| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
15,142 |
14,173 |
$4.34M |
| 99285 |
|
11,127 |
10,105 |
$3.84M |
| 99283 |
|
14,044 |
13,411 |
$2.73M |
| 96374 |
|
6,484 |
5,835 |
$971K |
| 96361 |
|
4,546 |
4,159 |
$677K |
| 99211 |
|
35,517 |
33,011 |
$641K |
| A0427 |
Als1-emergency |
6,160 |
5,084 |
$405K |
| A0425 |
Ground mileage |
12,066 |
8,846 |
$392K |
| 71045 |
|
4,147 |
3,736 |
$283K |
| 11042 |
|
1,278 |
538 |
$279K |
| 0241U |
|
2,536 |
2,403 |
$272K |
| 96375 |
|
3,982 |
3,572 |
$168K |
| 0202U |
|
436 |
421 |
$151K |
| G0463 |
Hospital outpt clinic visit |
1,033 |
824 |
$118K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,251 |
1,212 |
$96K |
| 87651 |
|
2,937 |
2,860 |
$89K |
| 0240U |
|
604 |
582 |
$75K |
| 71046 |
|
673 |
605 |
$58K |
| A0426 |
Als 1 |
772 |
640 |
$49K |
| 99282 |
|
382 |
362 |
$44K |
| 96365 |
|
252 |
212 |
$44K |
| 99281 |
|
3,690 |
3,554 |
$33K |
| 70450 |
|
241 |
217 |
$26K |
| 87635 |
|
388 |
370 |
$16K |
| U0005 |
Infec agen detec ampli probe |
686 |
668 |
$15K |
| 87428 |
|
155 |
152 |
$14K |
| 76801 |
|
87 |
80 |
$12K |
| A0428 |
Bls |
246 |
215 |
$11K |
| 74177 |
|
51 |
48 |
$9K |
| 97597 |
|
97 |
45 |
$8K |
| 80053 |
|
17,809 |
16,114 |
$7K |
| 36415 |
|
21,646 |
18,680 |
$6K |
| 85025 |
|
21,487 |
19,263 |
$4K |
| 87636 |
|
31 |
30 |
$4K |
| 76805 |
|
26 |
25 |
$4K |
| J3010 |
Fentanyl citrate injection |
107 |
81 |
$4K |
| 87400 |
|
2,013 |
1,002 |
$3K |
| 87880 |
|
182 |
178 |
$3K |
| 87491 |
|
75 |
71 |
$3K |
| 59025 |
|
18 |
13 |
$2K |
| 87798 |
|
81 |
76 |
$2K |
| 80061 |
|
365 |
357 |
$2K |
| 87591 |
|
75 |
71 |
$2K |
| 87631 |
|
46 |
44 |
$2K |
| 87804 |
|
66 |
55 |
$2K |
| 74176 |
|
12 |
12 |
$1K |
| 93005 |
|
9,366 |
8,085 |
$1K |
| 83036 |
|
751 |
725 |
$1K |
| 87426 |
|
16 |
16 |
$723.68 |
| 81001 |
|
4,568 |
4,173 |
$498.65 |
| 80048 |
|
3,416 |
2,996 |
$483.27 |
| 81003 |
|
2,682 |
2,474 |
$415.30 |
| 84443 |
|
1,174 |
1,099 |
$313.58 |
| 96372 |
|
3,408 |
3,159 |
$223.32 |
| Q3014 |
Telehealth facility fee |
13 |
12 |
$159.70 |
| 86850 |
|
12 |
12 |
$145.10 |
| 84484 |
|
5,292 |
3,842 |
$111.08 |
| J1885 |
Ketorolac tromethamine inj |
4,483 |
4,179 |
$101.16 |
| 82306 |
|
17 |
17 |
$91.74 |
| 87086 |
|
623 |
589 |
$84.37 |
| 82950 |
|
19 |
16 |
$83.55 |
| 83605 |
|
1,618 |
1,319 |
$49.91 |
| G0480 |
Drug test def 1-7 classes |
1,256 |
1,001 |
$47.37 |
| 84703 |
|
1,443 |
1,337 |
$44.19 |
| 85027 |
|
369 |
341 |
$43.05 |
| 83690 |
|
3,100 |
2,851 |
$31.09 |
| J2405 |
Ondansetron hcl injection |
1,668 |
1,500 |
$25.81 |
| 86140 |
|
1,651 |
1,502 |
$25.64 |
| 82077 |
|
1,877 |
1,559 |
$16.41 |
| 80305 |
|
440 |
388 |
$14.35 |
| 87807 |
|
167 |
153 |
$14.06 |
| 85610 |
|
825 |
733 |
$5.48 |
| 83880 |
|
134 |
124 |
$4.90 |
| J2765 |
Metoclopramide hcl injection |
15 |
13 |
$3.60 |
| 82962 |
|
105 |
87 |
$3.12 |
| J1200 |
Diphenhydramine hcl injectio |
44 |
38 |
$1.62 |
| 80307 |
|
1,953 |
1,762 |
$1.48 |
| P9604 |
One-way allow prorated trip |
40 |
28 |
$0.02 |
| 84145 |
|
104 |
87 |
$0.00 |
| 80179 |
|
828 |
733 |
$0.00 |
| 80143 |
|
873 |
747 |
$0.00 |
| J7120 |
Ringers lactate infusion |
328 |
275 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
329 |
298 |
$0.00 |
| 84100 |
|
32 |
27 |
$0.00 |
| 84702 |
|
38 |
37 |
$0.00 |
| 83735 |
|
584 |
524 |
$0.00 |
| A9270 |
Non-covered item or service |
230 |
163 |
$0.00 |
| 87040 |
|
434 |
220 |
$0.00 |
| 94640 |
|
151 |
120 |
$0.00 |
| 85730 |
|
114 |
106 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
63 |
60 |
$0.00 |
| 82803 |
|
376 |
305 |
$0.00 |
| 85379 |
|
111 |
102 |
$0.00 |
| J1790 |
Droperidol injection |
43 |
38 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
13 |
12 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
17 |
17 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
28 |
27 |
$0.00 |
| J2001 |
Lidocaine injection |
13 |
13 |
$0.00 |
| 3044F |
|
16 |
13 |
$0.00 |
| J2060 |
Lorazepam injection |
16 |
13 |
$0.00 |