| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpt clinic visit |
331,573 |
293,959 |
$15.96M |
| 99283 |
|
68,766 |
59,110 |
$7.95M |
| 99284 |
|
42,848 |
36,973 |
$6.66M |
| 99285 |
|
9,657 |
8,636 |
$1.74M |
| 36415 |
|
83,424 |
74,603 |
$1.06M |
| 99282 |
|
9,241 |
8,680 |
$821K |
| J2315 |
Naltrexone, depot form |
598 |
551 |
$565K |
| J0585 |
Injection,onabotulinumtoxina |
919 |
697 |
$557K |
| 96372 |
|
5,197 |
4,794 |
$358K |
| 96374 |
|
2,273 |
2,185 |
$330K |
| 59410 |
|
619 |
606 |
$311K |
| 88305 |
|
4,709 |
3,442 |
$286K |
| 90834 |
|
4,188 |
2,725 |
$254K |
| 11042 |
|
1,575 |
810 |
$222K |
| 71046 |
|
8,432 |
7,955 |
$167K |
| 96361 |
|
2,028 |
1,953 |
$157K |
| 64615 |
|
505 |
492 |
$145K |
| 97110 |
|
4,246 |
2,330 |
$143K |
| 77067 |
|
2,007 |
1,970 |
$135K |
| 87635 |
|
2,929 |
2,879 |
$121K |
| 85025 |
|
28,931 |
26,457 |
$113K |
| 76801 |
|
1,509 |
1,093 |
$109K |
| 74177 |
|
1,702 |
1,579 |
$108K |
| 90471 |
|
7,303 |
7,065 |
$100K |
| 76811 |
|
424 |
417 |
$90K |
| 73630 |
|
2,785 |
2,404 |
$88K |
| 93005 |
|
2,067 |
1,900 |
$86K |
| 95004 |
|
149 |
144 |
$83K |
| 80053 |
|
9,653 |
9,249 |
$80K |
| 95810 |
|
150 |
129 |
$77K |
| 20610 |
|
447 |
388 |
$77K |
| 0241U |
|
674 |
664 |
$75K |
| 59025 |
|
896 |
421 |
$71K |
| 92014 |
|
1,208 |
1,179 |
$69K |
| 99490 |
Ccm add 20min |
1,696 |
1,665 |
$68K |
| 99238 |
|
1,305 |
1,270 |
$59K |
| 45385 |
|
107 |
54 |
$56K |
| 90837 |
|
654 |
437 |
$53K |
| 90792 |
|
602 |
583 |
$52K |
| 64493 |
|
74 |
38 |
$52K |
| 96375 |
|
803 |
782 |
$50K |
| Q3014 |
Telehealth facility fee |
4,162 |
3,709 |
$46K |
| 11721 |
|
2,030 |
1,954 |
$46K |
| 83036 |
|
7,014 |
6,800 |
$45K |
| 84443 |
|
3,730 |
3,580 |
$44K |
| 80061 |
|
3,260 |
3,177 |
$40K |
| 80048 |
|
6,394 |
5,877 |
$40K |
| 76805 |
|
493 |
363 |
$38K |
| 76856 |
|
677 |
532 |
$37K |
| 76830 |
|
535 |
419 |
$37K |
| 76816 |
|
431 |
372 |
$34K |
| 73564 |
|
987 |
950 |
$33K |
| 90686 |
|
3,618 |
3,559 |
$31K |
| 93010 |
|
5,741 |
4,927 |
$30K |
| 0001A |
|
1,367 |
1,352 |
$29K |
| 99460 |
|
513 |
504 |
$28K |
| 87502 |
|
1,473 |
1,458 |
$28K |
| 20611 |
|
119 |
94 |
$28K |
| J1100 |
Dexamethasone sodium phos |
1,215 |
1,043 |
$28K |
| 90791 |
|
268 |
263 |
$26K |
| 92004 |
|
589 |
570 |
$26K |
| 73110 |
|
816 |
720 |
$25K |
| 73610 |
|
1,150 |
1,090 |
$25K |
| 77063 |
|
1,463 |
1,453 |
$24K |
| 01967 |
|
195 |
181 |
$24K |
| 87651 |
|
1,824 |
1,794 |
$24K |
| 0002A |
|
1,177 |
1,167 |
$23K |
| 92557 |
|
246 |
243 |
$23K |
| 97530 |
|
475 |
148 |
$22K |
| 71045 |
|
1,477 |
1,398 |
$22K |
| 87804 |
|
1,559 |
860 |
$21K |
| 81001 |
|
4,743 |
4,378 |
$21K |
| 92507 |
|
351 |
84 |
$20K |
| 00170 |
|
129 |
65 |
$20K |
| 87880 |
|
1,884 |
1,834 |
$20K |
| 94010 |
|
263 |
255 |
$20K |
| 64483 |
|
38 |
25 |
$19K |
| 70450 |
|
757 |
740 |
$18K |
| 43239 |
|
39 |
39 |
$17K |
| 41899 |
|
37 |
37 |
$17K |
| 76705 |
|
679 |
601 |
$17K |
| J2250 |
Inj midazolam hydrochloride |
2,571 |
2,398 |
$16K |
| G0432 |
Eia hiv-1/hiv-2 screen |
567 |
