| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpt clinic visit |
253,107 |
222,738 |
$19.13M |
| 99284 |
|
43,061 |
36,624 |
$5.52M |
| 99285 |
|
23,137 |
20,154 |
$4.11M |
| 99283 |
|
41,819 |
35,441 |
$3.91M |
| G9002 |
Mccd,maintenance rate |
16,178 |
16,067 |
$3.67M |
| U0003 |
Cov-19 amp prb hgh thruput |
15,000 |
12,940 |
$1.23M |
| 36415 |
|
79,220 |
70,092 |
$475K |
| 80053 |
|
22,526 |
20,201 |
$289K |
| 99282 |
|
4,777 |
4,426 |
$201K |
| C9803 |
Hopd covid-19 spec collect |
5,506 |
5,179 |
$197K |
| 97110 |
|
3,357 |
1,233 |
$176K |
| 85025 |
|
29,900 |
26,094 |
$150K |
| 99223 |
Prolong inpt eval add15 m |
1,130 |
998 |
$141K |
| 99232 |
|
2,998 |
1,111 |
$127K |
| U0005 |
Infec agen detec ampli probe |
9,967 |
8,512 |
$122K |
| 87651 |
|
6,198 |
6,055 |
$120K |
| 95004 |
|
1,090 |
1,036 |
$115K |
| 0241U |
|
826 |
805 |
$110K |
| 99233 |
Prolong inpt eval add15 m |
1,404 |
599 |
$99K |
| 0240U |
|
792 |
782 |
$99K |
| 88305 |
|
3,283 |
2,164 |
$88K |
| 96413 |
|
596 |
306 |
$87K |
| 96374 |
|
849 |
809 |
$74K |
| 92557 |
|
872 |
841 |
$69K |
| 96372 |
|
2,286 |
2,064 |
$57K |
| 99239 |
|
781 |
695 |
$55K |
| 71046 |
|
1,590 |
1,523 |
$40K |
| 95117 |
|
1,922 |
1,087 |
$38K |
| 80048 |
|
4,020 |
3,591 |
$37K |
| 0002A |
|
1,369 |
1,344 |
$35K |
| 93005 |
|
1,662 |
1,568 |
$34K |
| 0001A |
|
1,353 |
1,319 |
$32K |
| 95886 |
|
253 |
245 |
$30K |
| 94060 |
|
216 |
197 |
$29K |
| 43239 |
|
54 |
51 |
$29K |
| 96361 |
|
251 |
237 |
$28K |
| 90833 |
|
649 |
585 |
$26K |
| 45385 |
|
38 |
36 |
$25K |
| 97530 |
|
218 |
91 |
$24K |
| 92507 |
|
312 |
103 |
$24K |
| 71045 |
|
620 |
604 |
$23K |
| 84443 |
|
2,350 |
2,265 |
$23K |
| 90471 |
|
1,555 |
1,445 |
$22K |
| 83036 |
|
3,470 |
3,357 |
$20K |
| 96375 |
|
440 |
412 |
$20K |
| U0002 |
Covid-19 lab test non-cdc |
1,606 |
1,551 |
$19K |
| 80061 |
|
1,911 |
1,856 |
$17K |
| 90686 |
|
1,733 |
1,633 |
$17K |
| 80307 |
|
798 |
600 |
$14K |
| 11721 |
|
553 |
527 |
$14K |
| 87591 |
|
913 |
841 |
$14K |
| H2035 |
A/d tx program, per hour |
473 |
75 |
$14K |
| 86780 |
|
1,313 |
1,192 |
$13K |
| 85027 |
|
3,634 |
3,337 |
$13K |
| 87491 |
|
928 |
853 |
$12K |
| 82306 |
|
573 |
553 |
$12K |
| 98929 |
|
267 |
209 |
$11K |
| 90836 |
|
359 |
274 |
$10K |
| 87502 |
|
524 |
514 |
$10K |
| 59025 |
|
44 |
39 |
