |
| 97010 |
|
705 |
245 |
$11K |
| 85379 |
|
874 |
829 |
$10K |
| A0426 |
Als 1 |
94 |
94 |
$10K |
| 85027 |
|
1,401 |
1,298 |
$10K |
| J2001 |
Lidocaine injection |
440 |
432 |
$9K |
| 45380 |
|
601 |
591 |
$9K |
| 76770 |
|
140 |
138 |
$9K |
| 80048 |
|
1,066 |
1,003 |
$9K |
| 84145 |
|
373 |
369 |
$9K |
| J2930 |
Methylprednisolone injection |
752 |
677 |
$9K |
| 72040 |
|
299 |
291 |
$9K |
| 90670 |
|
1,673 |
1,671 |
$8K |
| 84702 |
|
591 |
500 |
$8K |
| 86140 |
|
1,089 |
1,043 |
$8K |
| 77065 |
Tomosynthesis, mammo |
80 |
77 |
$7K |
| 96156 |
|
505 |
494 |
$7K |
| 90648 |
|
1,188 |
1,184 |
$6K |
| G0480 |
Drug test def 1-7 classes |
95 |
88 |
$6K |
| 87389 |
|
456 |
438 |
$6K |
| 73140 |
|
249 |
244 |
$6K |
| 87070 |
|
673 |
660 |
$6K |
| 93971 |
|
62 |
60 |
$6K |
| 43239 |
|
321 |
320 |
$6K |
| J2060 |
Lorazepam injection |
958 |
726 |
$6K |
| 94664 |
|
401 |
302 |
$6K |
| 96367 |
|
118 |
84 |
$5K |
| 0250 |
|
1,127 |
952 |
$5K |
| 71020 |
|
171 |
72 |
$5K |
| 74019 |
|
174 |
172 |
$5K |
| J2765 |
Metoclopramide hcl injection |
838 |
765 |
$5K |
| 76536 |
|
89 |
88 |
$5K |
| J1200 |
Diphenhydramine hcl injectio |
772 |
677 |
$4K |
| 76816 |
|
105 |
99 |
$4K |
| J2704 |
Inj, propofol, 10 mg |
1,354 |
1,282 |
$4K |
| 90649 |
|
785 |
785 |
$4K |
| A0428 |
Bls |
39 |
38 |
$4K |
| 80074 |
|
110 |
109 |
$4K |
| 90723 |
|
706 |
701 |
$4K |
| 90633 |
|
874 |
873 |
$4K |
| 71101 |
|
113 |
110 |
$3K |
| S0164 |
Injection pantroprazole |
287 |
210 |
$3K |
| 70486 |
|
24 |
24 |
$3K |
| 82274 |
|
254 |
249 |
$3K |
| 73502 |
|
97 |
95 |
$3K |
| 0710 |
|
114 |
112 |
$3K |
| 36415 |
|
3,989 |
3,464 |
$3K |
| 92228 |
|
95 |
95 |
$3K |
| 96368 |
|
110 |
95 |
$3K |
| 69436 |
|
48 |
48 |
$3K |
| H1003 |
Prenatal at risk education |
70 |
67 |
$3K |
| 42820 |
|
26 |
14 |
$3K |
| 85007 |
|
837 |
756 |
$3K |
| 73080 |
|
96 |
95 |
$2K |
| J3010 |
Fentanyl citrate injection |
884 |
728 |
$2K |
| 72050 |
|
67 |
67 |
$2K |
| 86592 |
|
509 |
498 |
$2K |
| 82550 |
|
282 |
254 |
$2K |
| 90791 |
|
17 |
15 |
$2K |
| J3301 |
Triamcinolone acet inj nos |
164 |
164 |
$2K |
| 90680 |
|
422 |
422 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
741 |
703 |
$2K |
| 77066 |
Tomosynthesis, mammo |
14 |
14 |
$2K |
| 86803 |
|
353 |
338 |
$2K |
| 59430 |
|
25 |
24 |
$2K |
| 74018 |
|
92 |
88 |
$2K |