539 |
$16K |
| 91320 |
|
147 |
142 |
$13K |
| G0475 |
Hiv combination assay |
326 |
318 |
$13K |
| 87491 |
|
450 |
423 |
$13K |
| 76642 |
|
185 |
161 |
$13K |
| A4550 |
Surgical trays |
523 |
383 |
$13K |
| 87591 |
|
451 |
424 |
$12K |
| 95811 |
|
24 |
13 |
$12K |
| 84484 |
|
1,057 |
958 |
$12K |
| 86803 |
|
863 |
830 |
$11K |
| J7030 |
Normal saline solution infus |
3,536 |
3,240 |
$11K |
| 45378 |
|
23 |
12 |
$10K |
| 85610 |
|
2,736 |
2,001 |
$10K |
| 86140 |
|
1,872 |
1,816 |
$10K |
| 86708 |
|
805 |
767 |
$9K |
| J7120 |
Ringers lactate infusion |
3,023 |
2,838 |
$9K |
| 99239 |
|
146 |
133 |
$9K |
| 97161 |
|
175 |
170 |
$9K |
| 86706 |
|
842 |
803 |
$8K |
| 99233 |
Prolong inpt eval add15 m |
129 |
50 |
$8K |
| 87340 |
|
892 |
851 |
$8K |
| 73721 |
|
120 |
117 |
$8K |
| 86592 |
|
1,065 |
1,018 |
$8K |
| 73130 |
|
432 |
397 |
$8K |
| 86704 |
|
751 |
725 |
$8K |
| 0004A |
|
430 |
387 |
$8K |
| 99291 |
|
44 |
39 |
$8K |
| 92567 |
|
489 |
481 |
$7K |
| 69436 |
|
15 |
15 |
$7K |
| 85027 |
|
1,550 |
1,470 |
$7K |
| G0008 |
Admin influenza virus vac |
542 |
535 |
$7K |
| 73030 |
|
328 |
306 |
$7K |
| 90682 |
|
172 |
169 |
$7K |
| J1030 |
Methylprednisolone 40 mg inj |
156 |
142 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
60 |
56 |
$7K |
| 99281 |
|
146 |
142 |
$6K |
| 93306 |
|
12 |
12 |
$6K |
| 83690 |
|
1,443 |
1,391 |
$6K |
| 81025 |
|
1,061 |
1,041 |
$6K |
| A6021 |
Collagen dressing <=16 sq in |
1,429 |
783 |
$5K |
| 90662 |
|
131 |
131 |
$5K |
| 90480 |
|
159 |
154 |
$5K |
| 97140 |
|
505 |
267 |
$5K |
| 94060 |
|
25 |
25 |
$5K |
| 0071A |
|
217 |
215 |
$5K |
| 51798 |
|
145 |
141 |
$5K |
| 73140 |
|
157 |
145 |
$4K |
| E0603 |
Electric breast pump |
15 |
14 |
$4K |
| 87086 |
|
622 |
604 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
4,272 |
3,793 |
$4K |
| 69210 |
|
103 |
98 |
$4K |
| 82947 |
|
961 |
908 |
$4K |
| 0353U |
|
237 |
228 |
$4K |
| J3010 |
Fentanyl citrate injection |
3,173 |
2,842 |
$3K |
| 85379 |
|
373 |
366 |
$3K |
| 76815 |
|
155 |
80 |
$3K |
| 71275 |
|
60 |
56 |
$3K |
| 92587 |
|
17 |
15 |
$3K |
| 0072A |
|
130 |
129 |
$3K |
| 93971 |
|
94 |
81 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,379 |
1,280 |
$3K |
| 87081 |
|
371 |
357 |
$3K |
| 82150 |
|
1,172 |
941 |
$3K |
| 99232 |
|
55 |
37 |
$3K |
| 84450 |
|
1,078 |
856 |
$3K |
| 0124A |
|
122 |
119 |
$3K |
| 94640 |
|
47 |
43 |
$2K |
| 84075 |
|
1,076 |
854 |
$2K |
| U0003 |
Cov-19 amp prb hgh thruput |
32 |
31 |
$2K |
| 31575 |
|
14 |
14 |
$2K |
| 82247 |
|
1,078 |
856 |
$2K |
| 84520 |
|
957 |
907 |
$2K |
| 82728 |
|
149 |
148 |
$2K |
| 82565 |
|
984 |
933 |
$2K |
| 92012 |
|
22 |
21 |
$2K |
| 97597 |
|
17 |
13 |
$2K |
| 74018 |
|
115 |
106 |
$2K |
| E0604 |
Hosp grade elec breast pump |
66 |
66 |
$2K |
| 76819 |
|
26 |
13 |
$2K |
| 84460 |
|
428 |
415 |
$2K |
| 99213 |
|
41 |
37 |
$2K |
| 77066 |
Tomosynthesis, mammo |
15 |
15 |
$2K |
| 90691 |
|
327 |
326 |
$2K |
| 72100 |
|
51 |
51 |
$2K |
| 74176 |
|
27 |
26 |
$1K |
| 81003 |
|
