| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpt clinic visit |
43,125 |
31,969 |
$2.85M |
| 99283 |
|
16,954 |
15,316 |
$2.44M |
| 97110 |
|
16,412 |
4,568 |
$1.29M |
| 97530 |
|
7,401 |
1,491 |
$716K |
| 99213 |
|
7,556 |
6,165 |
$689K |
| 92507 |
|
7,940 |
1,785 |
$682K |
| 74177 |
|
1,764 |
1,629 |
$635K |
| 99282 |
|
4,486 |
4,265 |
$631K |
| 99284 |
|
5,295 |
4,795 |
$627K |
| 96361 |
|
2,352 |
1,876 |
$572K |
| 96365 |
|
4,184 |
2,656 |
$468K |
| 0202U |
|
1,506 |
1,433 |
$371K |
| 70450 |
|
1,615 |
1,496 |
$356K |
| G0378 |
Hospital observation per hr |
1,830 |
1,491 |
$302K |
| 99285 |
|
1,242 |
1,152 |
$173K |
| 96366 |
|
822 |
632 |
$168K |
| 96360 |
|
1,168 |
1,019 |
$163K |
| 93306 |
|
477 |
445 |
$162K |
| 20610 |
|
731 |
683 |
$133K |
| U0004 |
Cov-19 test non-cdc hgh thru |
2,362 |
2,073 |
$121K |
| 87635 |
|
3,567 |
3,272 |
$114K |
| 94640 |
|
1,230 |
852 |
$96K |
| 96374 |
|
6,147 |
5,343 |
$89K |
| 97140 |
|
2,626 |
914 |
$87K |
| 96375 |
|
4,845 |
3,874 |
$86K |
| 74176 |
|
286 |
264 |
$85K |
| 78452 |
|
136 |
122 |
$81K |
| C9803 |
Hopd covid-19 spec collect |
5,402 |
4,821 |
$80K |
| 76705 |
|
512 |
498 |
$72K |
| 80053 |
|
17,725 |
14,418 |
$71K |
| 71275 |
|
230 |
210 |
$70K |
| 99203 |
|
522 |
489 |
$68K |
| 93005 |
|
5,402 |
4,579 |
$64K |
| J7030 |
Normal saline solution infus |
5,220 |
4,197 |
$64K |
| J0585 |
Injection,onabotulinumtoxina |
137 |
128 |
$59K |
| 73721 |
|
229 |
212 |
$56K |
| 0241U |
|
486 |
466 |
$56K |
| J3490 |
Drugs unclassified injection |
16,500 |
8,139 |
$56K |
| 71046 |
|
1,431 |
1,356 |
$54K |
| 85025 |
|
19,604 |
15,807 |
$52K |
| 11042 |
|
528 |
280 |
$52K |
| 97113 |
|
497 |
160 |
$51K |
| 97162 |
|
1,128 |
1,092 |
$48K |
| 97166 |
|
330 |
312 |
$40K |
| 87502 |
|
524 |
506 |
$39K |
| 70553 |
|
84 |
81 |
$39K |
| 71045 |
|
2,973 |
2,699 |
$38K |
| 93017 |
|
163 |
146 |
$36K |
| J7120 |
Ringers lactate infusion |
3,307 |
2,744 |
$35K |
| 96413 |
|
318 |
196 |
$33K |
| 20553 |
|
140 |
132 |
$32K |
| 72148 |
|
176 |
165 |
$32K |
| 77067 |
|
865 |
862 |
$31K |
| 80307 |
|
1,353 |
1,251 |
$30K |
| 41899 |
|
12 |
12 |
$28K |
| 96372 |
|
2,970 |
2,360 |
$24K |
| 84443 |
|
2,438 |
2,289 |
$23K |
| 87086 |
|
3,859 |
3,505 |
$22K |
| 64615 |
|
75 |
69 |
$21K |
| A4216 |
Sterile water/saline, 10 ml |
7,087 |
3,584 |
$20K |
| 88305 |
|
976 |
791 |
$19K |
| 95886 |
|
96 |
83 |
$18K |
| M0243 |
Casirivi and imdevi inj |
51 |
49 |
$17K |
| 97161 |
