| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
32,104 |
28,671 |
$2.01M |
| 99284 |
|
5,331 |
4,984 |
$1.25M |
| 99283 |
|
6,933 |
6,628 |
$1.06M |
| 99285 |
|
2,619 |
2,428 |
$940K |
| 96374 |
|
3,361 |
3,020 |
$397K |
| 97110 |
|
10,022 |
3,164 |
$316K |
| 74177 |
|
1,150 |
1,106 |
$247K |
| 99392 |
|
2,680 |
2,676 |
$158K |
| 96361 |
|
3,566 |
2,990 |
$158K |
| 99391 |
|
2,560 |
2,496 |
$149K |
| 96365 |
|
1,345 |
1,128 |
$141K |
| 96375 |
|
2,745 |
2,344 |
$114K |
| 96360 |
|
865 |
827 |
$112K |
| 99282 |
|
1,145 |
1,123 |
$106K |
| 97140 |
|
5,489 |
2,013 |
$105K |
| 71045 |
|
1,886 |
1,793 |
$93K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,467 |
1,444 |
$84K |
| 87635 |
|
2,384 |
2,305 |
$78K |
| 99393 |
|
1,589 |
1,587 |
$77K |
| 97530 |
|
1,846 |
724 |
$73K |
| G0378 |
Hospital observation per hr |
457 |
307 |
$57K |
| 87636 |
|
509 |
497 |
$50K |
| 97161 |
|
578 |
565 |
$36K |
| 71046 |
|
851 |
789 |
$34K |
| 99394 |
|
600 |
599 |
$33K |
| 97112 |
|
729 |
328 |
$27K |
| Q3014 |
Telehealth facility fee |
1,321 |
1,261 |
$27K |
| 70450 |
|
329 |
313 |
$27K |
| 80061 |
|
1,785 |
1,771 |
$23K |
| 77067 |
|
348 |
348 |
$21K |
| 80053 |
|
10,157 |
9,024 |
$19K |
| 97162 |
|
392 |
387 |
$18K |
| 84443 |
|
3,760 |
3,614 |
$18K |
| 87491 |
|
1,516 |
1,495 |
$18K |
| 87637 |
|
173 |
171 |
$17K |
| 85025 |
|
13,518 |
11,670 |
$16K |
| 86900 |
|
392 |
375 |
$13K |
| 76830 |
|
126 |
125 |
$10K |
| 99396 |
|
158 |
158 |
$9K |
| 88175 |
|
971 |
967 |
$8K |
| 96372 |
|
1,734 |
1,548 |
$8K |
| 93005 |
|
2,724 |
2,551 |
$8K |
| 87651 |
|
2,258 |
2,219 |
$8K |
| 99395 |
|
112 |
112 |
$6K |
| 83036 |
|
1,669 |
1,646 |
$5K |
| 36415 |
|
10,044 |
8,554 |
$5K |
| 76705 |
|
68 |
68 |
$5K |
| 74176 |
|
30 |
30 |
$5K |
| 87086 |
|
2,431 |
2,331 |
$4K |
| U0002 |
Covid-19 lab test non-cdc |
108 |
108 |
$4K |
| 87088 |
|
2,319 |
2,222 |
$4K |
| 88305 |
|
722 |
705 |
$4K |
| 94640 |
|
289 |
235 |
$4K |
| 80048 |
|
2,838 |
2,526 |
$4K |
| 82306 |
|
208 |
206 |
$3K |
| 76805 |
|
36 |
36 |
$3K |
| 96366 |
|
51 |
40 |
$2K |
| 77063 |
|
153 |
153 |
$2K |
| 87624 |
|
230 |
230 |
$2K |
| 97035 |
|
320 |
125 |
$2K |
| 82947 |
|
13 |
12 |
$2K |
| 81001 |
|
6,866 |
6,273 |
$2K |
| 87389 |
|
197 |
194 |
$1K |
| 76856 |
|
30 |
27 |
$1K |
| 83735 |
|
5,931 |
5,086 |
$898.02 |
| 73564 |
|
25 |
25 |
$679.49 |
| 86780 |
|
52 |
52 |
$532.78 |
| 85610 |
|
1,001 |
902 |
$527.24 |
| 86140 |
|
614 |
589 |
$519.07 |
| G0480 |
Drug test def 1-7 classes |
1,396 |
1,216 |
$474.30 |
| 83690 |
|
2,847 |
2,597 |
$419.66 |
| 87591 |
|
480 |
472 |
$414.30 |
| 87081 |
|
373 |
368 |
$399.91 |
| 73630 |
|
85 |
80 |
$383.05 |
| 87400 |
|
1,033 |
997 |
$364.41 |
| 85652 |
|
659 |
632 |
$324.94 |
| 86803 |
|
61 |
