| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
118,894 |
102,724 |
$9.11M |
| 99285 |
|
16,388 |
13,732 |
$3.98M |
| 99283 |
|
16,027 |
13,303 |
$1.79M |
| 99284 |
|
12,696 |
10,995 |
$1.32M |
| 88305 |
|
4,774 |
4,100 |
$251K |
| Q3014 |
Telehealth facility fee |
6,737 |
6,205 |
$150K |
| 87635 |
|
2,981 |
2,922 |
$91K |
| 90471 |
|
6,891 |
6,693 |
$84K |
| C9803 |
Hopd covid-19 spec collect |
3,541 |
3,436 |
$84K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,195 |
1,135 |
$83K |
| 96374 |
|
705 |
660 |
$75K |
| 99282 |
|
2,580 |
2,421 |
$56K |
| 36415 |
|
33,274 |
30,156 |
$42K |
| 69436 |
|
31 |
31 |
$33K |
| 97110 |
|
665 |
278 |
$29K |
| 92507 |
|
477 |
164 |
$29K |
| 97530 |
|
373 |
150 |
$25K |
| 62323 |
|
45 |
40 |
$23K |
| 88342 |
|
423 |
332 |
$21K |
| 90460 |
|
432 |
430 |
$19K |
| 95886 |
|
462 |
332 |
$19K |
| 96361 |
|
434 |
407 |
$18K |
| 93005 |
|
1,873 |
1,734 |
$17K |
| 88304 |
|
782 |
595 |
$17K |
| 87624 |
|
491 |
481 |
$17K |
| 00170 |
|
88 |
87 |
$13K |
| 88307 |
|
121 |
101 |
$13K |
| 92557 |
|
128 |
127 |
$12K |
| 0241U |
|
214 |
212 |
$12K |
| 85025 |
|
17,157 |
15,306 |
$12K |
| G0124 |
Screen c/v thin layer by md |
456 |
444 |
$11K |
| 0002A |
|
333 |
331 |
$10K |
| 87651 |
|
2,412 |
2,367 |
$10K |
| G0123 |
Screen cerv/vag thin layer |
448 |
435 |
$9K |
| 0001A |
|
359 |
352 |
$9K |
| 90472 |
|
2,952 |
2,876 |
$9K |
| 80048 |
|
4,877 |
4,487 |
$8K |
| 96375 |
|
197 |
179 |
$8K |
| 96413 |
|
30 |
14 |
$8K |
| 71045 |
|
144 |
139 |
$7K |
| 20611 |
|
30 |
27 |
$6K |
| 99214 |
|
205 |
164 |
$6K |
| 80053 |
|
6,988 |
6,439 |
$5K |
| 92567 |
|
392 |
381 |
$5K |
| 90686 |
|
1,701 |
1,667 |
$5K |
| 90461 |
|
213 |
212 |
$5K |
| U0005 |
Infec agen detec ampli probe |
227 |
221 |
$4K |
| 87502 |
|
813 |
801 |
$4K |
| 90677 |
|
103 |
102 |
$4K |
| G0008 |
Admin influenza virus vac |
134 |
133 |
$2K |
| 73630 |
|
263 |
225 |
$2K |
| 88142 |
|
98 |
98 |
$2K |
| 93010 |
|
1,183 |
997 |
$2K |
| 70450 |
|
13 |
13 |
$2K |
| 81001 |
|
2,161 |
2,038 |
$1K |
| 90662 |
|
74 |
74 |
$1K |
| 0124A |
|
55 |
55 |
$1K |
| 82248 |
|
6,013 |
5,729 |
$1K |
| 80061 |
|
130 |
129 |
$1K |
| 80076 |
|
2,013 |
1,800 |
$938.59 |
| 90474 |
|
150 |
146 |
$846.91 |
| 91320 |
|
31 |
30 |
$803.24 |
| 76816 |
|
26 |
25 |
$800.53 |
| 90480 |
|
31 |
30 |
$742.49 |
| 0064A |
|
41 |
31 |
$657.04 |
| 0072A |
|
12 |
12 |
$460.15 |
| 86780 |
|
39 |
37 |
$441.56 |
| J1030 |
Methylprednisolone 40 mg inj |
116 |
109 |
$385.25 |
| 88141 |
|
12 |
12 |
$340.68 |
| 85018 |
|
149 |
148 |
$334.28 |
| 0031A |
|
12 |
12 |
$312.34 |
