| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpt clinic visit |
22,662 |
20,966 |
$2.45M |
| 99283 |
|
13,668 |
13,124 |
$2.31M |
| 99284 |
|
10,427 |
9,922 |
$1.95M |
| 96361 |
|
5,096 |
4,815 |
$861K |
| 74177 |
|
2,160 |
2,131 |
$454K |
| 99211 |
|
17,203 |
15,648 |
$417K |
| 99282 |
|
2,602 |
2,554 |
$393K |
| 70450 |
|
1,419 |
1,398 |
$314K |
| 99212 |
|
2,775 |
2,706 |
$292K |
| 97110 |
|
6,496 |
2,121 |
$278K |
| 36415 |
|
22,483 |
14,089 |
$239K |
| 99285 |
|
902 |
893 |
$195K |
| 80053 |
|
9,659 |
9,192 |
$192K |
| 74176 |
|
691 |
683 |
$154K |
| 97161 |
|
2,136 |
2,116 |
$149K |
| 99214 |
|
2,316 |
2,264 |
$139K |
| 87502 |
|
3,458 |
3,425 |
$138K |
| 99213 |
|
3,178 |
3,059 |
$133K |
| 87631 |
|
2,279 |
2,256 |
$120K |
| 71275 |
|
487 |
484 |
$118K |
| G0378 |
Hospital observation per hr |
104 |
64 |
$114K |
| 96360 |
|
1,006 |
985 |
$113K |
| 76856 |
|
369 |
368 |
$111K |
| 93976 |
|
454 |
450 |
$106K |
| 87635 |
|
4,728 |
4,660 |
$80K |
| 87651 |
|
2,811 |
2,774 |
$80K |
| 87491 |
|
2,525 |
2,475 |
$78K |
| 80048 |
|
4,387 |
4,165 |
$72K |
| 43239 |
|
116 |
116 |
$70K |
| 76700 |
|
358 |
357 |
$69K |
| 96365 |
|
753 |
717 |
$62K |
| C1776 |
Joint device (implantable) |
12 |
12 |
$51K |
| U0003 |
Cov-19 amp prb hgh thruput |
836 |
827 |
$46K |
| 90791 |
|
353 |
352 |
$45K |
| 80307 |
|
1,291 |
1,165 |
$39K |
| 96372 |
|
3,238 |
3,016 |
$39K |
| 93010 |
|
4,865 |
4,559 |
$36K |
| 87591 |
|
2,165 |
2,126 |
$36K |
| 97803 |
|
961 |
842 |
$31K |
| 90670 |
|
1,650 |
1,649 |
$29K |
| 29581 |
|
163 |
50 |
$29K |
| 90686 |
|
1,216 |
1,216 |
$28K |
| 99406 |
|
913 |
893 |
$27K |
| 90648 |
|
1,622 |
1,621 |
$27K |
| 97010 |
|
2,119 |
914 |
$27K |
| 97802 |
|
757 |
748 |
$26K |
| 90715 |
|
1,187 |
1,180 |
$24K |
| 82306 |
|
719 |
717 |
$23K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,698 |
2,653 |
$23K |
| 83880 |
|
895 |
883 |
$21K |
| 99393 |
|
339 |
339 |
$21K |
| 90723 |
|
1,237 |
1,236 |
$21K |
| 81025 |
|
6,985 |
6,754 |
$18K |
| 90633 |
|
1,029 |
1,029 |
$18K |
| 80061 |
|
1,546 |
1,538 |
$18K |
| 88305 |
|
517 |
423 |
$17K |
| 90734 |
|
919 |
919 |
$16K |
| U0005 |
Infec agen detec ampli probe |
762 |
753 |
$15K |
| 99391 |
|
278 |
271 |
$15K |
| 99392 |
|
245 |
245 |
$14K |
| 90674 |
|
812 |
812 |
$14K |
| 90651 |
|
655 |
654 |
$13K |
| 99460 |
|
149 |
149 |
$13K |
| 99394 |
|
185 |
185 |
$12K |
| 99201 |
|
113 |
113 |
$12K |
| 90680 |
|
688 |
687 |
$11K |
| 86850 |
|
365 |
360 |
$10K |
| 80076 |
|
1,341 |
1,288 |
$10K |
| 99238 |
|
149 |
149 |
$9K |
| 97140 |
|
505 |
220 |
$8K |
| 12001 |
|
24 |
24 |
$8K |
| 90677 |
|
316 |
316 |
$7K |
| 84443 |
|
1,990 |
1,976 |
$7K |
| M0243 |
Casirivi and imdevi inj |
19 |
19 |
$7K |
| 99396 |
|
92 |
92 |
$7K |
| 71046 |
|
2,817 |
2,782 |
$7K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
35 |
26 |
$7K |
| 83655 |
|
415 |
404 |
