| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
58,256 |
51,653 |
$4.02M |
| 99283 |
|
9,545 |
8,990 |
$1.82M |
| 99285 |
|
2,769 |
2,416 |
$1.02M |
| 99284 |
|
4,431 |
3,911 |
$1.00M |
| 92014 |
|
2,093 |
2,063 |
$182K |
| 90832 |
|
1,810 |
1,335 |
$135K |
| C9803 |
Hopd covid-19 spec collect |
5,878 |
5,668 |
$120K |
| 92004 |
|
1,011 |
994 |
$89K |
| 36415 |
|
16,936 |
15,273 |
$79K |
| 99282 |
|
563 |
540 |
$67K |
| 96374 |
|
369 |
345 |
$57K |
| U0003 |
Cov-19 amp prb hgh thruput |
762 |
743 |
$55K |
| 87636 |
|
389 |
384 |
$53K |
| 87635 |
|
937 |
911 |
$48K |
| 90834 |
|
555 |
428 |
$41K |
| 85025 |
|
6,786 |
6,176 |
$28K |
| 87631 |
|
1,186 |
1,162 |
$24K |
| G0482 |
Drug test def 15-21 classes |
111 |
95 |
$20K |
| 96127 |
|
650 |
588 |
$19K |
| 90460 |
|
669 |
605 |
$17K |
| 80053 |
|
3,103 |
2,944 |
$15K |
| U0005 |
Infec agen detec ampli probe |
686 |
672 |
$15K |
| 90471 |
|
1,075 |
1,034 |
$12K |
| 87651 |
|
1,594 |
1,573 |
$8K |
| 80307 |
|
117 |
99 |
$8K |
| 90837 |
|
49 |
43 |
$7K |
| 0002A |
|
495 |
483 |
$6K |
| 71046 |
|
111 |
106 |
$6K |
| 0001A |
|
492 |
481 |
$6K |
| 90686 |
|
868 |
841 |
$5K |
| 80048 |
|
717 |
564 |
$5K |
| 93005 |
|
217 |
198 |
$4K |
| 96375 |
|
89 |
78 |
$4K |
| 96361 |
|
74 |
70 |
$4K |
| 87491 |
|
162 |
149 |
$4K |
| 87591 |
|
162 |
149 |
$3K |
| 96372 |
|
44 |
40 |
$3K |
| 97110 |
|
69 |
25 |
$3K |
| 98927 |
|
130 |
113 |
$2K |
| 73630 |
|
35 |
28 |
$2K |
| 87880 |
|
111 |
105 |
$2K |
| 80061 |
|
161 |
154 |
$2K |
| 85610 |
|
1,179 |
475 |
$2K |
| 87070 |
|
91 |
86 |
$2K |
| 83036 |
|
240 |
229 |
$1K |
| Q3014 |
Telehealth facility fee |
48 |
30 |
$1K |
| 90791 |
|
15 |
15 |
$1K |
| 81001 |
|
240 |
228 |
$1K |
| 90461 |
|
138 |
117 |
$1K |
| 76816 |
|
14 |
12 |
$1K |
| 0004A |
|
67 |
60 |
$1K |
| 92552 |
|
12 |
12 |
$817.24 |
| 83690 |
|
39 |
38 |
$809.85 |
| 11721 |
|
44 |
37 |
$544.22 |
| 86850 |
|
39 |
36 |
$347.60 |
| 84484 |
|
14 |
14 |
$333.84 |
| 90472 |
|
90 |
90 |
$291.51 |
| 83880 |
|
12 |
12 |
$279.38 |
| 90670 |
|
39 |
37 |
$245.98 |
| 92015 |
|
85 |
82 |
$119.18 |
| 97803 |
|
13 |
12 |
$105.43 |
| 84443 |
|
13 |
13 |
$104.32 |
| 87086 |
|
13 |
12 |
$86.90 |
| J7030 |
Normal saline solution infus |
98 |
86 |
$78.50 |
| J1100 |
Dexamethasone sodium phos |
136 |
106 |
$76.80 |
| G0008 |
Admin influenza virus vac |
12 |
12 |
$63.22 |
| 82248 |
|
79 |
74 |
$55.52 |
| J1885 |
Ketorolac tromethamine inj |
233 |
219 |
$38.93 |
| 83735 |
|
14 |
14 |
$36.39 |
| 86140 |
|
13 |
13 |
$11.62 |
| 83605 |
|
38 |
37 |
$0.00 |
| 85027 |
|
42 |
39 |
$0.00 |
| 91307 |
|
15 |
13 |
$0.00 |
| 85379 |
|
14 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
31 |
27 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
190 |
87 |
$0.00 |
| 81025 |
|
13 |
13 |
$0.00 |
| 91300 |
|
787 |
726 |
$0.00 |
| 90685 |
|
21 |
16 |
$0.00 |
| 87804 |
|
27 |
26 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
15 |
12 |
$0.00 |
| J7120 |
Ringers lactate infusion |
30 |
26 |
$0.00 |
| 87634 |
|
20 |
20 |
$0.00 |