| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
8,291 |
7,696 |
$3.20M |
| 99284 |
|
11,217 |
10,496 |
$1.98M |
| G0463 |
Hospital outpt clinic visit |
20,890 |
18,092 |
$1.24M |
| 99283 |
|
9,152 |
8,724 |
$1.17M |
| G0378 |
Hospital observation per hr |
4,858 |
2,791 |
$901K |
| 96374 |
|
9,160 |
8,106 |
$729K |
| 74177 |
|
1,911 |
1,840 |
$228K |
| 70450 |
|
1,980 |
1,910 |
$190K |
| 80061 |
|
4,382 |
4,275 |
$175K |
| 97110 |
|
5,447 |
1,317 |
$129K |
| 71045 |
|
4,261 |
4,062 |
$127K |
| 59025 |
|
1,270 |
653 |
$110K |
| U0002 |
Covid-19 lab test non-cdc |
4,254 |
4,128 |
$106K |
| 96361 |
|
3,898 |
3,481 |
$98K |
| 71046 |
|
2,896 |
2,781 |
$98K |
| 96365 |
|
1,407 |
1,316 |
$94K |
| 96375 |
|
4,469 |
3,827 |
$84K |
| 96360 |
|
987 |
933 |
$82K |
| 99282 |
|
1,129 |
1,103 |
$78K |
| 77067 |
|
1,555 |
1,547 |
$72K |
| 74176 |
|
666 |
648 |
$58K |
| U0003 |
Cov-19 amp prb hgh thruput |
849 |
831 |
$47K |
| 20610 |
|
301 |
274 |
$42K |
| 93306 |
|
248 |
247 |
$40K |
| 76816 |
|
1,031 |
949 |
$40K |
| 99395 |
|
1,248 |
1,216 |
$38K |
| 99396 |
|
1,327 |
1,306 |
$37K |
| 97140 |
|
2,887 |
713 |
$36K |
| 99281 |
|
750 |
712 |
$36K |
| 76705 |
|
568 |
526 |
$34K |
| 76856 |
|
813 |
791 |
$34K |
| 76830 |
|
667 |
654 |
$34K |
| 88175 |
|
1,904 |
1,900 |
$30K |
| 82306 |
|
1,979 |
1,957 |
$27K |
| 84443 |
|
4,701 |
4,580 |
$27K |
| 90471 |
|
2,419 |
2,325 |
$24K |
| 85025 |
|
24,714 |
20,311 |
$24K |
| 80053 |
|
9,681 |
8,415 |
$23K |
| 87624 |
|
1,054 |
1,051 |
$20K |
| 97161 |
|
494 |
475 |
$20K |
| Q3014 |
Telehealth facility fee |
1,187 |
1,115 |
$19K |
| 97530 |
|
971 |
326 |
$18K |
| 76811 |
|
139 |
137 |
$17K |
| 11042 |
|
24 |
12 |
$16K |
| A9270 |
Non-covered item or service |
4,657 |
3,460 |
$16K |
| 96372 |
|
4,358 |
3,712 |
$15K |
| 82947 |
|
497 |
453 |
$14K |
| 77063 |
|
1,084 |
1,081 |
$13K |
| 86900 |
|
2,137 |
1,974 |
$13K |
| 87491 |
|
928 |
908 |
$13K |
| 87591 |
|
877 |
857 |
$12K |
| 76801 |
|
220 |
204 |
$12K |
| 80307 |
|
2,840 |
2,589 |
$12K |
| 83036 |
|
3,265 |
3,194 |
$10K |
| 20611 |
|
63 |
51 |
$10K |
| 73721 |
|
81 |
81 |
$10K |
| 88305 |
|
1,534 |
1,470 |
$9K |
| 90686 |
|
623 |
614 |
$8K |
| 73564 |
|
751 |
638 |
$8K |
| 36415 |
|
13,506 |
11,242 |
$8K |
| 93005 |
|
8,135 |
7,410 |
$7K |
| 84439 |
|
1,530 |
1,500 |
$6K |
| 73562 |
|
427 |
419 |
$6K |
| 73610 |
|
733 |
689 |
$6K |
| 80048 |
|
15,337 |
12,724 |
$6K |
| 82607 |
|
1,185 |
1,155 |
$6K |
| A4402 |
Lubricant per ounce |
254 |
247 |
$6K |
| 76700 |
|
91 |
91 |
$5K |
| 73630 |
|
793 |
742 |
$5K |
| 96160 |
|
400 |
397 |
$5K |
| 88304 |
|
93 |
91 |
$4K |
| 87088 |
|
2,668 |
2,493 |
$4K |
| 76818 |
|
60 |
36 |
$4K |
| 76770 |
|
78 |
76 |
$4K |
| U0005 |
Infec agen detec ampli probe |
196 |
189 |
$3K |
| 84460 |
|
3,983 |
3,674 |
$3K |
| 86850 |
|
2,062 |
1,910 |
$3K |
| 84702 |
|
2,403 |
2,197 |
$3K |
| 73030 |
|
360 |
341 |
$3K |
| 93971 |
|
55 |
55 |
$3K |
| 84484 |
|
5,273 |
4,195 |
$2K |
| 90674 |
|
81 |
79 |
$2K |
| 73502 |
|
203 |
187 |
$2K |
| 99385 |
|
70 |
70 |
$2K |
| 87502 |
|
2,248 |
2,195 |
