| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Als1-emergency |
12,188 |
11,208 |
$10.77M |
| 99284 |
|
25,380 |
22,922 |
$8.82M |
| A0429 |
Bls-emergency |
35,943 |
29,947 |
$7.66M |
| 99283 |
|
23,487 |
21,718 |
$6.61M |
| 99285 |
|
16,104 |
14,589 |
$6.47M |
| H0035 |
Mh partial hosp tx under 24h |
33,399 |
3,832 |
$5.85M |
| 90834 |
|
37,370 |
24,107 |
$4.18M |
| A0428 |
Bls |
14,133 |
11,695 |
$3.92M |
| S9480 |
Intensive outpatient psychia |
4,433 |
3,991 |
$3.47M |
| 90791 |
|
19,150 |
16,453 |
$2.50M |
| G0378 |
Hospital observation per hr |
7,217 |
5,182 |
$2.24M |
| A0425 |
Ground mileage |
60,671 |
47,513 |
$1.71M |
| 99214 |
|
21,379 |
18,501 |
$1.54M |
| OP272 |
|
21,590 |
17,586 |
$1.22M |
| 90837 |
|
10,664 |
6,973 |
$1.16M |
| 96374 |
|
9,469 |
8,480 |
$1.11M |
| 99213 |
|
14,224 |
13,213 |
$1.07M |
| T2034 |
Crisis interven waiver/diem |
1,282 |
1,127 |
$1.02M |
| 99291 |
|
1,974 |
1,773 |
$936K |
| 90792 |
|
6,410 |
5,609 |
$821K |
| 90832 |
|
12,081 |
8,235 |
$775K |
| 74177 |
|
2,762 |
2,574 |
$614K |
| A0998 |
Ambulance response/treatment |
403 |
395 |
$611K |
| 96372 |
|
11,785 |
9,222 |
$516K |
| 80307 |
|
12,172 |
8,313 |
$513K |
| 93005 |
|
12,761 |
11,346 |
$455K |
| A0434 |
Specialty care transport |
466 |
443 |
$446K |
| 90853 |
|
12,595 |
3,689 |
$445K |
| G0463 |
Hospital outpt clinic visit |
14,160 |
9,299 |
$442K |
| 71045 |
|
9,507 |
8,559 |
$399K |
| 96360 |
|
3,024 |
2,808 |
$397K |
| U0003 |
Cov-19 amp prb hgh thruput |
6,236 |
5,697 |
$384K |
| G0480 |
Drug test def 1-7 classes |
7,535 |
4,676 |
$377K |
| 96361 |
|
6,984 |
6,099 |
$363K |
| OP710 |
|
2,037 |
1,611 |
$361K |
| 96365 |
|
2,825 |
2,279 |
$340K |
| 74176 |
|
2,402 |
2,183 |
$339K |
| 77067 |
|
3,178 |
3,127 |
$328K |
| 99281 |
|
2,416 |
2,339 |
$325K |
| 70450 |
|
4,634 |
4,227 |
$302K |
| 94640 |
|
2,459 |
1,918 |
$297K |
| 87426 |
|
10,785 |
9,432 |
$279K |
| 97110 |
|
10,380 |
2,346 |
$273K |
| OP370 |
|
2,217 |
1,868 |
$249K |
| OP250 |
|
46,166 |
24,955 |
$230K |
| 76816 |
|
2,435 |
2,118 |
$224K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,780 |
3,786 |
$223K |
| 99282 |
|
1,204 |
1,170 |
$215K |
| 85025 |
|
26,822 |
22,524 |
$215K |
| 93306 |
|
685 |
685 |
$209K |
| A0433 |
Als 2 |
137 |
133 |
$193K |
| 96375 |
|
5,327 |
4,667 |
$187K |
| 76700 |
|
2,221 |
2,066 |
$171K |
| 99211 |
|
2,160 |
1,936 |
$166K |
| 71046 |
|
4,820 |
4,556 |
$165K |
| 97112 |
|
6,649 |
1,674 |
$157K |
| 11042 |
|
850 |
335 |
$144K |
| 76641 |
|
1,510 |
1,484 |
$131K |
| 80320 |
|
4,262 |
3,753 |
$131K |
| C9803 |
Hopd covid-19 spec collect |
8,121 |
7,132 |
$128K |
| 76819 |
|
1,318 |
1,193 |
$128K |
| OP271 |
|
11,067 |
9,463 |
$120K |
| 80048 |
|
14,909 |
13,023 |
$116K |
| 76811 |
|
548 |
541 |
$106K |
| 80053 |
|
12,317 |
10,443 |
$105K |
| 36415 |
|
31,464 |
25,674 |
