| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpt clinic visit |
112,355 |
87,121 |
$8.12M |
| 99285 |
|
7,019 |
6,291 |
$2.19M |
| 99284 |
|
11,248 |
9,941 |
$2.11M |
| 99283 |
|
11,446 |
10,337 |
$1.29M |
| 99213 |
|
37,948 |
35,325 |
$1.09M |
| 99214 |
|
26,669 |
24,988 |
$1.07M |
| 96374 |
|
7,166 |
6,222 |
$730K |
| 97530 |
|
12,579 |
4,543 |
$721K |
| 74177 |
|
2,827 |
2,631 |
$468K |
| 96365 |
|
5,576 |
3,549 |
$447K |
| 97110 |
|
15,757 |
5,738 |
$347K |
| 92507 |
|
7,214 |
1,952 |
$265K |
| 99392 |
|
4,471 |
4,416 |
$251K |
| 99393 |
|
4,415 |
4,371 |
$245K |
| 99282 |
|
2,922 |
2,764 |
$231K |
| 93306 |
|
2,474 |
2,329 |
$231K |
| 70450 |
|
2,846 |
2,579 |
$226K |
| 90471 |
|
10,621 |
10,414 |
$210K |
| 99391 |
|
3,732 |
3,551 |
$208K |
| 87636 |
|
3,075 |
2,902 |
$203K |
| U0004 |
Cov-19 test non-cdc hgh thru |
3,301 |
3,087 |
$193K |
| 96375 |
|
5,719 |
4,589 |
$186K |
| 96361 |
|
3,765 |
2,882 |
$152K |
| 71046 |
|
3,743 |
3,526 |
$150K |
| 97602 |
|
3,366 |
1,129 |
$146K |
| 71045 |
|
4,034 |
3,613 |
$137K |
| 99394 |
|
2,352 |
2,325 |
$134K |
| 77067 |
|
2,202 |
2,161 |
$106K |
| 74176 |
|
911 |
858 |
$93K |
| 20610 |
|
868 |
812 |
$92K |
| 96360 |
|
710 |
632 |
$70K |
| 84443 |
|
10,285 |
9,757 |
$67K |
| 97140 |
|
3,590 |
1,579 |
$63K |
| 99203 |
|
1,822 |
1,740 |
$62K |
| 96372 |
|
6,255 |
4,328 |
$61K |
| 80053 |
|
29,181 |
24,843 |
$61K |
| 80061 |
|
8,148 |
7,851 |
$60K |
| 97535 |
|
2,859 |
1,604 |
$57K |
| G0008 |
Admin influenza virus vac |
2,955 |
2,875 |
$56K |
| 76705 |
|
850 |
796 |
$55K |
| U0005 |
Infec agen detec ampli probe |
3,559 |
3,321 |
$52K |
| 76830 |
|
644 |
621 |
$51K |
| 99215 |
Prolong outpt/office vis |
1,027 |
952 |
$51K |
| 93010 |
|
12,583 |
10,114 |
$49K |
| U0002 |
Covid-19 lab test non-cdc |
1,872 |
1,767 |
$47K |
| 45385 |
|
84 |
79 |
$46K |
| 97112 |
|
2,138 |
1,181 |
$44K |
| 99395 |
|
781 |
760 |
$44K |
| 99204 |
|
667 |
645 |
$43K |
| 82306 |
|
3,466 |
3,342 |
$42K |
| 96366 |
|
1,094 |
720 |
$41K |
| 85025 |
|
29,234 |
23,887 |
$41K |
| 86900 |
|
1,100 |
959 |
$40K |
| 77063 |
|
1,943 |
1,909 |
$40K |
| 78452 |
|
97 |
94 |
$39K |
| 87491 |
|
2,624 |
2,520 |
$38K |
| 87591 |
|
2,616 |
2,513 |
$38K |
| 97803 |
|
1,430 |
1,360 |
$37K |
| 97162 |
|
1,064 |
994 |
$34K |
| 43239 |
|
98 |
96 |
$34K |
| 99202 |
|
1,285 |
1,262 |
$33K |
