| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpt clinic visit |
197,133 |
179,563 |
$13.73M |
| 99285 |
|
22,110 |
19,076 |
$8.10M |
| 99283 |
|
28,266 |
26,288 |
$5.30M |
| 99284 |
|
19,508 |
17,107 |
$4.49M |
| 92014 |
|
6,452 |
6,370 |
$565K |
| 36415 |
|
72,623 |
66,341 |
$432K |
| 96374 |
|
2,645 |
2,506 |
$428K |
| 0241U |
|
3,204 |
3,116 |
$399K |
| 90460 |
|
14,658 |
13,985 |
$368K |
| 90837 |
|
3,368 |
2,379 |
$319K |
| C9803 |
Hopd covid-19 spec collect |
15,432 |
14,912 |
$293K |
| 92004 |
|
2,643 |
2,607 |
$231K |
| 93005 |
|
8,746 |
7,979 |
$196K |
| 99282 |
|
1,711 |
1,665 |
$177K |
| 11042 |
|
765 |
512 |
$172K |
| 85025 |
|
31,282 |
29,125 |
$126K |
| 90471 |
|
9,766 |
9,375 |
$117K |
| 71045 |
|
2,067 |
1,978 |
$107K |
| 90834 |
|
988 |
783 |
$104K |
| 11721 |
|
3,255 |
3,114 |
$100K |
| 41899 |
|
222 |
217 |
$100K |
| 67028 |
|
391 |
298 |
$76K |
| 87635 |
|
1,354 |
1,308 |
$65K |
| 87636 |
|
460 |
448 |
$62K |
| 90461 |
|
5,100 |
4,631 |
$61K |
| 20553 |
|
343 |
333 |
$61K |
| U0003 |
Cov-19 amp prb hgh thruput |
977 |
919 |
$60K |
| 96361 |
|
1,241 |
1,154 |
$58K |
| 80053 |
|
13,457 |
12,683 |
$58K |
| 87591 |
|
2,273 |
2,130 |
$55K |
| 87491 |
|
2,273 |
2,130 |
$55K |
| M0243 |
Casirivi and imdevi inj |
175 |
171 |
$49K |
| 87651 |
|
1,150 |
1,127 |
$49K |
| 71046 |
|
1,065 |
1,028 |
$44K |
| 90791 |
|
346 |
330 |
$40K |
| 90670 |
|
4,865 |
4,630 |
$36K |
| 96375 |
|
638 |
594 |
$36K |
| T1013 |
Sign lang/oral interpreter |
1,511 |
1,414 |
$32K |
| G0482 |
Drug test def 15-21 classes |
185 |
163 |
$32K |
| 92507 |
|
563 |
179 |
$31K |
| 80048 |
|
4,719 |
4,398 |
$29K |
| 0002A |
|
770 |
769 |
$28K |
| 74177 |
|
284 |
274 |
$28K |
| 90832 |
|
481 |
407 |
$28K |
| 83605 |
|
2,424 |
2,253 |
$24K |
| 87631 |
|
639 |
627 |
$23K |
| 90686 |
|
8,998 |
8,870 |
$22K |
| 96127 |
|
636 |
563 |
$20K |
| 73630 |
|
471 |
396 |
$19K |
| 99233 |
Prolong inpt eval add15 m |
263 |
100 |
$16K |
| 83655 |
|
741 |
730 |
$16K |
| 82306 |
|
379 |
355 |
$16K |
| 87086 |
|
1,525 |
1,422 |
$15K |
| 76816 |
|
167 |
157 |
$14K |
| 80307 |
|
201 |
174 |
$14K |
| Q3014 |
Telehealth facility fee |
546 |
379 |
$14K |
| 0001A |
|
391 |
389 |
$14K |
| 86780 |
|
997 |
918 |
$12K |
| 83036 |
|
1,215 |
1,149 |
$12K |
| 80061 |
|
987 |
940 |
$12K |
| 77067 |
|
473 |
465 |
$12K |
| 84443 |
|
779 |
750 |
$11K |
| U0005 |
Infec agen detec ampli probe |
553 |
530 |
$11K |
| 99177 |
|
638 |
637 |
$11K |
| 99291 |
|
88 |
79 |
$11K |
| 96372 |
|
214 |
199 |
$10K |
| 99223 |
Prolong inpt eval add15 m |
82 |
56 |
$10K |
| 88305 |
|
189 |
172 |
$9K |
| 97110 |
|
381 |
173 |
$9K |
