| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
1,612 |
1,169 |
$688K |
| 99283 |
|
1,336 |
1,094 |
$431K |
| 80053 |
|
3,418 |
2,863 |
$304K |
| 85025 |
|
3,389 |
2,815 |
$146K |
| 97110 |
|
926 |
282 |
$114K |
| 36415 |
|
4,273 |
3,442 |
$80K |
| 87635 |
|
1,167 |
1,100 |
$70K |
| 99285 |
|
76 |
55 |
$68K |
| A0425 |
Ground mileage, per statute mile |
323 |
266 |
$55K |
| 96374 |
|
362 |
321 |
$40K |
| 93005 |
|
304 |
252 |
$37K |
| 87502 |
|
304 |
292 |
$32K |
| 87400 |
|
251 |
240 |
$29K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
295 |
238 |
$23K |
| 71046 |
|
130 |
119 |
$20K |
| 97140 |
|
270 |
80 |
$15K |
| 96375 |
|
91 |
82 |
$14K |
| 84443 |
|
185 |
177 |
$11K |
| 81001 |
|
377 |
332 |
$10K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
609 |
552 |
$10K |
| 83036 |
|
195 |
190 |
$10K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
165 |
158 |
$9K |
| 80061 |
|
95 |
93 |
$8K |
| 84484 |
|
122 |
102 |
$7K |
| 87430 |
|
131 |
128 |
$6K |
| 81003 |
|
254 |
239 |
$5K |
| 99282 |
|
14 |
13 |
$4K |
| 80305 |
|
29 |
26 |
$3K |
| 96361 |
|
29 |
27 |
$3K |
| A9270 |
Non-covered item or service |
460 |
357 |
$3K |
| 81005 |
|
123 |
117 |
$2K |
| 80306 |
|
14 |
13 |
$2K |
| 83735 |
|
36 |
30 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
56 |
54 |
$852.61 |
| 87086 |
|
13 |
12 |
$564.23 |
| 87420 |
|
12 |
12 |
$454.68 |
| 87880 |
|
12 |
12 |
$416.49 |
| 93010 |
|
57 |
49 |
$346.67 |
| J2401 |
Injection, chloroprocaine hydrochloride, per 1 mg |
15 |
14 |
$339.11 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
16 |
12 |
$148.25 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
12 |
12 |
$108.20 |
| A0998 |
Ambulance response and treatment, no transport |
14 |
14 |
$0.00 |