| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0384 |
Lev 5 hosp type b ed visit |
10,368 |
8,970 |
$6.35M |
| 99285 |
|
9,728 |
8,406 |
$3.34M |
| G0383 |
Lev 4 hosp type b ed visit |
9,196 |
8,177 |
$2.07M |
| 99284 |
|
7,983 |
6,987 |
$1.94M |
| G0382 |
Lev 3 hosp type b ed visit |
10,679 |
9,688 |
$1.88M |
| 96374 |
|
11,747 |
10,018 |
$1.81M |
| 99283 |
|
9,386 |
8,239 |
$1.65M |
| G0463 |
Hospital outpt clinic visit |
12,265 |
9,279 |
$1.17M |
| 74177 |
|
4,325 |
3,992 |
$1.03M |
| 97110 |
|
23,236 |
7,055 |
$699K |
| 97140 |
|
14,820 |
4,923 |
$570K |
| 77067 |
|
4,707 |
4,623 |
$545K |
| 99291 |
|
873 |
807 |
$534K |
| 96375 |
|
9,023 |
7,399 |
$486K |
| 70450 |
|
4,749 |
4,318 |
$476K |
| 96361 |
|
7,906 |
6,574 |
$439K |
| 87635 |
|
10,587 |
9,633 |
$414K |
| 71046 |
|
7,972 |
7,181 |
$412K |
| 96365 |
|
2,608 |
2,349 |
$357K |
| 96360 |
|
2,011 |
1,824 |
$272K |
| 74176 |
|
1,785 |
1,666 |
$262K |
| 71045 |
|
5,121 |
4,563 |
$255K |
| 97010 |
|
12,702 |
4,370 |
$189K |
| 97112 |
|
4,052 |
1,782 |
$177K |
| G0381 |
Lev 2 hosp type b ed visit |
1,700 |
1,621 |
$170K |
| 99282 |
|
1,518 |
1,403 |
$170K |
| 77065 |
Tomosynthesis, mammo |
1,217 |
1,136 |
$122K |
| 97161 |
|
1,983 |
1,890 |
$120K |
| 43239 |
|
269 |
249 |
$117K |
| 76700 |
|
1,140 |
1,100 |
$116K |
| 76642 |
|
1,712 |
1,503 |
$95K |
| 76705 |
|
985 |
923 |
$94K |
| 99213 |
|
1,474 |
1,332 |
$92K |
| 76856 |
|
1,023 |
957 |
$88K |
| 76641 |
|
1,464 |
891 |
$84K |
| 97530 |
|
2,729 |
1,261 |
$81K |
| 97162 |
|
1,327 |
1,259 |
$73K |
| 93971 |
|
940 |
874 |
$63K |
| G0380 |
Lev 1 hosp type b ed visit |
932 |
869 |
$62K |
| 97535 |
|
2,450 |
1,735 |
$62K |
| 97014 |
|
4,011 |
1,822 |
$61K |
| 97035 |
|
3,740 |
1,568 |
$61K |
| 76830 |
|
680 |
624 |
$58K |
| 82947 |
|
23,194 |
19,666 |
$57K |
| 71275 |
|
506 |
463 |
$55K |
| 45380 |
|
68 |
65 |
$51K |
| 90834 |
|
953 |
567 |
$47K |
| 71250 |
|
878 |
845 |
$47K |
| 73564 |
|
1,743 |
1,462 |
$44K |
| 73610 |
|
1,939 |
1,711 |
$43K |
| 72100 |
|
1,483 |
1,427 |
$41K |
| 87637 |
|
457 |
444 |
$39K |
| 73030 |
|
1,995 |
1,762 |
$35K |
| 73630 |
|
2,012 |
1,783 |
$29K |
| 97012 |
|
507 |
209 |
$28K |
| 73130 |
|
1,632 |
1,372 |
$28K |
| 77080 |
|
289 |
281 |
$27K |
| 93306 |
|
114 |
106 |
$24K |
| 73110 |
|
1,087 |
918 |
$23K |
| C9803 |
Hopd covid-19 spec collect |
7,472 |
6,738 |
$23K |
| 72125 |
|
1,279 |
1,173 |
$23K |
| U0003 |
Cov-19 amp prb hgh thruput |
322 |
309 |
$21K |
| 97113 |
|
382 |
162 |
$19K |
| U0002 |
Covid-19 lab test non-cdc |
448 |
392 |
$15K |
| G0378 |
Hospital observation per hr |
3,343 |
2,749 |
$15K |
| 77066 |
Tomosynthesis, mammo |
137 |
134 |
$14K |
| 73502 |
|
1,059 |
997 |
$14K |
| 0012A |
|
362 |
354 |
$13K |
| 0011A |
|
425 |
366 |
$13K |
| 76536 |
|
150 |
146 |
$11K |
| 73562 |
|
977 |
798 |
$10K |
| 73140 |
|
389 |
338 |
$10K |
| 87491 |
|
849 |
779 |
$9K |
| 87591 |
|
849 |
779 |
$9K |
| 70486 |
|
154 |
147 |
$7K |
| M0243 |
Casirivi and imdevi inj |
25 |
21 |
$7K |
| 72148 |
|
40 |
39 |
$6K |
| 72110 |
|
97 |
96 |
$6K |
| 36415 |
|
42,077 |
22,174 |
$6K |
| 97165 |
|
85 |
76 |
$5K |
| 71260 |
|
