| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpt clinic visit |
101,220 |
76,517 |
$7.12M |
| 96361 |
|
16,187 |
13,780 |
$4.81M |
| 99283 |
|
18,928 |
17,403 |
$1.96M |
| 99284 |
|
27,932 |
24,842 |
$1.93M |
| 99285 |
|
24,346 |
21,922 |
$1.52M |
| 74177 |
|
7,440 |
6,965 |
$1.15M |
| 70450 |
|
5,346 |
4,990 |
$684K |
| 99282 |
|
6,501 |
6,097 |
$672K |
| 96360 |
|
5,868 |
5,382 |
$664K |
| U0004 |
Cov-19 test non-cdc hgh thru |
8,694 |
7,750 |
$620K |
| 59025 |
|
3,861 |
2,698 |
$582K |
| G0378 |
Hospital observation per hr |
5,068 |
4,575 |
$556K |
| 96365 |
|
6,287 |
3,704 |
$553K |
| 93306 |
|
2,730 |
2,670 |
$499K |
| 97110 |
|
21,667 |
9,532 |
$466K |
| 71275 |
|
2,993 |
2,853 |
$451K |
| 96366 |
|
1,802 |
1,194 |
$431K |
| 11042 |
|
3,138 |
1,616 |
$424K |
| J0585 |
Injection,onabotulinumtoxina |
1,980 |
1,418 |
$363K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,439 |
4,057 |
$252K |
| 74176 |
|
1,671 |
1,574 |
$242K |
| 97530 |
|
10,136 |
5,670 |
$239K |
| C9803 |
Hopd covid-19 spec collect |
12,611 |
11,340 |
$225K |
| 64615 |
|
824 |
799 |
$223K |
| 70496 |
|
1,366 |
1,291 |
$213K |
| 80307 |
|
8,435 |
7,123 |
$210K |
| 97140 |
|
12,663 |
5,570 |
$206K |
| 76642 |
|
2,324 |
2,281 |
$202K |
| 76816 |
|
3,332 |
2,774 |
$181K |
| 78452 |
|
890 |
849 |
$180K |
| 93325 |
|
1,257 |
1,224 |
$160K |
| 95806 |
|
672 |
637 |
$140K |
| 76805 |
|
2,184 |
2,047 |
$139K |
| 76705 |
|
1,879 |
1,795 |
$134K |
| 20610 |
|
973 |
884 |
$123K |
| 80047 |
|
28,744 |
25,294 |
$122K |
| 76830 |
|
1,777 |
1,683 |
$118K |
| 97161 |
|
3,169 |
3,054 |
$118K |
| 76811 |
|
1,688 |
1,638 |
$107K |
| 76817 |
|
3,355 |
2,515 |
$104K |
| 93971 |
|
1,360 |
1,298 |
$103K |
| 93017 |
|
1,528 |
1,479 |
$96K |
| 77063 |
|
2,840 |
2,813 |
$93K |
| 76856 |
|
1,939 |
1,830 |
$85K |
| 64483 |
|
217 |
214 |
$79K |
| G0108 |
Diab manage trn per indiv |
2,310 |
1,464 |
$78K |
| 76815 |
|
1,592 |
1,221 |
$77K |
| 80053 |
|
17,994 |
16,280 |
$67K |
| 84484 |
|
15,391 |
13,075 |
$62K |
| 71046 |
|
5,328 |
5,019 |
$52K |
| 77066 |
Tomosynthesis, mammo |
1,743 |
1,714 |
$49K |
| 97165 |
|
1,233 |
1,186 |
$49K |
| 76819 |
|
935 |
759 |
$43K |
| 77067 |
|
2,877 |
2,844 |
$43K |
| 92507 |
|
1,383 |
631 |
$43K |
| 80076 |
|
18,373 |
16,508 |
$42K |
| 76818 |
|
797 |
436 |
$42K |
| 93005 |
|
27,239 |
24,246 |
$42K |
| 80048 |
|
9,983 |
8,585 |
$40K |
| 20611 |
|
209 |
183 |
$40K |
| 99281 |
|
288 |
265 |
$39K |
| 93975 |
|
605 |
573 |
$37K |
| 12001 |
|
171 |
162 |
$36K |
| 97162 |
|
1,046 |
1,020 |
$35K |
| 93976 |
|
888 |
831 |
$35K |
| 77065 |
Tomosynthesis, mammo |
1,162 |
1,043 |
$34K |
| 70498 |
|
1,130 |
1,065 |
$32K |
| 97112 |
|
1,554 |
925 |
$31K |
| 87502 |
