| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
21,118 |
17,258 |
$1.24M |
| 99283 |
|
23,342 |
20,617 |
$975K |
| A0427 |
Als1-emergency |
2,498 |
1,839 |
$260K |
| 97530 |
|
18,578 |
5,747 |
$242K |
| 74177 |
|
3,925 |
3,510 |
$235K |
| 92507 |
|
17,856 |
5,187 |
$167K |
| 99285 |
|
6,495 |
4,688 |
$162K |
| A0429 |
Bls-emergency |
1,993 |
1,411 |
$143K |
| A0390 |
Advanced life support mileag |
1,403 |
1,124 |
$126K |
| 87637 |
|
4,139 |
3,744 |
$81K |
| 99282 |
|
3,767 |
3,419 |
$74K |
| 70450 |
|
2,587 |
2,298 |
$56K |
| G0378 |
Hospital observation per hr |
1,739 |
1,426 |
$37K |
| 80053 |
|
25,952 |
21,328 |
$33K |
| 97110 |
|
15,896 |
5,125 |
$33K |
| 71046 |
|
3,445 |
3,260 |
$30K |
| 96361 |
|
7,758 |
5,856 |
$27K |
| 87651 |
|
3,386 |
3,255 |
$25K |
| 71045 |
|
6,139 |
5,232 |
$25K |
| 85025 |
|
29,691 |
23,538 |
$22K |
| 43239 |
|
510 |
421 |
$20K |
| 96365 |
|
4,394 |
3,013 |
$19K |
| A0426 |
Als 1 |
172 |
133 |
$16K |
| A0380 |
Basic life support mileage |
196 |
168 |
$14K |
| 73110 |
|
1,254 |
1,084 |
$14K |
| 72125 |
|
503 |
469 |
$14K |
| A0425 |
Ground mileage |
2,914 |
1,711 |
$14K |
| 87804 |
|
4,532 |
2,166 |
$13K |
| 96374 |
|
6,906 |
5,676 |
$13K |
| 93005 |
|
9,429 |
7,630 |
$12K |
| 93010 |
|
4,670 |
3,612 |
$11K |
| 99213 |
|
2,746 |
2,089 |
$11K |
| 73630 |
|
1,357 |
1,222 |
$10K |
| 94640 |
|
1,354 |
1,035 |
$10K |
| 76705 |
|
1,137 |
1,073 |
$9K |
| 73610 |
|
1,104 |
997 |
$9K |
| 87635 |
|
3,100 |
2,720 |
$9K |
| 81025 |
|
4,153 |
3,680 |
$8K |
| 71275 |
|
1,134 |
997 |
$8K |
| 36415 |
|
30,021 |
23,940 |
$7K |
| 73130 |
|
1,004 |
863 |
$7K |
| 80306 |
|
3,048 |
2,695 |
$7K |
| 96375 |
|
5,591 |
4,484 |
$6K |
| 87086 |
|
5,926 |
5,262 |
$6K |
| 80307 |
|
1,560 |
885 |
$6K |
| 81001 |
|
7,273 |
6,331 |
$6K |
| 87040 |
|
2,698 |
1,410 |
$6K |
| 83690 |
|
6,003 |
5,024 |
$6K |
| 96360 |
|
2,433 |
2,134 |
$5K |
| 73564 |
|
789 |
719 |
$5K |
| 74176 |
|
545 |
498 |
$5K |
| 80143 |
|
863 |
679 |
$5K |
| 81003 |
|
6,452 |
5,798 |
$5K |
| 76856 |
|
919 |
880 |
$4K |
| 73030 |
|
1,156 |
1,016 |
$4K |
| 86140 |
|
3,989 |
3,555 |
$4K |
| 97112 |
|
3,045 |
1,240 |
$4K |
| 80179 |
|
800 |
638 |
$4K |
| 87420 |
|
361 |
349 |
$4K |
| 94760 |
|
3,100 |
1,782 |
$3K |
| 87428 |
|
775 |
734 |