63 |
57 |
$5K |
| 93005 |
|
11,825 |
10,290 |
$5K |
| 76801 |
|
41 |
38 |
$4K |
| 85025 |
|
23,893 |
19,939 |
$4K |
| 80307 |
|
5,097 |
4,392 |
$4K |
| 74018 |
|
157 |
143 |
$4K |
| 80051 |
|
23,769 |
19,901 |
$4K |
| 84443 |
|
2,201 |
2,017 |
$3K |
| 99281 |
|
55 |
46 |
$3K |
| 94640 |
|
3,464 |
2,577 |
$3K |
| 97032 |
|
100 |
55 |
$2K |
| 80053 |
|
737 |
633 |
$2K |
| J8499 |
Oral prescrip drug non chemo |
1,146 |
901 |
$2K |
| G0480 |
Drug test def 1-7 classes |
5,516 |
4,370 |
$2K |
| 93970 |
|
12 |
12 |
$2K |
| 82565 |
|
23,917 |
20,018 |
$2K |
| 73721 |
|
13 |
12 |
$2K |
| 72072 |
|
39 |
39 |
$2K |
| 99215 |
Prolong outpt/office vis |
19 |
12 |
$2K |
| 85610 |
|
3,780 |
3,059 |
$2K |
| J3490 |
Drugs unclassified injection |
35,612 |
15,989 |
$1K |
| 80061 |
|
123 |
117 |
$1K |
| 96372 |
|
1,664 |
1,160 |
$1K |
| 73080 |
|
57 |
51 |
$960.90 |
| 81025 |
|
8,821 |
7,823 |
$892.97 |
| 72040 |
|
40 |
39 |
$870.12 |
| 96367 |
|
14 |
13 |
$786.65 |
| 83735 |
|
6,735 |
5,857 |
$750.39 |
| 99231 |
|
71 |
15 |
$706.05 |
| 99204 |
|
164 |
158 |
$622.51 |
| 84520 |
|
23,812 |
19,936 |
$592.35 |
| 80048 |
|
462 |
332 |
$575.75 |
| 0002A |
|
54 |
30 |
$538.97 |
| 87086 |
|
4,142 |
3,727 |
$538.57 |
| 85027 |
|
1,972 |
1,696 |
$524.16 |
| 83880 |
|
2,670 |
2,400 |
$513.56 |
| 84484 |
|
7,926 |
6,723 |
$494.77 |
| 87880 |
|
2,325 |
2,181 |
$456.76 |
| 71101 |
|
24 |
24 |
$395.43 |
| 87070 |
|
2,388 |
2,200 |
$382.54 |
| 77061 |
|
133 |
127 |
$360.80 |
| 87804 |
|
2,870 |
2,658 |
$336.84 |
| 96366 |
|
15 |
12 |
$332.97 |
| 93017 |
|
12 |
12 |
$331.74 |
| 82553 |
|
544 |
421 |
$295.97 |
| 83690 |
|
9,525 |
8,250 |
$295.87 |
| 81001 |
|
7,847 |
6,976 |
$257.39 |
| 82247 |
|
17,951 |
15,399 |
$256.81 |
| 0001A |
|
45 |
30 |
$252.99 |
| 87186 |
|
1,573 |
1,430 |
$242.31 |
| 83036 |
|
97 |
89 |
$240.11 |
| 85007 |
|
1,489 |
1,258 |
$221.82 |
| 82040 |
|
17,980 |
15,395 |
$214.23 |
| 84450 |
|
18,075 |
15,466 |
$212.28 |
| 81002 |
|
12,273 |
10,494 |
$212.08 |
| 84075 |
|
17,948 |
15,397 |
$204.02 |
| 99203 |
|
198 |
195 |
$198.50 |
| 85379 |
|
2,341 |
2,146 |
$190.68 |
| 73090 |
|
12 |
12 |
$182.18 |
| 84460 |
|
18,083 |
15,475 |
$182.10 |
| 73590 |
|
14 |
14 |
$181.06 |
| 84155 |
|
17,961 |
15,387 |
$152.87 |
| 86900 |
|
936 |
826 |
$146.65 |
| 94761 |
|
2,451 |
2,179 |
$144.05 |
| 86885 |
|
61 |
52 |
$137.31 |
| J2405 |
Ondansetron hcl injection |
7,002 |
5,366 |
$133.42 |
| 83605 |
|
2,764 |
2,419 |
$111.37 |
| Q9969 |
Non-heu tc-99m add-on/dose |
26 |
25 |
$110.00 |
| 84702 |
|
561 |
498 |
$106.65 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,565 |
6,025 |
$105.17 |
| 85730 |
|
573 |
505 |
$105.03 |
| 90714 |
|
594 |
555 |
$101.99 |
| G0283 |
Elec stim other than wound |
65 |
29 |
$101.12 |
| 82728 |
|
158 |
141 |
$94.34 |
| J1885 |
Ketorolac tromethamine inj |
7,458 |
6,371 |
$90.09 |
| 86140 |
|
397 |
333 |
$87.64 |
| 96376 |
|
2,769 |
2,104 |
$84.59 |
| 87502 |
|
203 |
184 |
$83.23 |
| 82310 |
|
3,091 |
2,802 |
$79.03 |
| 82948 |
|
2,873 |
2,172 |
$75.03 |
| 87040 |
|
1,634 |
1,467 |
$74.35 |
| 90471 |
|
882 |
801 |
$71.30 |
| 87077 |
|
393 |
351 |