$105K |
| G0379 |
Direct refer hospital observ |
199 |
177 |
$91K |
| U0005 |
Infec agen detec ampli probe |
4,670 |
4,229 |
$88K |
| 90715 |
|
1,587 |
1,506 |
$88K |
| OP259 |
|
9,401 |
7,942 |
$88K |
| 87804 |
|
6,202 |
4,233 |
$85K |
| 76856 |
|
1,132 |
1,082 |
$82K |
| 80306 |
|
3,670 |
1,476 |
$80K |
| 73130 |
|
1,776 |
1,644 |
$77K |
| 73630 |
|
1,967 |
1,794 |
$76K |
| 99241 |
|
3,246 |
2,910 |
$75K |
| 90833 |
|
1,434 |
829 |
$72K |
| 80305 |
|
3,422 |
3,030 |
$71K |
| J3490 |
Drugs unclassified injection |
6,619 |
3,426 |
$69K |
| 93975 |
|
545 |
527 |
$63K |
| 94664 |
|
754 |
677 |
$63K |
| 74018 |
|
1,389 |
1,260 |
$60K |
| 73610 |
|
1,521 |
1,409 |
$60K |
| 78452 |
|
159 |
159 |
$58K |
| 93017 |
|
323 |
319 |
$55K |
| 84484 |
|
7,454 |
5,988 |
$55K |
| 93976 |
|
501 |
458 |
$52K |
| OP270 |
|
5,549 |
4,869 |
$51K |
| 73030 |
|
1,319 |
1,196 |
$51K |
| 86900 |
|
1,888 |
1,737 |
$51K |
| 72125 |
|
855 |
748 |
$50K |
| 84443 |
|
3,030 |
2,860 |
$49K |
| 77063 |
|
1,978 |
1,926 |
$47K |
| 90471 |
|
1,364 |
1,216 |
$46K |
| 81025 |
|
13,447 |
12,276 |
$45K |
| 73562 |
|
1,202 |
1,073 |
$45K |
| 87491 |
|
1,347 |
1,314 |
$44K |
| 59025 |
|
336 |
233 |
$44K |
| 76830 |
|
528 |
519 |
$43K |
| U0002 |
Covid-19 lab test non-cdc |
1,128 |
1,037 |
$42K |
| 97140 |
|
1,018 |
303 |
$41K |
| 72100 |
|
644 |
607 |
$39K |
| 87591 |
|
1,334 |
1,301 |
$38K |
| 87633 |
|
117 |
116 |
$37K |
| J7030 |
Normal saline solution infus |
9,640 |
7,912 |
$37K |
| 83690 |
|
7,712 |
6,913 |
$37K |
| 87070 |
|
4,733 |
4,554 |
$34K |
| 76801 |
|
418 |
367 |
$32K |
| 96376 |
|
700 |
577 |
$32K |
| 87086 |
|
6,390 |
5,713 |
$31K |
| 82306 |
|
1,027 |
1,022 |
$29K |
| 82962 |
|
6,234 |
4,206 |
$29K |
| 97161 |
|
448 |
442 |
$28K |
| 87880 |
|
2,564 |
2,455 |
$28K |
| 82550 |
|
4,952 |
4,349 |
$28K |
| 93970 |
|
232 |
222 |
$27K |
| 83880 |
|
1,215 |
1,104 |
$27K |
| Q0162 |
Ondansetron oral |
1,888 |
1,625 |
$27K |
| 96366 |
|
372 |
290 |
$26K |
| 71275 |
|
187 |
180 |
$26K |
| 80076 |
|
4,455 |
4,065 |
$26K |
| 90847 |
|
461 |
369 |
$26K |
| J1885 |
Ketorolac tromethamine inj |
6,182 |
5,207 |
$26K |
| 80061 |
|
2,004 |
1,899 |
$25K |
| 99215 |
Prolong outpt/office vis |
329 |
291 |
$24K |
| A9270 |
Non-covered item or service |
637 |
523 |
$24K |
| 82075 |
|
3,143 |
2,626 |
$24K |
| 99242 |
|
209 |
160 |
$23K |
| 73110 |
|
570 |
530 |
$23K |
| 88305 |
|
461 |
389 |
$21K |
| 81001 |
|
10,256 |
9,185 |
$21K |
| 85730 |
|
5,296 |
4,828 |
$20K |
| 0202U |
|
193 |
165 |
$20K |
| 87502 |
|
284 |
272 |
$20K |
| 87661 |
|
909 |
882 |
$20K |
| 85610 |
|
5,706 |
5,161 |
$19K |
| 86850 |
|
1,707 |
1,540 |
$19K |
| 87186 |
|
1,257 |
1,111 |
$18K |
| J2704 |
Inj, propofol, 10 mg |
2,534 |
1,882 |
$18K |
| 76817 |
|
215 |
175 |
$18K |
| 87798 |
|
446 |
428 |
$16K |
| 76813 |
|
159 |
157 |
$16K |
| 85027 |
|
