| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpt clinic visit |
191,945 |
171,072 |
$11.31M |
| X4011 |
|
13,285 |
12,587 |
$4.90M |
| X4003 |
|
65,379 |
57,910 |
$3.53M |
| 99285 |
|
5,110 |
4,861 |
$1.59M |
| 99284 |
|
8,103 |
7,850 |
$1.45M |
| 85025 |
|
37,483 |
33,610 |
$1.20M |
| 93005 |
|
12,018 |
11,008 |
$637K |
| 80053 |
|
29,593 |
26,277 |
$632K |
| X4006 |
|
591 |
447 |
$552K |
| Y7506 |
|
3,266 |
1,590 |
$505K |
| G0480 |
Drug test def 1-7 classes |
5,392 |
4,730 |
$498K |
| 11042 |
|
3,110 |
1,774 |
$465K |
| 81001 |
|
11,506 |
10,966 |
$421K |
| 99283 |
|
2,720 |
2,668 |
$354K |
| 99212 |
|
6,347 |
6,285 |
$333K |
| 87502 |
|
6,220 |
6,153 |
$317K |
| 87804 |
|
3,817 |
3,462 |
$274K |
| 96374 |
|
2,547 |
2,455 |
$245K |
| J3490 |
Drugs unclassified injection |
8,497 |
6,626 |
$214K |
| 80306 |
|
6,468 |
6,061 |
$210K |
| 87426 |
|
8,816 |
8,671 |
$179K |
| 76820 |
|
2,395 |
1,020 |
$161K |
| 87651 |
|
8,222 |
8,104 |
$156K |
| G0378 |
Hospital observation per hr |
757 |
570 |
$127K |
| 87635 |
|
5,470 |
5,053 |
$125K |
| 78815 |
|
147 |
132 |
$121K |
| 90999 |
|
3,667 |
333 |
$121K |
| 81002 |
|
10,626 |
7,851 |
$102K |
| 76819 |
|
1,939 |
787 |
$100K |
| 20610 |
|
837 |
798 |
$97K |
| 76816 |
|
1,590 |
1,280 |
$96K |
| 95810 |
|
153 |
152 |
$89K |
| J0585 |
Injection,onabotulinumtoxina |
286 |
174 |
$83K |
| 88305 |
|
1,651 |
1,573 |
$83K |
| 95811 |
|
170 |
166 |
$81K |
| 96413 |
|
639 |
403 |
$74K |
| 71046 |
|
1,203 |
1,162 |
$74K |
| Y7507 |
|
739 |
501 |
$73K |
| 94726 |
|
768 |
754 |
$73K |
| 62323 |
|
395 |
351 |
$73K |
| 84443 |
|
3,464 |
3,347 |
$64K |
| Q3014 |
Telehealth facility fee |
3,297 |
2,223 |
$60K |
| 87880 |
|
1,428 |
1,389 |
$57K |
| 76805 |
|
872 |
853 |
$55K |
| 76811 |
|
679 |
662 |
$53K |
| 77336 |
|
961 |
463 |
$50K |
| 87086 |
|
1,666 |
1,599 |
$46K |
| 77334 |
|
281 |
217 |
$39K |
| 99281 |
|
902 |
867 |
$38K |
| 0241U |
|
837 |
808 |
$38K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,383 |
1,360 |
$38K |
| 29581 |
|
528 |
223 |
$37K |
| 80048 |
|
763 |
692 |
$33K |
| 99213 |
|
586 |
475 |
$29K |
| 87400 |
|
207 |
168 |
$27K |
| 73030 |
|
1,058 |
971 |
$26K |
| G0379 |
Direct refer hospital observ |
155 |
135 |
$26K |
| 86803 |
|
534 |
507 |
$26K |
| 86063 |
|
380 |
367 |
$25K |
| 0202U |
|
89 |
88 |
$23K |
| 83655 |
|
1,093 |
1,060 |
$23K |
| 73100 |
|
437 |
339 |
$23K |
| 83036 |
|
2,440 |
2,374 |
$21K |
| 80061 |
|
1,661 |
1,606 |
$19K |
| 84484 |
|
2,069 |
1,813 |
