| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpt clinic visit |
94,586 |
75,772 |
$5.58M |
| 99284 |
|
9,545 |
8,721 |
$1.58M |
| 99283 |
|
13,001 |
11,941 |
$1.50M |
| 99214 |
|
31,705 |
29,414 |
$1.17M |
| 99285 |
|
4,657 |
4,227 |
$1.06M |
| 99213 |
|
28,908 |
26,358 |
$722K |
| 96374 |
|
4,891 |
4,365 |
$456K |
| U0004 |
Cov-19 test non-cdc hgh thru |
6,772 |
6,349 |
$387K |
| 76819 |
|
6,905 |
4,115 |
$373K |
| 97110 |
|
20,844 |
6,430 |
$372K |
| 93306 |
|
3,381 |
3,152 |
$353K |
| 74177 |
|
2,017 |
1,896 |
$300K |
| 96365 |
|
3,576 |
2,275 |
$259K |
| 99282 |
|
3,281 |
3,150 |
$230K |
| 90471 |
|
7,183 |
6,517 |
$169K |
| 87636 |
|
3,215 |
2,994 |
$162K |
| 97140 |
|
9,827 |
3,458 |
$137K |
| 71046 |
|
3,804 |
3,610 |
$133K |
| 96361 |
|
3,650 |
2,781 |
$131K |
| 96375 |
|
4,182 |
3,441 |
$130K |
| 76816 |
|
5,255 |
4,634 |
$122K |
| 70450 |
|
1,822 |
1,644 |
$105K |
| 77067 |
|
2,008 |
1,980 |
$102K |
| 99215 |
Prolong outpt/office vis |
1,964 |
1,879 |
$85K |
| 80061 |
|
11,790 |
11,510 |
$83K |
| 11042 |
|
811 |
446 |
$79K |
| 97597 |
|
2,422 |
1,213 |
$78K |
| 90837 |
|
749 |
486 |
$77K |
| U0005 |
Infec agen detec ampli probe |
5,097 |
4,749 |
$74K |
| 98928 |
|
6,519 |
5,761 |
$73K |
| 76830 |
|
1,006 |
970 |
$70K |
| 80053 |
|
30,076 |
27,410 |
$69K |
| 97162 |
|
2,050 |
1,989 |
$66K |
| 84443 |
|
12,331 |
11,825 |
$66K |
| 71045 |
|
2,157 |
1,945 |
$64K |
| U0003 |
Cov-19 amp prb hgh thruput |
996 |
961 |
$60K |
| Q3014 |
Telehealth facility fee |
4,906 |
4,191 |
$57K |
| U0002 |
Covid-19 lab test non-cdc |
1,824 |
1,769 |
$56K |
| 78452 |
|
165 |
153 |
$51K |
| 20610 |
|
859 |
742 |
$50K |
| 96372 |
|
5,858 |
4,621 |
$50K |
| 87491 |
|
3,995 |
3,771 |
$48K |
| 86900 |
|
1,417 |
1,299 |
$47K |
| 87591 |
|
3,879 |
3,661 |
$47K |
| 82306 |
|
3,979 |
3,869 |
$45K |
| 96413 |
|
578 |
408 |
$45K |
| 11721 |
|
5,569 |
5,402 |
$45K |
| 85025 |
|
29,677 |
26,034 |
$44K |
| 70551 |
|
362 |
342 |
$40K |
| 77063 |
|
1,893 |
1,866 |
$38K |
| 97014 |
|
3,120 |
959 |
$38K |
| C9803 |
Hopd covid-19 spec collect |
2,881 |
2,727 |
$36K |
| 74176 |
|
356 |
334 |
$35K |
| 76705 |
|
556 |
539 |
$34K |
| 90677 |
|
360 |
358 |
$34K |
| 93010 |
|
8,565 |
7,649 |
$31K |
| 83036 |
|
11,069 |
10,758 |
$30K |
| 99204 |
|
516 |
501 |
$30K |
| 97112 |
|
2,401 |
1,078 |
$29K |
| 36415 |
|
36,897 |
32,501 |
$27K |
| 93005 |
|
11,515 |
10,298 |
$25K |
| 76817 |
|
531 |
453 |
$23K |
| 90832 |
|
614 |
476 |
$23K |
| 98927 |
|
2,259 |
2,043 |
$22K |
| 76811 |
|
189 |
187 |
$21K |
| 76801 |
|
290 |
267 |
$21K |
| 99203 |
|
704 |
668 |
$21K |
| 99395 |
|
264 |
259 |
$18K |
| 87661 |
