| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpt clinic visit |
62,424 |
51,399 |
$6.50M |
| 99283 |
|
15,536 |
14,847 |
$2.39M |
| 99284 |
|
11,777 |
11,075 |
$1.82M |
| G0378 |
Hospital observation per hr |
1,327 |
830 |
$1.28M |
| 96361 |
|
4,913 |
4,552 |
$880K |
| 99282 |
|
6,004 |
5,864 |
$851K |
| 74177 |
|
2,485 |
2,422 |
$553K |
| 99214 |
|
6,793 |
6,441 |
$530K |
| 70450 |
|
2,119 |
2,076 |
$445K |
| 99211 |
|
22,015 |
17,912 |
$443K |
| 80053 |
|
25,616 |
22,516 |
$394K |
| 74176 |
|
1,419 |
1,390 |
$314K |
| 99285 |
|
1,843 |
1,803 |
$310K |
| 93306 |
|
2,447 |
2,435 |
$253K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,154 |
4,035 |
$242K |
| 99213 |
|
3,820 |
3,575 |
$214K |
| 87491 |
|
7,151 |
6,922 |
$200K |
| 36415 |
|
32,353 |
22,695 |
$180K |
| 97110 |
|
4,132 |
1,665 |
$173K |
| 96360 |
|
1,245 |
1,227 |
$167K |
| 43239 |
|
327 |
327 |
$151K |
| 99201 |
|
1,385 |
1,280 |
$140K |
| 87591 |
|
7,078 |
6,859 |
$137K |
| 96365 |
|
1,487 |
1,222 |
$134K |
| 82306 |
|
4,711 |
4,692 |
$133K |
| 77067 |
|
2,307 |
2,304 |
$121K |
| 87481 |
|
3,425 |
3,362 |
$121K |
| 80307 |
|
4,319 |
3,473 |
$119K |
| 87631 |
|
2,628 |
2,588 |
$116K |
| 71275 |
|
516 |
506 |
$114K |
| 76816 |
|
1,717 |
1,510 |
$103K |
| 87502 |
|
2,274 |
2,253 |
$92K |
| 99212 |
|
790 |
755 |
$85K |
| 76700 |
|
1,163 |
1,160 |
$83K |
| J1050 |
Medroxyprogesterone acetate |
1,391 |
1,386 |
$74K |
| 97597 |
|
274 |
208 |
$71K |
| 20610 |
|
317 |
307 |
$70K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
42 |
41 |
$69K |
| 70551 |
|
301 |
300 |
$69K |
| 96372 |
|
6,446 |
5,499 |
$69K |
| 80048 |
|
4,684 |
4,341 |
$65K |
| U0005 |
Infec agen detec ampli probe |
3,231 |
3,161 |
$61K |
| 76830 |
|
1,537 |
1,521 |
$55K |
| 84443 |
|
7,513 |
7,441 |
$54K |
| 99281 |
|
392 |
387 |
$51K |
| 99442 |
|
736 |
695 |
$50K |
| 87651 |
|
1,561 |
1,544 |
$50K |
| 80061 |
|
7,269 |
7,232 |
$49K |
| 90715 |
|
1,927 |
1,914 |
$49K |
| 97161 |
|
792 |
783 |
$47K |
| 76815 |
|
1,013 |
905 |
$47K |
| 76817 |
|
767 |
650 |
$46K |
| 76805 |
|
717 |
711 |
$46K |
| 88305 |
|
1,829 |
1,602 |
$44K |
| 83036 |
|
6,018 |
5,977 |
$43K |
| 12001 |
|
114 |
112 |
$40K |
| 69210 |
|
1,383 |
1,299 |
$40K |
| 82607 |
|
4,295 |
4,273 |
$40K |
| 76801 |
|
550 |
535 |
$38K |
| 86850 |
|
1,778 |
1,700 |
$37K |
| 71046 |
|
5,894 |
5,793 |
$31K |
| 85025 |
|
24,847 |
22,300 |
$31K |
| 99203 |
|
384 |
384 |
$30K |
| 99395 |
|
349 |
349 |
$29K |
| 83880 |
|
1,253 |
1,191 |
$29K |
| 90686 |
|
1,063 |
1,061 |
$27K |
| 84439 |
|
3,465 |
3,428 |
$27K |
| 99441 |
|
323 |
309 |
$27K |
| 93017 |
|
909 |
899 |
$26K |
| 96366 |
|
306 |
272 |
$25K |
| G2023 |
Specimen collect covid-19 |
1,426 |
1,378 |
$24K |
| 99204 |
|
215 |
214 |
$24K |
| 86900 |
|
2,109 |
1,959 |
$22K |
| 97140 |
