| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpt clinic visit |
116,280 |
108,169 |
$9.84M |
| 99285 |
|
10,689 |
9,766 |
$2.90M |
| 99284 |
|
16,575 |
14,409 |
$2.59M |
| 99213 |
|
69,232 |
62,734 |
$2.14M |
| 99283 |
|
25,632 |
22,118 |
$1.91M |
| 99214 |
|
40,415 |
37,477 |
$1.81M |
| U0003 |
Cov-19 amp prb hgh thruput |
8,279 |
7,907 |
$484K |
| 99215 |
Prolong outpt/office vis |
3,530 |
3,382 |
$278K |
| 96374 |
|
2,152 |
2,034 |
$270K |
| 87637 |
|
3,628 |
3,532 |
$236K |
| 36415 |
|
45,650 |
40,839 |
$231K |
| C9803 |
Hopd covid-19 spec collect |
11,367 |
10,904 |
$175K |
| X5622 |
|
2,442 |
2,407 |
$160K |
| 99392 |
|
3,354 |
3,334 |
$146K |
| U0005 |
Infec agen detec ampli probe |
6,151 |
5,910 |
$110K |
| 99391 |
|
2,879 |
2,777 |
$106K |
| 99282 |
|
3,001 |
2,801 |
$83K |
| 90471 |
|
6,449 |
6,248 |
$78K |
| 90834 |
|
976 |
352 |
$77K |
| 99393 |
|
1,819 |
1,808 |
$76K |
| 99310 |
Prolong nursin fac eval 15m |
1,026 |
871 |
$68K |
| 99203 |
|
1,605 |
1,563 |
$65K |
| 96375 |
|
1,283 |
1,179 |
$61K |
| 99232 |
|
1,697 |
664 |
$54K |
| 80053 |
|
12,719 |
11,682 |
$52K |
| 99394 |
|
1,082 |
1,068 |
$52K |
| 87651 |
|
6,377 |
6,259 |
$50K |
| 71045 |
|
851 |
813 |
$48K |
| 93010 |
|
11,934 |
10,024 |
$47K |
| 93005 |
|
2,811 |
2,532 |
$41K |
| 99204 |
|
477 |
470 |
$38K |
| 96361 |
|
505 |
473 |
$36K |
| 99309 |
|
1,193 |
1,031 |
$35K |
| 99395 |
|
627 |
622 |
$35K |
| 99223 |
Prolong inpt eval add15 m |
357 |
317 |
$34K |
| 99239 |
|
661 |
630 |
$34K |
| 71046 |
|
575 |
555 |
$32K |
| 99396 |
|
485 |
483 |
$32K |
| 96413 |
|
117 |
61 |
$30K |
| 96372 |
|
1,368 |
1,160 |
$29K |
| 99212 |
|
1,809 |
1,733 |
$28K |
| 99205 |
Prolong outpt/office vis |
227 |
225 |
$28K |
| 97110 |
|
835 |
273 |
$26K |
| 0002A |
|
847 |
817 |
$22K |
| 92551 |
|
4,348 |
4,318 |
$22K |
| 85025 |
|
19,994 |
18,176 |
$21K |
| 99188 |
|
4,301 |
4,278 |
$20K |
| 99442 |
|
707 |
652 |
$19K |
| 92507 |
|
300 |
106 |
$18K |
| 0001A |
|
761 |
696 |
$18K |
| 90472 |
|
3,413 |
3,300 |
$17K |
| 99308 |
|
501 |
437 |
$15K |
| 59400 |
|
13 |
13 |
$15K |
| 74177 |
|
52 |
51 |
$13K |
| G0008 |
Admin influenza virus vac |
915 |
901 |
$12K |
| 99441 |
|
919 |
870 |
$12K |
| 90686 |
|
3,394 |
3,292 |
$11K |
| 80048 |
|
2,794 |
2,635 |
$10K |
| 93306 |
|
281 |
275 |
$10K |
| 80061 |
|
1,038 |
1,004 |
$10K |
| S0302 |
Completed epsdt |
8,015 |
7,948 |
$10K |
| 96110 |
|
1,640 |
1,637 |
$9K |
