| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpt clinic visit |
114,412 |
99,279 |
$5.63M |
| 99283 |
|
116,756 |
109,317 |
$5.11M |
| 99284 |
|
40,958 |
38,832 |
$3.43M |
| 87635 |
|
44,713 |
42,705 |
$2.17M |
| 87502 |
|
32,379 |
30,996 |
$2.02M |
| 87634 |
|
16,713 |
16,028 |
$920K |
| 99282 |
|
17,810 |
16,589 |
$728K |
| 99285 |
|
1,022 |
975 |
$361K |
| 85025 |
|
37,362 |
29,158 |
$333K |
| 76819 |
|
6,495 |
4,629 |
$291K |
| 69436 |
|
2,002 |
976 |
$286K |
| 87651 |
|
6,391 |
6,180 |
$249K |
| 80053 |
|
22,645 |
16,932 |
$238K |
| 42820 |
|
597 |
546 |
$235K |
| 76816 |
|
5,663 |
4,884 |
$208K |
| 43239 |
|
671 |
637 |
$180K |
| 76811 |
|
1,821 |
1,721 |
$173K |
| 96413 |
|
2,257 |
1,123 |
$148K |
| 81001 |
|
34,016 |
31,570 |
$147K |
| 93306 |
|
828 |
780 |
$120K |
| 93325 |
|
2,318 |
2,154 |
$117K |
| 94640 |
|
6,258 |
5,743 |
$112K |
| 87088 |
|
8,759 |
8,334 |
$105K |
| G0378 |
Hospital observation per hr |
276 |
141 |
$101K |
| 71046 |
|
7,783 |
7,426 |
$98K |
| 93005 |
|
5,084 |
4,795 |
$86K |
| 81002 |
|
21,537 |
17,471 |
$83K |
| 87400 |
|
8,046 |
7,405 |
$82K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,303 |
1,248 |
$81K |
| 87801 |
|
3,188 |
2,988 |
$69K |
| 76820 |
|
1,479 |
974 |
$66K |
| 76817 |
|
1,629 |
1,475 |
$65K |
| 70551 |
|
276 |
266 |
$64K |
| 81025 |
|
18,056 |
16,485 |
$58K |
| 93321 |
|
1,386 |
1,316 |
$56K |
| 87420 |
|
3,815 |
3,440 |
$54K |
| 83036 |
|
2,584 |
2,409 |
$40K |
| 93304 |
|
763 |
728 |
$36K |
| 87430 |
|
2,181 |
2,082 |
$32K |
| 76825 |
|
301 |
281 |
$28K |
| 90686 |
|
2,760 |
2,559 |
$27K |
| 88175 |
|
970 |
886 |
$25K |
| 96375 |
|
855 |
348 |
$24K |
| 76830 |
|
737 |
698 |
$21K |
| 96372 |
|
2,036 |
1,906 |
$21K |
| 76770 |
|
352 |
347 |
$19K |
| 84702 |
|
1,457 |
1,275 |
$17K |
| 86300 |
|
1,045 |
590 |
$15K |
| G0330 |
Facility svs dental rehab |
12 |
12 |
$14K |
| 86850 |
|
2,267 |
2,038 |
$13K |
| 76805 |
|
461 |
431 |
$12K |
| 82947 |
|
2,368 |
2,200 |
$12K |
| 45331 |
|
121 |
110 |
$12K |
| 87426 |
|
486 |
458 |
$11K |
| 87081 |
|
1,028 |
982 |
$10K |
| 85046 |
|
1,726 |
1,415 |
$9K |
| 16020 |
|
29 |
25 |
$8K |
| 80048 |
|
726 |
659 |
$8K |
| 74018 |
|
694 |
661 |
$8K |
| J1050 |
Medroxyprogesterone acetate |
2,262 |
1,955 |
$7K |
| 86900 |
|
2,286 |
2,060 |
$7K |
| 87661 |
|
402 |
363 |
$7K |
| 86140 |
|
2,933 |
2,766 |
$7K |
| 86901 |
|
2,289 |
2,060 |
$6K |
| 92523 |
|
62 |
62 |
$6K |
| 99281 |
|
152 |
143 |
$6K |
| 97110 |
|
196 |
36 |
$5K |
| 81003 |
|
1,083 |
994 |
$4K |
| 54161 |
|
13 |
13 |
$4K |
| 76700 |
|
55 |
52 |
$4K |
| 87804 |
|
164 |
153 |
$4K |
| J0558 |
Peng benzathine/procaine inj |
19 |
18 |
$3K |
| 85027 |
|
442 |
413 |
$3K |
| 76775 |
|
129 |
123 |
$2K |
| J0561 |
Penicillin g benzathine inj |
13 |
12 |
$2K |
| 76801 |
|
87 |
82 |
$2K |
| 85045 |
|
422 |
315 |
$2K |
| 93303 |
|
26 |
26 |
$2K |
| 36415 |
|
376 |
231 |
$2K |
| 96374 |
|
103 |
91 |
$2K |
| 84443 |
|
133 |
91 |
$2K |
| 45380 |
|
14 |
12 |
$2K |
| G0480 |
Drug test def 1-7 classes |
180 |
38 |
$2K |
| 97530 |
|
92 |
25 |
$2K |
| 87807 |
|
149 |
133 |
$2K |
| 93320 |
|
26 |
26 |
$2K |
| 87040 |
|
160 |
148 |
$2K |
| 90715 |
|
62 |
53 |
$1K |
