| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
12,764 |
12,341 |
$551K |
| 99284 |
|
11,952 |
11,385 |
$492K |
| 99285 |
|
4,812 |
4,550 |
$177K |
| 80053 |
|
15,631 |
14,653 |
$143K |
| 0241U |
|
1,369 |
1,301 |
$117K |
| 96375 |
|
3,943 |
3,646 |
$115K |
| 96374 |
|
5,391 |
5,121 |
$92K |
| 99282 |
|
1,631 |
1,588 |
$71K |
| 85025 |
|
16,822 |
15,747 |
$68K |
| 96361 |
|
3,759 |
3,506 |
$66K |
| 70450 |
|
1,039 |
987 |
$66K |
| 74177 |
|
598 |
579 |
$58K |
| 93005 |
|
5,077 |
4,549 |
$50K |
| 96365 |
|
762 |
725 |
$47K |
| 80307 |
|
863 |
802 |
$44K |
| 87633 |
|
117 |
116 |
$43K |
| 87502 |
|
368 |
364 |
$33K |
| G0463 |
Hospital outpt clinic visit |
1,372 |
749 |
$30K |
| 84484 |
|
3,825 |
3,377 |
$30K |
| 71045 |
|
4,665 |
4,435 |
$29K |
| 84703 |
|
1,886 |
1,811 |
$17K |
| 83690 |
|
2,203 |
2,114 |
$15K |
| 97597 |
|
121 |
66 |
$12K |
| 81001 |
|
3,366 |
3,222 |
$10K |
| 87086 |
|
744 |
716 |
$7K |
| 96372 |
|
419 |
396 |
$7K |
| 87798 |
|
116 |
115 |
$6K |
| G0378 |
Hospital observation per hr |
50 |
22 |
$4K |
| 71046 |
|
319 |
311 |
$4K |
| 82805 |
|
346 |
328 |
$4K |
| 83605 |
|
565 |
517 |
$4K |
| 96360 |
|
83 |
80 |
$3K |
| 80048 |
|
417 |
399 |
$3K |
| 85610 |
|
822 |
787 |
$3K |
| U0003 |
Cov-19 amp prb hgh thruput |
62 |
62 |
$3K |
| 94640 |
|
243 |
228 |
$2K |
| 83880 |
|
168 |
166 |
$2K |
| 72125 |
|
29 |
26 |
$2K |
| 81003 |
|
1,831 |
1,753 |
$2K |
| 83735 |
|
324 |
309 |
$2K |
| 87400 |
|
84 |
83 |
$1K |
| 87486 |
|
116 |
115 |
$1K |
| 87581 |
|
116 |
115 |
$1K |
| 80143 |
|
94 |
86 |
$1K |
| 84443 |
|
88 |
81 |
$975.76 |
| 87634 |
|
13 |
13 |
$856.86 |
| U0005 |
Infec agen detec ampli probe |
62 |
62 |
$843.11 |
| 80179 |
|
64 |
57 |
$790.85 |
| 87077 |
|
65 |
61 |
$599.19 |
| 96376 |
|
21 |
14 |
$588.44 |
| 87040 |
|
41 |
40 |
$481.09 |
| 85730 |
|
124 |
118 |
$468.32 |
| A0427 |
Als1-emergency |
2,727 |
2,366 |
$444.24 |
| 87081 |
|
57 |
55 |
$419.08 |
| 85379 |
|
48 |
41 |
$351.60 |
| 88305 |
|
14 |
14 |
$315.75 |
| 80320 |
|
26 |
24 |
$298.85 |
| A0429 |
Bls-emergency |
789 |
702 |
$294.39 |
| 84145 |
|
12 |
12 |
$241.79 |
| J1885 |
Ketorolac tromethamine inj |
403 |
379 |
$239.35 |
| 99211 |
|
12 |
12 |
$196.67 |
| 87186 |
|
12 |
12 |
$185.77 |
| 87880 |
|
20 |
20 |
$184.68 |
| J1170 |
Hydromorphone injection |
65 |
56 |
$165.55 |
| 87651 |
|
14 |
14 |
$159.87 |
| 85027 |
|
16 |
12 |
$159.57 |
| A0425 |
Ground mileage |
3,997 |
3,331 |
$108.64 |
| J2405 |
Ondansetron hcl injection |
207 |
195 |
$68.36 |
| J3010 |
Fentanyl citrate injection |
109 |
103 |
$54.86 |
| 36415 |
|
2,212 |
2,048 |
$52.65 |
| 84100 |
|
14 |
13 |
$50.76 |
| J2270 |
Morphine sulfate injection |
12 |
12 |
$38.86 |
| A9270 |
Non-covered item or service |
323 |
230 |
$25.29 |
| J0696 |
Ceftriaxone sodium injection |
30 |
29 |
$21.04 |
| J1100 |
Dexamethasone sodium phos |
12 |
12 |
$11.85 |
| 0202U |
|
338 |
329 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
88 |
84 |
$0.00 |
| 82077 |
|
69 |
67 |
$0.00 |