| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
9,421 |
8,297 |
$1.60M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12,278 |
11,004 |
$1.42M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,066 |
936 |
$552K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,284 |
1,941 |
$514K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
10,282 |
9,355 |
$492K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
12,969 |
11,795 |
$393K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12,492 |
11,394 |
$378K |
| 70450 |
Computed tomography, head or brain; without contrast material |
945 |
848 |
$201K |
| 80053 |
Comprehensive metabolic panel |
17,540 |
15,068 |
$144K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,654 |
2,434 |
$137K |
| 85027 |
|
21,682 |
18,136 |
$130K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
4,188 |
3,583 |
$128K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
253 |
233 |
$111K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
2,050 |
1,865 |
$89K |
| 71045 |
Radiologic examination, chest; single view |
2,626 |
2,299 |
$88K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,314 |
1,242 |
$86K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,608 |
3,839 |
$61K |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,617 |
4,097 |
$60K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,601 |
1,223 |
$54K |
| 71046 |
Radiologic examination, chest; 2 views |
1,206 |
1,038 |
$43K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,334 |
1,070 |
$43K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,652 |
1,527 |
$37K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
585 |
447 |
$34K |
| 36415 |
Collection of venous blood by venipuncture |
13,657 |
11,552 |
$33K |
| 80061 |
Lipid panel |
2,949 |
2,688 |
$31K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
467 |
372 |
$29K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,764 |
1,496 |
$29K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,424 |
1,294 |
$27K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,616 |
3,173 |
$26K |
| 80306 |
|
1,316 |
1,118 |
$26K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
451 |
388 |
$25K |
| 87634 |
|
419 |
399 |
$25K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,124 |
2,860 |
$25K |
| 96376 |
|
562 |
400 |
$24K |
| 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 |
794 |
616 |
$23K |
| 84484 |
|
2,526 |
2,009 |
$21K |
| 81001 |
|
6,626 |
5,703 |
$21K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
331 |
285 |
$21K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
495 |
381 |
$20K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
846 |
781 |
$18K |
| 83880 |
|
670 |
577 |
$18K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
67 |
58 |
$17K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,513 |
2,048 |
$16K |
| 73564 |
|
402 |
348 |
$16K |
| 59025 |
Fetal non-stress test |
743 |
263 |
$16K |
| 83690 |
|
2,440 |
2,111 |
$16K |
| 86780 |
|
1,227 |
1,110 |
$15K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
673 |
596 |
$15K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
673 |
596 |
$15K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
334 |
240 |
$15K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
210 |
176 |
$14K |
| 73630 |
|
421 |
344 |
$12K |
| 76830 |
Ultrasound, transvaginal |
159 |
148 |
$11K |
| 73610 |
|
336 |
283 |
$10K |
| 87186 |
|
1,158 |
1,031 |
$10K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,497 |
486 |
$10K |
| 73110 |
|
224 |
185 |
$9K |
| 87077 |
|
1,117 |
982 |
$9K |
| 83735 |
|
1,513 |
1,297 |
$9K |
| 81025 |
|
1,161 |
996 |
$8K |
| 83605 |
|
798 |
654 |
$8K |
| 86803 |
|
612 |
555 |
$8K |
| 84703 |
|
915 |
808 |
$7K |
| G0378 |
Hospital observation service, per hour |
165 |
139 |
$7K |
| 82607 |
|
613 |
558 |
$7K |
| 86850 |
|
685 |
582 |
$7K |
| 72100 |
|
305 |
249 |
$7K |
| Q3014 |
Telehealth originating site facility fee |
1,142 |
551 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
93 |
74 |
$6K |
| 87040 |
|
459 |
349 |
$6K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
24 |
24 |
$5K |
| 73130 |
|
165 |
134 |
$5K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
56 |
54 |
$4K |
| 86703 |
|
390 |
337 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
17 |
14 |
$4K |
| 74018 |
|
121 |
110 |
$4K |
| 73030 |
|
140 |
113 |
$3K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
169 |
152 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
271 |
241 |
$3K |
| 87653 |
|
145 |
112 |
$3K |
| 84439 |
|
357 |
321 |
$3K |
| 87070 |
|
297 |
275 |
$3K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
103 |
39 |
$3K |
| 93971 |
|
74 |
67 |
$3K |
| 93976 |
|
30 |
27 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
229 |
216 |
$3K |
| 85610 |
|
760 |
607 |
$2K |
| 86762 |
|
185 |
162 |
$2K |
| 87340 |
|
274 |
243 |
$2K |
| 84702 |
|
252 |
176 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
52 |
47 |
$2K |
| 86787 |
|
167 |
144 |
$2K |
| 86900 |
|
718 |
607 |
$2K |
| 86901 |
|
718 |
607 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
240 |
215 |
$2K |
| J3490 |
Unclassified drugs |
756 |
481 |
$2K |
| 85379 |
|
204 |
180 |
$2K |
| 87210 |
|
439 |
373 |
$1K |
| 82728 |
|
101 |
95 |
$1K |
| 12001 |
|
14 |
14 |
$1K |
| 85730 |
|
275 |
249 |
$1K |
| 82077 |
|
201 |
183 |
$1K |
| 73080 |
|
34 |
25 |
$967.88 |
| 86140 |
|
184 |
151 |
$929.37 |
| 82951 |
|
77 |
67 |
$923.49 |
| 87205 |
|
164 |
148 |
$663.72 |
| 96367 |
|
33 |
27 |
$644.93 |
| 82570 |
|
141 |
126 |
$638.54 |
| 73502 |
|
16 |
12 |
$600.34 |
| 82746 |
|
44 |
43 |
$597.36 |
| 82043 |
|
108 |
94 |
$543.15 |
| 83540 |
|
83 |
77 |
$482.11 |
| 80076 |
|
65 |
60 |
$476.59 |
| 73590 |
|
14 |
12 |
$432.96 |
| 87449 |
|
29 |
24 |
$414.12 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
12 |
$351.12 |
| 84466 |
|
28 |
26 |
$348.15 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
43 |
24 |
$294.93 |
| G0145 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision |
463 |
411 |
$217.17 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
13 |
$201.50 |
| 84156 |
|
64 |
42 |
$187.57 |
| 85652 |
|
75 |
62 |
$185.62 |
| 87147 |
|
37 |
34 |
$180.60 |
| J2704 |
Injection, propofol, 10 mg |
39 |
36 |
$156.95 |
| 97164 |
|
30 |
25 |
$153.60 |
| 84550 |
|
75 |
64 |
$153.10 |
| 87046 |
|
16 |
12 |
$117.50 |
| 87045 |
|
16 |
12 |
$117.50 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
160 |
146 |
$113.62 |
| 84436 |
|
15 |
14 |
$105.56 |
| 82947 |
|
27 |
25 |
$104.79 |
| 82550 |
|
18 |
13 |
$100.20 |
| 82248 |
|
30 |
29 |
$92.56 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
29 |
26 |
$77.67 |
| J7050 |
Infusion, normal saline solution, 250 cc |
39 |
28 |
$10.31 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
25 |
13 |
$6.65 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
108 |
92 |
$3.21 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
25 |
24 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
122 |
45 |
$0.00 |