| 83036 |
|
8,633 |
8,276 |
$31K |
| 36415 |
|
36,495 |
30,670 |
$30K |
| 80307 |
|
2,518 |
2,301 |
$30K |
| U0003 |
Cov-19 amp prb hgh thruput |
485 |
477 |
$30K |
| 90472 |
|
4,542 |
4,474 |
$29K |
| 99281 |
|
700 |
642 |
$28K |
| 99396 |
|
506 |
491 |
$28K |
| G0480 |
Drug test def 1-7 classes |
2,729 |
2,449 |
$28K |
| C8929 |
Tte w or wo fol wcon,doppler |
87 |
87 |
$25K |
| Q3014 |
Telehealth facility fee |
1,814 |
1,718 |
$23K |
| G0009 |
Admin pneumococcal vaccine |
748 |
740 |
$23K |
| 11721 |
|
2,646 |
2,539 |
$23K |
| 97161 |
|
493 |
479 |
$21K |
| 87510 |
|
2,052 |
1,964 |
$21K |
| 87480 |
|
2,054 |
1,966 |
$20K |
| 73610 |
|
1,327 |
1,154 |
$20K |
| 71260 |
|
376 |
354 |
$20K |
| 93005 |
|
9,907 |
8,615 |
$20K |
| 99309 |
|
1,181 |
817 |
$20K |
| 87661 |
|
1,931 |
1,816 |
$19K |
| 87631 |
|
898 |
860 |
$19K |
| G0108 |
Diab manage trn per indiv |
1,145 |
1,066 |
$17K |
| 73721 |
|
116 |
110 |
$17K |
| C9803 |
Hopd covid-19 spec collect |
1,157 |
1,074 |
$17K |
| 99308 |
|
1,654 |
1,018 |
$16K |
| 80050 |
|
780 |
760 |
$16K |
| 73562 |
|
1,415 |
1,201 |
$16K |
| 90473 |
|
695 |
690 |
$16K |
| 97163 |
|
551 |
505 |
$15K |
| 99212 |
|
837 |
791 |
$15K |
| 85027 |
|
7,161 |
6,372 |
$15K |
| 71275 |
|
182 |
171 |
$15K |
| 87430 |
|
2,992 |
2,883 |
$14K |
| 73110 |
|
954 |
805 |
$14K |
| 82728 |
|
2,863 |
2,664 |
$14K |
| 82607 |
|
2,649 |
2,543 |
$14K |
| 87086 |
|
7,551 |
6,797 |
$13K |
| 76819 |
|
141 |
67 |
$13K |
| 90686 |
|
4,140 |
4,085 |
$12K |
| 59025 |
|
91 |
52 |
$12K |
| 83550 |
|
3,822 |
3,578 |
$12K |
| 73030 |
|
1,072 |
962 |
$12K |
| 94060 |
|
131 |
128 |
$12K |
| 52000 |
|
54 |
54 |
$12K |
| 80048 |
|
7,922 |
6,356 |
$11K |
| 73630 |
|
812 |
746 |
$10K |
| 83540 |
|
4,134 |
3,873 |
$10K |
| 83655 |
|
1,053 |
1,033 |
$10K |
| 76642 |
|
176 |
174 |
$10K |
| 84439 |
|
2,434 |
2,315 |
$9K |
| 87635 |
|
336 |
311 |
$9K |
| 45380 |
|
14 |
13 |
$9K |
| 87798 |
|
421 |
413 |
$8K |
| 87081 |
|
3,773 |
3,616 |
$8K |
| G0399 |
Home sleep test/type 3 porta |
71 |
71 |
$8K |
| 72100 |
|
270 |
262 |
$8K |
| 95810 |
|
26 |
26 |
$8K |
| 73502 |
|
970 |
858 |
$7K |
| 96367 |
|
283 |
188 |
$6K |
| 92504 |
|
2,817 |
2,573 |
$6K |
| 93017 |
|
196 |
188 |
$6K |
| 87660 |
|
374 |
362 |
$6K |
| 85610 |
|
7,865 |
4,712 |
$6K |
| 31575 |
|
72 |
67 |
$6K |
| 97802 |
|
98 |
95 |
$6K |
| 98927 |