| 98940 |
|
788 |
444 |
$9K |
| 99202 |
|
359 |
352 |
$9K |
| 96127 |
|
2,821 |
2,801 |
$9K |
| 99238 |
|
212 |
208 |
$9K |
| U0002 |
Covid-19 lab test non-cdc |
202 |
190 |
$7K |
| 97530 |
|
129 |
39 |
$6K |
| 99335 |
|
146 |
120 |
$6K |
| 96365 |
|
42 |
41 |
$6K |
| 0004A |
|
256 |
243 |
$6K |
| G0179 |
Md recertification hha pt |
329 |
328 |
$5K |
| 83605 |
|
1,868 |
1,610 |
$5K |
| 99222 |
|
72 |
68 |
$5K |
| 84484 |
|
1,632 |
1,233 |
$4K |
| 80307 |
|
824 |
511 |
$4K |
| 99336 |
|
53 |
40 |
$4K |
| 95886 |
|
104 |
53 |
$4K |
| 99173 |
|
4,176 |
4,156 |
$4K |
| 87880 |
|
2,237 |
2,133 |
$4K |
| 76816 |
|
29 |
24 |
$3K |
| 81001 |
|
4,796 |
4,528 |
$3K |
| 99417 |
Prolong home eval add 15m |
88 |
86 |
$3K |
| 70450 |
|
49 |
49 |
$3K |
| 87635 |
|
153 |
146 |
$3K |
| 88305 |
|
66 |
64 |
$3K |
| 01967 |
|
25 |
25 |
$3K |
| 86140 |
|
816 |
771 |
$3K |
| 84443 |
|
764 |
726 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
49 |
28 |
$3K |
| 17110 |
|
138 |
133 |
$3K |
| 90791 |
|
21 |
12 |
$3K |
| 0072A |
|
95 |
91 |
$2K |
| J7030 |
Normal saline solution infus |
3,083 |
2,683 |
$2K |
| G2211 |
Complex e/m visit add on |
1,759 |
1,657 |
$2K |
| 90460 |
|
91 |
81 |
$2K |
| 83036 |
|
749 |
731 |
$2K |
| 99347 |
|
69 |
62 |
$2K |
| 0054A |
|
83 |
77 |
$2K |
| G0439 |
Ppps, subseq visit |
40 |
40 |
$2K |
| 83735 |
|
951 |
872 |
$2K |
| 83880 |
|
166 |
157 |
$2K |
| 87040 |
|
389 |
197 |
$2K |
| 99325 |
|
39 |
37 |
$2K |
| 87631 |
|
516 |
491 |
$2K |
| 99460 |
|
28 |
27 |
$2K |
| 82077 |
|
299 |
268 |
$2K |
| 98941 |
|
135 |
76 |
$2K |
| 99443 |
|
43 |
42 |
$2K |
| 87081 |
|
1,002 |
959 |
$2K |
| 94640 |
|
36 |
28 |
$1K |
| 87591 |
|
79 |
76 |
$1K |
| 0071A |
|
77 |
75 |
$1K |
| 87491 |
|
79 |
76 |
$1K |
| 83615 |
|
823 |
703 |
$1K |
| 86780 |
|
98 |
95 |
$1K |
| 99327 |
|
16 |
13 |
$1K |
| 91320 |
|
28 |
24 |
$1K |
| G0180 |
Md certification hha patient |
40 |
39 |
$1K |
| 83690 |
|
596 |
561 |
$1K |
| 73630 |
|
40 |
37 |
$1K |
| 85027 |
|
712 |
662 |
$1K |
| 87086 |
|
395 |
384 |
$1K |
| 99342 |
|
27 |
25 |
$1K |
| J7040 |
Normal saline solution infus |
1,457 |
1,140 |
$976.60 |
| 74019 |
|
14 |
14 |
$962.90 |
| 20610 |
|
31 |
31 |
$901.53 |
| G0127 |
Trim nail(s) |
40 |
29 |
$891.53 |
| 0124A |
|
47 |
44 |
$871.76 |
| G3002 |
Chronic pain mgmt 30 mins |
27 |
27 |
$852.32 |
| 90480 |
|
29 |
25 |
$754.65 |
| 99334 |
|
18 |
16 |
$703.26 |
| 0031A |
|
19 |
19 |