| 77063 |
|
459 |
452 |
$9K |
| 81001 |
|
3,860 |
3,652 |
$8K |
| 99232 |
|
251 |
63 |
$8K |
| 90792 |
|
85 |
65 |
$8K |
| 80050 |
|
148 |
126 |
$8K |
| 90472 |
|
2,272 |
2,194 |
$7K |
| 20611 |
|
43 |
38 |
$6K |
| 20610 |
|
30 |
27 |
$6K |
| 94640 |
|
52 |
48 |
$6K |
| 96132 |
|
31 |
30 |
$6K |
| 0072A |
|
180 |
179 |
$5K |
| 85027 |
|
656 |
617 |
$5K |
| 76805 |
|
67 |
65 |
$5K |
| 87389 |
|
248 |
230 |
$5K |
| 87340 |
|
260 |
234 |
$4K |
| 74176 |
|
73 |
73 |
$4K |
| 99239 |
|
58 |
55 |
$4K |
| G0123 |
Screen cerv/vag thin layer |
212 |
207 |
$4K |
| 92567 |
|
174 |
174 |
$4K |
| 86481 |
|
65 |
62 |
$4K |
| 84146 |
|
91 |
90 |
$4K |
| 83690 |
|
1,399 |
1,340 |
$3K |
| 70450 |
|
126 |
119 |
$3K |
| 84484 |
|
887 |
790 |
$3K |
| 76801 |
|
25 |
25 |
$3K |
| 87660 |
|
389 |
381 |
$3K |
| 97161 |
|
34 |
34 |
$3K |
| 87510 |
|
389 |
381 |
$3K |
| 87480 |
|
389 |
381 |
$3K |
| 87880 |
|
579 |
564 |
$2K |
| 95004 |
|
12 |
12 |
$2K |
| 31575 |
|
15 |
15 |
$2K |
| 96360 |
|
12 |
12 |
$2K |
| 81003 |
|
571 |
549 |
$2K |
| 71275 |
|
37 |
35 |
$2K |
| G0472 |
Hep c screen high risk/other |
66 |
64 |
$2K |
| 0071A |
|
80 |
80 |
$2K |
| 90734 |
|
178 |
173 |
$2K |
| 87070 |
|
392 |
381 |
$2K |
| 17110 |
|
14 |
12 |
$2K |
| 90697 |
|
355 |
354 |
$2K |
| 86850 |
|
182 |
167 |
$2K |
| 92557 |
|
13 |
13 |
$1K |
| 92133 |
|
78 |
78 |
$1K |
| 87624 |
|
63 |
55 |
$1K |
| 93306 |
|
14 |
13 |
$1K |
| 85610 |
|
1,252 |
1,079 |
$1K |
| 84702 |
|
125 |
121 |
$1K |
| 92134 |
|
57 |
53 |
$1K |
| 90716 |
|
75 |
75 |
$1K |
| 82805 |
|
115 |
108 |
$1K |
| 86787 |
|
85 |
80 |
$1K |
| 96136 |
|
31 |
30 |
$1K |
| 86769 |
|
36 |
35 |
$1K |
| 0012A |
|
28 |
28 |
$1K |
| G0297 |
Ldct for lung ca screen |
12 |
12 |
$888.74 |
| 0124A |
|
34 |
34 |
$870.05 |
| 90473 |
|
121 |
94 |
$832.54 |
| 0004A |
|
42 |
42 |
$818.27 |
| 71271 |
|
13 |
12 |
$816.29 |
| 90677 |
|
178 |
178 |
$802.03 |
| M0239 |
Bamlanivimab-xxxx infusion |
13 |
13 |
$764.17 |
| 87653 |
|
15 |
15 |
$713.32 |
| 86762 |
|
72 |
68 |
$669.30 |
| 90480 |
|
26 |
26 |
$642.39 |
| 59025 |
|
20 |
12 |
$632.71 |
| 0003A |
|
50 |
50 |
$601.94 |
| 98968 |
|
19 |
13 |
$574.47 |
| 81025 |
|
136 |
127 |
$558.78 |
| 86706 |
|
18 |
17 |
$549.25 |
| 87209 |
|
30 |
24 |
$525.05 |
| J7030 |
Normal saline solution infus |
797 |
730 |
$493.24 |
| 90656 |
|
256 |
255 |
$450.92 |
| 92015 |
|
235 |
230 |
$409.32 |
| 84439 |
|
25 |
25 |
$403.92 |
| 84460 |
|
54 |
53 |
$357.22 |
| 0052A |
|
14 |
14 |
$337.56 |
| 0013A |
|
16 |
16 |
$333.70 |
| 86140 |
|
256 |
248 |
$309.55 |
| 69210 |
|
13 |
13 |
$300.34 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,139 |
