| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
21,660 |
20,450 |
$2.98M |
| 99284 |
|
12,391 |
11,528 |
$2.70M |
| 96374 |
|
9,616 |
8,898 |
$923K |
| A0999 |
Unlisted ambulance service |
694 |
501 |
$571K |
| 99282 |
|
5,507 |
5,203 |
$447K |
| 99285 |
|
705 |
653 |
$359K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,255 |
3,853 |
$226K |
| 69436 |
|
160 |
159 |
$144K |
| 96375 |
|
3,023 |
2,843 |
$103K |
| 71046 |
|
1,493 |
1,390 |
$82K |
| 93306 |
|
650 |
514 |
$56K |
| A0429 |
Bls-emergency |
797 |
638 |
$56K |
| A0427 |
Als1-emergency |
666 |
562 |
$55K |
| U0005 |
Infec agen detec ampli probe |
3,712 |
3,339 |
$54K |
| 74177 |
|
305 |
289 |
$53K |
| 99281 |
|
1,174 |
1,126 |
$50K |
| 71045 |
|
934 |
867 |
$47K |
| G0463 |
Hospital outpt clinic visit |
529 |
495 |
$39K |
| A0425 |
Ground mileage |
2,116 |
1,657 |
$33K |
| 0241U |
|
303 |
295 |
$29K |
| C9803 |
Hopd covid-19 spec collect |
4,482 |
4,056 |
$20K |
| 87637 |
|
238 |
226 |
$20K |
| 96361 |
|
337 |
319 |
$15K |
| 70450 |
|
152 |
146 |
$15K |
| 93010 |
|
1,060 |
901 |
$5K |
| 99214 |
|
238 |
205 |
$5K |
| 80048 |
|
24,127 |
20,819 |
$4K |
| 80076 |
|
18,975 |
17,525 |
$3K |
| 85025 |
|
24,609 |
20,846 |
$3K |
| 93005 |
|
5,116 |
4,604 |
$2K |
| 94060 |
|
13 |
12 |
$2K |
| 93296 |
|
109 |
102 |
$2K |
| 96365 |
|
13 |
12 |
$2K |
| 83690 |
|
3,619 |
3,373 |
$1K |
| 84484 |
|
2,332 |
1,820 |
$961.49 |
| 83735 |
|
1,262 |
974 |
$948.33 |
| 87631 |
|
2,108 |
1,983 |
$683.52 |
| 81001 |
|
6,293 |
5,744 |
$561.05 |
| G0480 |
Drug test def 1-7 classes |
589 |
524 |
$520.74 |
| 36415 |
|
10,428 |
8,483 |
$467.91 |
| 87635 |
|
17 |
13 |
$435.40 |
| 87632 |
|
305 |
294 |
$418.46 |
| 87581 |
|
2,468 |
2,329 |
$318.97 |
| 81025 |
|
2,253 |
2,138 |
$273.85 |
| J7030 |
Normal saline solution infus |
8,048 |
7,263 |
$249.90 |
| 86140 |
|
1,070 |
960 |
$154.27 |
| 94640 |
|
37 |
26 |
$153.01 |
| 87426 |
|
30 |
25 |
$137.08 |
| G2211 |
Complex e/m visit add on |
13 |
13 |
$128.67 |
| 81003 |
|
1,507 |
1,414 |
$93.39 |
| 96372 |
|
722 |
671 |
$89.99 |
| 87798 |
|
538 |
427 |
$70.18 |
| 83605 |
|
200 |
162 |
$64.82 |
| 85730 |
|
252 |
229 |
$38.48 |
| J3010 |
Fentanyl citrate injection |
577 |
499 |
$28.17 |
| 85610 |
|
371 |
325 |
$25.99 |
| 84443 |
|
169 |
161 |
$18.41 |
| 80306 |
|
539 |
506 |
$16.44 |
| 82150 |
|
39 |
37 |
$2.66 |
| J1030 |
Methylprednisolone 40 mg inj |
341 |
309 |
$0.46 |
| J2405 |
Ondansetron hcl injection |
1,309 |
1,124 |
$0.36 |
| J7120 |
Ringers lactate infusion |
284 |
255 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,984 |
1,022 |
$0.00 |
| 94726 |
|
13 |
12 |
$0.00 |
| 87502 |
|
66 |
61 |
$0.00 |
| 94729 |
|
13 |
12 |
$0.00 |
| 84702 |
|
12 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
52 |
51 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
2,541 |
2,197 |
$0.00 |
| 87086 |
|
234 |
217 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
349 |
233 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
489 |
420 |
$0.00 |
| 87040 |
|
23 |
12 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
80 |
51 |
$0.00 |
| 85652 |
|
16 |
15 |
$0.00 |
| 87651 |
|
61 |
57 |
$0.00 |
| J1170 |
Hydromorphone injection |
27 |
24 |
$0.00 |
| 80053 |
|
80 |
78 |
$0.00 |
| G0378 |
Hospital observation per hr |
97 |
50 |
$0.00 |
| Q0162 |
Ondansetron oral |
15 |
13 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
47 |
39 |
$0.00 |
| 85379 |
|
13 |
12 |
$0.00 |