| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
88,642 |
84,885 |
$11.89M |
| 99283 |
|
48,783 |
47,973 |
$10.69M |
| X4011 |
|
38,366 |
37,816 |
$7.94M |
| 99282 |
|
32,885 |
32,546 |
$4.16M |
| 99284 |
|
10,497 |
10,274 |
$3.30M |
| X4003 |
|
28,980 |
27,289 |
$1.70M |
| 87804 |
|
4,249 |
2,251 |
$910K |
| 99212 |
|
18,847 |
18,243 |
$906K |
| 85025 |
|
10,083 |
8,275 |
$596K |
| 99213 |
|
16,198 |
15,834 |
$579K |
| 0241U |
|
3,876 |
3,790 |
$570K |
| 42820 |
|
122 |
117 |
$565K |
| 69436 |
|
286 |
277 |
$518K |
| 87880 |
|
5,852 |
5,775 |
$505K |
| 93005 |
|
2,606 |
2,524 |
$489K |
| Y7506 |
|
637 |
584 |
$425K |
| X4006 |
|
129 |
113 |
$421K |
| 99211 |
|
12,324 |
11,960 |
$379K |
| 99285 |
|
659 |
635 |
$369K |
| 93325 |
|
1,431 |
1,318 |
$359K |
| 88300 |
|
317 |
309 |
$340K |
| 92567 |
|
7,016 |
6,869 |
$337K |
| 87081 |
|
3,127 |
3,081 |
$320K |
| 94010 |
|
2,467 |
2,144 |
$286K |
| 80053 |
|
6,028 |
4,863 |
$258K |
| 85046 |
|
3,073 |
2,790 |
$213K |
| 80069 |
|
1,008 |
783 |
$188K |
| 36415 |
|
3,180 |
2,905 |
$180K |
| 96365 |
|
897 |
754 |
$171K |
| 92555 |
|
2,131 |
2,103 |
$166K |
| 82570 |
|
482 |
391 |
$153K |
| 81001 |
|
2,020 |
1,779 |
$150K |
| 90686 |
|
7,616 |
7,054 |
$147K |
| 90670 |
|
3,497 |
3,369 |
$126K |
| 0240U |
|
556 |
551 |
$96K |
| 99214 |
|
1,509 |
1,423 |
$87K |
| 87420 |
|
430 |
419 |
$84K |
| 71046 |
|
619 |
598 |
$74K |
| 83036 |
|
3,327 |
3,156 |
$72K |
| 86003 |
|
979 |
355 |
$71K |
| 92551 |
|
1,648 |
1,631 |
$71K |
| 90723 |
|
2,030 |
1,942 |
$70K |
| 96366 |
|
755 |
631 |
$66K |
| 83655 |
|
1,727 |
1,677 |
$65K |
| 82728 |
|
1,638 |
1,489 |
$64K |
| 82306 |
|
1,794 |
1,513 |
$59K |
| 85027 |
|
884 |
841 |
$56K |
| 72082 |
|
937 |
919 |
$53K |
| 90648 |
|
1,080 |
1,072 |
$51K |
| 97110 |
|
553 |
156 |
$49K |
| 94640 |
|
393 |
384 |
$49K |
| G0378 |
Hospital observation per hr |
42 |
38 |
$44K |
| 83735 |
|
545 |
294 |
$42K |
| 84100 |
|
410 |
234 |
$42K |
| 92504 |
|
636 |
615 |
$41K |
| 64642 |
|
60 |
60 |
$41K |
| Q3014 |
Telehealth facility fee |
1,786 |
1,759 |
$39K |
| J3490 |
Drugs unclassified injection |
8,983 |
7,414 |
$39K |
| 88305 |
|
57 |
38 |
$37K |
| 92558 |
|
2,793 |
2,740 |
$36K |
| 83970 |
|
229 |
122 |
$35K |
| 92582 |
|
524 |
510 |
$33K |
| 90647 |
|
890 |
826 |
$31K |
| 95004 |
|
55 |
54 |
$30K |
| 84156 |
|
86 |
68 |
$29K |
| 95810 |
|
12 |
12 |
$28K |
| 93303 |
|
68 |
65 |
$28K |
| 87086 |
|
136 |
121 |
$26K |
| 81003 |
|
1,241 |
1,207 |
$26K |
| 43239 |
|
29 |
25 |
$26K |
| 82785 |
|
562 |
330 |
$25K |
| 90680 |
|
514 |
508 |
$24K |
| 87635 |
|
3,959 |
3,935 |
$24K |
| 73130 |
|
300 |
257 |
$24K |
| 95012 |
|
653 |
610 |
$22K |
| 99215 |
Prolong outpt/office vis |
150 |
148 |
$20K |
| 81002 |
|
86 |
86 |
$19K |
| 99173 |
|
419 |
417 |
$17K |
| 92579 |
|
561 |
543 |
$17K |
| 70551 |
|
42 |
36 |
$17K |
| 90633 |
|
396 |
395 |
$15K |
| 93320 |
|
29 |
27 |
$14K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,818 |
1,782 |
$14K |
| 83540 |
|
260 |
221 |
$12K |
| 92507 |
|