752 |
$277.18 |
| 90474 |
|
26 |
26 |
$267.84 |
| 87177 |
|
30 |
24 |
$259.81 |
| 90651 |
|
812 |
791 |
$256.85 |
| S0302 |
Completed epsdt |
25 |
17 |
$251.10 |
| 85730 |
|
25 |
25 |
$240.92 |
| 84450 |
|
42 |
41 |
$238.86 |
| 76705 |
|
14 |
14 |
$221.37 |
| 82950 |
|
42 |
40 |
$203.28 |
| G0008 |
Admin influenza virus vac |
14 |
14 |
$196.40 |
| 86901 |
|
71 |
65 |
$172.59 |
| 86900 |
|
71 |
65 |
$172.59 |
| 95886 |
|
32 |
25 |
$162.16 |
| J1885 |
Ketorolac tromethamine inj |
1,601 |
1,404 |
$150.12 |
| J0702 |
Betamethasone acet&sod phosp |
438 |
405 |
$148.00 |
| 84478 |
|
27 |
27 |
$147.25 |
| 83735 |
|
198 |
187 |
$132.81 |
| 82248 |
|
305 |
274 |
$122.78 |
| 99173 |
|
237 |
198 |
$118.49 |
| 82607 |
|
15 |
14 |
$111.37 |
| 85018 |
|
26 |
26 |
$109.72 |
| J3010 |
Fentanyl citrate injection |
262 |
205 |
$96.45 |
| 73130 |
|
18 |
15 |
$96.01 |
| 82947 |
|
26 |
26 |
$95.78 |
| 73610 |
|
13 |
12 |
$78.78 |
| 96137 |
|
14 |
13 |
$66.60 |
| 99188 |
|
132 |
108 |
$57.37 |
| J2704 |
Inj, propofol, 10 mg |
1,137 |
531 |
$51.68 |
| 90672 |
|
122 |
95 |
$31.08 |
| 90744 |
|
1,109 |
1,029 |
$29.74 |
| A9270 |
Non-covered item or service |
83 |
70 |
$16.88 |
| J1100 |
Dexamethasone sodium phos |
328 |
273 |
$8.24 |
| J2405 |
Ondansetron hcl injection |
397 |
217 |
$6.78 |
| 36416 |
|
122 |
118 |
$3.26 |
| 90619 |
|
31 |
30 |
$2.94 |
| J2250 |
Inj midazolam hydrochloride |
165 |
141 |
$2.63 |
| 90698 |
|
4,170 |
3,929 |
$1.90 |
| 90633 |
|
1,043 |
993 |
$1.80 |
| 90685 |
|
636 |
563 |
$1.00 |
| 90696 |
|
81 |
78 |
$0.93 |
| 90710 |
|
70 |
67 |
$0.93 |
| J1170 |
Hydromorphone injection |
13 |
12 |
$0.00 |
| 90680 |
|
2,095 |
1,994 |
$0.00 |
| V5008 |
Hearing screening |
66 |
61 |
$0.00 |
| 96110 |
|
579 |
480 |
$0.00 |
| J1790 |
Droperidol injection |
25 |
24 |
$0.00 |
| 91307 |
|
314 |
306 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
28 |
14 |
$0.00 |
| 92551 |
|
231 |
181 |
$0.00 |
| 91305 |
|
22 |
22 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
26 |
26 |
$0.00 |
| 91301 |
|
25 |
25 |
$0.00 |
| 0065U |
|
12 |
12 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
12 |
12 |
$0.00 |
| J2001 |
Lidocaine injection |
30 |
12 |
$0.00 |
| 86803 |
|
12 |
12 |
$0.00 |
| 90715 |
|
51 |
50 |
$0.00 |
| 91300 |
|
1,247 |
1,229 |
$0.00 |
| 90833 |
|
123 |
110 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
29 |
28 |
$0.00 |
| J7120 |
Ringers lactate infusion |
50 |
39 |
$0.00 |
| 90691 |
|
15 |
14 |
$0.00 |
| 90707 |
|
36 |
36 |
$0.00 |
| 86682 |
|
19 |
13 |
$0.00 |
| 86765 |
|
12 |
12 |
$0.00 |
| 91312 |
|
19 |
19 |
$0.00 |
| 86735 |
|
12 |
12 |
$0.00 |