| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
30,348 |
28,007 |
$5.76M |
| 99284 |
|
26,850 |
25,420 |
$5.71M |
| 99285 |
|
13,645 |
12,516 |
$4.42M |
| 87636 |
|
6,458 |
6,213 |
$1.33M |
| A0427 |
Als1-emergency |
3,642 |
3,235 |
$1.09M |
| A0425 |
Ground mileage |
4,915 |
4,142 |
$1.06M |
| 74177 |
|
1,696 |
1,626 |
$1.04M |
| G0463 |
Hospital outpt clinic visit |
10,367 |
8,376 |
$774K |
| 93005 |
|
5,960 |
5,210 |
$647K |
| 97110 |
|
7,916 |
2,253 |
$630K |
| 70450 |
|
1,853 |
1,782 |
$561K |
| 0241U |
|
2,307 |
2,210 |
$510K |
| A0429 |
Bls-emergency |
1,802 |
1,633 |
$505K |
| 99282 |
|
3,287 |
3,147 |
$451K |
| 96365 |
|
2,288 |
1,608 |
$407K |
| 96374 |
|
5,749 |
5,253 |
$394K |
| 80053 |
|
21,339 |
19,230 |
$347K |
| 96375 |
|
4,045 |
3,597 |
$324K |
| 94640 |
|
1,520 |
1,158 |
$316K |
| 71045 |
|
3,560 |
3,316 |
$282K |
| 87631 |
|
1,497 |
1,454 |
$271K |
| 85025 |
|
22,553 |
20,222 |
$261K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,009 |
1,932 |
$251K |
| 80307 |
|
3,339 |
3,092 |
$234K |
| 71046 |
|
2,445 |
2,324 |
$221K |
| 96372 |
|
4,977 |
4,245 |
$214K |
| 77067 |
|
901 |
899 |
$199K |
| 74176 |
|
466 |
447 |
$193K |
| 84443 |
|
8,004 |
7,778 |
$182K |
| A0428 |
Bls |
1,279 |
1,221 |
$181K |
| 96361 |
|
2,558 |
2,323 |
$174K |
| 73562 |
|
1,060 |
964 |
$170K |
| 87591 |
|
2,900 |
2,864 |
$140K |
| 87491 |
|
2,899 |
2,863 |
$140K |
| 82306 |
|
3,161 |
3,135 |
$123K |
| U0002 |
Covid-19 lab test non-cdc |
1,825 |
1,747 |
$121K |
| 59025 |
|
552 |
359 |
$113K |
| 73610 |
|
690 |
638 |
$112K |
| 87880 |
|
4,533 |
4,421 |
$111K |
| 73030 |
|
662 |
621 |
$99K |
| 81513 |
|
512 |
504 |
$98K |
| 84484 |
|
3,530 |
2,923 |
$96K |
| 97140 |
|
2,215 |
861 |
$84K |
| 87633 |
|
142 |
142 |
$80K |
| 80306 |
|
2,267 |
2,147 |
$75K |
| G0378 |
Hospital observation per hr |
119 |
106 |
$74K |
| 36415 |
|
10,254 |
9,375 |
$71K |
| 76856 |
|
393 |
384 |
$66K |
| 73130 |
|
602 |
521 |
$64K |
| 73630 |
|
575 |
540 |
$63K |
| 87086 |
|
5,584 |
5,215 |
$61K |
| 99214 |
|
2,989 |
2,671 |
$60K |
| 83036 |
|
5,286 |
5,208 |
$60K |
| 76830 |
|
369 |
360 |
$59K |
| 81001 |
|
7,666 |
7,150 |
$55K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,558 |
2,434 |
$55K |
| 81025 |
|
3,946 |
3,743 |
$55K |
| 83690 |
|
4,583 |
4,154 |
$53K |
| 76705 |
|
310 |
303 |
$52K |
| 84439 |
|
4,316 |
4,232 |
$52K |
| 96360 |
|
344 |
335 |
$51K |
| 87081 |
|
3,375 |
3,317 |
$46K |
| 87389 |
|
1,336 |
1,321 |
$44K |
| 86803 |
|
2,247 |
2,224 |
$43K |
| 93976 |
|
192 |
188 |
$43K |
| 72100 |
|
241 |
237 |
$42K |
| 86780 |
|
2,082 |