$9K |
| 99238 |
|
163 |
152 |
$7K |
| Q3014 |
Telehealth facility fee |
658 |
521 |
$7K |
| 91320 |
|
118 |
117 |
$7K |
| 92567 |
|
366 |
350 |
$6K |
| 90792 |
|
67 |
65 |
$6K |
| 99291 |
|
40 |
37 |
$6K |
| G2023 |
Specimen collect covid-19 |
245 |
230 |
$6K |
| 83605 |
|
834 |
757 |
$6K |
| J7040 |
Normal saline solution infus |
4,534 |
2,464 |
$5K |
| 99222 |
|
72 |
69 |
$5K |
| 98927 |
|
164 |
128 |
$5K |
| 0004A |
|
209 |
208 |
$5K |
| M0245 |
Bamlan and etesev infusion |
26 |
26 |
$5K |
| 73630 |
|
265 |
247 |
$5K |
| 94729 |
|
197 |
181 |
$5K |
| 0124A |
|
205 |
172 |
$5K |
| 74019 |
|
229 |
221 |
$5K |
| J2250 |
Inj midazolam hydrochloride |
2,213 |
2,073 |
$4K |
| 97035 |
|
115 |
40 |
$4K |
| 0072A |
|
134 |
134 |
$4K |
| 0071A |
|
123 |
121 |
$4K |
| J3010 |
Fentanyl citrate injection |
2,005 |
1,861 |
$4K |
| G0500 |
Mod sedat endo service >5yrs |
720 |
662 |
$4K |
| 90480 |
|
136 |
135 |
$4K |
| 94726 |
|
192 |
177 |
$3K |
| 81001 |
|
980 |
933 |
$3K |
| 99231 |
|
89 |
39 |
$3K |
| 87389 |
|
345 |
312 |
$3K |
| 0011A |
|
108 |
103 |
$3K |
| 94640 |
|
62 |
57 |
$3K |
| 0012A |
|
108 |
103 |
$3K |
| 84439 |
|
254 |
245 |
$3K |
| 96367 |
|
39 |
14 |
$3K |
| 85610 |
|
220 |
168 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
1,509 |
1,385 |
$2K |
| 86803 |
|
279 |
260 |
$2K |
| 97140 |
|
95 |
25 |
$2K |
| 86481 |
|
56 |
54 |
$2K |
| G0008 |
Admin influenza virus vac |
276 |
266 |
$2K |
| 86140 |
|
607 |
564 |
$2K |
| 88142 |
|
133 |
125 |
$2K |
| 83690 |
|
456 |
437 |
$2K |
| 99220 |
|
17 |
16 |
$2K |
| 87340 |
|
329 |
292 |
$2K |
| 83655 |
|
178 |
173 |
$2K |
| 87804 |
|
1,170 |
553 |
$1K |
| 87631 |
|
14 |
14 |
$1K |
| 99221 |
|
14 |
14 |
$1K |
| 97165 |
|
14 |
13 |
$1K |
| 0064A |
|
65 |
63 |
$1K |
| 12001 |
|
43 |
36 |
$1K |
| 0031A |
|
59 |
58 |
$1K |
| 0054A |
|
39 |
37 |
$1K |
| 86003 |
|
358 |
92 |
$1K |
| J1642 |
Inj heparin sodium per 10 u |
776 |
338 |
$1K |
| 87880 |
|
1,331 |
1,280 |
$1K |
| 86850 |
|
142 |
91 |
$937.96 |
| 83735 |
|
336 |
323 |
$934.33 |
| 36416 |
|
399 |
345 |
$910.36 |
| 87086 |
|
469 |
445 |
$889.50 |
| 99406 |
|
56 |
52 |
$884.06 |
| 88307 |
|
13 |
12 |
$879.60 |
| 97161 |
|
47 |
12 |
$876.71 |
| 81003 |
|
387 |
364 |
$864.78 |
| 99217 |
|
16 |
16 |
$762.38 |
| 86480 |
|
13 |
13 |
$735.80 |
| 84703 |
|