|
2,348 |
2,226 |
$27K |
| 83880 |
|
3,840 |
3,568 |
$26K |
| 93970 |
|
321 |
312 |
$26K |
| 71260 |
|
1,374 |
1,319 |
$26K |
| 76801 |
|
876 |
782 |
$25K |
| 76942 |
|
356 |
337 |
$25K |
| 36415 |
|
32,773 |
27,532 |
$23K |
| 97535 |
|
966 |
660 |
$23K |
| 84443 |
|
9,104 |
8,717 |
$23K |
| 85025 |
|
52,231 |
43,469 |
$22K |
| 73630 |
|
2,861 |
2,595 |
$22K |
| 70551 |
|
153 |
146 |
$21K |
| 73610 |
|
2,174 |
1,974 |
$20K |
| 87591 |
|
2,032 |
1,873 |
$19K |
| 83605 |
|
3,983 |
3,497 |
$19K |
| 87635 |
|
850 |
792 |
$18K |
| 72125 |
|
1,967 |
1,864 |
$18K |
| 71250 |
|
471 |
451 |
$17K |
| 73030 |
|
2,199 |
2,013 |
$16K |
| 97803 |
|
459 |
328 |
$16K |
| 97116 |
|
1,196 |
650 |
$15K |
| 87491 |
|
2,036 |
1,876 |
$15K |
| G0279 |
Tomosynthesis, mammo |
2,913 |
2,744 |
$14K |
| 73110 |
|
1,405 |
1,273 |
$14K |
| 73140 |
|
1,068 |
932 |
$14K |
| 87040 |
|
1,476 |
1,258 |
$14K |
| 85379 |
|
2,885 |
2,763 |
$14K |
| 94060 |
|
926 |
896 |
$12K |
| 90715 |
|
747 |
702 |
$12K |
| 76820 |
|
348 |
144 |
$11K |
| 73130 |
|
1,300 |
1,164 |
$11K |
| 72100 |
|
1,249 |
1,203 |
$11K |
| 93226 |
|
597 |
575 |
$11K |
| 94640 |
|
1,387 |
1,177 |
$11K |
| 83036 |
|
6,704 |
6,513 |
$11K |
| 73564 |
|
2,244 |
2,025 |
$11K |
| 82607 |
|
1,999 |
1,940 |
$11K |
| 99490 |
Ccm add 20min |
564 |
558 |
$11K |
| 80061 |
|
3,894 |
3,795 |
$10K |
| 76821 |
|
298 |
125 |
$10K |
| 71045 |
|
10,039 |
9,212 |
$9K |
| 99291 |
|
100 |
94 |
$9K |
| 93351 |
|
109 |
108 |
$7K |
| 87086 |
|
6,088 |
5,703 |
$7K |
| 84439 |
|
2,089 |
2,009 |
$7K |
| 94729 |
|
982 |
951 |
$7K |
| 76770 |
|
89 |
88 |
$7K |
| J3490 |
Drugs unclassified injection |
1,771 |
1,448 |
$7K |
| 96374 |
|
20,718 |
17,836 |
$6K |
| 82306 |
|
1,072 |
1,047 |
$6K |
| 93296 |
|
792 |
776 |
$6K |
| 73502 |
|
769 |
731 |
$6K |
| 94726 |
|
705 |
680 |
$6K |
| 95810 |
|
13 |
13 |
$6K |
| 93308 |
|
24 |
24 |
$5K |
| 85027 |
|
2,733 |
2,499 |
$5K |
| Q3014 |
Telehealth facility fee |
398 |
355 |
$5K |
| 20550 |
|
41 |
34 |
$4K |
| 43239 |
|
12 |
12 |
$4K |
| 82728 |
|
769 |
758 |
$4K |
| 77080 |
|
79 |
79 |
$4K |
| 73562 |
|
184 |
166 |
$4K |
| 97035 |
|
712 |
312 |
$4K |
| 80143 |
|
1,149 |
1,054 |
$4K |
| 84703 |
|
10,814 |
9,855 |
$4K |
| 76813 |
|
106 |
102 |
$4K |
| 87389 |
|
783 |
775 |
$4K |
| 93225 |
|
570 |
544 |
$3K |
| 86780 |
|
494 |
487 |
$3K |
| 76641 |
|
44 |
35 |
$3K |
| 96372 |
|
4,263 |
3,724 |
$3K |
| 83735 |
|
6,227 |
5,090 |
$3K |
| 10061 |
|
13 |
12 |
$3K |
| 86140 |
|
4,019 |
3,600 |
$3K |
| 70486 |
|
161 |
154 |
$3K |
| 86803 |
|
747 |
738 |
$3K |
| 0011A |
|
135 |
128 |
$3K |
| 70487 |
|
18 |
17 |
$3K |
| 82570 |
|
1,685 |
1,492 |
$3K |
| 87070 |
|
2,852 |
2,628 |
$3K |
| 95886 |
|
12 |
12 |