$18K |
| 77386 |
|
115 |
12 |
$18K |
| 88300 |
|
674 |
660 |
$18K |
| 77300 |
|
150 |
143 |
$17K |
| 94729 |
|
620 |
611 |
$16K |
| 82550 |
|
2,240 |
1,975 |
$16K |
| 71045 |
|
647 |
599 |
$15K |
| 87653 |
|
430 |
425 |
$14K |
| 70553 |
|
53 |
53 |
$13K |
| 85018 |
|
1,199 |
1,160 |
$13K |
| 84439 |
|
1,239 |
1,203 |
$13K |
| 77290 |
|
92 |
91 |
$12K |
| 64493 |
|
38 |
36 |
$12K |
| 82553 |
|
1,480 |
1,272 |
$12K |
| 83690 |
|
1,003 |
970 |
$12K |
| 70450 |
|
183 |
161 |
$12K |
| 87807 |
|
477 |
472 |
$12K |
| 94060 |
|
104 |
104 |
$11K |
| 88304 |
|
246 |
243 |
$11K |
| 84703 |
|
802 |
761 |
$10K |
| 73721 |
|
92 |
89 |
$10K |
| 99214 |
|
170 |
142 |
$10K |
| 84436 |
|
193 |
181 |
$9K |
| 84479 |
|
194 |
182 |
$9K |
| 82306 |
|
599 |
587 |
$9K |
| 31575 |
|
135 |
130 |
$9K |
| 87428 |
|
439 |
431 |
$9K |
| 74177 |
|
55 |
50 |
$9K |
| 94681 |
|
66 |
66 |
$8K |
| 77295 |
|
26 |
24 |
$8K |
| 17110 |
|
77 |
77 |
$8K |
| 96375 |
|
246 |
221 |
$7K |
| 77470 |
|
38 |
38 |
$7K |
| 73564 |
|
128 |
113 |
$7K |
| 84481 |
|
100 |
94 |
$6K |
| 94640 |
|
111 |
74 |
$6K |
| 84482 |
|
43 |
43 |
$6K |
| 71250 |
|
104 |
104 |
$5K |
| 94750 |
|
135 |
130 |
$5K |
| 29075 |
|
52 |
40 |
$5K |
| 87633 |
|
13 |
13 |
$5K |
| 87491 |
|
55 |
52 |
$5K |
| 87591 |
|
53 |
52 |
$5K |
| 96372 |
|
126 |
121 |
$5K |
| 93296 |
|
422 |
376 |
$5K |
| 93306 |
|
29 |
26 |
$5K |
| 64615 |
|
55 |
54 |
$4K |
| 80081 |
|
71 |
68 |
$4K |
| 76817 |
|
68 |
64 |
$4K |
| 85027 |
|
151 |
118 |
$4K |
| 94200 |
|
134 |
132 |
$4K |
| J1040 |
Methylprednisolone 80 mg inj |
515 |
453 |
$4K |
| 69210 |
|
183 |
181 |
$4K |
| J1642 |
Inj heparin sodium per 10 u |
723 |
422 |
$4K |
| 85007 |
|
129 |
99 |
$4K |
| 80055 |
|
39 |
38 |
$3K |
| 97110 |
|
235 |
72 |
$3K |
| 81000 |
|
499 |
478 |
$3K |
| 83735 |
|
744 |
715 |
$3K |
| 73502 |
|
77 |
70 |
$3K |
| 11102 |
|
26 |
26 |
$3K |
| 82950 |
|
161 |
159 |
$3K |
| 87389 |
|
30 |
30 |
$2K |
| 43239 |
|
13 |
13 |
$2K |
| 76815 |
|
72 |
51 |
$2K |
| 95117 |
|
519 |
174 |
$2K |
| 77338 |
|
12 |
12 |
$2K |
| 90686 |
|
456 |
454 |
$2K |
| 82784 |
|
353 |
339 |
$2K |
| 84145 |
|
87 |
77 |
$2K |
| 82947 |
|
330 |
221 |
$2K |
| 81025 |
|
400 |
381 |
$2K |
| 87071 |
|
41 |
41 |
$2K |
| 87040 |
|
113 |
96 |
$2K |
| 83605 |
|
163 |
144 |
$2K |
| 99392 |
|
24 |
24 |
$2K |
| 36415 |
|
539 |
493 |
$1K |
| 87150 |
|
141 |
139 |
$1K |
| 73560 |
|
30 |
27 |
$1K |
| 17000 |
|
26 |
26 |
$1K |
| 86364 |
|
165 |
162 |
$1K |
| 92511 |
|
12 |
12 |
$1K |
| J2405 |
