| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpt clinic visit |
136,454 |
116,416 |
$11.27M |
| 99283 |
|
11,084 |
10,348 |
$1.34M |
| 96361 |
|
2,410 |
2,174 |
$764K |
| 45385 |
|
1,752 |
1,710 |
$602K |
| 99284 |
|
6,575 |
6,158 |
$524K |
| 43239 |
|
1,657 |
1,607 |
$471K |
| 45380 |
|
1,437 |
1,398 |
$378K |
| 96110 |
|
625 |
620 |
$354K |
| 74177 |
|
2,298 |
2,242 |
$339K |
| 52000 |
|
828 |
795 |
$323K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,332 |
3,218 |
$294K |
| 20610 |
|
2,190 |
2,020 |
$292K |
| 42820 |
|
165 |
165 |
$290K |
| 92550 |
|
1,773 |
1,745 |
$268K |
| 92587 |
|
1,407 |
1,396 |
$233K |
| 95886 |
|
1,630 |
1,607 |
$217K |
| 17110 |
|
948 |
913 |
$203K |
| 92551 |
|
3,891 |
3,853 |
$198K |
| 99281 |
|
1,564 |
1,466 |
$193K |
| J0178 |
Aflibercept injection |
359 |
335 |
$189K |
| 92567 |
|
4,593 |
4,487 |
$188K |
| 95117 |
|
7,163 |
2,831 |
$158K |
| 11102 |
|
687 |
664 |
$152K |
| J0585 |
Injection,onabotulinumtoxina |
913 |
849 |
$149K |
| 31575 |
|
749 |
739 |
$146K |
| 66984 |
|
440 |
412 |
$139K |
| 96365 |
|
1,213 |
888 |
$120K |
| 64615 |
|
654 |
644 |
$110K |
| 92557 |
|
2,307 |
2,264 |
$105K |
| 29075 |
|
370 |
334 |
$103K |
| 90471 |
|
4,195 |
4,155 |
$100K |
| 96360 |
|
673 |
624 |
$97K |
| 17000 |
|
906 |
887 |
$96K |
| 70450 |
|
610 |
595 |
$92K |
| 11100 |
|
318 |
308 |
$90K |
| 74176 |
|
455 |
449 |
$77K |
| 92552 |
|
931 |
924 |
$72K |
| 67028 |
|
674 |
620 |
$71K |
| 90472 |
|
3,602 |
3,581 |
$66K |
| 93306 |
|
337 |
334 |
$61K |
| 71260 |
|
1,226 |
1,190 |
$52K |
| 95115 |
|
2,371 |
932 |
$52K |
| 36415 |
|
25,428 |
23,320 |
$49K |
| 11900 |
|
239 |
234 |
$49K |
| 99282 |
|
379 |
370 |
$48K |
| 11104 |
|
143 |
142 |
$47K |
| 80053 |
|
8,594 |
8,239 |
$46K |
| 31231 |
|
274 |
264 |
$44K |
| 76705 |
|
483 |
476 |
$43K |
| 87591 |
|
2,935 |
2,862 |
$42K |
| J7298 |
Mirena, 52 mg |
124 |
119 |
$40K |
| G0008 |
Admin influenza virus vac |
2,969 |
2,960 |
$38K |
| 11750 |
|
121 |
88 |
$37K |
| 43235 |
|
96 |
95 |
$37K |
| 95165 |
|
1,426 |
1,408 |
$31K |
| 0072A |
|
727 |
727 |
$30K |
| 0071A |
|
634 |
630 |
$26K |
| 80307 |
|
815 |
765 |
$25K |
| 45378 |
|
74 |
67 |
$25K |
| 85025 |
|
13,454 |
12,763 |
$25K |
| 43248 |
|
53 |
51 |
$24K |
| 87428 |
|
6,558 |
6,356 |
$24K |
| 92555 |
|
1,147 |
1,141 |
$24K |
| 20550 |
|
151 |
143 |
$24K |
| 71250 |
|
384 |
378 |
$23K |
| 69210 |
|
794 |
764 |
$22K |
| 80047 |
|
5,029 |
4,655 |
$21K |
| 87880 |
|
4,434 |
4,350 |
$21K |
| 92579 |
|
1,150 |
1,138 |
$20K |
| 93005 |
|
3,995 |
3,834 |
$19K |
| 71271 |
|
347 |
344 |
$18K |
| 87426 |
|
4,570 |
4,455 |
$18K |
| 59025 |
|
103 |
60 |
$18K |
| 95908 |
|
323 |
318 |
$18K |
| 76805 |
|
262 |
