| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0483 |
Drug test def 22+ classes |
29,254 |
19,395 |
$3.74M |
| G0463 |
Hospital outpt clinic visit |
57,078 |
48,696 |
$2.40M |
| 64483 |
|
2,351 |
2,214 |
$848K |
| 64493 |
|
1,414 |
1,329 |
$492K |
| G0481 |
Drug test def 8-14 classes |
4,956 |
4,670 |
$416K |
| 62321 |
|
1,368 |
1,303 |
$261K |
| 20610 |
|
2,449 |
2,272 |
$225K |
| G0260 |
Inj for sacroiliac jt anesth |
1,088 |
1,041 |
$182K |
| 80307 |
|
5,537 |
5,332 |
$175K |
| G0482 |
Drug test def 15-21 classes |
580 |
515 |
$87K |
| 62323 |
|
398 |
377 |
$63K |
| 95911 |
|
219 |
211 |
$45K |
| 64635 |
|
61 |
52 |
$29K |
| Q3014 |
Telehealth facility fee |
1,781 |
1,716 |
$27K |
| 64450 |
|
120 |
118 |
$22K |
| 64721 |
|
26 |
26 |
$19K |
| 72100 |
|
1,678 |
1,567 |
$16K |
| 72148 |
|
206 |
206 |
$15K |
| 70553 |
|
58 |
58 |
$12K |
| 72141 |
|
133 |
133 |
$12K |
| 95910 |
|
92 |
88 |
$12K |
| 95816 |
|
68 |
68 |
$10K |
| 20550 |
|
125 |
123 |
$8K |
| 64490 |
|
25 |
24 |
$7K |
| 80305 |
|
1,590 |
1,531 |
$6K |
| 20526 |
|
74 |
73 |
$6K |
| 72110 |
|
208 |
206 |
$4K |
| 73721 |
|
58 |
58 |
$4K |
| 73564 |
|
326 |
284 |
$3K |
| 70551 |
|
16 |
16 |
$3K |
| 22505 |
|
26 |
26 |
$3K |
| 95117 |
|
313 |
109 |
$3K |
| 72050 |
|
180 |
179 |
$3K |
| 95004 |
|
47 |
47 |
$3K |
| 73630 |
|
392 |
315 |
$2K |
| 20600 |
|
29 |
26 |
$2K |
| 64405 |
|
26 |
25 |
$2K |
| 96372 |
|
104 |
90 |
$2K |
| 95909 |
|
12 |
12 |
$2K |
| 73030 |
|
111 |
111 |
$1K |
| 72040 |
|
148 |
141 |
$1K |
| 73610 |
|
83 |
81 |
$987.78 |
| 73502 |
|
115 |
105 |
$936.89 |
| 72070 |
|
59 |
58 |
$802.20 |
| 99443 |
|
38 |
38 |
$784.44 |
| 20605 |
|
12 |
12 |
$728.64 |
| 73130 |
|
55 |
55 |
$643.98 |
| A4649 |
Surgical supplies |
554 |
477 |
$630.00 |
| 72120 |
|
293 |
292 |
$612.63 |
| 64494 |
|
1,487 |
1,303 |
$572.11 |
| 73110 |
|
26 |
25 |
$359.88 |
| 93005 |
|
91 |
90 |
$322.83 |
| 81002 |
|
198 |
188 |
$215.78 |
| 80047 |
|
203 |
167 |
$103.80 |
| 85027 |
|
176 |
147 |
$74.20 |
| 81025 |
|
539 |
516 |
$70.22 |
| 36415 |
|
472 |
419 |
$45.72 |
| 64484 |
|
1,533 |
1,301 |
$32.59 |
| 96127 |
|
93 |
93 |
$20.39 |
| J2704 |
Inj, propofol, 10 mg |
1,060 |
944 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
1,933 |
1,848 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
2,992 |
2,709 |
$0.00 |
| J1170 |
Hydromorphone injection |
180 |
169 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
593 |
585 |
$0.00 |
| 95886 |
|
600 |
539 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
2,360 |
2,186 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
1,267 |
1,191 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
1,203 |
1,086 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
1,197 |
1,117 |
$0.00 |
| 76377 |
|
126 |
124 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
32 |
29 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
61 |
56 |
$0.00 |
| 99213 |
|
15 |
15 |
$0.00 |
| J3490 |
Drugs unclassified injection |
13 |
12 |
$0.00 |
| 99214 |
|
13 |
12 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
3,157 |
2,832 |
$0.00 |
| J7030 |
Normal saline solution infus |
2,458 |
2,017 |
$0.00 |
| 64495 |
|
255 |
146 |
$0.00 |
| 99212 |
|
52 |
52 |
$0.00 |
| 77003 |
|
224 |
196 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
118 |
110 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,162 |
2,928 |
$0.00 |
| 77002 |
|
1,947 |
1,808 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
136 |
136 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
2,398 |
2,192 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
574 |
570 |
$0.00 |
| 72275 |
|
408 |
363 |
$0.00 |
| 64491 |
|
13 |
12 |
$0.00 |
| 93041 |
|
70 |
63 |
$0.00 |
| 64636 |
|
63 |
52 |
$0.00 |
| C1821 |
Interspinous implant |
12 |
12 |
$0.00 |
| J7040 |
Normal saline solution infus |
15 |
12 |
$0.00 |
| A4216 |
Sterile water/saline, 10 ml |
19 |
19 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
12 |
12 |
$0.00 |
| 99203 |
|
14 |
14 |
$0.00 |