| Code | Description | Claims | Beneficiaries | Total Paid |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
50,973 |
10,288 |
$4.61M |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
27,677 |
23,651 |
$424K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
27,729 |
23,694 |
$421K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
15,237 |
13,243 |
$339K |
| 97161 |
|
4,352 |
2,802 |
$319K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
2,145 |
1,735 |
$313K |
| 84443 |
Thyroid stimulating hormone (TSH) |
43,332 |
38,335 |
$271K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
9,257 |
2,228 |
$235K |
| 80053 |
Comprehensive metabolic panel |
63,588 |
55,099 |
$199K |
| 87799 |
|
5,323 |
3,165 |
$189K |
| 87481 |
|
6,313 |
3,841 |
$131K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
74,637 |
64,044 |
$112K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
2,886 |
2,481 |
$110K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
9,052 |
7,637 |
$108K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
1,425 |
982 |
$105K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
17,500 |
15,542 |
$103K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
3,803 |
2,612 |
$99K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
9,793 |
8,546 |
$98K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
411 |
383 |
$93K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
29,262 |
25,865 |
$83K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
3,580 |
2,718 |
$83K |
| 86480 |
|
3,575 |
3,107 |
$82K |
| 81513 |
|
911 |
854 |
$77K |
| 97162 |
|
1,098 |
672 |
$75K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,319 |
1,074 |
$74K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
20,700 |
17,925 |
$69K |
| 80061 |
Lipid panel |
36,653 |
33,012 |
$58K |
| 87631 |
|
1,115 |
945 |
$55K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,856 |
2,466 |
$49K |
| 86803 |
|
8,306 |
7,263 |
$48K |
| 36415 |
Collection of venous blood by venipuncture |
40,938 |
34,743 |
$46K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27,807 |
25,354 |
$44K |
| 86769 |
|
1,084 |
543 |
$41K |
| 87536 |
|
1,045 |
894 |
$39K |
| 83655 |
|
7,531 |
6,476 |
$39K |
| 81511 |
|
863 |
774 |
$38K |
| 87510 |
|
5,017 |
4,477 |
$38K |
| 87480 |
|
5,022 |
4,481 |
$37K |
| 87512 |
|
3,909 |
3,039 |
$33K |
| 84439 |
|
15,799 |
13,899 |
$32K |
| 86235 |
|
1,981 |
977 |
$32K |
| 71046 |
Radiologic examination, chest; 2 views |
2,702 |
1,752 |
$31K |
| 82607 |
|
9,189 |
8,262 |
$31K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,114 |
924 |
$30K |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
1,022 |
726 |
$30K |
| 87081 |
|
14,128 |
12,613 |
$29K |
| 83970 |
|
2,026 |
1,810 |
$28K |
| 86003 |
|
13,218 |
1,946 |
$28K |
| 84403 |
|
2,628 |
2,274 |
$27K |
| 87522 |
Neg quan hep c or qual rna |
1,041 |
960 |
$27K |
| 87660 |
|
4,994 |
4,448 |
$26K |
| 94010 |
|
797 |
568 |
$23K |
| 86038 |
|
4,138 |
3,234 |
$21K |
| 87581 |
|
2,154 |
1,739 |
$21K |
| 87486 |
|
2,143 |