323 |
86 |
$11K |
| 70553 |
|
25 |
24 |
$10K |
| 83550 |
|
26 |
26 |
$9K |
| 82340 |
|
86 |
72 |
$9K |
| 87636 |
|
135 |
134 |
$9K |
| 97530 |
|
79 |
25 |
$8K |
| 80061 |
|
278 |
241 |
$8K |
| 85018 |
|
2,435 |
2,404 |
$8K |
| 93306 |
|
13 |
12 |
$7K |
| 87502 |
|
3,491 |
3,480 |
$7K |
| 84443 |
|
891 |
755 |
$7K |
| 87428 |
|
249 |
249 |
$7K |
| 76770 |
|
26 |
26 |
$7K |
| 90656 |
|
534 |
501 |
$6K |
| 87637 |
|
105 |
104 |
$6K |
| 29065 |
|
58 |
55 |
$5K |
| 82248 |
|
210 |
153 |
$5K |
| 90681 |
|
99 |
99 |
$5K |
| 73100 |
|
185 |
147 |
$5K |
| 76820 |
|
14 |
14 |
$5K |
| 81025 |
|
26 |
26 |
$5K |
| 90685 |
|
274 |
271 |
$5K |
| 76825 |
|
13 |
13 |
$5K |
| 76827 |
|
13 |
13 |
$5K |
| 90677 |
|
443 |
437 |
$5K |
| 96372 |
|
118 |
86 |
$4K |
| 72170 |
|
39 |
38 |
$4K |
| 83020 |
|
59 |
51 |
$4K |
| 97162 |
|
28 |
25 |
$4K |
| 92523 |
|
12 |
12 |
$3K |
| 29075 |
|
47 |
44 |
$3K |
| 92511 |
|
16 |
16 |
$3K |
| 97161 |
|
21 |
12 |
$3K |
| 84466 |
|
108 |
95 |
$3K |
| 96374 |
|
12 |
12 |
$2K |
| 84439 |
|
498 |
435 |
$2K |
| 90707 |
|
53 |
53 |
$2K |
| J2270 |
Morphine sulfate injection |
167 |
136 |
$2K |
| 90716 |
|
53 |
53 |
$2K |
| 95117 |
|
32 |
24 |
$2K |
| 90649 |
|
27 |
27 |
$2K |
| C9803 |
Hopd covid-19 spec collect |
3,546 |
3,535 |
$2K |
| 90471 |
|
43 |
26 |
$2K |
| 92552 |
|
13 |
13 |
$2K |
| 87798 |
|
35 |
35 |
$2K |
| G0008 |
Admin influenza virus vac |
518 |
186 |
$1K |
| 82784 |
|
703 |
331 |
$1K |
| 90472 |
|
12 |
12 |
$1K |
| 94761 |
|
12 |
12 |
$1K |
| 73590 |
|
82 |
72 |
$1K |
| 90710 |
|
62 |
62 |
$1K |
| 99391 |
|
13 |
13 |
$1K |
| 99281 |
|
396 |
396 |
$1K |
| 99392 |
|
12 |
12 |
$1K |
| 96112 |
|
30 |
24 |
$1K |
| 87430 |
|
45 |
37 |
$942.54 |
| 90734 |
|
88 |
88 |
$935.63 |
| 90651 |
|
154 |
154 |
$900.73 |
| 73090 |
|
102 |
85 |
$820.70 |
| 99202 |
|
13 |
13 |
$811.07 |
| 87426 |
|
125 |
125 |
$803.46 |
| 0072A |
|
131 |
131 |
$760.00 |
| 99070 |
|
720 |
371 |
$755.32 |
| 93010 |
|
92 |
81 |
$697.38 |
| U0005 |
Infec agen detec ampli probe |
1,495 |
1,491 |
$649.00 |
| 77072 |
|
63 |
52 |
$608.49 |
| 86140 |
|
619 |
482 |
$547.68 |
| 86480 |
|
16 |
13 |
$504.79 |
| 87807 |
|
666 |
662 |
$504.51 |
| 87799 |
|
28 |
14 |
$381.20 |
| 85652 |
|
577 |
450 |
$343.57 |
| 82610 |
|
13 |
12 |
$342.31 |
| 83516 |
|
337 |
253 |
$340.01 |
| 73630 |
|
32 |
25 |
$328.82 |
| 93304 |
|
15 |
12 |
$238.00 |
| 82977 |
|
36 |
36 |
$218.31 |
| 73610 |
|
12 |
12 |
$176.35 |
| 87389 |
|
16 |
13 |
$156.04 |
| 86162 |
|
32 |
12 |
$153.25 |
| 73070 |
|
13 |
13 |
$121.85 |
| 0071A |
|
144 |
143 |
$120.00 |
| 93321 |
|
17 |
13 |
$106.70 |
| 86780 |
|
16 |
13 |
$85.84 |
| 87102 |
|
42 |
42 |
$85.35 |
| 86038 |
|
17 |
12 |
$80.78 |
| 87340 |
|
16 |
13 |
$66.96 |
| 87206 |
|
57 |
57 |
$54.71 |
| 84436 |
|
12 |
12 |
$3.43 |
| Y7507 |
|
15 |
12 |
$0.00 |
| 97803 |
|
53 |
42 |
$0.00 |
| 36416 |
|
13 |
13 |
$0.00 |
| J7050 |
Normal saline solution infus |
16 |
13 |
$0.00 |
| 94760 |
|
36 |
30 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
25 |
12 |
$0.00 |