61 |
$272.52 |
| 81025 |
|
2,420 |
2,274 |
$265.78 |
| 73030 |
|
41 |
37 |
$246.98 |
| 84439 |
|
57 |
57 |
$244.07 |
| 87510 |
|
40 |
40 |
$237.82 |
| 87480 |
|
40 |
40 |
$237.82 |
| 87880 |
|
542 |
534 |
$230.73 |
| 87660 |
|
40 |
40 |
$223.02 |
| 82728 |
|
56 |
56 |
$218.28 |
| 87420 |
|
248 |
239 |
$205.89 |
| 87071 |
|
146 |
144 |
$202.26 |
| 87186 |
|
104 |
100 |
$184.62 |
| 80306 |
|
1,418 |
1,284 |
$176.87 |
| 82607 |
|
42 |
42 |
$175.10 |
| 90471 |
|
12 |
12 |
$169.27 |
| 73610 |
|
45 |
45 |
$153.45 |
| 87077 |
|
102 |
98 |
$131.82 |
| 87070 |
|
110 |
106 |
$127.06 |
| 87340 |
|
28 |
28 |
$118.97 |
| 82248 |
|
1,552 |
1,468 |
$110.07 |
| 83880 |
|
56 |
52 |
$88.17 |
| 86762 |
|
14 |
14 |
$80.54 |
| 84484 |
|
1,391 |
1,268 |
$63.21 |
| 83605 |
|
1,182 |
1,082 |
$56.16 |
| 85730 |
|
343 |
332 |
$55.65 |
| 86850 |
|
231 |
221 |
$46.19 |
| 84702 |
|
15 |
13 |
$33.33 |
| 85379 |
|
185 |
185 |
$31.46 |
| 82043 |
|
12 |
12 |
$27.90 |
| 84703 |
|
274 |
264 |
$27.34 |
| 80076 |
|
54 |
53 |
$22.25 |
| J7040 |
Normal saline solution infus |
6,217 |
4,602 |
$20.94 |
| 82948 |
|
335 |
244 |
$11.97 |
| 82746 |
|
12 |
12 |
$10.85 |
| J1885 |
Ketorolac tromethamine inj |
3,143 |
2,827 |
$5.68 |
| 82150 |
|
56 |
50 |
$4.07 |
| J2405 |
Ondansetron hcl injection |
3,345 |
2,917 |
$0.05 |
| 80143 |
|
209 |
191 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
234 |
228 |
$0.00 |
| J2270 |
Morphine sulfate injection |
171 |
147 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
105 |
93 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
15 |
14 |
$0.00 |
| 94642 |
|
14 |
13 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
12 |
12 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
1,979 |
1,898 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
427 |
394 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
489 |
415 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
1,739 |
1,678 |
$0.00 |
| A9900 |
Supply/accessory/service |
27 |
27 |
$0.00 |
| J2001 |
Lidocaine injection |
1,537 |
1,431 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
42 |
36 |
$0.00 |
| J3490 |
Drugs unclassified injection |
272 |
222 |
$0.00 |
| J1170 |
Hydromorphone injection |
91 |
79 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
1,557 |
1,476 |
$0.00 |
| A9270 |
Non-covered item or service |
290 |
96 |
$0.00 |
| J1094 |
Inj dexamethasone acetate |
167 |
162 |
$0.00 |
| J7060 |
5% dextrose/water |
90 |
78 |
$0.00 |
| J7050 |
Normal saline solution infus |
126 |
115 |
$0.00 |
| 96376 |
|
44 |
27 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
13 |
12 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
31 |
27 |
$0.00 |
| C1889 |
Implant/insert device, noc |
13 |
13 |
$0.00 |