1,735 |
$20K |
| 80081 |
|
658 |
513 |
$20K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
6,015 |
5,027 |
$19K |
| 87186 |
|
4,689 |
3,833 |
$17K |
| 81001 |
|
23,910 |
20,829 |
$17K |
| 97165 |
|
1,345 |
720 |
$16K |
| 87340 |
|
6,951 |
5,862 |
$16K |
| 84481 |
|
5,927 |
5,172 |
$15K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,019 |
586 |
$15K |
| 83001 |
|
2,460 |
2,110 |
$14K |
| 86696 |
|
1,665 |
1,221 |
$14K |
| 80074 |
|
1,209 |
1,038 |
$14K |
| 86146 |
|
560 |
288 |
$13K |
| 86592 |
|
15,843 |
13,996 |
$13K |
| 86787 |
|
2,490 |
1,991 |
$12K |
| 82746 |
|
4,363 |
3,942 |
$12K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
696 |
562 |
$12K |
| 83516 |
|
2,511 |
1,662 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,885 |
2,499 |
$12K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,274 |
1,140 |
$12K |
| 87077 |
|
4,775 |
3,417 |
$11K |
| 84466 |
|
4,884 |
4,315 |
$11K |
| 87070 |
|
5,051 |
4,269 |
$11K |
| 82728 |
|
5,352 |
4,722 |
$10K |
| 87088 |
|
2,921 |
2,575 |
$10K |
| 85027 |
|
6,841 |
5,931 |
$10K |
| 84702 |
|
3,572 |
2,775 |
$9K |
| 84153 |
|
2,200 |
1,972 |
$9K |
| 84402 |
|
1,858 |
1,619 |
$9K |
| 86695 |
|
1,612 |
1,184 |
$8K |
| 82784 |
|
1,758 |
1,175 |
$8K |
| 86140 |
|
6,668 |
5,287 |
$8K |
| 82105 |
|
1,362 |
1,261 |
$8K |
| 82570 |
|
6,582 |
5,858 |
$8K |
| 87511 |
|
541 |
315 |
$8K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
712 |
566 |
$8K |
| 86850 |
|
6,522 |
5,348 |
$8K |
| 84146 |
|
2,029 |
1,747 |
$8K |
| 83540 |
|
5,272 |
4,655 |
$7K |
| 83735 |
|
4,453 |
3,712 |
$7K |
| 82951 |
|
1,294 |
1,176 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
249 |
127 |
$7K |
| 86431 |
|
3,228 |
2,532 |
$7K |
| G0483 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed |
209 |
203 |
$6K |
| 86800 |
|
1,906 |
1,638 |
$6K |
| 86160 |
|
1,224 |
794 |
$6K |
| 73610 |
|
357 |
189 |
$6K |
| 86200 |
|
2,033 |
1,540 |
$6K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
346 |
158 |
$6K |
| 86762 |
|
4,813 |
4,127 |
$6K |
| 86665 |
|
461 |
354 |
$6K |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
863 |
797 |
$6K |
| 81420 |
Fetal chromosomal aneuploidy genomic sequence analysis panel |
286 |
259 |
$6K |
| 83520 |
|
1,054 |
635 |
$6K |
| 82950 |
|
4,844 |
4,369 |
$6K |
| 86376 |
|
2,329 |
1,999 |
$6K |
| 85652 |
|
8,203 |
6,652 |
$6K |
| 86706 |
|
1,380 |
1,112 |
$5K |
| 86901 |
|
6,283 |
5,183 |
$5K |
| 82043 |
|
5,502 |
5,010 |
$5K |
| 86147 |
|
694 |
381 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
632 |
338 |
$5K |
| 83525 |
|
1,931 |
1,622 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
194 |
104 |
$5K |
| 73630 |
|
410 |
246 |
$5K |
| 86225 |
|
1,430 |
1,014 |
$5K |
| 82785 |
|
2,037 |
1,537 |
$5K |
| 82670 |
|
1,700 |
1,416 |
$4K |
| 86780 |
|
735 |
625 |
$4K |
| 90686 |
|
244 |
127 |
$4K |
| 88184 |
|
288 |
184 |
$4K |
| 84550 |
|
3,581 |
3,085 |
$4K |
| 92610 |
|
229 |
145 |
$4K |
| 80076 |
|
1,587 |
1,394 |
$4K |
| 82550 |
|
2,385 |
1,828 |
$4K |
| 85610 |
|
3,302 |
2,311 |
$4K |