$3K |
| 87186 |
|
2,985 |
2,566 |
$3K |
| 84484 |
|
7,557 |
5,012 |
$3K |
| 87880 |
|
812 |
783 |
$3K |
| 97140 |
|
5,362 |
2,119 |
$2K |
| 80048 |
|
4,029 |
3,378 |
$2K |
| 97161 |
|
719 |
667 |
$2K |
| 82306 |
|
2,186 |
2,132 |
$2K |
| 85378 |
|
2,491 |
2,238 |
$2K |
| 72100 |
|
784 |
756 |
$2K |
| 87081 |
|
1,722 |
1,655 |
$2K |
| C9803 |
Hopd covid-19 spec collect |
2,265 |
2,160 |
$2K |
| 76830 |
|
902 |
863 |
$2K |
| 84145 |
|
1,351 |
1,111 |
$2K |
| 84443 |
|
6,905 |
6,543 |
$2K |
| 96376 |
|
2,396 |
1,678 |
$2K |
| 97162 |
|
862 |
767 |
$2K |
| 83605 |
|
2,833 |
2,220 |
$2K |
| 87491 |
|
983 |
930 |
$2K |
| 87591 |
|
980 |
927 |
$2K |
| 96366 |
|
734 |
480 |
$2K |
| 87801 |
|
56 |
55 |
$1K |
| 73140 |
|
90 |
79 |
$1K |
| 80061 |
|
5,128 |
4,982 |
$1K |
| 87798 |
|
135 |
131 |
$1K |
| 96372 |
|
1,655 |
1,287 |
$1K |
| 82948 |
|
3,069 |
1,639 |
$1K |
| 85651 |
|
1,879 |
1,700 |
$1K |
| 88305 |
|
1,151 |
1,029 |
$1K |
| 72040 |
|
220 |
210 |
$1K |
| 59025 |
|
272 |
164 |
$967.85 |
| 87070 |
|
824 |
745 |
$952.31 |
| 83735 |
|
2,683 |
2,216 |
$859.04 |
| 84439 |
|
1,939 |
1,844 |
$840.26 |
| 87088 |
|
1,926 |
1,727 |
$824.72 |
| 76700 |
|
53 |
52 |
$772.99 |
| 82728 |
|
1,110 |
1,071 |
$761.41 |
| 84703 |
|
576 |
526 |
$754.83 |
| 84702 |
|
543 |
428 |
$687.40 |
| 85610 |
|
3,624 |
2,726 |
$674.89 |
| 83036 |
|
4,092 |
3,961 |
$666.44 |
| J7030 |
Normal saline solution infus |
58 |
56 |
$646.38 |
| 90471 |
|
392 |
325 |
$633.45 |
| 73502 |
|
78 |
63 |
$628.47 |
| 87147 |
|
663 |
573 |
$561.70 |
| 70553 |
|
14 |
14 |
$553.40 |
| J3010 |
Fentanyl citrate injection |
129 |
109 |
$539.97 |
| 97113 |
|
584 |
203 |
$534.44 |
| 83880 |
|
1,854 |
1,530 |
$479.89 |
| 82607 |
|
1,284 |
1,247 |
$479.74 |
| 72141 |
|
124 |
122 |
$378.69 |
| 73721 |
|
116 |
113 |
$358.61 |
| 85027 |
|
232 |
197 |
$354.83 |
| Q3014 |
Telehealth facility fee |
287 |
104 |
$346.45 |
| 82805 |
|
91 |
80 |
$346.07 |
| 86308 |
|
97 |
92 |
$312.67 |
| 93306 |
|
763 |
631 |
$312.54 |
| 87077 |
|
329 |
275 |
$297.20 |
| 85007 |
|
122 |
105 |
$286.43 |
| 87210 |
|
368 |
338 |
$286.03 |
| 73080 |
|
47 |
37 |
$262.35 |
| 74018 |
|
33 |
24 |
$238.50 |
| 96367 |
|
82 |
61 |
$206.74 |
| 84100 |
|
534 |
448 |
$206.46 |
| G0480 |
Drug test def 1-7 classes |