$7K |
| 99442 |
|
178 |
167 |
$6K |
| 99395 |
|
86 |
86 |
$6K |
| 83036 |
|
1,892 |
1,869 |
$6K |
| 86900 |
|
402 |
390 |
$6K |
| 59425 |
|
71 |
58 |
$6K |
| 85025 |
|
12,207 |
11,550 |
$6K |
| 90460 |
|
4,675 |
4,656 |
$6K |
| 93798 |
|
206 |
40 |
$6K |
| 86701 |
|
614 |
604 |
$5K |
| J2405 |
Ondansetron hcl injection |
3,793 |
3,541 |
$5K |
| 87481 |
|
152 |
149 |
$5K |
| 90710 |
|
302 |
302 |
$5K |
| G2023 |
Specimen collect covid-19 |
242 |
240 |
$5K |
| 90471 |
|
4,052 |
4,027 |
$4K |
| 99441 |
|
219 |
211 |
$4K |
| 90697 |
|
186 |
186 |
$4K |
| 77067 |
|
76 |
75 |
$4K |
| 99281 |
|
30 |
30 |
$4K |
| 90707 |
|
224 |
224 |
$4K |
| 96374 |
|
6,639 |
6,216 |
$4K |
| 87661 |
|
333 |
331 |
$4K |
| 76801 |
|
58 |
57 |
$4K |
| 90681 |
|
176 |
176 |
$4K |
| 90696 |
|
220 |
220 |
$4K |
| 90716 |
|
194 |
194 |
$3K |
| 87563 |
|
207 |
203 |
$3K |
| 99202 |
|
42 |
42 |
$3K |
| 82607 |
|
681 |
678 |
$3K |
| M0247 |
Sotrovimab infusion |
12 |
12 |
$3K |
| 93975 |
|
12 |
12 |
$3K |
| 90656 |
|
199 |
199 |
$3K |
| 93005 |
|
5,124 |
4,863 |
$3K |
| 90714 |
|
172 |
172 |
$3K |
| 93971 |
|
67 |
67 |
$3K |
| 84439 |
|
529 |
525 |
$3K |
| 90620 |
|
162 |
161 |
$3K |
| J3010 |
Fentanyl citrate injection |
1,034 |
1,018 |
$3K |
| 99173 |
|
562 |
562 |
$3K |
| 90700 |
|
148 |
148 |
$3K |
| 90658 |
|
142 |
142 |
$2K |
| 71045 |
|
3,218 |
3,136 |
$2K |
| 72125 |
|
50 |
49 |
$2K |
| 93041 |
|
540 |
525 |
$2K |
| 59426 |
|
20 |
12 |
$2K |
| 98968 |
|
65 |
62 |
$2K |
| 99000 |
|
81 |
80 |
$2K |
| 96366 |
|
28 |
26 |
$2K |
| 87086 |
|
2,810 |
2,739 |
$2K |
| 77063 |
|
63 |
63 |
$2K |
| 87081 |
|
1,335 |
1,321 |
$2K |
| 81001 |
|
5,358 |
5,156 |
$2K |
| 73630 |
|
660 |
654 |
$2K |
| 76830 |
|
87 |
86 |
$1K |
| 73130 |
|
491 |
479 |
$1K |
| 70486 |
|
12 |
12 |
$1K |
| 86901 |
|
84 |
78 |
$1K |
| 85610 |
|
2,209 |
2,156 |
$1K |
| 87798 |
|
44 |
44 |
$1K |
| 96375 |
|
4,296 |
4,001 |
$1K |
| 84484 |
|
5,119 |
3,356 |
$1K |
| 90657 |
|
64 |
64 |
$1K |
| 82803 |
|
53 |
50 |
$1K |
| 82948 |
|
1,317 |
758 |
$1K |
| 94640 |
|
1,014 |
977 |
$1K |
| 85027 |
|
1,328 |
1,265 |
$955.27 |
| 97112 |
|
57 |
25 |
$951.80 |
| 90472 |
|
1,199 |
1,198 |
$934.04 |
| 73030 |
|
303 |
292 |
$892.83 |
| 72110 |
|
122 |
122 |
$854.34 |
| 87660 |
|
1,624 |
1,524 |
$799.72 |
| 73562 |
|
183 |
177 |
$762.82 |
| 97165 |
|
12 |
12 |
$717.14 |
| 81513 |
|
630 |
620 |
$714.06 |
| 90732 |
|
16 |
16 |
$597.95 |
| 85730 |
|
2,211 |
2,166 |
$586.25 |
| 83690 |
|
4,959 |
4,670 |
$571.20 |
| 84702 |
|
566 |
543 |
$497.68 |
| 85018 |
|
414 |
406 |
$471.25 |
| 83735 |
|
1,965 |
1,847 |
$457.42 |
| 98967 |
|
15 |
14 |
$432.57 |
| 86580 |
|
87 |
84 |
$430.00 |
| 85379 |
|
1,245 |
1,224 |
$386.30 |
| 87389 |
|
918 |
914 |
$369.20 |
| 73610 |
|
366 |
361 |
$351.83 |
| 97535 |
|
19 |
18 |
$318.02 |
| 81002 |
|
774 |
723 |
$317.52 |
| J7120 |
Ringers lactate infusion |