| 86008 |
|
89 |
66 |
$4K |
| 84480 |
|
1,115 |
980 |
$4K |
| 86900 |
|
6,120 |
4,990 |
$4K |
| 87209 |
|
659 |
479 |
$4K |
| 83002 |
|
1,789 |
1,535 |
$4K |
| 84144 |
|
1,309 |
1,057 |
$4K |
| 86141 |
|
559 |
503 |
$3K |
| 87338 |
|
377 |
340 |
$3K |
| 83013 |
|
923 |
863 |
$3K |
| 83021 |
|
906 |
823 |
$3K |
| 80069 |
|
1,456 |
1,300 |
$3K |
| 86304 |
|
306 |
265 |
$3K |
| 87205 |
|
3,014 |
2,432 |
$3K |
| 84305 |
|
737 |
624 |
$3K |
| 86704 |
|
691 |
558 |
$3K |
| 84460 |
|
1,744 |
1,470 |
$3K |
| 73110 |
|
225 |
129 |
$3K |
| 87045 |
|
733 |
534 |
$3K |
| 86361 |
|
885 |
767 |
$2K |
| 84100 |
|
2,141 |
1,806 |
$2K |
| G0481 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed |
18 |
18 |
$2K |
| 88142 |
|
1,124 |
1,017 |
$2K |
| 84450 |
|
1,614 |
1,358 |
$2K |
| 82533 |
|
639 |
543 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
53 |
31 |
$2K |
| 86039 |
|
772 |
548 |
$2K |
| 86359 |
|
918 |
788 |
$2K |
| 92523 |
|
92 |
43 |
$2K |
| 83690 |
|
1,153 |
991 |
$2K |
| 84681 |
|
523 |
464 |
$2K |
| 88341 |
|
36 |
36 |
$2K |
| 94664 |
|
128 |
68 |
$2K |
| 74018 |
|
175 |
130 |
$2K |
| 86735 |
|
608 |
542 |
$2K |
| 88304 |
|
87 |
83 |
$2K |
| 84156 |
|
3,004 |
2,525 |
$2K |
| 85730 |
|
1,210 |
1,041 |
$2K |
| 73560 |
|
143 |
75 |
$2K |
| 82542 |
|
305 |
238 |
$2K |
| 88342 |
|
431 |
361 |
$2K |
| 97166 |
|
60 |
37 |
$2K |
| 82947 |
|
1,699 |
1,470 |
$2K |
| 86765 |
|
868 |
764 |
$1K |
| 73130 |
|
159 |
79 |
$1K |
| 82627 |
|
856 |
732 |
$1K |
| 80197 |
|
331 |
173 |
$1K |
| 81374 |
|
88 |
73 |
$1K |
| 84163 |
|
404 |
381 |
$1K |
| 84703 |
|
617 |
545 |
$1K |
| 85007 |
|
1,540 |
1,245 |
$1K |
| 86334 |
|
104 |
93 |
$1K |
| 87177 |
|
646 |
470 |
$1K |
| 83704 |
|
131 |
120 |
$1K |
| 83880 |
|
207 |
174 |
$1K |
| 72082 |
|
47 |
28 |
$1K |
| 84165 |
|
457 |
388 |
$1K |
| 83615 |
|
848 |
655 |
$1K |
| 84436 |
|
842 |
771 |
$1K |
| 87075 |
|
192 |
153 |
$1K |
| 36416 |
|
500 |
437 |
$993.72 |
| 86060 |
|
383 |
325 |
$966.09 |
| 82150 |
|
637 |
554 |
$955.02 |
| 87563 |
|
120 |
88 |
$914.29 |
| 73140 |
|
168 |
116 |
$910.79 |
| 96040 |
|
14 |
14 |
$882.81 |
| 83090 |
|
325 |
293 |
$880.51 |
| 87046 |
|
846 |
536 |
$878.16 |
| 82652 |
|
228 |
188 |
$870.64 |
| 87906 |
|
13 |
12 |
$858.67 |
| 73030 |
|
65 |
32 |
$857.34 |
| 87521 |
Neg quan hep c or qual rna |
61 |
56 |
$851.68 |
| 85018 |
|
2,169 |
1,930 |
$842.81 |
| 82274 |
|
183 |
171 |
$832.42 |
| 73564 |
|
41 |
16 |
$811.95 |
| 82565 |
|
796 |
667 |
$794.00 |
| 86747 |
|
74 |
70 |
$791.59 |
| 82952 |
|
1,014 |
946 |
$766.39 |
| 85660 |
|
739 |
601 |
$765.01 |
| 86677 |
|
133 |
99 |
$754.48 |
| G0008 |
Administration of influenza virus vaccine |
173 |
109 |
$753.19 |
| 82378 |
|
147 |
134 |
$744.99 |
| 86708 |
|
300 |
246 |
$729.92 |
| 87493 |
|
43 |
29 |
$728.64 |
| 73502 |
|
46 |
26 |
$719.58 |
| 86255 |
|
274 |
251 |
$673.77 |
| 85045 |
|
861 |
682 |
$629.72 |
| 86618 |
|
76 |
68 |
$626.96 |
| 84154 |
|
137 |
129 |
$602.96 |
| 87255 |
|
69 |
54 |
$573.03 |
| 80164 |
|
236 |
216 |
$566.77 |
| 87210 |
|
471 |
371 |
