| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,130 |
832 |
$179K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,305 |
1,099 |
$146K |
| 80053 |
Comprehensive metabolic panel |
13,542 |
10,536 |
$145K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,926 |
2,061 |
$121K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
11,697 |
8,888 |
$91K |
| 87428 |
|
1,432 |
1,270 |
$86K |
| 87631 |
|
541 |
498 |
$62K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
663 |
554 |
$53K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,111 |
610 |
$48K |
| 71045 |
Radiologic examination, chest; single view |
4,325 |
3,470 |
$44K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,037 |
1,442 |
$41K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,388 |
1,138 |
$41K |
| 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 |
2,562 |
802 |
$40K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
810 |
684 |
$36K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,445 |
2,795 |
$35K |
| 83880 |
|
1,811 |
1,452 |
$34K |
| 80061 |
Lipid panel |
2,768 |
2,479 |
$30K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,775 |
2,426 |
$30K |
| 84484 |
|
3,009 |
2,366 |
$28K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
319 |
253 |
$25K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,574 |
1,124 |
$24K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,190 |
709 |
$23K |
| 71046 |
Radiologic examination, chest; 2 views |
1,222 |
1,054 |
$23K |
| 81001 |
|
6,093 |
5,068 |
$22K |
| 83605 |
|
1,771 |
1,385 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
596 |
423 |
$20K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,715 |
2,441 |
$18K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,115 |
2,471 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
9,134 |
6,608 |
$17K |
| 80305 |
|
1,218 |
1,033 |
$17K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,120 |
2,645 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,349 |
1,185 |
$16K |
| 85027 |
|
3,870 |
3,237 |
$15K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
488 |
427 |
$12K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
89 |
79 |
$12K |
| 83690 |
|
1,491 |
1,175 |
$11K |
| 87081 |
|
1,173 |
1,028 |
$10K |
| 87040 |
|
1,057 |
735 |
$9K |
| 87077 |
|
1,800 |
1,525 |
$9K |
| 82607 |
|
673 |
603 |
$8K |
| 87186 |
|
1,788 |
1,510 |
$6K |
| 86756 |
|
400 |
327 |
$6K |
| 84439 |
|
476 |
421 |
$5K |
| 80050 |
General health panel |
114 |
112 |
$5K |
| 83735 |
|
1,142 |
910 |
$5K |
| 97161 |
|
57 |
52 |
$5K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
17 |
12 |
$5K |
| 85610 |
|
1,481 |
1,067 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
13 |
12 |
$4K |
| 81025 |
|
493 |
411 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
65 |
61 |
$4K |
| 73030 |
|
136 |
97 |
$4K |
| 71020 |
|
282 |
226 |
$3K |
| 73630 |
|
138 |
112 |
$3K |
| 87400 |
|
376 |
296 |
$3K |
| 85730 |
|
542 |
454 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
339 |
254 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
81 |
53 |
$3K |
| 82728 |
|
266 |
234 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
28 |
26 |
$3K |
| 82150 |
|
380 |
307 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
298 |
210 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
26 |
24 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
50 |
48 |
$2K |
| 94760 |
|
483 |
316 |
$2K |
| 83540 |
|
330 |
292 |
$2K |
| 82962 |
|
366 |
210 |
$1K |
| 82805 |
|
74 |
54 |
$1K |
| 87070 |
|
170 |
152 |
$1K |
| 83550 |
|
187 |
163 |
$1K |
| 80320 |
|
74 |
66 |
$1K |
| 71010 |
|
207 |
187 |
$1K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
18 |
16 |
$999.91 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
133 |
123 |
$897.50 |
| 72100 |
|
27 |
24 |
$728.64 |
| 73610 |
|
44 |
38 |
$707.79 |
| 84703 |
|
54 |
52 |
$637.85 |
| 97150 |
Therapeutic procedure(s), group (2 or more individuals) |
89 |
39 |
$551.77 |
| P9612 |
Catheterization for collection of specimen, single patient, all places of service |
13 |
12 |
$428.98 |
| 82550 |
|
52 |
43 |
$410.42 |
| A9576 |
Injection, gadoteridol, (prohance multipack), per ml |
25 |
14 |
$385.76 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
34 |
30 |
$346.86 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
108 |
68 |
$325.92 |
| 84145 |
|
16 |
12 |
$317.02 |
| 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 |
2,143 |
634 |
$296.55 |
| 82746 |
|
13 |
13 |
$276.99 |
| 74018 |
|
13 |
12 |
$241.62 |
| 73110 |
|
18 |
15 |
$232.00 |
| 80076 |
|
63 |
58 |
$188.38 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
12 |
12 |
$179.08 |
| 82947 |
|
87 |
79 |
$160.60 |
| 82570 |
|
27 |
24 |
$151.95 |
| 82043 |
|
14 |
12 |
$97.00 |
| 82565 |
|
15 |
13 |
$81.93 |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
564 |
505 |
$62.26 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
31 |
13 |
$53.55 |
| 96376 |
|
33 |
14 |
$49.49 |
| 81003 |
|
64 |
56 |
$41.60 |
| A9270 |
Non-covered item or service |
262 |
193 |
$21.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
162 |
90 |
$12.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
849 |
718 |
$6.42 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
26 |
24 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
30 |
28 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |
| G0378 |
Hospital observation service, per hour |
20 |
12 |
$0.00 |