| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
20,099 |
19,230 |
$11.87M |
| A0431 |
Rotary wing air transport |
2,935 |
2,766 |
$10.58M |
| 99283 |
|
18,444 |
17,926 |
$2.99M |
| A0436 |
Rotary wing air mileage |
2,929 |
2,764 |
$2.98M |
| 95716 |
|
1,057 |
1,015 |
$2.12M |
| 99285 |
|
4,624 |
4,324 |
$2.00M |
| 42820 |
|
318 |
312 |
$982K |
| 95810 |
|
529 |
522 |
$784K |
| 95700 |
|
1,099 |
1,065 |
$536K |
| 85025 |
|
21,330 |
17,750 |
$383K |
| 93005 |
|
5,351 |
4,815 |
$344K |
| 69436 |
|
238 |
231 |
$314K |
| 80053 |
|
8,470 |
6,988 |
$309K |
| 95782 |
|
156 |
152 |
$213K |
| A0434 |
Specialty care transport |
203 |
189 |
$210K |
| A0427 |
Als1-emergency |
246 |
244 |
$195K |
| A0425 |
Ground mileage |
1,506 |
1,423 |
$188K |
| 80048 |
|
10,086 |
7,789 |
$164K |
| P9016 |
Rbc leukocytes reduced |
99 |
90 |
$152K |
| 74177 |
|
936 |
891 |
$150K |
| 81001 |
|
8,270 |
7,685 |
$132K |
| 87635 |
|
2,938 |
2,786 |
$131K |
| A0422 |
Ambulance 02 life sustaining |
2,726 |
2,564 |
$116K |
| 93306 |
|
507 |
496 |
$112K |
| 76770 |
|
472 |
470 |
$111K |
| 71045 |
|
3,609 |
3,388 |
$109K |
| 70450 |
|
1,656 |
1,557 |
$81K |
| 86850 |
|
2,879 |
2,643 |
$69K |
| J3490 |
Drugs unclassified injection |
2,626 |
1,638 |
$63K |
| 71046 |
|
1,537 |
1,451 |
$59K |
| 87400 |
|
1,508 |
737 |
$56K |
| 70551 |
|
136 |
131 |
$54K |
| 99282 |
|
457 |
442 |
$48K |
| A0398 |
Als routine disposble suppls |
732 |
689 |
$44K |
| 72125 |
|
781 |
747 |
$40K |
| 36512 |
|
13 |
13 |
$36K |
| A0426 |
Als 1 |
85 |
83 |
$33K |
| 93975 |
|
178 |
168 |
$33K |
| 96374 |
|
1,730 |
1,551 |
$32K |
| 99211 |
|
1,147 |
1,022 |
$30K |
| 80076 |
|
2,314 |
2,068 |
$30K |
| 80307 |
|
791 |
744 |
$25K |
| 71260 |
|
273 |
265 |
$24K |
| 76801 |
|
249 |
233 |
$22K |
| 96375 |
|
1,482 |
1,157 |
$21K |
| 82977 |
|
534 |
442 |
$21K |
| 76811 |
|
48 |
48 |
$20K |
| 96361 |
|
485 |
428 |
$17K |
| 96372 |
|
1,213 |
740 |
$17K |
| U0003 |
Cov-19 amp prb hgh thruput |
498 |
476 |
$16K |
| 84484 |
|
2,540 |
1,930 |
$16K |
| 76816 |
|
66 |
64 |
$15K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,520 |
1,438 |
$14K |
| 85610 |
|
4,047 |
3,184 |
$14K |
| 76819 |
|
46 |
24 |
$12K |
| 87389 |
|
706 |
682 |
$11K |
| 86900 |
|
2,949 |
2,730 |
$11K |
| 82570 |
|
471 |
361 |
$11K |
| 86901 |
|
2,947 |
2,725 |
$11K |
| 83735 |
|
3,114 |
2,190 |
$11K |
| 82803 |
|
916 |
829 |
$9K |
| 81025 |
|
1,214 |
1,145 |
$9K |
| 87086 |
|
1,347 |
1,229 |
$9K |
| 83690 |
|
1,521 |
1,402 |
$9K |
| 84702 |
|
719 |
659 |
$9K |
| 83880 |
|
633 |
604 |
$8K |
| 80197 |
|
402 |
268 |
$8K |
| G0463 |
Hospital outpt clinic visit |
3,523 |
2,897 |
$8K |
| 88305 |
|
268 |
246 |
$8K |
| 97110 |
|
677 |
222 |
$7K |
| 97530 |
|
785 |
340 |
$7K |
| J7030 |
Normal saline solution infus |
1,348 |
1,228 |
$7K |
| 85730 |
|
2,311 |
2,098 |
$7K |
| 83605 |
|
1,435 |
1,182 |
$7K |
| 96376 |
|
428 |
282 |
$6K |
| 83020 |
|
135 |
79 |
$6K |
| 82077 |
|
661 |
630 |
$5K |
| 84156 |
|
405 |
322 |
$5K |
| 84703 |
|
578 |
554 |
$5K |
| 74176 |
|
37 |
36 |
$5K |
| 84100 |
|
2,382 |
1,706 |
$5K |
| 76817 |
|
66 |
63 |
$5K |
| 97162 |
|
101 |
98 |
$4K |
| 84450 |
|
388 |
325 |
$4K |
| 85576 |
|
412 |
390 |
$4K |
| 82728 |
|
263 |
257 |
$4K |
| 84075 |
|
396 |
