| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpt clinic visit |
333,922 |
278,180 |
$14.04M |
| 99284 |
|
38,011 |
32,118 |
$12.31M |
| 99283 |
|
43,859 |
38,051 |
$9.04M |
| 99285 |
|
12,689 |
10,041 |
$5.92M |
| 59025 |
|
8,605 |
6,502 |
$1.03M |
| 76816 |
|
17,953 |
16,293 |
$884K |
| G0378 |
Hospital observation per hr |
6,566 |
1,830 |
$794K |
| 99282 |
|
5,080 |
4,453 |
$696K |
| 85025 |
|
103,334 |
78,275 |
$593K |
| 0241U |
|
4,900 |
4,313 |
$446K |
| 76811 |
|
3,126 |
2,891 |
$408K |
| 76805 |
|
5,028 |
4,724 |
$407K |
| P9016 |
Rbc leukocytes reduced |
4,887 |
1,978 |
$399K |
| 96372 |
|
22,527 |
17,012 |
$348K |
| 76819 |
|
4,355 |
3,181 |
$299K |
| 74177 |
|
3,131 |
2,597 |
$261K |
| 36415 |
|
124,121 |
95,097 |
$258K |
| 80048 |
|
69,066 |
50,353 |
$238K |
| 87491 |
|
14,208 |
12,224 |
$236K |
| 96361 |
|
10,270 |
7,576 |
$228K |
| 80307 |
|
10,111 |
8,488 |
$221K |
| 83735 |
|
52,365 |
38,281 |
$216K |
| 84484 |
|
15,743 |
11,627 |
$212K |
| 87536 |
|
13,831 |
10,680 |
$208K |
| 36512 |
|
879 |
575 |
$207K |
| 87591 |
|
14,130 |
12,170 |
$196K |
| 96413 |
|
2,577 |
1,244 |
$185K |
| 97110 |
|
2,848 |
781 |
$184K |
| 86885 |
|
14,634 |
11,765 |
$176K |
| 80053 |
|
54,105 |
41,487 |
$164K |
| 96360 |
|
5,853 |
4,949 |
$164K |
| 96374 |
|
9,167 |
7,429 |
$163K |
| 90460 |
|
9,532 |
8,235 |
$162K |
| 96110 |
|
2,874 |
2,261 |
$151K |
| 87389 |
|
12,744 |
11,604 |
$147K |
| 86900 |
|
14,790 |
11,889 |
$132K |
| 85027 |
|
36,394 |
28,439 |
$129K |
| 81025 |
|
27,451 |
24,972 |
$128K |
| 90461 |
|
6,756 |
5,830 |
$125K |
| 83605 |
|
16,613 |
13,697 |
$121K |
| 86901 |
|
14,972 |
12,004 |
$118K |
| 87635 |
|
4,906 |
3,996 |
$110K |
| 84100 |
|
44,311 |
33,051 |
$109K |
| 93005 |
|
19,635 |
15,811 |
$108K |
| 99214 |
|
4,631 |
3,868 |
$106K |
| 99213 |
|
8,096 |
6,964 |
$104K |
| 71045 |
|
14,041 |
11,064 |
$100K |
| 71260 |
|
1,494 |
1,215 |
$95K |
| 70450 |
|
2,388 |
2,005 |
$93K |
| 86360 |
|
7,637 |
6,034 |
$89K |
| Q3014 |
Telehealth facility fee |
6,071 |
5,562 |
$88K |
| 82947 |
|
22,300 |
17,430 |
$88K |
| 86359 |
|
7,686 |
6,071 |
$87K |
| 80076 |
|
28,317 |
21,617 |
$84K |
| 99215 |
Prolong outpt/office vis |
3,380 |
2,881 |
$83K |
| 81003 |
|
43,774 |
37,296 |
$80K |
| 96365 |
|
2,841 |
2,002 |
$78K |
| 11721 |
|
5,144 |
3,700 |
$76K |
| 76801 |
|
1,153 |
