| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
40,244 |
32,344 |
$3.30M |
| 99283 |
|
16,256 |
13,609 |
$2.03M |
| 99285 |
|
17,337 |
13,348 |
$1.94M |
| 99284 |
|
10,854 |
8,513 |
$1.38M |
| 41899 |
|
444 |
387 |
$715K |
| C9803 |
Hopd covid-19 spec collect |
10,439 |
8,614 |
$645K |
| 11042 |
|
1,188 |
482 |
$485K |
| 93005 |
|
9,514 |
6,790 |
$444K |
| 71045 |
|
4,169 |
3,240 |
$427K |
| 88305 |
|
1,483 |
1,299 |
$401K |
| 87635 |
|
6,461 |
5,498 |
$242K |
| 80053 |
|
46,554 |
35,454 |
$190K |
| 87651 |
|
5,222 |
4,815 |
$160K |
| 77067 |
|
870 |
770 |
$159K |
| 85025 |
|
47,811 |
34,286 |
$132K |
| 93306 |
|
396 |
317 |
$129K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,103 |
1,711 |
$121K |
| 36415 |
|
72,844 |
54,847 |
$121K |
| 74177 |
|
420 |
324 |
$120K |
| 87804 |
|
7,356 |
3,772 |
$110K |
| 96361 |
|
4,276 |
3,347 |
$98K |
| 87502 |
|
2,213 |
1,782 |
$86K |
| 99234 |
|
592 |
167 |
$72K |
| 71046 |
|
1,047 |
831 |
$71K |
| 80050 |
|
400 |
378 |
$69K |
| 96374 |
|
4,985 |
3,890 |
$56K |
| 77063 |
|
870 |
770 |
$44K |
| 87880 |
|
3,569 |
3,037 |
$44K |
| 76642 |
|
406 |
330 |
$43K |
| 80061 |
|
5,798 |
5,111 |
$38K |
| 0241U |
|
290 |
257 |
$36K |
| 81001 |
|
23,253 |
18,267 |
$33K |
| 97110 |
|
313 |
80 |
$30K |
| 70450 |
|
454 |
352 |
$29K |
| 84484 |
|
4,850 |
3,054 |
$22K |
| 69436 |
|
15 |
13 |
$22K |
| 96413 |
|
167 |
76 |
$22K |
| 83690 |
|
9,084 |
6,968 |
$21K |
| 83880 |
|
1,427 |
1,014 |
$20K |
| 94060 |
|
539 |
343 |
$19K |
| 83036 |
|
3,727 |
3,327 |
$16K |
| 74176 |
|
147 |
97 |
$14K |
| 77065 |
Tomosynthesis, mammo |
99 |
67 |
$14K |
| 84443 |
|
1,819 |
1,608 |
$12K |
| 83605 |
|
2,259 |
1,710 |
$11K |
| 99282 |
|
85 |
66 |
$11K |
| 84145 |
|
780 |
602 |
$10K |
| 87633 |
|
31 |
31 |
$10K |
| 83735 |
|
3,292 |
2,515 |
$10K |
| 73721 |
|
27 |
24 |
$9K |
| 81025 |
|
1,709 |
1,395 |
$9K |
| 87591 |
|
287 |
261 |
$9K |
| 87491 |
|
287 |
261 |
$9K |
| 85610 |
|
5,045 |
3,796 |
$8K |
| 64493 |
|
14 |
12 |
$7K |
| 92567 |
|
478 |
422 |
$7K |
| 96375 |
|
2,295 |
1,762 |
$6K |
| 87086 |
|
1,187 |
944 |
$6K |
| 43239 |
|
153 |
123 |
$6K |
| 92555 |
|
76 |
67 |
$6K |
| 82306 |
|
532 |
462 |
$6K |
| 31231 |
|
43 |
40 |
$5K |
| 84100 |
|
2,641 |
2,037 |
$5K |
| G0480 |
Drug test def 1-7 classes |
144 |
99 |
$5K |
| 85730 |
|
2,170 |
1,608 |
$5K |
| 96372 |
|
421 |
276 |
$5K |
| 73221 |
|
16 |
13 |
$5K |
| 77066 |
Tomosynthesis, mammo |
20 |
14 |
$4K |
| 77336 |
|
30 |
12 |
$4K |
| 99239 |
|
13 |
12 |
$4K |
| 96360 |
|
94 |
86 |
$4K |
| J2704 |
Inj, propofol, 10 mg |
950 |
802 |
$4K |
| 88342 |
|
52 |
40 |
$4K |
| G0378 |
Hospital observation per hr |
45 |
38 |
$3K |
| 87088 |
|
685 |
530 |
$3K |
| 82550 |
|
1,196 |
881 |
$3K |
| 87653 |
|
112 |
99 |