|
455 |
433 |
$6K |
| 83735 |
|
9,997 |
7,567 |
$6K |
| 86140 |
|
4,575 |
4,129 |
$6K |
| 81001 |
|
10,220 |
9,170 |
$6K |
| 72148 |
|
54 |
53 |
$6K |
| 84702 |
|
746 |
511 |
$6K |
| 93971 |
|
91 |
88 |
$6K |
| 86803 |
|
1,218 |
1,165 |
$5K |
| 0002A |
|
135 |
135 |
$5K |
| 0054A |
|
230 |
227 |
$5K |
| 71250 |
|
102 |
102 |
$5K |
| 97166 |
|
113 |
106 |
$4K |
| 73130 |
|
582 |
495 |
$4K |
| 87070 |
|
1,034 |
976 |
$4K |
| 0001A |
|
118 |
117 |
$4K |
| 82570 |
|
2,830 |
2,615 |
$4K |
| 87186 |
|
2,025 |
1,911 |
$4K |
| 96413 |
|
41 |
27 |
$4K |
| 36591 |
|
565 |
301 |
$4K |
| G0279 |
Tomosynthesis, mammo |
209 |
200 |
$4K |
| 86618 |
|
827 |
802 |
$4K |
| 97116 |
|
379 |
177 |
$4K |
| 99335 |
|
65 |
50 |
$4K |
| 71271 |
|
58 |
57 |
$4K |
| 84703 |
|
2,899 |
2,639 |
$3K |
| 90620 |
|
85 |
80 |
$3K |
| 95251 |
|
263 |
253 |
$3K |
| 11042 |
|
70 |
51 |
$3K |
| 76775 |
|
174 |
158 |
$3K |
| 81003 |
|
6,827 |
6,013 |
$3K |
| G0433 |
Elisa hiv-1/hiv-2 screen |
322 |
317 |
$3K |
| 84153 |
|
510 |
477 |
$3K |
| 83880 |
|
2,045 |
1,836 |
$3K |
| 87077 |
|
2,360 |
2,244 |
$2K |
| 72125 |
|
506 |
475 |
$2K |
| 93271 |
|
40 |
40 |
$2K |
| 85018 |
|
1,993 |
1,797 |
$2K |
| 90480 |
|
299 |
294 |
$2K |
| 82043 |
|
1,261 |
1,211 |
$2K |
| 83970 |
|
191 |
188 |
$2K |
| 85651 |
|
1,797 |
1,623 |
$2K |
| 82746 |
|
418 |
406 |
$2K |
| 73564 |
|
132 |
119 |
$2K |
| 93225 |
|
38 |
37 |
$2K |
| 91320 |
|
148 |
146 |
$2K |
| 99442 |
|
82 |
78 |
$2K |
| 74018 |
|
90 |
81 |
$2K |
| 0134A |
|
186 |
184 |
$2K |
| 76801 |
|
17 |
14 |
$2K |
| 99443 |
|
55 |
53 |
$2K |
| 90677 |
|
15 |
13 |
$2K |
| 77066 |
Tomosynthesis, mammo |
30 |
28 |
$2K |
| 83690 |
|
4,089 |
3,688 |
$1K |
| 82950 |
|
344 |
329 |
$1K |
| 97035 |
|
258 |
114 |
$1K |
| 99307 |
|
123 |
93 |
$1K |
| 80076 |
|
481 |
443 |
$1K |
| 87280 |
|
1,638 |
1,559 |
$1K |
| 87390 |
|
249 |
245 |
$1K |
| 95806 |
|
59 |
58 |
$1K |
| 85730 |
|
1,844 |
1,617 |
$1K |
| 86038 |
|
226 |
217 |
$1K |
| 95250 |
|
24 |
24 |
$1K |
| 86592 |
|
310 |
304 |
$1K |
| 81025 |
|
2,219 |
2,100 |
$1K |
| 70551 |
|
13 |
13 |
$1K |
| 96110 |
|
121 |
121 |
$1K |
| 90670 |
|
947 |
940 |
$1K |
| 87340 |
|
383 |
378 |
$989.52 |
| 85652 |
|
1,429 |
1,311 |
$979.17 |
| 96161 |
|
37 |
35 |
$930.50 |
| 87484 |
|
206 |
197 |
$921.04 |
| 87469 |
|
206 |
197 |
$921.02 |
| 96523 |
|
64 |
41 |