259 |
$17K |
| 84443 |
|
3,142 |
3,086 |
$17K |
| 29065 |
|
45 |
41 |
$16K |
| 42826 |
|
12 |
12 |
$15K |
| 83036 |
|
4,209 |
4,166 |
$15K |
| 58300 |
|
142 |
137 |
$15K |
| 80048 |
|
3,280 |
3,064 |
$15K |
| 92586 |
|
70 |
69 |
$14K |
| 88305 |
|
6,567 |
6,211 |
$14K |
| 80305 |
|
2,650 |
2,300 |
$14K |
| 87491 |
|
2,951 |
2,878 |
$14K |
| 87635 |
|
407 |
394 |
$14K |
| 80050 |
|
1,931 |
1,903 |
$13K |
| 81025 |
|
7,445 |
7,155 |
$13K |
| 80061 |
|
3,384 |
3,331 |
$13K |
| 85610 |
|
12,458 |
6,637 |
$11K |
| 95004 |
|
1,705 |
1,693 |
$11K |
| 76817 |
|
187 |
178 |
$11K |
| 92504 |
|
286 |
256 |
$11K |
| 71275 |
|
54 |
54 |
$10K |
| 82306 |
|
1,144 |
1,127 |
$10K |
| 93017 |
|
114 |
111 |
$10K |
| 87086 |
|
5,221 |
4,930 |
$10K |
| 95885 |
|
58 |
56 |
$9K |
| C9257 |
Bevacizumab injection |
163 |
67 |
$9K |
| 81003 |
|
6,504 |
6,287 |
$9K |
| 95910 |
|
261 |
258 |
$9K |
| 76830 |
|
114 |
112 |
$9K |
| 73630 |
|
2,025 |
1,715 |
$9K |
| 86140 |
|
3,044 |
2,967 |
$9K |
| 80076 |
|
3,574 |
3,377 |
$9K |
| 90715 |
|
896 |
887 |
$8K |
| 76856 |
|
129 |
127 |
$8K |
| 93976 |
|
154 |
154 |
$8K |
| 84439 |
|
949 |
935 |
$8K |
| 93971 |
|
88 |
86 |
$8K |
| 99285 |
|
66 |
60 |
$8K |
| 88142 |
|
533 |
525 |
$8K |
| 87081 |
|
1,829 |
1,802 |
$8K |
| 84403 |
|
528 |
521 |
$8K |
| G0297 |
Ldct for lung ca screen |
136 |
133 |
$8K |
| 84484 |
|
1,529 |
1,456 |
$8K |
| 86780 |
|
629 |
610 |
$7K |
| 92083 |
|
183 |
175 |
$7K |
| 73110 |
|
1,907 |
1,597 |
$7K |
| 93226 |
|
225 |
223 |
$7K |
| 78815 |
|
27 |
27 |
$7K |
| 82570 |
|
1,714 |
1,661 |
$7K |
| 73564 |
|
1,683 |
1,482 |
$7K |
| 73140 |
|
1,611 |
1,390 |
$6K |
| 87653 |
|
424 |
420 |
$6K |
| 96366 |
|
40 |
31 |
$6K |
| 82728 |
|
1,359 |
1,332 |
$6K |
| 82607 |
|
875 |
862 |
$6K |
| 87077 |
|
3,264 |
3,101 |
$6K |
| 73610 |
|
1,696 |
1,477 |
$6K |
| 86580 |
|
713 |
629 |
$5K |
| 97803 |
|
139 |
101 |
$5K |
| 11055 |
|
63 |
63 |
$5K |
| 78452 |
|
28 |
27 |
$5K |
| 96372 |
|
2,010 |
1,699 |
$5K |
| 96374 |
|
3,179 |
2,913 |
$5K |
| J7307 |
Etonogestrel implant system |
14 |
14 |
$5K |
| 83605 |
|
963 |
860 |
$5K |
| 87210 |
|
1,159 |
1,132 |
$5K |
| 87804 |
|
1,113 |
1,097 |
$5K |
| 95909 |
|
82 |
82 |
$5K |
| 81002 |
|
5,811 |
5,593 |
$4K |
| 76816 |
|
78 |
70 |
$4K |
| 73030 |
|
1,132 |
1,048 |
$4K |
| 71046 |
|
865 |
854 |
$4K |
| 70486 |
|
48 |
48 |
$4K |
| 85652 |
|
2,442 |
2,400 |
$4K |
| 90686 |
|
2,859 |
2,850 |
$4K |
| 88342 |
|
948 |
896 |
$4K |
| 83540 |
|
970 |
947 |
$4K |
| 90671 |
|
299 |
299 |
$4K |
| 92585 |
|
12 |
12 |
$4K |
| 86706 |
|
641 |
629 |
$4K |
| 86431 |
|
803 |
800 |
$4K |
| 84270 |
|
341 |
335 |
$4K |
| J3490 |
Drugs unclassified injection |
5,540 |
3,529 |
