| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Bls-emergency |
3,731 |
2,960 |
$686K |
| A0380 |
Basic life support mileage |
1,827 |
1,516 |
$59K |
| 99282 |
|
5,918 |
5,443 |
$48K |
| A0382 |
Basic support routine suppls |
1,034 |
973 |
$47K |
| 99283 |
|
3,411 |
3,152 |
$28K |
| A0427 |
Als1-emergency |
117 |
107 |
$26K |
| 70450 |
|
2,387 |
2,153 |
$19K |
| 74177 |
|
1,023 |
969 |
$18K |
| 99284 |
|
2,092 |
1,901 |
$11K |
| 99285 |
|
1,212 |
1,074 |
$9K |
| 80053 |
|
7,375 |
6,074 |
$8K |
| 72125 |
|
1,036 |
969 |
$8K |
| 76376 |
|
1,056 |
972 |
$8K |
| 99281 |
|
2,917 |
2,724 |
$6K |
| 96374 |
|
2,775 |
2,405 |
$6K |
| 87651 |
|
1,171 |
1,120 |
$6K |
| 71046 |
|
1,663 |
1,496 |
$5K |
| 87502 |
|
802 |
753 |
$4K |
| 96365 |
|
2,301 |
1,797 |
$4K |
| 85025 |
|
7,663 |
6,356 |
$3K |
| 87591 |
|
1,210 |
1,161 |
$3K |
| 96375 |
|
1,567 |
1,381 |
$3K |
| 96372 |
|
2,398 |
2,131 |
$3K |
| 87491 |
|
1,202 |
1,158 |
$2K |
| 96360 |
|
1,486 |
1,341 |
$2K |
| 36415 |
|
10,951 |
8,575 |
$2K |
| 80305 |
|
3,368 |
2,994 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
533 |
496 |
$1K |
| 87634 |
|
539 |
500 |
$1K |
| 81001 |
|
4,133 |
3,679 |
$1K |
| 96376 |
|
275 |
241 |
$1K |
| 87631 |
|
43 |
41 |
$837.00 |
| 93005 |
|
1,924 |
1,693 |
$692.99 |
| 96361 |
|
671 |
616 |
$668.45 |
| J7030 |
Normal saline solution infus |
2,207 |
1,798 |
$571.61 |
| 86780 |
|
1,234 |
1,182 |
$499.72 |
| 85027 |
|
514 |
443 |
$427.92 |
| 84484 |
|
1,153 |
959 |
$403.19 |
| 87389 |
|
965 |
930 |
$399.17 |
| 83036 |
|
966 |
936 |
$389.65 |
| 80074 |
|
435 |
423 |
$360.00 |
| 87635 |
|
297 |
268 |
$331.72 |
| 81025 |
|
406 |
395 |
$329.86 |
| 96367 |
|
83 |
73 |
$247.50 |
| 73610 |
|
14 |
13 |
$222.97 |
| 71045 |
|
349 |
297 |
$190.80 |
| 83605 |
|
668 |
564 |
$187.87 |
| J2405 |
Ondansetron hcl injection |
899 |
774 |
$187.18 |
| 84443 |
|
547 |
528 |
$172.57 |
| 85610 |
|
1,316 |
1,102 |
$158.96 |
| 87636 |
|
84 |
74 |
$152.85 |
| J7120 |
Ringers lactate infusion |
509 |
446 |
$149.34 |
| 87637 |
|
56 |
54 |
$135.00 |
| 82077 |
|
367 |
318 |
$113.84 |
| 94640 |
|
126 |
96 |
$99.00 |
| 83690 |
|
1,024 |
911 |
$96.75 |
| C9803 |
Hopd covid-19 spec collect |
91 |
80 |
$89.32 |
| 86140 |
|
28 |
27 |
$75.60 |
| 83735 |
|
43 |
37 |
$75.59 |
| 84703 |
|
130 |
119 |
$70.64 |
| 85652 |
|
26 |
26 |
$48.39 |
| J7040 |
Normal saline solution infus |
87 |
69 |
$32.44 |
| J7050 |
Normal saline solution infus |
173 |
109 |
$32.40 |
| 74176 |
|
59 |
57 |
$0.00 |
| 86900 |
|
65 |
59 |
$0.00 |
| G2023 |
Specimen collect covid-19 |
929 |
879 |
$0.00 |
| 82805 |
|
28 |
26 |
$0.00 |
| 80307 |
|
186 |
165 |
$0.00 |
| 84145 |
|
95 |
81 |
$0.00 |
| J2270 |
Morphine sulfate injection |
13 |
12 |
$0.00 |
| 73130 |
|
16 |
15 |
$0.00 |
| 71250 |
|
16 |
16 |
$0.00 |
| 36600 |
|
15 |
13 |
$0.00 |
| 74018 |
|
14 |
12 |
$0.00 |
| J2060 |
Lorazepam injection |
14 |
12 |
$0.00 |
| J1170 |
Hydromorphone injection |
39 |
26 |
$0.00 |
| 86762 |
|
90 |
90 |
$0.00 |
| 85730 |
|
27 |
24 |
$0.00 |
| 0241U |
|
114 |
111 |
$0.00 |
| 87801 |
|
29 |
28 |
$0.00 |
| 70486 |
|
131 |
120 |
$0.00 |
| 86803 |
|
94 |
89 |
$0.00 |
| 80320 |
|
28 |
28 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
174 |
139 |
$0.00 |
| 86901 |
|
65 |
59 |
$0.00 |
| G0378 |
Hospital observation per hr |
44 |
38 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
43 |
42 |
$0.00 |
| 86850 |
|
35 |
31 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
42 |
39 |
$0.00 |
| 99291 |
|
17 |
16 |
$0.00 |
| 96366 |
|
14 |
13 |
$0.00 |
| 82150 |
|
14 |
12 |
$0.00 |
| J0561 |
Penicillin g benzathine inj |
14 |
12 |
$0.00 |
| 83880 |
|
35 |
28 |
$0.00 |
| 94680 |
|
15 |
13 |
$0.00 |
| 85379 |
|
16 |
12 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
17 |
15 |
$0.00 |