| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Als1-emergency |
7,352 |
6,344 |
$1.92M |
| 99283 |
|
11,414 |
10,296 |
$1.36M |
| X4011 |
|
3,539 |
3,239 |
$1.28M |
| A0425 |
Ground mileage |
11,422 |
9,353 |
$616K |
| A0429 |
Bls-emergency |
2,378 |
2,006 |
$577K |
| 11042 |
|
6,595 |
3,439 |
$524K |
| 85025 |
|
18,047 |
16,503 |
$398K |
| 80053 |
|
17,155 |
15,667 |
$396K |
| X4006 |
|
791 |
494 |
$276K |
| 99285 |
|
997 |
893 |
$216K |
| 96374 |
|
1,769 |
1,579 |
$173K |
| G0463 |
Hospital outpt clinic visit |
3,270 |
2,790 |
$133K |
| 93005 |
|
3,237 |
2,912 |
$110K |
| 99284 |
|
565 |
498 |
$91K |
| 97597 |
|
2,162 |
1,416 |
$89K |
| 0241U |
|
938 |
852 |
$58K |
| Y7506 |
|
531 |
492 |
$41K |
| X4003 |
|
743 |
558 |
$41K |
| 71046 |
|
765 |
710 |
$35K |
| 99281 |
|
741 |
682 |
$29K |
| 36415 |
|
5,834 |
5,159 |
$26K |
| A0428 |
Bls |
346 |
308 |
$20K |
| 81001 |
|
4,261 |
3,831 |
$19K |
| Y7507 |
|
143 |
133 |
$18K |
| 84443 |
|
892 |
865 |
$14K |
| 84484 |
|
1,140 |
1,007 |
$12K |
| 80307 |
|
148 |
129 |
$8K |
| 80061 |
|
752 |
712 |
$8K |
| 62323 |
|
140 |
135 |
$8K |
| 43253 |
|
17 |
12 |
$8K |
| 82306 |
|
408 |
400 |
$7K |
| 96361 |
|
249 |
219 |
$7K |
| U0003 |
Cov-19 amp prb hgh thruput |
965 |
850 |
$6K |
| G0480 |
Drug test def 1-7 classes |
103 |
94 |
$6K |
| 87804 |
|
68 |
59 |
$5K |
| 83655 |
|
663 |
642 |
$4K |
| 83690 |
|
35 |
29 |
$4K |
| 84439 |
|
75 |
75 |
$4K |
| 87070 |
|
761 |
745 |
$3K |
| 96375 |
|
84 |
76 |
$3K |
| 96372 |
|
47 |
37 |
$2K |
| 71045 |
|
45 |
43 |
$2K |
| 62321 |
|
30 |
30 |
$2K |
| 83036 |
|
197 |
189 |
$1K |
| C9803 |
Hopd covid-19 spec collect |
348 |
267 |
$1K |
| U0005 |
Infec agen detec ampli probe |
551 |
517 |
$1K |
| 77067 |
|
14 |
14 |
$1K |
| 99282 |
|
16 |
14 |
$949.92 |
| 87040 |
|
38 |
36 |
$601.21 |
| 85014 |
|
519 |
509 |
$532.42 |
| 88305 |
|
14 |
12 |
$485.00 |
| 86850 |
|
66 |
65 |
$472.17 |
| 86900 |
|
161 |
149 |
$459.73 |
| 77063 |
|
14 |
14 |
$414.41 |
| 83880 |
|
26 |
24 |
$368.10 |
| 84703 |
|
90 |
78 |
$362.49 |
| 83605 |
|
44 |
38 |
$319.20 |
| 86901 |
|
159 |
147 |
$255.12 |
| 85610 |
|
86 |
74 |
$146.59 |
| 36416 |
|
62 |
60 |
$137.55 |
| 87086 |
|
29 |
24 |
$122.48 |
| 81025 |
|
25 |
24 |
$34.40 |
| 85730 |
|
14 |
12 |
$29.65 |
| 81003 |
|
13 |
13 |
$9.00 |
| J3490 |
Drugs unclassified injection |
1,093 |
666 |
$0.00 |
| 11045 |
|
22 |
12 |
$0.00 |
| 87430 |
|
13 |
12 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
55 |
27 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
21 |
14 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
112 |
56 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
13 |
12 |
$0.00 |
| T1015 |
Clinic service |
58 |
38 |
$0.00 |