251 |
241 |
$652.66 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
51 |
49 |
$644.39 |
| 82607 |
|
88 |
87 |
$622.92 |
| 86900 |
|
77 |
52 |
$574.12 |
| 87081 |
|
774 |
748 |
$572.71 |
| 87510 |
|
99 |
96 |
$548.60 |
| 87480 |
|
99 |
96 |
$534.11 |
| 93296 |
|
39 |
14 |
$531.82 |
| 85652 |
|
169 |
155 |
$492.72 |
| 86704 |
|
56 |
53 |
$453.77 |
| 87660 |
|
99 |
96 |
$451.85 |
| 80076 |
|
42 |
39 |
$435.00 |
| 95012 |
|
131 |
114 |
$433.61 |
| 82565 |
|
85 |
80 |
$427.90 |
| J1790 |
Droperidol injection |
75 |
71 |
$418.39 |
| 84484 |
|
103 |
88 |
$391.88 |
| 87634 |
|
40 |
39 |
$378.75 |
| 51798 |
|
16 |
13 |
$378.25 |
| 86708 |
|
57 |
54 |
$371.21 |
| 90656 |
|
19 |
19 |
$363.79 |
| 82728 |
|
28 |
28 |
$348.91 |
| S0119 |
Ondansetron 4 mg |
25 |
25 |
$348.04 |
| 86706 |
|
57 |
54 |
$324.82 |
| 83516 |
|
135 |
62 |
$286.45 |
| 85018 |
|
43 |
43 |
$265.73 |
| 86901 |
|
77 |
52 |
$242.60 |
| 87624 |
|
15 |
14 |
$232.18 |
| J7030 |
Normal saline solution infus |
70 |
27 |
$227.56 |
| 82950 |
|
63 |
55 |
$197.82 |
| 86762 |
|
50 |
40 |
$196.45 |
| 84481 |
|
12 |
12 |
$189.33 |
| 84466 |
|
18 |
18 |
$181.62 |
| 96161 |
|
24 |
24 |
$170.58 |
| 96127 |
|
223 |
218 |
$149.29 |
| 88304 |
|
12 |
12 |
$143.16 |
| J1100 |
Dexamethasone sodium phos |
31 |
30 |
$142.25 |
| 86235 |
|
77 |
20 |
$118.18 |
| 87420 |
|
43 |
40 |
$115.12 |
| J1200 |
Diphenhydramine hcl injectio |
106 |
99 |
$110.74 |
| 96110 |
|
25 |
25 |
$110.00 |
| 90732 |
|
13 |
13 |
$95.96 |
| 80164 |
|
13 |
12 |
$95.67 |
| 83540 |
|
18 |
18 |
$92.13 |
| 73610 |
|
13 |
12 |
$88.83 |
| 84450 |
|
24 |
24 |
$85.97 |
| 94010 |
|
13 |
13 |
$65.16 |
| J2405 |
Ondansetron hcl injection |
97 |
89 |
$62.40 |
| 99188 |
|
72 |
69 |
$59.10 |
| 82947 |
|
14 |
14 |
$52.48 |
| 82248 |
|
29 |
27 |
$50.62 |
| 86255 |
|
25 |
18 |
$42.42 |
| 82784 |
|
41 |
39 |
$29.41 |
| 86200 |
|
18 |
13 |
$21.22 |
| 87186 |
|
53 |
50 |
$20.59 |
| 86225 |
|
26 |
19 |
$15.15 |
| 86431 |
|
19 |
14 |
$14.65 |
| 82550 |
|
30 |
22 |
$13.64 |
| 86038 |
|
26 |
19 |
$13.64 |
| 87077 |
|
44 |
41 |
$9.75 |
| 82077 |
|
15 |
15 |
$0.00 |
| A9270 |
Non-covered item or service |
62 |
15 |
$0.00 |
| 90717 |
|
14 |
13 |
$0.00 |
| 90691 |
|
13 |
12 |
$0.00 |
| 90791 |
|
17 |
14 |
$0.00 |
| 84550 |
|
19 |
14 |
$0.00 |
| 91300 |
|
19 |
14 |
$0.00 |