| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,961 |
5,702 |
$428K |
| T1015 |
Clinic visit/encounter, all-inclusive |
6,888 |
2,488 |
$195K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
993 |
303 |
$61K |
| 80050 |
General health panel |
986 |
964 |
$49K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
281 |
268 |
$43K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
383 |
142 |
$41K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,044 |
1,008 |
$37K |
| 80053 |
Comprehensive metabolic panel |
3,898 |
3,505 |
$35K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
868 |
834 |
$33K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,134 |
1,051 |
$31K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
355 |
353 |
$30K |
| 80061 |
Lipid panel |
2,147 |
2,075 |
$28K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
325 |
311 |
$25K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,705 |
4,853 |
$25K |
| G0378 |
Hospital observation service, per hour |
45 |
41 |
$20K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
297 |
223 |
$12K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
62 |
60 |
$11K |
| 84443 |
Thyroid stimulating hormone (TSH) |
702 |
650 |
$10K |
| 70450 |
Computed tomography, head or brain; without contrast material |
179 |
168 |
$10K |
| 0002A |
|
211 |
211 |
$9K |
| 0001A |
|
243 |
243 |
$9K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
366 |
364 |
$8K |
| 97164 |
|
265 |
250 |
$8K |
| 76642 |
|
195 |
175 |
$7K |
| 97162 |
|
125 |
120 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
741 |
642 |
$5K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
87 |
85 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
322 |
224 |
$5K |
| 82607 |
|
388 |
375 |
$5K |
| 84484 |
|
704 |
579 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
737 |
702 |
$5K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
713 |
685 |
$5K |
| 0003A |
|
100 |
100 |
$5K |
| 81003 |
|
1,692 |
1,599 |
$4K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
12 |
12 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
361 |
337 |
$4K |
| 82553 |
|
584 |
482 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
163 |
157 |
$4K |
| 83735 |
|
714 |
602 |
$4K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
587 |
549 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
162 |
156 |
$4K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
115 |
109 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
75 |
72 |
$4K |
| 84703 |
|
444 |
418 |
$4K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,024 |
891 |
$3K |
| 84439 |
|
433 |
410 |
$3K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
164 |
47 |
$3K |
| 82746 |
|
274 |
266 |
$3K |
| 82550 |
|
601 |
495 |
$3K |
| 97163 |
|
75 |
65 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
33 |
29 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
384 |
367 |
$3K |
| 76830 |
Ultrasound, transvaginal |
56 |
54 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
148 |
143 |
$2K |
| 83605 |
|
387 |
364 |
$2K |
| 83690 |
|
570 |
522 |
$2K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
25 |
24 |
$2K |
| 77065 |
Tomosynthesis, mammo |
40 |
38 |
$2K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
46 |
14 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
8,386 |
6,833 |
$2K |
| 85610 |
|
611 |
395 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
29 |
27 |
$2K |
| S9470 |
Nutritional counseling, dietitian visit |
54 |
51 |
$2K |
| 82728 |
|
124 |
111 |
$2K |
| 84466 |
|
88 |
85 |
$2K |
| 73030 |
|
94 |
86 |
$1K |
| 85379 |
|
152 |
137 |
$1K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
286 |
267 |
$1K |
| 87077 |
|
346 |
326 |
$1K |
| 82150 |
|
314 |
293 |
$1K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
270 |
264 |
$1K |
| 87186 |
|
150 |
138 |
$1K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
15 |
15 |
$1K |
| 82043 |
|
138 |
133 |
$1K |
| 83540 |
|
113 |
103 |
$945.45 |
| 83880 |
|
46 |
40 |
$934.63 |
| 77066 |
Tomosynthesis, mammo |
14 |
14 |
$893.03 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
217 |
208 |
$889.76 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
48 |
12 |
$853.77 |
| 73562 |
|
64 |
55 |
$838.98 |
| 84100 |
|
104 |
87 |
$660.55 |
| 97161 |
|
12 |
12 |
$657.78 |
| 87040 |
|
45 |
44 |
$628.05 |
| 85651 |
|
209 |
180 |
$610.15 |
| 73610 |
|
32 |
29 |
$593.03 |
| 73630 |
|
48 |
44 |
$577.24 |
| 88342 |
|
24 |
24 |
$394.16 |
| 73110 |
|
33 |
25 |
$350.93 |
| 85730 |
|
61 |
58 |
$346.87 |
| 84550 |
|
62 |
56 |
$344.10 |
| 73080 |
|
31 |
25 |
$330.34 |
| 84153 |
|
12 |
12 |
$294.57 |
| J2704 |
Injection, propofol, 10 mg |
502 |
441 |
$281.10 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
63 |
59 |
$238.15 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
17 |
13 |
$229.90 |
| 83615 |
|
34 |
25 |
$226.54 |
| 87070 |
|
31 |
28 |
$221.25 |
| 73560 |
|
15 |
12 |
$220.76 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
80 |
79 |
$187.94 |
| 73130 |
|
14 |
12 |
$158.62 |
| 86140 |
|
51 |
39 |
$156.57 |
| 80076 |
|
16 |
13 |
$140.91 |
| 80346 |
|
34 |
33 |
$140.21 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
395 |
347 |
$85.72 |
| 84460 |
|
15 |
12 |
$85.03 |
| 84450 |
|
15 |
12 |
$75.88 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
29 |
27 |
$75.56 |
| 84436 |
|
19 |
19 |
$71.27 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
300 |
218 |
$50.45 |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
394 |
362 |
$45.57 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
136 |
122 |
$41.84 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
78 |
67 |
$38.98 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
512 |
406 |
$35.03 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
17 |
13 |
$32.21 |
| J7050 |
Infusion, normal saline solution, 250 cc |
145 |
98 |
$20.92 |
| J1644 |
Injection, heparin sodium, per 1000 units |
19 |
12 |
$17.90 |
| 82962 |
|
20 |
12 |
$9.36 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
133 |
116 |
$6.78 |
| 88312 |
|
13 |
13 |
$0.00 |