| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
4,769 |
4,558 |
$2.52M |
| 99283 |
|
4,349 |
4,236 |
$1.24M |
| A0427 |
Als1-emergency |
4,203 |
3,306 |
$599K |
| 99285 |
|
950 |
914 |
$459K |
| 87633 |
|
1,109 |
1,062 |
$349K |
| 96365 |
|
2,685 |
1,987 |
$219K |
| 87635 |
|
4,503 |
4,276 |
$187K |
| C9803 |
Hopd covid-19 spec collect |
7,663 |
5,442 |
$155K |
| 71045 |
|
2,822 |
2,695 |
$136K |
| 87804 |
|
5,109 |
2,511 |
$86K |
| 93306 |
|
328 |
327 |
$80K |
| 80053 |
|
10,266 |
9,321 |
$69K |
| 93005 |
|
2,006 |
1,741 |
$58K |
| 85027 |
|
11,836 |
10,829 |
$53K |
| 71046 |
|
1,047 |
1,020 |
$49K |
| 86328 |
|
518 |
503 |
$48K |
| 96374 |
|
942 |
896 |
$36K |
| 87260 |
|
1,959 |
1,799 |
$28K |
| 70450 |
|
374 |
371 |
$21K |
| 87430 |
|
1,212 |
1,182 |
$21K |
| 87651 |
|
522 |
504 |
$17K |
| 96366 |
|
657 |
553 |
$16K |
| 81001 |
|
6,971 |
6,603 |
$16K |
| 96367 |
|
348 |
339 |
$14K |
| 74018 |
|
149 |
148 |
$14K |
| 87040 |
|
2,124 |
847 |
$13K |
| CP008 |
|
355 |
319 |
$13K |
| 84145 |
|
1,197 |
1,040 |
$11K |
| A0425 |
Ground mileage |
5,102 |
3,569 |
$11K |
| 83880 |
|
1,680 |
1,529 |
$10K |
| 94640 |
|
73 |
72 |
$10K |
| A0428 |
Bls |
237 |
213 |
$10K |
| 96375 |
|
808 |
784 |
$9K |
| 84443 |
|
1,710 |
1,676 |
$9K |
| 96360 |
|
69 |
66 |
$9K |
| 80050 |
|
113 |
109 |
$8K |
| 83605 |
|
1,405 |
1,190 |
$8K |
| 80061 |
|
1,520 |
1,509 |
$7K |
| 83690 |
|
1,294 |
1,243 |
$6K |
| 87420 |
|
328 |
321 |
$5K |
| 84484 |
|
2,400 |
1,570 |
$5K |
| 83874 |
|
2,437 |
1,582 |
$5K |
| 82150 |
|
1,193 |
1,154 |
$5K |
| 80320 |
|
340 |
325 |
$5K |
| 82553 |
|
2,493 |
1,610 |
$4K |
| 87086 |
|
1,540 |
1,440 |
$4K |
| 74176 |
|
54 |
54 |
$4K |
| 82306 |
|
945 |
934 |
$4K |
| 82550 |
|
1,829 |
1,719 |
$4K |
| 87070 |
|
400 |
387 |
$3K |
| 83525 |
|
189 |
187 |
$3K |
| 41899 |
|
12 |
12 |
$3K |
| 72100 |
|
74 |
74 |
$3K |
| 85007 |
|
1,150 |
1,082 |
$3K |
| A0429 |
Bls-emergency |
19 |
17 |
$3K |
| 84703 |
|
286 |
280 |
$2K |
| 87636 |
|
12 |
12 |
$2K |
| 99282 |
|
13 |
13 |
$2K |
| 96372 |
|
134 |
132 |
$2K |
| 83036 |
|
1,112 |
1,105 |
$2K |
| J2405 |
Ondansetron hcl injection |
238 |
230 |
$2K |
| G0463 |
Hospital outpt clinic visit |
74 |
38 |
$2K |
| 84439 |
|
198 |
187 |
$2K |
| 86140 |
|
290 |
284 |
$1K |
| 96361 |
|
74 |
74 |
$1K |
| 73562 |
|
28 |
25 |
$1K |
| 80048 |
|
922 |
850 |
$1K |
| 83735 |
|
1,087 |
903 |
$1K |
| 76700 |
|
27 |
24 |
$1K |
| 76770 |
|
38 |
38 |
$1K |
| 77080 |
|
178 |
178 |
$972.34 |
| 85730 |
|
571 |
565 |
$513.14 |
| J7030 |
Normal saline solution infus |
76 |
57 |
$508.28 |
| CP007 |
|
16 |
16 |
$440.85 |
| 85610 |
|
675 |
666 |
$412.67 |
| 82803 |
|
52 |
38 |
$321.16 |
| 72170 |
|
26 |
25 |
$302.00 |
| J7510 |
Prednisolone oral per 5 mg |
37 |
37 |
$285.56 |
| 85651 |
|
133 |
130 |
$263.68 |
| 77067 |
|
13 |
13 |
$238.50 |
| 84480 |
|
12 |
12 |
$228.72 |
| J1100 |
Dexamethasone sodium phos |
27 |
26 |
$134.38 |
| 82948 |
|
183 |
91 |
$128.73 |
| 84479 |
|
15 |
15 |
$123.48 |
| J2250 |
Inj midazolam hydrochloride |
103 |
100 |
$118.87 |
| J1885 |
Ketorolac tromethamine inj |
25 |
25 |
$105.40 |
| J0696 |
Ceftriaxone sodium injection |
15 |
15 |
$105.17 |
| 84100 |
|
131 |
116 |
$93.75 |
| 82570 |
|
479 |
468 |
$90.99 |
| J7120 |
Ringers lactate infusion |
28 |
26 |
$80.80 |
| 86592 |
|
12 |
12 |
$60.27 |
| 82607 |
|
45 |
43 |
$57.98 |
| 88305 |
|
12 |
12 |
$47.70 |
| 86901 |
|
14 |
13 |
$31.14 |
| 86900 |
|
14 |
13 |
$31.14 |
| 83540 |
|
28 |
26 |
$21.76 |
| 36415 |
|
6,595 |
5,453 |
$14.00 |
| 84550 |
|
49 |
48 |
$13.79 |
| 82270 |
|
12 |
12 |
$12.24 |
| J2704 |
Inj, propofol, 10 mg |
58 |
56 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
23 |
12 |
$0.00 |
| 80307 |
|
12 |
12 |
$0.00 |
| 87631 |
|
14 |
13 |
$0.00 |