| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
16,648 |
13,144 |
$8.78M |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
15,037 |
11,895 |
$5.99M |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
18,985 |
14,987 |
$5.15M |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
21,748 |
14,710 |
$4.17M |
| 80053 |
Comprehensive metabolic panel |
11,372 |
9,137 |
$3.70M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14,339 |
8,463 |
$2.27M |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,862 |
5,533 |
$1.89M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,500 |
12,313 |
$1.85M |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
4,279 |
3,427 |
$1.81M |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,244 |
3,543 |
$1.60M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,890 |
1,010 |
$1.22M |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
4,059 |
3,643 |
$1.03M |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,985 |
1,837 |
$940K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,416 |
2,462 |
$919K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
2,235 |
2,002 |
$854K |
| 92015 |
Determination of refractive state |
2,378 |
2,297 |
$807K |
| 85018 |
|
1,126 |
1,073 |
$732K |
| 81001 |
|
5,914 |
5,086 |
$619K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
938 |
893 |
$613K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,912 |
5,290 |
$564K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,676 |
1,384 |
$490K |
| 86592 |
|
2,338 |
2,156 |
$462K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,147 |
2,778 |
$446K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
8,744 |
5,700 |
$392K |
| 87210 |
|
1,195 |
1,096 |
$336K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
11,624 |
9,187 |
$322K |
| 71046 |
Radiologic examination, chest; 2 views |
2,065 |
1,813 |
$307K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,871 |
1,596 |
$294K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
886 |
750 |
$278K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,258 |
890 |
$275K |
| 81025 |
|
2,160 |
1,938 |
$260K |
| 83540 |
|
377 |
344 |
$252K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,472 |
1,173 |
$246K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
595 |
449 |
$245K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,336 |
1,102 |
$223K |
| 86580 |
|
395 |
379 |
$218K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
529 |
483 |
$208K |
| 80306 |
|
2,104 |
1,875 |
$188K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,379 |
1,164 |
$187K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
3,570 |
3,274 |
$186K |
| 85610 |
|
1,605 |
1,258 |
$180K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
461 |
456 |
$176K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
656 |
579 |
$171K |
| 36415 |
Collection of venous blood by venipuncture |
7,584 |
6,215 |
$167K |
| 80061 |
Lipid panel |
2,289 |
2,082 |
$162K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
416 |
387 |
$142K |
| 87070 |
|
226 |
197 |
$140K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,364 |
3,059 |
$137K |
| 85027 |
|
2,781 |
2,513 |
$130K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
311 |
305 |
$118K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,405 |
2,686 |
$117K |
| 84439 |
|
940 |
854 |
$107K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
203 |
197 |
$102K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,543 |
1,382 |
$98K |
| 70450 |
Computed tomography, head or brain; without contrast material |
734 |
656 |
$87K |
| 82962 |
|
178 |
167 |
$86K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,597 |
3,229 |
$72K |
| 82947 |
|
116 |
110 |
$67K |
| 81002 |
|
233 |
215 |
$63K |
| 86140 |
|
2,570 |
2,122 |
$63K |
| 84702 |
|
210 |
150 |
$60K |
| 92002 |
|
113 |
111 |
$59K |
| 81003 |
|
484 |
450 |
$58K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
99 |
93 |
$53K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
81 |
79 |
$50K |
| 99443 |
|
107 |
89 |
$50K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
269 |
229 |
$46K |
| 90473 |
|
95 |
77 |
$44K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
140 |
137 |
$40K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
2,476 |
2,293 |
$40K |
| 99442 |
|
86 |
68 |
$39K |
| 73130 |
|
123 |
106 |
$39K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
946 |
920 |
$35K |
| 76801 |
|
82 |
81 |
$34K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,386 |
2,792 |
$33K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
682 |
642 |
$31K |
| 92567 |
|
347 |
336 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
390 |
375 |
$30K |
| 80076 |
|
190 |
148 |
$30K |
| 85008 |
|
726 |
573 |
$28K |
| 87081 |
|
102 |
87 |
$27K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
131 |
98 |
$24K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,284 |
1,789 |
$23K |
| 82951 |
|
42 |
41 |
$23K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
654 |
208 |
$20K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
45 |
41 |
$19K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
25 |
25 |
$18K |
| 92504 |
|
48 |
48 |
$18K |
| 87807 |
|
232 |
216 |
$18K |
| 73610 |
|
46 |
39 |
$17K |
| 84484 |
|
1,320 |
976 |
$16K |
| 86900 |
|
663 |
491 |
$14K |
| 99441 |
|
33 |
29 |
$14K |
| 92557 |
|
29 |
29 |
$14K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
219 |
151 |
$13K |
| 87088 |
|
174 |
144 |
$13K |
| 83735 |
|
3,157 |
2,384 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
223 |
204 |
$12K |
| 86803 |
|
1,284 |
1,203 |
$11K |
| 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 |
155 |
140 |
$11K |
| 92310 |
|
39 |
38 |
$10K |
| 83880 |
|
567 |
438 |
$10K |
| G0378 |
Hospital observation service, per hour |
2,573 |
963 |
$9K |
| 92555 |
|
59 |
57 |
$9K |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
14 |
14 |
$8K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
16 |
13 |
$7K |
| 71250 |
|
13 |
12 |
$7K |
| J2060 |
Injection, lorazepam, 2 mg |
55 |
32 |
$7K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,733 |
1,380 |
$7K |
| 73630 |
|
14 |
13 |
$7K |
| 82652 |
|
31 |
31 |
$6K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
676 |
590 |
$6K |
| 84703 |
|
153 |
142 |
$6K |
| 83690 |
|
2,034 |
1,709 |
$6K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
3,977 |
3,629 |
$5K |
| 86850 |
|
284 |
264 |
$4K |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
14 |
12 |
$4K |
| 80047 |
|
21 |
18 |
$4K |
| 90686 |
|
23 |
22 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
32 |
30 |
$4K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
16 |
16 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
220 |
204 |
$4K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
205 |
176 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
26 |
25 |
$4K |
| 73030 |
|
12 |
12 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
16 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
91 |
78 |
$3K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
204 |
137 |
$3K |
| 87340 |
|
297 |
278 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,141 |
982 |
$3K |
| 73100 |
|
16 |
12 |
$2K |
| 82043 |
|
18 |
16 |
$2K |
| 82607 |
|
60 |
58 |
$2K |
| 70486 |
|
18 |
14 |
$2K |
| 90474 |
|
215 |
161 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
13 |
$2K |
| 82570 |
|
29 |
27 |
$2K |
| J3411 |
Injection, thiamine hcl, 100 mg |
110 |
95 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17 |
17 |
$2K |
| 99215 |
Prolong outpt/office vis |
139 |
128 |
$2K |
| 36416 |
|
49 |
46 |
$1K |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
32 |
31 |
$1K |
| 81015 |
|
22 |
18 |
$1K |
| 83605 |
|
308 |
262 |
$1K |
| 85730 |
|
225 |
176 |
$710.00 |
| 87040 |
|
58 |
50 |
$653.00 |
| 87206 |
|
77 |
62 |
$653.00 |
| 97161 |
|
54 |
52 |
$116.00 |
| 80320 |
|
2,356 |
1,936 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
129 |
116 |
$0.00 |
| 80329 |
|
133 |
95 |
$0.00 |
| 85651 |
|
173 |
162 |
$0.00 |
| 82553 |
|
14 |
12 |
$0.00 |
| 86762 |
|
157 |
146 |
$0.00 |
| 82550 |
|
30 |
29 |
$0.00 |
| 83874 |
|
14 |
12 |
$0.00 |
| 99217 |
|
293 |
269 |
$0.00 |
| 96368 |
|
13 |
12 |
$0.00 |
| 82150 |
|
17 |
16 |
$0.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
51 |
24 |
$0.00 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
42 |
31 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
20 |
14 |
$0.00 |
| 96127 |
|
15 |
14 |
$0.00 |
| 99220 |
|
28 |
26 |
$0.00 |
| 90480 |
|
18 |
15 |
$0.00 |
| 96376 |
|
53 |
26 |
$0.00 |
| 92587 |
|
19 |
18 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
204 |
198 |
$0.00 |
| 84100 |
|
111 |
99 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
282 |
232 |
$0.00 |
| 84481 |
|
17 |
15 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
104 |
82 |
$0.00 |
| 99218 |
|
55 |
52 |
$0.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
31 |
27 |
$0.00 |
| J0570 |
Buprenorphine implant, 74.2 mg |
13 |
12 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
20 |
12 |
$0.00 |