| 90710 |
|
384 |
383 |
$2K |
| 90472 |
|
108 |
108 |
$2K |
| J2550 |
Promethazine hcl injection |
198 |
166 |
$2K |
| 83540 |
|
186 |
182 |
$1K |
| 84153 |
|
96 |
94 |
$1K |
| 82728 |
|
123 |
121 |
$1K |
| 90834 |
|
20 |
12 |
$1K |
| 90696 |
|
321 |
321 |
$1K |
| 85652 |
|
418 |
386 |
$1K |
| 99384 |
|
17 |
17 |
$1K |
| 97162 |
|
27 |
27 |
$1K |
| 87490 |
|
66 |
65 |
$1K |
| 83550 |
|
113 |
112 |
$1K |
| 90734 |
|
188 |
188 |
$1K |
| 87590 |
|
77 |
75 |
$1K |
| 86901 |
|
260 |
253 |
$1K |
| 90716 |
|
212 |
211 |
$948.03 |
| 71010 |
|
53 |
18 |
$947.11 |
| 90707 |
|
185 |
185 |
$923.70 |
| 87340 |
|
148 |
131 |
$912.26 |
| 86900 |
|
259 |
252 |
$849.62 |
| 0324 |
|
15 |
15 |
$846.89 |
| J3420 |
Vitamin b12 injection |
115 |
105 |
$841.76 |
| 86709 |
|
122 |
116 |
$830.58 |
| 86705 |
|
111 |
102 |
$777.96 |
| 29125 |
|
41 |
38 |
$713.10 |
| 90697 |
|
162 |
162 |
$691.14 |
| 80143 |
|
40 |
39 |
$675.36 |
| 80179 |
|
40 |
39 |
$675.36 |
| 29540 |
|
95 |
94 |
$666.12 |
| 87210 |
|
162 |
158 |
$635.25 |
| 97014 |
|
33 |
12 |
$632.94 |
| 87535 |
|
23 |
14 |
$623.51 |
| 90700 |
|
169 |
169 |
$573.76 |
| 0301 |
|
20 |
15 |
$496.06 |
| 92567 |
|
72 |
71 |
$492.31 |
| 80055 |
|
12 |
12 |
$479.49 |
| 86235 |
|
12 |
12 |
$394.11 |
| 85018 |
|
176 |
172 |
$391.45 |
| 87205 |
|
109 |
104 |
$391.10 |
| 99188 |
|
16 |
15 |
$356.40 |
| 45385 |
|
26 |
26 |
$272.34 |
| 86580 |
|
68 |
66 |
$269.17 |
| J0780 |
Prochlorperazine injection |
31 |
30 |
$260.61 |
| 73590 |
|
12 |
12 |
$231.33 |
| S0077 |
Injection, clindamycin phosp |
21 |
13 |
$219.24 |
| 85013 |
|
84 |
84 |
$185.64 |
| 82553 |
|
16 |
12 |
$162.83 |
| G2023 |
Specimen collect covid-19 |
13 |
13 |
$161.86 |
| J7613 |
Albuterol non-comp unit |
1,840 |
1,463 |
$141.90 |
| 83655 |
|
12 |
12 |
$127.06 |
| 86225 |
|
12 |
12 |
$125.91 |
| 82950 |
|
28 |
26 |
$121.65 |
| A4550 |
Surgical trays |
394 |
394 |
$116.55 |
| 90620 |
|
12 |
12 |
$108.00 |
| 84100 |
|
26 |
25 |
$100.73 |
| 82746 |
|
15 |
15 |
$89.84 |
| 69210 |
|
13 |
13 |
$89.40 |
| 86038 |
|
12 |
12 |
$89.01 |
| J0131 |
Inj, acetaminophen (nos) |
12 |
12 |
$71.04 |
| 84550 |
|
20 |
14 |
$61.60 |
| 86431 |
|
12 |
12 |
$61.42 |
| 81000 |
|
13 |
13 |
$33.54 |
| 90658 |
|
893 |
893 |
$3.23 |
| 0271 |
|
13 |
13 |
$0.00 |
| P9604 |
One-way allow prorated trip |
47 |
24 |
$0.00 |