$3K |
| 94640 |
|
462 |
418 |
$3K |
| 85007 |
|
737 |
671 |
$3K |
| 87070 |
|
1,660 |
1,563 |
$3K |
| 85027 |
|
1,340 |
1,230 |
$3K |
| 73130 |
|
1,047 |
885 |
$3K |
| 51798 |
|
2,313 |
2,164 |
$3K |
| 81001 |
|
7,096 |
6,622 |
$3K |
| 71045 |
|
1,581 |
1,538 |
$3K |
| 90670 |
|
1,389 |
1,384 |
$3K |
| 95911 |
|
132 |
130 |
$3K |
| 80074 |
|
458 |
446 |
$3K |
| 0124A |
|
89 |
89 |
$3K |
| 58301 |
|
26 |
25 |
$3K |
| 72100 |
|
309 |
303 |
$3K |
| 87040 |
|
429 |
380 |
$3K |
| 82043 |
|
1,566 |
1,531 |
$2K |
| 85379 |
|
546 |
534 |
$2K |
| G0480 |
Drug test def 1-7 classes |
311 |
290 |
$2K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
763 |
710 |
$2K |
| 84481 |
|
414 |
403 |
$2K |
| 83970 |
|
265 |
259 |
$2K |
| 0074A |
|
53 |
53 |
$2K |
| 0054A |
|
57 |
57 |
$2K |
| 86703 |
|
391 |
383 |
$2K |
| 83690 |
|
3,008 |
2,837 |
$2K |
| 96375 |
|
2,296 |
2,054 |
$2K |
| 73502 |
|
569 |
539 |
$2K |
| 83735 |
|
1,043 |
920 |
$2K |
| 17003 |
|
475 |
467 |
$2K |
| 73070 |
|
469 |
385 |
$2K |
| 92650 |
|
15 |
15 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,433 |
4,413 |
$2K |
| 86677 |
|
165 |
164 |
$2K |
| 82962 |
|
3,772 |
2,999 |
$2K |
| 82784 |
|
159 |
154 |
$1K |
| 84153 |
|
350 |
346 |
$1K |
| 58100 |
|
13 |
13 |
$1K |
| 95819 |
|
12 |
12 |
$1K |
| G0500 |
Mod sedat endo service >5yrs |
4,811 |
4,640 |
$1K |
| 73100 |
|
418 |
348 |
$1K |
| 87147 |
|
486 |
480 |
$1K |
| 93296 |
|
188 |
186 |
$1K |
| 90651 |
|
981 |
979 |
$1K |
| 84146 |
|
98 |
96 |
$1K |
| 87563 |
|
148 |
147 |
$1K |
| 83001 |
|
81 |
79 |
$1K |
| 81015 |
|
480 |
473 |
$1K |
| 87624 |
|
95 |
90 |
$1K |
| 86850 |
|
381 |
370 |
$1K |
| 86038 |
|
198 |
196 |
$1K |
| 51702 |
|
108 |
103 |
$1K |
| 86900 |
|
313 |
305 |
$1K |
| 95024 |
|
145 |
143 |
$1K |
| 82247 |
|
115 |
70 |
$1K |
| 0154A |
|
23 |
23 |
$986.60 |
| 97802 |
|
14 |
12 |
$976.57 |
| 97597 |
|
32 |
24 |
$961.26 |
| 11720 |
|
78 |
78 |
$903.84 |
| 92134 |
|
1,388 |
1,314 |
$863.74 |
| 36416 |
|
4,604 |
2,577 |
$825.93 |
| 83880 |
|
183 |
177 |
$804.84 |
| 86762 |
|
232 |
227 |
$801.81 |
| 72040 |
|
310 |
304 |
$784.50 |
| 76942 |
|
13 |
13 |
$755.39 |
| 87340 |
|
299 |
295 |
$734.81 |
| 90688 |
|
50 |
49 |
$724.65 |
| 87661 |
|
148 |
147 |
$714.15 |
| 87186 |
|
812 |
786 |
$709.64 |
| 92136 |
|
27 |
27 |
$704.11 |
| 87807 |
|
329 |
324 |
$693.84 |
| 82248 |
|
161 |
109 |
$688.78 |
| 73562 |
|
134 |
128 |
$639.88 |
| 85014 |
|
133 |
129 |
$624.67 |
| 73590 |
|
82 |
65 |
$613.01 |
| 86803 |
|
175 |
174 |
$597.49 |
| 82670 |
|
42 |
39 |
$589.66 |
| 99153 |
Mod sedat endo service >5yrs |
2,701 |
2,640 |
$575.37 |
| 82746 |
|
208 |
204 |
$575.36 |
| 87045 |
|
98 |
98 |
$575.15 |
| 0081A |
|
13 |
13 |
