| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpt clinic visit |
311,757 |
273,010 |
$30.19M |
| 99284 |
|
18,983 |
17,642 |
$3.95M |
| 99283 |
|
21,687 |
20,424 |
$3.08M |
| 99285 |
|
3,106 |
2,824 |
$906K |
| D7140 |
|
527 |
203 |
$899K |
| D2930 |
|
1,521 |
347 |
$802K |
| 90471 |
|
15,725 |
15,063 |
$702K |
| G0330 |
Facility svs dental rehab |
309 |
247 |
$584K |
| 92507 |
|
7,687 |
2,254 |
$489K |
| 96374 |
|
4,398 |
4,045 |
$481K |
| D3220 |
|
907 |
287 |
$460K |
| 11042 |
|
1,507 |
904 |
$253K |
| 90834 |
|
2,142 |
1,253 |
$224K |
| 87426 |
|
5,030 |
4,927 |
$220K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,858 |
2,365 |
$168K |
| 87811 |
|
6,615 |
6,393 |
$138K |
| 71045 |
|
2,562 |
2,377 |
$125K |
| 96361 |
|
2,658 |
2,441 |
$119K |
| 0202U |
|
395 |
386 |
$116K |
| D1351 |
|
216 |
69 |
$116K |
| 90472 |
|
11,541 |
11,043 |
$108K |
| C9803 |
Hopd covid-19 spec collect |
10,286 |
8,387 |
$96K |
| 99282 |
|
1,242 |
1,165 |
$95K |
| 59025 |
|
876 |
653 |
$95K |
| 41899 |
|
178 |
153 |
$94K |
| 87635 |
|
1,690 |
1,631 |
$91K |
| 96110 |
|
1,422 |
1,388 |
$90K |
| 0241U |
|
1,012 |
964 |
$86K |
| 90853 |
|
1,956 |
169 |
$79K |
| 97530 |
|
2,129 |
744 |
$77K |
| 71046 |
|
1,143 |
1,041 |
$54K |
| 90473 |
|
1,233 |
1,203 |
$51K |
| 90686 |
|
5,841 |
5,727 |
$44K |
| 36415 |
|
48,449 |
42,612 |
$42K |
| 96375 |
|
1,275 |
1,173 |
$42K |
| U0005 |
Infec agen detec ampli probe |
3,067 |
1,765 |
$38K |
| 93296 |
|
2,615 |
2,478 |
$37K |
| U0001 |
2019-ncov diagnostic p |
2,034 |
1,415 |
$32K |
| 77067 |
|
280 |
277 |
$22K |
| 90791 |
|
140 |
130 |
$21K |
| G0379 |
Direct refer hospital observ |
341 |
294 |
$20K |
| 90670 |
|
3,186 |
3,143 |
$20K |
| 70450 |
|
122 |
115 |
$20K |
| 95117 |
|
369 |
135 |
$16K |
| U0002 |
Covid-19 lab test non-cdc |
422 |
305 |
$15K |
| 11721 |
|
1,419 |
1,374 |
$14K |
| 96413 |
|
84 |
52 |
$14K |
| 31575 |
|
102 |
100 |
$13K |
| H0003 |
Alcohol and/or drug screenin |
798 |
670 |
$13K |
| 97535 |
|
769 |
299 |
$12K |
| 96360 |
|
82 |
75 |
$12K |
| 87428 |
|
332 |
327 |
$11K |
| 74177 |
|
49 |
49 |
$10K |
| 88305 |
|
740 |
645 |
$9K |
| 43239 |
|
30 |
25 |
$9K |
| 77063 |
|
187 |
184 |
$8K |
| 87081 |
|
12,018 |
11,603 |
$8K |
| 76801 |
|
77 |
66 |
$7K |
| 84443 |
|
1,174 |
1,099 |
$7K |
| 96372 |
|
1,977 |
1,807 |
$7K |
| 80053 |
|
13,515 |
11,986 |
$7K |
| 76816 |
|
207 |
173 |
$7K |
| 85025 |
|
29,570 |
25,925 |
$7K |
| 20610 |