| 36416 |
|
90 |
83 |
$292.14 |
| 92593 |
|
14 |
12 |
$284.68 |
| 86140 |
|
1,598 |
1,538 |
$280.64 |
| J3301 |
Triamcinolone acet inj nos |
369 |
351 |
$263.26 |
| 84145 |
|
381 |
374 |
$247.96 |
| 72110 |
|
14 |
14 |
$219.00 |
| 87591 |
|
61 |
60 |
$211.65 |
| 87491 |
|
61 |
60 |
$211.65 |
| 96372 |
|
13 |
13 |
$208.40 |
| J7030 |
Normal saline solution infus |
994 |
921 |
$201.18 |
| 90656 |
|
93 |
93 |
$193.34 |
| 86141 |
|
853 |
796 |
$184.47 |
| 83605 |
|
373 |
336 |
$180.10 |
| J2704 |
Inj, propofol, 10 mg |
368 |
358 |
$176.91 |
| 71046 |
|
43 |
41 |
$175.60 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
19 |
13 |
$121.47 |
| 82728 |
|
28 |
28 |
$112.30 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
273 |
257 |
$104.15 |
| 84484 |
|
458 |
418 |
$85.91 |
| 90670 |
|
510 |
494 |
$85.58 |
| 87086 |
|
155 |
147 |
$83.90 |
| 0012A |
|
14 |
13 |
$83.55 |
| 85610 |
|
371 |
356 |
$79.57 |
| J3010 |
Fentanyl citrate injection |
496 |
407 |
$64.29 |
| 82306 |
|
12 |
12 |
$57.34 |
| 73610 |
|
13 |
13 |
$56.84 |
| 88300 |
|
24 |
24 |
$54.56 |
| 84443 |
|
57 |
53 |
$36.52 |
| 83690 |
|
164 |
157 |
$35.59 |
| 80306 |
|
65 |
59 |
$33.20 |
| 87804 |
|
537 |
257 |
$33.08 |
| J7120 |
Ringers lactate infusion |
84 |
73 |
$30.71 |
| J7050 |
Normal saline solution infus |
556 |
224 |
$30.62 |
| J1100 |
Dexamethasone sodium phos |
94 |
90 |
$28.95 |
| 85730 |
|
24 |
24 |
$25.09 |
| J2250 |
Inj midazolam hydrochloride |
318 |
307 |
$19.41 |
| J1642 |
Inj heparin sodium per 10 u |
93 |
49 |
$17.31 |
| 83735 |
|
254 |
243 |
$13.62 |
| J7040 |
Normal saline solution infus |
75 |
74 |
$9.50 |
| J2405 |
Ondansetron hcl injection |
83 |
79 |
$5.43 |
| 81025 |
|
42 |
39 |
$5.24 |
| J1885 |
Ketorolac tromethamine inj |
43 |
40 |
$1.22 |
| 90685 |
|
94 |
92 |
$0.01 |
| 90680 |
|
163 |
159 |
$0.00 |
| A9270 |
Non-covered item or service |
672 |
646 |
$0.00 |
| 90723 |
|
72 |
72 |
$0.00 |
| 87081 |
|
151 |
143 |
$0.00 |
| 90651 |
|
60 |
59 |
$0.00 |
| 90698 |
|
174 |
166 |
$0.00 |
| 84703 |
|
13 |
12 |
$0.00 |
| 90688 |
|
65 |
64 |
$0.00 |
| 90744 |
|
56 |
53 |
$0.00 |
| 90696 |
|
14 |
13 |
$0.00 |
| 83880 |
|
12 |
12 |
$0.00 |
| 87880 |
|
202 |
192 |
$0.00 |
| G0500 |
Mod sedat endo service >5yrs |
137 |
130 |
$0.00 |
| 90648 |
|
190 |
188 |
$0.00 |
| 90633 |
|
133 |
132 |
$0.00 |
| 90734 |
|
39 |
39 |
$0.00 |
| 90710 |
|
43 |
40 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
73 |
69 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
15 |
15 |
$0.00 |
| 80307 |
|
26 |
26 |
$0.00 |
| 90700 |
|
14 |
12 |
$0.00 |