$912.80 |
| 76536 |
|
15 |
15 |
$911.23 |
| 90474 |
|
520 |
517 |
$887.04 |
| 84460 |
|
374 |
353 |
$858.25 |
| 99495 |
|
13 |
13 |
$857.83 |
| 99232 |
|
90 |
16 |
$811.08 |
| 86702 |
|
249 |
245 |
$795.46 |
| 97167 |
|
29 |
26 |
$788.60 |
| 87205 |
|
617 |
576 |
$742.97 |
| 84450 |
|
369 |
348 |
$726.58 |
| 90651 |
|
357 |
354 |
$693.45 |
| 99188 |
|
37 |
37 |
$684.00 |
| 86850 |
|
1,098 |
953 |
$669.14 |
| 93016 |
|
72 |
68 |
$659.95 |
| 86701 |
|
249 |
245 |
$659.73 |
| 90619 |
|
310 |
306 |
$632.70 |
| 76770 |
|
12 |
12 |
$614.12 |
| 76376 |
|
143 |
138 |
$600.80 |
| 87468 |
|
124 |
116 |
$590.51 |
| 86617 |
|
53 |
38 |
$588.62 |
| 82247 |
|
269 |
237 |
$580.32 |
| 76816 |
|
12 |
12 |
$579.40 |
| 90662 |
|
417 |
399 |
$564.78 |
| 83516 |
|
75 |
72 |
$525.69 |
| 87040 |
|
1,172 |
1,041 |
$502.04 |
| G0378 |
Hospital observation per hr |
522 |
439 |
$500.00 |
| 99239 |
|
43 |
24 |
$493.22 |
| 91322 |
|
38 |
38 |
$484.95 |
| 87478 |
|
137 |
129 |
$467.71 |
| 88305 |
|
2,172 |
2,006 |
$453.84 |
| 93018 |
|
69 |
66 |
$420.95 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,392 |
2,260 |
$418.09 |
| 0072A |
|
84 |
84 |
$411.26 |
| 00811 |
|
13 |
13 |
$402.75 |
| 84484 |
|
5,368 |
4,460 |
$391.42 |
| D1206 |
|
56 |
56 |
$384.00 |
| 82565 |
|
392 |
320 |
$382.99 |
| 94640 |
|
1,777 |
1,233 |
$353.45 |
| 0064A |
|
105 |
102 |
$341.99 |
| 00812 |
|
13 |
13 |
$334.83 |
| 76000 |
|
32 |
29 |
$329.73 |
| 0124A |
|
17 |
17 |
$308.79 |
| 87880 |
|
435 |
426 |
$292.75 |
| 90680 |
|
677 |
673 |
$277.22 |
| 82040 |
|
355 |
333 |
$276.81 |
| 81002 |
|
1,240 |
992 |
$269.98 |
| 85379 |
|
824 |
769 |
$267.62 |
| 84100 |
|
264 |
243 |
$262.99 |
| 51798 |
|
152 |
143 |
$261.22 |
| 84075 |
|
173 |
161 |
$250.92 |
| 99406 |
|
18 |
13 |
$241.88 |
| 0004A |
|
186 |
184 |
$238.28 |
| 82550 |
|
318 |
287 |
$233.21 |
| 83605 |
|
2,041 |
1,810 |
$226.20 |
| J7120 |
Ringers lactate infusion |
1,733 |
1,366 |
$221.98 |
| 77080 |
|
12 |
12 |
$220.00 |
| 82784 |
|
63 |
59 |
$212.80 |
| 86706 |
|
24 |
24 |
$159.85 |
| 90656 |
|
20 |
20 |
$156.47 |
| 73080 |
|
30 |
26 |
$154.66 |
| 90756 |
|
159 |
133 |
$148.52 |
| 80305 |
|
797 |
749 |
$144.86 |
| 86762 |
|
71 |
69 |
$143.90 |
| 0154A |
|
14 |
14 |
$137.24 |
| 82947 |
|
43 |
40 |
$134.82 |
| 92551 |
|
13 |
13 |
$132.96 |
| 93272 |
|
12 |
12 |
$129.87 |
| J1200 |