|
2,434 |
2,325 |
$18K |
| 99396 |
|
246 |
238 |
$17K |
| 99205 |
Prolong outpt/office vis |
212 |
206 |
$16K |
| 96360 |
|
195 |
172 |
$15K |
| 99406 |
|
1,609 |
1,434 |
$15K |
| 72148 |
|
147 |
144 |
$14K |
| 97035 |
|
3,324 |
1,124 |
$14K |
| 82728 |
|
2,662 |
2,558 |
$13K |
| 76000 |
|
104 |
95 |
$12K |
| 87088 |
|
7,075 |
6,514 |
$12K |
| J0585 |
Injection,onabotulinumtoxina |
28 |
15 |
$12K |
| 90686 |
|
1,331 |
1,267 |
$12K |
| 82607 |
|
2,512 |
2,420 |
$11K |
| 99281 |
|
258 |
242 |
$11K |
| 99391 |
|
222 |
219 |
$11K |
| 0012A |
|
538 |
513 |
$11K |
| 96415 |
|
317 |
201 |
$11K |
| 73630 |
|
1,519 |
1,331 |
$11K |
| 99443 |
|
437 |
400 |
$10K |
| 84702 |
|
1,633 |
1,263 |
$10K |
| 84439 |
|
2,741 |
2,631 |
$10K |
| 0011A |
|
558 |
532 |
$10K |
| 71271 |
|
179 |
176 |
$9K |
| 98929 |
|
531 |
508 |
$9K |
| 87798 |
|
335 |
285 |
$9K |
| 76815 |
|
940 |
427 |
$8K |
| 90658 |
|
960 |
844 |
$8K |
| 93017 |
|
440 |
413 |
$8K |
| 71275 |
|
98 |
92 |
$8K |
| 96366 |
|
352 |
247 |
$8K |
| 99394 |
|
115 |
115 |
$8K |
| 96127 |
|
1,133 |
998 |
$8K |
| 80048 |
|
6,028 |
5,067 |
$8K |
| 87081 |
|
3,141 |
2,957 |
$8K |
| 73030 |
|
651 |
576 |
$7K |
| 83735 |
|
7,612 |
6,619 |
$7K |
| 99392 |
|
125 |
125 |
$7K |
| 81220 |
|
26 |
25 |
$7K |
| 94640 |
|
1,344 |
883 |
$7K |
| M0243 |
Casirivi and imdevi inj |
29 |
28 |
$7K |
| 80306 |
|
1,862 |
1,735 |
$6K |
| 73564 |
|
443 |
377 |
$6K |
| 85027 |
|
3,074 |
2,835 |
$6K |
| 83550 |
|
2,199 |
2,106 |
$6K |
| 83540 |
|
2,471 |
2,371 |
$6K |
| G0108 |
Diab manage trn per indiv |
228 |
195 |
$5K |
| 95251 |
|
459 |
430 |
$5K |
| 86592 |
|
1,561 |
1,485 |
$5K |
| 72100 |
|
278 |
256 |
$5K |
| 87631 |
|
1,881 |
1,805 |
$5K |
| 95250 |
|
110 |
96 |
$5K |
| 99393 |
|
72 |
72 |
$5K |
| 97161 |
|
140 |
134 |
$5K |
| 87390 |
|
1,159 |
1,070 |
$4K |
| 87077 |
|
3,205 |
2,947 |
$4K |
| 86140 |
|
3,625 |
3,270 |
$4K |
| 86803 |
|
1,730 |
1,654 |
$4K |
| 73130 |
|
615 |
418 |
$4K |
| G0008 |
Admin influenza virus vac |
1,167 |
1,163 |
$4K |
| 64450 |
|
14 |
13 |
$4K |
| 99490 |
Ccm add 20min |
101 |
101 |
$4K |
| 73610 |
|
377 |
359 |
$3K |
| 86618 |
|
837 |
805 |
$3K |
| 82043 |
|
2,231 |
2,186 |
$3K |
| 93225 |
|
124 |
99 |
$3K |
| 43239 |
|
12 |
12 |
$3K |
| 0064A |
|
235 |
199 |
$3K |
| 87186 |
|
1,785 |
1,667 |
$3K |
| 87635 |
|
110 |
106 |
$3K |
| 82950 |
|
751 |
718 |
$3K |
| 82746 |
|
661 |
638 |
$3K |
| 73502 |
|
258 |
239 |
$3K |
| 76642 |
|
65 |
62 |
$3K |
| 81025 |
|
4,604 |
4,351 |
$3K |
| 0124A |
|
230 |
226 |
$3K |
| 86702 |
|
1,162 |
1,074 |
$3K |
| 85652 |
|
3,500 |
3,290 |
$3K |
| 97802 |
|
52 |
52 |
$2K |
| 99212 |
|
282 |