$560.66 |
| 84445 |
|
46 |
40 |
$547.43 |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
27 |
23 |
$538.31 |
| 88185 |
|
341 |
172 |
$519.16 |
| 87625 |
|
67 |
60 |
$464.55 |
| 82977 |
|
425 |
361 |
$458.62 |
| 86148 |
|
146 |
94 |
$455.24 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
36 |
28 |
$433.99 |
| 86308 |
|
413 |
346 |
$403.84 |
| 82248 |
|
250 |
196 |
$392.84 |
| 95012 |
|
77 |
68 |
$365.64 |
| 85014 |
|
979 |
831 |
$364.31 |
| 86593 |
|
388 |
349 |
$348.78 |
| 87184 |
|
150 |
112 |
$329.36 |
| 82672 |
|
42 |
41 |
$324.64 |
| 81025 |
|
499 |
394 |
$306.75 |
| 84446 |
|
25 |
25 |
$293.48 |
| 84238 |
|
38 |
38 |
$291.80 |
| 72100 |
|
25 |
13 |
$288.98 |
| 82575 |
|
82 |
71 |
$273.33 |
| 80051 |
|
263 |
211 |
$266.58 |
| 84520 |
|
411 |
340 |
$255.13 |
| 85732 |
|
111 |
85 |
$245.00 |
| 84590 |
|
25 |
25 |
$240.35 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
22 |
21 |
$238.42 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
147 |
44 |
$238.08 |
| 85613 |
|
107 |
81 |
$223.42 |
| 82024 |
|
47 |
41 |
$223.14 |
| 81003 |
|
322 |
269 |
$214.60 |
| 83519 |
|
49 |
44 |
$208.29 |
| 86617 |
|
13 |
12 |
$201.30 |
| 86777 |
|
100 |
95 |
$198.27 |
| 71045 |
Radiologic examination, chest; single view |
29 |
14 |
$192.78 |
| 82164 |
|
61 |
43 |
$189.75 |
| 83498 |
|
75 |
61 |
$184.14 |
| 88312 |
|
59 |
44 |
$181.57 |
| 86645 |
|
42 |
29 |
$165.14 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15 |
12 |
$165.00 |
| 86021 |
|
111 |
95 |
$152.84 |
| 87040 |
|
22 |
19 |
$145.28 |
| 86644 |
|
42 |
29 |
$143.47 |
| 86705 |
|
33 |
26 |
$135.88 |
| 69209 |
|
19 |
14 |
$122.45 |
| 82310 |
|
120 |
102 |
$121.73 |
| 86870 |
|
20 |
12 |
$114.40 |
| 82040 |
|
67 |
55 |
$105.80 |
| 83921 |
|
12 |
12 |
$105.57 |
| 82465 |
|
106 |
103 |
$104.89 |
| 86256 |
|
16 |
13 |
$104.88 |
| 82390 |
|
47 |
42 |
$99.51 |
| 82272 |
|
104 |
100 |
$95.40 |
| 84432 |
|
16 |
12 |
$90.50 |
| 82397 |
|
24 |
16 |
$81.18 |
| 80177 |
|
22 |
14 |
$79.70 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
80 |
29 |
$79.36 |
| 85379 |
|
40 |
40 |
$77.41 |
| 82955 |
|
37 |
27 |
$77.31 |
| 86664 |
|
24 |
16 |
$76.45 |
| 81050 |
|
88 |
85 |
$70.72 |
| 86880 |
|
32 |
25 |
$66.18 |
| 82247 |
|
48 |
40 |
$65.18 |
| 82166 |
|
16 |
15 |
$63.39 |
| 84482 |
|
16 |
12 |
$63.04 |
| 83993 |
|
15 |
12 |
$60.78 |
| 80178 |
|
33 |
30 |
$57.69 |
| 82679 |
|
31 |
26 |
$54.41 |
| 82962 |
|
222 |
165 |
$53.90 |
| 84630 |
|
15 |
12 |
$44.26 |
| 80183 |
|
12 |
12 |
$38.83 |
| 84425 |
|
12 |
12 |
$38.48 |
| 83721 |
|
17 |
16 |
$36.74 |
| 81596 |
|
13 |
12 |
$34.64 |
| 84134 |
|
15 |
14 |
$32.60 |
| 82103 |
|
14 |
14 |
$26.34 |
| 84270 |
|
12 |
12 |
$23.91 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
25 |
12 |
$22.20 |
| 82140 |
|
12 |
12 |
$17.71 |
| 84155 |
|
13 |
12 |
$8.95 |
| 82270 |
|
12 |
12 |
$7.34 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
49 |
40 |
$0.93 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
15 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
13 |
13 |
$0.00 |