| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpt clinic visit |
40,207 |
33,152 |
$2.50M |
| 99284 |
|
9,285 |
8,472 |
$1.86M |
| 99283 |
|
12,115 |
11,365 |
$1.55M |
| 99285 |
|
4,676 |
4,349 |
$1.31M |
| 97110 |
|
21,483 |
5,428 |
$554K |
| 96374 |
|
5,406 |
4,850 |
$474K |
| 96365 |
|
4,520 |
2,801 |
$437K |
| 99282 |
|
3,600 |
3,485 |
$264K |
| 96361 |
|
4,656 |
3,707 |
$260K |
| 74177 |
|
1,509 |
1,452 |
$232K |
| 96360 |
|
1,798 |
1,395 |
$207K |
| 59025 |
|
1,610 |
814 |
$155K |
| 96375 |
|
5,006 |
4,059 |
$154K |
| 70450 |
|
1,514 |
1,461 |
$151K |
| 71046 |
|
3,083 |
2,944 |
$138K |
| 97530 |
|
5,678 |
1,819 |
$133K |
| 92507 |
|
3,181 |
936 |
$127K |
| 97140 |
|
7,798 |
2,798 |
$114K |
| U0002 |
Covid-19 lab test non-cdc |
3,103 |
2,965 |
$111K |
| 97112 |
|
5,720 |
1,818 |
$104K |
| 90834 |
|
1,198 |
1,086 |
$87K |
| 82306 |
|
7,384 |
7,307 |
$86K |
| 97161 |
|
1,745 |
1,713 |
$84K |
| 90791 |
|
760 |
753 |
$72K |
| 96366 |
|
1,050 |
612 |
$71K |
| 84443 |
|
12,198 |
11,687 |
$70K |
| 71045 |
|
1,770 |
1,683 |
$68K |
| 87426 |
|
3,977 |
3,706 |
$68K |
| 80053 |
|
24,106 |
21,293 |
$68K |
| 95810 |
|
129 |
128 |
$67K |
| 80061 |
|
6,611 |
6,558 |
$67K |
| 87428 |
|
1,775 |
1,637 |
$63K |
| 77067 |
|
1,295 |
1,295 |
$63K |
| 87491 |
|
3,518 |
3,449 |
$58K |
| 87591 |
|
3,511 |
3,445 |
$58K |
| 86900 |
|
1,792 |
1,712 |
$56K |
| 36415 |
|
38,223 |
31,778 |
$53K |
| 74176 |
|
440 |
424 |
$52K |
| 85025 |
|
26,924 |
23,494 |
$51K |
| G0480 |
Drug test def 1-7 classes |
2,721 |
2,391 |
$50K |
| 43239 |
|
143 |
140 |
$49K |
| 76816 |
|
919 |
860 |
$46K |
| 73721 |
|
363 |
356 |
$45K |
| 76830 |
|
704 |
698 |
$42K |
| 99391 |
|
658 |
618 |
$41K |
| Q3014 |
Telehealth facility fee |
2,923 |
2,607 |
$40K |
| 86870 |
|
334 |
328 |
$40K |
| 87661 |
|
2,418 |
2,380 |
$36K |
| 62323 |
|
106 |
97 |
$36K |
| 87635 |
|
1,078 |
1,041 |
$36K |
| 99392 |
|
546 |
545 |
$34K |
| 99281 |
|
802 |
783 |
$33K |
| G0123 |
Screen cerv/vag thin layer |
2,593 |
2,590 |
$30K |
| 76811 |
|
230 |
230 |
$27K |
| 93306 |
|
92 |
92 |
$24K |
| 83036 |
|
5,328 |
5,279 |
$24K |
| 96372 |
|
4,671 |
3,981 |
$23K |
| 72148 |
|
180 |
180 |
$23K |
| 96367 |
|
436 |
282 |
$22K |
| 93005 |
|
6,209 |
5,444 |
$21K |
| 76856 |
|
357 |
355 |
$21K |
| 80307 |
|
1,147 |
1,081 |
$21K |
| 87624 |
|
1,088 |
1,088 |
$20K |
| 73564 |
|
940 |
907 |
$19K |
| 90471 |
|
2,460 |
2,430 |
$19K |
| 82607 |
|
2,845 |
2,810 |
$18K |
| 87070 |
|
5,150 |
4,961 |
$18K |
| 97535 |
|
1,035 |
739 |
$18K |
| 82728 |
|
3,021 |
2,951 |
$17K |
| 73630 |
|
1,099 |
1,044 |
$16K |
| 87389 |
|
2,359 |
2,344 |
$16K |
| 88305 |
|