|
873 |
818 |
$17K |
| 77063 |
|
723 |
721 |
$16K |
| 90670 |
|
219 |
219 |
$16K |
| 43239 |
|
20 |
17 |
$15K |
| 94729 |
|
630 |
582 |
$15K |
| 36415 |
|
9,520 |
7,607 |
$14K |
| A9270 |
Non-covered item or service |
1,961 |
1,168 |
$13K |
| J2704 |
Inj, propofol, 10 mg |
2,058 |
1,908 |
$12K |
| 94010 |
|
273 |
248 |
$12K |
| G2066 |
Inter devc remote 30d |
281 |
273 |
$11K |
| 97014 |
|
253 |
89 |
$11K |
| 97760 |
|
190 |
176 |
$11K |
| 94060 |
|
288 |
269 |
$11K |
| 76856 |
|
52 |
51 |
$10K |
| 99204 |
|
82 |
77 |
$10K |
| 83880 |
|
1,022 |
907 |
$10K |
| J3010 |
Fentanyl citrate injection |
2,760 |
2,076 |
$10K |
| 87070 |
|
1,418 |
1,321 |
$9K |
| J2405 |
Ondansetron hcl injection |
5,156 |
4,167 |
$9K |
| 86850 |
|
1,098 |
1,022 |
$9K |
| 99281 |
|
275 |
262 |
$9K |
| 86900 |
|
1,204 |
1,110 |
$9K |
| 84484 |
|
2,996 |
2,082 |
$8K |
| 80048 |
|
1,978 |
1,571 |
$8K |
| 87186 |
|
1,649 |
1,529 |
$8K |
| 81001 |
|
5,852 |
5,265 |
$8K |
| 87491 |
|
288 |
276 |
$8K |
| 73610 |
|
429 |
380 |
$8K |
| Q0162 |
Ondansetron oral |
841 |
755 |
$8K |
| J8499 |
Oral prescrip drug non chemo |
9,079 |
3,944 |
$8K |
| 87801 |
|
122 |
120 |
$8K |
| 93971 |
|
81 |
75 |
$8K |
| 80061 |
|
1,450 |
1,386 |
$8K |
| 62323 |
|
13 |
12 |
$8K |
| J1885 |
Ketorolac tromethamine inj |
3,055 |
2,597 |
$7K |
| 83735 |
|
3,455 |
2,468 |
$7K |
| 83605 |
|
2,499 |
2,145 |
$7K |
| J1100 |
Dexamethasone sodium phos |
3,244 |
2,678 |
$7K |
| 90460 |
|
298 |
259 |
$6K |
| 84703 |
|
2,218 |
2,056 |
$6K |
| J2250 |
Inj midazolam hydrochloride |
3,578 |
3,043 |
$6K |
| 87651 |
|
183 |
174 |
$5K |
| 0099U |
|
46 |
44 |
$5K |
| 73030 |
|
453 |
408 |
$5K |
| 90651 |
|
29 |
28 |
$5K |
| 83690 |
|
2,325 |
2,096 |
$5K |
| Q3014 |
Telehealth facility fee |
387 |
353 |
$5K |
| 59025 |
|
51 |
38 |
$5K |
| 87088 |
|
1,180 |
1,096 |
$4K |
| 90681 |
|
111 |
110 |
$4K |
| 82962 |
|
3,843 |
1,800 |
$4K |
| 87591 |
|
285 |
274 |
$4K |
| 85027 |
|
1,141 |
903 |
$4K |
| 97597 |
|
36 |
25 |
$4K |
| 84439 |
|
439 |
417 |
$4K |
| 83036 |
|
664 |
623 |
$4K |
| 73630 |
|
189 |
175 |
$4K |
| J7050 |
Normal saline solution infus |
3,926 |
2,830 |
$4K |
| J1170 |
Hydromorphone injection |
1,271 |
887 |
$4K |
| 81003 |
|
994 |
921 |
$4K |
| 97803 |
|
283 |
281 |
$4K |
| 82803 |
|
852 |
749 |
$3K |
| 90686 |
|
528 |
523 |
$3K |
| 86140 |
|
723 |
666 |
$3K |
| 90723 |
|
158 |
158 |
$3K |
| 97035 |
|
23 |
12 |
$3K |
| 82553 |
|
839 |
702 |
$3K |
| 73130 |
