| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,938 |
20,537 |
$2.38M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,726 |
14,598 |
$1.64M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15,070 |
14,345 |
$1.58M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
10,485 |
8,872 |
$1.19M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,142 |
6,420 |
$916K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,166 |
5,652 |
$783K |
| 99215 |
Prolong outpt/office vis |
3,506 |
2,995 |
$495K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
5,384 |
1,335 |
$449K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,683 |
3,443 |
$444K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,354 |
1,101 |
$332K |
| 64635 |
|
840 |
559 |
$273K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
2,641 |
937 |
$251K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
715 |
590 |
$241K |
| 64493 |
|
647 |
431 |
$234K |
| 76000 |
|
2,885 |
2,383 |
$227K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
727 |
623 |
$221K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,677 |
1,524 |
$211K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,380 |
935 |
$195K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
566 |
335 |
$177K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,516 |
1,452 |
$154K |
| 80053 |
Comprehensive metabolic panel |
12,877 |
11,038 |
$116K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
858 |
672 |
$103K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
857 |
621 |
$92K |
| 20610 |
|
512 |
339 |
$62K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,573 |
2,400 |
$51K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
596 |
514 |
$51K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
7,585 |
6,093 |
$46K |
| 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 |
2,658 |
2,302 |
$41K |
| 71046 |
Radiologic examination, chest; 2 views |
1,389 |
1,223 |
$40K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18,564 |
15,363 |
$39K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,755 |
1,535 |
$32K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
2,398 |
2,283 |
$31K |
| 97161 |
|
411 |
381 |
$28K |
| 87400 |
|
3,496 |
3,136 |
$25K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
183 |
101 |
$24K |
| 73630 |
|
731 |
613 |
$22K |
| 36415 |
Collection of venous blood by venipuncture |
23,687 |
19,534 |
$21K |
| 80061 |
Lipid panel |
1,401 |
1,278 |
$20K |
| 84484 |
|
6,574 |
4,242 |
$19K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
284 |
270 |
$19K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
156 |
71 |
$18K |
| 73562 |
|
535 |
465 |
$18K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,323 |
1,204 |
$17K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
122 |
108 |
$15K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
284 |
213 |
$15K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
699 |
633 |
$14K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
84 |
68 |
$14K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
5,681 |
4,998 |
$14K |
| 80306 |
|
2,482 |
2,101 |
$14K |
| 73030 |
|
471 |
395 |
$12K |
| 73110 |
|
438 |
341 |
$12K |
| 84439 |
|
484 |
435 |
$12K |
| 73610 |
|
517 |
429 |
$12K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
8,837 |
7,304 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
6,231 |
5,184 |
$11K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
167 |
39 |
$11K |
| 87088 |
|
3,917 |
3,355 |
$11K |
| 74018 |
|
204 |
174 |
$10K |
| 71250 |
|
99 |
84 |
$10K |
| 80348 |
|
1,140 |
1,060 |
$10K |
| 73130 |
|
558 |
449 |
$9K |
| 20552 |
|
78 |
66 |
$8K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
285 |
271 |
$7K |
| 82728 |
|
299 |
277 |
$7K |
| G0482 |
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; 15-21 drug class(es), including metabolite(s) if performed |
908 |
809 |
$6K |
| 82607 |
|
265 |
242 |
$6K |
| 80362 |
|
1,136 |
1,058 |
$6K |
| 80076 |
|
886 |
705 |
$5K |
| 83735 |
|
6,307 |
4,920 |
$5K |
| 87430 |
|
7,391 |
6,801 |
$5K |
| 87070 |
|
354 |
312 |
$5K |
| 81001 |
|
8,783 |
7,697 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
19 |
13 |
$4K |
| 94060 |
|
30 |
25 |
$4K |
| 64640 |
|
13 |
13 |
$4K |
| 64494 |
|
639 |
426 |
$4K |
| 83540 |
|
351 |
319 |
$4K |
| 80346 |
|
222 |
206 |
$4K |
| 86140 |
|
202 |
174 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
149 |
135 |
$3K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
29 |
12 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,863 |
1,869 |
$3K |
| 87077 |
|
844 |
659 |
$3K |
| J3490 |
Unclassified drugs |
1,916 |
1,093 |
$3K |
| 85610 |
|
5,072 |
4,322 |
$3K |
| 64454 |
|
27 |
12 |
$3K |
| 72100 |
|
108 |
101 |
$3K |
| 83992 |
|
651 |
637 |
$3K |
| 85027 |
|
1,055 |
789 |
$2K |
| 80324 |
|
651 |
637 |
$2K |
| 12001 |
|
13 |
12 |
$2K |
| 85007 |
|
835 |
622 |