2,279 |
2,222 |
$16K |
| 87400 |
|
2,163 |
2,116 |
$15K |
| 73610 |
|
871 |
775 |
$14K |
| 87086 |
|
6,407 |
5,867 |
$14K |
| 84439 |
|
3,451 |
3,375 |
$14K |
| 97602 |
|
187 |
69 |
$13K |
| M0245 |
Bamlan and etesev infusion |
47 |
47 |
$13K |
| 77063 |
|
962 |
962 |
$12K |
| 87186 |
|
3,613 |
3,452 |
$12K |
| 86780 |
|
1,578 |
1,569 |
$12K |
| 73130 |
|
749 |
685 |
$11K |
| 70553 |
|
49 |
48 |
$11K |
| 76705 |
|
164 |
162 |
$10K |
| 90472 |
|
805 |
800 |
$9K |
| 82746 |
|
1,472 |
1,459 |
$9K |
| 78452 |
|
12 |
12 |
$9K |
| 86803 |
|
1,529 |
1,513 |
$8K |
| 99393 |
|
125 |
124 |
$8K |
| 73110 |
|
421 |
381 |
$7K |
| 80306 |
|
4,546 |
4,136 |
$7K |
| 81001 |
|
14,350 |
12,774 |
$7K |
| 87088 |
|
2,315 |
2,219 |
$6K |
| 90686 |
|
363 |
359 |
$6K |
| 87077 |
|
2,301 |
2,243 |
$6K |
| 87811 |
|
721 |
703 |
$6K |
| 80048 |
|
4,189 |
3,757 |
$6K |
| 83735 |
|
5,129 |
4,554 |
$6K |
| 85027 |
|
3,143 |
2,773 |
$5K |
| 87804 |
|
1,550 |
784 |
$5K |
| 76817 |
|
831 |
758 |
$5K |
| 73030 |
|
427 |
410 |
$5K |
| 87340 |
|
2,053 |
2,036 |
$5K |
| 83540 |
|
1,714 |
1,661 |
$5K |
| 76536 |
|
76 |
76 |
$4K |
| 83880 |
|
974 |
917 |
$4K |
| 84466 |
|
744 |
725 |
$4K |
| 97165 |
|
70 |
69 |
$4K |
| 86140 |
|
4,781 |
4,389 |
$4K |
| 73221 |
|
31 |
29 |
$4K |
| 87210 |
|
1,419 |
1,390 |
$4K |
| 84702 |
|
874 |
673 |
$4K |
| 97597 |
|
39 |
12 |
$3K |
| 86706 |
|
693 |
686 |
$3K |
| 90837 |
|
37 |
30 |
$3K |
| 71250 |
|
38 |
38 |
$3K |
| 81025 |
|
4,506 |
4,219 |
$3K |
| 90832 |
|
39 |
32 |
$3K |
| 85610 |
|
3,652 |
3,108 |
$3K |
| 87522 |
Neg quan hep c or qual rna |
140 |
138 |
$3K |
| 20611 |
|
17 |
14 |
$3K |
| G0103 |
Psa screening |
238 |
237 |
$3K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
175 |
175 |
$2K |
| 82570 |
|
1,143 |
1,073 |
$2K |
| 99396 |
|
36 |
36 |
$2K |
| 94060 |
|
15 |
15 |
$2K |
| 80076 |
|
1,617 |
1,518 |
$2K |
| 74178 |
|
12 |
12 |
$2K |
| 99406 |
|
155 |
153 |
$2K |
| 87880 |
|
618 |
603 |
$2K |
| G0433 |
Elisa hiv-1/hiv-2 screen |
210 |
209 |
$2K |
| 97162 |
|
41 |
41 |
$2K |
| 86708 |
|
400 |
398 |
$2K |
| 86704 |
|
417 |
414 |
$2K |
| 20553 |
|
12 |
12 |
$2K |
| 72110 |
|
63 |
62 |
$2K |
| 93017 |
|
63 |
63 |
$2K |
| 87807 |
|
732 |
698 |
$2K |
| 82947 |
|
791 |
768 |
$2K |
| 85007 |
|
1,784 |
1,522 |
$2K |
| 85652 |
|
1,826 |
1,746 |
$2K |
| 74018 |
|
125 |
109 |
$2K |
| 76770 |
|
25 |
25 |
$2K |
| 87506 |
|
15 |
15 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,143 |
3,012 |
$2K |
| 87521 |
Neg quan hep c or qual rna |
114 |
114 |
$2K |
| 94640 |
|
1,366 |
1,063 |
$2K |
| 82784 |
|
186 |
184 |
$2K |
| 76642 |
|
36 |
36 |
$2K |
| 87633 |
|