1,069 |
$71K |
| T1015 |
Clinic service |
8,389 |
5,980 |
$68K |
| 87661 |
|
4,282 |
3,688 |
$65K |
| 96375 |
|
4,938 |
3,679 |
$60K |
| 87340 |
|
12,205 |
11,109 |
$58K |
| 29581 |
|
2,518 |
779 |
$58K |
| 97597 |
|
1,142 |
717 |
$56K |
| 90686 |
|
6,504 |
4,665 |
$56K |
| 82962 |
|
23,104 |
15,442 |
$51K |
| 86592 |
|
21,038 |
18,198 |
$51K |
| 99212 |
|
5,726 |
4,717 |
$50K |
| 76815 |
|
1,300 |
1,066 |
$48K |
| 96367 |
|
1,683 |
873 |
$47K |
| 87086 |
|
8,686 |
7,788 |
$45K |
| 80061 |
|
11,701 |
9,221 |
$44K |
| 86803 |
|
6,201 |
5,308 |
$44K |
| 83690 |
|
8,883 |
7,587 |
$41K |
| 86902 |
|
3,460 |
1,786 |
$40K |
| 36430 |
|
1,082 |
723 |
$35K |
| J2997 |
Alteplase recombinant |
486 |
312 |
$33K |
| 73610 |
|
2,313 |
1,840 |
$31K |
| 73552 |
|
1,751 |
1,447 |
$31K |
| 84703 |
|
5,097 |
4,486 |
$31K |
| 93306 |
|
237 |
183 |
$31K |
| 80047 |
|
4,002 |
3,103 |
$28K |
| 76818 |
|
373 |
301 |
$28K |
| 72125 |
|
391 |
336 |
$28K |
| 83880 |
|
2,946 |
2,381 |
$27K |
| 83036 |
|
13,640 |
10,683 |
$27K |
| 86920 |
|
1,286 |
624 |
$26K |
| 90471 |
|
3,414 |
2,853 |
$24K |
| 88184 |
|
6,168 |
4,656 |
$23K |
| 72148 |
|
150 |
121 |
$23K |
| 96160 |
|
1,980 |
1,521 |
$23K |
| 85610 |
|
8,670 |
6,794 |
$23K |
| 73590 |
|
1,707 |
1,401 |
$22K |
| J2405 |
Ondansetron hcl injection |
7,548 |
5,834 |
$22K |
| J0881 |
Darbepoetin alfa, non-esrd |
251 |
158 |
$22K |
| 11720 |
|
741 |
557 |
$20K |
| 73560 |
|
1,410 |
1,159 |
$20K |
| 76820 |
|
431 |
270 |
$19K |
| 76821 |
|
422 |
254 |
$18K |
| 81001 |
|
17,642 |
14,747 |
$18K |
| 85018 |
|
6,772 |
5,405 |
$17K |
| 82728 |
|
7,672 |
5,535 |
$17K |
| 87502 |
|
596 |
493 |
$17K |
| 45385 |
|
123 |
81 |
$17K |
| 92550 |
|
878 |
812 |
$17K |
| 72190 |
|
886 |
828 |
$16K |
| 94640 |
|
611 |
406 |
$16K |
| 71046 |
|
2,960 |
2,515 |
$16K |
| 88185 |
|
6,191 |
4,656 |
$15K |
| 83020 |
|
4,416 |
2,869 |
$15K |
| 85660 |
|
4,908 |
2,324 |
$15K |
| 84702 |
|
939 |
828 |
$15K |
| 86762 |
|
2,300 |
2,104 |
$14K |
| 82306 |
|
2,340 |
1,774 |
$14K |
| 97530 |
|
630 |
159 |
$13K |
| 86480 |
|
1,109 |
919 |
$13K |
| 96366 |
|
608 |
365 |
$13K |
| 90715 |
|
488 |
454 |
$13K |
| 43239 |
|
55 |
36 |
$12K |
| 52000 |
|
47 |
38 |
$12K |
| 11056 |
|
1,669 |
1,169 |
$12K |
| 70496 |
|
114 |
95 |
$12K |
| 70498 |
|
114 |
95 |
$12K |
| 85014 |
|
7,412 |
5,411 |
$12K |
