| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 41899 |
Unlisted procedure, dentoalveolar structures |
881 |
842 |
$3.22M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
7,137 |
6,611 |
$1.54M |
| G0378 |
Hospital observation service, per hour |
2,484 |
2,131 |
$1.26M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
6,605 |
6,092 |
$999K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,870 |
3,532 |
$379K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
9,992 |
8,230 |
$362K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,290 |
1,824 |
$340K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,399 |
5,088 |
$237K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,478 |
3,180 |
$213K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
3,587 |
1,622 |
$189K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,539 |
939 |
$147K |
| 92134 |
|
1,193 |
1,121 |
$137K |
| 92133 |
|
1,274 |
1,256 |
$128K |
| 86850 |
|
1,564 |
1,407 |
$123K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,824 |
1,646 |
$106K |
| 80053 |
Comprehensive metabolic panel |
16,932 |
13,013 |
$85K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
585 |
431 |
$84K |
| 92083 |
|
574 |
560 |
$69K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,748 |
1,604 |
$60K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
7,184 |
4,220 |
$60K |
| 90834 |
Psychotherapy, 45 minutes with patient |
593 |
502 |
$52K |
| 20610 |
|
1,630 |
1,327 |
$50K |
| 97162 |
|
742 |
704 |
$47K |
| 97161 |
|
410 |
395 |
$36K |
| C7901 |
Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, 30-60 minutes, provided remotely by hospital staff who are licensed to provided mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service |
241 |
192 |
$34K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
845 |
812 |
$31K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,369 |
1,809 |
$26K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
380 |
348 |
$21K |
| 90791 |
Psychiatric diagnostic evaluation |
269 |
241 |
$21K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,394 |
1,341 |
$19K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,595 |
422 |
$16K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
3,138 |
2,678 |
$16K |
| 82947 |
|
93 |
88 |
$11K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,780 |
1,606 |
$10K |
| 73560 |
|
324 |
293 |
$9K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
116 |
110 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
4,059 |
3,774 |
$8K |
| 84484 |
|
6,473 |
4,922 |
$6K |
| 85027 |
|
14,629 |
9,350 |
$6K |
| 82330 |
|
906 |
794 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
247 |
242 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,581 |
3,359 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,259 |
1,215 |
$4K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
268 |
110 |
$4K |
| 98968 |
|
84 |
80 |
$3K |
| 83735 |
|
9,139 |
5,389 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
7,786 |
6,959 |
$3K |
| 93971 |
|
100 |
97 |
$3K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
12 |
12 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
237 |
226 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
283 |
276 |
$2K |
| 83605 |
|
3,749 |
3,311 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
935 |
897 |
$2K |
| 36591 |
|
566 |
295 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,872 |
6,397 |
$2K |
| 87088 |
|
1,169 |
1,093 |
$1K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
30 |
24 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
399 |
294 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
3,397 |
3,103 |
$1K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
536 |
392 |
$994.32 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
104 |
100 |
$861.76 |
| 96523 |
|
82 |
74 |
$739.43 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,891 |
2,367 |
$677.07 |
| 86900 |
|
1,603 |
1,446 |
$585.13 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
487 |
419 |
$556.65 |
| 81001 |
|
6,203 |
5,650 |
$553.45 |
| 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 |
204 |
183 |
$548.15 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,512 |
1,286 |
$485.35 |
| 85610 |
|
2,993 |
2,533 |
$433.93 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
116 |
115 |
$431.62 |
| 97165 |
|
27 |
27 |
$397.61 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