|
46 |
37 |
$6K |
| 80307 |
|
1,509 |
1,391 |
$6K |
| G2066 |
Inter devc remote 30d |
396 |
383 |
$6K |
| 97597 |
|
60 |
38 |
$6K |
| 76805 |
|
59 |
51 |
$5K |
| 93005 |
|
5,600 |
5,017 |
$5K |
| 0012A |
|
170 |
164 |
$5K |
| 90837 |
|
32 |
15 |
$4K |
| 80055 |
|
725 |
677 |
$4K |
| 0011A |
|
162 |
159 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
148 |
114 |
$3K |
| 87880 |
|
20,602 |
20,012 |
$3K |
| 87491 |
|
107 |
95 |
$3K |
| 90651 |
|
96 |
96 |
$3K |
| 80048 |
|
8,436 |
7,629 |
$2K |
| 94060 |
|
13 |
12 |
$2K |
| 83655 |
|
448 |
421 |
$2K |
| 90734 |
|
101 |
100 |
$2K |
| 90847 |
|
18 |
13 |
$2K |
| 80061 |
|
155 |
148 |
$2K |
| 93297 |
|
136 |
130 |
$2K |
| 81001 |
|
5,302 |
4,890 |
$2K |
| 86140 |
|
4,185 |
3,813 |
$2K |
| 96127 |
|
2,648 |
2,573 |
$1K |
| 87591 |
|
107 |
95 |
$1K |
| 83605 |
|
1,119 |
1,016 |
$1K |
| 83036 |
|
8,593 |
8,000 |
$1K |
| 77336 |
|
20 |
13 |
$1K |
| 87804 |
|
7,694 |
6,197 |
$1K |
| 96365 |
|
14 |
13 |
$1K |
| 73630 |
|
209 |
179 |
$1K |
| 74176 |
|
12 |
12 |
$1K |
| 83690 |
|
1,512 |
1,394 |
$1K |
| 90677 |
|
324 |
323 |
$1K |
| 87086 |
|
1,584 |
1,462 |
$1K |
| G0378 |
Hospital observation per hr |
553 |
473 |
$1K |
| 97110 |
|
38 |
14 |
$991.79 |
| 85027 |
|
1,208 |
1,138 |
$908.21 |
| 86780 |
|
67 |
61 |
$830.07 |
| 84439 |
|
222 |
204 |
$826.06 |
| 90832 |
|
20 |
12 |
$694.27 |
| 0002A |
|
27 |
27 |
$692.30 |
| 69210 |
|
57 |
53 |
$639.25 |
| Q3014 |
Telehealth facility fee |
263 |
241 |
$487.26 |
| 80069 |
|
176 |
167 |
$444.10 |
| 83970 |
|
44 |
40 |
$440.81 |
| 84460 |
|
1,026 |
929 |
$419.87 |
| 84450 |
|
1,026 |
929 |
$410.11 |
| 82565 |
|
1,067 |
966 |
$399.04 |
| 84520 |
|
1,012 |
930 |
$305.75 |
| 85018 |
|
645 |
610 |
$257.68 |
| 88175 |
|
28 |
25 |
$250.07 |
| 87661 |
|
45 |
42 |
$236.52 |
| 85652 |
|
1,071 |
970 |
$215.60 |
| 87807 |
|
1,200 |
1,169 |
$208.44 |
| 94640 |
|
30 |
29 |
$202.00 |
| 82570 |
|
97 |
94 |
$181.33 |
| 85610 |
|
3,201 |
1,750 |
$178.12 |
| 82306 |
|
58 |
52 |
$167.87 |
| 82962 |
|
7,043 |
6,529 |
$144.56 |
| 84484 |
|
2,379 |
1,846 |
$144.20 |
| 82728 |
|
72 |
68 |
$143.49 |
| 84550 |
|
88 |
83 |
$128.46 |
| 82950 |
|
27 |
27 |
$124.44 |
| 51798 |
|
228 |
215 |
$116.72 |
| 76815 |
|
16 |
13 |
$105.21 |
| 83735 |
|
1,048 |
962 |
$105.19 |
| 84156 |
|
71 |
68 |
$103.38 |
| P9603 |
One-way allow prorated miles |
206 |
131 |
$97.04 |
| 90744 |
|
310 |
308 |
$85.91 |
| 82607 |
|
45 |
42 |
