| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
6,446 |
5,048 |
$1.51M |
| 99284 |
|
4,882 |
3,442 |
$1.04M |
| 96361 |
|
1,123 |
755 |
$756K |
| 99285 |
|
2,887 |
1,939 |
$583K |
| 99282 |
|
1,895 |
1,680 |
$468K |
| 70450 |
|
1,577 |
1,360 |
$430K |
| 74177 |
|
1,545 |
1,351 |
$340K |
| 96365 |
|
889 |
664 |
$300K |
| 99213 |
|
1,049 |
863 |
$189K |
| 99281 |
|
604 |
567 |
$103K |
| 99214 |
|
475 |
405 |
$97K |
| A0390 |
Advanced life support mileag |
166 |
149 |
$95K |
| 71046 |
|
3,448 |
3,022 |
$93K |
| A0429 |
Bls-emergency |
1,016 |
780 |
$92K |
| 87635 |
|
1,399 |
1,240 |
$60K |
| 80053 |
|
8,058 |
6,483 |
$54K |
| U0003 |
Cov-19 amp prb hgh thruput |
652 |
584 |
$50K |
| 87502 |
|
607 |
560 |
$43K |
| 85025 |
|
9,517 |
7,397 |
$43K |
| 97110 |
|
2,222 |
776 |
$41K |
| A0425 |
Ground mileage |
387 |
322 |
$33K |
| A0427 |
Als1-emergency |
141 |
129 |
$32K |
| 99203 |
|
136 |
113 |
$30K |
| 80061 |
|
2,576 |
2,288 |
$30K |
| A0434 |
Specialty care transport |
62 |
57 |
$30K |
| 97140 |
|
2,146 |
695 |
$30K |
| 84443 |
|
1,889 |
1,670 |
$26K |
| 0241U |
|
1,086 |
935 |
$25K |
| 96372 |
|
871 |
676 |
$24K |
| 87634 |
|
451 |
417 |
$22K |
| 71275 |
|
256 |
220 |
$22K |
| 87651 |
|
715 |
628 |
$21K |
| 80048 |
|
2,570 |
2,215 |
$15K |
| 73630 |
|
297 |
240 |
$15K |
| 83036 |
|
1,525 |
1,357 |
$14K |
| 84484 |
|
3,024 |
1,995 |
$14K |
| 80307 |
|
313 |
231 |
$12K |
| 71045 |
|
3,730 |
3,203 |
$11K |
| 77067 |
|
99 |
84 |
$10K |
| U0005 |
Infec agen detec ampli probe |
568 |
514 |
$9K |
| 83605 |
|
2,075 |
1,601 |
$9K |
| 80050 |
|
769 |
653 |
$9K |
| 93005 |
|
3,654 |
2,829 |
$8K |
| 87086 |
|
1,538 |
1,320 |
$8K |
| 81001 |
|
4,048 |
3,342 |
$8K |
| 96360 |
|
12 |
12 |
$8K |
| 83735 |
|
2,192 |
1,691 |
$7K |
| 83880 |
|
597 |
478 |
$6K |
| 82077 |
|
229 |
168 |
$6K |
| 96374 |
|
1,046 |
841 |
$5K |
| 87880 |
|
345 |
306 |
$5K |
| 73562 |
|
138 |
109 |
$5K |
| 86140 |
|
1,877 |
1,594 |
$5K |
| 83690 |
|
1,289 |
1,059 |
$5K |
| 81025 |
|
662 |
579 |
$5K |
| 85610 |
|
1,880 |
1,355 |
$5K |
| G0380 |
Lev 1 hosp type b ed visit |
30 |
25 |
$5K |
| 84145 |
|
511 |
422 |
$5K |
| M0243 |
Casirivi and imdevi inj |
17 |
15 |
$4K |
| 99212 |
|
23 |
20 |
$4K |
| 36415 |
|
11,804 |
9,260 |
$4K |
| 80306 |
|
238 |
210 |
$3K |
| A0380 |
Basic life support mileage |
120 |
105 |
$3K |
| 97035 |
|
347 |
137 |
$3K |
| 87040 |
|
1,004 |
485 |
$3K |
| 73610 |
|
96 |
80 |
$2K |
| 82306 |
|
84 |
75 |
$2K |
| 73130 |
|