452 |
433 |
$1K |
| 0003A |
|
78 |
73 |
$1K |
| G0439 |
Ppps, subseq visit |
25 |
25 |
$1K |
| J3301 |
Triamcinolone acet inj nos |
956 |
914 |
$1K |
| 80051 |
|
397 |
375 |
$1K |
| 76536 |
|
22 |
14 |
$1K |
| 0013A |
|
56 |
51 |
$1K |
| 80076 |
|
182 |
176 |
$1K |
| 82306 |
|
28 |
28 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
701 |
646 |
$995.10 |
| 90656 |
|
129 |
127 |
$992.79 |
| 0352U |
|
15 |
14 |
$972.85 |
| G0279 |
Tomosynthesis, mammo |
57 |
56 |
$935.97 |
| 84439 |
|
95 |
92 |
$922.38 |
| 87634 |
|
44 |
44 |
$891.40 |
| 72125 |
|
28 |
28 |
$877.52 |
| 99406 |
|
31 |
30 |
$684.05 |
| 84145 |
|
46 |
44 |
$657.72 |
| J2405 |
Ondansetron hcl injection |
826 |
740 |
$651.63 |
| 97165 |
|
12 |
12 |
$633.08 |
| 64494 |
|
74 |
38 |
$615.31 |
| 99454 |
|
26 |
26 |
$608.48 |
| 72148 |
|
12 |
12 |
$606.84 |
| 83880 |
|
26 |
25 |
$604.56 |
| 87807 |
|
39 |
39 |
$573.42 |
| 70486 |
|
38 |
37 |
$564.32 |
| 87210 |
|
93 |
91 |
$502.54 |
| 86850 |
|
50 |
49 |
$471.63 |
| 95885 |
|
25 |
25 |
$455.14 |
| 0073A |
|
15 |
15 |
$448.87 |
| 88142 |
|
26 |
25 |
$379.86 |
| 90472 |
|
136 |
134 |
$368.94 |
| 88141 |
|
14 |
14 |
$331.38 |
| 83735 |
|
93 |
91 |
$331.16 |
| J8540 |
Oral dexamethasone |
448 |
272 |
$297.96 |
| 73502 |
|
15 |
14 |
$285.51 |
| 73560 |
|
13 |
13 |
$264.16 |
| 90651 |
|
30 |
30 |
$255.16 |
| 90847 |
|
12 |
12 |
$239.04 |
| 85730 |
|
73 |
71 |
$218.66 |
| 82374 |
|
51 |
50 |
$173.16 |
| 85652 |
|
42 |
39 |
$172.46 |
| 82607 |
|
28 |
28 |
$163.53 |
| 88304 |
|
13 |
12 |
$144.52 |
| 84132 |
|
51 |
50 |
$144.09 |
| 84295 |
|
51 |
50 |
$137.65 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
338 |
296 |
$124.79 |
| 84702 |
|
12 |
12 |
$106.90 |
| 83605 |
|
41 |
38 |
$98.28 |
| J0690 |
Cefazolin sodium injection |
52 |
44 |
$70.99 |
| 86900 |
|
12 |
12 |
$65.71 |
| S0020 |
Injection, bupivicaine hydro |
39 |
38 |
$55.66 |
| J7050 |
Normal saline solution infus |
29 |
25 |
$53.58 |
| J1010 |
Inj, methylpred acetate 1 mg |
16 |
15 |
$44.34 |
| J0744 |
Ciprofloxacin iv |
12 |
12 |
$27.48 |
| J1200 |
Diphenhydramine hcl injectio |
43 |
43 |
$25.64 |
| J2765 |
Metoclopramide hcl injection |
28 |
28 |
$16.50 |
| J7620 |
Albuterol ipratrop non-comp |
13 |
12 |
$9.91 |
| S0119 |
Ondansetron 4 mg |
72 |
64 |
$7.59 |
| 87205 |
|
80 |
68 |
$4.67 |
| 90688 |
|
40 |
40 |
$0.00 |
| 0011A |
|
13 |
12 |
$0.00 |
| 87070 |
|
44 |
38 |
$0.00 |
| 0012A |
|
16 |
15 |
$0.00 |
| 87176 |
|
44 |
38 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
14 |
12 |
$0.00 |
| A6212 |
Foam drg <=16 sq in w/border |
190 |
79 |
$0.00 |
| A6199 |
Alginate drsg wound filler |
25 |
12 |
$0.00 |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
240 |
111 |
$0.00 |
| A6210 |
Foam drg >16<=48 sq in w/o b |
77 |
41 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
26 |
26 |
$0.00 |
| G0438 |
Ppps, initial visit |
26 |
24 |
$0.00 |
| 87400 |
|
86 |
43 |
$0.00 |
| J2270 |
Morphine sulfate injection |
13 |
13 |
$0.00 |
| G1004 |
Cdsm ndsc |
14 |
14 |
$0.00 |