| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
19,980 |
17,434 |
$5.05M |
| 99283 |
|
35,359 |
31,295 |
$4.79M |
| A0999 |
Unlisted ambulance service |
5,114 |
4,145 |
$3.68M |
| 74177 |
|
2,431 |
2,291 |
$2.06M |
| 99285 |
|
2,695 |
2,346 |
$1.76M |
| 97110 |
|
16,261 |
5,735 |
$964K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,488 |
3,223 |
$717K |
| 97530 |
|
6,811 |
2,641 |
$708K |
| 99282 |
|
8,215 |
7,815 |
$650K |
| 70450 |
|
2,125 |
1,984 |
$526K |
| A0425 |
Ground mileage |
12,621 |
8,508 |
$481K |
| 96374 |
|
5,916 |
5,226 |
$443K |
| 80053 |
|
23,155 |
19,879 |
$417K |
| 96375 |
|
5,609 |
4,285 |
$412K |
| 96361 |
|
3,602 |
2,806 |
$398K |
| 87633 |
|
1,303 |
1,250 |
$389K |
| A0429 |
Bls-emergency |
7,489 |
5,511 |
$380K |
| 96365 |
|
3,385 |
2,511 |
$369K |
| 36415 |
|
34,777 |
28,976 |
$338K |
| A0427 |
Als1-emergency |
3,887 |
3,039 |
$337K |
| 85025 |
|
24,908 |
20,998 |
$317K |
| 71046 |
|
3,643 |
3,416 |
$281K |
| 97140 |
|
7,346 |
3,211 |
$279K |
| 74176 |
|
325 |
313 |
$278K |
| 92507 |
|
3,080 |
1,067 |
$266K |
| 93005 |
|
5,757 |
5,031 |
$237K |
| 84443 |
|
8,190 |
7,753 |
$208K |
| 71045 |
|
3,392 |
3,101 |
$200K |
| G0480 |
Drug test def 1-7 classes |
3,389 |
2,830 |
$193K |
| 96372 |
|
4,810 |
3,855 |
$188K |
| 96376 |
|
2,075 |
1,513 |
$173K |
| 83690 |
|
13,086 |
11,225 |
$171K |
| 76856 |
|
1,107 |
1,067 |
$160K |
| 87635 |
|
2,986 |
2,847 |
$153K |
| 80061 |
|
6,028 |
5,911 |
$143K |
| 99281 |
|
1,565 |
1,493 |
$135K |
| 97112 |
|
2,655 |
1,400 |
$118K |
| 77067 |
|
864 |
852 |
$117K |
| 80050 |
|
1,169 |
1,119 |
$116K |
| 76830 |
|
782 |
757 |
$115K |
| 72125 |
|
331 |
312 |
$111K |
| 80307 |
|
2,012 |
1,702 |
$94K |
| 87481 |
|
901 |
821 |
$93K |
| 97161 |
|
998 |
970 |
$86K |
| 96366 |
|
502 |
290 |
$84K |
| 87801 |
|
864 |
821 |
$84K |
| 83036 |
|
5,151 |
5,024 |
$83K |
| 87631 |
|
681 |
619 |
$81K |
| 87591 |
|
2,584 |
2,464 |
$75K |
| 87491 |
|
2,584 |
2,465 |
$74K |
| J7120 |
Ringers lactate infusion |
3,690 |
1,866 |
$73K |
| 73630 |
|
908 |
861 |
$66K |
| 73610 |
|
858 |
814 |
$66K |
| 76705 |
|
496 |
478 |
$66K |
| 84484 |
|
3,191 |
2,656 |
$65K |
| 81001 |
|
7,112 |
6,441 |
$65K |
| 80048 |
|
3,988 |
3,447 |
$58K |
| 81025 |
|
4,574 |
4,166 |
$57K |
| 87086 |
|
3,712 |