45 |
39 |
$2K |
| 81003 |
|
551 |
507 |
$2K |
| 74018 |
|
179 |
158 |
$2K |
| 85379 |
|
400 |
350 |
$2K |
| 87801 |
|
37 |
36 |
$2K |
| 72125 |
|
56 |
52 |
$2K |
| 87081 |
|
156 |
150 |
$2K |
| 97161 |
|
44 |
40 |
$1K |
| 73110 |
|
40 |
37 |
$1K |
| 96375 |
|
1,066 |
813 |
$1K |
| 97162 |
|
43 |
38 |
$1K |
| 82728 |
|
79 |
72 |
$957.44 |
| 73030 |
|
27 |
24 |
$921.09 |
| 82962 |
|
677 |
340 |
$727.12 |
| 77063 |
|
25 |
24 |
$588.42 |
| 97112 |
|
29 |
13 |
$585.19 |
| 87186 |
|
79 |
73 |
$516.76 |
| 92340 |
|
31 |
28 |
$491.97 |
| 87491 |
|
14 |
14 |
$471.38 |
| 84153 |
|
30 |
27 |
$419.71 |
| 87591 |
|
12 |
12 |
$398.86 |
| 88305 |
|
13 |
12 |
$376.74 |
| 76705 |
|
20 |
16 |
$357.72 |
| 82150 |
|
96 |
77 |
$317.35 |
| 82803 |
|
31 |
26 |
$299.04 |
| 83540 |
|
49 |
43 |
$274.29 |
| 85652 |
|
99 |
89 |
$262.21 |
| 83550 |
|
48 |
42 |
$234.78 |
| 84460 |
|
58 |
55 |
$178.73 |
| 82310 |
|
82 |
66 |
$178.48 |
| 84075 |
|
60 |
55 |
$168.03 |
| 84450 |
|
56 |
53 |
$162.09 |
| 82040 |
|
57 |
54 |
$160.66 |
| 86618 |
|
12 |
12 |
$158.40 |
| 84520 |
|
81 |
65 |
$132.25 |
| 84155 |
|
56 |
53 |
$114.42 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,697 |
1,429 |
$97.28 |
| 85730 |
|
47 |
40 |
$93.15 |
| 87088 |
|
13 |
12 |
$84.43 |
| J7030 |
Normal saline solution infus |
1,325 |
1,082 |
$72.30 |
| 85027 |
|
15 |
13 |
$60.21 |
| J1885 |
Ketorolac tromethamine inj |
735 |
633 |
$41.22 |
| 82948 |
|
12 |
12 |
$26.70 |
| J2405 |
Ondansetron hcl injection |
1,475 |
1,195 |
$25.32 |
| 36592 |
|
18 |
13 |
$24.35 |
| J2001 |
Lidocaine injection |
265 |
247 |
$24.26 |
| A9270 |
Non-covered item or service |
1,583 |
1,109 |
$17.22 |
| J7120 |
Ringers lactate infusion |
95 |
82 |
$8.33 |
| J3010 |
Fentanyl citrate injection |
46 |
41 |
$3.22 |
| J3490 |
Drugs unclassified injection |
129 |
91 |
$1.37 |
| J7512 |
Prednisone ir or dr oral 1mg |
41 |
36 |
$0.84 |
| J8499 |
Oral prescrip drug non chemo |
932 |
676 |
$0.01 |
| A4216 |
Sterile water/saline, 10 ml |
411 |
318 |
$0.00 |
| J7040 |
Normal saline solution infus |
131 |
105 |
$0.00 |
| J2270 |
Morphine sulfate injection |
44 |
37 |
$0.00 |
| U0002 |
Covid-19 lab test non-cdc |
387 |
337 |
$0.00 |
| 96376 |
|
148 |
107 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
13 |
13 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
94 |
75 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
14 |
14 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
27 |
25 |
$0.00 |