$2K |
| 87070 |
|
729 |
689 |
$2K |
| 71275 |
|
26 |
25 |
$2K |
| 80076 |
|
895 |
852 |
$2K |
| 96127 |
|
535 |
513 |
$2K |
| 76642 |
|
46 |
39 |
$2K |
| 76815 |
|
37 |
26 |
$2K |
| 87186 |
|
770 |
722 |
$2K |
| 72125 |
|
128 |
126 |
$1K |
| 87077 |
|
774 |
726 |
$1K |
| 81001 |
|
7,106 |
6,646 |
$1K |
| 92507 |
|
30 |
12 |
$1K |
| 82728 |
|
310 |
305 |
$1K |
| 84146 |
|
124 |
121 |
$1K |
| 72100 |
|
94 |
92 |
$1K |
| 83735 |
|
4,047 |
3,402 |
$1K |
| 86803 |
|
158 |
158 |
$1K |
| 85610 |
|
2,797 |
2,422 |
$1K |
| 87390 |
|
104 |
104 |
$1K |
| G0480 |
Drug test def 1-7 classes |
3,208 |
2,703 |
$1K |
| 90656 |
|
66 |
62 |
$1K |
| 83550 |
|
277 |
275 |
$997.75 |
| 86901 |
|
2,346 |
2,175 |
$972.74 |
| 90472 |
|
96 |
96 |
$959.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
426 |
398 |
$937.76 |
| 81025 |
|
4,864 |
4,599 |
$799.60 |
| 84550 |
|
339 |
328 |
$799.58 |
| 76805 |
|
12 |
12 |
$737.32 |
| 90661 |
|
42 |
42 |
$704.61 |
| 86702 |
|
104 |
104 |
$659.06 |
| 76536 |
|
13 |
12 |
$656.04 |
| 85730 |
|
2,352 |
2,048 |
$653.22 |
| 85027 |
|
1,670 |
1,331 |
$635.09 |
| 83690 |
|
6,003 |
5,429 |
$627.91 |
| 83615 |
|
186 |
182 |
$601.06 |
| 85651 |
|
445 |
405 |
$597.92 |
| 87880 |
|
848 |
825 |
$587.08 |
| 82550 |
|
241 |
219 |
$525.41 |
| Q0091 |
Obtaining screen pap smear |
39 |
39 |
$520.38 |
| 83880 |
|
597 |
568 |
$492.49 |
| 82570 |
|
327 |
299 |
$483.27 |
| 84450 |
|
3,982 |
3,674 |
$476.49 |
| G0103 |
Psa screening |
68 |
67 |
$472.23 |
| 76817 |
|
789 |
723 |
$433.29 |
| 86701 |
|
104 |
104 |
$432.99 |
| 81003 |
|
2,124 |
1,960 |
$418.69 |
| 85379 |
|
1,394 |
1,336 |
$406.51 |
| 87635 |
|
41 |
40 |
$398.54 |
| 74022 |
|
363 |
354 |
$362.40 |
| 86140 |
|
195 |
167 |
$350.75 |
| 83525 |
|
48 |
48 |
$340.17 |
| 99406 |
|
24 |
24 |
$339.60 |
| 97165 |
|
14 |
14 |
$338.64 |
| 94640 |
|
676 |
454 |
$316.30 |
| 82565 |
|
606 |
554 |
$305.19 |
| 87899 |
|
90 |
88 |
$300.84 |
| 82150 |
|
3,075 |
2,809 |
$292.64 |
| 90460 |
|
53 |
52 |
$287.00 |
| 97014 |
|
40 |
13 |
$273.74 |
| 93017 |
|
28 |
26 |
$255.84 |
| 84100 |
|
823 |
603 |
$245.90 |
| 73130 |
|
74 |
71 |
$242.25 |
| 82043 |
|
152 |
146 |
$236.83 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,412 |
3,225 |
$218.11 |
| 99394 |
|
13 |
13 |
$209.00 |
| 87040 |
|
870 |
816 |
$195.84 |
| 87480 |
|
39 |
38 |
$194.24 |
| 87510 |
|
39 |
38 |
$194.24 |
| 87660 |
|
39 |
38 |
$194.24 |
| J1885 |
Ketorolac tromethamine inj |
7,670 |
6,725 |
$189.95 |
| 87804 |
|
29 |
28 |
$180.36 |
| 86592 |
|
84 |
82 |
$178.23 |
| 86703 |
|
64 |
63 |
$174.66 |
| 87428 |
|
14 |
14 |
$171.60 |
| 83605 |
|
2,258 |
2,030 |
$152.43 |
| 84075 |
|
3,632 |
3,361 |
$148.60 |
| 90715 |
|
375 |
368 |
$148.00 |
| 84520 |
|
518 |
480 |
$130.31 |
| 84703 |
|
301 |
297 |
$109.84 |
| J7030 |
Normal saline solution infus |
10,764 |
8,640 |
$101.59 |
| 82247 |
|
3,655 |
3,383 |
$98.97 |
| 81000 |
|
53 |
53 |
$95.20 |
| 87634 |
|
136 |
135 |
$91.97 |
| 82948 |
|
1,951 |
1,368 |
$81.04 |
| 82962 |
|
2,934 |
2,145 |
$72.31 |
| 86765 |
|
16 |
16 |
$66.44 |
| G0008 |