3,434 |
$54K |
| 87661 |
|
2,014 |
1,842 |
$53K |
| 96360 |
|
598 |
506 |
$51K |
| 87070 |
|
2,904 |
2,716 |
$45K |
| 94640 |
|
2,127 |
1,374 |
$45K |
| 88305 |
|
366 |
332 |
$43K |
| 80306 |
|
2,130 |
1,963 |
$38K |
| 73030 |
|
491 |
466 |
$37K |
| 81003 |
|
5,179 |
4,713 |
$36K |
| 85610 |
|
2,757 |
1,853 |
$32K |
| 87389 |
|
826 |
802 |
$31K |
| 82728 |
|
1,326 |
1,277 |
$30K |
| 72100 |
|
253 |
248 |
$30K |
| 83735 |
|
2,932 |
2,443 |
$29K |
| 84439 |
|
1,635 |
1,576 |
$29K |
| J1170 |
Hydromorphone injection |
5,041 |
2,754 |
$29K |
| 73110 |
|
364 |
340 |
$27K |
| 86803 |
|
1,126 |
1,083 |
$27K |
| 76801 |
|
176 |
159 |
$26K |
| 84466 |
|
1,357 |
1,304 |
$26K |
| J0131 |
Inj, acetaminophen (nos) |
222 |
170 |
$25K |
| 83880 |
|
637 |
572 |
$24K |
| G0378 |
Hospital observation per hr |
93 |
48 |
$24K |
| 73130 |
|
287 |
278 |
$23K |
| 99212 |
|
1,255 |
1,199 |
$23K |
| 86850 |
|
829 |
780 |
$22K |
| 87430 |
|
1,067 |
1,037 |
$22K |
| 82570 |
|
1,212 |
1,142 |
$21K |
| 86900 |
|
922 |
851 |
$21K |
| 87181 |
|
2,234 |
2,085 |
$20K |
| 82607 |
|
847 |
813 |
$19K |
| 85651 |
|
1,323 |
1,236 |
$19K |
| 87077 |
|
1,281 |
1,192 |
$17K |
| 85027 |
|
1,864 |
1,568 |
$17K |
| G0463 |
Hospital outpt clinic visit |
1,426 |
1,124 |
$16K |
| 77063 |
|
537 |
526 |
$15K |
| 83605 |
|
940 |
789 |
$15K |
| 83540 |
|
1,389 |
1,335 |
$14K |
| 84153 |
|
391 |
378 |
$13K |
| 86140 |
|
1,272 |
1,160 |
$13K |
| 82306 |
|
566 |
549 |
$13K |
| 86901 |
|
923 |
852 |
$13K |
| 84702 |
|
383 |
291 |
$11K |
| 87276 |
|
681 |
652 |
$10K |
| 97535 |
|
334 |
256 |
$10K |
| 73564 |
|
73 |
68 |
$10K |
| 81514 |
|
173 |
164 |
$9K |
| 87275 |
|
681 |
652 |
$9K |
| 76642 |
|
116 |
103 |
$9K |
| 99211 |
|
246 |
205 |
$8K |
| J2060 |
Lorazepam injection |
1,520 |
1,014 |
$8K |
| 80143 |
|
173 |
164 |
$8K |
| 90715 |
|
126 |
124 |
$7K |
| 82043 |
|
758 |
742 |
$7K |
| 73562 |
|
104 |
99 |
$7K |
| 97162 |
|
74 |
74 |
$7K |
| 87205 |
|
912 |
808 |
$7K |
| 12001 |
|
76 |
65 |
$6K |
| 86592 |
|
708 |
684 |
$6K |
| 76816 |
|
38 |
37 |
$6K |
| 99214 |
|
201 |
190 |
$6K |
| J7040 |
Normal saline solution infus |
272 |
189 |
$6K |
| 71260 |
|
15 |
14 |
$5K |
| 73140 |
|
53 |
50 |
$5K |
| 87340 |
|
240 |
229 |
$5K |
| 93971 |
|
36 |
36 |
$5K |
| 87040 |
|
251 |
