| Code | Description | Claims | Beneficiaries | Total Paid |
| H0035 |
Mh partial hosp tx under 24h |
35,542 |
3,356 |
$5.87M |
| G0378 |
Hospital observation per hr |
3,987 |
2,859 |
$2.84M |
| 99212 |
|
47,567 |
37,757 |
$2.72M |
| 90832 |
|
16,362 |
7,959 |
$2.60M |
| 90853 |
|
21,159 |
5,899 |
$2.21M |
| 99215 |
Prolong outpt/office vis |
28,548 |
4,680 |
$2.16M |
| 99283 |
|
8,099 |
7,170 |
$1.85M |
| 99284 |
|
6,869 |
5,847 |
$1.79M |
| 90833 |
|
24,237 |
17,418 |
$1.67M |
| 90791 |
|
9,486 |
8,327 |
$1.24M |
| 80307 |
|
29,400 |
12,748 |
$1.08M |
| OP259 |
|
11,667 |
8,851 |
$1.06M |
| 96372 |
|
18,454 |
14,593 |
$871K |
| 80320 |
|
46,258 |
21,405 |
$815K |
| U0003 |
Cov-19 amp prb hgh thruput |
13,615 |
6,129 |
$717K |
| 99211 |
|
9,294 |
6,390 |
$504K |
| 90792 |
|
10,512 |
8,584 |
$471K |
| 87426 |
|
14,873 |
7,174 |
$451K |
| 99213 |
|
11,486 |
8,893 |
$424K |
| 99214 |
|
7,588 |
5,702 |
$387K |
| 43239 |
|
798 |
714 |
$365K |
| G0463 |
Hospital outpt clinic visit |
15,741 |
9,969 |
$348K |
| 80306 |
|
18,519 |
9,572 |
$313K |
| 90834 |
|
2,668 |
1,354 |
$263K |
| 36415 |
|
52,267 |
31,117 |
$252K |
| 80053 |
|
22,740 |
19,184 |
$251K |
| 93005 |
|
5,763 |
5,093 |
$215K |
| C9803 |
Hopd covid-19 spec collect |
10,542 |
5,709 |
$215K |
| 99205 |
Prolong outpt/office vis |
1,312 |
1,237 |
$193K |
| OP272 |
|
1,746 |
1,503 |
$185K |
| G0434 |
Drug screen multi drug class |
9,959 |
6,955 |
$169K |
| 85025 |
|
19,979 |
16,735 |
$169K |
| 88305 |
|
1,833 |
1,602 |
$153K |
| G0480 |
Drug test def 1-7 classes |
2,699 |
1,321 |
$143K |
| 87635 |
|
4,947 |
3,935 |
$114K |
| 99282 |
|
821 |
771 |
$111K |
| 70450 |
|
1,120 |
1,011 |
$106K |
| 99285 |
|
327 |
288 |
$103K |
| 99203 |
|
2,051 |
1,700 |
$99K |
| 84443 |
|
6,076 |
5,546 |
$88K |
| 93306 |
|
210 |
193 |
$77K |
| 80061 |
|
6,118 |
5,646 |
$72K |
| 99204 |
|
1,127 |
1,057 |
$61K |
| 71045 |
|
2,218 |
1,959 |
$60K |
| OP370 |
|
2,612 |
2,224 |
$60K |
| 80349 |
|
2,123 |
972 |
$54K |
| 82306 |
|
2,775 |
2,522 |
$51K |
| 71046 |
|
1,646 |
1,534 |
$50K |
| 97802 |
|
332 |
308 |
$49K |
| 84439 |
|
5,345 |
4,927 |
$46K |
| 97803 |
|
631 |
512 |
$45K |
| 81025 |
|
4,403 |
4,056 |
$42K |
| 43235 |
|
79 |
72 |
$42K |
| OP279 |
|
2,801 |
2,447 |
$41K |
| 83735 |
|
8,318 |
6,694 |
$40K |
| U0005 |
Infec agen detec ampli probe |
2,802 |
1,648 |
$40K |
| 82607 |
|
3,474 |
3,216 |
$40K |
| 83036 |
|
5,720 |
5,240 |
$38K |