Diphenhydramine hcl injectio |
301 |
269 |
$127.68 |
| J2704 |
Inj, propofol, 10 mg |
3,477 |
3,103 |
$122.64 |
| 86376 |
|
13 |
13 |
$116.40 |
| 84146 |
|
14 |
12 |
$116.28 |
| 82150 |
|
143 |
135 |
$109.90 |
| J1885 |
Ketorolac tromethamine inj |
3,961 |
3,292 |
$109.78 |
| 0074A |
|
16 |
16 |
$109.61 |
| 84156 |
|
98 |
84 |
$105.85 |
| 83525 |
|
13 |
12 |
$102.24 |
| 80299 |
|
14 |
12 |
$97.93 |
| J2405 |
Ondansetron hcl injection |
4,761 |
4,024 |
$94.24 |
| G0103 |
Psa screening |
15 |
14 |
$94.00 |
| J3010 |
Fentanyl citrate injection |
2,077 |
1,724 |
$91.32 |
| J1100 |
Dexamethasone sodium phos |
1,922 |
1,706 |
$91.32 |
| 86431 |
|
28 |
27 |
$90.72 |
| 90715 |
|
851 |
833 |
$87.08 |
| 94727 |
|
39 |
37 |
$83.48 |
| 86901 |
|
1,121 |
975 |
$74.62 |
| 73140 |
|
14 |
13 |
$69.47 |
| 80178 |
|
28 |
24 |
$68.80 |
| 83721 |
|
26 |
26 |
$65.59 |
| 84466 |
|
12 |
12 |
$63.80 |
| 83615 |
|
38 |
25 |
$54.41 |
| 84550 |
|
66 |
64 |
$51.25 |
| 85378 |
|
255 |
243 |
$43.74 |
| 90648 |
|
182 |
180 |
$43.34 |
| 0071A |
|
84 |
84 |
$43.00 |
| 84481 |
|
12 |
12 |
$40.73 |
| 94729 |
|
63 |
62 |
$39.64 |
| 82948 |
|
922 |
631 |
$31.24 |
| 82962 |
|
887 |
521 |
$31.07 |
| 99173 |
|
14 |
14 |
$27.02 |
| J1030 |
Methylprednisolone 40 mg inj |
303 |
283 |
$26.73 |
| 84520 |
|
22 |
15 |
$20.15 |
| 82248 |
|
18 |
16 |
$20.08 |
| 93270 |
|
42 |
42 |
$16.78 |
| 73620 |
|
57 |
51 |
$16.19 |
| J7030 |
Normal saline solution infus |
4,696 |
3,806 |
$15.48 |
| J7050 |
Normal saline solution infus |
1,699 |
1,119 |
$12.18 |
| 96376 |
|
2,474 |
1,590 |
$8.14 |
| 82803 |
|
352 |
313 |
$8.06 |
| 85014 |
|
15 |
12 |
$4.74 |
| J0690 |
Cefazolin sodium injection |
1,379 |
1,128 |
$3.62 |
| 82077 |
|
158 |
136 |
$3.45 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
207 |
177 |
$3.25 |
| 90672 |
|
335 |
333 |
$1.52 |
| J2250 |
Inj midazolam hydrochloride |
1,479 |
1,361 |
$0.31 |
| J7613 |
Albuterol non-comp unit |
18 |
13 |
$0.04 |
| 90710 |
|
122 |
121 |
$0.03 |
| 90716 |
|
43 |
43 |
$0.03 |
| J3475 |
Inj magnesium sulfate |
992 |
575 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
148 |
146 |
$0.00 |
| J2270 |
Morphine sulfate injection |
150 |
112 |
$0.00 |
| 90707 |
|
55 |
55 |
$0.00 |
| 90633 |
|
492 |
486 |
$0.00 |
| 90700 |
|
54 |
54 |
$0.00 |
| J7040 |
Normal saline solution infus |
171 |
