| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
238,370 |
213,492 |
$16.18M |
| 99285 |
|
37,844 |
35,227 |
$12.42M |
| 99283 |
|
32,181 |
30,443 |
$5.32M |
| 99284 |
|
18,615 |
17,590 |
$4.68M |
| J0585 |
Injection,onabotulinumtoxina |
7,155 |
3,572 |
$2.17M |
| 96374 |
|
20,696 |
19,009 |
$918K |
| 96361 |
|
3,339 |
2,983 |
$768K |
| 62323 |
|
1,180 |
1,076 |
$635K |
| 64615 |
|
3,519 |
3,286 |
$621K |
| 43239 |
|
910 |
820 |
$558K |
| 36415 |
|
40,692 |
36,059 |
$485K |
| 92507 |
|
5,094 |
1,250 |
$401K |
| 0241U |
|
2,408 |
2,318 |
$320K |
| 11042 |
|
1,149 |
791 |
$265K |
| 96375 |
|
11,363 |
10,043 |
$240K |
| 92014 |
|
4,241 |
4,141 |
$240K |
| 66984 |
|
240 |
167 |
$194K |
| 67028 |
|
1,106 |
1,004 |
$174K |
| 97597 |
|
1,952 |
1,210 |
$142K |
| 80053 |
|
43,426 |
40,194 |
$133K |
| 97530 |
|
3,325 |
732 |
$129K |
| 96413 |
|
1,467 |
1,170 |
$128K |
| 93325 |
|
2,601 |
2,397 |
$124K |
| G0378 |
Hospital observation per hr |
503 |
414 |
$116K |
| 69436 |
|
102 |
96 |
$112K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,674 |
1,558 |
$107K |
| 45380 |
|
232 |
204 |
$104K |
| 93304 |
|
428 |
397 |
$102K |
| 99392 |
|
1,160 |
1,097 |
$99K |
| J0178 |
Aflibercept injection |
134 |
112 |
$98K |
| 97110 |
|
2,569 |
1,013 |
$91K |
| 90870 |
|
181 |
40 |
$83K |
| 87426 |
|
2,230 |
2,122 |
$81K |
| 96365 |
|
914 |
693 |
$77K |
| 99391 |
|
731 |
665 |
$71K |
| 90471 |
|
4,821 |
4,418 |
$71K |
| 74177 |
|
312 |
293 |
$63K |
| 93321 |
|
544 |
507 |
$49K |
| M0243 |
Casirivi and imdevi inj |
160 |
146 |
$49K |
| 88305 |
|
2,848 |
2,192 |
$46K |
| H0035 |
Mh partial hosp tx under 24h |
80 |
12 |
$46K |
| 93303 |
|
124 |
119 |
$43K |
| 93005 |
|
8,539 |
7,650 |
$42K |
| 59025 |
|
498 |
355 |
$42K |
| 71046 |
|
1,947 |
1,822 |
$41K |
| 71045 |
|
1,875 |
1,741 |
$40K |
| 85025 |
|
48,723 |
44,685 |
$39K |
| 93296 |
|
2,180 |
2,085 |
$39K |
| 70553 |
|
175 |
152 |
$38K |
| 70450 |
|
395 |
371 |
$37K |
| 99393 |
|
283 |
269 |
$33K |
| 95810 |
|
80 |
67 |
$33K |
| G0260 |
Inj for sacroiliac jt anesth |
106 |
82 |
$32K |
| D7140 |
|
24 |
14 |
$31K |
| 77063 |
|
377 |
374 |
$28K |
| 93306 |
|
143 |
132 |
$28K |
| 90834 |
|
915 |
555 |
$28K |
| 41899 |
|
194 |
165 |
$28K |
| 90686 |
|
4,031 |
3,860 |
$28K |
| 96372 |
|
1,492 |
1,089 |
$26K |
| 64643 |
|
112 |
85 |
$24K |
| 83036 |
|
1,571 |
1,533 |
$22K |
| 76705 |
|
304 |
297 |
$21K |
| 92004 |
|
273 |
264 |
$21K |
| 64642 |
|
114 |
86 |
$18K |
| M0247 |
Sotrovimab infusion |
70 |
60 |
$18K |
| 99282 |
|
246 |
244 |
$18K |
| 77067 |
|
395 |
392 |
$18K |
| 42820 |
|
20 |
12 |
$17K |
| 95004 |
|
76 |
75 |
$16K |
| 11721 |
|
1,681 |
1,614 |
$16K |
| 99211 |
|
187 |
177 |
$16K |
| 90853 |
|
175 |
13 |
$15K |
| 76811 |
|
129 |
120 |
$15K |
| 0002A |
|
491 |
476 |
$15K |
| Q0247 |
Sotrovimab |
15 |
15 |
$15K |
| 0001A |
|
461 |
436 |
$14K |
| 98941 |
|
625 |
357 |
$13K |