|
1,006 |
430 |
$22K |
| 81025 |
|
7,646 |
7,223 |
$22K |
| 76641 |
|
906 |
903 |
$22K |
| 87635 |
|
3,562 |
3,483 |
$20K |
| 77063 |
|
2,200 |
2,198 |
$19K |
| 99202 |
|
192 |
190 |
$18K |
| 82803 |
|
862 |
778 |
$17K |
| 93005 |
|
10,848 |
10,266 |
$17K |
| 93976 |
|
42 |
40 |
$16K |
| 93010 |
|
2,351 |
2,220 |
$16K |
| 70553 |
|
51 |
51 |
$16K |
| 82746 |
|
1,477 |
1,474 |
$15K |
| 93971 |
|
314 |
309 |
$15K |
| 87389 |
|
1,644 |
1,616 |
$15K |
| 87563 |
|
698 |
683 |
$13K |
| 82728 |
|
1,171 |
1,149 |
$13K |
| 87660 |
|
6,495 |
6,190 |
$11K |
| 87086 |
|
5,859 |
5,527 |
$11K |
| Q9957 |
Inj perflutren lip micros,ml |
129 |
129 |
$11K |
| 84702 |
|
2,001 |
1,655 |
$11K |
| 93970 |
|
53 |
53 |
$11K |
| A9579 |
Gad-base mr contrast nos,1ml |
271 |
270 |
$11K |
| 96374 |
|
8,431 |
7,848 |
$10K |
| 90682 |
|
378 |
376 |
$10K |
| 85027 |
|
4,072 |
3,914 |
$10K |
| 86803 |
|
1,598 |
1,590 |
$10K |
| 72125 |
|
274 |
273 |
$9K |
| 81001 |
|
10,494 |
9,921 |
$9K |
| 78452 |
|
66 |
66 |
$9K |
| 86701 |
|
977 |
968 |
$9K |
| 99221 |
|
110 |
110 |
$9K |
| 76536 |
|
427 |
426 |
$8K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,530 |
3,399 |
$7K |
| 83921 |
|
473 |
472 |
$7K |
| 71271 |
|
323 |
323 |
$7K |
| 86901 |
|
476 |
407 |
$7K |
| 80076 |
|
759 |
749 |
$7K |
| 82043 |
|
1,527 |
1,507 |
$6K |
| 85610 |
|
4,191 |
3,840 |
$6K |
| 97530 |
|
288 |
134 |
$6K |
| 86762 |
|
610 |
608 |
$6K |
| 76818 |
|
158 |
113 |
$6K |
| 83550 |
|
1,350 |
1,336 |
$5K |
| 87340 |
|
754 |
750 |
$5K |
| 99443 |
|
69 |
67 |
$5K |
| 87088 |
|
1,771 |
1,670 |
$5K |
| 90670 |
|
134 |
134 |
$5K |
| 85730 |
|
3,581 |
3,447 |
$5K |
| 99396 |
|
50 |
50 |
$4K |
| 59025 |
|
108 |
90 |
$4K |
| A9500 |
Tc99m sestamibi |
54 |
53 |
$4K |
| 12011 |
|
13 |
13 |
$4K |
| 93225 |
|
220 |
220 |
$4K |
| 70486 |
|
45 |
44 |
$4K |
| J2785 |
Regadenoson injection |
41 |
41 |
$4K |
| 83735 |
|
3,625 |
3,197 |
$4K |
| 90656 |
|
260 |
260 |
$4K |
| 76813 |
|
63 |
63 |
$3K |
| 71250 |
|
53 |
53 |
$3K |
| 31575 |
|
126 |
124 |
$3K |
| 71045 |
|
3,960 |
3,837 |
$3K |
| 87077 |
|
2,202 |
1,918 |
$3K |
| 90734 |
|
144 |
144 |
$3K |
| 76705 |
|
168 |
167 |
$3K |
| 99406 |
|
92 |
90 |
$3K |
| 84153 |
|
197 |
194 |
$3K |
| 83655 |
|
201 |
200 |
$3K |
| 87186 |
|
1,960 |
1,759 |
$3K |
| 76856 |
|
13 |
13 |
$3K |
| 81003 |
|
4,951 |
4,783 |
$2K |
| 73630 |
|
1,144 |
1,107 |
$2K |
| 73030 |
|
751 |
734 |
$2K |
| 96375 |
|
5,578 |
5,010 |
$2K |
| 87480 |
|
1,726 |
1,691 |
$2K |
| 99393 |
|
30 |
30 |
$2K |
| 87510 |
|
1,724 |
1,689 |
$2K |
| 83690 |
|
5,717 |
5,307 |
$2K |
| 72100 |
|
365 |
363 |
$2K |
| 87798 |
|
56 |
56 |
$2K |
| 31231 |
|
168 |
167 |
$2K |
| J3420 |
Vitamin b12 injection |
1,111 |
776 |
$2K |
| 85652 |
|
1,218 |
1,189 |
$2K |
| 86787 |
|
297 |
294 |
$2K |
| 86885 |