3,710 |
3,305 |
$15K |
| 87088 |
|
3,033 |
2,890 |
$14K |
| 87275 |
|
1,478 |
1,466 |
$13K |
| 86901 |
|
1,757 |
1,574 |
$13K |
| 83735 |
|
2,734 |
2,243 |
$13K |
| 77080 |
|
251 |
231 |
$13K |
| 97010 |
|
2,303 |
635 |
$13K |
| 81003 |
|
6,868 |
6,358 |
$13K |
| 87040 |
|
1,432 |
1,093 |
$13K |
| 29125 |
|
84 |
80 |
$13K |
| 84439 |
|
1,443 |
1,388 |
$12K |
| 87077 |
|
1,603 |
1,463 |
$12K |
| 82553 |
|
1,528 |
1,401 |
$12K |
| 87806 |
|
501 |
481 |
$12K |
| 83605 |
|
1,393 |
1,180 |
$12K |
| 87081 |
|
1,660 |
1,645 |
$12K |
| J2060 |
Lorazepam injection |
2,342 |
1,704 |
$11K |
| J0696 |
Ceftriaxone sodium injection |
904 |
655 |
$11K |
| 87420 |
|
1,031 |
1,005 |
$11K |
| J2405 |
Ondansetron hcl injection |
6,277 |
4,905 |
$11K |
| 74019 |
|
132 |
127 |
$11K |
| OP720 |
|
64 |
48 |
$10K |
| 87276 |
|
1,479 |
1,467 |
$10K |
| 12001 |
|
61 |
55 |
$9K |
| 73502 |
|
276 |
254 |
$9K |
| 84702 |
|
728 |
633 |
$9K |
| 97530 |
|
382 |
188 |
$9K |
| 80164 |
|
348 |
299 |
$9K |
| 87389 |
|
332 |
328 |
$8K |
| OP279 |
|
707 |
692 |
$8K |
| OP258 |
|
775 |
665 |
$8K |
| 83036 |
|
1,591 |
1,512 |
$8K |
| J7120 |
Ringers lactate infusion |
1,648 |
1,265 |
$7K |
| 72110 |
|
120 |
116 |
$7K |
| 73560 |
|
235 |
203 |
$7K |
| 51798 |
|
146 |
137 |
$7K |
| 77065 |
Tomosynthesis, mammo |
68 |
64 |
$7K |
| J1170 |
Hydromorphone injection |
1,546 |
1,076 |
$6K |
| 85379 |
|
1,405 |
1,283 |
$6K |
| 82150 |
|
1,132 |
1,094 |
$5K |
| 81220 |
|
12 |
12 |
$5K |
| J3010 |
Fentanyl citrate injection |
1,741 |
1,402 |
$4K |
| 82947 |
|
1,175 |
929 |
$4K |
| 76770 |
|
67 |
66 |
$4K |
| 73080 |
|
114 |
105 |
$4K |
| 76536 |
|
53 |
53 |
$4K |
| J7060 |
5% dextrose/water |
1,929 |
915 |
$4K |
| J0690 |
Cefazolin sodium injection |
567 |
395 |
$4K |
| J7040 |
Normal saline solution infus |
1,125 |
996 |
$3K |
| 85378 |
|
530 |
521 |
$3K |
| 97116 |
|
112 |
61 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
1,386 |
1,112 |
$3K |
| 87486 |
|
114 |
113 |
$3K |
| 87581 |
|
113 |
112 |
$3K |
| 80329 |
|
40 |
26 |
$3K |
| J1100 |
Dexamethasone sodium phos |
2,654 |
1,418 |
$3K |
| 10060 |
|
12 |
12 |
$3K |
| 85007 |
|
1,202 |
1,091 |
$3K |
| 83655 |
|
279 |
278 |
$3K |
| 84703 |
|
294 |
275 |
$2K |
| 80354 |
|
80 |
45 |
$2K |
| 93880 |
|
41 |
41 |
$2K |
| 87635 |
|
236 |
209 |
$2K |
| J0131 |
Inj, acetaminophen (nos) |
393 |
280 |
$2K |
| 12011 |
|
12 |
12 |
$2K |
| M0222 |
Bebtelovimab injection |
19 |
17 |
$2K |
| 97597 |
|
25 |
12 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
882 |
689 |
$2K |
| 87205 |
|
363 |
354 |
$2K |
| 72050 |
|
42 |
42 |
$2K |
| J2543 |
Piperacillin/tazobactam |
86 |
26 |
$2K |
| 97162 |
|
27 |
24 |
$2K |
| 74021 |
|
26 |
25 |
$2K |
| 76815 |
|
15 |
13 |
$1K |
| 72040 |
|
42 |
38 |
$1K |
| 80074 |
|
56 |
53 |
$1K |
| 87299 |
|
109 |
104 |
$1K |
| J2270 |
