| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
17,812 |
14,143 |
$2.18M |
| 99284 |
|
11,200 |
8,750 |
$1.87M |
| G0378 |
Hospital observation per hr |
3,898 |
2,553 |
$896K |
| 99285 |
|
3,858 |
2,672 |
$643K |
| 96374 |
|
5,760 |
3,797 |
$406K |
| 96372 |
|
10,540 |
6,975 |
$331K |
| A0425 |
Ground mileage |
4,418 |
2,414 |
$308K |
| 96365 |
|
4,387 |
2,457 |
$301K |
| 71045 |
|
8,766 |
6,392 |
$289K |
| 97110 |
|
13,019 |
2,706 |
$249K |
| 74177 |
|
1,286 |
1,040 |
$198K |
| 92507 |
|
4,298 |
814 |
$191K |
| 93005 |
|
9,343 |
6,597 |
$160K |
| 71046 |
|
4,229 |
3,410 |
$159K |
| 70450 |
|
3,348 |
2,591 |
$143K |
| 80307 |
|
3,493 |
2,669 |
$142K |
| 99281 |
|
3,165 |
1,856 |
$130K |
| 80053 |
|
19,776 |
14,047 |
$123K |
| 85025 |
|
24,234 |
16,197 |
$109K |
| 99282 |
|
1,366 |
1,068 |
$96K |
| 96375 |
|
4,363 |
2,638 |
$92K |
| A0427 |
Als1-emergency |
2,679 |
2,064 |
$90K |
| 86900 |
|
1,506 |
1,227 |
$84K |
| 74176 |
|
702 |
591 |
$78K |
| 87428 |
|
1,581 |
1,269 |
$73K |
| 36415 |
|
30,043 |
19,724 |
$65K |
| 93306 |
|
384 |
322 |
$64K |
| 87804 |
|
2,538 |
2,215 |
$63K |
| 87426 |
|
2,268 |
1,827 |
$62K |
| 74018 |
|
1,474 |
1,187 |
$59K |
| 97161 |
|
1,646 |
1,334 |
$56K |
| 84484 |
|
7,645 |
4,270 |
$53K |
| 87491 |
|
1,767 |
1,533 |
$47K |
| 87591 |
|
1,757 |
1,524 |
$47K |
| 99291 |
|
202 |
168 |
$47K |
| C9803 |
Hopd covid-19 spec collect |
3,036 |
2,561 |
$46K |
| G0481 |
Drug test def 8-14 classes |
523 |
422 |
$45K |
| 86850 |
|
1,447 |
1,185 |
$38K |
| 97530 |
|
2,047 |
416 |
$37K |
| 83880 |
|
2,134 |
1,490 |
$37K |
| 96361 |
|
1,092 |
623 |
$33K |
| 80061 |
|
4,453 |
3,639 |
$33K |
| 82553 |
|
4,682 |
2,910 |
$32K |
| U0002 |
Covid-19 lab test non-cdc |
869 |
802 |
$32K |
| 87430 |
|
2,350 |
2,063 |
$29K |
| 84443 |
|
3,074 |
2,480 |
$29K |
| 87088 |
|
4,757 |
3,832 |
$27K |
| 86901 |
|
1,265 |
1,059 |
$23K |
| 82550 |
|
5,027 |
3,166 |
$22K |
| 80048 |
|
4,844 |
3,477 |
$22K |
| 81001 |
|
11,850 |
8,900 |
$22K |
| 94640 |
|
276 |
107 |
$21K |
| 96360 |
|
302 |
202 |
$19K |
| 87633 |
|
78 |
61 |
$19K |
| 83036 |
|
3,374 |
2,738 |
$19K |
| 96366 |
|
593 |
177 |
$19K |
| 59025 |
|
180 |
88 |
$18K |
| 73562 |
|
555 |
375 |
$18K |
| M0243 |
Casirivi and imdevi inj |
95 |
88 |
$18K |
| 72125 |
|
382 |
320 |
$17K |
| A0428 |
Bls |
831 |
481 |
$17K |
| 87186 |
|
2,538 |
1,899 |
$15K |
| 87077 |
|
2,412 |
1,906 |
$15K |
| 87081 |
|
2,507 |
2,235 |
$14K |
| 73630 |
|
372 |
296 |
$13K |
| 82803 |
|
741 |
573 |
$11K |
| 81025 |
|
1,833 |
1,495 |
$10K |
| 83690 |
|
2,255 |
1,754 |
$10K |
| 82306 |
|
607 |
474 |
$10K |
| 83605 |
|
1,673 |
1,183 |
$9K |
| 59050 |
|
263 |
159 |
$8K |
| 73610 |
|
193 |
161 |
$8K |
| 87086 |
|
1,550 |
1,222 |
$8K |
| 96367 |
|
297 |
157 |
$8K |
| 84439 |
|
1,521 |
1,207 |
$7K |
| 87340 |
|
889 |
800 |
$7K |
| 87807 |
|
531 |
476 |
$6K |
| 85610 |
|
2,987 |
2,118 |
$6K |
| 82150 |
|
1,205 |
1,034 |
$6K |
| 85730 |
|
1,759 |
1,381 |
$6K |
| 73030 |
|
183 |
127 |
$6K |
| 86592 |
|
1,636 |
1,430 |
$5K |
| 86317 |
|
394 |
357 |
$5K |
| 85379 |
|
669 |
578 |
$5K |
| 84703 |
|
858 |
683 |
$4K |
| 82607 |
|
625 |
475 |
$4K |
| 94799 |
|
135 |
108 |
$4K |
| 87653 |
|
145 |
134 |
$4K |
| 86703 |
|
323 |
294 |
$4K |
| 87389 |
|
277 |
204 |
$4K |
| 83735 |
|
1,434 |
881 |
$4K |
| 87070 |
|
703 |
518 |
$4K |
| 85018 |
|
2,130 |
1,819 |
$4K |
| 87040 |
|
651 |
454 |
$3K |
| 85014 |
|
2,015 |
1,726 |
$3K |
| J7040 |
Normal saline solution infus |
3,214 |
2,197 |
$3K |
