| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
28,819 |
21,042 |
$2.99M |
| 99284 |
|
18,552 |
13,852 |
$2.06M |
| 99285 |
|
11,764 |
7,646 |
$1.70M |
| 96361 |
|
2,490 |
2,044 |
$588K |
| 99282 |
|
7,571 |
6,011 |
$456K |
| 80053 |
|
22,331 |
18,020 |
$285K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,079 |
1,944 |
$153K |
| S5161 |
Emer rspns sys serv permonth |
3,163 |
2,771 |
$119K |
| 87635 |
|
1,959 |
1,660 |
$99K |
| 80307 |
|
1,283 |
1,115 |
$78K |
| A0427 |
Als1-emergency |
887 |
707 |
$61K |
| S5185 |
Med reminder serv per month |
1,023 |
857 |
$57K |
| U0005 |
Infec agen detec ampli probe |
2,079 |
1,944 |
$51K |
| 96365 |
|
409 |
311 |
$49K |
| 81003 |
|
1,599 |
1,083 |
$45K |
| 97110 |
|
1,930 |
453 |
$42K |
| 87400 |
|
2,946 |
1,914 |
$41K |
| 80320 |
|
334 |
297 |
$34K |
| A0425 |
Ground mileage |
2,170 |
1,606 |
$28K |
| 83605 |
|
1,634 |
1,232 |
$21K |
| A0429 |
Bls-emergency |
217 |
137 |
$20K |
| 87804 |
|
761 |
741 |
$18K |
| 85025 |
|
22,809 |
18,411 |
$17K |
| 96360 |
|
72 |
63 |
$15K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
438 |
344 |
$14K |
| 70450 |
|
89 |
62 |
$13K |
| G0480 |
Drug test def 1-7 classes |
232 |
194 |
$12K |
| 74177 |
|
29 |
26 |
$11K |
| 84484 |
|
793 |
571 |
$10K |
| 87880 |
|
234 |
222 |
$7K |
| 43239 |
|
17 |
13 |
$7K |
| 96374 |
|
4,967 |
3,975 |
$6K |
| 84443 |
|
499 |
454 |
$5K |
| 87426 |
|
2,400 |
2,127 |
$5K |
| 87088 |
|
198 |
175 |
$5K |
| 87591 |
|
108 |
105 |
$5K |
| 80061 |
|
329 |
294 |
$4K |
| 99281 |
|
162 |
136 |
$4K |
| 99232 |
|
164 |
81 |
$4K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
20 |
12 |
$3K |
| 81025 |
|
210 |
198 |
$3K |
| 76805 |
|
27 |
24 |
$3K |
| 93005 |
|
2,554 |
1,851 |
$3K |
| 87491 |
|
108 |
105 |
$2K |
| 84439 |
|
169 |
155 |
$2K |
| 81001 |
|
5,461 |
4,673 |
$2K |
| 36415 |
|
497 |
396 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
15 |
15 |
$1K |
| 80048 |
|
60 |
49 |
$907.72 |
| S5160 |
Emer response sys instal&tst |
31 |
14 |
$845.00 |
| 83690 |
|
3,153 |
2,645 |
$734.14 |
| 97140 |
|
18 |
12 |
$720.48 |
| J2001 |
Lidocaine injection |
242 |
187 |
$709.97 |
| G2023 |
Specimen collect covid-19 |
300 |
293 |
$709.65 |
| 86593 |
|
24 |
24 |
$653.82 |
| J7030 |
Normal saline solution infus |
1,413 |
1,107 |
$639.27 |
| 82306 |
|
55 |
50 |
$598.96 |
| A9270 |
Non-covered item or service |
14,460 |
9,422 |
$570.70 |
| 87641 |
|
16 |
13 |
$536.22 |
| 85027 |
|
244 |
199 |
$468.43 |
| 86592 |
|
37 |
37 |
$468.20 |
| 83036 |
|
57 |
53 |
$467.62 |
| 99239 |
|
13 |
12 |
$407.05 |
| 87661 |
|
12 |
12 |
$369.36 |
| 85018 |
|
24 |
24 |
$358.14 |
| 86803 |
|
12 |
12 |
$330.97 |
| 71046 |
|
677 |
566 |
$329.41 |
| 87081 |
|
60 |
52 |
$327.71 |
| 96375 |
|
1,055 |
843 |
$294.81 |
| 87640 |
|
16 |
13 |
$269.64 |
| J2704 |
Inj, propofol, 10 mg |
921 |
729 |
$253.13 |
| 97161 |
|
12 |
12 |
$152.80 |
| 86850 |
|
17 |
13 |
$144.48 |
| J7120 |
Ringers lactate infusion |
357 |
260 |
$127.46 |
| 83735 |
|
690 |
539 |
$53.91 |
| 86901 |
|
17 |
13 |
$52.02 |
| 86900 |
|
17 |
13 |
$26.01 |
| J2405 |
Ondansetron hcl injection |
1,106 |
931 |
$19.82 |
| 85610 |
|
162 |
133 |
$15.99 |
| 86140 |
|
158 |
127 |
$9.26 |
| 71045 |
|
155 |
121 |
$6.57 |
| 85730 |
|
77 |
64 |
$5.37 |
| J1100 |
Dexamethasone sodium phos |
47 |
36 |
$0.00 |
| 84703 |
|
13 |
13 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
287 |
243 |
$0.00 |
| 81015 |
|
32 |
31 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
19 |
12 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
20 |
12 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
20 |
12 |
$0.00 |
| 99213 |
|
21 |
20 |
$0.00 |
| 80305 |
|
201 |
171 |
$0.00 |