| 86922 |
|
1,430 |
656 |
$11K |
| 82565 |
|
2,471 |
2,060 |
$10K |
| 90472 |
|
1,106 |
882 |
$9K |
| 99291 |
|
42 |
40 |
$9K |
| 99204 |
|
227 |
194 |
$8K |
| 45378 |
|
38 |
29 |
$8K |
| G0480 |
Drug test def 1-7 classes |
305 |
197 |
$8K |
| 85730 |
|
1,421 |
1,196 |
$8K |
| 87081 |
|
1,910 |
1,767 |
$7K |
| 84443 |
|
2,318 |
1,748 |
$7K |
| 73630 |
|
596 |
388 |
$7K |
| 85045 |
|
6,590 |
4,686 |
$7K |
| 82550 |
|
1,269 |
959 |
$6K |
| 90670 |
|
177 |
126 |
$6K |
| 86140 |
|
4,043 |
3,348 |
$6K |
| 87210 |
|
1,501 |
1,392 |
$6K |
| 83550 |
|
3,799 |
2,887 |
$6K |
| 90677 |
|
54 |
40 |
$5K |
| 73130 |
|
416 |
234 |
$5K |
| 51798 |
|
129 |
111 |
$5K |
| 76827 |
|
120 |
97 |
$5K |
| 99201 |
|
349 |
337 |
$5K |
| 82570 |
|
1,251 |
1,047 |
$5K |
| G0008 |
Admin influenza virus vac |
2,232 |
1,592 |
$5K |
| 99205 |
Prolong outpt/office vis |
71 |
63 |
$5K |
| 76770 |
|
122 |
107 |
$5K |
| 11719 |
|
291 |
225 |
$5K |
| 87077 |
|
958 |
882 |
$5K |
| 94760 |
|
592 |
498 |
$4K |
| 83540 |
|
3,807 |
2,895 |
$4K |
| 92551 |
|
428 |
372 |
$4K |
| 83970 |
|
669 |
532 |
$4K |
| 96127 |
|
840 |
758 |
$4K |
| 73562 |
|
478 |
290 |
$4K |
| 36416 |
|
1,528 |
1,306 |
$4K |
| 99393 |
|
60 |
55 |
$4K |
| J1642 |
Inj heparin sodium per 10 u |
2,411 |
1,657 |
$4K |
| 99195 |
|
616 |
385 |
$4K |
| 87798 |
|
398 |
342 |
$3K |
| 97802 |
|
63 |
50 |
$3K |
| 70551 |
|
12 |
12 |
$3K |
| 84153 |
|
1,585 |
1,288 |
$3K |
| J7030 |
Normal saline solution infus |
12,128 |
9,244 |
$3K |
| 77067 |
|
72 |
68 |
$3K |
| 95115 |
|
163 |
151 |
$3K |
| 86706 |
|
1,038 |
868 |
$3K |
| J1170 |
Hydromorphone injection |
2,834 |
1,939 |
$3K |
| 51702 |
|
29 |
25 |
$3K |
| 86704 |
|
830 |
691 |
$3K |
| 76830 |
|
44 |
41 |
$2K |
| 74178 |
|
14 |
12 |
$2K |
| 87880 |
|
311 |
267 |
$2K |
| 96417 |
|
56 |
25 |
$2K |
| 17110 |
|
16 |
16 |
$2K |
| 94726 |
|
87 |
72 |
$2K |
| 90656 |
|
181 |
158 |
$2K |
| 20610 |
|
17 |
14 |
$2K |
| 83615 |
|
914 |
713 |
$2K |
| 82378 |
|
1,049 |
743 |
$2K |
| 81220 |
|
17 |
16 |
$2K |
| 87522 |
Neg quan hep c or qual rna |
192 |
172 |
$2K |
| 71275 |
|
16 |
14 |
$2K |
| J1650 |
Inj enoxaparin sodium |
320 |
94 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
8,701 |
7,377 |
$2K |
| 93325 |
|
83 |
67 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,139 |
6,557 |
$2K |
| J1100 |