2,051 |
$38K |
| 73110 |
|
356 |
323 |
$38K |
| 72125 |
|
115 |
112 |
$38K |
| U0005 |
Infec agen detec ampli probe |
1,005 |
968 |
$37K |
| 83605 |
|
2,024 |
1,774 |
$35K |
| J3490 |
Drugs unclassified injection |
8,699 |
3,979 |
$35K |
| 99281 |
|
314 |
308 |
$35K |
| 81003 |
|
6,456 |
6,068 |
$34K |
| 88175 |
|
949 |
944 |
$34K |
| A0998 |
Ambulance response/treatment |
451 |
426 |
$32K |
| 87077 |
|
2,177 |
2,033 |
$31K |
| 80061 |
|
1,829 |
1,800 |
$30K |
| 82077 |
|
1,690 |
1,446 |
$30K |
| 73721 |
|
51 |
47 |
$30K |
| 83735 |
|
2,458 |
2,033 |
$29K |
| 93010 |
|
3,973 |
3,558 |
$27K |
| 81514 |
|
80 |
80 |
$27K |
| 90471 |
|
698 |
687 |
$26K |
| 77063 |
|
446 |
445 |
$26K |
| A0426 |
Als 1 |
171 |
159 |
$25K |
| 87661 |
|
525 |
517 |
$25K |
| 85027 |
|
2,503 |
2,404 |
$24K |
| 87481 |
|
553 |
532 |
$24K |
| 80048 |
|
1,686 |
1,574 |
$23K |
| 87040 |
|
849 |
583 |
$23K |
| 96376 |
|
521 |
398 |
$23K |
| 72110 |
|
154 |
151 |
$22K |
| 87186 |
|
1,460 |
1,359 |
$21K |
| 88305 |
|
320 |
296 |
$18K |
| 85379 |
|
824 |
792 |
$18K |
| 71275 |
|
27 |
25 |
$17K |
| 86850 |
|
1,014 |
942 |
$16K |
| 36000 |
|
782 |
742 |
$16K |
| 74018 |
|
134 |
129 |
$16K |
| 99213 |
|
1,049 |
969 |
$16K |
| 87650 |
|
461 |
455 |
$15K |
| 85610 |
|
2,211 |
1,860 |
$14K |
| 93041 |
|
215 |
210 |
$14K |
| 86696 |
|
530 |
528 |
$14K |
| 82962 |
|
2,052 |
1,323 |
$14K |
| 83880 |
|
359 |
334 |
$13K |
| 97161 |
|
241 |
235 |
$13K |
| 90715 |
|
482 |
474 |
$13K |
| 84702 |
|
450 |
369 |
$12K |
| 86900 |
|
1,149 |
1,052 |
$10K |
| 87430 |
|
479 |
470 |
$10K |
| 80143 |
|
438 |
414 |
$10K |
| 81002 |
|
2,779 |
1,937 |
$10K |
| 80179 |
|
436 |
414 |
$10K |
| 93306 |
|
16 |
14 |
$9K |
| 86695 |
|
529 |
527 |
$9K |
| 86787 |
|
508 |
499 |
$9K |
| J7040 |
Normal saline solution infus |
3,080 |
2,359 |
$9K |
| 86762 |
|
402 |
396 |
$8K |
| 0225U |
|
13 |
13 |
$8K |
| J1885 |
Ketorolac tromethamine inj |
2,416 |
2,233 |
$8K |
| 84153 |
|
318 |
313 |
$8K |
| 87340 |
|
520 |
514 |
$8K |
| 87653 |
|
141 |
137 |
$7K |
| 86901 |
|
1,150 |
1,052 |
$7K |
| 87798 |
|
125 |
122 |
$7K |
| 86140 |
|
979 |
922 |
$7K |
| 83655 |
|
355 |
352 |
$6K |
| 29125 |
|
24 |
24 |
$6K |
| J0696 |
Ceftriaxone sodium injection |
553 |
432 |
$6K |
| 87660 |
|
196 |
194 |
$5K |
| 87510 |
|
191 |
189 |
$5K |
| 87480 |
|
193 |
190 |
$5K |
| 87651 |
|
95 |
94 |
$5K |
| J7120 |
Ringers lactate infusion |
1,282 |
1,162 |
$4K |
| 82728 |
|
226 |
223 |
$4K |
| 97162 |
|
85 |
74 |
$4K |
| 87637 |
|
17 |
17 |
$4K |
| 73080 |
|
28 |
27 |
$4K |
| 70486 |
|
13 |
13 |
$4K |
| J2704 |
Inj, propofol, 10 mg |
