| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
3,207 |
2,919 |
$485K |
| G0378 |
Hospital observation service, per hour |
650 |
588 |
$464K |
| 99283 |
|
3,070 |
2,703 |
$368K |
| 99285 |
|
1,691 |
1,528 |
$278K |
| 99281 |
|
2,091 |
1,735 |
$102K |
| 85025 |
|
7,880 |
5,846 |
$22K |
| 80053 |
|
5,572 |
4,480 |
$22K |
| 93005 |
|
4,232 |
3,630 |
$11K |
| 71045 |
|
2,085 |
1,913 |
$5K |
| 84484 |
|
2,716 |
2,292 |
$5K |
| 87635 |
|
1,682 |
1,492 |
$5K |
| 80307 |
|
181 |
149 |
$5K |
| 71046 |
|
301 |
282 |
$5K |
| 81001 |
|
3,135 |
2,804 |
$5K |
| 70450 |
|
1,415 |
1,301 |
$4K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
117 |
95 |
$4K |
| 87633 |
|
35 |
34 |
$3K |
| 99282 |
|
65 |
59 |
$3K |
| 87086 |
|
1,269 |
1,161 |
$2K |
| 80048 |
|
2,344 |
1,625 |
$2K |
| 87400 |
|
36 |
33 |
$2K |
| 83690 |
|
1,322 |
1,208 |
$1K |
| 87581 |
|
35 |
34 |
$1K |
| 87798 |
|
35 |
34 |
$1K |
| 83735 |
|
2,139 |
1,643 |
$1K |
| 74177 |
|
220 |
205 |
$986.65 |
| 85610 |
|
1,403 |
1,251 |
$821.95 |
| 83605 |
|
331 |
292 |
$715.43 |
| 82550 |
|
568 |
496 |
$569.17 |
| 82077 |
|
56 |
50 |
$348.80 |
| 94640 |
|
29 |
26 |
$347.16 |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
150 |
124 |
$220.82 |
| 87804 |
|
81 |
81 |
$217.44 |
| 83880 |
|
391 |
352 |
$156.75 |
| 36415 |
|
334 |
193 |
$145.58 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
188 |
155 |
$99.03 |
| 85730 |
|
121 |
114 |
$97.95 |
| 85027 |
|
50 |
39 |
$86.89 |
| 84703 |
|
13 |
13 |
$63.44 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
111 |
86 |
$35.98 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
929 |
709 |
$31.21 |
| J2704 |
Injection, propofol, 10 mg |
41 |
38 |
$0.00 |
| J3490 |
Unclassified drugs |
135 |
98 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
376 |
187 |
$0.00 |
| 87426 |
|
99 |
97 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
12 |
12 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
18 |
13 |
$0.00 |
| 83036 |
|
24 |
24 |
$0.00 |
| 0241U |
|
100 |
96 |
$0.00 |
| 87486 |
|
19 |
19 |
$0.00 |
| 82553 |
|
16 |
13 |
$0.00 |
| 84443 |
|
63 |
61 |
$0.00 |
| 87077 |
|
12 |
12 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
478 |
367 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
106 |
86 |
$0.00 |
| 80076 |
|
58 |
54 |
$0.00 |
| 72125 |
|
19 |
13 |
$0.00 |
| 74176 |
|
12 |
12 |
$0.00 |