| Code | Description | Claims | Beneficiaries | Total Paid |
| H0005 |
Alcohol and/or drug services |
4,502 |
917 |
$639K |
| G0463 |
Hospital outpt clinic visit |
4,788 |
4,247 |
$558K |
| 99213 |
|
5,606 |
5,205 |
$405K |
| 99214 |
|
4,190 |
4,042 |
$385K |
| S9480 |
Intensive outpatient psychia |
1,824 |
219 |
$256K |
| 99284 |
|
1,664 |
1,581 |
$238K |
| 90853 |
|
1,685 |
392 |
$230K |
| 96361 |
|
1,079 |
928 |
$223K |
| G0396 |
Alcohol/subs interv 15-30mn |
1,287 |
950 |
$200K |
| 99285 |
|
1,466 |
1,371 |
$193K |
| 99283 |
|
1,246 |
1,111 |
$182K |
| 74177 |
|
700 |
680 |
$177K |
| 99392 |
|
1,910 |
1,909 |
$155K |
| 80053 |
|
10,088 |
8,883 |
$155K |
| 80307 |
|
3,043 |
2,295 |
$143K |
| 99393 |
|
1,660 |
1,660 |
$133K |
| 70450 |
|
483 |
465 |
$126K |
| 90460 |
|
3,694 |
3,686 |
$123K |
| 93306 |
|
335 |
335 |
$119K |
| 99391 |
|
1,487 |
1,372 |
$118K |
| 99212 |
|
809 |
725 |
$112K |
| 99222 |
|
1,445 |
1,413 |
$111K |
| 71275 |
|
380 |
368 |
$108K |
| H0050 |
Alcohol/drug service 15 min |
502 |
421 |
$89K |
| 99394 |
|
1,016 |
1,016 |
$88K |
| 99223 |
Prolong inpt eval add15 m |
885 |
872 |
$87K |
| 36415 |
|
14,152 |
11,672 |
$86K |
| 93975 |
|
206 |
195 |
$77K |
| 99282 |
|
474 |
440 |
$71K |
| 87637 |
|
513 |
503 |
$66K |
| G0378 |
Hospital observation per hr |
1,070 |
853 |
$63K |
| 99238 |
|
1,302 |
1,286 |
$63K |
| T1023 |
Program intake assessment |
655 |
395 |
$63K |
| G0397 |
Alcohol/subs interv >30 min |
411 |
323 |
$58K |
| 99233 |
Prolong inpt eval add15 m |
1,067 |
507 |
$55K |
| 86900 |
|
906 |
871 |
$53K |
| 88342 |
|
461 |
459 |
$52K |
| 99204 |
|
407 |
400 |
$49K |
| 82306 |
|
1,969 |
1,961 |
$49K |
| 90461 |
|
1,500 |
1,500 |
$47K |
| 84443 |
|
4,012 |
3,954 |
$47K |
| 80061 |
|
3,677 |
3,662 |
$46K |
| 99460 |
|
731 |
729 |
$43K |
| 77067 |
|
580 |
578 |
$43K |
| H0004 |
Alcohol and/or drug services |
290 |
252 |
$42K |
| 87491 |
|
1,461 |
1,449 |
$42K |
| 96365 |
|
345 |
317 |
$41K |
| 96360 |
|
278 |
268 |
$39K |
| 99396 |
|
614 |
609 |
$37K |
| 76856 |
|
105 |
103 |
$37K |
| 99281 |
|
245 |
231 |
$35K |
| H0002 |
Alcohol and/or drug screenin |
207 |
205 |
$35K |
| 87591 |
|
1,461 |
1,449 |
$33K |
| 99239 |
|
477 |
472 |
$30K |
| 85025 |
|
9,544 |
8,328 |
$29K |
| 76641 |
|
300 |
299 |
$27K |
| 87635 |
|
604 |
559 |
$26K |
| G0472 |
Hep c screen high risk/other |
561 |
559 |
$24K |
| 99395 |
|
377 |
374 |
$24K |
| 99232 |
|
508 |
380 |
$24K |
| Q9992 |
Buprenorphine xr over 100 mg |
13 |
13 |
$22K |
| 96372 |
|
1,089 |
905 |
$20K |
| 96366 |
|
202 |
126 |
$19K |
| 86850 |
|
929 |
894 |
$18K |
| 88305 |
|
1,071 |
1,059 |
$18K |
| 95810 |
|
27 |
27 |
$17K |
| 77063 |
|
580 |
578 |
$17K |
| 74176 |
|
68 |
67 |
$17K |
| 87651 |
|
545 |
538 |
$16K |
| 93017 |
|
109 |
109 |
$15K |
| 80048 |
|
1,033 |
880 |
$14K |
| 83036 |
|
2,946 |
2,931 |
$13K |
| 90686 |
|
901 |
900 |
$13K |
| 86780 |
|
1,162 |
1,154 |
$13K |
| 96375 |
|
1,197 |
982 |
$12K |
| 87624 |
|
400 |
399 |
$12K |
| G0475 |
Hiv combination assay |
495 |
492 |
$12K |
| 83880 |
|
421 |
395 |
$11K |
| 71046 |
|
842 |
809 |
$11K |
| 84439 |
|
2,038 |