624 |
540 |
$4K |
| 82570 |
|
597 |
562 |
$4K |
| 76700 |
|
24 |
24 |
$4K |
| 82607 |
|
185 |
181 |
$4K |
| 85652 |
|
486 |
456 |
$4K |
| 80050 |
|
261 |
260 |
$4K |
| 87804 |
|
205 |
197 |
$4K |
| 93226 |
|
16 |
15 |
$4K |
| J2405 |
Ondansetron hcl injection |
2,295 |
2,086 |
$3K |
| 90460 |
|
70 |
69 |
$3K |
| 73502 |
|
27 |
27 |
$3K |
| 82043 |
|
398 |
391 |
$3K |
| 85014 |
|
719 |
667 |
$3K |
| 90670 |
|
212 |
210 |
$2K |
| J1100 |
Dexamethasone sodium phos |
686 |
660 |
$2K |
| 96366 |
|
14 |
12 |
$2K |
| 87801 |
|
25 |
25 |
$2K |
| Q0091 |
Obtaining screen pap smear |
54 |
54 |
$2K |
| 97112 |
|
41 |
15 |
$2K |
| 85018 |
|
567 |
553 |
$2K |
| 97750 |
|
52 |
50 |
$2K |
| 80076 |
|
142 |
136 |
$2K |
| 82950 |
|
247 |
246 |
$2K |
| 97602 |
|
34 |
12 |
$2K |
| 83540 |
|
172 |
168 |
$2K |
| 82550 |
|
154 |
150 |
$1K |
| 83550 |
|
126 |
122 |
$1K |
| 76857 |
|
12 |
12 |
$1K |
| 90461 |
|
25 |
14 |
$1K |
| J3010 |
Fentanyl citrate injection |
469 |
411 |
$1K |
| 86694 |
|
56 |
56 |
$1K |
| J2270 |
Morphine sulfate injection |
581 |
493 |
$996.72 |
| 73090 |
|
16 |
13 |
$949.40 |
| 85730 |
|
102 |
96 |
$881.07 |
| J0690 |
Cefazolin sodium injection |
33 |
28 |
$824.38 |
| 84403 |
|
27 |
26 |
$818.78 |
| 87635 |
|
13 |
13 |
$793.76 |
| 84100 |
|
86 |
56 |
$792.08 |
| 80074 |
|
12 |
12 |
$783.67 |
| 87624 |
|
341 |
341 |
$777.62 |
| 87807 |
|
37 |
35 |
$759.83 |
| 94760 |
|
70 |
61 |
$738.12 |
| J2001 |
Lidocaine injection |
202 |
186 |
$622.95 |
| G0283 |
Elec stim other than wound |
34 |
12 |
$607.78 |
| 82274 |
|
26 |
26 |
$518.93 |
| 82670 |
|
12 |
12 |
$515.01 |
| 87070 |
|
42 |
37 |
$452.19 |
| J2250 |
Inj midazolam hydrochloride |
224 |
213 |
$443.57 |
| 90656 |
|
24 |
24 |
$252.30 |
| J2930 |
Methylprednisolone injection |
32 |
26 |
$248.45 |
| 82272 |
|
54 |
50 |
$248.19 |
| 86038 |
|
12 |
12 |
$246.97 |
| 82140 |
|
14 |
13 |
$238.78 |
| 87205 |
|
43 |
37 |
$235.28 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
28 |
28 |
$231.03 |
| 82150 |
|
22 |
21 |
$228.91 |
| J2765 |
Metoclopramide hcl injection |
118 |
117 |
$227.72 |
| J2360 |
Orphenadrine injection |
16 |
16 |
$168.18 |
| J1200 |
Diphenhydramine hcl injectio |
55 |
54 |
$125.12 |
| S0028 |
Injection, famotidine, 20 mg |
44 |
40 |
$83.16 |
| G0008 |
Admin influenza virus vac |
51 |
51 |
$63.87 |
| J3411 |
Thiamine hcl 100 mg |
14 |
12 |
$47.02 |
| J2060 |
Lorazepam injection |
13 |
12 |
$43.00 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
51 |
50 |
$36.17 |
| J1170 |
Hydromorphone injection |
15 |
13 |
$30.28 |
| 90686 |
|
16 |
16 |
$12.11 |