132 |
$5K |
| 82550 |
|
426 |
375 |
$5K |
| 82746 |
|
198 |
188 |
$5K |
| 84481 |
|
163 |
161 |
$4K |
| 71275 |
|
14 |
12 |
$4K |
| 99213 |
|
120 |
117 |
$4K |
| A0428 |
Bls |
119 |
85 |
$4K |
| 76811 |
|
12 |
12 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
554 |
387 |
$3K |
| 90471 |
|
139 |
132 |
$3K |
| 93975 |
|
13 |
12 |
$3K |
| J3490 |
Drugs unclassified injection |
123 |
82 |
$3K |
| 96367 |
|
73 |
56 |
$3K |
| 85730 |
|
165 |
145 |
$3K |
| J7030 |
Normal saline solution infus |
93 |
64 |
$2K |
| 84100 |
|
232 |
199 |
$2K |
| 97116 |
|
62 |
29 |
$2K |
| 85379 |
|
51 |
51 |
$2K |
| 10060 |
|
14 |
14 |
$2K |
| 84550 |
|
132 |
124 |
$2K |
| 72070 |
|
16 |
16 |
$2K |
| 82803 |
|
58 |
51 |
$1K |
| 86696 |
|
38 |
38 |
$1K |
| G0475 |
Hiv combination assay |
52 |
49 |
$957.56 |
| 86695 |
|
38 |
38 |
$858.76 |
| 83615 |
|
66 |
53 |
$802.74 |
| 87797 |
|
24 |
24 |
$798.90 |
| 84703 |
|
41 |
40 |
$741.04 |
| J0690 |
Cefazolin sodium injection |
31 |
26 |
$733.96 |
| J2765 |
Metoclopramide hcl injection |
119 |
93 |
$680.24 |
| 87798 |
|
14 |
14 |
$636.23 |
| J1885 |
Ketorolac tromethamine inj |
71 |
66 |
$612.01 |
| 82950 |
|
50 |
50 |
$602.90 |
| 82150 |
|
40 |
37 |
$584.83 |
| 86038 |
|
28 |
28 |
$584.15 |
| 86787 |
|
29 |
27 |
$581.62 |
| J2405 |
Ondansetron hcl injection |
59 |
43 |
$522.20 |
| J2270 |
Morphine sulfate injection |
52 |
38 |
$476.48 |
| 94664 |
|
12 |
12 |
$401.49 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
58 |
33 |
$345.42 |
| J1100 |
Dexamethasone sodium phos |
31 |
31 |
$312.49 |
| 82009 |
|
15 |
12 |
$310.66 |
| 87046 |
|
24 |
12 |
$290.68 |
| 80320 |
|
85 |
75 |
$283.68 |
| J3010 |
Fentanyl citrate injection |
70 |
61 |
$252.44 |
| 86762 |
|
12 |
12 |
$241.11 |
| 36416 |
|
31 |
27 |
$205.44 |
| 87045 |
|
12 |
12 |
$145.34 |
| 83721 |
|
12 |
12 |
$115.10 |
| 0202U |
|
19 |
17 |
$100.00 |
| Q0162 |
Ondansetron oral |
73 |
68 |
$93.06 |
| 84436 |
|
12 |
12 |
$91.81 |
| J7512 |
Prednisone ir or dr oral 1mg |
21 |
19 |
$47.99 |
| 80329 |
|
42 |
39 |
$47.04 |
| J7620 |
Albuterol ipratrop non-comp |
20 |
15 |
$34.16 |
| J7613 |
Albuterol non-comp unit |
19 |
19 |
$28.24 |
| A9270 |
Non-covered item or service |
22,065 |
8,454 |
$17.52 |
| G8979 |
Mobility goal status |
14 |
12 |
$0.00 |