| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
7,909 |
5,350 |
$1.27M |
| 99283 |
|
13,434 |
8,397 |
$1.19M |
| 99285 |
|
3,548 |
2,394 |
$999K |
| A0425 |
Ground mileage |
3,265 |
2,570 |
$488K |
| A0427 |
Als1-emergency |
1,902 |
1,583 |
$436K |
| 99282 |
|
4,015 |
2,734 |
$236K |
| 96374 |
|
1,931 |
1,771 |
$229K |
| A0429 |
Bls-emergency |
723 |
622 |
$130K |
| 87636 |
|
1,217 |
1,156 |
$118K |
| 96365 |
|
1,106 |
784 |
$111K |
| 97110 |
|
3,967 |
1,154 |
$91K |
| 96361 |
|
1,950 |
1,683 |
$81K |
| 70450 |
|
830 |
793 |
$79K |
| 97140 |
|
3,887 |
1,129 |
$77K |
| 71045 |
|
1,492 |
1,388 |
$65K |
| 96375 |
|
1,574 |
1,386 |
$58K |
| U0002 |
Covid-19 lab test non-cdc |
1,561 |
1,522 |
$55K |
| 71046 |
|
1,269 |
1,195 |
$54K |
| 74177 |
|
249 |
242 |
$49K |
| U0003 |
Cov-19 amp prb hgh thruput |
576 |
559 |
$32K |
| C9803 |
Hopd covid-19 spec collect |
3,231 |
3,058 |
$31K |
| 77067 |
|
419 |
418 |
$26K |
| 87637 |
|
204 |
199 |
$21K |
| G0463 |
Hospital outpt clinic visit |
1,632 |
1,374 |
$20K |
| 36415 |
|
10,131 |
8,813 |
$18K |
| 96360 |
|
177 |
168 |
$17K |
| 87651 |
|
1,107 |
1,093 |
$15K |
| 97161 |
|
216 |
215 |
$15K |
| U0005 |
Infec agen detec ampli probe |
885 |
861 |
$11K |
| 93010 |
|
1,874 |
1,746 |
$9K |
| 93005 |
|
2,415 |
2,227 |
$8K |
| 77063 |
|
386 |
386 |
$6K |
| 74176 |
|
52 |
50 |
$6K |
| 80053 |
|
5,149 |
4,626 |
$6K |
| 87502 |
|
423 |
416 |
$5K |
| M0243 |
Casirivi and imdevi inj |
12 |
12 |
$4K |
| 85025 |
|
6,148 |
5,380 |
$4K |
| 87631 |
|
114 |
111 |
$4K |
| 84443 |
|
392 |
387 |
$2K |
| 73630 |
|
120 |
120 |
$2K |
| 87801 |
|
80 |
77 |
$2K |
| 87635 |
|
60 |
58 |
$2K |
| 96372 |
|
1,711 |
1,472 |
$1K |
| 97035 |
|
188 |
63 |
$1K |
| 73610 |
|
57 |
54 |
$979.29 |
| 73130 |
|
85 |
80 |
$909.75 |
| 73030 |
|
27 |
26 |
$803.54 |
| G0480 |
Drug test def 1-7 classes |
1,048 |
900 |
$803.43 |
| 80061 |
|
76 |
76 |
$596.83 |
| 80048 |
|
1,407 |
1,259 |
$547.78 |
| 84484 |
|
1,766 |
1,535 |
$373.31 |
| 0100U |
|
41 |
39 |
$316.00 |
| 80305 |
|
640 |
579 |
$312.01 |
| 99281 |
|
18 |
12 |
$289.07 |
| 85610 |
|
1,462 |
1,328 |
$280.24 |
| 80306 |
|
610 |
556 |
$270.40 |
| 83735 |
|
1,817 |
1,623 |
$226.91 |
| 83690 |
|
899 |
839 |
$133.32 |
| 81001 |
|
1,356 |
1,293 |
$82.17 |
| 82550 |
|
717 |
617 |
$80.10 |
| 82553 |
|
538 |
464 |
$72.10 |
| 83605 |
|
924 |
830 |
$71.63 |
| 85027 |
|
124 |
103 |
$58.09 |
| 81003 |
|
2,147 |
2,030 |
$51.82 |
| 83880 |
|
197 |
185 |
$51.47 |
| 84100 |
|
1,130 |
1,041 |
$50.84 |
| 85730 |
|
1,317 |
1,228 |
$50.11 |
| 81025 |
|
1,643 |
1,533 |
$49.76 |
| 94640 |
|
163 |
130 |
$49.08 |
| 82150 |
|
211 |
205 |
$45.71 |
| 87086 |
|
24 |
24 |
$41.93 |
| 82962 |
|
146 |
111 |
$2.47 |
| J1885 |
Ketorolac tromethamine inj |
1,841 |
1,719 |
$1.22 |
| J2405 |
Ondansetron hcl injection |
1,171 |
1,086 |
$0.36 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,141 |
1,090 |
$0.00 |
| J7120 |
Ringers lactate infusion |
507 |
490 |
$0.00 |
| J2270 |
Morphine sulfate injection |
28 |
25 |
$0.00 |
| 80179 |
|
151 |
126 |
$0.00 |
| 80143 |
|
153 |
128 |
$0.00 |
| 84145 |
|
44 |
41 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
242 |
237 |
$0.00 |
| 87040 |
|
44 |
39 |
$0.00 |
| 96376 |
|
12 |
12 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
13 |
13 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
42 |
42 |
$0.00 |
| 85008 |
|
16 |
13 |
$0.00 |
| 85379 |
|
26 |
24 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
13 |
13 |
$0.00 |