| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
118,894 |
102,724 |
$9.11M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
16,388 |
13,732 |
$3.98M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
16,027 |
13,303 |
$1.79M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12,696 |
10,995 |
$1.32M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
4,774 |
4,100 |
$251K |
| Q3014 |
Telehealth originating site facility fee |
6,737 |
6,205 |
$150K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,981 |
2,922 |
$91K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,891 |
6,693 |
$84K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
3,541 |
3,436 |
$84K |
| 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 |
1,195 |
1,135 |
$83K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
705 |
660 |
$75K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,580 |
2,421 |
$56K |
| 36415 |
Collection of venous blood by venipuncture |
33,274 |
30,156 |
$42K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
31 |
31 |
$33K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
665 |
278 |
$29K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
477 |
164 |
$29K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
373 |
150 |
$25K |
| 62323 |
|
45 |
40 |
$23K |
| 88342 |
|
423 |
332 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
432 |
430 |
$19K |
| 95886 |
|
462 |
332 |
$19K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
434 |
407 |
$18K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,873 |
1,734 |
$17K |
| 88304 |
|
782 |
595 |
$17K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
491 |
481 |
$17K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
88 |
87 |
$13K |
| 88307 |
|
121 |
101 |
$13K |
| 92557 |
|
128 |
127 |
$12K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
214 |
212 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17,157 |
15,306 |
$12K |
| G0124 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician |
456 |
444 |
$11K |
| 0002A |
|
333 |
331 |
$10K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,412 |
2,367 |
$10K |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
448 |
435 |
$9K |
| 0001A |
|
359 |
352 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,952 |
2,876 |
$9K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,877 |
4,487 |
$8K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
197 |
179 |
$8K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
30 |
14 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
144 |
139 |
$7K |
| 20611 |
|
30 |
27 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
205 |
164 |
$6K |
| 80053 |
Comprehensive metabolic panel |
6,988 |
6,439 |
$5K |
| 92567 |
|
392 |
381 |
$5K |
| 90686 |
|
1,701 |
1,667 |
$5K |
| 90461 |
|
213 |
212 |
$5K |
| U0005 |
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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
227 |
221 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
813 |
801 |
$4K |
| 90677 |
|
103 |
102 |
$4K |
| G0008 |
Administration of influenza virus vaccine |
134 |
133 |
$2K |
| 73630 |
|
263 |
225 |
$2K |
| 88142 |
|
98 |
98 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,183 |
997 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
13 |
13 |
$2K |
| 81001 |
|
2,161 |
2,038 |
$1K |
| 90662 |
|
74 |
74 |
$1K |
| 0124A |
|
55 |
55 |
$1K |
| 82248 |
|
6,013 |
5,729 |
$1K |
| 80061 |
Lipid panel |
130 |
129 |
$1K |
| 80076 |
|
2,013 |
1,800 |
$938.59 |
| 90474 |
|
150 |
146 |
$846.91 |
| 91320 |
|
31 |
30 |
$803.24 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
26 |
25 |
$800.53 |
| 90480 |
|
31 |
30 |
$742.49 |
| 0064A |
|
41 |
31 |
$657.04 |
| 0072A |
|
12 |
12 |
$460.15 |
| 86780 |
|
39 |
37 |
$441.56 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
116 |
109 |
$385.25 |
| 88141 |
|
12 |
12 |
$340.68 |
| 85018 |
|
149 |
148 |
$334.28 |
| 0031A |
|
12 |
12 |
$312.34 |
| 36416 |
|
90 |
83 |
$292.14 |
| 92593 |
|
14 |
12 |
$284.68 |
| 86140 |
|
1,598 |
1,538 |
$280.64 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
369 |
351 |
$263.26 |
| 84145 |
|
381 |
374 |
$247.96 |
| 72110 |
|
14 |
14 |
$219.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
61 |
60 |
$211.65 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
61 |
60 |
$211.65 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$208.40 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
994 |
921 |
$201.18 |
| 90656 |
|
93 |
93 |
$193.34 |
| 86141 |
|
853 |
796 |
$184.47 |
| 83605 |
|
373 |
336 |
$180.10 |
| J2704 |
Injection, propofol, 10 mg |
368 |
358 |
$176.91 |
| 71046 |
Radiologic examination, chest; 2 views |
43 |
41 |
$175.60 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
19 |
13 |
$121.47 |
| 82728 |
|
28 |
28 |
$112.30 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
273 |
257 |
$104.15 |
| 84484 |
|
458 |
418 |
$85.91 |
| 90670 |
|
510 |
494 |
$85.58 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
155 |
147 |
$83.90 |
| 0012A |
|
14 |
13 |
$83.55 |
| 85610 |
|
371 |
356 |
$79.57 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
496 |
407 |
$64.29 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12 |
12 |
$57.34 |
| 73610 |
|
13 |
13 |
$56.84 |
| 88300 |
|
24 |
24 |
$54.56 |
| 84443 |
Thyroid stimulating hormone (TSH) |
57 |
53 |
$36.52 |
| 83690 |
|
164 |
157 |
$35.59 |
| 80306 |
|
65 |
59 |
$33.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
537 |
257 |
$33.08 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
84 |
73 |
$30.71 |
| J7050 |
Infusion, normal saline solution, 250 cc |
556 |
224 |
$30.62 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
94 |
90 |
$28.95 |
| 85730 |
|
24 |
24 |
$25.09 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
318 |
307 |
$19.41 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
93 |
49 |
$17.31 |
| 83735 |
|
254 |
243 |
$13.62 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
75 |
74 |
$9.50 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
83 |
79 |
$5.43 |
| 81025 |
|
42 |
39 |
$5.24 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
43 |
40 |
$1.22 |
| 90685 |
|
94 |
92 |
$0.01 |
| 90680 |
|
163 |
159 |
$0.00 |
| A9270 |
Non-covered item or service |
672 |
646 |
$0.00 |
| 90723 |
|
72 |
72 |
$0.00 |
| 87081 |
|
151 |
143 |
$0.00 |
| 90651 |
|
60 |
59 |
$0.00 |
| 90698 |
|
174 |
166 |
$0.00 |
| 84703 |
|
13 |
12 |
$0.00 |
| 90688 |
|
65 |
64 |
$0.00 |
| 90744 |
|
56 |
53 |
$0.00 |
| 90696 |
|
14 |
13 |
$0.00 |
| 83880 |
|
12 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
202 |
192 |
$0.00 |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
137 |
130 |
$0.00 |
| 90648 |
|
190 |
188 |
$0.00 |
| 90633 |
|
133 |
132 |
$0.00 |
| 90734 |
|
39 |
39 |
$0.00 |
| 90710 |
|
43 |
40 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
73 |
69 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
15 |
15 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
26 |
26 |
$0.00 |
| 90700 |
|
14 |
12 |
$0.00 |