2,053 |
1,949 |
$267.69 |
| J7030 |
Normal saline solution infus |
3,694 |
3,497 |
$240.99 |
| 81003 |
|
2,907 |
2,832 |
$219.65 |
| 73564 |
|
156 |
155 |
$218.85 |
| 90461 |
|
1,510 |
1,508 |
$213.91 |
| 87077 |
|
1,056 |
944 |
$204.28 |
| 82746 |
|
90 |
88 |
$188.95 |
| 72100 |
|
25 |
25 |
$168.12 |
| J2765 |
Metoclopramide hcl injection |
1,440 |
1,347 |
$160.14 |
| J1885 |
Ketorolac tromethamine inj |
5,736 |
5,445 |
$152.70 |
| 87070 |
|
143 |
139 |
$151.76 |
| 82150 |
|
1,164 |
1,120 |
$144.02 |
| 85007 |
|
712 |
682 |
$139.67 |
| 87186 |
|
769 |
707 |
$114.24 |
| 85652 |
|
80 |
78 |
$78.64 |
| 83605 |
|
503 |
454 |
$75.41 |
| 72050 |
|
12 |
12 |
$63.21 |
| 86803 |
|
108 |
108 |
$52.85 |
| J0696 |
Ceftriaxone sodium injection |
988 |
955 |
$52.11 |
| 73502 |
|
12 |
12 |
$50.52 |
| C9803 |
Hopd covid-19 spec collect |
110 |
107 |
$47.62 |
| 87880 |
|
520 |
514 |
$47.55 |
| 83550 |
|
44 |
44 |
$47.16 |
| 74018 |
|
25 |
25 |
$46.58 |
| J2250 |
Inj midazolam hydrochloride |
978 |
962 |
$44.21 |
| 82728 |
|
12 |
12 |
$43.00 |
| 87510 |
|
75 |
73 |
$32.73 |
| 87480 |
|
75 |
73 |
$32.73 |
| 87040 |
|
412 |
223 |
$32.50 |
| 95806 |
|
51 |
51 |
$30.57 |
| 73140 |
|
12 |
12 |
$30.11 |
| J7050 |
Normal saline solution infus |
35 |
29 |
$30.09 |
| J3490 |
Drugs unclassified injection |
586 |
516 |
$29.57 |
| J1170 |
Hydromorphone injection |
411 |
341 |
$28.34 |
| J1100 |
Dexamethasone sodium phos |
1,239 |
1,174 |
$28.05 |
| 85014 |
|
12 |
12 |
$24.30 |
| 73110 |
|
28 |
28 |
$22.74 |
| 87590 |
|
175 |
172 |
$20.50 |
| J1200 |
Diphenhydramine hcl injectio |
1,315 |
1,224 |
$18.21 |
| 73620 |
|
14 |
14 |
$18.00 |
| 74019 |
|
16 |
16 |
$16.58 |
| J2270 |
Morphine sulfate injection |
994 |
922 |
$13.25 |
| 88312 |
|
43 |
43 |
$13.18 |
| J2704 |
Inj, propofol, 10 mg |
387 |
375 |
$11.16 |
| J7512 |
Prednisone ir or dr oral 1mg |
654 |
538 |
$5.65 |
| J3475 |
Inj magnesium sulfate |
71 |
70 |
$5.32 |
| 86308 |
|
30 |
30 |
$4.73 |
| 81015 |
|
197 |
188 |
$2.70 |
| J2930 |
Methylprednisolone injection |
30 |
29 |
$2.28 |
| 87205 |
|
106 |
104 |
$1.57 |
| A9270 |
Non-covered item or service |
8,318 |
7,545 |
$1.05 |
| 96376 |
|
174 |
122 |
$0.00 |
| J2001 |
Lidocaine injection |
268 |
256 |
$0.00 |
| J1790 |
Droperidol injection |
54 |
44 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
14 |
13 |
$0.00 |
| J8540 |
Oral dexamethasone |
17 |
13 |
$0.00 |
| 86403 |
|
13 |
12 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
130 |
111 |
$0.00 |
| 90474 |
|
64 |
64 |
$0.00 |
| J0132 |
Acetylcysteine injection |
114 |
107 |
$0.00 |
| 99080 |
|
794 |
786 |
$0.00 |
| 99152 |
|
133 |
132 |
$0.00 |
| G0500 |
Mod sedat endo service >5yrs |
28 |
28 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
47 |
30 |
$0.00 |
| 87804 |
|
26 |
13 |
$0.00 |
| 87339 |
|
14 |
14 |
$0.00 |
| 73080 |
|
18 |
18 |
$0.00 |