2,436 |
1,942 |
$188.39 |
| 86850 |
|
236 |
211 |
$160.28 |
| 86803 |
|
666 |
649 |
$152.09 |
| 87389 |
|
380 |
374 |
$144.34 |
| 93320 |
|
77 |
62 |
$107.34 |
| 93350 |
|
77 |
62 |
$107.22 |
| 83540 |
|
632 |
611 |
$103.36 |
| 84466 |
|
451 |
435 |
$102.00 |
| 87493 |
|
32 |
29 |
$92.99 |
| 86901 |
|
313 |
284 |
$91.58 |
| 93325 |
|
77 |
62 |
$90.15 |
| 86900 |
|
295 |
268 |
$89.69 |
| 87045 |
|
100 |
95 |
$87.78 |
| 93017 |
|
65 |
63 |
$85.29 |
| 82272 |
|
92 |
88 |
$77.10 |
| 73562 |
|
15 |
12 |
$65.62 |
| 85730 |
|
787 |
679 |
$64.38 |
| A9270 |
Non-covered item or service |
4,284 |
1,618 |
$53.95 |
| 86592 |
|
478 |
461 |
$45.39 |
| 99217 |
|
31 |
27 |
$42.96 |
| 99214 |
|
1,350 |
1,136 |
$23.98 |
| 99203 |
|
323 |
241 |
$15.92 |
| 82550 |
|
138 |
121 |
$12.91 |
| 86703 |
|
308 |
304 |
$9.59 |
| 12002 |
|
13 |
12 |
$0.01 |
| J0131 |
Inj, acetaminophen (nos) |
13 |
12 |
$0.00 |
| 71260 |
|
155 |
141 |
$0.00 |
| 82150 |
|
24 |
18 |
$0.00 |
| 72148 |
|
442 |
434 |
$0.00 |
| 20610 |
|
25 |
12 |
$0.00 |
| G0463 |
Hospital outpt clinic visit |
1,956 |
1,527 |
$0.00 |
| 77063 |
|
675 |
673 |
$0.00 |
| 97166 |
|
50 |
49 |
$0.00 |
| 45380 |
|
49 |
39 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
35 |
30 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
13 |
12 |
$0.00 |
| 87340 |
|
13 |
13 |
$0.00 |
| 80069 |
|
14 |
14 |
$0.00 |
| 99202 |
|
12 |
12 |
$0.00 |
| 72170 |
|
12 |
12 |
$0.00 |
| 70496 |
|
26 |
25 |
$0.00 |
| G0103 |
Psa screening |
54 |
52 |
$0.00 |
| 93971 |
|
86 |
83 |
$0.00 |
| 12001 |
|
14 |
13 |
$0.00 |
| 84153 |
|
17 |
16 |
$0.00 |
| 80055 |
|
15 |
15 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
31 |
31 |
$0.00 |
| 70498 |
|
15 |
14 |
$0.00 |
| 77067 |
|
861 |
857 |
$0.00 |
| 99212 |
|
566 |
425 |
$0.00 |
| 92015 |
|
66 |
62 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
944 |
667 |
$0.00 |
| G8978 |
Mobility current status |
33 |
26 |
$0.00 |
| 87328 |
|
12 |
12 |
$0.00 |
| 99204 |
|
92 |
78 |
$0.00 |
| G8979 |
Mobility goal status |
59 |
51 |
$0.00 |
| 80305 |
|
31 |
31 |
$0.00 |
| 84481 |
|
27 |
26 |
$0.00 |
| 71250 |
|
13 |
12 |
$0.00 |
| 87329 |
|
12 |
12 |
$0.00 |
| 80164 |
|
13 |
12 |
$0.00 |
| 82570 |
|
12 |
12 |
$0.00 |
| 83630 |
|
13 |
12 |
$0.00 |