| 97597 |
|
56 |
24 |
$3K |
| 0202U |
|
900 |
761 |
$3K |
| 73130 |
|
69 |
49 |
$2K |
| 76700 |
|
40 |
36 |
$2K |
| 83540 |
|
556 |
457 |
$2K |
| 82947 |
|
784 |
713 |
$2K |
| 84702 |
|
209 |
152 |
$2K |
| 87801 |
|
41 |
37 |
$2K |
| P9016 |
Rbc leukocytes reduced |
18 |
12 |
$2K |
| 84466 |
|
197 |
171 |
$2K |
| 82077 |
|
278 |
192 |
$2K |
| 72110 |
|
33 |
25 |
$2K |
| 82728 |
|
171 |
142 |
$1K |
| 73502 |
|
35 |
29 |
$1K |
| 83655 |
|
128 |
116 |
$1K |
| 86677 |
|
107 |
96 |
$1K |
| 83550 |
|
195 |
150 |
$1K |
| J7050 |
Normal saline solution infus |
3,952 |
1,953 |
$953.57 |
| 81015 |
|
1,321 |
879 |
$895.12 |
| 90471 |
|
29 |
28 |
$818.53 |
| 76856 |
|
16 |
12 |
$629.28 |
| 77067 |
|
15 |
12 |
$548.77 |
| J0696 |
Ceftriaxone sodium injection |
4,549 |
3,045 |
$539.03 |
| 99238 |
|
17 |
17 |
$537.57 |
| 82570 |
|
222 |
160 |
$506.38 |
| 97140 |
|
40 |
13 |
$503.92 |
| 82746 |
|
54 |
44 |
$474.81 |
| 82948 |
|
444 |
177 |
$437.86 |
| 94760 |
|
1,753 |
698 |
$361.30 |
| 80076 |
|
55 |
52 |
$347.04 |
| 86140 |
|
78 |
63 |
$268.22 |
| 85027 |
|
85 |
51 |
$221.16 |
| J1885 |
Ketorolac tromethamine inj |
4,701 |
3,289 |
$204.92 |
| 82043 |
|
82 |
58 |
$176.83 |
| G0480 |
Drug test def 1-7 classes |
14 |
12 |
$175.16 |
| 86762 |
|
12 |
12 |
$155.40 |
| 85660 |
|
31 |
28 |
$145.28 |
| J2405 |
Ondansetron hcl injection |
3,319 |
2,268 |
$121.22 |
| 84550 |
|
30 |
24 |
$118.50 |
| 85651 |
|
47 |
37 |
$110.46 |
| 84100 |
|
49 |
31 |
$93.94 |
| 84156 |
|
38 |
27 |
$84.93 |
| 36000 |
|
1,349 |
1,160 |
$73.39 |
| 82248 |
|
13 |
13 |
$72.73 |
| J1100 |
Dexamethasone sodium phos |
1,395 |
1,006 |
$71.24 |
| G0433 |
Elisa hiv-1/hiv-2 screen |
694 |
635 |
$54.85 |
| G0103 |
Psa screening |
28 |
15 |
$52.14 |
| 82950 |
|
13 |
12 |
$50.73 |
| 85007 |
|
57 |
32 |
$34.20 |
| J2930 |
Methylprednisolone injection |
64 |
52 |
$31.62 |
| G0283 |
Elec stim other than wound |
660 |
175 |
$27.60 |
| J2001 |
Lidocaine injection |
2,348 |
1,952 |
$24.80 |
| J7030 |
Normal saline solution infus |
599 |
315 |
$7.92 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
492 |
311 |
$4.33 |
| J7120 |
Ringers lactate infusion |
1,639 |
856 |
$0.78 |
| 96376 |
|
496 |
141 |
$0.15 |
| J0131 |
Inj, acetaminophen (nos) |
375 |
183 |
$0.00 |
| J3490 |
Drugs unclassified injection |
1,928 |
963 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
61 |
41 |
$0.00 |
| Q0162 |
Ondansetron oral |
206 |
136 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
47 |
40 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
15 |
12 |
$0.00 |
| 99292 |
|
36 |
27 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
18 |
14 |
$0.00 |
| G0379 |
Direct refer hospital observ |
14 |
12 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
105 |
92 |
$0.00 |
| 80320 |
|
16 |
14 |
$0.00 |
| 77063 |
|
15 |
12 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
25 |
12 |
$0.00 |
| 84145 |
|
854 |
606 |
$0.00 |
| J2550 |
Promethazine hcl injection |
215 |
129 |
$0.00 |
| A6402 |
Sterile gauze <= 16 sq in |
1,135 |
475 |
$0.00 |
| J2270 |
Morphine sulfate injection |
284 |
158 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
974 |
482 |
$0.00 |
| G8978 |
Mobility current status |
58 |
55 |
$0.00 |
| G2023 |
Specimen collect covid-19 |
224 |
189 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
81 |
74 |
$0.00 |
| 90715 |
|
14 |
13 |
$0.00 |
| G8979 |
Mobility goal status |
98 |
88 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
18 |
13 |
$0.00 |