| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
10,091 |
7,157 |
$418K |
| 99284 |
|
4,053 |
2,787 |
$219K |
| 99213 |
|
2,623 |
2,276 |
$189K |
| 99283 |
|
2,535 |
1,949 |
$162K |
| 99214 |
|
1,673 |
1,411 |
$93K |
| 90837 |
|
2,003 |
998 |
$86K |
| 99285 |
|
1,977 |
1,265 |
$85K |
| 99391 |
|
626 |
568 |
$67K |
| 99212 |
|
678 |
542 |
$45K |
| 99392 |
|
418 |
372 |
$42K |
| 59426 |
|
658 |
385 |
$39K |
| 59425 |
|
470 |
368 |
$29K |
| 93005 |
|
1,555 |
958 |
$23K |
| G0378 |
Hospital observation per hr |
128 |
75 |
$18K |
| 90791 |
|
441 |
263 |
$17K |
| 87880 |
|
1,399 |
1,168 |
$16K |
| 71045 |
|
737 |
473 |
$16K |
| 80307 |
|
588 |
166 |
$15K |
| 87502 |
|
736 |
462 |
$14K |
| 64493 |
|
19 |
12 |
$13K |
| 90834 |
|
333 |
196 |
$12K |
| 71046 |
|
286 |
172 |
$12K |
| 80053 |
|
4,741 |
3,201 |
$12K |
| 85025 |
|
6,277 |
4,116 |
$10K |
| 70450 |
|
374 |
247 |
$10K |
| Q3014 |
Telehealth facility fee |
234 |
165 |
$9K |
| 87804 |
|
669 |
542 |
$8K |
| 64494 |
|
19 |
12 |
$8K |
| 90833 |
|
140 |
34 |
$5K |
| 96361 |
|
690 |
427 |
$3K |
| 99393 |
|
28 |
27 |
$3K |
| 99204 |
|
35 |
31 |
$3K |
| 80074 |
|
75 |
61 |
$3K |
| 36415 |
|
5,936 |
3,672 |
$3K |
| 80306 |
|
732 |
469 |
$3K |
| 87807 |
|
201 |
154 |
$2K |
| 80061 |
|
743 |
563 |
$2K |
| 96374 |
|
875 |
550 |
$2K |
| 96372 |
|
818 |
606 |
$2K |
| 74177 |
|
17 |
13 |
$2K |
| 84484 |
|
937 |
556 |
$2K |
| 82306 |
|
430 |
286 |
$2K |
| 84443 |
|
377 |
265 |
$1K |
| 87651 |
|
187 |
102 |
$1K |
| 90847 |
|
26 |
17 |
$1K |
| 82550 |
|
1,121 |
776 |
$1K |
| 99282 |
|
29 |
28 |
$1K |
| 74022 |
|
140 |
97 |
$1K |
| 87081 |
|
200 |
140 |
$1K |
| 87806 |
|
301 |
205 |
$1K |
| 83605 |
|
583 |
352 |
$969.56 |
| 80048 |
|
752 |
559 |
$956.12 |
| 99201 |
|
23 |
18 |
$879.90 |
| 99188 |
|
74 |
64 |
$879.90 |
| 96365 |
|
216 |
146 |
$873.89 |
| 99203 |
|
12 |
12 |
$813.02 |
| 87801 |
|
69 |
36 |
$752.76 |
| 99211 |
|
54 |
36 |
$709.92 |
| 80320 |
|
20 |
13 |
$635.04 |
| 83036 |
|
377 |
278 |
$568.64 |
| 82553 |
|
442 |
289 |
$544.71 |
| 74176 |
|
35 |
25 |
$535.54 |
| 87086 |
|
404 |
276 |
$526.38 |
| 81001 |
|
1,050 |
679 |
$522.87 |
| 81025 |
|
460 |
310 |
$511.01 |
| 87522 |
Neg quan hep c or qual rna |
20 |
13 |
$507.87 |
| 80076 |
|
449 |
339 |
$507.06 |
| 83655 |
|
46 |
38 |
$500.25 |
| 94640 |
|
197 |
100 |
$439.53 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
86 |
61 |
$409.32 |
| 81003 |
|
1,488 |
949 |
$378.39 |
| 83690 |
|
555 |
330 |
$366.46 |
| 84439 |
|
224 |
159 |
$298.16 |
| 82150 |
|
341 |
223 |
$271.60 |
| 85730 |
|
202 |
151 |
$248.98 |
| 86592 |
|
197 |
131 |
$227.27 |
| 85610 |
|
308 |
234 |
$221.10 |
| 85379 |
|
165 |
128 |
$207.06 |
| 85018 |
|
58 |
50 |
$128.14 |
| 81002 |
|
162 |
110 |
$125.53 |
| 96360 |
|
14 |
12 |
$102.06 |
| 85027 |
|
33 |
12 |
$54.18 |
| 82728 |
|
38 |
25 |
$48.99 |
| 84100 |
|
26 |
16 |
$36.33 |
| 84702 |
|
23 |
13 |
$27.66 |
| 85652 |
|
110 |
59 |
$20.06 |
| 86850 |
|
21 |
13 |
$15.15 |
| 87186 |
|
16 |
14 |
$12.37 |
| J2795 |
Ropivacaine hcl injection |
324 |
215 |
$11.04 |
| 83735 |
|
25 |
14 |
$8.02 |
| 82950 |
|
13 |
12 |
$5.68 |
| 86901 |
|
22 |
13 |
$3.58 |
| 86900 |
|
22 |
13 |
$3.58 |
| 96375 |
|
447 |
278 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
650 |
415 |
$0.00 |
| 90686 |
|
43 |
29 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
138 |
96 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
206 |
155 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
205 |
118 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
25 |
13 |
$0.00 |
| 90471 |
|
19 |
15 |
$0.00 |
| G0008 |
Admin influenza virus vac |
41 |
20 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
15 |
12 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
370 |
212 |
$0.00 |
| J7030 |
Normal saline solution infus |
739 |
428 |
$0.00 |
| J7040 |
Normal saline solution infus |
425 |
221 |
$0.00 |
| J2930 |
Methylprednisolone injection |
76 |
60 |
$0.00 |
| J2550 |
Promethazine hcl injection |
68 |
43 |
$0.00 |
| J2270 |
Morphine sulfate injection |
38 |
13 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
28 |
13 |
$0.00 |