| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
18,394 |
17,152 |
$2.04M |
| 99284 |
|
8,728 |
7,548 |
$983K |
| 99282 |
|
6,279 |
5,691 |
$695K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
8,796 |
6,759 |
$648K |
| 74176 |
|
2,470 |
2,015 |
$579K |
| 99285 |
|
5,236 |
3,863 |
$527K |
| 99214 |
|
7,723 |
6,543 |
$477K |
| 99212 |
|
5,048 |
4,632 |
$430K |
| 70450 |
|
1,866 |
1,451 |
$369K |
| 99281 |
|
2,417 |
2,193 |
$293K |
| 97530 |
|
2,783 |
789 |
$236K |
| 92507 |
|
1,919 |
639 |
$153K |
| 74177 |
|
549 |
410 |
$137K |
| 96365 |
|
1,404 |
925 |
$128K |
| 96361 |
|
446 |
273 |
$104K |
| 96366 |
|
521 |
271 |
$93K |
| G0378 |
Hospital observation service, per hour |
3,093 |
1,039 |
$87K |
| 94640 |
|
1,163 |
815 |
$82K |
| 80048 |
|
12,609 |
9,785 |
$67K |
| 99213 |
|
1,137 |
870 |
$58K |
| 93306 |
|
256 |
212 |
$54K |
| 80053 |
|
9,318 |
7,354 |
$52K |
| 72148 |
|
252 |
218 |
$50K |
| 71275 |
|
251 |
170 |
$49K |
| 20611 |
|
131 |
119 |
$37K |
| G0481 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed |
582 |
474 |
$37K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,356 |
1,255 |
$37K |
| 76705 |
|
355 |
297 |
$37K |
| 80307 |
|
2,517 |
2,067 |
$37K |
| 73721 |
|
132 |
124 |
$35K |
| 85025 |
|
22,400 |
17,378 |
$35K |
| 71250 |
|
463 |
366 |
$35K |
| 87502 |
|
1,417 |
1,151 |
$31K |
| 93005 |
|
8,728 |
7,015 |
$24K |
| 84484 |
|
7,619 |
5,368 |
$20K |
| 36415 |
|
27,690 |
20,317 |
$20K |
| 71045 |
|
7,725 |
6,374 |
$20K |
| 71046 |
|
705 |
595 |
$17K |
| 96372 |
|
4,014 |
2,849 |
$15K |
| 84443 |
|
1,739 |
1,440 |
$14K |
| 80061 |
|
1,842 |
1,562 |
$14K |
| 94060 |
|
102 |
90 |
$13K |
| Q3014 |
Telehealth originating site facility fee |
1,144 |
1,027 |
$11K |
| 83036 |
|
2,478 |
2,044 |
$11K |
| 73630 |
|
434 |
345 |
$10K |
| 82306 |
|
643 |
556 |
$10K |
| 97110 |
|
141 |
58 |
$10K |
| 72125 |
|
234 |
186 |
$8K |
| 90686 |
|
764 |
642 |
$7K |
| 64493 |
|
14 |
12 |
$7K |
| J3490 |
Unclassified drugs |
1,065 |
634 |
$6K |
| 80076 |
|
1,986 |
1,814 |
$6K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,634 |
1,440 |
$6K |
| 62323 |
|
12 |
12 |
$6K |
| 73562 |
|
109 |
100 |
$6K |
| 73610 |
|
272 |
216 |
$5K |
| 83880 |
|
2,136 |
1,574 |
$5K |
| 81001 |
|
7,775 |
6,487 |
$5K |
| 72020 |
|
705 |
658 |
$5K |
| 73130 |
|
282 |
232 |
$4K |
| 85610 |
|
4,778 |
3,772 |
$4K |
| 82607 |
|
380 |
334 |
$4K |
| 73030 |
|
202 |
161 |
$4K |
| 87088 |
|
2,319 |
1,706 |
$4K |
| 83605 |
|
3,379 |
2,341 |
$4K |
| 87040 |
|
2,728 |
1,204 |
$4K |
| 72100 |
|
141 |
117 |
$4K |
| 90471 |
|
865 |
728 |
$4K |
| 96374 |
|
4,095 |
3,216 |
$4K |
| 70551 |
|
15 |
12 |
$3K |
| 83735 |
|
2,795 |
1,909 |
$3K |
| 85027 |
|
877 |
462 |
$3K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,948 |
1,364 |
$3K |
| 94729 |
|
41 |
40 |
$3K |
| 96375 |
|
2,656 |
1,744 |
$3K |
| 11721 |
|
126 |
122 |
$3K |
| 94726 |
|
49 |
41 |
$3K |
| 87804 |
|
1,331 |
734 |
$3K |
| 83540 |
|
426 |
357 |
$2K |
| 87086 |
|
1,624 |
1,487 |
$2K |
| 82947 |
|
1,551 |
466 |
$2K |
| 85730 |
|
3,164 |
2,586 |
$2K |
| 11719 |
|
165 |
159 |
$2K |
| 87811 |
|
1,602 |
1,384 |
$2K |
| 85379 |
|
1,506 |
1,237 |
$2K |
| 84703 |
|
1,370 |
1,060 |
$2K |
| 82077 |
|
866 |
647 |
$2K |
| 82948 |
|
2,033 |
806 |
$2K |
| 96367 |
|
84 |
54 |
$2K |
| 82248 |
|
2,019 |
1,518 |
$2K |
| 83690 |
|
2,603 |
1,999 |
$1K |
| 90715 |
|
104 |
88 |
$1K |
| 82803 |
|
1,172 |
682 |
$1K |
| 82565 |
|
147 |
117 |
$1K |
| 82140 |
|
418 |
300 |
$1K |
| 87880 |
|
726 |
611 |
$1K |
| 81003 |
|
1,559 |
1,267 |
$1K |
| 96376 |
|
715 |
355 |
$1K |
| 73560 |
|
118 |
92 |
$1K |
| 80143 |
|
498 |
376 |
$1K |
| 76536 |
|
12 |
12 |
$962.38 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
987 |
671 |
$877.25 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,319 |
1,807 |