| 0012A |
|
1,078 |
1,064 |
$36K |
| G0176 |
Opps/php/iop; activity thrpy |
905 |
37 |
$33K |
| 85027 |
|
4,123 |
3,140 |
$32K |
| 80305 |
|
4,789 |
2,763 |
$32K |
| 81001 |
|
7,490 |
6,728 |
$31K |
| 90837 |
|
136 |
77 |
$31K |
| 96374 |
|
568 |
515 |
$31K |
| OP710 |
|
2,735 |
2,380 |
$31K |
| 99202 |
|
782 |
751 |
$30K |
| 97110 |
|
2,245 |
473 |
$29K |
| 0011A |
|
1,128 |
1,115 |
$28K |
| 80048 |
|
1,804 |
1,241 |
$26K |
| 82962 |
|
1,821 |
1,032 |
$25K |
| 85610 |
|
2,137 |
1,644 |
$25K |
| 77067 |
|
261 |
234 |
$24K |
| Q3014 |
Telehealth facility fee |
1,860 |
1,583 |
$22K |
| Q9992 |
Buprenorphine xr over 100 mg |
67 |
31 |
$21K |
| 96361 |
|
315 |
283 |
$18K |
| G0008 |
Admin influenza virus vac |
658 |
636 |
$17K |
| 84484 |
|
1,205 |
1,022 |
$17K |
| Q0177 |
Hydroxyzine pamoate 25mg |
4,375 |
947 |
$16K |
| 80164 |
|
1,930 |
1,599 |
$16K |
| 82550 |
|
1,598 |
1,410 |
$15K |
| 87086 |
|
1,615 |
1,402 |
$14K |
| 84100 |
|
1,327 |
1,032 |
$14K |
| 85007 |
|
1,766 |
1,427 |
$13K |
| OP260 |
|
135 |
123 |
$13K |
| 0064A |
|
389 |
370 |
$13K |
| 82746 |
|
1,053 |
1,004 |
$12K |
| 85730 |
|
945 |
876 |
$12K |
| 86780 |
|
793 |
753 |
$10K |
| 96365 |
|
155 |
127 |
$10K |
| 97140 |
|
602 |
191 |
$10K |
| 80377 |
|
208 |
137 |
$9K |
| 0004A |
|
274 |
256 |
$8K |
| 82553 |
|
440 |
390 |
$8K |
| 86769 |
|
279 |
275 |
$8K |
| 85048 |
|
1,352 |
890 |
$7K |
| 0241U |
|
126 |
109 |
$7K |
| OP229 |
|
142 |
123 |
$7K |
| 83880 |
|
304 |
255 |
$7K |
| 88342 |
|
130 |
123 |
$7K |
| 73560 |
|
267 |
221 |
$6K |
| 77063 |
|
115 |
97 |
$6K |
| 87591 |
|
103 |
95 |
$6K |
| 96375 |
|
103 |
94 |
$6K |
| 0001A |
|
258 |
248 |
$6K |
| 74176 |
|
46 |
40 |
$5K |
| J2060 |
Lorazepam injection |
1,126 |
851 |
$5K |
| 97112 |
|
354 |
69 |
$5K |
| 80329 |
|
124 |
105 |
$4K |
| 72110 |
|
94 |
81 |
$4K |
| 0002A |
|
131 |
131 |
$4K |
| 87491 |
|
103 |
95 |
$4K |
| 90471 |
|
219 |
171 |
$4K |
| 0124A |
|
189 |
165 |
$4K |
| 96360 |
|
55 |
52 |
$4K |
| 45380 |
|
17 |
13 |
$3K |
| 83690 |
|
667 |
611 |
$3K |
| 90674 |
|
174 |
159 |
$3K |
| 87400 |
|
141 |
113 |
$3K |
| 0031A |
|
83 |
83 |
$3K |
| OP258 |
|
673 |
615 |
$3K |
| 0134A |
|
92 |
87 |
$3K |
| OP250 |
|
117 |
111 |
$3K |
| 97161 |
|
63 |
46 |
$3K |
| 90756 |
|
121 |
120 |
$3K |
| 94640 |
|
76 |
43 |
$3K |
| 92012 |
|
57 |
37 |
$2K |
| 82570 |
|
567 |
503 |
$2K |
| 96366 |
|
49 |
37 |
$2K |
| G0410 |
Grp psych php/iop 45-50 |
1,125 |