328 |
$4K |
| 96365 |
|
53 |
52 |
$3K |
| 96360 |
|
68 |
65 |
$3K |
| 87799 |
|
26 |
12 |
$3K |
| 87804 |
|
126 |
58 |
$3K |
| 73562 |
|
127 |
121 |
$3K |
| 87807 |
|
93 |
92 |
$3K |
| 99214 |
|
67 |
57 |
$3K |
| J0690 |
Cefazolin sodium injection |
763 |
632 |
$3K |
| 82330 |
|
742 |
463 |
$2K |
| 87651 |
|
70 |
69 |
$2K |
| 82247 |
|
397 |
330 |
$2K |
| 96413 |
|
37 |
25 |
$2K |
| 76705 |
|
28 |
28 |
$2K |
| 85384 |
|
531 |
489 |
$2K |
| 85390 |
|
324 |
309 |
$2K |
| 87497 |
|
31 |
26 |
$2K |
| 84155 |
|
389 |
326 |
$2K |
| 86999 |
|
58 |
52 |
$2K |
| J2270 |
Morphine sulfate injection |
1,090 |
965 |
$2K |
| 99281 |
|
59 |
53 |
$2K |
| 82375 |
|
35 |
21 |
$2K |
| 82550 |
|
493 |
454 |
$2K |
| J0702 |
Betamethasone acet&sod phosp |
13 |
12 |
$2K |
| 87880 |
|
55 |
51 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
1,366 |
1,316 |
$1K |
| J2710 |
Neostigmine methylslfte inj |
49 |
27 |
$1K |
| 83615 |
|
574 |
428 |
$1K |
| 83036 |
|
426 |
413 |
$1K |
| 70498 |
|
14 |
12 |
$1K |
| 77067 |
|
75 |
75 |
$1K |
| 85347 |
|
560 |
519 |
$1K |
| 90471 |
|
71 |
69 |
$1K |
| 84443 |
|
401 |
372 |
$1K |
| 97166 |
|
13 |
12 |
$998.00 |
| J1100 |
Dexamethasone sodium phos |
1,135 |
1,021 |
$983.70 |
| 76856 |
|
12 |
12 |
$978.62 |
| 73610 |
|
56 |
53 |
$971.09 |
| J2250 |
Inj midazolam hydrochloride |
1,216 |
1,154 |
$909.06 |
| 87186 |
|
251 |
227 |
$896.54 |
| 85660 |
|
27 |
26 |
$850.20 |
| 82947 |
|
1,082 |
702 |
$828.30 |
| 86703 |
|
17 |
16 |
$806.01 |
| 70360 |
|
14 |
13 |
$723.60 |
| 86769 |
|
16 |
12 |
$699.27 |
| J1644 |
Inj heparin sodium per 1000u |
364 |
274 |
$685.92 |
| 87340 |
|
41 |
38 |
$670.06 |
| 82043 |
|
106 |
80 |
$653.19 |
| J2001 |
Lidocaine injection |
1,647 |
1,579 |
$651.16 |
| 82040 |
|
372 |
315 |
$643.44 |
| J1885 |
Ketorolac tromethamine inj |
710 |
643 |
$629.42 |
| J2405 |
Ondansetron hcl injection |
2,524 |
2,224 |
$608.16 |
| 77063 |
|
26 |
26 |
$540.26 |
| 86780 |
|
31 |
27 |
$536.60 |
| 80061 |
|
117 |
113 |
$503.33 |
| 71250 |
|
14 |
13 |
$480.51 |
| 73130 |
|
27 |
26 |
$476.96 |
| 83970 |
|
14 |
12 |
$462.75 |
| 80179 |
|
49 |
43 |
$427.40 |
| J0696 |
Ceftriaxone sodium injection |
328 |
300 |
$421.22 |
| 73630 |
|
27 |
27 |
$417.73 |
| 80143 |
|
49 |
43 |
$410.96 |
| 94760 |
|
18 |
12 |
$350.53 |
| 90715 |
|
12 |
12 |
$325.60 |
| 84145 |
|
36 |
36 |
$304.96 |
| 73030 |
|
13 |
13 |
$297.82 |
| 73502 |
|
15 |
14 |
$286.24 |
| U0002 |
Covid-19 lab test non-cdc |
723 |
701 |
$267.42 |
| 87040 |
|
48 |
38 |
$252.96 |
| J1170 |
Hydromorphone injection |
229 |
201 |
$220.30 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
69 |
67 |
$214.23 |
| 36000 |
|
14 |
12 |
$208.46 |
| J1200 |
Diphenhydramine hcl injectio |
209 |
182 |
$190.37 |
| J7040 |
Normal saline solution infus |
77 |
72 |
$182.51 |
| 86140 |
|
68 |
64 |
$164.63 |
| 82610 |
|
89 |
67 |
$150.58 |
| 0241U |
|
78 |
77 |
$142.63 |
| 82248 |
|
72 |
68 |
$80.13 |
| Q0162 |
Ondansetron oral |
155 |
149 |
$56.63 |
| J3010 |
Fentanyl citrate injection |
65 |
62 |
$50.39 |
| J0330 |
Succinycholine chloride inj |
13 |
12 |
$35.58 |
| 85045 |
|
20 |
15 |
$23.45 |
| J3370 |
Vancomycin hcl injection |
13 |
12 |
$17.18 |
| 36415 |
|
1,094 |
937 |
$1.35 |
| 82306 |
|
44 |
44 |
$0.00 |