| 82272 |
|
420 |
392 |
$1K |
| 87624 |
|
75 |
72 |
$1K |
| 70450 |
|
17 |
12 |
$1K |
| J1100 |
Dexamethasone sodium phos |
1,688 |
1,276 |
$1K |
| U0002 |
Covid-19 lab test non-cdc |
31 |
29 |
$1K |
| 88142 |
|
34 |
31 |
$979.83 |
| 93271 |
|
13 |
13 |
$944.71 |
| 87077 |
|
117 |
108 |
$942.90 |
| 82728 |
|
84 |
79 |
$797.37 |
| 96402 |
|
56 |
37 |
$782.00 |
| 81015 |
|
252 |
237 |
$657.51 |
| J2405 |
Ondansetron hcl injection |
3,396 |
2,906 |
$649.18 |
| 92551 |
|
35 |
29 |
$580.93 |
| 82247 |
|
250 |
219 |
$507.80 |
| J7030 |
Normal saline solution infus |
226 |
183 |
$458.56 |
| 71045 |
|
69 |
67 |
$436.92 |
| 82951 |
|
49 |
44 |
$413.69 |
| 82784 |
|
31 |
12 |
$397.30 |
| 94060 |
|
15 |
14 |
$373.66 |
| J0696 |
Ceftriaxone sodium injection |
204 |
170 |
$371.80 |
| 83690 |
|
53 |
51 |
$371.68 |
| 82150 |
|
53 |
51 |
$371.22 |
| 83615 |
|
76 |
70 |
$369.60 |
| 82952 |
|
48 |
43 |
$352.50 |
| 70360 |
|
32 |
31 |
$341.00 |
| 76815 |
|
12 |
12 |
$337.08 |
| 87491 |
|
12 |
12 |
$299.16 |
| 84439 |
|
41 |
26 |
$252.25 |
| 87186 |
|
29 |
25 |
$212.31 |
| 87880 |
|
13 |
13 |
$208.52 |
| 88305 |
|
69 |
65 |
$192.60 |
| J7050 |
Normal saline solution infus |
395 |
150 |
$191.05 |
| 73130 |
|
13 |
13 |
$153.00 |
| J0131 |
Inj, acetaminophen (nos) |
157 |
136 |
$137.00 |
| J7120 |
Ringers lactate infusion |
2,647 |
2,359 |
$98.73 |
| 83735 |
|
19 |
12 |
$96.14 |
| J2704 |
Inj, propofol, 10 mg |
1,499 |
1,306 |
$92.10 |
| J1885 |
Ketorolac tromethamine inj |
198 |
189 |
$88.35 |
| J3010 |
Fentanyl citrate injection |
416 |
366 |
$69.03 |
| 36416 |
|
68 |
44 |
$68.02 |
| J1642 |
Inj heparin sodium per 10 u |
94 |
63 |
$65.50 |
| J2270 |
Morphine sulfate injection |
580 |
497 |
$45.87 |
| 99406 |
|
19 |
18 |
$25.80 |
| J2250 |
Inj midazolam hydrochloride |
340 |
281 |
$19.25 |
| J2765 |
Metoclopramide hcl injection |
12 |
12 |
$12.43 |
| 90633 |
|
888 |
829 |
$0.00 |
| 99177 |
|
3,413 |
3,169 |
$0.00 |
| 90670 |
|
4,863 |
4,201 |
$0.00 |
| 90710 |
|
291 |
267 |
$0.00 |
| 90648 |
|
2,465 |
2,122 |
$0.00 |
| 99173 |
|
462 |
445 |
$0.00 |
| 0202U |
|
85 |
82 |
$0.00 |
| 92202 |
|
639 |
517 |
$0.00 |
| 96160 |
|
309 |
291 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
96 |
92 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
275 |
266 |
$0.00 |
| 90734 |
|
27 |
27 |
$0.00 |
| 92201 |
|
140 |
123 |
$0.00 |
| 96360 |
|
13 |
13 |
$0.00 |
| G1004 |
Cdsm ndsc |
52 |
51 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90707 |
|
14 |
14 |
$0.00 |
| 90680 |
|
2,091 |
1,766 |
$0.00 |
| 90723 |
|
1,210 |
1,010 |
$0.00 |
| 90744 |
|
122 |
108 |
$0.00 |
| 94760 |
|
130 |
98 |
$0.00 |
| 96127 |
|
1,727 |
1,632 |
$0.00 |
| 96161 |
|
119 |
96 |
$0.00 |
| 90698 |
|
535 |
484 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
43 |
41 |
$0.00 |
| 82962 |
|
70 |
67 |
$0.00 |
| 90471 |
|
34 |
25 |
$0.00 |
| 90656 |
|
16 |
13 |
$0.00 |
| 90651 |
|
33 |
33 |
$0.00 |
| J8540 |
Oral dexamethasone |
84 |
66 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 93270 |
|
13 |
13 |
$0.00 |
| 88304 |
|
13 |
13 |
$0.00 |
| 93788 |
|
12 |
12 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |
| 95012 |
|
19 |
13 |
$0.00 |