273 |
$2K |
| 93971 |
|
53 |
49 |
$2K |
| 71250 |
|
52 |
49 |
$2K |
| 85610 |
|
3,666 |
2,657 |
$2K |
| 91322 |
|
36 |
36 |
$2K |
| 87205 |
|
2,201 |
2,065 |
$2K |
| 86701 |
|
1,165 |
1,074 |
$2K |
| 90656 |
|
165 |
165 |
$2K |
| 86765 |
|
1,111 |
1,038 |
$2K |
| 83880 |
|
850 |
762 |
$2K |
| 86787 |
|
1,044 |
973 |
$2K |
| 87389 |
|
492 |
473 |
$2K |
| 81003 |
|
8,132 |
7,483 |
$2K |
| 90791 |
|
56 |
47 |
$2K |
| 80307 |
|
65 |
59 |
$2K |
| 99442 |
|
147 |
143 |
$2K |
| 80055 |
|
73 |
55 |
$2K |
| 83690 |
|
4,025 |
3,681 |
$2K |
| G0283 |
Elec stim other than wound |
1,050 |
310 |
$2K |
| 59025 |
|
16 |
14 |
$1K |
| 76536 |
|
24 |
24 |
$1K |
| 72110 |
|
68 |
65 |
$1K |
| 93226 |
|
167 |
123 |
$1K |
| 82570 |
|
700 |
671 |
$1K |
| 80076 |
|
670 |
623 |
$1K |
| 87880 |
|
2,655 |
2,552 |
$1K |
| 94060 |
|
14 |
14 |
$1K |
| G0480 |
Drug test def 1-7 classes |
200 |
147 |
$1K |
| 87469 |
|
187 |
181 |
$1K |
| 81001 |
|
3,868 |
3,453 |
$1K |
| 87340 |
|
1,186 |
1,125 |
$1K |
| 77080 |
|
37 |
37 |
$1K |
| 87468 |
|
175 |
169 |
$1K |
| 87484 |
|
175 |
169 |
$1K |
| 83970 |
|
93 |
91 |
$1K |
| 98926 |
|
275 |
258 |
$1K |
| 86762 |
|
876 |
828 |
$1K |
| 87070 |
|
1,407 |
1,377 |
$998.42 |
| 90480 |
|
153 |
153 |
$989.03 |
| 90670 |
|
98 |
92 |
$981.54 |
| 90662 |
|
415 |
396 |
$936.86 |
| 0004A |
|
82 |
81 |
$903.68 |
| 0013A |
|
61 |
59 |
$883.30 |
| 86038 |
|
222 |
214 |
$866.63 |
| 76805 |
|
12 |
12 |
$857.60 |
| 0054A |
|
48 |
47 |
$853.02 |
| 76942 |
|
120 |
108 |
$840.36 |
| 97803 |
|
25 |
25 |
$788.20 |
| 99232 |
|
46 |
12 |
$785.71 |
| G0279 |
Tomosynthesis, mammo |
31 |
31 |
$747.42 |
| 94664 |
|
185 |
141 |
$734.20 |
| 99460 |
|
12 |
12 |
$726.44 |
| 90732 |
|
18 |
15 |
$696.00 |
| 74018 |
|
41 |
39 |
$693.93 |
| 90734 |
|
122 |
104 |
$682.43 |
| 84403 |
|
41 |
38 |
$671.06 |
| 90674 |
|
39 |
39 |
$654.58 |
| 84600 |
|
62 |
57 |
$654.04 |
| 83520 |
|
215 |
188 |
$652.45 |
| 69209 |
|
60 |
59 |
$635.32 |
| 87502 |
|
341 |
328 |
$550.70 |
| 97165 |
|
30 |
26 |
$537.44 |
| 91320 |
|
101 |
101 |
$524.40 |
| 88305 |
|
883 |
832 |
$512.23 |
| 73562 |
|
65 |
51 |
$491.30 |
| 84550 |
|
554 |
505 |
$479.58 |
| 0001A |
|
72 |
69 |
$473.38 |
| 73110 |
|
85 |
76 |
$473.28 |
| 82947 |
|
183 |
169 |
$445.02 |
| 76770 |
|
13 |
12 |
$436.66 |
| 82962 |
|
3,062 |
1,618 |
$436.20 |
| 87478 |
|
99 |
94 |
$424.68 |
| 86235 |
|
71 |
56 |
$399.76 |
| 82565 |
|
423 |
401 |
$377.83 |
| 85730 |
|
400 |
351 |
$374.81 |
| G0103 |
Psa screening |
73 |
72 |
$335.12 |
| 84153 |
|
70 |
69 |
$329.83 |
| 86430 |
|
270 |
251 |
$308.03 |
| 84100 |
|
207 |
187 |
$295.93 |
| 93016 |
|
36 |
31 |
$264.23 |
