| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95811 |
|
4,637 |
2,599 |
$2.01M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38,914 |
24,164 |
$1.18M |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
1,550 |
805 |
$631K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,136 |
1,244 |
$466K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
2,966 |
1,229 |
$381K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
6,254 |
3,538 |
$359K |
| 94375 |
|
5,065 |
4,156 |
$293K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,707 |
2,200 |
$233K |
| 88342 |
|
3,500 |
2,104 |
$178K |
| 80053 |
Comprehensive metabolic panel |
9,171 |
8,102 |
$175K |
| 99233 |
Prolong inpt eval add15 m |
3,505 |
1,464 |
$165K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
390 |
245 |
$165K |
| 99205 |
Prolong outpt/office vis |
2,034 |
1,258 |
$124K |
| 99215 |
Prolong outpt/office vis |
6,064 |
4,668 |
$120K |
| 86140 |
|
7,806 |
6,978 |
$114K |
| 31231 |
|
842 |
503 |
$113K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,079 |
1,340 |
$107K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14,596 |
11,822 |
$90K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,598 |
2,323 |
$84K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,140 |
719 |
$78K |
| J2357 |
Injection, omalizumab, 5 mg |
85 |
52 |
$65K |
| 95806 |
|
272 |
177 |
$56K |
| 71250 |
|
1,803 |
1,550 |
$46K |
| 71046 |
Radiologic examination, chest; 2 views |
3,420 |
2,974 |
$40K |
| 94664 |
|
425 |
383 |
$32K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
130 |
122 |
$32K |
| 85652 |
|
7,210 |
6,485 |
$27K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
381 |
325 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,255 |
819 |
$25K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,201 |
905 |
$19K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
312 |
251 |
$14K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,877 |
1,229 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
7,221 |
5,751 |
$12K |
| 83880 |
|
538 |
454 |
$10K |
| 80061 |
Lipid panel |
672 |
569 |
$10K |
| 94060 |
|
483 |
372 |
$9K |
| 86160 |
|
683 |
499 |
$9K |
| 86235 |
|
381 |
271 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,126 |
993 |
$8K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
31 |
13 |
$8K |
| 94618 |
|
63 |
50 |
$7K |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
162 |
142 |
$7K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
69 |
36 |
$7K |
| 83516 |
|
382 |
286 |
$6K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,099 |
929 |
$6K |
| 73130 |
|
287 |
174 |
$5K |
| 81001 |
|
95 |
83 |
$5K |
| 95012 |
|
106 |
100 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
708 |
612 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
62 |
60 |
$4K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
41 |
25 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
14 |
$4K |
| 86328 |
|
93 |
76 |
$4K |
| 94726 |
|
63 |
54 |
$4K |
| 95117 |
|
140 |
93 |
$3K |
| 86225 |
|
459 |
419 |
$3K |
| 94010 |
|
58 |
57 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
32 |
28 |
$3K |
| 88341 |
|
43 |
24 |
$3K |
| 82728 |
|
265 |
233 |
$3K |
| 93299 |
|
144 |
108 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
77 |
53 |
$2K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
67 |
61 |
$2K |
| 84439 |
|
605 |
518 |
$2K |
| 73630 |
|
129 |
89 |
$2K |
| 86703 |
|
74 |
66 |
$2K |
| 81003 |
|
113 |
109 |
$2K |
| 82784 |
|
130 |
108 |
$2K |
| 95800 |
|
14 |
13 |
$2K |
| 86803 |
|
235 |
216 |
$2K |
| 86705 |
|
74 |
72 |
$2K |
| 86431 |
|
193 |
180 |
$2K |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
150 |
105 |
$2K |
| 84156 |
|
135 |
124 |
$1K |
| 86704 |
|
118 |
112 |
$1K |
| 82550 |
|
245 |
230 |
$1K |
| 87340 |
|
123 |
115 |
$1K |
| 83540 |
|
401 |
348 |
$1K |
| 82785 |
|
27 |
24 |
$1K |
| 83550 |
|
402 |
348 |
$1K |
| 86038 |
|
168 |
149 |
$1K |
| 83735 |
|
468 |
411 |
$1K |
| 82607 |
|
186 |
167 |
$1K |
| 86481 |
|
56 |
50 |
$1K |
| 94729 |
|
74 |
66 |
$971.82 |
| 93296 |
|
69 |
56 |
$896.02 |
| 82570 |
|
149 |
139 |
$802.25 |
| 96152 |
|
235 |
146 |
$716.00 |
| 85610 |
|
198 |
147 |
$715.21 |
| 85027 |
|
67 |
58 |
$697.08 |
| 93298 |
|
49 |
39 |
$485.70 |
| 87116 |
|
33 |
24 |
$444.08 |
| 86812 |
|
14 |
14 |
$442.96 |
| 83704 |
|
43 |
43 |
$412.02 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
19 |
13 |
$411.17 |
| 84182 |
|
65 |
26 |
$406.25 |
| 82172 |
|
43 |
43 |
$305.50 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
18 |
12 |
$301.12 |
| 86706 |
|
32 |
26 |
$293.60 |
| 84165 |
|
60 |
54 |
$290.79 |
| 93018 |
|
25 |
24 |
$275.80 |
| 84432 |
|
12 |
12 |
$269.76 |
| 87102 |
|
49 |
36 |
$232.13 |
| 86146 |
|
12 |
12 |
$216.45 |
| 83695 |
|
58 |
55 |
$203.24 |
| 36592 |
|
65 |
50 |
$176.10 |
| 86376 |
|
29 |
29 |
$175.66 |
| 86147 |
|
12 |
12 |
$172.07 |
| 94760 |
|
4,589 |
3,969 |
$153.70 |
| 86800 |
|
12 |
12 |
$134.88 |
| 87077 |
|
31 |
24 |
$119.08 |
| 86364 |
|
13 |
12 |
$100.81 |
| 87205 |
|
48 |
37 |
$90.20 |
| 87071 |
|
48 |
37 |
$88.16 |
| 87015 |
|
33 |
24 |
$75.91 |
| 82085 |
|
13 |
13 |
$57.30 |
| 80076 |
|
12 |
12 |
$56.52 |
| 87206 |
|
33 |
24 |
$50.05 |
| 82043 |
|
14 |
14 |
$19.68 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
591 |
423 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
536 |
436 |
$0.00 |
| 36416 |
|
40 |
21 |
$0.00 |
| J3490 |
Unclassified drugs |
420 |
289 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
23 |
12 |
$0.00 |
| 85008 |
|
12 |
12 |
$0.00 |