| 74176 |
|
90 |
87 |
$13K |
| 80307 |
|
1,803 |
1,599 |
$12K |
| 76816 |
|
238 |
203 |
$12K |
| 49083 |
|
20 |
12 |
$12K |
| 96110 |
|
72 |
70 |
$12K |
| 97165 |
|
180 |
170 |
$12K |
| 72148 |
|
83 |
79 |
$12K |
| 87635 |
|
298 |
289 |
$11K |
| 95886 |
|
108 |
101 |
$11K |
| 87651 |
|
751 |
719 |
$11K |
| 97161 |
|
318 |
290 |
$10K |
| J1040 |
Methylprednisolone 80 mg inj |
3,073 |
2,773 |
$10K |
| G2066 |
Inter devc remote 30d |
410 |
395 |
$10K |
| C9803 |
Hopd covid-19 spec collect |
185 |
181 |
$9K |
| 96360 |
|
93 |
84 |
$9K |
| 0240U |
|
68 |
65 |
$9K |
| 99213 |
|
73 |
72 |
$8K |
| J3490 |
Drugs unclassified injection |
1,622 |
1,077 |
$8K |
| 93299 |
|
398 |
387 |
$8K |
| 73630 |
|
303 |
262 |
$8K |
| 95117 |
|
261 |
155 |
$8K |
| 45385 |
|
28 |
28 |
$8K |
| M0239 |
Bamlanivimab-xxxx infusion |
34 |
31 |
$7K |
| 73721 |
|
46 |
43 |
$7K |
| 98940 |
|
301 |
168 |
$7K |
| 93320 |
|
136 |
131 |
$7K |
| 92134 |
|
2,325 |
2,141 |
$7K |
| 92526 |
|
173 |
42 |
$6K |
| U0002 |
Covid-19 lab test non-cdc |
128 |
122 |
$6K |
| J2704 |
Inj, propofol, 10 mg |
5,129 |
4,331 |
$6K |
| 71275 |
|
39 |
36 |
$6K |
| 76000 |
|
127 |
113 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,970 |
1,778 |
$6K |
| 76770 |
|
80 |
77 |
$6K |
| 97162 |
|
144 |
133 |
$6K |
| 73610 |
|
119 |
112 |
$6K |
| 92523 |
|
57 |
54 |
$6K |
| 71260 |
|
73 |
70 |
$5K |
| 82077 |
|
2,612 |
2,372 |
$5K |
| 70551 |
|
50 |
45 |
$5K |
| M0245 |
Bamlan and etesev infusion |
13 |
13 |
$4K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
29 |
26 |
$4K |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
3,726 |
3,327 |
$4K |
| 97140 |
|
189 |
83 |
$4K |
| 96367 |
|
165 |
111 |
$4K |
| 80061 |
|
757 |
730 |
$4K |
| 64644 |
|
14 |
12 |
$4K |
| 20610 |
|
178 |
166 |
$3K |
| 84484 |
|
3,448 |
2,833 |
$3K |
| 84443 |
|
617 |
599 |
$3K |
| 97810 |
|
106 |
40 |
$3K |
| 96366 |
|
87 |
66 |
$3K |
| 71250 |
|
82 |
77 |
$3K |
| 93298 |
|
106 |
106 |
$3K |
| 92567 |
|
183 |
175 |
$3K |
| 90662 |
|
107 |
98 |
$3K |
| 20611 |
|
24 |
24 |
$3K |
| 17250 |
|
44 |
29 |
$3K |
| 90656 |
|
249 |
247 |
$3K |
| 17110 |
|
14 |
12 |
$3K |
| 73562 |
|
251 |
203 |
$3K |
| U0005 |
Infec agen detec ampli probe |
363 |
319 |
$3K |
| 80048 |
|
1,857 |
1,684 |
$3K |
| 90792 |
|
14 |
14 |
$2K |
| 94060 |
|
12 |
12 |
$2K |
| 97166 |
|
41 |
38 |
$2K |
| 86140 |
|
1,862 |
1,732 |
$2K |
| G0379 |
Direct refer hospital observ |
13 |
12 |
$2K |
| 87502 |
|
236 |
228 |
$2K |
| 0072A |
|
61 |
61 |
$2K |
| J7999 |
Compounded drug, noc |
282 |
88 |
$2K |
| 83690 |
|
4,000 |
3,707 |
$2K |
| Q3014 |
Telehealth facility fee |
210 |
186 |
$2K |
| 90480 |
|
100 |
95 |
$2K |
| 73130 |
|
29 |
27 |
$2K |
| J1010 |
Inj, methylpred acetate 1 mg |
361 |
338 |
$2K |
| J3010 |
Fentanyl citrate injection |
4,983 |
3,665 |
$2K |
| 93226 |
|
27 |
26 |
$2K |
| 87210 |
|
51 |
51 |
$2K |
| 88304 |
|
93 |
77 |