$3K |
| 45380 |
|
13 |
13 |
$2K |
| 85610 |
|
14,168 |
9,611 |
$2K |
| 72131 |
|
395 |
370 |
$2K |
| 86592 |
|
412 |
404 |
$2K |
| 86850 |
|
1,431 |
1,350 |
$2K |
| 84702 |
|
2,281 |
1,978 |
$2K |
| 87507 |
|
42 |
37 |
$2K |
| 86900 |
|
2,722 |
2,085 |
$2K |
| 81001 |
|
9,997 |
9,277 |
$2K |
| 82077 |
|
4,738 |
3,969 |
$2K |
| 96375 |
|
14,900 |
12,266 |
$2K |
| 80179 |
|
1,079 |
997 |
$2K |
| 87077 |
|
2,404 |
2,275 |
$2K |
| 72110 |
|
210 |
203 |
$2K |
| 82962 |
|
9,079 |
6,216 |
$2K |
| 81003 |
|
13,197 |
11,968 |
$1K |
| 83690 |
|
12,086 |
10,752 |
$1K |
| 87186 |
|
2,645 |
2,424 |
$1K |
| 87798 |
|
159 |
153 |
$1K |
| 84481 |
|
329 |
320 |
$1K |
| 85652 |
|
3,166 |
2,811 |
$1K |
| 73700 |
|
24 |
24 |
$1K |
| 83550 |
|
460 |
454 |
$1K |
| 87340 |
|
520 |
510 |
$1K |
| 76857 |
|
13 |
13 |
$1K |
| 87081 |
|
305 |
299 |
$1K |
| 90471 |
|
1,522 |
1,413 |
$1K |
| 73080 |
|
154 |
140 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,126 |
4,661 |
$1K |
| 82565 |
|
1,168 |
1,041 |
$1K |
| G2023 |
Specimen collect covid-19 |
316 |
303 |
$1K |
| 74018 |
|
176 |
160 |
$1K |
| 76937 |
|
19 |
17 |
$1K |
| 87801 |
|
75 |
70 |
$1K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
836 |
808 |
$1K |
| 72040 |
|
130 |
124 |
$1K |
| 97760 |
|
43 |
30 |
$1K |
| 86901 |
|
1,796 |
1,553 |
$980.01 |
| 87641 |
|
101 |
97 |
$949.05 |
| 90686 |
|
92 |
88 |
$925.74 |
| 0012A |
|
31 |
31 |
$900.22 |
| 82550 |
|
1,436 |
1,247 |
$883.13 |
| 73560 |
|
71 |
63 |
$875.69 |
| 82746 |
|
265 |
264 |
$862.66 |
| U0002 |
Covid-19 lab test non-cdc |
914 |
818 |
$857.83 |
| 83540 |
|
544 |
536 |
$855.69 |
| J7030 |
Normal saline solution infus |
10,192 |
8,519 |
$835.51 |
| 87205 |
|
2,154 |
1,965 |
$822.02 |
| 86762 |
|
225 |
220 |
$787.43 |
| 86038 |
|
230 |
225 |
$744.54 |
| 84550 |
|
1,099 |
945 |
$726.93 |
| 84403 |
|
148 |
144 |
$712.01 |
| 84153 |
|
105 |
104 |
$699.57 |
| 36000 |
|
2,542 |
2,442 |
$680.68 |
| 82043 |
|
636 |
625 |
$659.49 |
| 76700 |
|
13 |
13 |
$650.57 |
| 72128 |
|
175 |
159 |
$648.18 |
| 85730 |
|
2,419 |
2,297 |
$617.77 |
| 72120 |
|
180 |
175 |
$613.11 |
| 84100 |
|
963 |
669 |
$588.95 |
| 97163 |
|
12 |
12 |
$561.22 |
| J1756 |
Iron sucrose injection |
33 |
13 |
$546.43 |
| 82950 |
|
165 |
158 |
$521.38 |
| 96127 |
|
106 |
103 |
$514.56 |
| 82951 |
|
73 |
70 |
$513.93 |
| 86787 |
|
147 |
144 |
$508.78 |
| J7050 |
Normal saline solution infus |
13,531 |
10,835 |
$501.30 |
| 87088 |
|
740 |
715 |
$487.23 |
| J1170 |
Hydromorphone injection |
15,020 |
7,657 |
$477.54 |
| 93246 |
|
31 |
30 |
$466.95 |
| 82105 |
|
59 |
57 |
$463.19 |
| Q9957 |
Inj perflutren lip micros,ml |
78 |
77 |
$461.52 |
| 83970 |
|
40 |
39 |
$449.85 |
| 88305 |
|
1,863 |