$576.58 |
| 85610 |
|
893 |
819 |
$572.42 |
| G2212 |
Prolong outpt/office vis |
14 |
13 |
$511.55 |
| 82306 |
|
18 |
18 |
$429.06 |
| 83655 |
|
39 |
38 |
$375.13 |
| J1642 |
Inj heparin sodium per 10 u |
188 |
112 |
$370.56 |
| 36416 |
|
80 |
79 |
$357.60 |
| J7050 |
Normal saline solution infus |
345 |
108 |
$357.56 |
| J1885 |
Ketorolac tromethamine inj |
735 |
683 |
$349.60 |
| 81025 |
|
567 |
537 |
$343.50 |
| 99384 |
|
13 |
13 |
$226.86 |
| 99406 |
|
26 |
26 |
$218.41 |
| 87502 |
|
166 |
156 |
$218.39 |
| 90656 |
|
193 |
193 |
$188.18 |
| 84481 |
|
12 |
12 |
$170.75 |
| 85018 |
|
98 |
91 |
$168.68 |
| 82607 |
|
14 |
14 |
$167.17 |
| 90670 |
|
390 |
360 |
$149.08 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
452 |
437 |
$143.63 |
| 82565 |
|
36 |
36 |
$143.36 |
| 85379 |
|
81 |
80 |
$140.17 |
| J2405 |
Ondansetron hcl injection |
197 |
173 |
$139.94 |
| 81003 |
|
635 |
605 |
$126.39 |
| 87210 |
|
27 |
26 |
$120.67 |
| 86850 |
|
13 |
12 |
$105.15 |
| 82248 |
|
44 |
43 |
$99.87 |
| 84439 |
|
13 |
13 |
$97.31 |
| 94726 |
|
15 |
14 |
$91.99 |
| J7120 |
Ringers lactate infusion |
319 |
257 |
$69.82 |
| 94729 |
|
15 |
14 |
$67.60 |
| 94060 |
|
12 |
12 |
$67.45 |
| 85652 |
|
113 |
108 |
$64.98 |
| 80306 |
|
18 |
14 |
$59.00 |
| 87503 |
|
165 |
156 |
$58.40 |
| J0696 |
Ceftriaxone sodium injection |
43 |
38 |
$56.97 |
| 87186 |
|
14 |
13 |
$44.45 |
| 96161 |
|
391 |
377 |
$43.24 |
| 90619 |
|
26 |
26 |
$42.45 |
| 84145 |
|
27 |
25 |
$41.17 |
| J3420 |
Vitamin b12 injection |
267 |
193 |
$40.74 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
27 |
25 |
$32.48 |
| 82043 |
|
14 |
14 |
$28.33 |
| 90648 |
|
321 |
295 |
$15.21 |
| J2704 |
Inj, propofol, 10 mg |
249 |
204 |
$12.81 |
| J3010 |
Fentanyl citrate injection |
104 |
89 |
$5.83 |
| 85730 |
|
217 |
200 |
$0.34 |
| 90685 |
|
102 |
100 |
$0.02 |
| 90723 |
|
57 |
49 |
$0.02 |
| 90633 |
|
70 |
68 |
$0.01 |
| 90734 |
|
26 |
26 |
$0.01 |
| Q0091 |
Obtaining screen pap smear |
96 |
95 |
$0.00 |
| 90707 |
|
25 |
25 |
$0.00 |
| 80299 |
|
51 |
25 |
$0.00 |
| 91300 |
|
44 |
34 |
$0.00 |
| 87798 |
|
47 |
26 |
$0.00 |
| 90716 |
|
26 |
26 |
$0.00 |
| J2060 |
Lorazepam injection |
26 |
24 |
$0.00 |
| 0352U |
|
26 |
25 |
$0.00 |
| 90651 |
|
65 |
62 |
$0.00 |
| 90677 |
|
27 |
27 |
$0.00 |
| 80050 |
|
14 |
14 |
$0.00 |
| A9270 |
Non-covered item or service |
20 |
12 |
$0.00 |
| J2001 |
Lidocaine injection |
20 |
13 |
$0.00 |