| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
32,936 |
30,047 |
$8.01M |
| 99283 |
|
30,237 |
28,376 |
$5.80M |
| A0425 |
Ground mileage |
37,223 |
25,697 |
$2.37M |
| 99285 |
|
8,249 |
7,325 |
$1.78M |
| A0427 |
Als1-emergency |
14,418 |
12,151 |
$1.35M |
| A0429 |
Bls-emergency |
8,305 |
6,991 |
$713K |
| 0241U |
|
5,924 |
5,574 |
$635K |
| 59025 |
|
4,979 |
2,633 |
$427K |
| 99282 |
|
3,577 |
3,398 |
$424K |
| G0463 |
Hospital outpt clinic visit |
11,760 |
7,676 |
$359K |
| 92507 |
|
4,682 |
1,478 |
$258K |
| G0378 |
Hospital observation per hr |
1,002 |
862 |
$220K |
| 11042 |
|
3,403 |
1,419 |
$178K |
| 96413 |
|
2,128 |
1,097 |
$173K |
| 96374 |
|
15,487 |
13,972 |
$162K |
| 85025 |
|
39,649 |
35,777 |
$142K |
| 64493 |
|
419 |
376 |
$132K |
| 66984 |
|
449 |
324 |
$128K |
| 80053 |
|
43,125 |
38,727 |
$110K |
| 43235 |
|
608 |
513 |
$87K |
| 97530 |
|
1,401 |
487 |
$67K |
| U0003 |
Cov-19 amp prb hgh thruput |
983 |
927 |
$66K |
| 96375 |
|
9,004 |
7,897 |
$65K |
| 70551 |
|
351 |
323 |
$56K |
| 87502 |
|
1,591 |
1,456 |
$46K |
| A0428 |
Bls |
12,291 |
5,947 |
$44K |
| 43450 |
|
561 |
476 |
$43K |
| M0243 |
Casirivi and imdevi inj |
128 |
117 |
$43K |
| 64495 |
|
459 |
368 |
$36K |
| 93005 |
|
12,439 |
9,538 |
$32K |
| 64494 |
|
472 |
374 |
$32K |
| M0245 |
Bamlan and etesev infusion |
97 |
90 |
$32K |
| 84484 |
|
3,444 |
2,419 |
$31K |
| 87631 |
|
600 |
567 |
$30K |
| 96365 |
|
1,723 |
1,407 |
$30K |
| 96361 |
|
6,703 |
6,016 |
$27K |
| 97597 |
|
1,358 |
647 |
$27K |
| 80307 |
|
1,396 |
1,233 |
$23K |
| 71250 |
|
670 |
568 |
$23K |
| 96367 |
|
795 |
317 |
$19K |
| 74177 |
|
333 |
311 |
$19K |
| M0247 |
Sotrovimab infusion |
68 |
59 |
$17K |
| 82803 |
|
1,990 |
1,682 |
$17K |
| J2405 |
Ondansetron hcl injection |
5,740 |
4,741 |
$17K |
| 87086 |
|
4,497 |
4,069 |
$16K |
| 70553 |
|
70 |
66 |
$16K |
| 83690 |
|
3,872 |
3,554 |
$14K |
| 77334 |
|
98 |
39 |
$14K |
| 77336 |
|
615 |
197 |
$14K |
| 71046 |
|
3,129 |
2,913 |
$14K |
| 71045 |
|
7,421 |
6,647 |
$13K |
| 87428 |
|
270 |
249 |
$12K |
| 83605 |
|
2,215 |
1,903 |
$10K |
| 43239 |
|
30 |
26 |
$10K |
| 96372 |
|
1,854 |
1,670 |
$9K |
| 97110 |
|
224 |
63 |
$8K |
| A0433 |
Als 2 |
42 |
41 |
$7K |
| 87430 |
|
1,237 |
1,165 |
$7K |
| 77300 |
|
106 |
73 |
$7K |
| 95816 |
|
85 |
72 |
$6K |
| 81003 |