140 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
126 |
123 |
$0.00 |
| 80179 |
|
103 |
98 |
$0.00 |
| G8979 |
Mobility goal status |
232 |
213 |
$0.00 |
| 90671 |
|
182 |
182 |
$0.00 |
| J2930 |
Methylprednisolone injection |
162 |
143 |
$0.00 |
| 93226 |
|
38 |
37 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
460 |
456 |
$0.00 |
| G8978 |
Mobility current status |
150 |
143 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
12 |
12 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
71 |
70 |
$0.00 |
| 80143 |
|
159 |
152 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
60 |
46 |
$0.00 |
| 80361 |
|
27 |
26 |
$0.00 |
| 91300 |
|
129 |
112 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
36 |
27 |
$0.00 |
| 90734 |
|
145 |
145 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
27 |
14 |
$0.00 |
| 80348 |
|
29 |
27 |
$0.00 |
| 94150 |
|
25 |
25 |
$0.00 |
| J1170 |
Hydromorphone injection |
378 |
253 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
2,103 |
1,126 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
126 |
98 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
2,010 |
1,738 |
$0.00 |
| 90723 |
|
456 |
454 |
$0.00 |
| 90696 |
|
102 |
101 |
$0.00 |
| A9270 |
Non-covered item or service |
1,146 |
285 |
$0.00 |
| 36416 |
|
2,923 |
1,708 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
1,940 |
1,414 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
83 |
70 |
$0.00 |
| J2060 |
Lorazepam injection |
480 |
377 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
240 |
209 |
$0.00 |
| 90697 |
|
294 |
293 |
$0.00 |
| 91307 |
|
111 |
106 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
134 |
131 |
$0.00 |
| Q2036 |
Flulaval vacc, 3 yrs & >, im |
23 |
23 |
$0.00 |
| 88342 |
|
50 |
50 |
$0.00 |
| 90647 |
|
272 |
270 |
$0.00 |
| 88304 |
|
52 |
52 |
$0.00 |
| 88300 |
|
64 |
64 |
$0.00 |
| C1773 |
Ret dev, insertable |
45 |
40 |
$0.00 |
| 91306 |
|
127 |
125 |
$0.00 |
| J2001 |
Lidocaine injection |
197 |
191 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
48 |
44 |
$0.00 |
| S0320 |
Rn telephone calls to dmp |
18 |
16 |
$0.00 |
| J2785 |
Regadenoson injection |
12 |
12 |
$0.00 |
| 94760 |
|
23 |
13 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
93 |
86 |
$0.00 |
| 94250 |
|
14 |
12 |
$0.00 |
| G0439 |
Ppps, subseq visit |
40 |
39 |
$0.00 |