| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpt clinic visit |
105,754 |
93,557 |
$10.46M |
| 99213 |
|
72,229 |
60,503 |
$2.33M |
| 99283 |
|
19,508 |
16,853 |
$2.16M |
| 99214 |
|
40,538 |
34,655 |
$2.10M |
| 99284 |
|
8,955 |
7,654 |
$903K |
| 92507 |
|
9,525 |
1,681 |
$743K |
| 97530 |
|
8,439 |
1,431 |
$495K |
| 92014 |
|
6,815 |
5,328 |
$494K |
| 36415 |
|
30,802 |
26,233 |
$413K |
| 99282 |
|
6,629 |
5,844 |
$278K |
| 99215 |
Prolong outpt/office vis |
2,785 |
2,422 |
$229K |
| 99392 |
|
3,705 |
3,085 |
$219K |
| 92012 |
|
2,907 |
2,447 |
$205K |
| 96374 |
|
2,177 |
1,955 |
$194K |
| 99391 |
|
3,192 |
2,559 |
$185K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,758 |
2,569 |
$185K |
| 99309 |
|
2,771 |
2,482 |
$179K |
| 90471 |
|
8,458 |
7,958 |
$176K |
| 99285 |
|
1,137 |
946 |
$174K |
| 88305 |
|
3,030 |
2,735 |
$156K |
| C9803 |
Hopd covid-19 spec collect |
4,435 |
4,097 |
$135K |
| 99203 |
|
2,737 |
2,530 |
$130K |
| 96361 |
|
1,074 |
943 |
$127K |
| 80053 |
|
14,584 |
12,395 |
$122K |
| 99393 |
|
1,969 |
1,783 |
$109K |
| 64450 |
|
478 |
241 |
$101K |
| 87502 |
|
3,093 |
2,973 |
$97K |
| 87651 |
|
6,761 |
6,509 |
$97K |
| 99212 |
|
5,238 |
4,681 |
$93K |
| 99395 |
|
1,297 |
1,137 |
$76K |
| 99396 |
|
1,072 |
927 |
$73K |
| 99202 |
|
2,695 |
2,464 |
$73K |
| S0302 |
Completed epsdt |
4,713 |
4,417 |
$72K |
| 87635 |
|
4,872 |
4,728 |
$68K |
| V2020 |
Vision svcs frames purchases |
2,515 |
2,104 |
$68K |
| 92015 |
|
5,455 |
5,145 |
$61K |
| 74177 |
|
1,018 |
929 |
$58K |
| 64405 |
|
478 |
241 |
$56K |
| 93306 |
|
674 |
591 |
$55K |
| 0202U |
|
158 |
151 |
$55K |
| 70450 |
|
1,569 |
1,412 |
$55K |
| 85025 |
|
15,941 |
13,384 |
$53K |
| 99204 |
|
657 |
614 |
$50K |
| S0281 |
Medical home, maintenance |
2,889 |
2,846 |
$49K |
| X5622 |
|
1,972 |
1,871 |
$47K |
| 99394 |
|
846 |
810 |
$46K |
| 20553 |
|
617 |
313 |
$44K |
| 93010 |
|
7,777 |
6,377 |
$41K |
| 97535 |
|
729 |
232 |
$41K |
| 92340 |
|
2,131 |
1,856 |
$40K |
| 59025 |
|
508 |
176 |
$39K |
| 99308 |
|
948 |
787 |
$39K |
| 90472 |
|
4,303 |
4,118 |
$36K |
| 92004 |
|
558 |
432 |
$35K |
| 71046 |
|
5,092 |
4,492 |
$31K |
| 93005 |
|
3,139 |
2,730 |
$31K |
| 90792 |
|
208 |
141 |
$31K |
| 99310 |
Prolong nursin fac eval 15m |
395 |
349 |
$29K |
| 77067 |
|
1,153 |
1,106 |
$27K |
| 99281 |
|
255 |
248 |
$26K |
| 99232 |
|
525 |
203 |
$26K |
| 71045 |
|
2,866 |
2,431 |
$23K |
| 94010 |
|
200 |
108 |
$21K |
| 99239 |
|
295 |
267 |
$21K |
| 92551 |
|
3,024 |
2,871 |
$18K |
| 96127 |
|
845 |
804 |
$18K |
| Q3014 |
Telehealth facility fee |
1,486 |
1,384 |
$18K |
| 20610 |
|
370 |
293 |
$17K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
968 |
782 |
$17K |
| 80048 |
|
808 |
707 |
$15K |
| 87633 |
|
112 |
110 |
$14K |
| 77063 |
|
635 |
613 |
$12K |
| 96375 |
|
326 |
290 |
$12K |
| 97110 |
|
263 |
94 |
$12K |
| 90662 |
|
250 |
241 |
$11K |
| 96413 |
|
64 |
25 |
$10K |
| 80061 |