$543.80 |
| 82565 |
|
134 |
133 |
$520.84 |
| 90832 |
|
80 |
70 |
$516.42 |
| 87899 |
|
171 |
94 |
$511.45 |
| 0082A |
|
12 |
12 |
$503.80 |
| 84100 |
|
405 |
375 |
$502.55 |
| 86901 |
|
313 |
305 |
$502.15 |
| J7030 |
Normal saline solution infus |
7,762 |
7,231 |
$492.21 |
| 82627 |
|
24 |
24 |
$436.53 |
| J3010 |
Fentanyl citrate injection |
11,269 |
10,103 |
$433.26 |
| U0002 |
Covid-19 lab test non-cdc |
65 |
64 |
$411.43 |
| J3301 |
Triamcinolone acet inj nos |
2,335 |
2,059 |
$393.74 |
| 82550 |
|
75 |
75 |
$390.11 |
| 11721 |
|
25 |
25 |
$373.05 |
| 82533 |
|
25 |
25 |
$370.33 |
| 87640 |
|
26 |
25 |
$363.62 |
| 83721 |
|
126 |
121 |
$359.85 |
| J2250 |
Inj midazolam hydrochloride |
12,370 |
9,579 |
$353.70 |
| 80178 |
|
41 |
39 |
$350.71 |
| 93225 |
|
13 |
12 |
$335.98 |
| J7050 |
Normal saline solution infus |
264 |
195 |
$333.73 |
| 73560 |
|
144 |
118 |
$326.65 |
| 84702 |
|
41 |
36 |
$308.26 |
| 82947 |
|
348 |
276 |
$306.52 |
| 85018 |
|
131 |
127 |
$303.95 |
| 83002 |
|
28 |
26 |
$299.78 |
| 84550 |
|
169 |
166 |
$296.39 |
| 51705 |
|
14 |
12 |
$293.88 |
| J2405 |
Ondansetron hcl injection |
6,492 |
5,801 |
$284.57 |
| 73600 |
|
97 |
83 |
$272.98 |
| J1100 |
Dexamethasone sodium phos |
7,539 |
5,526 |
$264.38 |
| J1885 |
Ketorolac tromethamine inj |
4,174 |
3,570 |
$256.73 |
| J0696 |
Ceftriaxone sodium injection |
882 |
701 |
$240.16 |
| 80164 |
|
39 |
36 |
$230.71 |
| J7120 |
Ringers lactate infusion |
7,680 |
7,023 |
$230.37 |
| 96376 |
|
300 |
254 |
$212.16 |
| 74018 |
|
140 |
139 |
$193.05 |
| 93299 |
|
13 |
12 |
$191.75 |
| 92133 |
|
452 |
448 |
$158.06 |
| J1030 |
Methylprednisolone 40 mg inj |
732 |
707 |
$150.07 |
| 90620 |
|
155 |
155 |
$146.24 |
| J1050 |
Medroxyprogesterone acetate |
101 |
99 |
$142.77 |
| 84156 |
|
40 |
37 |
$142.39 |
| J1170 |
Hydromorphone injection |
2,749 |
2,159 |
$140.18 |
| 84460 |
|
93 |
82 |
$139.50 |
| J2704 |
Inj, propofol, 10 mg |
6,658 |
4,922 |
$137.08 |
| 84703 |
|
26 |
26 |
$112.73 |
| 82150 |
|
15 |
14 |
$112.35 |
| 83516 |
|
22 |
14 |
$110.10 |
| 30901 |
|
13 |
12 |
$102.36 |
| 86308 |
|
12 |
12 |
$93.91 |
| 88304 |
|
189 |
183 |
$90.70 |
| J1200 |
Diphenhydramine hcl injectio |
827 |
748 |
$80.85 |
| 90648 |
|
269 |
266 |
$80.56 |
| J0690 |
Cefazolin sodium injection |
3,515 |
3,028 |
$79.49 |
| 82340 |
|
12 |
12 |
$78.30 |
| J1040 |
Methylprednisolone 80 mg inj |
380 |
374 |
$71.22 |
| G0328 |
Fecal blood scrn immunoassay |
15 |
15 |
$62.87 |
| 88112 |
|
27 |
26 |
$62.48 |
| 73090 |
|
83 |
64 |
$60.48 |
| 73000 |
|
37 |
29 |
$55.24 |
| J3475 |
Inj magnesium sulfate |
46 |
39 |
$46.39 |
| 87493 |
|
12 |
12 |
$44.33 |
| 11730 |
|
12 |
12 |
$44.06 |
| J0131 |