39 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
744 |
620 |
$2K |
| 20611 |
|
14 |
12 |
$2K |
| 86804 |
|
145 |
130 |
$2K |
| G0177 |
Opps/php/iop; train & educ |
361 |
26 |
$2K |
| 80346 |
|
52 |
42 |
$2K |
| 90686 |
|
99 |
99 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
31 |
12 |
$2K |
| 90732 |
|
26 |
26 |
$2K |
| J3010 |
Fentanyl citrate injection |
160 |
137 |
$2K |
| 0071A |
|
43 |
38 |
$1K |
| 82043 |
|
403 |
361 |
$1K |
| 82150 |
|
187 |
178 |
$1K |
| 84145 |
|
118 |
81 |
$1K |
| 0072A |
|
35 |
34 |
$1K |
| 90661 |
|
57 |
52 |
$1K |
| 86140 |
|
417 |
369 |
$1K |
| 87389 |
|
80 |
72 |
$1K |
| 87811 |
|
31 |
31 |
$1K |
| 87077 |
|
202 |
174 |
$1K |
| J2405 |
Ondansetron hcl injection |
235 |
203 |
$1K |
| 86592 |
|
211 |
198 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
44 |
39 |
$989.85 |
| 87340 |
|
97 |
89 |
$953.42 |
| 83970 |
|
15 |
14 |
$936.28 |
| 84153 |
|
76 |
67 |
$910.46 |
| 86706 |
|
86 |
79 |
$907.68 |
| 73630 |
|
36 |
28 |
$843.74 |
| 0013A |
|
24 |
21 |
$764.50 |
| 87186 |
|
90 |
74 |
$742.52 |
| J1200 |
Diphenhydramine hcl injectio |
588 |
446 |
$683.81 |
| 73130 |
|
17 |
13 |
$653.62 |
| J3411 |
Thiamine hcl 100 mg |
86 |
74 |
$648.37 |
| 76705 |
|
12 |
12 |
$563.48 |
| 90653 |
|
15 |
15 |
$555.66 |
| 84550 |
|
189 |
170 |
$553.89 |
| 92225 |
|
15 |
12 |
$532.68 |
| 87040 |
|
15 |
12 |
$491.92 |
| 86704 |
|
42 |
36 |
$478.96 |
| 81003 |
|
354 |
298 |
$473.42 |
| 84425 |
|
13 |
12 |
$447.97 |
| 84146 |
|
28 |
27 |
$432.00 |
| 88312 |
|
32 |
30 |
$398.48 |
| 84403 |
|
13 |
12 |
$389.65 |
| J1630 |
Haloperidol injection |
347 |
265 |
$305.28 |
| 99242 |
|
14 |
14 |
$300.60 |
| 85651 |
|
114 |
103 |
$299.86 |
| 96368 |
|
15 |
13 |
$295.28 |
| 90480 |
|
43 |
41 |
$256.52 |
| 91320 |
|
13 |
12 |
$232.66 |
| 82947 |
|
45 |
45 |
$190.96 |
| 83550 |
|
34 |
32 |
$169.73 |
| OP771 |
|
35 |
27 |
$145.35 |
| 83540 |
|
37 |
35 |
$132.64 |
| J2426 |
Inj, invega sustenna, 1 mg |
32 |
25 |
$132.30 |
| 84315 |
|
43 |
27 |
$118.32 |
| 80178 |
|
13 |
12 |
$115.38 |
| 82270 |
|
24 |
16 |
$43.58 |
| 82140 |
|
13 |
12 |
$28.21 |
| 91303 |
|
29 |
29 |
$2.00 |
| 99024 |
|
157 |
144 |
$1.23 |
| OP999 |
|
16 |
14 |
$0.02 |
| 91321 |
|
15 |
14 |
$0.00 |
| 90611 |
|
169 |
140 |
$0.00 |
| OP636 |
|
23 |
20 |
$0.00 |
| 97014 |
|
30 |
12 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
24 |
12 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
15 |
12 |
$0.00 |