|
1,109 |
1,047 |
$10K |
| 95117 |
|
353 |
172 |
$10K |
| 76705 |
|
412 |
383 |
$9K |
| 99223 |
Prolong inpt eval add15 m |
99 |
90 |
$9K |
| 76856 |
|
390 |
363 |
$8K |
| 99188 |
|
1,782 |
1,735 |
$8K |
| 94640 |
|
64 |
59 |
$8K |
| G0123 |
Screen cerv/vag thin layer |
386 |
376 |
$7K |
| 96372 |
|
911 |
747 |
$7K |
| 88342 |
|
204 |
181 |
$7K |
| 84484 |
|
1,870 |
1,563 |
$7K |
| 90686 |
|
2,101 |
1,913 |
$6K |
| 70553 |
|
101 |
93 |
$6K |
| 99211 |
|
882 |
771 |
$5K |
| 76830 |
|
238 |
219 |
$5K |
| 99380 |
|
440 |
429 |
$5K |
| 73564 |
|
771 |
602 |
$5K |
| 99379 |
|
237 |
148 |
$5K |
| G0008 |
Admin influenza virus vac |
391 |
376 |
$5K |
| 0001A |
|
216 |
208 |
$5K |
| 0002A |
|
203 |
194 |
$5K |
| J1050 |
Medroxyprogesterone acetate |
137 |
127 |
$5K |
| 84443 |
|
368 |
349 |
$4K |
| 74176 |
|
66 |
62 |
$4K |
| G0476 |
Hpv combo assay ca screen |
143 |
139 |
$4K |
| 72125 |
|
100 |
88 |
$3K |
| 82728 |
|
295 |
289 |
$3K |
| 73630 |
|
664 |
556 |
$3K |
| 99173 |
|
2,820 |
2,688 |
$3K |
| 87880 |
|
259 |
248 |
$3K |
| 88307 |
|
45 |
40 |
$3K |
| 83036 |
|
546 |
521 |
$3K |
| 11721 |
|
153 |
116 |
$3K |
| 88304 |
|
284 |
263 |
$3K |
| 96365 |
|
21 |
12 |
$3K |
| 76816 |
|
103 |
89 |
$3K |
| 91322 |
|
43 |
43 |
$3K |
| 82306 |
|
111 |
106 |
$3K |
| 72148 |
|
67 |
66 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
79 |
26 |
$3K |
| 11719 |
|
304 |
233 |
$3K |
| 92557 |
|
35 |
24 |
$2K |
| 76805 |
|
72 |
68 |
$2K |
| 17110 |
|
52 |
50 |
$2K |
| V2784 |
Lens polycarb or equal |
540 |
454 |
$2K |
| 11102 |
|
26 |
15 |
$2K |
| 85060 |
|
96 |
76 |
$2K |
| 90474 |
|
577 |
557 |
$2K |
| 83550 |
|
278 |
271 |
$2K |
| 71275 |
|
32 |
30 |
$2K |
| J0702 |
Betamethasone acet&sod phosp |
287 |
259 |
$2K |
| V2100 |
Lens spher single plano 4.00 |
112 |
82 |
$2K |
| 83540 |
|
278 |
271 |
$2K |
| 78452 |
|
13 |
12 |
$2K |
| 73610 |
|
358 |
304 |
$2K |
| 85018 |
|
186 |
172 |
$1K |
| 99217 |
|
29 |
25 |
$1K |
| 92593 |
|
31 |
27 |
$1K |
| 99442 |
|
79 |
41 |
$1K |
| 83655 |
|
127 |
123 |
$1K |
| 11720 |
|
114 |
81 |
$1K |
| 90480 |
|
51 |
51 |
$1K |
| 93975 |
|
42 |
39 |
$1K |
| 90715 |
|
316 |
301 |
$1K |
| G2211 |
Complex e/m visit add on |
187 |
172 |
$1K |
| 86003 |
|
13 |
13 |
$1K |
| 81001 |
|
1,224 |
1,110 |
$1K |
| 92567 |
|
68 |
50 |
$1K |
| 84703 |
|
384 |
360 |
$1K |
| 90670 |
|
1,126 |
1,085 |
$1K |
| 36591 |
|
54 |
25 |
$1K |
| 86592 |
|
107 |
103 |
$993.14 |
| 73030 |
|
189 |
157 |
$992.17 |
| 87086 |
|
312 |
292 |
$963.06 |
| 80306 |
|
244 |
186 |
$942.13 |
| 87634 |
|
43 |
43 |
$928.32 |
| 76801 |
|
28 |
26 |
$918.19 |
| 99383 |
|
14 |
13 |
$887.90 |
| 99238 |
|
16 |
12 |
$885.15 |
| 88175 |
|
79 |
70 |
$856.43 |
| 87798 |
|
113 |
110 |
$852.45 |
| 73110 |
|
157 |
116 |
$777.19 |
| 92002 |
|
12 |
12 |
$736.44 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
101 |
90 |
$712.60 |
| 99443 |
|
55 |
18 |
$669.26 |
| 0124A |
|
31 |
30 |
$668.79 |
| 41899 |
|
24 |
24 |
$667.16 |
| G0279 |
Tomosynthesis, mammo |
38 |
37 |
$656.48 |
| 95004 |
|
22 |
12 |
$655.71 |
| A9270 |
Non-covered item or service |
1,699 |
1,538 |
$588.87 |
| G0108 |
Diab manage trn per indiv |
13 |
12 |
$575.01 |
| 76642 |
|
29 |
25 |
$571.22 |
| P3000 |
Screen pap by tech w md supv |
52 |
51 |
$553.76 |
| G0148 |
Scr c/v cyto, autosys, rescr |
25 |
25 |
$522.30 |
| 85610 |
|
154 |
98 |
$512.48 |
| J2704 |
Inj, propofol, 10 mg |
106 |
91 |
$494.61 |
| 90673 |
|
13 |
13 |
$471.86 |
| J2405 |
Ondansetron hcl injection |
369 |
316 |
$464.98 |
| 83690 |
|
318 |
282 |
$463.52 |
| J2250 |
Inj midazolam hydrochloride |
100 |
87 |
$384.39 |
| 76817 |
|
14 |
12 |
$364.63 |
| 73721 |
|
16 |
16 |
$350.25 |
| 90656 |
|
67 |
67 |
$322.50 |
| 86850 |
|
13 |
13 |
$312.46 |
| 87581 |
|
112 |
110 |
$292.55 |
| 87486 |
|
112 |
110 |
$286.44 |
| J1885 |
Ketorolac tromethamine inj |
442 |
398 |
$270.57 |
| 83605 |
|
58 |
50 |
$265.14 |
| 74019 |
|
63 |
53 |
$262.39 |
| 85027 |
|
232 |
201 |
$260.80 |
| G0127 |
Trim nail(s) |
17 |
12 |
$254.12 |
| 82077 |
|
26 |
24 |
$245.85 |
| 86900 |
|
12 |
12 |
$245.41 |
| 81003 |
|
540 |
506 |
$229.42 |
| 90682 |
|
13 |
13 |
$222.44 |
| G0480 |
Drug test def 1-7 classes |
65 |
57 |
$219.96 |
| 93971 |
|
14 |
14 |
$218.94 |
| 86901 |
|
12 |
12 |
$197.35 |
| 93016 |
|
14 |
14 |
$193.34 |
| 86738 |
|
25 |
25 |
$167.60 |
| 87591 |
|
13 |
12 |
$147.41 |
| 82607 |
|
13 |
12 |
$146.36 |
| 99490 |
Ccm add 20min |
12 |
12 |
$134.88 |
| 91312 |
|
21 |
20 |
$130.05 |
| 96110 |
|
14 |
14 |
$123.62 |
| 90734 |
|
210 |
201 |
$118.64 |
| 93018 |
|
14 |
14 |
$118.36 |
| 81025 |
|
13 |
13 |
$117.36 |
| 91300 |
|
14 |
14 |
$104.04 |
| 87491 |
|
13 |
12 |
$96.74 |
| 90680 |
|
495 |
472 |
$91.65 |
| 90648 |
|
1,186 |
1,126 |
$90.30 |
| 90707 |
|
78 |
76 |
$76.54 |
| 90723 |
|
731 |
690 |
$76.06 |
| 85007 |
|
101 |
93 |
$69.04 |
| J1170 |
Hydromorphone injection |
56 |
39 |
$66.46 |
| 90633 |
|
666 |
655 |
$63.79 |
| 86308 |
|
12 |
12 |
$63.24 |
| 74018 |
|
12 |
12 |
$62.16 |
| 73562 |
|
13 |
12 |
$55.70 |
| 51741 |
|
16 |
14 |
$54.31 |
| 51798 |
|
29 |
24 |
$52.25 |
| 86803 |
|
27 |
25 |
$43.05 |
| 85651 |
|
16 |
14 |
$31.64 |
| 83735 |
|
12 |
12 |
$25.23 |
| 36416 |
|
38 |
37 |
$15.68 |
| J3010 |
Fentanyl citrate injection |
28 |
14 |
$13.08 |
| 87186 |
|
27 |
26 |
$0.00 |
| 90710 |
|
145 |
141 |
$0.00 |
| 90685 |
|
122 |
119 |
$0.00 |
| 90700 |
|
70 |
69 |
$0.00 |
| 00170 |
|
15 |
13 |
$0.00 |
| 99201 |
|
13 |
13 |
$0.00 |
| G1004 |
Cdsm ndsc |
16 |
16 |
$0.00 |
| 92341 |
|
13 |
13 |
$0.00 |
| L3908 |
Who cock-up nonmolde pre ots |
15 |
12 |
$0.00 |
| 12001 |
|
13 |
13 |
$0.00 |
| 90716 |
|
73 |
71 |
$0.00 |
| 90677 |
|
52 |
41 |
$0.00 |
| 1157F |
|
27 |
22 |
$0.00 |
| 90696 |
|
78 |
75 |
$0.00 |
| 90651 |
|
136 |
128 |
$0.00 |
| 87077 |
|
27 |
26 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
25 |
25 |
$0.00 |