Admin influenza virus vac |
29 |
27 |
$63.28 |
| 82746 |
|
30 |
26 |
$62.30 |
| 59050 |
|
31 |
25 |
$60.98 |
| 87420 |
|
90 |
89 |
$60.00 |
| 74018 |
|
12 |
12 |
$48.33 |
| 83090 |
|
13 |
13 |
$47.50 |
| J2405 |
Ondansetron hcl injection |
8,205 |
7,002 |
$44.52 |
| 84466 |
|
47 |
45 |
$40.59 |
| 84132 |
|
611 |
573 |
$40.01 |
| 73110 |
|
13 |
12 |
$31.62 |
| 82310 |
|
254 |
232 |
$23.64 |
| 87651 |
|
172 |
170 |
$19.58 |
| 96376 |
|
1,422 |
950 |
$18.85 |
| J2250 |
Inj midazolam hydrochloride |
4,190 |
3,950 |
$18.74 |
| J1170 |
Hydromorphone injection |
4,071 |
3,056 |
$17.65 |
| J1100 |
Dexamethasone sodium phos |
2,917 |
2,790 |
$11.13 |
| J3010 |
Fentanyl citrate injection |
4,190 |
3,957 |
$5.18 |
| 84295 |
|
297 |
274 |
$3.02 |
| A9585 |
Gadobutrol injection |
29 |
28 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
2,678 |
2,442 |
$0.00 |
| J2060 |
Lorazepam injection |
1,422 |
1,137 |
$0.00 |
| C1769 |
Guide wire |
707 |
536 |
$0.00 |
| 82435 |
|
295 |
273 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
1,499 |
1,371 |
$0.00 |
| 94760 |
|
590 |
422 |
$0.00 |
| J7050 |
Normal saline solution infus |
380 |
284 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
1,353 |
1,026 |
$0.00 |
| G0283 |
Elec stim other than wound |
200 |
51 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
283 |
276 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
87 |
59 |
$0.00 |
| 73560 |
|
12 |
12 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
40 |
40 |
$0.00 |
| 99214 |
|
17 |
16 |
$0.00 |
| 74019 |
|
13 |
12 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
84 |
58 |
$0.00 |
| J3360 |
Diazepam injection |
13 |
12 |
$0.00 |
| 0241U |
|
29 |
29 |
$0.00 |
| J1630 |
Haloperidol injection |
17 |
14 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
12 |
12 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
2,063 |
1,262 |
$0.00 |
| 82374 |
|
297 |
275 |
$0.00 |
| J7040 |
Normal saline solution infus |
533 |
503 |
$0.00 |
| J7120 |
Ringers lactate infusion |
4,031 |
3,432 |
$0.00 |
| J2930 |
Methylprednisolone injection |
530 |
444 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
88 |
82 |
$0.00 |
| J0780 |
Prochlorperazine injection |
294 |
251 |
$0.00 |
| 76942 |
|
191 |
187 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
814 |
485 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
99 |
67 |
$0.00 |
| J2270 |
Morphine sulfate injection |
2,111 |
1,598 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
1,815 |
1,622 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
281 |
277 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
146 |
111 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
12 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
50 |
45 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
28 |
28 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
15 |
13 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
55 |
48 |
$0.00 |
| 87798 |
|
12 |
12 |
$0.00 |
| 72114 |
|
14 |
14 |
$0.00 |
| A6212 |
Foam drg <=16 sq in w/border |
12 |
12 |
$0.00 |