$66.22 |
| 84145 |
|
507 |
457 |
$61.82 |
| 88305 |
|
733 |
600 |
$55.57 |
| 87205 |
|
367 |
318 |
$52.91 |
| 84100 |
|
793 |
692 |
$50.60 |
| 85652 |
|
141 |
123 |
$49.79 |
| 86901 |
|
936 |
826 |
$47.49 |
| 82550 |
|
261 |
227 |
$37.56 |
| 91300 |
|
82 |
42 |
$33.33 |
| J7030 |
Normal saline solution infus |
9,567 |
7,627 |
$31.58 |
| J1170 |
Hydromorphone injection |
4,447 |
2,046 |
$28.18 |
| 87420 |
|
525 |
481 |
$24.54 |
| 36416 |
|
2,878 |
2,162 |
$20.11 |
| J1100 |
Dexamethasone sodium phos |
908 |
826 |
$19.69 |
| Q0162 |
Ondansetron oral |
1,421 |
1,232 |
$18.72 |
| 86618 |
|
82 |
80 |
$16.27 |
| 82140 |
|
28 |
24 |
$13.92 |
| 80164 |
|
13 |
12 |
$12.94 |
| 80076 |
|
25 |
24 |
$12.91 |
| J2930 |
Methylprednisolone injection |
273 |
219 |
$10.54 |
| J2270 |
Morphine sulfate injection |
3,168 |
2,195 |
$9.74 |
| 86403 |
|
116 |
106 |
$9.73 |
| J0696 |
Ceftriaxone sodium injection |
1,233 |
1,067 |
$9.32 |
| J1200 |
Diphenhydramine hcl injectio |
2,318 |
1,567 |
$5.12 |
| J2550 |
Promethazine hcl injection |
618 |
382 |
$4.05 |
| 94760 |
|
914 |
779 |
$3.51 |
| J7611 |
Albuterol non-comp con |
346 |
286 |
$3.22 |
| J2060 |
Lorazepam injection |
2,535 |
1,776 |
$3.19 |
| J2765 |
Metoclopramide hcl injection |
1,477 |
1,255 |
$3.13 |
| J7512 |
Prednisone ir or dr oral 1mg |
993 |
845 |
$3.08 |
| J7620 |
Albuterol ipratrop non-comp |
1,100 |
951 |
$1.84 |
| A9150 |
Misc/exper non-prescript dru |
1,232 |
972 |
$1.66 |
| G8979 |
Mobility goal status |
285 |
220 |
$1.31 |
| G8978 |
Mobility current status |
210 |
172 |
$1.10 |
| G8980 |
Mobility d/c status |
30 |
25 |
$0.11 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
189 |
176 |
$0.00 |
| 88313 |
|
284 |
257 |
$0.00 |
| J7120 |
Ringers lactate infusion |
543 |
477 |
$0.00 |
| 82075 |
|
274 |
232 |
$0.00 |
| 82800 |
|
14 |
13 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
85 |
75 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
143 |
88 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
117 |
41 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
42 |
40 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
123 |
51 |
$0.00 |
| 77062 |
|
26 |
26 |
$0.00 |
| Q0243 |
Casirivimab and imdevimab |
36 |
32 |
$0.00 |
| 93041 |
|
134 |
106 |
$0.00 |
| 88342 |
|
327 |
294 |
$0.00 |
| J1630 |
Haloperidol injection |
341 |
265 |
$0.00 |
| J1790 |
Droperidol injection |
123 |
101 |
$0.00 |
| 77063 |
|
2,466 |
2,424 |
$0.00 |
| J7050 |
Normal saline solution infus |
1,545 |
1,229 |
$0.00 |
| A9270 |
Non-covered item or service |
178 |
151 |
$0.00 |
| 83615 |
|
95 |
84 |
$0.00 |
| 84703 |
|
100 |
96 |
$0.00 |
| 12001 |
|
66 |
64 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
38 |
31 |
$0.00 |
| J1815 |
Insulin injection |
48 |
28 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
252 |
220 |
$0.00 |
| J8540 |
Oral dexamethasone |
97 |
83 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
57 |
37 |
$0.00 |
| 91301 |
|
782 |
677 |
$0.00 |
| A9585 |
Gadobutrol injection |
13 |
13 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
13 |
12 |
$0.00 |
| 99214 |
|
16 |
15 |
$0.00 |