| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Bls-emergency |
5,300 |
3,925 |
$1.27M |
| A0427 |
Als1-emergency |
1,003 |
895 |
$342K |
| A0380 |
Basic life support mileage |
3,403 |
2,747 |
$242K |
| A0382 |
Basic support routine suppls |
2,048 |
1,768 |
$123K |
| A0390 |
Advanced life support mileag |
475 |
443 |
$66K |
| 99282 |
|
5,301 |
4,880 |
$34K |
| 99283 |
|
4,374 |
4,000 |
$29K |
| 99284 |
|
3,416 |
3,062 |
$21K |
| 99285 |
|
2,655 |
2,298 |
$10K |
| 80053 |
|
9,981 |
8,040 |
$8K |
| 96360 |
|
2,367 |
2,017 |
$8K |
| 99281 |
|
2,501 |
2,324 |
$7K |
| 87502 |
|
1,179 |
1,124 |
$6K |
| 87631 |
|
161 |
155 |
$6K |
| 97110 |
|
2,147 |
762 |
$5K |
| 96374 |
|
3,310 |
2,664 |
$5K |
| 85025 |
|
10,591 |
8,543 |
$5K |
| 71046 |
|
1,813 |
1,628 |
$4K |
| 87635 |
|
2,129 |
1,861 |
$4K |
| 87651 |
|
1,335 |
1,244 |
$4K |
| 96365 |
|
3,296 |
2,541 |
$3K |
| 97530 |
|
418 |
129 |
$2K |
| 36415 |
|
15,330 |
11,582 |
$2K |
| 84443 |
|
2,722 |
2,610 |
$2K |
| 96372 |
|
3,571 |
3,007 |
$2K |
| 96361 |
|
1,677 |
1,433 |
$2K |
| G0378 |
Hospital observation per hr |
655 |
544 |
$2K |
| 87086 |
|
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 |
Normal saline solution infus |
3,399 |
2,562 |
$994.93 |
| 81001 |
|
4,756 |
4,127 |
$935.71 |
| 96375 |
|
1,656 |
1,376 |
$913.93 |
| 93005 |
|
2,301 |
1,970 |
$852.94 |
| 82306 |
|
1,383 |
1,360 |
$751.04 |
| 76805 |
|
144 |
143 |
$739.35 |
| J7120 |
Ringers lactate infusion |
1,707 |
1,393 |
$503.15 |
| 81025 |
|
772 |
727 |
$404.36 |
| 87040 |
|
1,035 |
914 |
$382.05 |
| 87801 |
|
94 |
91 |
$357.97 |
| 85610 |
|
1,856 |
1,486 |
$322.19 |
| 82948 |
|
421 |
272 |
$308.14 |
| C9803 |
Hopd covid-19 spec collect |
438 |
357 |
$306.70 |
| 83036 |
|
1,430 |
1,389 |
$274.50 |
| 80048 |
|
824 |
669 |
$263.89 |
| 80061 |
|
376 |
371 |
$247.73 |
| 73610 |
|
27 |
25 |
$222.97 |
| 86140 |
|
448 |
411 |
$201.60 |
| 81003 |
|
375 |
346 |
$177.72 |
| 94640 |
|
514 |
411 |
$174.91 |
| J0696 |
Ceftriaxone sodium injection |
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 |
|
17 |
17 |
$117.67 |
| J2405 |
Ondansetron hcl injection |
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 |
|
669 |
560 |
$0.00 |
| 85652 |
|
190 |
170 |
$0.00 |
| 96366 |
|
231 |
178 |
$0.00 |
| 83615 |
|
91 |
68 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
136 |
108 |
$0.00 |
| 83735 |
|
777 |
652 |
$0.00 |
| 96376 |
|
31 |
25 |
$0.00 |
| 0241U |
|
18 |
18 |
$0.00 |
| 94680 |
|
112 |
102 |
$0.00 |
| 82150 |
|
206 |
167 |
$0.00 |
| 99291 |
|
55 |
52 |
$0.00 |
| 86920 |
|
31 |
24 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
74 |
65 |
$0.00 |
| 87636 |
|
154 |
139 |
$0.00 |
| 77063 |
|
25 |
25 |
$0.00 |
| J7050 |
Normal saline solution infus |
292 |
196 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
81 |
79 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
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 |
Metoclopramide hcl injection |
13 |
12 |
$0.00 |
| J3490 |
Drugs unclassified injection |
31 |
24 |
$0.00 |
| 76816 |
|
15 |
15 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
29 |
25 |
$0.00 |
| 85379 |
|
14 |
12 |
$0.00 |
| 83880 |
|
15 |
13 |
$0.00 |
| 97161 |
|
32 |
31 |
$0.00 |
| 80307 |
|
282 |
242 |
$0.00 |
| G2023 |
Specimen collect covid-19 |
1,681 |
1,528 |
$0.00 |
| 77067 |
|
26 |
26 |
$0.00 |
| 84439 |
|
153 |
152 |
$0.00 |
| 96367 |
|
164 |
145 |
$0.00 |
| J7040 |
Normal saline solution infus |
77 |
60 |
$0.00 |
| 82140 |
|
36 |
25 |
$0.00 |
| J2270 |
Morphine sulfate injection |
34 |
24 |
$0.00 |
| 82570 |
|
27 |
26 |
$0.00 |
| 59025 |
|
99 |
67 |
$0.00 |
| 73130 |
|
12 |
12 |
$0.00 |
| 90715 |
|
25 |
24 |
$0.00 |
| 84481 |
|
14 |
14 |
$0.00 |