53 |
53 |
$1K |
| U0003 |
Cov-19 amp prb hgh thruput |
30 |
30 |
$1K |
| 86038 |
|
313 |
312 |
$1K |
| 71275 |
|
12 |
12 |
$1K |
| 76805 |
|
24 |
24 |
$1K |
| 72125 |
|
124 |
122 |
$1K |
| 92551 |
|
212 |
209 |
$1K |
| 84481 |
|
180 |
170 |
$1K |
| 71260 |
|
13 |
13 |
$1K |
| 83655 |
|
210 |
209 |
$1K |
| 84403 |
|
88 |
87 |
$1K |
| 90670 |
|
19 |
15 |
$1K |
| 83690 |
|
3,810 |
3,479 |
$1K |
| 90792 |
|
12 |
12 |
$997.08 |
| 82565 |
|
745 |
705 |
$996.40 |
| 87276 |
|
302 |
297 |
$936.25 |
| 36592 |
|
2,544 |
2,386 |
$928.79 |
| 87653 |
|
59 |
59 |
$868.23 |
| 85730 |
|
2,147 |
1,997 |
$862.84 |
| G0279 |
Tomosynthesis, mammo |
67 |
66 |
$717.15 |
| 86592 |
|
299 |
297 |
$712.68 |
| 87275 |
|
301 |
296 |
$705.92 |
| 73502 |
|
42 |
41 |
$659.64 |
| 86850 |
|
1,690 |
1,636 |
$646.04 |
| 83970 |
|
50 |
49 |
$631.84 |
| 51798 |
|
211 |
207 |
$623.42 |
| 87081 |
|
262 |
259 |
$585.25 |
| 81002 |
|
1,061 |
1,027 |
$571.54 |
| 90474 |
|
188 |
188 |
$558.00 |
| 82950 |
|
209 |
209 |
$557.63 |
| 87800 |
|
27 |
27 |
$532.78 |
| 86709 |
|
84 |
83 |
$500.69 |
| 82043 |
|
183 |
181 |
$499.99 |
| 83550 |
|
120 |
116 |
$489.45 |
| 96130 |
|
129 |
128 |
$460.85 |
| 97035 |
|
77 |
28 |
$446.54 |
| 84144 |
|
39 |
36 |
$398.54 |
| 82150 |
|
523 |
488 |
$345.98 |
| 82550 |
|
191 |
176 |
$339.65 |
| Q9969 |
Non-heu tc-99m add-on/dose |
49 |
46 |
$300.31 |
| 87798 |
|
12 |
12 |
$276.04 |
| 88142 |
|
30 |
30 |
$275.40 |
| 84484 |
|
3,290 |
2,316 |
$264.98 |
| 86762 |
|
616 |
614 |
$244.77 |
| 84460 |
|
87 |
87 |
$242.44 |
| 84156 |
|
197 |
163 |
$239.40 |
| 82077 |
|
1,539 |
1,291 |
$230.60 |
| 88304 |
|
285 |
278 |
$227.74 |
| 90460 |
|
35 |
34 |
$210.00 |
| 86800 |
|
31 |
31 |
$188.29 |
| 84550 |
|
139 |
132 |
$182.72 |
| 86376 |
|
29 |
29 |
$155.86 |
| 87808 |
|
24 |
24 |
$150.48 |
| 86431 |
|
74 |
74 |
$144.86 |
| 84100 |
|
129 |
114 |
$109.68 |
| 85379 |
|
237 |
233 |
$107.12 |
| 82951 |
|
15 |
15 |
$105.60 |
| 84165 |
|
25 |
25 |
$98.24 |
| 84703 |
|
73 |
71 |
$94.60 |
| 87430 |
|
30 |
30 |
$92.00 |
| 82248 |
|
93 |
80 |
$87.17 |
| 84145 |
|
1,112 |
1,070 |
$86.73 |
| 87075 |
|
25 |
25 |
$82.88 |
| 86334 |
|
12 |
12 |
$66.45 |
| 96127 |
|
50 |
49 |
$65.12 |
| 82962 |
|
2,032 |
1,335 |
$62.21 |
| 85018 |
|
85 |
77 |
$61.92 |
| 86618 |
|
12 |
12 |
$60.78 |
| 87328 |
|
12 |
12 |
$49.32 |
| 80178 |
|
16 |
12 |
$45.65 |
| 83615 |
|
31 |
27 |
$42.66 |
| 85014 |
|
55 |
50 |
$40.02 |
| 84155 |
|
25 |
25 |
$33.58 |
| 81003 |
|
26 |
25 |
$29.13 |
| 82310 |
|
12 |
12 |
$27.80 |
| 86901 |
|
1,790 |
1,712 |
$25.31 |
| 82180 |
|
12 |
12 |
$23.52 |
| 87040 |
|
156 |
94 |
$23.32 |
| 88312 |
|
26 |
