| Code | Description | Claims | Beneficiaries | Total Paid |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
20,203 |
16,936 |
$1.73M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14,531 |
13,454 |
$1.62M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
18,963 |
4,798 |
$1.33M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
6,883 |
6,153 |
$802K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,194 |
3,588 |
$517K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,820 |
4,298 |
$407K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,116 |
3,212 |
$279K |
| 20611 |
|
1,138 |
904 |
$224K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,145 |
1,999 |
$223K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,274 |
623 |
$206K |
| 70450 |
Computed tomography, head or brain; without contrast material |
765 |
637 |
$195K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
5,765 |
1,462 |
$193K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
672 |
543 |
$182K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
476 |
359 |
$158K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
535 |
416 |
$140K |
| 80053 |
Comprehensive metabolic panel |
8,702 |
7,479 |
$110K |
| 20610 |
|
1,072 |
732 |
$104K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
3,378 |
1,088 |
$103K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,688 |
1,576 |
$95K |
| 97161 |
|
1,575 |
1,429 |
$91K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
613 |
271 |
$88K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,265 |
989 |
$87K |
| G0378 |
Hospital observation service, per hour |
1,804 |
690 |
$75K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,927 |
2,462 |
$53K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
778 |
250 |
$52K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15,413 |
11,455 |
$41K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,858 |
1,620 |
$41K |
| 80061 |
Lipid panel |
3,411 |
3,206 |
$41K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
825 |
735 |
$39K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,365 |
2,115 |
$38K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
161 |
147 |
$36K |
| 81003 |
|
1,560 |
1,330 |
$34K |
| 97162 |
|
904 |
805 |
$34K |
| 36415 |
Collection of venous blood by venipuncture |
16,766 |
12,975 |
$30K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
838 |
411 |
$28K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,133 |
1,984 |
$27K |
| 90670 |
|
970 |
931 |
$27K |
| 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 |
1,068 |
667 |
$26K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,217 |
1,110 |
$25K |
| 71046 |
Radiologic examination, chest; 2 views |
1,081 |
958 |
$24K |
| 76000 |
|
327 |
259 |
$24K |
| 52000 |
|
113 |
108 |
$23K |
| 83735 |
|
4,459 |
3,107 |
$23K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
809 |
635 |
$22K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,820 |
1,225 |
$22K |
| 92526 |
|
361 |
116 |
$21K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
58 |
42 |
$21K |
| 76830 |
Ultrasound, transvaginal |
154 |
148 |
$19K |
| 71250 |
|
323 |
280 |
$19K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,648 |
3,020 |
$18K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
230 |
103 |
$17K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,143 |
1,906 |
$15K |
| 97165 |
|
250 |
215 |
$14K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
49 |
41 |
$13K |
| 97014 |
|
383 |
132 |
$13K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
245 |
228 |
$12K |
| 80069 |
|
1,367 |
827 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,197 |
1,460 |
$11K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
20 |
14 |
$11K |
| 97016 |
|
336 |
105 |
$10K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,018 |
839 |
$10K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
50 |
39 |
$10K |
| 86140 |
|
1,127 |
731 |
$10K |
| 97032 |
|
138 |
43 |
$9K |
| 82607 |
|
550 |
494 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,970 |
2,613 |
$9K |
| 90686 |
|
527 |
466 |
$8K |
| 97760 |
|
75 |
65 |
$8K |
| J3490 |
Unclassified drugs |
753 |
336 |
$7K |
| 90633 |
|
298 |
280 |
$6K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
46 |
38 |
$6K |
| 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 |
604 |
498 |
$6K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,428 |
1,191 |
$6K |
| 84439 |
|
327 |
292 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,748 |
2,513 |
$6K |
| 87150 |
|
686 |
550 |
$6K |
| 82570 |
|
705 |
634 |
$5K |
| 82728 |
|
425 |
391 |
$5K |
| 85027 |
|
652 |
603 |
$5K |
| 73564 |
|
446 |
378 |
$5K |
| 99215 |
Prolong outpt/office vis |
77 |
37 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
1,915 |
1,595 |
$5K |
| 73030 |
|
350 |
300 |
$5K |
| 83540 |
|
592 |
532 |
$5K |
| 73630 |
|
491 |
412 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
233 |
193 |
$4K |
| 81001 |
|
3,321 |
2,814 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
246 |
229 |
$3K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
35 |
26 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
31 |
26 |
$3K |
| 73610 |
|
386 |
306 |
$3K |
| 82746 |
|
454 |
405 |
$3K |
| 20605 |
|
41 |
29 |
$3K |
| 82043 |
|
446 |
408 |
$3K |
| 84153 |
|
195 |
156 |
$3K |
| 83550 |
|
457 |
412 |
$3K |
| 97803 |
|
40 |
38 |
$3K |
| 85610 |
|
1,612 |
1,236 |
$3K |
| 80076 |
|
1,568 |
1,350 |
$3K |
| 51798 |
|
199 |
189 |
$3K |
| 72110 |
|
79 |
70 |
