| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpt clinic visit |
57,016 |
51,966 |
$4.76M |
| X4011 |
|
13,611 |
12,918 |
$3.97M |
| 99285 |
|
14,929 |
13,581 |
$3.59M |
| 99284 |
|
16,260 |
14,269 |
$2.94M |
| Y7506 |
|
18,599 |
16,094 |
$2.91M |
| 85025 |
|
37,030 |
33,531 |
$2.58M |
| 99283 |
|
13,714 |
12,589 |
$2.49M |
| 80053 |
|
38,266 |
34,790 |
$2.39M |
| X4006 |
|
1,789 |
1,483 |
$1.80M |
| 81001 |
|
17,572 |
16,634 |
$1.34M |
| 93005 |
|
13,262 |
12,194 |
$1.03M |
| Y7507 |
|
2,491 |
2,209 |
$872K |
| 96374 |
|
5,536 |
5,085 |
$565K |
| 87400 |
|
1,281 |
1,229 |
$464K |
| 71045 |
|
6,556 |
6,084 |
$433K |
| 87880 |
|
6,052 |
5,819 |
$407K |
| 80307 |
|
2,867 |
2,643 |
$371K |
| 87635 |
|
11,317 |
10,662 |
$353K |
| 93306 |
|
1,925 |
1,613 |
$295K |
| 99282 |
|
1,812 |
1,695 |
$286K |
| 74177 |
|
1,277 |
1,219 |
$269K |
| 84484 |
|
5,490 |
4,911 |
$232K |
| 83690 |
|
8,237 |
7,766 |
$222K |
| 87070 |
|
716 |
699 |
$220K |
| 87502 |
|
3,318 |
3,197 |
$201K |
| X4003 |
|
1,670 |
1,278 |
$164K |
| G0480 |
Drug test def 1-7 classes |
1,365 |
1,239 |
$162K |
| 92507 |
|
1,693 |
529 |
$144K |
| 43239 |
|
457 |
438 |
$136K |
| 96361 |
|
3,586 |
3,240 |
$110K |
| 81025 |
|
3,913 |
3,660 |
$103K |
| 87086 |
|
2,514 |
2,371 |
$100K |
| 95165 |
|
328 |
321 |
$98K |
| 83880 |
|
3,036 |
2,877 |
$97K |
| 88305 |
|
731 |
584 |
$94K |
| 20610 |
|
669 |
560 |
$86K |
| 70450 |
|
1,047 |
967 |
$81K |
| 29580 |
|
1,221 |
574 |
$79K |
| 96375 |
|
2,752 |
2,446 |
$78K |
| G0378 |
Hospital observation per hr |
251 |
224 |
$77K |
| 42820 |
|
25 |
25 |
$77K |
| 87804 |
|
3,511 |
3,166 |
$76K |
| 84443 |
|
2,581 |
2,446 |
$72K |
| 96413 |
|
515 |
347 |
$70K |
| 88342 |
|
464 |
364 |
$64K |
| 95117 |
|
1,658 |
919 |
$60K |
| 95115 |
|
1,642 |
913 |
$56K |
| A0425 |
Ground mileage |
2,053 |
1,734 |
$55K |
| 64493 |
|
137 |
105 |
$54K |
| 87807 |
|
360 |
346 |
$48K |
| 77386 |
|
113 |
12 |
$47K |
| A0427 |
Als1-emergency |
671 |
579 |
$43K |
| D7999 |
|
12 |
12 |
$39K |
| 96372 |
|
945 |
896 |
$38K |
| 88313 |
|
90 |
87 |
$36K |
| 87040 |
|
151 |
147 |
$35K |
| 87634 |
|
775 |
727 |
$33K |
| 73560 |
|
394 |
336 |
$32K |
| 85610 |
|
500 |
475 |
$32K |
| 64490 |
|
224 |
155 |
$31K |
| 80048 |
|
917 |
852 |
$31K |
| 20611 |
|
238 |
215 |
$30K |
| 69436 |
|
43 |
41 |
$28K |
| 83036 |
|
1,551 |
1,497 |
$24K |
| 82150 |
|
136 |
126 |
$24K |
| 96360 |
|
218 |
199 |
$23K |
| 76816 |
|
429 |
398 |
$23K |
| 45380 |
|
43 |
38 |
$22K |
| 87651 |
|
955 |
912 |
$22K |
| 71046 |
|
311 |
302 |
$21K |
| 85730 |
|
434 |
409 |
$20K |
| 97530 |
|
204 |
56 |
$20K |
| 93017 |
|
169 |
168 |
$18K |
| 36415 |
|
1,645 |
1,527 |
$18K |
| 76805 |
|
103 |
102 |
$17K |
| 95810 |
|
38 |
34 |
$17K |
| 90834 |
|
239 |
193 |
$16K |
| 95811 |
|
30 |
26 |
$16K |
| 82306 |
|
538 |
522 |
$16K |
| 80061 |
|
1,117 |
1,072 |
$15K |
| 96365 |
|
130 |
121 |
$15K |
| 78452 |
|
41 |
39 |
$15K |
| 99152 |
|
474 |
366 |
$14K |
| 64483 |
|
71 |
53 |
$14K |
| 77336 |
|
159 |
68 |
$14K |
| J3490 |
Drugs unclassified injection |
1,674 |
1,260 |
$14K |
| 83605 |
|
884 |
833 |
$12K |
| 99214 |
|
229 |
184 |
$12K |
| 87801 |
|
156 |
155 |
$12K |
| 64494 |
|
52 |
37 |
$11K |
| 73630 |
|
221 |
179 |
$11K |
| 93010 |
|
7,275 |
6,302 |
$11K |
| 95911 |
|
30 |
30 |
$10K |
| 94640 |
|
80 |
76 |
$9K |
| 83735 |
|
1,443 |
1,357 |
$8K |
