| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
11,668 |
9,874 |
$1.89M |
| 99283 |
|
13,050 |
11,826 |
$1.31M |
| 99285 |
|
4,184 |
3,437 |
$840K |
| G0378 |
Hospital observation service, per hour |
1,129 |
568 |
$151K |
| 87426 |
|
4,939 |
4,479 |
$131K |
| 92507 |
|
2,929 |
501 |
$122K |
| 80307 |
|
1,589 |
1,102 |
$60K |
| 85025 |
|
14,591 |
11,915 |
$52K |
| 87804 |
|
9,670 |
4,827 |
$48K |
| 59025 |
|
2,018 |
873 |
$42K |
| 96374 |
|
3,181 |
2,603 |
$31K |
| 80053 |
|
10,974 |
8,984 |
$27K |
| 84484 |
|
3,111 |
1,935 |
$22K |
| 76805 |
|
330 |
310 |
$22K |
| 87880 |
|
2,741 |
2,618 |
$21K |
| 96375 |
|
1,827 |
1,487 |
$12K |
| 96372 |
|
2,205 |
1,874 |
$11K |
| 87081 |
|
2,043 |
1,939 |
$10K |
| 96361 |
|
633 |
504 |
$10K |
| 93005 |
|
3,486 |
2,575 |
$8K |
| 93010 |
|
2,364 |
1,792 |
$8K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
161 |
125 |
$7K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
161 |
51 |
$7K |
| 97110 |
|
163 |
39 |
$6K |
| 71045 |
|
3,201 |
2,614 |
$6K |
| 81001 |
|
5,682 |
4,501 |
$5K |
| 87086 |
|
1,152 |
976 |
$5K |
| 36415 |
|
1,288 |
1,030 |
$5K |
| 83735 |
|
1,339 |
1,131 |
$4K |
| A0425 |
Ground mileage, per statute mile |
162 |
52 |
$3K |
| 83690 |
|
651 |
564 |
$3K |
| 73562 |
|
122 |
96 |
$2K |
| 85379 |
|
515 |
412 |
$2K |
| 84702 |
|
88 |
62 |
$2K |
| 70450 |
|
127 |
105 |
$2K |
| 87420 |
|
169 |
168 |
$2K |
| 74177 |
|
41 |
37 |
$2K |
| 96365 |
|
154 |
121 |
$1K |
| 99282 |
|
27 |
24 |
$1K |
| 82150 |
|
342 |
297 |
$1K |
| 84443 |
|
64 |
61 |
$1K |
| 80048 |
|
597 |
490 |
$1K |
| 81025 |
|
413 |
384 |
$1K |
| 74176 |
|
30 |
24 |
$1K |
| 99281 |
|
13 |
12 |
$911.74 |
| 73110 |
|
35 |
25 |
$690.74 |
| 71046 |
|
228 |
195 |
$683.65 |
| 83880 |
|
107 |
83 |
$543.45 |
| 87635 |
|
20 |
17 |
$513.10 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
143 |
113 |
$433.81 |
| 73100 |
|
26 |
14 |
$389.79 |
| 82550 |
|
98 |
69 |
$344.40 |
| 92650 |
|
13 |
13 |
$332.98 |
| 83605 |
|
106 |
76 |
$306.60 |
| 85610 |
|
251 |
209 |
$302.34 |
| 84439 |
|
29 |
29 |
$269.52 |
| 74018 |
|
50 |
42 |
$243.87 |
| 86850 |
|
15 |
15 |
$205.20 |
| 82553 |
|
85 |
58 |
$175.36 |
| 80061 |
|
41 |
39 |
$174.27 |
| 86592 |
|
26 |
26 |
$105.48 |
| 86901 |
|
15 |
15 |
$99.29 |
| 86900 |
|
15 |
15 |
$99.29 |
| 83036 |
|
42 |
40 |
$95.28 |
| 86703 |
|
18 |
18 |
$77.97 |
| 86696 |
|
12 |
12 |
$62.56 |
| 86803 |
|
12 |
12 |
$46.13 |
| 94640 |
|
16 |
13 |
$43.92 |
| 86695 |
|
12 |
12 |
$42.65 |
| 86140 |
|
25 |
16 |
$37.71 |
| 87350 |
|
12 |
12 |
$37.28 |
| 81003 |
|
30 |
26 |
$18.44 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
305 |
268 |
$0.64 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
13 |
12 |
$0.00 |