| 82550 |
|
239 |
214 |
$247.94 |
| 86480 |
|
13 |
12 |
$247.92 |
| 0002A |
|
57 |
57 |
$240.90 |
| 72040 |
|
12 |
12 |
$223.45 |
| 97163 |
|
12 |
12 |
$221.74 |
| 96160 |
|
29 |
28 |
$215.42 |
| 97530 |
|
33 |
15 |
$205.64 |
| 99401 |
|
16 |
13 |
$199.68 |
| 93018 |
|
37 |
31 |
$184.10 |
| 87150 |
|
15 |
13 |
$182.84 |
| 86481 |
|
31 |
28 |
$181.65 |
| 86901 |
|
1,495 |
1,363 |
$181.16 |
| 86850 |
|
1,282 |
1,183 |
$173.82 |
| 87400 |
|
152 |
145 |
$157.11 |
| 0031A |
|
12 |
12 |
$154.06 |
| 83605 |
|
1,173 |
1,016 |
$146.57 |
| 85379 |
|
518 |
469 |
$145.45 |
| 96367 |
|
12 |
12 |
$141.70 |
| 84484 |
|
3,924 |
3,214 |
$140.44 |
| 80305 |
|
1,072 |
969 |
$120.82 |
| 82105 |
|
13 |
13 |
$119.98 |
| 99024 |
|
14 |
12 |
$119.45 |
| 82150 |
|
80 |
77 |
$110.16 |
| 87040 |
|
388 |
320 |
$107.64 |
| 86200 |
|
98 |
90 |
$107.05 |
| 82784 |
|
12 |
12 |
$98.80 |
| 93270 |
|
29 |
12 |
$90.31 |
| 72125 |
|
12 |
12 |
$85.80 |
| 84481 |
|
13 |
13 |
$84.70 |
| G0432 |
Eia hiv-1/hiv-2 screen |
13 |
12 |
$62.40 |
| 84163 |
|
13 |
12 |
$60.56 |
| G0009 |
Admin pneumococcal vaccine |
25 |
24 |
$57.89 |
| 86706 |
|
14 |
14 |
$53.45 |
| 83516 |
|
14 |
12 |
$46.12 |
| 99441 |
|
17 |
16 |
$44.98 |
| 87210 |
|
63 |
59 |
$43.60 |
| 90715 |
|
2,260 |
2,118 |
$41.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
217 |
195 |
$38.80 |
| 90653 |
|
133 |
132 |
$38.00 |
| 87075 |
|
25 |
25 |
$37.88 |
| 82248 |
|
15 |
12 |
$30.12 |
| 83721 |
|
13 |
13 |
$28.11 |
| 82310 |
|
26 |
26 |
$26.75 |
| 82948 |
|
472 |
354 |
$19.55 |
| 86431 |
|
16 |
14 |
$17.01 |
| 82077 |
|
297 |
254 |
$15.23 |
| 84703 |
|
83 |
81 |
$15.04 |
| G8978 |
Mobility current status |
397 |
378 |
$13.33 |
| 82044 |
|
55 |
53 |
$13.04 |
| J1885 |
Ketorolac tromethamine inj |
4,970 |
4,337 |
$5.96 |
| G2211 |
Complex e/m visit add on |
15 |
15 |
$5.32 |
| 84520 |
|
12 |
12 |
$4.03 |
| J7620 |
Albuterol ipratrop non-comp |
31 |
26 |
$3.53 |
| J2405 |
Ondansetron hcl injection |
4,288 |
3,719 |
$3.25 |
| J7030 |
Normal saline solution infus |
4,236 |
3,615 |
$3.04 |
| J0696 |
Ceftriaxone sodium injection |
439 |
370 |
$2.04 |
| J7613 |
Albuterol non-comp unit |
14 |
13 |
$1.65 |
| J7050 |
Normal saline solution infus |
956 |
735 |
$0.96 |
| 91301 |
|
844 |
624 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
750 |
664 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
438 |
388 |
$0.00 |
| 95886 |
|
258 |
248 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
2,462 |
2,200 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
1,635 |
1,487 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
2,782 |
2,548 |
$0.00 |
