| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
Comprehensive metabolic panel |
20,047 |
14,993 |
$281K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,686 |
2,343 |
$260K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,653 |
2,047 |
$178K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
22,549 |
17,714 |
$177K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,135 |
957 |
$143K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,829 |
2,197 |
$128K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,369 |
1,823 |
$125K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,757 |
1,496 |
$125K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,598 |
808 |
$90K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,497 |
3,224 |
$89K |
| 80305 |
|
6,884 |
5,481 |
$82K |
| 83880 |
|
3,127 |
2,698 |
$76K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,362 |
1,896 |
$73K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,809 |
4,848 |
$69K |
| 71045 |
Radiologic examination, chest; single view |
7,487 |
6,651 |
$62K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,098 |
1,739 |
$52K |
| 71046 |
Radiologic examination, chest; 2 views |
2,840 |
2,420 |
$45K |
| 84484 |
|
4,938 |
4,040 |
$45K |
| 83874 |
|
3,100 |
2,489 |
$41K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,594 |
3,113 |
$40K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
799 |
724 |
$40K |
| 87081 |
|
4,758 |
4,393 |
$40K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
4,006 |
3,154 |
$36K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
162 |
118 |
$35K |
| 76801 |
|
890 |
786 |
$32K |
| 87430 |
|
2,812 |
2,572 |
$32K |
| 81001 |
|
13,770 |
11,350 |
$31K |
| 86901 |
|
1,424 |
1,191 |
$31K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,321 |
4,388 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,807 |
2,579 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,581 |
2,405 |
$30K |
| 82805 |
|
1,066 |
948 |
$28K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
513 |
486 |
$24K |
| 80050 |
General health panel |
497 |
475 |
$24K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,209 |
2,546 |
$23K |
| 81025 |
|
2,740 |
2,467 |
$23K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,533 |
2,045 |
$21K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
145 |
131 |
$20K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,588 |
2,324 |
$20K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,874 |
2,406 |
$20K |
| 73562 |
|
850 |
567 |
$19K |
| 83605 |
|
1,806 |
1,572 |
$19K |
| 85027 |
|
3,061 |
2,458 |
$18K |
| 82550 |
|
2,663 |
2,291 |
$18K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,962 |
1,464 |
$17K |
| 83690 |
|
2,393 |
2,032 |
$17K |
| 83735 |
|
2,783 |
2,286 |
$17K |
| 87400 |
|
2,785 |
2,581 |
$16K |
| 94760 |
|
752 |
667 |
$14K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,630 |
2,692 |
$14K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,585 |
1,210 |
$13K |
| 80061 |
Lipid panel |
1,234 |
1,016 |
$13K |
| 85730 |
|
2,656 |
2,297 |
$13K |
| 87040 |
|
1,172 |
1,058 |
$13K |
| 86756 |
|
778 |
695 |
$13K |
| 80320 |
|
864 |
714 |
$13K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,394 |
1,265 |
$11K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
67 |
38 |
$11K |
| 97161 |
|
163 |
127 |
$11K |
| 59025 |
Fetal non-stress test |
103 |
45 |
$11K |
| 82150 |
|
1,334 |
1,131 |
$11K |
| 84702 |
|
1,012 |
835 |
$10K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
124 |
90 |
$10K |
| 84703 |
|
890 |
763 |
$10K |
| 85610 |
|
3,197 |
2,531 |
$10K |
| G0378 |
Hospital observation service, per hour |
91 |
78 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
57 |
51 |
$9K |
| 87807 |
|
705 |
669 |
$9K |
| 99218 |
|
184 |
172 |
$9K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,161 |
2,768 |
$8K |
| 87077 |
|
680 |
612 |
$6K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,618 |
2,158 |
$6K |
| 73630 |
|
333 |
258 |
$6K |
| 87186 |
|
625 |
557 |
$6K |
| 85378 |
|
918 |
818 |
$6K |
| 86900 |
|
1,366 |
1,138 |
$5K |
| 74018 |
|
320 |
259 |
$5K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,667 |
1,205 |
$5K |
| 73030 |
|
289 |
220 |
$5K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,445 |
703 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
331 |
312 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
8,303 |
6,210 |
$4K |
| 71250 |
|
41 |
37 |
$4K |
| 80362 |
|
528 |
274 |
$4K |
| 73610 |
|
251 |
193 |
$4K |
| 82728 |
|
618 |
432 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
479 |
393 |
$3K |
| 83615 |
|
684 |
397 |
$3K |
| 97597 |
|
170 |
80 |
$3K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
108 |
65 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
46 |
37 |
$3K |
| 80329 |
|
145 |
116 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
96 |
74 |
$2K |
| 72100 |
|
113 |
89 |
$2K |
| 70486 |
|
15 |
13 |
$2K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,516 |
1,418 |
$2K |
| 82565 |
|
165 |
117 |
$2K |
| 86850 |
|
437 |
355 |
$2K |
| 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 |
67 |
64 |
$1K |
| 96367 |
|
197 |
99 |
$1K |
| 82962 |
|
232 |
158 |
$1K |
| 73130 |
|
59 |
51 |
$1K |
| 83540 |
|
319 |
223 |
$1K |
| 83550 |
|
267 |
188 |
$1K |
| 71010 |
|
441 |
403 |
$884.37 |
| 71020 |
|
74 |
54 |
$882.31 |
| 74022 |
|
34 |
26 |
$768.00 |
| 73502 |
|
40 |
26 |
$739.75 |
| J1815 |
Injection, insulin, per 5 units |
272 |
159 |
$627.02 |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
42 |
13 |
$595.00 |
| 93971 |
|
17 |
13 |
$474.97 |
| 76641 |
|
12 |
12 |
$464.74 |
| 73110 |
|
13 |
12 |
$457.99 |
| 76818 |
|
39 |
12 |
$450.84 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,447 |
1,061 |
$440.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
15 |
14 |
$383.81 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
382 |
324 |
$339.43 |
| J1644 |
Injection, heparin sodium, per 1000 units |
710 |
399 |
$287.05 |
| 84436 |
|
47 |
37 |
$222.50 |
| 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 |
64 |
54 |
$206.60 |
| 84520 |
|
26 |
24 |
$188.53 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
21 |
19 |
$180.49 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
2,080 |
1,858 |
$133.66 |
| 86140 |
|
30 |
24 |
$120.24 |
| 82009 |
|
22 |
14 |
$107.80 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
237 |
169 |
$96.27 |
| J2704 |
Injection, propofol, 10 mg |
641 |
567 |
$92.21 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
133 |
124 |
$92.02 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
259 |
163 |
$77.61 |
| 82947 |
|
14 |
13 |
$72.80 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
155 |
129 |
$71.08 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
99 |
58 |
$66.24 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
74 |
63 |
$43.48 |
| 36600 |
|
280 |
254 |
$43.12 |
| J3105 |
Injection, terbutaline sulfate, up to 1 mg |
53 |
41 |
$32.40 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,624 |
1,424 |
$16.53 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
105 |
92 |
$11.66 |
| J7510 |
Prednisolone oral, per 5 mg |
25 |
25 |
$6.22 |
| 96376 |
|
329 |
240 |
$4.49 |
| 36416 |
|
157 |
141 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
24 |
24 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
177 |
152 |
$0.00 |
| 93041 |
|
15 |
13 |
$0.00 |