$2K |
| 51798 |
|
57 |
55 |
$2K |
| 99173 |
|
27 |
26 |
$2K |
| 81001 |
|
3,363 |
3,095 |
$1K |
| 86780 |
|
97 |
95 |
$1K |
| 0054A |
|
65 |
62 |
$1K |
| 0071A |
|
42 |
41 |
$1K |
| V2632 |
Post chmbr intraocular lens |
508 |
323 |
$1K |
| 82805 |
|
354 |
324 |
$1K |
| 93971 |
|
30 |
27 |
$1K |
| 90717 |
|
13 |
12 |
$1K |
| J1170 |
Hydromorphone injection |
1,869 |
1,531 |
$1K |
| 96116 |
|
16 |
12 |
$1K |
| 84702 |
|
1,446 |
1,319 |
$1K |
| 97602 |
|
21 |
12 |
$1K |
| 73110 |
|
45 |
41 |
$1K |
| 76856 |
|
38 |
38 |
$1K |
| 83735 |
|
2,566 |
2,282 |
$1K |
| 97116 |
|
71 |
28 |
$1K |
| J2405 |
Ondansetron hcl injection |
7,081 |
6,007 |
$1K |
| 96415 |
|
14 |
12 |
$1K |
| 0124A |
|
43 |
42 |
$1K |
| 87631 |
|
197 |
194 |
$1K |
| 0004A |
|
47 |
43 |
$983.97 |
| J1885 |
Ketorolac tromethamine inj |
3,501 |
3,122 |
$975.32 |
| J1100 |
Dexamethasone sodium phos |
2,944 |
2,543 |
$966.97 |
| 85027 |
|
3,006 |
2,732 |
$954.84 |
| 99188 |
|
594 |
567 |
$945.43 |
| 83605 |
|
910 |
801 |
$864.73 |
| 0052A |
|
25 |
24 |
$845.17 |
| 92611 |
|
14 |
13 |
$840.88 |
| 90833 |
|
17 |
17 |
$732.00 |
| 95874 |
|
62 |
45 |
$717.54 |
| 86850 |
|
147 |
132 |
$649.14 |
| 99411 |
|
14 |
14 |
$581.84 |
| 95115 |
|
22 |
12 |
$572.35 |
| G0008 |
Admin influenza virus vac |
136 |
134 |
$563.68 |
| 91320 |
|
13 |
13 |
$560.79 |
| 0051A |
|
17 |
16 |
$560.48 |
| 83880 |
|
211 |
200 |
$552.50 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
324 |
269 |
$552.27 |
| 84703 |
|
1,026 |
967 |
$530.71 |
| 87086 |
|
296 |
274 |
$530.40 |
| 77003 |
|
62 |
56 |
$505.50 |
| 86803 |
|
39 |
39 |
$504.52 |
| 74230 |
|
14 |
13 |
$499.80 |
| 88175 |
|
50 |
50 |
$499.69 |
| D0140 |
|
25 |
25 |
$468.73 |
| J1030 |
Methylprednisolone 40 mg inj |
297 |
279 |
$444.17 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
150 |
139 |
$399.40 |
| 88342 |
|
17 |
15 |
$367.15 |
| J2250 |
Inj midazolam hydrochloride |
3,103 |
2,562 |
$360.70 |
| 94664 |
|
358 |
334 |
$356.67 |
| 92136 |
|
43 |
41 |
$338.67 |
| 72125 |
|
14 |
14 |
$337.08 |
| 86900 |
|
163 |
143 |
$325.17 |
| 94729 |
|
27 |
27 |
$315.42 |
| 87389 |
|
15 |
15 |
$305.88 |
| 97035 |
|
54 |
26 |
$280.91 |
| 90472 |
|
201 |
124 |
$272.38 |
| 81025 |
|
139 |
131 |
$265.64 |
| 73564 |
|
13 |
12 |
$258.39 |
| 73030 |
|
46 |
46 |
$250.70 |
| 92133 |
|
56 |
53 |
$249.58 |
| 82784 |
|
26 |
25 |
$238.50 |
| 85652 |
|
355 |
333 |
$210.05 |
| 36416 |
|
126 |
117 |
$201.50 |
| J1200 |
Diphenhydramine hcl injectio |
1,089 |
934 |
$200.07 |
| 90691 |
|
12 |
12 |
$188.28 |
| 87491 |
|
13 |
13 |
$179.08 |
| 87591 |
|
13 |
13 |
$179.08 |
| 83550 |
|
53 |
52 |
$177.35 |
| 85610 |
|
983 |
890 |
$175.66 |
| 86901 |
|
162 |
142 |
$174.50 |
| 84439 |
|
25 |
25 |
$162.87 |
| 82570 |
|
133 |
118 |
$155.52 |
| 83540 |
|
40 |
40 |
$150.23 |
| 72100 |
|
29 |
25 |
$144.30 |
| G0108 |
Diab manage trn per indiv |
28 |
25 |
$139.12 |
