| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
10,466 |
8,791 |
$1.14M |
| 99284 |
|
3,131 |
2,469 |
$458K |
| 36415 |
|
18,365 |
15,972 |
$399K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
457 |
398 |
$185K |
| 80053 |
|
5,060 |
4,653 |
$183K |
| A0425 |
Ground mileage, per statute mile |
867 |
725 |
$170K |
| 87635 |
|
3,529 |
3,426 |
$155K |
| 85025 |
|
8,941 |
7,940 |
$150K |
| 99282 |
|
1,759 |
1,583 |
$116K |
| 87651 |
|
2,374 |
2,317 |
$111K |
| 97110 |
|
1,335 |
494 |
$103K |
| J3490 |
Unclassified drugs |
5,538 |
2,757 |
$92K |
| 87502 |
|
1,069 |
1,049 |
$89K |
| 93005 |
|
1,110 |
939 |
$43K |
| 87631 |
|
259 |
255 |
$42K |
| 84484 |
|
528 |
389 |
$32K |
| 83735 |
|
1,127 |
1,050 |
$28K |
| 84443 |
|
753 |
731 |
$23K |
| 86140 |
|
1,192 |
1,115 |
$16K |
| 99285 |
|
73 |
53 |
$15K |
| 71045 |
|
561 |
468 |
$15K |
| 83880 |
|
230 |
210 |
$14K |
| 96375 |
|
128 |
119 |
$12K |
| 71046 |
|
855 |
779 |
$12K |
| 96374 |
|
145 |
134 |
$10K |
| 87880 |
|
416 |
410 |
$10K |
| 96361 |
|
91 |
80 |
$9K |
| 87636 |
|
150 |
145 |
$7K |
| 83605 |
|
291 |
264 |
$7K |
| 70450 |
|
44 |
43 |
$6K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
42 |
39 |
$6K |
| 85730 |
|
248 |
224 |
$6K |
| 87804 |
|
180 |
158 |
$6K |
| J2704 |
Injection, propofol, 10 mg |
188 |
173 |
$5K |
| 80061 |
|
178 |
171 |
$5K |
| 88305 |
|
26 |
25 |
$5K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
197 |
174 |
$4K |
| 82306 |
|
145 |
145 |
$4K |
| 87070 |
|
227 |
222 |
$4K |
| 82553 |
|
77 |
71 |
$3K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
86 |
83 |
$3K |
| 80048 |
|
100 |
85 |
$3K |
| 85610 |
|
280 |
250 |
$2K |
| 83036 |
|
91 |
89 |
$2K |
| 81001 |
|
115 |
110 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
97 |
88 |
$1K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
61 |
51 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
64 |
61 |
$1K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
31 |
25 |
$1K |
| 87086 |
|
40 |
39 |
$907.93 |
| 77067 |
|
31 |
24 |
$859.13 |
| 83690 |
|
26 |
25 |
$651.00 |
| 97140 |
|
40 |
12 |
$577.41 |
| 77063 |
|
31 |
24 |
$466.23 |
| 85027 |
|
28 |
28 |
$462.48 |
| 73110 |
|
16 |
12 |
$403.58 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
25 |
24 |
$377.68 |
| 96372 |
|
13 |
13 |
$374.40 |
| 84145 |
|
12 |
12 |
$347.56 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
12 |
12 |
$242.41 |
| 85379 |
|
14 |
14 |
$220.63 |
| 80069 |
|
15 |
15 |
$214.24 |
| 81003 |
|
14 |
14 |
$119.81 |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
14 |
14 |
$43.73 |
| A6404 |
Gauze, non-impregnated, sterile, pad size more than 48 sq. in., without adhesive border, each dressing |
14 |
14 |
$2.39 |
| 99213 |
|
60 |
44 |
$0.00 |