2,020 |
$11K |
| 87636 |
|
78 |
76 |
$10K |
| 82607 |
|
953 |
943 |
$10K |
| 90651 |
|
352 |
352 |
$9K |
| 93970 |
|
16 |
16 |
$9K |
| 87502 |
|
171 |
171 |
$9K |
| 96374 |
|
1,466 |
1,339 |
$8K |
| G0480 |
Drug test def 1-7 classes |
544 |
433 |
$8K |
| 86901 |
|
915 |
879 |
$8K |
| 90648 |
|
432 |
432 |
$8K |
| 0223U |
|
165 |
164 |
$8K |
| 99385 |
|
103 |
101 |
$8K |
| 86480 |
|
131 |
130 |
$7K |
| 0352U |
|
147 |
147 |
$6K |
| 93005 |
|
2,257 |
1,927 |
$6K |
| 82728 |
|
762 |
745 |
$6K |
| 99462 |
|
223 |
207 |
$6K |
| 87389 |
|
736 |
733 |
$6K |
| 90715 |
|
236 |
236 |
$6K |
| 96127 |
|
2,996 |
2,926 |
$6K |
| 90723 |
|
269 |
269 |
$6K |
| 90633 |
|
309 |
309 |
$5K |
| 76937 |
|
30 |
26 |
$5K |
| 83655 |
|
595 |
589 |
$5K |
| 76830 |
|
107 |
105 |
$5K |
| 90677 |
|
219 |
219 |
$5K |
| 88142 |
|
216 |
215 |
$5K |
| P9604 |
One-way allow prorated trip |
1,120 |
802 |
$5K |
| 85027 |
|
1,663 |
1,450 |
$5K |
| 83550 |
|
935 |
918 |
$5K |
| 90670 |
|
269 |
269 |
$4K |
| 84153 |
|
296 |
295 |
$4K |
| 87660 |
|
451 |
439 |
$4K |
| 87086 |
|
965 |
928 |
$4K |
| 82570 |
|
1,076 |
1,049 |
$4K |
| 82043 |
|
935 |
927 |
$4K |
| 83540 |
|
985 |
961 |
$4K |
| 99406 |
|
206 |
196 |
$4K |
| 82746 |
|
393 |
388 |
$4K |
| 90471 |
|
692 |
686 |
$4K |
| 87480 |
|
411 |
400 |
$4K |
| 87510 |
|
410 |
399 |
$4K |
| 87653 |
|
122 |
122 |
$4K |
| 85610 |
|
991 |
720 |
$3K |
| 90656 |
|
246 |
246 |
$3K |
| 59025 |
|
133 |
128 |
$3K |
| 99221 |
|
62 |
61 |
$3K |
| 99291 |
|
28 |
26 |
$3K |
| 70496 |
|
12 |
12 |
$3K |
| 76705 |
|
164 |
162 |
$3K |
| 90734 |
|
129 |
129 |
$3K |
| 95806 |
|
24 |
24 |
$3K |
| 84702 |
|
415 |
346 |
$3K |
| 81001 |
|
1,992 |
1,897 |
$3K |
| 87563 |
|
102 |
100 |
$2K |
| 86803 |
|
401 |
400 |
$2K |
| 90710 |
|
98 |
97 |
$2K |
| 83735 |
|
1,483 |
1,176 |
$2K |
| H0001 |
Alcohol and/or drug assess |
15 |
12 |
$2K |
| 87340 |
|
557 |
554 |
$2K |
| 76801 |
|
17 |
15 |
$2K |
| 90681 |
|
91 |
91 |
$2K |
| 84481 |
|
124 |
123 |
$2K |
| H0033 |
Oral med adm direct observe |
69 |
28 |
$2K |
| 90696 |
|
61 |
61 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$1K |
| 86038 |
|
159 |
156 |
$1K |
| 71045 |
|
964 |
908 |
$1K |
| 71250 |
|
13 |
12 |
$1K |
| 90716 |
|
42 |
42 |
$1K |
| 86140 |
|
451 |
440 |
$1K |
| 82105 |
|
82 |
74 |
$989.43 |
| 88304 |
|
61 |
61 |
$977.04 |
| 86762 |
|
271 |
270 |
$942.10 |
| 72125 |
|
45 |
43 |
$919.17 |
| 81003 |
|
1,055 |
1,027 |
$891.84 |
| 87077 |
|
267 |
264 |
$790.91 |
| 85652 |
|
549 |
543 |
$790.60 |
| 82950 |
|
183 |
183 |
$784.79 |
| 88307 |
|
12 |
12 |
$744.00 |
| 87428 |
|
14 |
13 |
$741.57 |
| 83970 |
|
25 |
24 |
$734.24 |
| 83690 |
|
1,108 |
1,036 |
$733.26 |
| 80074 |
|
25 |
24 |
$732.59 |
| 0241U |
|
14 |
14 |
$713.15 |
| 87186 |
|
199 |
196 |
$659.30 |
| 86706 |
|
80 |
79 |
$656.76 |
| 84403 |
|
27 |
26 |
$611.37 |
| 86765 |
|
135 |
135 |
$610.64 |
| 84703 |
|
1,265 |
1,206 |
$574.17 |
| 86787 |
|
209 |
209 |
$562.13 |
| 86431 |
|
95 |
95 |
$487.19 |
| 84484 |
|
1,661 |
1,363 |
$474.91 |
| C9803 |
Hopd covid-19 spec collect |
776 |
723 |
$459.36 |
| 83520 |
|
32 |
32 |
$450.84 |