| 96376 |
|
658 |
478 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
193 |
175 |
$0.00 |
| G0378 |
Hospital observation per hr |
631 |
503 |
$0.00 |
| J2785 |
Regadenoson injection |
62 |
58 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
1,976 |
1,753 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
110 |
105 |
$0.00 |
| G8952 |
Pre-htn/htn, no f/u, not gvn |
39 |
37 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
89 |
89 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
84 |
77 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
394 |
374 |
$0.00 |
| J1170 |
Hydromorphone injection |
582 |
466 |
$0.00 |
| A9270 |
Non-covered item or service |
866 |
692 |
$0.00 |
| Q2036 |
Flulaval vacc, 3 yrs & >, im |
142 |
141 |
$0.00 |
| A9500 |
Tc99m sestamibi |
141 |
130 |
$0.00 |
| G0439 |
Ppps, subseq visit |
38 |
37 |
$0.00 |
| 90651 |
|
45 |
39 |
$0.00 |
| 84132 |
|
12 |
12 |
$0.00 |
| J3420 |
Vitamin b12 injection |
17 |
13 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
15 |
14 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
84 |
70 |
$0.00 |
| 94760 |
|
154 |
121 |
$0.00 |
| 91305 |
|
65 |
60 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
49 |
48 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
18 |
15 |
$0.00 |
| 90619 |
|
18 |
18 |
$0.00 |
| J2060 |
Lorazepam injection |
49 |
40 |
$0.00 |
| 91306 |
|
42 |
30 |
$0.00 |
| G8980 |
Mobility d/c status |
13 |
12 |
$0.00 |
| G8979 |
Mobility goal status |
460 |
427 |
$0.00 |
| 90472 |
|
2,031 |
1,728 |
$0.00 |
| 91300 |
|
342 |
186 |
$0.00 |
| 81401 |
|
43 |
37 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
14 |
12 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
1,112 |
849 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
1,073 |
946 |
$0.00 |
| J2270 |
Morphine sulfate injection |
94 |
80 |
$0.00 |
| 91312 |
|
120 |
117 |
$0.00 |
| G8985 |
Carry goal status |
29 |
25 |
$0.00 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
29 |
24 |
$0.00 |
| J7120 |
Ringers lactate infusion |
209 |
185 |
$0.00 |
| J1956 |
Levofloxacin injection |
26 |
24 |
$0.00 |
| J2930 |
Methylprednisolone injection |
54 |
40 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
55 |
50 |
$0.00 |
| 94729 |
|
14 |
14 |
$0.00 |
| G8984 |
Carry current status |
13 |
12 |
$0.00 |
| 94727 |
|
14 |
14 |
$0.00 |
| U0001 |
2019-ncov diagnostic p |
16 |
16 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
26 |
25 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
24 |
15 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
16 |
16 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |