| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,300 |
3,925 |
$1.27M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,003 |
895 |
$342K |
| A0380 |
Bls mileage (per mile) |
3,403 |
2,747 |
$242K |
| A0382 |
Bls routine disposable supplies |
2,048 |
1,768 |
$123K |
| A0390 |
Als mileage (per mile) |
475 |
443 |
$66K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,301 |
4,880 |
$34K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,374 |
4,000 |
$29K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,416 |
3,062 |
$21K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,655 |
2,298 |
$10K |
| 80053 |
Comprehensive metabolic panel |
9,981 |
8,040 |
$8K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
2,367 |
2,017 |
$8K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
2,501 |
2,324 |
$7K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,179 |
1,124 |
$6K |
| 87631 |
|
161 |
155 |
$6K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,147 |
762 |
$5K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
3,310 |
2,664 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
10,591 |
8,543 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
1,813 |
1,628 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,129 |
1,861 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,335 |
1,244 |
$4K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
3,296 |
2,541 |
$3K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
418 |
129 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
15,330 |
11,582 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,722 |
2,610 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,571 |
3,007 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,677 |
1,433 |
$2K |
| G0378 |
Hospital observation service, per hour |
655 |
544 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,364 |
2,176 |
$1K |
| 87077 |
|
2,127 |
1,958 |
$1K |
| 83605 |
|
1,605 |
1,320 |
$1K |
| 80305 |
|
4,067 |
3,529 |
$1K |
| 87070 |
|
1,527 |
1,421 |
$1K |
| 87186 |
|
1,632 |
1,500 |
$1K |
| 87634 |
|
345 |
299 |
$1K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
3,399 |
2,562 |
$994.93 |
| 81001 |
|
4,756 |
4,127 |
$935.71 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,656 |
1,376 |
$913.93 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,301 |
1,970 |
$852.94 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,383 |
1,360 |
$751.04 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
144 |
143 |
$739.35 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,707 |
1,393 |
$503.15 |
| 81025 |
|
772 |
727 |
$404.36 |
| 87040 |
|
1,035 |
914 |
$382.05 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
94 |
91 |
$357.97 |
| 85610 |
|
1,856 |
1,486 |
$322.19 |
| 82948 |
|
421 |
272 |
$308.14 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
438 |
357 |
$306.70 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,430 |
1,389 |
$274.50 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
824 |
669 |
$263.89 |
| 80061 |
Lipid panel |
376 |
371 |
$247.73 |
| 73610 |
|
27 |
25 |
$222.97 |
| 86140 |
|
448 |
411 |
$201.60 |
| 81003 |
|
375 |
346 |
$177.72 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
514 |
411 |
$174.91 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
529 |
377 |
$174.17 |
| 85027 |
|
1,118 |
915 |
$168.07 |
| 82805 |
|
317 |
255 |
$160.20 |
| 87205 |
|
535 |
485 |
$153.67 |
| 82607 |
|
160 |
156 |
$146.70 |
| 85730 |
|
861 |
732 |
$132.07 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
17 |
17 |
$117.67 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,017 |
853 |
$113.39 |
| 87510 |
|
337 |
330 |
$108.90 |
| 87480 |
|
337 |
330 |
$108.90 |
| 82077 |
|
320 |
287 |
$108.22 |
| 82746 |
|
129 |
128 |
$106.87 |
| 86900 |
|
318 |
280 |
$103.72 |
| 83690 |
|
599 |
498 |
$96.75 |
| 86850 |
|
310 |
273 |
$94.27 |
| 87660 |
|
337 |
330 |
$87.30 |
| 84484 |
|
760 |
599 |
$85.96 |
| 85007 |
|
549 |
443 |
$80.32 |
| 86762 |
|
14 |
14 |
$72.00 |
| 85651 |
|
75 |
69 |
$41.17 |
| 86901 |
|
307 |
269 |
$16.19 |
| 71045 |
Radiologic examination, chest; single view |
669 |
560 |
$0.00 |
| 85652 |
|
190 |
170 |
$0.00 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
231 |
178 |
$0.00 |
| 83615 |
|
91 |
68 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
136 |
108 |
$0.00 |
| 83735 |
|
777 |
652 |
$0.00 |
| 96376 |
|
31 |
25 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
18 |
18 |
$0.00 |
| 94680 |
|
112 |
102 |
$0.00 |
| 82150 |
|
206 |
167 |
$0.00 |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
55 |
52 |
$0.00 |
| 86920 |
|
31 |
24 |
$0.00 |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
74 |
65 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
154 |
139 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
25 |
25 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
292 |
196 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
81 |
79 |
$0.00 |
| J7042 |
5% dextrose/normal saline (500 ml = 1 unit) |
19 |
16 |
$0.00 |
| 74022 |
|
15 |
14 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |
| 74019 |
|
15 |
12 |
$0.00 |
| 80320 |
|
39 |
37 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
13 |
12 |
$0.00 |
| J3490 |
Unclassified drugs |
31 |
24 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
15 |
15 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
29 |
25 |
$0.00 |
| 85379 |
|
14 |
12 |
$0.00 |
| 83880 |
|
15 |
13 |
$0.00 |
| 97161 |
|
32 |
31 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
282 |
242 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,681 |
1,528 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
26 |
26 |
$0.00 |
| 84439 |
|
153 |
152 |
$0.00 |
| 96367 |
|
164 |
145 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
77 |
60 |
$0.00 |
| 82140 |
|
36 |
25 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
34 |
24 |
$0.00 |
| 82570 |
|
27 |
26 |
$0.00 |
| 59025 |
Fetal non-stress test |
99 |
67 |
$0.00 |
| 73130 |
|
12 |
12 |
$0.00 |
| 90715 |
|
25 |
24 |
$0.00 |
| 84481 |
|
14 |
14 |
$0.00 |