| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
2,966 |
1,881 |
$156K |
| 99284 |
|
1,537 |
1,101 |
$136K |
| 99285 |
|
720 |
515 |
$66K |
| G0378 |
Hospital observation service, per hour |
459 |
193 |
$64K |
| 96361 |
|
853 |
383 |
$39K |
| 96365 |
|
525 |
277 |
$34K |
| 96372 |
|
2,128 |
1,220 |
$34K |
| 96374 |
|
728 |
470 |
$27K |
| 87426 |
|
845 |
612 |
$23K |
| 87635 |
|
641 |
442 |
$17K |
| 71045 |
|
921 |
601 |
$17K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
935 |
674 |
$13K |
| 80053 |
|
3,409 |
2,051 |
$11K |
| 74176 |
|
150 |
135 |
$10K |
| 96366 |
|
217 |
83 |
$9K |
| 76815 |
|
441 |
222 |
$9K |
| 94640 |
|
265 |
147 |
$9K |
| 93005 |
|
829 |
562 |
$9K |
| 70450 |
|
263 |
235 |
$8K |
| 96375 |
|
556 |
354 |
$8K |
| 76817 |
|
342 |
176 |
$8K |
| 96360 |
|
184 |
113 |
$6K |
| 83880 |
|
416 |
301 |
$6K |
| 99282 |
|
288 |
157 |
$6K |
| 93306 |
|
37 |
35 |
$6K |
| 85025 |
|
2,441 |
1,481 |
$5K |
| 99281 |
|
273 |
164 |
$5K |
| 59025 |
|
100 |
48 |
$5K |
| 97110 |
|
246 |
52 |
$5K |
| 86900 |
|
63 |
50 |
$4K |
| 71046 |
|
447 |
285 |
$4K |
| 84484 |
|
670 |
471 |
$3K |
| 85027 |
|
1,500 |
930 |
$3K |
| 36415 |
|
4,045 |
2,255 |
$3K |
| 87804 |
|
443 |
236 |
$3K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
30 |
26 |
$2K |
| 82306 |
|
264 |
178 |
$2K |
| 36600 |
|
39 |
34 |
$2K |
| 87430 |
|
687 |
376 |
$2K |
| G0379 |
Direct admission of patient for hospital observation care |
51 |
38 |
$2K |
| 82731 |
|
61 |
40 |
$2K |
| 76830 |
|
29 |
26 |
$2K |
| 82805 |
|
41 |
36 |
$1K |
| 80306 |
|
226 |
141 |
$1K |
| 83735 |
|
633 |
430 |
$1K |
| 86850 |
|
51 |
39 |
$1K |
| 84703 |
|
528 |
334 |
$1K |
| 99212 |
|
127 |
77 |
$1K |
| 86901 |
|
63 |
50 |
$1K |
| 76805 |
|
52 |
27 |
$1K |
| 71250 |
|
19 |
19 |
$1K |
| 80048 |
|
442 |
305 |
$1K |
| 84443 |
|
322 |
188 |
$1K |
| 76819 |
|
20 |
12 |
$1K |
| 81001 |
|
1,287 |
791 |
$1K |
| 94060 |
|
13 |
13 |
$1K |
| 80061 |
|
186 |
129 |
$968.18 |
| 83036 |
|
339 |
208 |
$959.43 |
| 76856 |
|
16 |
15 |
$938.94 |
| 87040 |
|
220 |
152 |
$934.61 |
| 94726 |
|
13 |
13 |
$812.95 |
| 83690 |
|
458 |
268 |
$784.59 |
| 73030 |
|
16 |
15 |
$782.27 |
| 73560 |
|
39 |
28 |
$747.82 |
| 97035 |
|
96 |
29 |
$712.86 |
| 85730 |
|
384 |
269 |
$670.81 |
| 85610 |
|
512 |
329 |
$642.20 |
| 76642 |
|
16 |
14 |
$543.86 |
| 83605 |
|
86 |
74 |
$510.59 |
| 82607 |
|
49 |
45 |
$490.63 |
| 87210 |
|
370 |
185 |
$490.11 |
| 84702 |
|
98 |
46 |
$481.44 |
| 51702 |
|
14 |
14 |
$449.34 |
| 97033 |
|
37 |
12 |
$428.91 |
| 73630 |
|
14 |
12 |
$428.82 |
| 82962 |
|
245 |
159 |
$422.96 |
| 81003 |
|
558 |
323 |
$383.88 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
802 |
517 |
$364.67 |
| 86140 |
|
125 |
77 |
$257.20 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
486 |
230 |
$242.25 |
| 87086 |
|
213 |
99 |
$201.27 |
| 80069 |
|
29 |
29 |
$182.71 |
| 87186 |
|
73 |
42 |
$156.54 |
| 87420 |
|
101 |
49 |
$151.80 |
| 84439 |
|
47 |
37 |
$150.14 |
| 82570 |
|
29 |
29 |
$96.24 |
| J3490 |
Unclassified drugs |
1,226 |
574 |
$76.37 |
| 85651 |
|
17 |
14 |
$68.50 |
| 84156 |
|
31 |
31 |
$66.21 |
| 83615 |
|
15 |
12 |
$60.09 |
| 82150 |
|
174 |
66 |
$58.36 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
47 |
34 |
$21.26 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
335 |
240 |
$1.34 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
380 |
228 |
$0.00 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
32 |
27 |
$0.00 |
| 96376 |
|
99 |
59 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
94 |
73 |
$0.00 |
| J1940 |
Injection, furosemide, up to 20 mg |
53 |
36 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
165 |
107 |
$0.00 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
15 |
13 |
$0.00 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
156 |
38 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
108 |
49 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
114 |
74 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
18 |
13 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
43 |
14 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
227 |
145 |
$0.00 |
| 84145 |
|
46 |
39 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
281 |
203 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
353 |
137 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
510 |
323 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
518 |
323 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
70 |
63 |
$0.00 |
| 76818 |
|
102 |
26 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
42 |
38 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
28 |
26 |
$0.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
16 |
13 |
$0.00 |