$3K |
| 82150 |
|
1,511 |
1,117 |
$3K |
| 64494 |
|
14 |
12 |
$3K |
| 80306 |
|
588 |
424 |
$3K |
| 99281 |
|
32 |
25 |
$3K |
| 80307 |
|
83 |
59 |
$2K |
| 76705 |
|
15 |
13 |
$2K |
| J7030 |
Normal saline solution infus |
1,382 |
1,069 |
$2K |
| 84439 |
|
570 |
463 |
$2K |
| 85027 |
|
410 |
371 |
$2K |
| 93017 |
|
22 |
12 |
$2K |
| 87807 |
|
137 |
123 |
$2K |
| J7120 |
Ringers lactate infusion |
304 |
235 |
$2K |
| 92557 |
|
14 |
13 |
$2K |
| 92579 |
|
13 |
12 |
$1K |
| 87426 |
|
99 |
81 |
$1K |
| 87486 |
|
31 |
31 |
$840.90 |
| 87581 |
|
31 |
31 |
$840.90 |
| 87798 |
|
31 |
31 |
$805.81 |
| 87661 |
|
24 |
24 |
$782.51 |
| 87801 |
|
26 |
24 |
$711.52 |
| 77080 |
|
12 |
12 |
$629.94 |
| 82950 |
|
184 |
154 |
$599.26 |
| A0425 |
Ground mileage |
3,505 |
2,184 |
$597.80 |
| 86850 |
|
224 |
183 |
$595.88 |
| G0279 |
Tomosynthesis, mammo |
327 |
274 |
$558.94 |
| 87590 |
|
46 |
40 |
$549.90 |
| P9604 |
One-way allow prorated trip |
887 |
528 |
$496.58 |
| 87490 |
|
46 |
40 |
$487.02 |
| 80048 |
|
252 |
194 |
$433.72 |
| 94640 |
|
114 |
50 |
$332.53 |
| G0123 |
Screen cerv/vag thin layer |
41 |
39 |
$311.96 |
| 88142 |
|
13 |
12 |
$207.32 |
| 81003 |
|
106 |
99 |
$190.42 |
| 83718 |
|
94 |
81 |
$157.46 |
| 86592 |
|
63 |
52 |
$147.51 |
| 82607 |
|
14 |
14 |
$136.79 |
| 94729 |
|
480 |
307 |
$127.37 |
| 94726 |
|
127 |
77 |
$112.04 |
| 83615 |
|
94 |
70 |
$105.46 |
| 83550 |
|
15 |
12 |
$102.37 |
| 96365 |
|
33 |
25 |
$100.58 |
| J7040 |
Normal saline solution infus |
366 |
189 |
$100.38 |
| J1885 |
Ketorolac tromethamine inj |
330 |
304 |
$94.64 |
| A9270 |
Non-covered item or service |
1,963 |
898 |
$88.65 |
| J7050 |
Normal saline solution infus |
150 |
82 |
$83.16 |
| 83540 |
|
15 |
12 |
$75.78 |
| 80164 |
|
15 |
12 |
$67.70 |
| 86140 |
|
15 |
12 |
$67.34 |
| 84550 |
|
16 |
12 |
$49.73 |
| 84146 |
|
15 |
13 |
$41.07 |
| J2405 |
Ondansetron hcl injection |
526 |
440 |
$33.46 |
| 87070 |
|
16 |
14 |
$20.64 |
| 87075 |
|
16 |
14 |
$16.46 |
| J2795 |
Ropivacaine hcl injection |
84 |
52 |
$12.00 |
| G1004 |
Cdsm ndsc |
7,393 |
4,661 |
$1.34 |
| 87186 |
|
16 |
16 |
$0.14 |
| A0427 |
Als1-emergency |
2,024 |
1,345 |
$0.00 |
| 82270 |
|
37 |
36 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
215 |
179 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
122 |
87 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
117 |
103 |
$0.00 |
| 88304 |
|
52 |
39 |
$0.00 |
| 96376 |
|
61 |
24 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
22 |
12 |
$0.00 |
| J1170 |
Hydromorphone injection |
18 |
13 |
$0.00 |
| A0429 |
Bls-emergency |
355 |
217 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
122 |
103 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
55 |
40 |
$0.00 |