Dexamethasone sodium phos |
1,429 |
963 |
$2K |
| 81000 |
|
347 |
319 |
$1K |
| 99173 |
|
2,910 |
2,650 |
$1K |
| 94729 |
|
87 |
72 |
$1K |
| 11042 |
|
19 |
12 |
$1K |
| 99211 |
|
347 |
334 |
$1K |
| 73110 |
|
75 |
66 |
$1K |
| 72110 |
|
75 |
59 |
$1K |
| 85004 |
|
748 |
651 |
$1K |
| 96161 |
|
187 |
167 |
$1K |
| 73120 |
|
82 |
38 |
$1K |
| 84439 |
|
576 |
488 |
$1K |
| J7120 |
Ringers lactate infusion |
5,003 |
3,972 |
$1K |
| 84154 |
|
145 |
125 |
$1K |
| 97602 |
|
45 |
24 |
$1K |
| 90734 |
|
83 |
74 |
$1K |
| 82948 |
|
708 |
552 |
$1K |
| 85652 |
|
559 |
484 |
$1K |
| 82677 |
|
60 |
58 |
$980.12 |
| G0438 |
Ppps, initial visit |
18 |
18 |
$959.39 |
| 90694 |
|
338 |
207 |
$900.58 |
| 82397 |
|
569 |
422 |
$850.34 |
| J1050 |
Medroxyprogesterone acetate |
3,575 |
3,217 |
$839.17 |
| 93017 |
|
16 |
13 |
$805.22 |
| 84156 |
|
1,222 |
1,031 |
$802.34 |
| 82105 |
|
94 |
89 |
$780.19 |
| 36591 |
|
304 |
261 |
$624.08 |
| 87529 |
|
40 |
37 |
$614.03 |
| 93926 |
|
15 |
12 |
$580.34 |
| 99202 |
|
81 |
79 |
$559.88 |
| 76817 |
|
12 |
12 |
$546.28 |
| 84144 |
|
25 |
24 |
$506.69 |
| 83516 |
|
196 |
162 |
$504.86 |
| 82607 |
|
168 |
122 |
$502.76 |
| 73620 |
|
26 |
12 |
$500.42 |
| G0439 |
Ppps, subseq visit |
12 |
12 |
$458.14 |
| 85378 |
|
62 |
52 |
$436.92 |
| 99203 |
|
55 |
51 |
$434.49 |
| 81002 |
|
222 |
211 |
$398.48 |
| 87804 |
|
31 |
28 |
$396.40 |
| 86708 |
|
201 |
159 |
$386.77 |
| 87040 |
|
20 |
14 |
$386.05 |
| 73090 |
|
38 |
36 |
$378.20 |
| 90732 |
|
39 |
30 |
$365.79 |
| 87430 |
|
20 |
20 |
$351.40 |
| 82784 |
|
137 |
90 |
$348.84 |
| 94060 |
|
15 |
12 |
$348.79 |
| 84550 |
|
121 |
102 |
$345.94 |
| A6449 |
Lt compres band >=3" <5"/yd |
1,486 |
494 |
$344.69 |
| 88305 |
|
211 |
156 |
$332.54 |
| 82465 |
|
427 |
352 |
$322.33 |
| 84155 |
|
296 |
196 |
$315.74 |
| 80069 |
|
234 |
192 |
$313.80 |
| 82310 |
|
856 |
568 |
$308.95 |
| 82040 |
|
855 |
567 |
$307.89 |
| 85007 |
|
371 |
278 |
$300.56 |
| 73030 |
|
31 |
28 |
$298.84 |
| J2270 |
Morphine sulfate injection |
584 |
438 |
$287.52 |
| 86431 |
|
174 |
146 |
$229.33 |
| 90634 |
|
74 |
50 |
$227.80 |
| 82803 |
|
19 |
13 |
$221.04 |
| 73060 |
|
12 |
12 |
$211.88 |
| 84480 |
|
83 |
56 |
$208.63 |
| 90700 |
|
12 |
12 |
$208.16 |
| 90723 |
|
29 |
26 |
$201.90 |
| 84165 |
|
271 |
178 |
$201.60 |
| 90633 |
|
12 |
12 |
$197.00 |
| 92511 |
|
43 |