| 91305 |
|
15 |
13 |
$127.15 |
| 94010 |
|
45 |
41 |
$124.36 |
| 91300 |
|
128 |
99 |
$118.38 |
| 80050 |
|
30 |
28 |
$100.16 |
| 82728 |
|
70 |
69 |
$96.19 |
| 83615 |
|
175 |
149 |
$92.72 |
| 74018 |
|
63 |
62 |
$91.01 |
| 80197 |
|
21 |
13 |
$85.15 |
| C9257 |
Bevacizumab injection |
54 |
49 |
$78.83 |
| J0690 |
Cefazolin sodium injection |
546 |
410 |
$78.53 |
| 96376 |
|
457 |
326 |
$76.39 |
| J2795 |
Ropivacaine hcl injection |
18 |
12 |
$76.30 |
| J2004 |
Inj, lidocaine w epinephrine |
15 |
15 |
$66.15 |
| J2710 |
Neostigmine methylslfte inj |
174 |
150 |
$57.68 |
| 81003 |
|
619 |
572 |
$47.56 |
| J2270 |
Morphine sulfate injection |
246 |
193 |
$27.75 |
| J2765 |
Metoclopramide hcl injection |
160 |
138 |
$16.68 |
| J2060 |
Lorazepam injection |
161 |
134 |
$5.76 |
| Q0162 |
Ondansetron oral |
42 |
39 |
$0.64 |
| G1004 |
Cdsm ndsc |
1,779 |
1,373 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
219 |
98 |
$0.00 |
| J2550 |
Promethazine hcl injection |
62 |
42 |
$0.00 |
| 80179 |
|
61 |
56 |
$0.00 |
| 80143 |
|
79 |
71 |
$0.00 |
| 82565 |
|
101 |
92 |
$0.00 |
| G8978 |
Mobility current status |
143 |
137 |
$0.00 |
| 87186 |
|
146 |
123 |
$0.00 |
| G8979 |
Mobility goal status |
173 |
161 |
$0.00 |
| 85014 |
|
28 |
26 |
$0.00 |
| J2930 |
Methylprednisolone injection |
67 |
55 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
37 |
24 |
$0.00 |
| 80076 |
|
31 |
27 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
24 |
24 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 84100 |
|
13 |
13 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
58 |
39 |
$0.00 |
| 84156 |
|
18 |
13 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
110 |
95 |
$0.00 |
| C1769 |
Guide wire |
343 |
306 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
217 |
152 |
$0.00 |
| A9585 |
Gadobutrol injection |
260 |
232 |
$0.00 |
| 85379 |
|
104 |
98 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
76 |
39 |
$0.00 |
| 82607 |
|
42 |
38 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
15 |
13 |
$0.00 |
| J1630 |
Haloperidol injection |
133 |
119 |
$0.00 |
| G8987 |
Self care current status |
43 |
40 |
$0.00 |
| 85018 |
|
158 |
132 |
$0.00 |
| 87077 |
|
164 |
131 |
$0.00 |
| 73502 |
|
41 |
38 |
$0.00 |
| G8988 |
Self care goal status |
46 |
43 |
$0.00 |
| A9270 |
Non-covered item or service |
1,814 |
467 |
$0.00 |
| 87070 |
|
94 |
80 |
$0.00 |
| G8980 |
Mobility d/c status |
38 |
38 |
$0.00 |
| 82306 |
|
44 |
43 |
$0.00 |
| 85730 |
|
59 |
52 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
68 |
53 |
$0.00 |
| 87040 |
|
153 |
98 |
$0.00 |
| 80069 |
|
224 |
176 |
$0.00 |
| 97535 |
|
61 |
43 |
$0.00 |
| 87205 |
|
15 |
12 |
$0.00 |
| 80047 |
|
25 |
24 |
$0.00 |
| 84132 |
|
28 |
25 |
$0.00 |
| 82550 |
|
54 |
47 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
28 |
28 |
$0.00 |
| 82043 |
|
17 |
16 |
$0.00 |