25 |
$22.75 |
| 83605 |
|
1,184 |
891 |
$19.01 |
| J0689 |
Inj cefazolin sodium, baxter |
26 |
25 |
$5.44 |
| J2272 |
Inj, morphine (fresenius) |
49 |
42 |
$4.55 |
| J2405 |
Ondansetron hcl injection |
6,204 |
4,804 |
$3.00 |
| J2060 |
Lorazepam injection |
805 |
574 |
$1.18 |
| A9579 |
Gad-base mr contrast nos,1ml |
671 |
610 |
$0.36 |
| J3010 |
Fentanyl citrate injection |
3,478 |
2,514 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
2,434 |
1,888 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
2,936 |
2,548 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
2,579 |
2,082 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
4,591 |
4,083 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
1,203 |
1,118 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
72 |
71 |
$0.00 |
| 96376 |
|
887 |
651 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
692 |
667 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
1,415 |
1,210 |
$0.00 |
| J1170 |
Hydromorphone injection |
1,040 |
709 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
936 |
638 |
$0.00 |
| J3490 |
Drugs unclassified injection |
322 |
247 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
60 |
39 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
117 |
112 |
$0.00 |
| J2360 |
Orphenadrine injection |
54 |
51 |
$0.00 |
| G0378 |
Hospital observation per hr |
30 |
28 |
$0.00 |
| 12001 |
|
12 |
12 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
15 |
12 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
31 |
29 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
15 |
15 |
$0.00 |
| A9500 |
Tc99m sestamibi |
24 |
12 |
$0.00 |
| J3360 |
Diazepam injection |
24 |
20 |
$0.00 |
| 82803 |
|
12 |
12 |
$0.00 |
| 90715 |
|
305 |
303 |
$0.00 |
| 99173 |
|
237 |
234 |
$0.00 |
| J2270 |
Morphine sulfate injection |
934 |
675 |
$0.00 |
| 90685 |
|
83 |
83 |
$0.00 |
| 76376 |
|
308 |
284 |
$0.00 |
| J2930 |
Methylprednisolone injection |
287 |
242 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
476 |
367 |
$0.00 |
| 99152 |
|
98 |
93 |
$0.00 |
| J0780 |
Prochlorperazine injection |
18 |
12 |
$0.00 |
| A9577 |
Inj multihance |
85 |
85 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
78 |
58 |
$0.00 |
| Q0169 |
Promethazine hcl 12.5mg oral |
90 |
50 |
$0.00 |
| 0353U |
|
223 |
221 |
$0.00 |
| 90461 |
|
30 |
29 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 82805 |
|
12 |
12 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90633 |
|
13 |
12 |
$0.00 |
| 94729 |
|
15 |
15 |
$0.00 |
| 88313 |
|
24 |
24 |
$0.00 |
| 80143 |
|
12 |
12 |
$0.00 |
| 94727 |
|
15 |
15 |
$0.00 |