18 |
$185.52 |
| 83883 |
|
75 |
50 |
$170.04 |
| 85379 |
|
17 |
15 |
$150.60 |
| 86300 |
|
87 |
66 |
$130.14 |
| 72170 |
|
12 |
12 |
$116.82 |
| J0696 |
Ceftriaxone sodium injection |
966 |
824 |
$113.54 |
| 90714 |
|
29 |
25 |
$111.75 |
| 82330 |
|
17 |
12 |
$109.44 |
| J1030 |
Methylprednisolone 40 mg inj |
210 |
164 |
$105.35 |
| 84436 |
|
83 |
56 |
$99.40 |
| 86320 |
|
34 |
25 |
$93.48 |
| 84479 |
|
83 |
56 |
$91.90 |
| 90648 |
|
109 |
82 |
$88.28 |
| 90658 |
|
52 |
47 |
$84.64 |
| 87186 |
|
100 |
88 |
$81.09 |
| 73502 |
|
18 |
12 |
$75.52 |
| 83718 |
|
69 |
48 |
$68.24 |
| J2930 |
Methylprednisolone injection |
35 |
27 |
$66.69 |
| 74019 |
|
12 |
12 |
$55.22 |
| J7040 |
Normal saline solution infus |
626 |
445 |
$51.20 |
| J0610 |
Calcium glucon (fresenius) |
526 |
370 |
$47.85 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
29 |
26 |
$44.99 |
| J3490 |
Drugs unclassified injection |
505 |
324 |
$42.81 |
| 86705 |
|
20 |
16 |
$36.78 |
| J0702 |
Betamethasone acet&sod phosp |
18 |
12 |
$35.92 |
| 86709 |
|
20 |
17 |
$35.19 |
| J3475 |
Inj magnesium sulfate |
84 |
38 |
$34.88 |
| 82044 |
|
20 |
16 |
$34.46 |
| J3010 |
Fentanyl citrate injection |
478 |
352 |
$32.14 |
| 82746 |
|
22 |
15 |
$30.64 |
| 85048 |
|
74 |
40 |
$15.90 |
| J2704 |
Inj, propofol, 10 mg |
1,779 |
1,369 |
$9.88 |
| J1644 |
Inj heparin sodium per 1000u |
81 |
24 |
$9.68 |
| J2250 |
Inj midazolam hydrochloride |
199 |
142 |
$3.89 |
| J2001 |
Lidocaine injection |
1,547 |
1,183 |
$2.24 |
| J0131 |
Inj, acetaminophen (nos) |
246 |
176 |
$1.80 |
| J1200 |
Diphenhydramine hcl injectio |
33 |
25 |
$1.16 |
| J3420 |
Vitamin b12 injection |
79 |
61 |
$1.04 |
| 96376 |
|
31 |
14 |
$0.00 |
| J7050 |
Normal saline solution infus |
85 |
63 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
70 |
49 |
$0.00 |
| 90716 |
|
35 |
27 |
$0.00 |
| 90698 |
|
21 |
19 |
$0.00 |
| 45380 |
|
22 |
12 |
$0.00 |
| 90680 |
|
43 |
39 |
$0.00 |
| 80320 |
|
18 |
15 |
$0.00 |
| J0613 |
Calcium glucon (wg critical) |
20 |
13 |
$0.00 |
| 36514 |
|
21 |
14 |
$0.00 |
| 90657 |
|
13 |
13 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
42 |
39 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
20 |
17 |
$0.00 |
| G0500 |
Mod sedat endo service >5yrs |
46 |
39 |
$0.00 |
| 90707 |
|
16 |
16 |
$0.00 |
| 99152 |
|
15 |
13 |
$0.00 |