$2K |
| 73502 |
|
58 |
54 |
$2K |
| 83550 |
|
193 |
174 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
149 |
135 |
$2K |
| 87186 |
|
733 |
567 |
$2K |
| 80361 |
|
697 |
679 |
$2K |
| 83690 |
|
1,952 |
1,604 |
$1K |
| 85652 |
|
291 |
248 |
$1K |
| G0378 |
Hospital observation service, per hour |
29 |
12 |
$1K |
| 80365 |
|
679 |
659 |
$1K |
| 82570 |
|
118 |
106 |
$1K |
| 85730 |
|
4,534 |
3,806 |
$1K |
| 99205 |
Prolong outpt/office vis |
22 |
12 |
$1K |
| 81025 |
|
2,092 |
1,733 |
$1K |
| 80354 |
|
651 |
637 |
$1K |
| 80347 |
|
651 |
637 |
$1K |
| 80373 |
|
654 |
638 |
$1K |
| 80356 |
|
651 |
637 |
$1K |
| 80360 |
|
650 |
636 |
$1K |
| 80353 |
|
651 |
637 |
$1K |
| 80368 |
|
651 |
637 |
$1K |
| 80355 |
|
652 |
637 |
$1K |
| 80366 |
|
651 |
637 |
$1K |
| 80370 |
|
650 |
636 |
$1K |
| 80372 |
|
651 |
637 |
$1K |
| 80358 |
|
651 |
637 |
$1K |
| 80359 |
|
651 |
637 |
$1K |
| 64636 |
|
838 |
556 |
$1K |
| 72110 |
|
15 |
12 |
$1K |
| 80320 |
|
82 |
77 |
$852.16 |
| 86703 |
|
33 |
26 |
$838.32 |
| 83605 |
|
855 |
564 |
$834.41 |
| 83880 |
|
503 |
404 |
$807.70 |
| 73560 |
|
14 |
12 |
$741.36 |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
16 |
16 |
$723.92 |
| 99156 |
|
431 |
354 |
$713.70 |
| 85379 |
|
477 |
386 |
$711.19 |
| 73080 |
|
33 |
26 |
$700.96 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
53 |
47 |
$638.77 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
237 |
166 |
$623.84 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
4,666 |
3,842 |
$596.93 |
| 80069 |
|
28 |
26 |
$583.22 |
| 82746 |
|
64 |
61 |
$564.05 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
72 |
30 |
$504.38 |
| 83970 |
|
16 |
12 |
$498.83 |
| 96376 |
|
428 |
295 |
$469.99 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,431 |
2,740 |
$395.15 |
| 80329 |
|
68 |
38 |
$382.51 |
| 87040 |
|
377 |
167 |
$346.82 |
| 86900 |
|
19 |
13 |
$345.60 |
| 83655 |
|
12 |
12 |
$332.05 |
| 82043 |
|
57 |
48 |
$320.99 |
| 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 |
438 |
358 |
$312.49 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
109 |
84 |
$303.01 |
| 80377 |
|
33 |
28 |
$236.19 |
| 84403 |
|
14 |
13 |
$232.18 |
| 82565 |
|
17 |
13 |
$202.73 |
| 84702 |
|
14 |
12 |
$180.61 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
148 |
94 |
$176.53 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
627 |
475 |
$144.50 |
| 87899 |
|
32 |
25 |
$140.13 |
| 94760 |
|
7,720 |
6,497 |
$130.50 |
| 84703 |
|
95 |
80 |
$113.29 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
3,648 |
2,830 |
$113.27 |
| 87420 |
|
21 |
15 |
$112.58 |
| 74022 |
|
14 |
12 |
$107.84 |
| 73090 |
|
14 |
13 |
$94.35 |
| 85018 |
|
14 |
12 |
$75.57 |
| 82550 |
|
100 |
81 |
$59.69 |
| 81003 |
|
140 |
124 |
$57.85 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
981 |
756 |
$54.89 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
132 |
90 |
$42.89 |
| J2704 |
Injection, propofol, 10 mg |
404 |
320 |
$39.66 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,114 |
802 |
$33.27 |
| 82800 |
|
30 |
24 |
$31.84 |
| 86901 |
|
20 |
14 |
$26.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
109 |
89 |
$17.51 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
385 |
300 |
$12.51 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
170 |
130 |
$8.75 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
35 |
24 |
$6.08 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
14 |
12 |
$3.48 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
180 |
116 |
$3.01 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
108 |
83 |
$2.63 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
60 |
55 |
$2.18 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
33 |
26 |
$2.16 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
105 |
85 |
$1.39 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
15 |
12 |
$1.30 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
40 |
27 |
$1.30 |
| J7050 |
Infusion, normal saline solution, 250 cc |
56 |
38 |
$0.65 |
| 76377 |
|
414 |
297 |
$0.00 |
| 82150 |
|
27 |
26 |
$0.00 |
| 94762 |
|
173 |
146 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
31 |
28 |
$0.00 |
| 51798 |
|
13 |
12 |
$0.00 |
| 94761 |
|
36 |
28 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
42 |
28 |
$0.00 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
33 |
26 |
$0.00 |
| 36000 |
|
55 |
24 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,418 |
1,155 |
$0.00 |
| 99152 |
|
81 |
73 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
13 |
13 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
54 |
25 |
$0.00 |
| 76376 |
|
63 |
53 |
$0.00 |
| 51702 |
|
14 |
12 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
20 |
13 |
$0.00 |
| G0483 |
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; 22 or more drug class(es), including metabolite(s) if performed |
14 |
13 |
$0.00 |