1,756 |
$430.20 |
| J2405 |
Ondansetron hcl injection |
21,367 |
16,596 |
$425.17 |
| 87661 |
|
57 |
55 |
$407.73 |
| 96376 |
|
5,757 |
5,006 |
$399.35 |
| 84156 |
|
533 |
441 |
$390.75 |
| A9500 |
Tc99m sestamibi |
887 |
850 |
$369.06 |
| 84450 |
|
469 |
392 |
$353.30 |
| 86317 |
|
73 |
72 |
$346.72 |
| 64447 |
|
12 |
12 |
$316.54 |
| 87634 |
|
333 |
295 |
$308.29 |
| 84460 |
|
571 |
482 |
$307.10 |
| 87075 |
|
1,241 |
1,121 |
$306.25 |
| 0241U |
|
2,015 |
1,905 |
$304.16 |
| 83001 |
|
43 |
43 |
$277.12 |
| 74019 |
|
29 |
25 |
$273.17 |
| 87633 |
|
26 |
26 |
$266.26 |
| 86480 |
|
13 |
13 |
$256.79 |
| 76000 |
|
14 |
13 |
$255.61 |
| 86704 |
|
84 |
83 |
$250.22 |
| 85014 |
|
464 |
412 |
$238.85 |
| 90677 |
|
12 |
12 |
$231.91 |
| 99409 |
|
13 |
12 |
$230.60 |
| 80069 |
|
70 |
63 |
$204.04 |
| 73590 |
|
54 |
51 |
$201.93 |
| U0005 |
Infec agen detec ampli probe |
10,261 |
9,422 |
$187.98 |
| J1815 |
Insulin injection |
786 |
490 |
$183.24 |
| 84146 |
|
31 |
30 |
$176.77 |
| A9270 |
Non-covered item or service |
5,384 |
3,333 |
$175.27 |
| 85018 |
|
564 |
515 |
$173.73 |
| 90662 |
|
136 |
134 |
$166.42 |
| 82248 |
|
604 |
571 |
$159.74 |
| 90674 |
|
17 |
15 |
$135.42 |
| 81025 |
|
687 |
647 |
$134.18 |
| 84402 |
|
24 |
24 |
$133.38 |
| 84520 |
|
251 |
208 |
$127.70 |
| J1885 |
Ketorolac tromethamine inj |
10,571 |
8,964 |
$126.09 |
| 84112 |
|
12 |
12 |
$124.36 |
| J2704 |
Inj, propofol, 10 mg |
9,082 |
7,189 |
$99.79 |
| 80178 |
|
12 |
12 |
$96.69 |
| 94664 |
|
143 |
136 |
$94.61 |
| 87210 |
|
197 |
187 |
$90.88 |
| G0103 |
Psa screening |
13 |
13 |
$84.15 |
| 72050 |
|
25 |
24 |
$81.80 |
| 86765 |
|
25 |
24 |
$77.31 |
| 83516 |
|
42 |
39 |
$76.75 |
| J2930 |
Methylprednisolone injection |
602 |
488 |
$74.13 |
| 88304 |
|
228 |
219 |
$71.82 |
| 87430 |
|
491 |
462 |
$71.73 |
| J2060 |
Lorazepam injection |
5,159 |
3,697 |
$66.29 |
| 86431 |
|
39 |
39 |
$66.07 |
| J0696 |
Ceftriaxone sodium injection |
1,480 |
1,171 |
$65.90 |
| 87426 |
|
397 |
371 |
$65.66 |
| 93242 |
|
14 |
13 |
$61.41 |
| 73660 |
|
12 |
12 |
$57.72 |
| 73090 |
|
14 |
12 |
$55.79 |
| 83002 |
|
12 |
12 |
$54.04 |
| J3010 |
Fentanyl citrate injection |
11,973 |
7,798 |
$51.20 |
| 82330 |
|
186 |
169 |
$47.66 |
| 80050 |
|
29 |
28 |
$46.37 |
| 87800 |
|
13 |
12 |
$45.69 |
| 0001A |
|
18 |
15 |
$43.20 |
| 86200 |
|
13 |
13 |
$41.50 |
| J7040 |
Normal saline solution infus |
1,780 |
1,513 |
$40.23 |
| 82784 |
|
33 |
31 |
$38.89 |
| J2270 |
Morphine sulfate injection |
2,247 |
1,665 |
$35.84 |
| 81002 |
|
2,400 |
2,217 |
$29.07 |
| 97597 |
|
42 |
26 |
$25.89 |
| 99152 |
|
450 |
408 |
$25.07 |
| J0690 |
Cefazolin sodium injection |
6,695 |
4,829 |
$23.28 |
| 82009 |
|
117 |
