| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
13,156 |
6,359 |
$1.34M |
| 0223U |
|
2,697 |
2,481 |
$897K |
| 99284 |
|
4,912 |
2,368 |
$777K |
| A0427 |
Als1-emergency |
2,792 |
1,884 |
$629K |
| A0425 |
Ground mileage |
3,159 |
2,069 |
$514K |
| 0202U |
|
572 |
557 |
$232K |
| 87651 |
|
5,778 |
5,358 |
$198K |
| 80050 |
|
4,710 |
4,248 |
$193K |
| 87502 |
|
1,699 |
1,551 |
$140K |
| 96372 |
|
2,706 |
1,922 |
$136K |
| A0429 |
Bls-emergency |
140 |
73 |
$77K |
| 87635 |
|
1,242 |
1,113 |
$43K |
| 71046 |
|
412 |
333 |
$35K |
| 96365 |
|
487 |
139 |
$35K |
| 70450 |
|
82 |
79 |
$31K |
| G0378 |
Hospital observation per hr |
176 |
100 |
$30K |
| 80053 |
|
3,057 |
2,484 |
$29K |
| 85025 |
|
4,479 |
3,154 |
$29K |
| 87637 |
|
242 |
234 |
$28K |
| 99285 |
|
101 |
53 |
$26K |
| 74176 |
|
26 |
25 |
$24K |
| G0379 |
Direct refer hospital observ |
140 |
84 |
$23K |
| 96374 |
|
179 |
114 |
$22K |
| 71045 |
|
246 |
215 |
$17K |
| 99231 |
|
2,031 |
612 |
$17K |
| 80061 |
|
1,401 |
1,326 |
$17K |
| 87591 |
|
454 |
423 |
$16K |
| 87491 |
|
455 |
424 |
$16K |
| 99221 |
|
715 |
563 |
$16K |
| 94640 |
|
174 |
57 |
$12K |
| 99282 |
|
145 |
75 |
$12K |
| J0696 |
Ceftriaxone sodium injection |
729 |
557 |
$8K |
| 84443 |
|
497 |
454 |
$8K |
| 83721 |
|
1,440 |
1,275 |
$8K |
| 83655 |
|
568 |
536 |
$7K |
| G0481 |
Drug test def 8-14 classes |
50 |
49 |
$7K |
| 83036 |
|
955 |
855 |
$7K |
| 83880 |
|
254 |
194 |
$7K |
| 99218 |
|
293 |
243 |
$6K |
| 80047 |
|
752 |
447 |
$6K |
| J1100 |
Dexamethasone sodium phos |
113 |
97 |
$6K |
| J7030 |
Normal saline solution infus |
210 |
119 |
$6K |
| 0001A |
|
330 |
158 |
$6K |
| 0002A |
|
280 |
146 |
$6K |
| 87801 |
|
84 |
82 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
496 |
429 |
$5K |
| 93005 |
|
141 |
87 |
$5K |
| J3490 |
Drugs unclassified injection |
411 |
344 |
$5K |
| 83735 |
|
1,017 |
843 |
$5K |
| 99224 |
|
503 |
239 |
$4K |
| 80048 |
|
794 |
410 |
$4K |
| 36415 |
|
2,393 |
1,591 |
$4K |
| 84484 |
|
370 |
248 |
$3K |
| 0003A |
|
70 |
53 |
$2K |
| 80307 |
|
51 |
40 |
$2K |
| 82553 |
|
388 |
252 |
$2K |
| 94761 |
|
730 |
129 |
$2K |
| 82150 |
|
334 |
300 |
$2K |
| 84481 |
|
129 |
127 |
$1K |
| 82550 |
|
359 |
240 |
$1K |
| 82306 |
|
60 |
57 |
$1K |
| 84439 |
|
129 |
127 |
$1K |
| 81001 |
|
822 |
598 |
$950.76 |
| 80305 |
|
96 |
93 |
$945.00 |
| 96375 |
|
17 |
12 |
$657.83 |
| 86701 |
|
58 |
57 |
$506.73 |
| 99213 |
|
456 |
356 |
$498.38 |
| 96366 |
|
36 |
12 |
$496.73 |
| 85651 |
|
116 |
110 |
$444.60 |
| J2175 |
Meperidine hydrochl /100 mg |
41 |
26 |
$364.55 |
| 80335 |
|
14 |
14 |
$266.00 |
| 80369 |
|
14 |
14 |
$260.54 |
| 80372 |
|
14 |
14 |
$252.56 |
| 80373 |
|
14 |
14 |
$252.56 |
| 80332 |
|
14 |
14 |
$245.07 |
| 80366 |
|
14 |
14 |
$245.07 |
| 80323 |
|
14 |
14 |
$245.07 |
| 80338 |
|
14 |
14 |
$245.07 |
| 80368 |
|
14 |
14 |
$245.07 |
| 80357 |
|
14 |
14 |
$245.07 |
| J2550 |
Promethazine hcl injection |
28 |
14 |
$219.83 |
| 80320 |
|
14 |
14 |
$178.22 |
| 80355 |
|
14 |
14 |
$175.14 |
| 80321 |
|
14 |
14 |
$159.74 |
| 83992 |
|
14 |
14 |
$140.00 |
| 80346 |
|
14 |
14 |
$129.50 |
| 91300 |
|
547 |
398 |
$124.16 |
| 80354 |
|
14 |
14 |
$119.00 |
| 80356 |
|
14 |
14 |
$119.00 |
| 80348 |
|
14 |
14 |
$119.00 |
| 80365 |
|
14 |
14 |
$119.00 |
| 80362 |
|
14 |
14 |
$119.00 |
| 80361 |
|
14 |
14 |
$119.00 |
| 80360 |
|
14 |
14 |
$115.50 |
| 80350 |
|
14 |
14 |
$115.50 |
| 80371 |
|
14 |
14 |
$115.50 |
| 80349 |
|
14 |
14 |
$115.50 |
| 80358 |
|
14 |
14 |
$113.82 |
| 80359 |
|
14 |
14 |
$108.50 |
| 80324 |
|
14 |
14 |
$108.36 |
| 80353 |
|
14 |
14 |
$105.56 |
| 82948 |
|
40 |
12 |
$97.28 |
| 80345 |
|
14 |
14 |
$79.87 |
| 87086 |
|
14 |
12 |
$65.48 |
| 82044 |
|
15 |
14 |
$47.48 |
| 81003 |
|
22 |
21 |
$2.24 |
| T1015 |
Clinic service |
857 |
662 |
$0.00 |
| 87880 |
|
81 |
76 |
$0.00 |
| G0483 |
Drug test def 22+ classes |
16 |
14 |
$0.00 |
| 81025 |
|
12 |
12 |
$0.00 |
| 87804 |
|
14 |
14 |
$0.00 |
| 99212 |
|
259 |
216 |
$0.00 |
| 00000 |
|
704 |
481 |
$0.00 |
| 3008F |
|
30 |
23 |
$0.00 |
| A0999 |
Unlisted ambulance service |
40 |
25 |
$0.00 |
| 99214 |
|
37 |
35 |
$0.00 |
| A0398 |
Als routine disposble suppls |
40 |
25 |
$0.00 |