| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0378 |
Hospital observation per hr |
2,505 |
2,169 |
$1.16M |
| 11042 |
|
2,523 |
1,596 |
$690K |
| 11043 |
|
3,047 |
1,909 |
$665K |
| G0463 |
Hospital outpt clinic visit |
15,180 |
12,143 |
$517K |
| 99284 |
|
4,427 |
4,136 |
$496K |
| 99285 |
|
2,406 |
2,205 |
$289K |
| 99283 |
|
3,109 |
2,837 |
$245K |
| 90834 |
|
1,591 |
996 |
$115K |
| G0382 |
Lev 3 hosp type b ed visit |
1,021 |
968 |
$77K |
| 90832 |
|
1,208 |
897 |
$64K |
| C7901 |
Hopd mntl hlt, 30-60 min |
525 |
354 |
$48K |
| 97110 |
|
2,354 |
695 |
$31K |
| 97530 |
|
912 |
344 |
$30K |
| 74177 |
|
996 |
954 |
$17K |
| 99281 |
|
1,253 |
1,106 |
$13K |
| 71046 |
|
2,629 |
2,470 |
$10K |
| G0383 |
Lev 4 hosp type b ed visit |
128 |
123 |
$8K |
| 97162 |
|
66 |
66 |
$6K |
| 93005 |
|
6,770 |
5,826 |
$6K |
| 97163 |
|
26 |
26 |
$5K |
| 43239 |
|
26 |
26 |
$4K |
| 73562 |
|
338 |
270 |
$4K |
| 80048 |
|
8,704 |
5,862 |
$4K |
| 82962 |
|
4,717 |
3,067 |
$2K |
| 90694 |
|
175 |
161 |
$2K |
| 84484 |
|
4,953 |
3,885 |
$2K |
| 85025 |
|
11,854 |
8,373 |
$2K |
| 80053 |
|
5,884 |
5,218 |
$2K |
| 70450 |
|
1,611 |
1,540 |
$1K |
| 81001 |
|
3,760 |
3,439 |
$1K |
| 81025 |
|
460 |
430 |
$791.24 |
| 80307 |
|
259 |
236 |
$668.97 |
| 85610 |
|
4,731 |
3,539 |
$655.50 |
| 90833 |
|
436 |
423 |
$654.01 |
| 99282 |
|
15 |
12 |
$632.31 |
| 87804 |
|
321 |
316 |
$593.74 |
| 94640 |
|
468 |
379 |
$590.84 |
| 87086 |
|
1,126 |
1,022 |
$587.47 |
| 83605 |
|
1,387 |
1,232 |
$583.58 |
| 97112 |
|
112 |
37 |
$571.42 |
| 73630 |
|
46 |
40 |
$534.64 |
| 36415 |
|
5,334 |
3,313 |
$468.34 |
| 87633 |
|
13 |
13 |
$467.87 |
| 74176 |
|
54 |
52 |
$465.18 |
| 83735 |
|
5,212 |
3,738 |
$410.64 |
| 71045 |
|
2,063 |
1,889 |
$404.66 |
| 97150 |
|
24 |
12 |
$377.43 |
| 83690 |
|
2,106 |
1,932 |
$351.89 |
| 96374 |
|
87 |
55 |
$337.42 |
| 83880 |
|
1,783 |
1,643 |
$333.99 |
| 87635 |
|
1,765 |
1,615 |
$245.67 |
| 73030 |
|
25 |
25 |
$219.09 |
| 90653 |
|
72 |
72 |
$211.63 |
| 93306 |
|
24 |
24 |
$210.90 |
| 85379 |
|
616 |
579 |
$190.58 |
| 73502 |
|
42 |
38 |
$172.49 |
| 88305 |
|
717 |
696 |
$160.21 |
| 90662 |
|
19 |
19 |
$130.40 |
| J3490 |
Drugs unclassified injection |
356 |
270 |
$128.02 |
| J2270 |
Morphine sulfate injection |
784 |
594 |
$90.08 |
| 0241U |
|
323 |
300 |
$80.11 |
| 84443 |
|
660 |
620 |
$74.78 |
| G0380 |
Lev 1 hosp type b ed visit |
381 |
365 |
$63.24 |
| 83036 |
|
113 |
111 |
$60.12 |
| 94760 |
|
365 |
269 |
$36.66 |
| J3010 |
Fentanyl citrate injection |
1,889 |
1,737 |
$32.64 |
| 81003 |
|
115 |
107 |
$29.62 |
| J2405 |
Ondansetron hcl injection |
1,116 |
954 |
$26.20 |
| J0696 |
Ceftriaxone sodium injection |
250 |
163 |
$26.05 |
| 87426 |
|
378 |
368 |
$26.01 |
| 96372 |
|
24 |
17 |
$22.11 |
| 84100 |
|
1,082 |
722 |
$21.14 |
| 85730 |
|
16 |
13 |
$19.11 |
| J7050 |
Normal saline solution infus |
642 |
374 |
$13.05 |
| 86850 |
|
72 |
65 |
$8.45 |
| J2250 |
Inj midazolam hydrochloride |
1,093 |
1,036 |
$4.13 |
| J7030 |
Normal saline solution infus |
147 |
136 |
$2.61 |
| J1644 |
Inj heparin sodium per 1000u |
1,195 |
629 |
$1.45 |
| J1885 |
Ketorolac tromethamine inj |
57 |
53 |
$1.22 |
| J2765 |
Metoclopramide hcl injection |
16 |
12 |
$1.00 |
| G8978 |
Mobility current status |
148 |
138 |
$0.03 |
| 87040 |
|
14 |
13 |
$0.00 |
| 71275 |
|
67 |
63 |
$0.00 |
| G0008 |
Admin influenza virus vac |
428 |
407 |
$0.00 |
| 86901 |
|
44 |
39 |
$0.00 |
| 87581 |
|
12 |
12 |
$0.00 |
| 87077 |
|
39 |
39 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
136 |
120 |
$0.00 |
| 82550 |
|
50 |
42 |
$0.00 |
| 97140 |
|
32 |
12 |
$0.00 |
| 85027 |
|
16 |
13 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
41 |
36 |
$0.00 |
| 84132 |
|
90 |
89 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
55 |
55 |
$0.00 |
| J1940 |
Furosemide injection |
68 |
53 |
$0.00 |
| 90686 |
|
28 |
28 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
208 |
191 |
$0.00 |
| 82803 |
|
26 |
25 |
$0.00 |
| 87428 |
|
19 |
19 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |
| 87486 |
|
12 |
12 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
16 |
14 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
323 |
169 |
$0.00 |
| 80076 |
|
28 |
25 |
$0.00 |
| J7120 |
Ringers lactate infusion |
130 |
121 |
$0.00 |
| 87186 |
|
53 |
52 |
$0.00 |
| G8979 |
Mobility goal status |
169 |
156 |
$0.00 |
| 86900 |
|
44 |
39 |
$0.00 |
| 94799 |
|
34 |
26 |
$0.00 |
| 87798 |
|
12 |
12 |
$0.00 |
| G0279 |
Tomosynthesis, mammo |
12 |
12 |
$0.00 |
| 85014 |
|
18 |
14 |
$0.00 |
| 80061 |
|
26 |
26 |
$0.00 |
| 72125 |
|
27 |
26 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
29 |
25 |
$0.00 |
| U0003 |
Cov-19 amp prb hgh thruput |
14 |
14 |
$0.00 |