102 |
$22.60 |
| 0352U |
|
318 |
315 |
$22.49 |
| C9113 |
Inj pantoprazole sodium, via |
346 |
279 |
$22.27 |
| J1100 |
Dexamethasone sodium phos |
3,489 |
3,247 |
$20.96 |
| J7613 |
Albuterol non-comp unit |
194 |
160 |
$19.60 |
| 87651 |
|
154 |
146 |
$18.66 |
| J3301 |
Triamcinolone acet inj nos |
1,692 |
1,551 |
$17.58 |
| 99153 |
Mod sedat endo service >5yrs |
62 |
53 |
$17.54 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
225 |
211 |
$13.26 |
| 84425 |
|
15 |
14 |
$12.75 |
| J1200 |
Diphenhydramine hcl injectio |
746 |
598 |
$12.71 |
| J0780 |
Prochlorperazine injection |
230 |
206 |
$9.15 |
| 99406 |
|
31 |
24 |
$8.56 |
| J7120 |
Ringers lactate infusion |
2,840 |
2,564 |
$7.16 |
| C1769 |
Guide wire |
1,437 |
1,347 |
$3.84 |
| J2250 |
Inj midazolam hydrochloride |
4,401 |
3,887 |
$3.69 |
| J7512 |
Prednisone ir or dr oral 1mg |
567 |
475 |
$2.94 |
| Q0162 |
Ondansetron oral |
1,894 |
1,686 |
$2.43 |
| J1630 |
Haloperidol injection |
273 |
213 |
$1.85 |
| C1894 |
Intro/sheath, non-laser |
644 |
601 |
$0.78 |
| J2765 |
Metoclopramide hcl injection |
1,051 |
970 |
$0.33 |
| J1644 |
Inj heparin sodium per 1000u |
877 |
506 |
$0.16 |
| G8979 |
Mobility goal status |
278 |
251 |
$0.00 |
| G8978 |
Mobility current status |
244 |
228 |
$0.00 |
| 76376 |
|
39 |
37 |
$0.00 |
| 0202U |
|
303 |
283 |
$0.00 |
| C1776 |
Joint device (implantable) |
15 |
15 |
$0.00 |
| J0153 |
Adenosine inj 1mg |
113 |
106 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
414 |
340 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
70 |
58 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
129 |
104 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
45 |
40 |
$0.00 |
| G0390 |
Trauma respons w/hosp criti |
12 |
12 |
$0.00 |
| C1887 |
Catheter, guiding |
16 |
12 |
$0.00 |
| 90653 |
|
55 |
53 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
49 |
46 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
82 |
27 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
388 |
321 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
160 |
140 |
$0.00 |
| 87154 |
|
215 |
205 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
296 |
280 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
79 |
78 |
$0.00 |
| 0240U |
|
120 |
114 |
$0.00 |
| J2785 |
Regadenoson injection |
105 |
105 |
$0.00 |
| 82803 |
|
70 |
63 |
$0.00 |
| G0008 |
Admin influenza virus vac |
194 |
183 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
30 |
25 |
$0.00 |
| 82150 |
|
17 |
17 |
$0.00 |
| G8988 |
Self care goal status |
13 |
12 |
$0.00 |
| A4648 |
Implantable tissue marker |
15 |
15 |
$0.00 |
| J3360 |
Diazepam injection |
16 |
14 |
$0.00 |
| 93280 |
|
12 |
12 |
$0.00 |