916 |
699 |
$367.57 |
| 97166 |
|
133 |
126 |
$337.47 |
| 69210 |
|
34 |
25 |
$309.76 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
182 |
172 |
$301.84 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
178 |
174 |
$275.44 |
| J1631 |
Injection, haloperidol decanoate, per 50 mg |
61 |
48 |
$274.94 |
| 73030 |
|
148 |
142 |
$256.65 |
| 88342 |
|
57 |
56 |
$232.10 |
| A4663 |
Blood pressure cuff only |
84 |
66 |
$218.45 |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
66 |
52 |
$191.40 |
| 84100 |
|
5,357 |
2,884 |
$186.04 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
224 |
222 |
$180.06 |
| 85730 |
|
1,130 |
1,013 |
$171.83 |
| 82803 |
|
443 |
354 |
$167.76 |
| 83690 |
|
2,398 |
2,151 |
$162.80 |
| 97116 |
|
38 |
26 |
$158.20 |
| 85014 |
|
382 |
356 |
$136.22 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
92 |
78 |
$132.65 |
| E1352 |
Oxygen accessory, flow regulator capable of positive inspiratory pressure |
17 |
14 |
$129.18 |
| 76376 |
|
25 |
25 |
$128.70 |
| 93017 |
|
94 |
91 |
$121.15 |
| 86901 |
|
1,605 |
1,446 |
$116.51 |
| 71250 |
|
27 |
27 |
$112.41 |
| 84145 |
|
28 |
26 |
$109.77 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
763 |
718 |
$99.84 |
| 73610 |
|
15 |
14 |
$89.49 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,891 |
1,394 |
$89.44 |
| 73562 |
|
120 |
105 |
$88.74 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
3,360 |
1,946 |
$87.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
627 |
373 |
$72.97 |
| J1644 |
Injection, heparin sodium, per 1000 units |
2,554 |
923 |
$66.83 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
858 |
615 |
$51.88 |
| 73630 |
|
105 |
95 |
$49.54 |
| J2704 |
Injection, propofol, 10 mg |
941 |
839 |
$49.43 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
1,071 |
347 |
$48.47 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,257 |
1,184 |
$38.79 |
| 83880 |
|
1,820 |
1,611 |
$30.15 |
| 87186 |
|
71 |
64 |
$25.93 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
1,642 |
1,581 |
$22.18 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
312 |
231 |
$19.54 |
| 80320 |
|
582 |
521 |
$17.67 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
796 |
766 |
$16.81 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
138 |
134 |
$9.18 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
96 |
60 |
$7.92 |
| 82248 |
|
553 |
442 |
$5.03 |
| J2060 |
Injection, lorazepam, 2 mg |
52 |
43 |
$2.00 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
530 |
508 |
$0.04 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
530 |
505 |
$0.04 |
| G8988 |
Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
177 |
172 |
$0.01 |
| G8987 |
Self care functional limitation, current status, at therapy episode outset and at reporting intervals |
174 |
170 |
$0.01 |
| 82565 |
|
81 |
78 |
$0.00 |
| 76000 |
|
13 |
13 |
$0.00 |
| 84439 |
|
199 |
160 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
49 |
48 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
109 |
95 |
$0.00 |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
80 |
78 |
$0.00 |
| 84295 |
|
86 |
82 |
$0.00 |
| 85007 |
|
69 |
51 |
$0.00 |
| 84588 |
|
40 |
39 |
$0.00 |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
14 |
12 |
$0.00 |
| 73565 |
|
12 |
12 |
$0.00 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
12 |
12 |
$0.00 |
| 87899 |
|
56 |
54 |
$0.00 |
| 82533 |
|
78 |
56 |
$0.00 |
| 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 |
982 |
902 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
940 |
811 |
$0.00 |
| 82435 |
|
84 |
81 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
59 |
54 |
$0.00 |
| 83550 |
|
16 |
12 |
$0.00 |
| 85379 |
|
172 |
154 |
$0.00 |
| 84132 |
|
172 |
161 |
$0.00 |
| 82728 |
|
151 |
128 |
$0.00 |
| 87040 |
|
201 |
185 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
126 |
122 |
$0.00 |
| 83615 |
|
45 |
44 |
$0.00 |
| 86140 |
|
98 |
90 |
$0.00 |
| 82150 |
|
30 |
28 |
$0.00 |
| 84703 |
|
110 |
106 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
166 |
95 |
$0.00 |
| 85651 |
|
13 |
12 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
61 |
61 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
12 |
$0.00 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
18 |
13 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
18 |
13 |
$0.00 |
| J2785 |
Injection, regadenoson, 0.1 mg |
14 |
14 |
$0.00 |
| 70486 |
|
15 |
15 |
$0.00 |