$85.55 |
| 0001A |
|
14 |
14 |
$85.38 |
| 73610 |
|
19 |
12 |
$83.58 |
| 82746 |
|
45 |
42 |
$83.40 |
| 83550 |
|
58 |
54 |
$82.41 |
| 86003 |
|
22 |
14 |
$72.74 |
| 87430 |
|
470 |
462 |
$64.20 |
| 83540 |
|
60 |
56 |
$61.05 |
| 84425 |
|
18 |
16 |
$60.51 |
| 81003 |
|
515 |
488 |
$52.21 |
| 82785 |
|
21 |
13 |
$51.96 |
| Q0114 |
Fern test |
12 |
12 |
$40.92 |
| 81000 |
|
556 |
515 |
$37.90 |
| 82525 |
|
18 |
16 |
$35.37 |
| 90460 |
|
63 |
63 |
$33.88 |
| 84630 |
|
17 |
15 |
$32.46 |
| 96160 |
|
129 |
119 |
$27.70 |
| 90656 |
|
14 |
14 |
$26.52 |
| 81025 |
|
133 |
130 |
$25.29 |
| 99000 |
|
12 |
12 |
$12.70 |
| 80305 |
|
13 |
13 |
$12.21 |
| J2405 |
Ondansetron hcl injection |
774 |
662 |
$11.98 |
| J3010 |
Fentanyl citrate injection |
367 |
302 |
$10.33 |
| J2704 |
Inj, propofol, 10 mg |
359 |
288 |
$9.37 |
| J1100 |
Dexamethasone sodium phos |
634 |
499 |
$8.66 |
| 83615 |
|
27 |
24 |
$7.22 |
| 85730 |
|
39 |
37 |
$5.88 |
| 82043 |
|
13 |
13 |
$5.68 |
| 96138 |
|
44 |
36 |
$3.38 |
| J1885 |
Ketorolac tromethamine inj |
1,472 |
1,350 |
$0.76 |
| 90698 |
|
2,661 |
2,626 |
$0.01 |
| 90648 |
|
674 |
665 |
$0.00 |
| 87633 |
|
382 |
371 |
$0.00 |
| 92504 |
|
15 |
13 |
$0.00 |
| 90633 |
|
622 |
593 |
$0.00 |
| 85007 |
|
30 |
25 |
$0.00 |
| J7030 |
Normal saline solution infus |
56 |
53 |
$0.00 |
| 90681 |
|
112 |
112 |
$0.00 |
| 80076 |
|
25 |
25 |
$0.00 |
| 90715 |
|
24 |
24 |
$0.00 |
| 95004 |
|
52 |
51 |
$0.00 |
| 90461 |
|
25 |
25 |
$0.00 |
| J2270 |
Morphine sulfate injection |
19 |
12 |
$0.00 |
| 90707 |
|
15 |
15 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
95 |
90 |
$0.00 |
| 90685 |
|
44 |
43 |
$0.00 |
| 90710 |
|
41 |
41 |
$0.00 |
| 94729 |
|
13 |
12 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
34 |
28 |
$0.00 |
| 90723 |
|
444 |
439 |
$0.00 |
| 90680 |
|
966 |
946 |
$0.00 |
| 84703 |
|
212 |
195 |
$0.00 |
| G0399 |
Home sleep test/type 3 porta |
124 |
109 |
$0.00 |
| 95885 |
|
59 |
38 |
$0.00 |
| 82077 |
|
102 |
91 |
$0.00 |
| 90696 |
|
29 |
29 |
$0.00 |
| 83880 |
|
89 |
82 |
$0.00 |
| 96139 |
|
80 |
36 |
$0.00 |
| 96376 |
|
14 |
12 |
$0.00 |
| 80047 |
|
37 |
25 |
$0.00 |
| J8597 |
Antiemetic drug oral nos |
38 |
37 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |
| 85379 |
|
26 |
25 |
$0.00 |
| 99406 |
|
13 |
12 |
$0.00 |
| 86308 |
|
12 |
12 |
$0.00 |
| 83986 |
|
12 |
12 |
$0.00 |
| 74019 |
|
12 |
12 |
$0.00 |
| 80081 |
|
14 |
12 |
$0.00 |