$851.25 |
| 80179 |
|
473 |
363 |
$851.00 |
| 86140 |
|
123 |
66 |
$746.70 |
| 97162 |
|
16 |
14 |
$712.11 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,564 |
1,000 |
$671.62 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
89 |
50 |
$628.03 |
| 82550 |
|
384 |
281 |
$610.37 |
| 82570 |
|
92 |
72 |
$589.60 |
| 73502 |
|
36 |
27 |
$532.11 |
| 87186 |
|
815 |
502 |
$502.06 |
| 87635 |
|
44 |
40 |
$481.89 |
| 94761 |
|
786 |
620 |
$478.28 |
| 83525 |
|
84 |
57 |
$460.38 |
| 90656 |
|
56 |
49 |
$434.07 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
1,020 |
864 |
$432.72 |
| 73590 |
|
18 |
12 |
$411.36 |
| 82150 |
|
837 |
689 |
$401.04 |
| 87420 |
|
216 |
186 |
$400.89 |
| 87081 |
|
115 |
95 |
$344.93 |
| 82962 |
|
822 |
656 |
$323.69 |
| 74018 |
|
19 |
15 |
$312.29 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
780 |
417 |
$272.77 |
| 94760 |
|
437 |
351 |
$261.09 |
| 84100 |
|
225 |
196 |
$239.04 |
| 87426 |
|
215 |
147 |
$229.85 |
| 85652 |
|
92 |
58 |
$217.94 |
| 84439 |
|
15 |
12 |
$216.93 |
| 87633 |
|
14 |
12 |
$199.64 |
| 84466 |
|
56 |
47 |
$178.35 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
423 |
247 |
$164.56 |
| 73110 |
|
12 |
12 |
$133.08 |
| 87280 |
|
78 |
60 |
$129.86 |
| 81025 |
|
169 |
162 |
$125.86 |
| 82728 |
|
57 |
47 |
$122.39 |
| 87400 |
|
125 |
114 |
$116.06 |
| 90460 |
|
26 |
26 |
$113.24 |
| 87077 |
|
43 |
33 |
$87.04 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
389 |
278 |
$83.34 |
| 80320 |
|
13 |
13 |
$82.52 |
| 84156 |
|
15 |
12 |
$71.70 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
128 |
102 |
$71.28 |
| 74022 |
|
41 |
38 |
$69.44 |
| 87581 |
|
14 |
12 |
$67.10 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
52 |
51 |
$65.06 |
| 36600 |
|
128 |
62 |
$64.73 |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
129 |
61 |
$55.92 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
38 |
18 |
$55.26 |
| 82746 |
|
48 |
42 |
$54.25 |
| 87430 |
|
59 |
57 |
$49.74 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
209 |
168 |
$47.40 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
336 |
241 |
$44.00 |
| 87486 |
|
14 |
12 |
$33.55 |
| 87798 |
|
14 |
12 |
$33.55 |
| 51702 |
|
14 |
12 |
$29.20 |
| 90732 |
|
13 |
13 |
$27.30 |
| J2060 |
Injection, lorazepam, 2 mg |
132 |
87 |
$19.87 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
266 |
169 |
$16.77 |
| C9113 |
Injection, pantoprazole sodium, per vial |
19 |
12 |
$16.51 |
| J7050 |
Infusion, normal saline solution, 250 cc |
167 |
102 |
$13.71 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
186 |
107 |
$12.42 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
615 |
415 |
$11.70 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
53 |
48 |
$11.56 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
14 |
14 |
$8.40 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
24 |
12 |
$7.75 |
| 84132 |
|
39 |
12 |
$6.35 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
33 |
14 |
$2.49 |
| 88175 |
|
14 |
12 |
$2.40 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
67 |
26 |
$2.17 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
14 |
12 |
$0.91 |
| 64494 |
|
14 |
12 |
$0.00 |
| J0456 |
Injection, azithromycin, 500 mg |
14 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
1,027 |
47 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
313 |
230 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
79 |
68 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
28 |
23 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
17 |
12 |
$0.00 |
| J1940 |
Injection, furosemide, up to 20 mg |
29 |
12 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
554 |
311 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
42 |
41 |
$0.00 |
| 99218 |
|
47 |
15 |
$0.00 |