| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,260 |
188 |
$37K |
| 80053 |
Comprehensive metabolic panel |
1,568 |
1,146 |
$27K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
977 |
163 |
$26K |
| 70450 |
Computed tomography, head or brain; without contrast material |
98 |
86 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,529 |
1,096 |
$9K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
531 |
458 |
$4K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
546 |
361 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
256 |
220 |
$4K |
| 82550 |
|
339 |
215 |
$4K |
| 80061 |
Lipid panel |
287 |
248 |
$4K |
| 86710 |
|
376 |
204 |
$3K |
| 82553 |
|
325 |
210 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
34 |
28 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
342 |
292 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
737 |
518 |
$3K |
| 83880 |
|
172 |
122 |
$3K |
| 84484 |
|
328 |
213 |
$3K |
| 83655 |
|
187 |
143 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
202 |
195 |
$2K |
| 80306 |
|
95 |
82 |
$2K |
| 82728 |
|
100 |
92 |
$2K |
| 83735 |
|
316 |
236 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
284 |
227 |
$1K |
| 81001 |
|
500 |
416 |
$1K |
| 80050 |
General health panel |
30 |
28 |
$1K |
| 87430 |
|
125 |
107 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
227 |
186 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
56 |
39 |
$1K |
| 83550 |
|
107 |
93 |
$1K |
| 72100 |
|
16 |
13 |
$996.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
54 |
38 |
$935.73 |
| 83540 |
|
111 |
97 |
$851.00 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
207 |
139 |
$810.44 |
| 81003 |
|
241 |
213 |
$616.71 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
86 |
72 |
$516.03 |
| 85044 |
|
77 |
71 |
$429.80 |
| 80323 |
|
37 |
34 |
$410.31 |
| 80356 |
|
68 |
65 |
$390.40 |
| 71110 |
|
20 |
16 |
$390.00 |
| 87420 |
|
38 |
31 |
$386.10 |
| 80346 |
|
68 |
65 |
$330.66 |
| 80348 |
|
68 |
65 |
$325.05 |
| 81025 |
|
50 |
42 |
$305.90 |
| 80358 |
|
68 |
65 |
$295.50 |
| 80364 |
|
68 |
65 |
$295.50 |
| 80345 |
|
68 |
65 |
$280.90 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
19 |
16 |
$250.46 |
| 80324 |
|
68 |
65 |
$250.19 |
| 80337 |
|
67 |
64 |
$244.62 |
| 80370 |
|
37 |
34 |
$240.84 |
| 80353 |
|
68 |
65 |
$230.10 |
| 80349 |
|
68 |
65 |
$213.50 |
| 80368 |
|
68 |
65 |
$213.50 |
| 80355 |
|
68 |
65 |
$201.90 |
| 80366 |
|
66 |
63 |
$192.61 |
| 80359 |
|
68 |
65 |
$192.15 |
| 80351 |
|
37 |
34 |
$192.15 |
| 80371 |
|
36 |
33 |
$128.10 |
| 87186 |
|
36 |
26 |
$120.85 |
| 87088 |
|
12 |
12 |
$98.97 |
| 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 |
35 |
33 |
$62.76 |
| G0378 |
Hospital observation service, per hour |
29 |
26 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
12 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
17 |
13 |
$0.00 |
| 94664 |
|
21 |
13 |
$0.00 |
| 80369 |
|
18 |
18 |
$0.00 |
| 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 |
64 |
61 |
$0.00 |
| 80372 |
|
17 |
17 |
$0.00 |