|
54 |
52 |
$2K |
| 90471 |
|
5,000 |
4,944 |
$2K |
| 97112 |
|
67 |
27 |
$1K |
| 97162 |
|
13 |
13 |
$1K |
| J7120 |
Ringers lactate infusion |
3,703 |
3,467 |
$1K |
| 87661 |
|
73 |
73 |
$1K |
| 82150 |
|
2,924 |
2,786 |
$1K |
| 87624 |
|
40 |
40 |
$1K |
| 95819 |
|
39 |
39 |
$1K |
| 99385 |
|
19 |
19 |
$1K |
| 81513 |
|
3,455 |
3,391 |
$1K |
| 88304 |
|
230 |
216 |
$1K |
| 83001 |
|
89 |
89 |
$1K |
| 82570 |
|
275 |
268 |
$1K |
| 72110 |
|
81 |
81 |
$1K |
| 90651 |
|
36 |
36 |
$1K |
| 86140 |
|
424 |
383 |
$1K |
| 99000 |
|
247 |
240 |
$1K |
| 73562 |
|
440 |
426 |
$1K |
| 95886 |
|
32 |
32 |
$1K |
| 83540 |
|
202 |
200 |
$988.04 |
| G0297 |
Ldct for lung ca screen |
12 |
12 |
$952.03 |
| 73130 |
|
654 |
641 |
$942.73 |
| 73610 |
|
829 |
805 |
$913.82 |
| 97010 |
|
53 |
13 |
$903.33 |
| 73564 |
|
286 |
283 |
$897.24 |
| 82784 |
|
59 |
42 |
$878.78 |
| 86480 |
|
14 |
14 |
$826.82 |
| 90677 |
|
12 |
12 |
$779.45 |
| 74018 |
|
308 |
302 |
$762.56 |
| 84484 |
|
6,394 |
4,013 |
$730.30 |
| 73502 |
|
202 |
198 |
$725.71 |
| 84550 |
|
213 |
192 |
$640.98 |
| 86580 |
|
137 |
122 |
$632.15 |
| 86003 |
|
21 |
13 |
$632.07 |
| 86038 |
|
153 |
148 |
$579.08 |
| 82950 |
|
144 |
143 |
$571.47 |
| G0103 |
Psa screening |
80 |
78 |
$551.74 |
| 90714 |
|
25 |
25 |
$535.98 |
| 82550 |
|
387 |
366 |
$527.13 |
| 82948 |
|
3,943 |
1,766 |
$523.34 |
| 86592 |
|
180 |
177 |
$511.42 |
| 83605 |
|
1,774 |
1,533 |
$502.42 |
| 85379 |
|
1,129 |
1,105 |
$469.96 |
| 99231 |
|
15 |
12 |
$463.35 |
| 86376 |
|
38 |
37 |
$461.91 |
| 86880 |
|
25 |
24 |
$457.88 |
| 94640 |
|
1,257 |
1,191 |
$451.59 |
| J2704 |
Inj, propofol, 10 mg |
3,106 |
3,025 |
$428.18 |
| J7030 |
Normal saline solution infus |
5,035 |
4,530 |
$426.22 |
| 87040 |
|
1,688 |
887 |
$424.07 |
| 87070 |
|
556 |
533 |
$378.82 |
| 73110 |
|
309 |
304 |
$371.97 |
| J1170 |
Hydromorphone injection |
2,634 |
2,188 |
$367.98 |
| 90713 |
|
13 |
13 |
$326.30 |
| 90632 |
|
12 |
12 |
$288.92 |
| 84156 |
|
131 |
113 |
$271.69 |
| 85007 |
|
589 |
509 |
$248.91 |
| 90472 |
|
934 |
931 |
$226.93 |
| 84100 |
|
65 |
65 |
$209.08 |
| 84480 |
|
39 |
39 |
$191.26 |
| 93016 |
|
12 |
12 |
$181.50 |
| 74019 |
|
99 |
97 |
$173.98 |
| 83021 |
|
13 |
13 |
$173.60 |
| 86800 |
|
13 |
13 |
$153.83 |
| J1885 |
Ketorolac tromethamine inj |
6,162 |
5,748 |
$152.81 |
| 83002 |
|
12 |
12 |
$148.53 |
| 93018 |
|
12 |
12 |
$148.50 |
| 81002 |
|
1,296 |
1,059 |
$148.22 |
| 72040 |
|
24 |
24 |
$144.61 |
| J0696 |
Ceftriaxone sodium injection |
1,365 |
1,260 |
$143.59 |
| J2930 |
Methylprednisolone injection |
125 |
109 |
$139.31 |
| 82565 |
|
55 |
55 |
$122.61 |
| 84460 |
|
53 |
53 |
$114.14 |
| 84703 |
|
1,076 |
1,038 |
$101.64 |
| J7050 |
Normal saline solution infus |
629 |
481 |
$100.06 |
| 82310 |
|
56 |
54 |
$98.96 |