| 97110 |
|
346 |
82 |
$8K |
| 70553 |
|
12 |
12 |
$8K |
| U0003 |
Cov-19 amp prb hgh thruput |
327 |
313 |
$8K |
| 80081 |
|
131 |
128 |
$7K |
| 90837 |
|
90 |
82 |
$7K |
| J2704 |
Inj, propofol, 10 mg |
503 |
480 |
$6K |
| 99213 |
|
183 |
177 |
$6K |
| G0260 |
Inj for sacroiliac jt anesth |
20 |
12 |
$6K |
| 77300 |
|
26 |
24 |
$6K |
| 88341 |
|
122 |
116 |
$6K |
| 77334 |
|
18 |
15 |
$5K |
| 51798 |
|
194 |
190 |
$5K |
| 86850 |
|
13 |
13 |
$5K |
| 88142 |
|
294 |
283 |
$4K |
| 36591 |
|
324 |
193 |
$4K |
| 76801 |
|
13 |
12 |
$4K |
| 85027 |
|
1,344 |
1,266 |
$4K |
| A0429 |
Bls-emergency |
77 |
70 |
$4K |
| 87426 |
|
155 |
150 |
$4K |
| 85379 |
|
24 |
24 |
$3K |
| 87081 |
|
92 |
90 |
$3K |
| 86803 |
|
285 |
272 |
$3K |
| 11056 |
|
103 |
83 |
$3K |
| 64491 |
|
148 |
104 |
$3K |
| 0001A |
|
163 |
125 |
$2K |
| 27096 |
|
48 |
42 |
$2K |
| 0002A |
|
127 |
108 |
$2K |
| 82950 |
|
295 |
258 |
$2K |
| 73562 |
|
39 |
30 |
$2K |
| 90471 |
|
39 |
36 |
$2K |
| 94060 |
|
15 |
12 |
$2K |
| 92523 |
|
12 |
12 |
$2K |
| 92567 |
|
73 |
72 |
$2K |
| G0481 |
Drug test def 8-14 classes |
14 |
14 |
$2K |
| 97602 |
|
57 |
38 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
1,011 |
906 |
$1K |
| J1100 |
Dexamethasone sodium phos |
507 |
468 |
$1K |
| 73030 |
|
43 |
38 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
221 |
209 |
$1K |
| 69210 |
|
52 |
48 |
$1K |
| 83970 |
|
49 |
49 |
$1K |
| 84439 |
|
134 |
132 |
$1K |
| 73564 |
|
14 |
12 |
$988.48 |
| 87591 |
|
71 |
65 |
$956.03 |
| 86780 |
|
87 |
86 |
$946.33 |
| 97161 |
|
49 |
39 |
$943.61 |
| 87491 |
|
57 |
51 |
$924.45 |
| 11721 |
|
135 |
124 |
$911.55 |
| 81002 |
|
318 |
306 |
$889.12 |
| 80069 |
|
171 |
160 |
$855.62 |
| 82728 |
|
87 |
86 |
$850.29 |
| J0690 |
Cefazolin sodium injection |
24 |
24 |
$822.60 |
| 72170 |
|
14 |
12 |
$743.88 |
| 87186 |
|
98 |
92 |
$598.37 |
| 84481 |
|
27 |
27 |
$582.51 |
| 83550 |
|
88 |
87 |
$558.41 |
| J3010 |
Fentanyl citrate injection |
431 |
396 |
$502.90 |
| 0012A |
|
49 |
48 |
$469.80 |
| 83655 |
|
26 |
26 |
$456.74 |
| 83540 |
|
88 |
87 |
$412.79 |
| 87088 |
|
67 |
61 |
$314.85 |
| J3301 |
Triamcinolone acet inj nos |
90 |
76 |
$302.14 |
| 87624 |
|
12 |
12 |
$288.97 |
| 87077 |
|
61 |
61 |
$251.09 |
| 82747 |
|
15 |
15 |
$248.69 |
| 84702 |
|
15 |
12 |
$216.15 |
| 86140 |
|
62 |
60 |
$192.93 |
| J2930 |
Methylprednisolone injection |
16 |
15 |
$171.04 |
| 84460 |
|
50 |
50 |
$138.58 |
| 11720 |
|
90 |
82 |
$123.96 |
| 86706 |
|
13 |
13 |
$121.39 |
| 0011A |
|
17 |
17 |
$88.40 |
| 80076 |
|
12 |
12 |
$62.70 |
| 82570 |
|
17 |
17 |
$51.83 |
| 85007 |
|
26 |
24 |
$41.96 |
| J2270 |
Morphine sulfate injection |
25 |
25 |
$41.55 |
| 85018 |
|
27 |
27 |
$35.43 |
| J2405 |
Ondansetron hcl injection |
13 |
12 |
$33.40 |
| P9604 |
One-way allow prorated trip |
62 |
45 |
$22.43 |
| 11719 |
|
16 |
14 |
$17.99 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
67 |
65 |
$4.94 |
| J7120 |
Ringers lactate infusion |
14 |
14 |
$3.25 |
| 85014 |
|
12 |
12 |
$2.13 |
| P9603 |
One-way allow prorated miles |
57 |
47 |
$1.61 |
| J7030 |
Normal saline solution infus |
61 |
59 |
$0.60 |
| A9270 |
Non-covered item or service |
131 |
95 |
$0.00 |
| 95886 |
|
18 |
18 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
13 |
12 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
29 |
25 |
$0.00 |