Inj, acetaminophen (nos) |
13 |
13 |
$41.08 |
| 94760 |
|
149 |
141 |
$39.78 |
| 90707 |
|
407 |
406 |
$31.55 |
| 87205 |
|
333 |
308 |
$31.20 |
| 82274 |
|
14 |
14 |
$30.67 |
| 99173 |
|
3,877 |
3,872 |
$30.03 |
| J2765 |
Metoclopramide hcl injection |
400 |
364 |
$29.25 |
| J7999 |
Compounded drug, noc |
162 |
156 |
$22.48 |
| 92582 |
|
44 |
44 |
$20.29 |
| 86705 |
|
12 |
12 |
$16.89 |
| J0330 |
Succinycholine chloride inj |
777 |
762 |
$10.50 |
| 88341 |
|
69 |
63 |
$10.15 |
| 82803 |
|
38 |
37 |
$8.12 |
| J2270 |
Morphine sulfate injection |
379 |
330 |
$5.85 |
| 90734 |
|
459 |
457 |
$0.02 |
| 90633 |
|
942 |
936 |
$0.01 |
| 90672 |
|
145 |
145 |
$0.01 |
| J0780 |
Prochlorperazine injection |
77 |
72 |
$0.00 |
| G1004 |
Cdsm ndsc |
950 |
891 |
$0.00 |
| 90710 |
|
384 |
381 |
$0.00 |
| 87075 |
|
155 |
147 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
732 |
675 |
$0.00 |
| Q4010 |
Cast sup sht arm adult fbrgl |
172 |
154 |
$0.00 |
| 99152 |
|
143 |
140 |
$0.00 |
| A9552 |
F18 fdg |
211 |
207 |
$0.00 |
| 90700 |
|
152 |
152 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
341 |
328 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
28 |
27 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
28 |
27 |
$0.00 |
| 0202U |
|
630 |
621 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
108 |
100 |
$0.00 |
| G2212 |
Prolong outpt/office vis |
170 |
169 |
$0.00 |
| G0444 |
Depression screen annual |
26 |
26 |
$0.00 |
| 88312 |
|
96 |
91 |
$0.00 |
| 51741 |
|
40 |
39 |
$0.00 |
| 94664 |
|
24 |
24 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
18 |
12 |
$0.00 |
| C1758 |
Catheter, ureteral |
13 |
13 |
$0.00 |
| A4550 |
Surgical trays |
103 |
97 |
$0.00 |
| J7040 |
Normal saline solution infus |
12 |
12 |
$0.00 |
| 90473 |
|
16 |
16 |
$0.00 |
| 90716 |
|
450 |
449 |
$0.00 |
| 90474 |
|
1,187 |
1,184 |
$0.00 |
| A9270 |
Non-covered item or service |
3,481 |
2,238 |
$0.00 |
| G0475 |
Hiv combination assay |
227 |
222 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
122 |
117 |
$0.00 |
| 90696 |
|
362 |
359 |
$0.00 |
| 90619 |
|
317 |
316 |
$0.00 |
| 90698 |
|
218 |
218 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
13 |
12 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
669 |
623 |
$0.00 |
| J1630 |
Haloperidol injection |
126 |
111 |
$0.00 |
| 90680 |
|
1,242 |
1,237 |
$0.00 |
| 90697 |
|
1,104 |
1,100 |
$0.00 |
| J2060 |
Lorazepam injection |
140 |
121 |
$0.00 |
| J2785 |
Regadenoson injection |
13 |
13 |
$0.00 |
| G0472 |
Hep c screen high risk/other |
18 |
18 |
$0.00 |
| Q4008 |
Cast sup long arm ped fbrgls |
14 |
13 |
$0.00 |
| 90723 |
|
79 |
79 |
$0.00 |
| C1769 |
Guide wire |
13 |
12 |
$0.00 |