$3K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,041 |
1,658 |
$3K |
| 82565 |
|
3,218 |
2,698 |
$3K |
| 80051 |
|
3,074 |
2,568 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,119 |
754 |
$3K |
| 86803 |
|
157 |
123 |
$2K |
| 94664 |
|
211 |
162 |
$2K |
| 86850 |
|
92 |
80 |
$2K |
| 73110 |
|
184 |
150 |
$2K |
| 90698 |
|
574 |
554 |
$2K |
| 84484 |
|
1,932 |
1,432 |
$2K |
| 73502 |
|
144 |
125 |
$2K |
| 85652 |
|
918 |
654 |
$2K |
| 80305 |
|
998 |
634 |
$2K |
| 87070 |
|
843 |
712 |
$2K |
| 83880 |
|
442 |
354 |
$2K |
| 90680 |
|
602 |
564 |
$2K |
| 72131 |
|
26 |
24 |
$2K |
| 87088 |
|
482 |
404 |
$2K |
| 84100 |
|
266 |
255 |
$1K |
| 73130 |
|
221 |
176 |
$1K |
| 86900 |
|
131 |
111 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,906 |
1,271 |
$1K |
| 76770 |
|
12 |
12 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
85 |
79 |
$1K |
| 87340 |
|
77 |
61 |
$1K |
| 87186 |
|
698 |
533 |
$1K |
| 84156 |
|
356 |
323 |
$1K |
| 96376 |
|
717 |
333 |
$1K |
| 82948 |
|
1,600 |
843 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,610 |
1,522 |
$1K |
| 81025 |
|
1,486 |
1,090 |
$1K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
52 |
52 |
$1K |
| 90715 |
|
80 |
71 |
$1K |
| 84300 |
|
305 |
273 |
$984.18 |
| 82947 |
|
3,086 |
2,590 |
$926.53 |
| 97116 |
|
32 |
12 |
$814.77 |
| 84520 |
|
3,103 |
2,598 |
$805.13 |
| 82550 |
|
167 |
143 |
$790.94 |
| 80344 |
|
60 |
53 |
$760.49 |
| 84550 |
|
144 |
131 |
$737.10 |
| 84460 |
|
144 |
104 |
$691.97 |
| 97166 |
|
25 |
17 |
$683.19 |
| 90744 |
|
210 |
209 |
$657.46 |
| 96367 |
|
14 |
12 |
$620.20 |
| 85730 |
|
637 |
535 |
$619.23 |
| 90696 |
|
32 |
32 |
$614.68 |
| 86901 |
|
131 |
111 |
$588.82 |
| 83690 |
|
1,545 |
1,194 |
$558.96 |
| 86701 |
|
37 |
25 |
$537.39 |
| 72100 |
|
15 |
12 |
$518.62 |
| 86704 |
|
39 |
26 |
$490.96 |
| 82784 |
|
44 |
26 |
$488.43 |
| 83605 |
|
823 |
594 |
$487.47 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
195 |
171 |
$434.45 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
725 |
629 |
$419.22 |
| 97535 |
Self-care/home management training, each 15 minutes |
17 |
15 |
$398.24 |
| 90651 |
|
25 |
24 |
$384.62 |
| 90681 |
|
84 |
68 |
$382.14 |
| 86706 |
|
37 |
25 |
$327.04 |
| 87040 |
|
341 |
169 |
$313.51 |
| 84450 |
|
73 |
49 |
$297.45 |
| 82803 |
|
341 |
260 |
$294.81 |
| 86708 |
|
36 |
25 |
$280.62 |
| 90656 |
|
29 |
27 |
$259.71 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,868 |
1,324 |
$258.63 |
| 90697 |
|
71 |
58 |
$237.84 |
| 86038 |
|
14 |
12 |
$232.12 |
| 90474 |
|
431 |
420 |
$223.14 |
| 82248 |
|
38 |
24 |
$219.25 |
| 85378 |
|
350 |
309 |
$213.96 |
| 84703 |
|
160 |
138 |
$193.63 |
| 84238 |
|
13 |
13 |
$177.63 |
| 90734 |
|
47 |
39 |
$165.05 |
| 84145 |
|
41 |
30 |
$159.64 |
| 87449 |
|
19 |
12 |
$135.06 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
665 |
437 |
$127.57 |
| 80348 |
|
358 |
191 |
$121.17 |
| 87077 |
|
95 |
63 |
$107.07 |
| J2704 |
Injection, propofol, 10 mg |
1,239 |
979 |
$92.78 |
| 90685 |
|
15 |
14 |
$81.89 |
| 90710 |
|
31 |
31 |
$80.06 |
| 85045 |
|
29 |
26 |
$75.95 |
| J0134 |
Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg |
63 |
51 |
$66.00 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
277 |
119 |
$63.32 |
| 87205 |
|
90 |
62 |
$59.35 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
154 |
85 |
$50.15 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
72 |
59 |
$47.77 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
501 |
338 |
$39.29 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,039 |
1,438 |
$35.51 |
| 80354 |
|
84 |
46 |
$28.48 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
813 |
637 |
$27.30 |
| 87481 |
|
17 |
14 |
$26.73 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,150 |
869 |
$23.17 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
828 |
678 |
$23.12 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
250 |
179 |
$22.96 |
| J0689 |
Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg |
218 |
178 |
$14.52 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
112 |
74 |
$11.91 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
134 |
82 |
$4.79 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
198 |
138 |
$4.59 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
66 |
42 |
$4.34 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
400 |
335 |
$3.83 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
47 |
26 |
$3.60 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
609 |
484 |
$3.23 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
305 |
227 |
$2.51 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
46 |
29 |
$2.22 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
67 |
40 |
$1.35 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,344 |
1,078 |
$0.00 |
| J0688 |
Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg |
13 |
12 |
$0.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
94 |
43 |
$0.00 |
| 90461 |
|
14 |
14 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
71 |
59 |
$0.00 |
| 00142 |
|
18 |
14 |
$0.00 |
| 94761 |
|
182 |
74 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
41 |
36 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
40 |
28 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
30 |
27 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
39 |
29 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
29 |
29 |
$0.00 |
| J2371 |
Injection, phenylephrine hydrochloride, 20 micrograms |
12 |
12 |
$0.00 |