| 86618 |
|
37 |
35 |
$429.86 |
| 87522 |
Neg quan hep c or qual rna |
12 |
12 |
$404.90 |
| 84100 |
|
444 |
357 |
$401.04 |
| 90707 |
|
15 |
15 |
$376.50 |
| 90620 |
|
14 |
14 |
$351.40 |
| 82784 |
|
40 |
39 |
$297.60 |
| 85018 |
|
405 |
387 |
$291.53 |
| 84550 |
|
99 |
95 |
$282.52 |
| 91320 |
|
36 |
36 |
$274.36 |
| 84146 |
|
14 |
13 |
$251.94 |
| 82248 |
|
49 |
42 |
$220.88 |
| 90700 |
|
12 |
12 |
$214.20 |
| 85730 |
|
427 |
399 |
$209.17 |
| 82962 |
|
186 |
180 |
$200.10 |
| 86800 |
|
13 |
13 |
$190.92 |
| 84156 |
|
96 |
84 |
$173.89 |
| 90480 |
|
42 |
42 |
$164.00 |
| 86376 |
|
12 |
12 |
$160.05 |
| 87070 |
|
41 |
40 |
$129.30 |
| 87040 |
|
350 |
287 |
$122.72 |
| 83605 |
|
532 |
462 |
$92.85 |
| 81025 |
|
55 |
53 |
$66.89 |
| 85379 |
|
170 |
167 |
$61.08 |
| 82805 |
|
32 |
25 |
$48.68 |
| 83615 |
|
12 |
12 |
$37.86 |
| 82550 |
|
17 |
15 |
$32.55 |
| 85045 |
|
13 |
13 |
$7.98 |
| J1885 |
Ketorolac tromethamine inj |
913 |
829 |
$4.20 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
373 |
303 |
$1.98 |
| J0690 |
Cefazolin sodium injection |
474 |
393 |
$0.00 |
| 3079F |
|
405 |
400 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
56 |
55 |
$0.00 |
| 3008F |
|
2,263 |
2,256 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
766 |
686 |
$0.00 |
| 96376 |
|
481 |
287 |
$0.00 |
| J7050 |
Normal saline solution infus |
276 |
183 |
$0.00 |
| 3074F |
|
1,796 |
1,759 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
887 |
854 |
$0.00 |
| J1170 |
Hydromorphone injection |
284 |
239 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
943 |
924 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
305 |
273 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
165 |
155 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
1,076 |
1,045 |
$0.00 |
| J1815 |
Insulin injection |
122 |
65 |
$0.00 |
| C1769 |
Guide wire |
56 |
53 |
$0.00 |
| 3044F |
|
186 |
185 |
$0.00 |
| 3075F |
|
28 |
28 |
$0.00 |
| 70498 |
|
12 |
12 |
$0.00 |
| J2060 |
Lorazepam injection |
33 |
29 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
27 |
27 |
$0.00 |
| 84132 |
|
15 |
13 |
$0.00 |
| 3078F |
|
1,326 |
1,305 |
$0.00 |
| J7030 |
Normal saline solution infus |
1,761 |
1,466 |
$0.00 |
| J7120 |
Ringers lactate infusion |
1,314 |
1,200 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
1,435 |
1,274 |
$0.00 |
| 90472 |
|
35 |
34 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
153 |
115 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
138 |
136 |
$0.00 |
| J7040 |
Normal saline solution infus |
63 |
60 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
446 |
393 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,308 |
1,238 |
$0.00 |
| J2270 |
Morphine sulfate injection |
495 |
387 |
$0.00 |
| G9920 |
Scrning perf and negative |
91 |
91 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
94 |
92 |
$0.00 |
| 87880 |
|
28 |
27 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
26 |
26 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
22 |
14 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
53 |
29 |
$0.00 |