|
261 |
227 |
$3K |
| 90647 |
|
141 |
141 |
$3K |
| 99211 |
|
119 |
83 |
$3K |
| J2270 |
Morphine sulfate injection |
795 |
623 |
$3K |
| 94726 |
|
130 |
121 |
$3K |
| 90716 |
|
32 |
32 |
$3K |
| 82550 |
|
1,266 |
1,055 |
$3K |
| 71250 |
|
27 |
26 |
$3K |
| 72125 |
|
43 |
39 |
$3K |
| 90707 |
|
39 |
39 |
$2K |
| 76536 |
|
12 |
12 |
$2K |
| 72141 |
|
15 |
15 |
$2K |
| 95885 |
|
12 |
12 |
$2K |
| 74018 |
|
70 |
64 |
$2K |
| 20552 |
|
14 |
12 |
$2K |
| 71260 |
|
25 |
25 |
$2K |
| 83655 |
|
130 |
128 |
$2K |
| 96367 |
|
37 |
27 |
$2K |
| 94664 |
|
75 |
68 |
$2K |
| 73221 |
|
13 |
12 |
$2K |
| 87205 |
|
872 |
803 |
$2K |
| 87077 |
|
477 |
438 |
$2K |
| 96376 |
|
147 |
123 |
$2K |
| 93299 |
|
119 |
111 |
$2K |
| 90461 |
|
86 |
86 |
$2K |
| 85610 |
|
1,557 |
1,254 |
$2K |
| 73560 |
|
119 |
104 |
$2K |
| 97802 |
|
55 |
52 |
$2K |
| 90696 |
|
41 |
41 |
$2K |
| 0097U |
|
12 |
12 |
$2K |
| 82607 |
|
206 |
195 |
$2K |
| 82728 |
|
372 |
353 |
$2K |
| 86901 |
|
1,164 |
1,072 |
$2K |
| 87040 |
|
662 |
383 |
$2K |
| 73562 |
|
295 |
281 |
$2K |
| 87081 |
|
208 |
204 |
$2K |
| 36000 |
|
43 |
41 |
$1K |
| 36591 |
|
482 |
289 |
$1K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
14 |
12 |
$1K |
| 85379 |
|
716 |
670 |
$1K |
| G0260 |
Inj for sacroiliac jt anesth |
14 |
13 |
$1K |
| 72110 |
|
26 |
26 |
$1K |
| 29125 |
|
56 |
53 |
$1K |
| 73110 |
|
110 |
100 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
784 |
636 |
$1K |
| 70486 |
|
12 |
12 |
$1K |
| 94644 |
|
15 |
13 |
$973.80 |
| 51798 |
|
84 |
78 |
$932.57 |
| 83540 |
|
330 |
313 |
$895.95 |
| 73502 |
|
46 |
43 |
$861.18 |
| 80329 |
|
198 |
118 |
$831.60 |
| J0690 |
Cefazolin sodium injection |
666 |
535 |
$816.17 |
| 83550 |
|
275 |
259 |
$770.09 |
| 84145 |
|
582 |
468 |
$761.99 |
| J2765 |
Metoclopramide hcl injection |
267 |
216 |
$757.92 |
| 73100 |
|
32 |
26 |
$749.36 |
| 80050 |
|
18 |
18 |
$741.54 |
| 87880 |
|
46 |
27 |
$710.79 |
| 85652 |
|
443 |
402 |
$660.13 |
| 90633 |
|
41 |
41 |
$641.20 |
| 94761 |
|
1,145 |
865 |
$589.37 |
| 82306 |
|
18 |
17 |
$536.04 |
| 83525 |
|
38 |
36 |
$492.51 |
| 12001 |
|
12 |
12 |
$435.49 |
| 85730 |
|
104 |
91 |
$430.64 |
| U0002 |
Covid-19 lab test non-cdc |
15 |
14 |
$414.30 |
| 90734 |
|
16 |
15 |
$388.44 |
| 90471 |
|
49 |
49 |
$379.57 |
| 97116 |
|
27 |
13 |
$351.83 |
| 73564 |
|
16 |
16 |
$322.18 |
| 85018 |
|
87 |
86 |
$254.91 |
| J0702 |
Betamethasone acet&sod phosp |
15 |
14 |
$231.77 |
| 84702 |
