| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
76,892 |
8,490 |
$2.13M |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
17,991 |
2,777 |
$1.05M |
| 90832 |
Psychotherapy, 30 minutes with patient |
10,931 |
7,486 |
$996K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,785 |
5,478 |
$729K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,856 |
5,476 |
$692K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,081 |
1,932 |
$444K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,868 |
2,689 |
$342K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
10,008 |
6,484 |
$314K |
| 70450 |
Computed tomography, head or brain; without contrast material |
982 |
954 |
$277K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,586 |
1,455 |
$219K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
847 |
830 |
$215K |
| 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 |
2,293 |
1,994 |
$194K |
| 80053 |
Comprehensive metabolic panel |
7,681 |
6,679 |
$180K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
369 |
360 |
$164K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,460 |
982 |
$158K |
| 90791 |
Psychiatric diagnostic evaluation |
852 |
849 |
$138K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,131 |
822 |
$130K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,086 |
1,049 |
$123K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
2,333 |
1,780 |
$102K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
797 |
741 |
$99K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
314 |
311 |
$87K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,395 |
424 |
$83K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
638 |
609 |
$79K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
677 |
510 |
$73K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
612 |
489 |
$65K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
192 |
192 |
$37K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,439 |
1,376 |
$35K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
369 |
364 |
$35K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
95 |
95 |
$29K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
985 |
985 |
$29K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
172 |
166 |
$28K |
| 76801 |
|
277 |
246 |
$25K |
| 29125 |
|
127 |
124 |
$24K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,878 |
1,506 |
$23K |
| 93971 |
|
188 |
184 |
$22K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
857 |
798 |
$22K |
| G0378 |
Hospital observation service, per hour |
270 |
255 |
$21K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
513 |
494 |
$19K |
| 99215 |
Prolong outpt/office vis |
140 |
133 |
$18K |
| 86850 |
|
505 |
488 |
$17K |
| 86901 |
|
505 |
488 |
$16K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
116 |
113 |
$12K |
| 81003 |
|
4,791 |
3,949 |
$11K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
513 |
494 |
$10K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
235 |
231 |
$10K |
| 90715 |
|
290 |
289 |
$9K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
198 |
34 |
$9K |
| 86900 |
|
510 |
489 |
$9K |
| 81025 |
|
2,682 |
2,430 |
$8K |
| 76775 |
|
91 |
89 |
$7K |
| 83880 |
|
226 |
224 |
$7K |
| 97161 |
|
73 |
73 |
$6K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
31 |
31 |
$5K |
| 76830 |
Ultrasound, transvaginal |
165 |
162 |
$5K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
3,755 |
263 |
$5K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
74 |
73 |
$5K |
| 12001 |
|
12 |
12 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
84 |
80 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
4,367 |
4,043 |
$4K |
| 0012A |
|
121 |
121 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
79 |
75 |
$4K |
| 0011A |
|
180 |
180 |
$3K |
| 96367 |
|
94 |
86 |
$2K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
58 |
27 |
$2K |
| 93017 |
|
41 |
41 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,306 |
1,219 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,665 |
1,591 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
1,237 |
1,204 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
13 |
12 |
$2K |
| 97010 |
|
92 |
43 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
819 |
795 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,133 |
1,026 |
$1K |
| J2704 |
Injection, propofol, 10 mg |
349 |
340 |
$1K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,189 |
1,069 |
$1K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
211 |
195 |
$1K |
| 86769 |
|
37 |
37 |
$1K |
| 59025 |
Fetal non-stress test |
19 |
13 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$1K |
| 76882 |
|
13 |
13 |
$980.04 |
| 82805 |
|
40 |
40 |
$966.87 |
| 76536 |
|
12 |
12 |
$931.38 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,672 |
1,583 |
$845.27 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,288 |
4,595 |
$831.40 |
| 88304 |
|
12 |
12 |
$830.40 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,428 |
2,236 |
$825.10 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,597 |
1,473 |
$714.71 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
186 |
165 |
$675.71 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
17 |
17 |
$650.93 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
337 |
328 |
$640.27 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
364 |
351 |
$639.94 |
| 81001 |
|
2,647 |
2,480 |
$548.78 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
40 |
37 |
$542.22 |
| 71045 |
Radiologic examination, chest; single view |
1,004 |
963 |
$509.67 |
| 85730 |
|
1,084 |
1,026 |
$446.90 |
| 99406 |
|
29 |
28 |
$431.07 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
501 |
275 |
$373.80 |
| 85610 |
|
955 |
899 |
$367.20 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
397 |
369 |
$355.06 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
245 |
240 |
$312.67 |
| 73630 |
|
193 |
193 |
$297.97 |
| 80361 |
|
15 |
15 |
$251.70 |
| 80299 |
|
250 |
239 |
$226.04 |
| 82948 |
|
942 |
715 |
$222.64 |
| 85027 |
|
201 |
175 |
$197.81 |
| 94761 |
|
929 |
901 |
$192.67 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
619 |
529 |
$188.64 |
| 87070 |
|
945 |
904 |
$174.72 |
| 84484 |
|
1,540 |
1,389 |
$170.60 |
| 94729 |
|
12 |
12 |
$168.80 |
| 73562 |
|
126 |
125 |
$150.00 |
| J2060 |
Injection, lorazepam, 2 mg |
123 |
107 |
$136.17 |
| 85379 |
|
385 |
378 |
$89.24 |
| 94760 |
|
1,256 |
1,203 |
$84.07 |
| 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 |
221 |
212 |
$83.11 |
| 83605 |
|
570 |
541 |
$81.73 |
| 83735 |
|
698 |
641 |
$77.56 |
| 73130 |
|
103 |
99 |
$70.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
192 |
175 |
$65.95 |
| 80320 |
|
1,183 |
1,088 |
$56.61 |
| 84703 |
|
311 |
305 |
$50.57 |
| 80349 |
|
477 |
453 |
$45.93 |
| 87186 |
|
215 |
208 |
$45.68 |
| 72100 |
|
12 |
12 |
$45.00 |
| 73030 |
|
42 |
42 |
$42.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
27 |
25 |
$39.50 |
| 73610 |
|
98 |
96 |
$37.50 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
698 |
691 |
$37.49 |
| 83690 |
|
1,142 |
1,075 |
$33.98 |
| 86171 |
|
696 |
689 |
$22.66 |
| J7050 |
Infusion, normal saline solution, 250 cc |
15 |
14 |
$21.26 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
13 |
13 |
$20.88 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
434 |
431 |
$15.75 |
| 96376 |
|
97 |
96 |
$14.24 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
60 |
54 |
$13.94 |
| 84702 |
|
94 |
77 |
$12.37 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$10.64 |
| 85008 |
|
698 |
603 |
$6.99 |
| 85007 |
|
261 |
253 |
$2.86 |
| 87210 |
|
38 |
38 |
$0.00 |
| 73110 |
|
12 |
12 |
$0.00 |
| 73080 |
|
13 |
13 |
$0.00 |
| 86618 |
|
12 |
12 |
$0.00 |
| 85651 |
|
13 |
13 |
$0.00 |
| 87807 |
|
101 |
100 |
$0.00 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
19 |
18 |
$0.00 |