| 87205 |
|
267 |
256 |
$96.87 |
| 84520 |
|
54 |
54 |
$93.78 |
| J1100 |
Dexamethasone sodium phos |
2,522 |
2,471 |
$93.43 |
| 87081 |
|
753 |
748 |
$92.88 |
| 84481 |
|
13 |
13 |
$90.00 |
| J2405 |
Ondansetron hcl injection |
6,299 |
5,712 |
$81.04 |
| A9270 |
Non-covered item or service |
14,414 |
12,536 |
$74.95 |
| J3010 |
Fentanyl citrate injection |
2,015 |
1,969 |
$69.64 |
| 82248 |
|
15 |
14 |
$66.30 |
| J0690 |
Cefazolin sodium injection |
676 |
638 |
$62.29 |
| G0008 |
Admin influenza virus vac |
17 |
17 |
$58.85 |
| 84436 |
|
13 |
13 |
$55.88 |
| 90460 |
|
414 |
412 |
$50.00 |
| J2250 |
Inj midazolam hydrochloride |
1,624 |
1,593 |
$35.51 |
| 73080 |
|
30 |
29 |
$33.76 |
| 80320 |
|
367 |
347 |
$30.15 |
| 71101 |
|
13 |
13 |
$26.04 |
| J2270 |
Morphine sulfate injection |
776 |
669 |
$25.14 |
| J1010 |
Inj, methylpred acetate 1 mg |
75 |
73 |
$19.48 |
| 87880 |
|
151 |
147 |
$18.09 |
| 81015 |
|
182 |
176 |
$17.76 |
| J1200 |
Diphenhydramine hcl injectio |
1,162 |
1,097 |
$16.35 |
| 85018 |
|
124 |
122 |
$12.12 |
| 73090 |
|
14 |
14 |
$12.12 |
| 82947 |
|
14 |
12 |
$11.79 |
| J2001 |
Lidocaine injection |
204 |
197 |
$11.72 |
| 80355 |
|
262 |
198 |
$11.54 |
| 80369 |
|
261 |
200 |
$10.68 |
| 85014 |
|
122 |
120 |
$10.10 |
| 73590 |
|
12 |
12 |
$10.10 |
| 86308 |
|
13 |
13 |
$9.56 |
| 87075 |
|
27 |
26 |
$9.47 |
| J2765 |
Metoclopramide hcl injection |
880 |
821 |
$8.46 |
| J0780 |
Prochlorperazine injection |
212 |
206 |
$7.62 |
| J1956 |
Levofloxacin injection |
211 |
203 |
$7.30 |
| J2272 |
Inj, morphine (fresenius) |
360 |
335 |
$6.83 |
| J3490 |
Drugs unclassified injection |
325 |
269 |
$5.83 |
| 87802 |
|
204 |
203 |
$5.75 |
| C9113 |
Inj pantoprazole sodium, via |
192 |
173 |
$5.04 |
| 82040 |
|
12 |
12 |
$4.95 |
| J3475 |
Inj magnesium sulfate |
76 |
71 |
$4.68 |
| J1644 |
Inj heparin sodium per 1000u |
38 |
24 |
$4.18 |
| J1650 |
Inj enoxaparin sodium |
275 |
173 |
$2.16 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
120 |
94 |
$1.17 |
| J7512 |
Prednisone ir or dr oral 1mg |
603 |
557 |
$1.03 |
| Q0162 |
Ondansetron oral |
59 |
57 |
$0.74 |
| J2060 |
Lorazepam injection |
255 |
237 |
$0.68 |
| J0689 |
Inj cefazolin sodium, baxter |
86 |
80 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
48 |
44 |
$0.00 |
| 87804 |
|
94 |
92 |
$0.00 |
| 99152 |
|
39 |
39 |
$0.00 |
| 82010 |
|
42 |
38 |
$0.00 |
| 80179 |
|
13 |
12 |
$0.00 |
| 80354 |
|
17 |
17 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
55 |
44 |
$0.00 |
| 93041 |
|
15 |
15 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
237 |
230 |
$0.00 |
| 96376 |
|
1,228 |
979 |
$0.00 |
| 80368 |
|
14 |
14 |
$0.00 |
| 80329 |
|
27 |
25 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
14 |
14 |
$0.00 |
| 80358 |
|
12 |
12 |
$0.00 |