Morphine sulfate injection |
544 |
345 |
$1K |
| 86592 |
|
441 |
411 |
$1K |
| J2765 |
Metoclopramide hcl injection |
731 |
579 |
$955.27 |
| J7512 |
Prednisone ir or dr oral 1mg |
932 |
784 |
$855.17 |
| 87340 |
|
184 |
181 |
$844.45 |
| G0008 |
Admin influenza virus vac |
41 |
40 |
$795.38 |
| 29130 |
|
14 |
12 |
$764.53 |
| J1630 |
Haloperidol injection |
509 |
332 |
$760.17 |
| 82950 |
|
125 |
111 |
$724.37 |
| J2930 |
Methylprednisolone injection |
153 |
121 |
$681.71 |
| 83020 |
|
113 |
111 |
$679.39 |
| 93225 |
|
12 |
12 |
$671.73 |
| 76818 |
|
12 |
12 |
$647.80 |
| 71100 |
|
27 |
25 |
$622.61 |
| 82465 |
|
184 |
184 |
$618.84 |
| 36600 |
|
13 |
12 |
$600.59 |
| 80178 |
|
19 |
17 |
$550.97 |
| 76705 |
|
12 |
12 |
$543.53 |
| 86618 |
|
29 |
29 |
$531.74 |
| A4606 |
Oxygen probe used w oximeter |
17 |
15 |
$502.88 |
| 88304 |
|
15 |
13 |
$484.38 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
17 |
12 |
$484.04 |
| 82248 |
|
95 |
76 |
$444.01 |
| 84480 |
|
30 |
30 |
$436.50 |
| 93296 |
|
13 |
12 |
$435.03 |
| 84100 |
|
152 |
111 |
$427.79 |
| J3411 |
Thiamine hcl 100 mg |
146 |
128 |
$417.34 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
173 |
119 |
$400.19 |
| 90686 |
|
14 |
14 |
$383.28 |
| Q0163 |
Diphenhydramine hcl 50mg |
682 |
515 |
$362.57 |
| A9500 |
Tc99m sestamibi |
26 |
26 |
$361.81 |
| 83021 |
|
16 |
16 |
$344.00 |
| 82247 |
|
119 |
89 |
$337.30 |
| 82105 |
|
24 |
24 |
$272.90 |
| 86762 |
|
98 |
96 |
$272.42 |
| J2001 |
Lidocaine injection |
549 |
283 |
$263.43 |
| 87147 |
|
24 |
24 |
$252.30 |
| 36416 |
|
133 |
104 |
$220.80 |
| 94760 |
|
27 |
21 |
$159.18 |
| A6449 |
Lt compres band >=3" <5"/yd |
90 |
76 |
$137.86 |
| J1650 |
Inj enoxaparin sodium |
40 |
13 |
$113.86 |
| 85652 |
|
79 |
78 |
$100.99 |
| J0780 |
Prochlorperazine injection |
31 |
30 |
$95.85 |
| S0020 |
Injection, bupivicaine hydro |
14 |
13 |
$81.65 |
| J2470 |
Inj pantoprazole sodium 40mg |
19 |
14 |
$76.06 |
| A4930 |
Sterile, gloves per pair |
22 |
20 |
$76.04 |
| 85660 |
|
16 |
16 |
$48.00 |
| A6402 |
Sterile gauze <= 16 sq in |
42 |
37 |
$46.11 |
| 82805 |
|
13 |
12 |
$43.38 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
15 |
12 |
$39.27 |
| A4657 |
Syringe w/wo needle |
35 |
31 |
$39.14 |
| A4223 |
Infusion supplies w/o pump |
29 |
24 |
$38.35 |
| J7510 |
Prednisolone oral per 5 mg |
18 |
15 |
$28.59 |
| 81002 |
|
41 |
41 |
$23.55 |
| P9603 |
One-way allow prorated miles |
66 |
55 |
$23.00 |
| OP255 |
|
13 |
13 |
$21.19 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
41 |
26 |
$16.67 |
| Q0245 |
Bamlanivimab and etesevima |
12 |
12 |
$12.41 |
| J1815 |
Insulin injection |
21 |
12 |
$5.69 |
| Q0222 |
Bebtelovimab 175 mg |
20 |
17 |
$5.47 |
| 84132 |
|
12 |
12 |
$1.00 |
| G8978 |
Mobility current status |
26 |
25 |
$0.00 |
| G8979 |
Mobility goal status |
27 |
26 |
$0.00 |