Ondansetron hcl injection |
253 |
211 |
$1K |
| 82248 |
|
345 |
328 |
$1K |
| 99391 |
|
15 |
14 |
$991.80 |
| 92567 |
|
110 |
104 |
$939.97 |
| 29580 |
|
19 |
12 |
$923.28 |
| A9552 |
F18 fdg |
13 |
13 |
$920.00 |
| 83516 |
|
156 |
146 |
$878.55 |
| 92557 |
|
42 |
39 |
$878.14 |
| 85730 |
|
253 |
226 |
$869.05 |
| 99394 |
|
13 |
13 |
$859.56 |
| 77280 |
|
14 |
12 |
$839.97 |
| J1644 |
Inj heparin sodium per 1000u |
129 |
90 |
$821.52 |
| 17250 |
|
14 |
14 |
$818.06 |
| J3010 |
Fentanyl citrate injection |
407 |
332 |
$815.09 |
| 87070 |
|
146 |
129 |
$789.13 |
| J2704 |
Inj, propofol, 10 mg |
198 |
171 |
$787.01 |
| 74176 |
|
16 |
15 |
$735.64 |
| 80069 |
|
115 |
82 |
$710.21 |
| 73610 |
|
17 |
13 |
$702.13 |
| 82803 |
|
32 |
24 |
$688.71 |
| 85610 |
|
286 |
258 |
$666.19 |
| 94010 |
|
12 |
12 |
$644.61 |
| 74018 |
|
28 |
25 |
$620.19 |
| 73070 |
|
14 |
13 |
$610.42 |
| 82607 |
|
52 |
50 |
$513.12 |
| 87077 |
|
71 |
67 |
$491.05 |
| J1815 |
Insulin injection |
54 |
25 |
$486.83 |
| 83970 |
|
30 |
25 |
$469.72 |
| 87798 |
|
12 |
12 |
$462.73 |
| 82150 |
|
112 |
109 |
$458.23 |
| 87205 |
|
149 |
131 |
$410.14 |
| 87186 |
|
55 |
52 |
$402.78 |
| 80074 |
|
12 |
12 |
$389.25 |
| 86003 |
|
14 |
13 |
$370.38 |
| 80307 |
|
13 |
13 |
$350.04 |
| 95886 |
|
27 |
26 |
$311.07 |
| 87641 |
|
14 |
12 |
$259.29 |
| 87581 |
|
13 |
13 |
$253.50 |
| 87486 |
|
13 |
13 |
$253.50 |
| J1170 |
Hydromorphone injection |
71 |
63 |
$171.55 |
| J1100 |
Dexamethasone sodium phos |
104 |
85 |
$167.91 |
| 86140 |
|
56 |
49 |
$158.29 |
| 84146 |
|
41 |
41 |
$145.12 |
| J1010 |
Inj, methylpred acetate 1 mg |
45 |
44 |
$131.71 |
| 87801 |
|
12 |
12 |
$126.36 |
| U0005 |
Infec agen detec ampli probe |
27 |
25 |
$98.75 |
| 99070 |
|
466 |
119 |
$97.86 |
| J2270 |
Morphine sulfate injection |
26 |
16 |
$93.30 |
| 80047 |
|
15 |
13 |
$60.50 |
| J0690 |
Cefazolin sodium injection |
28 |
24 |
$51.43 |
| 87081 |
|
25 |
25 |
$42.50 |
| A6261 |
Wound filler gel/paste /oz |
19 |
12 |
$21.76 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
168 |
150 |
$19.00 |
| 76937 |
|
12 |
12 |
$13.74 |
| J1200 |
Diphenhydramine hcl injectio |
12 |
12 |
$11.61 |
| J7050 |
Normal saline solution infus |
21 |
15 |
$1.10 |
| J7030 |
Normal saline solution infus |
42 |
40 |
$0.32 |
| J2250 |
Inj midazolam hydrochloride |
40 |
39 |
$0.00 |
| 64494 |
|
17 |
12 |
$0.00 |
| 99202 |
|
26 |
26 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
253 |
220 |
$0.00 |
| 99152 |
|
56 |
52 |
$0.00 |