|
11,857 |
10,702 |
$6K |
| 87636 |
|
51 |
48 |
$5K |
| 81001 |
|
7,268 |
6,723 |
$5K |
| 70450 |
|
177 |
154 |
$4K |
| 76830 |
|
71 |
68 |
$4K |
| 87081 |
|
952 |
892 |
$4K |
| 71260 |
|
28 |
27 |
$4K |
| 72148 |
|
13 |
13 |
$3K |
| 81025 |
|
1,229 |
1,160 |
$3K |
| C2617 |
Stent, non-cor, tem w/o del |
46 |
37 |
$2K |
| 73130 |
|
144 |
70 |
$2K |
| 97803 |
|
48 |
46 |
$2K |
| 95819 |
|
27 |
25 |
$2K |
| 77067 |
|
50 |
50 |
$1K |
| 82550 |
|
476 |
438 |
$1K |
| 74176 |
|
54 |
49 |
$1K |
| 76856 |
|
14 |
13 |
$745.87 |
| 83735 |
|
366 |
319 |
$740.46 |
| U0002 |
Covid-19 lab test non-cdc |
16 |
16 |
$667.03 |
| 87635 |
|
12 |
12 |
$570.41 |
| 85027 |
|
301 |
231 |
$485.21 |
| 36415 |
|
1,228 |
808 |
$444.00 |
| 86900 |
|
92 |
65 |
$408.27 |
| 82306 |
|
43 |
42 |
$402.93 |
| 94640 |
|
142 |
106 |
$387.25 |
| A0426 |
Als 1 |
15 |
14 |
$368.52 |
| 74018 |
|
13 |
12 |
$216.09 |
| 80048 |
|
249 |
195 |
$198.80 |
| J1100 |
Dexamethasone sodium phos |
442 |
264 |
$194.25 |
| 85007 |
|
137 |
123 |
$157.71 |
| J3301 |
Triamcinolone acet inj nos |
1,511 |
1,273 |
$153.04 |
| 77063 |
|
25 |
25 |
$146.93 |
| 85610 |
|
96 |
87 |
$119.22 |
| 87807 |
|
26 |
26 |
$103.37 |
| 86850 |
|
92 |
65 |
$89.55 |
| 87420 |
|
13 |
13 |
$76.62 |
| 94760 |
|
167 |
78 |
$70.62 |
| 80069 |
|
141 |
83 |
$68.44 |
| 80061 |
|
43 |
42 |
$58.48 |
| 84145 |
|
13 |
13 |
$57.70 |
| J2270 |
Morphine sulfate injection |
201 |
171 |
$52.18 |
| 86901 |
|
92 |
65 |
$43.59 |
| 84703 |
|
14 |
13 |
$37.42 |
| 74022 |
|
13 |
12 |
$26.78 |
| 87077 |
|
12 |
12 |
$23.20 |
| J1885 |
Ketorolac tromethamine inj |
4,844 |
4,402 |
$0.98 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,132 |
1,039 |
$0.00 |
| G1004 |
Cdsm ndsc |
154 |
140 |
$0.00 |
| 88312 |
|
12 |
12 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
22 |
16 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
16 |
13 |
$0.00 |
| 76937 |
|
13 |
12 |
$0.00 |
| 87186 |
|
15 |
14 |
$0.00 |
| 88305 |
|
418 |
369 |
$0.00 |
| 84443 |
|
13 |
13 |
$0.00 |
| A9270 |
Non-covered item or service |
587 |
204 |
$0.00 |
| 86140 |
|
33 |
27 |
$0.00 |
| C1769 |
Guide wire |
32 |
26 |
$0.00 |
| 88304 |
|
26 |
24 |
$0.00 |
| A9585 |
Gadobutrol injection |
49 |
48 |
$0.00 |
| 87088 |
|
15 |
14 |
$0.00 |
| 83036 |
|
16 |
12 |
$0.00 |
| 83615 |
|
13 |
12 |
$0.00 |