|
44 |
36 |
$200.38 |
| J7613 |
Albuterol non-comp unit |
301 |
249 |
$188.22 |
| 99152 |
|
87 |
82 |
$176.99 |
| J1040 |
Methylprednisolone 80 mg inj |
386 |
364 |
$149.90 |
| 87389 |
|
25 |
25 |
$143.23 |
| J2360 |
Orphenadrine injection |
35 |
26 |
$126.50 |
| 82540 |
|
28 |
26 |
$110.55 |
| 97150 |
|
15 |
12 |
$107.12 |
| J7040 |
Normal saline solution infus |
736 |
585 |
$106.53 |
| G0008 |
Admin influenza virus vac |
96 |
88 |
$103.65 |
| 94760 |
|
284 |
247 |
$93.36 |
| 99156 |
|
81 |
74 |
$76.44 |
| J2550 |
Promethazine hcl injection |
25 |
24 |
$75.90 |
| 80069 |
|
15 |
12 |
$60.60 |
| G1010 |
Cdsm stanson |
2,147 |
1,867 |
$47.64 |
| 99153 |
Mod sedat endo service >5yrs |
16 |
15 |
$38.99 |
| 99157 |
|
61 |
53 |
$38.22 |
| 86200 |
|
15 |
14 |
$32.84 |
| 84100 |
|
15 |
12 |
$25.82 |
| 82565 |
|
16 |
15 |
$25.73 |
| J0330 |
Succinycholine chloride inj |
327 |
233 |
$23.18 |
| J2060 |
Lorazepam injection |
279 |
230 |
$18.15 |
| 80320 |
|
43 |
39 |
$16.27 |
| 82784 |
|
12 |
12 |
$11.79 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,771 |
2,439 |
$11.68 |
| 36592 |
|
74 |
55 |
$6.58 |
| 86803 |
|
12 |
12 |
$1.51 |
| 83615 |
|
27 |
25 |
$0.56 |
| C1769 |
Guide wire |
134 |
122 |
$0.00 |
| A9500 |
Tc99m sestamibi |
134 |
121 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
137 |
81 |
$0.00 |
| J2785 |
Regadenoson injection |
91 |
83 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
14 |
13 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
26 |
14 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
17 |
17 |
$0.00 |
| J3535 |
Metered dose inhaler drug |
16 |
14 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
15 |
13 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
378 |
343 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
61 |
38 |
$0.00 |
| A9577 |
Inj multihance |
135 |
128 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
281 |
251 |
$0.00 |
| G8978 |
Mobility current status |
119 |
103 |
$0.00 |
| G8979 |
Mobility goal status |
120 |
103 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
68 |
56 |
$0.00 |
| 80347 |
|
12 |
12 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
215 |
94 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
63 |
53 |
$0.00 |
| 80326 |
|
12 |
12 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
33 |
28 |
$0.00 |
| 80364 |
|
12 |
12 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
39 |
39 |
$0.00 |