| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
41,092 |
31,130 |
$602K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,112 |
1,072 |
$109K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,274 |
3,235 |
$55K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
190 |
190 |
$49K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
116 |
116 |
$29K |
| 71046 |
Radiologic examination, chest; 2 views |
2,080 |
2,028 |
$27K |
| 77080 |
|
516 |
515 |
$23K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
565 |
559 |
$21K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
275 |
275 |
$19K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
334 |
318 |
$17K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
118 |
117 |
$16K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
256 |
239 |
$13K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,866 |
1,021 |
$13K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
540 |
512 |
$11K |
| 71250 |
|
520 |
519 |
$11K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
75 |
75 |
$10K |
| 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 |
567 |
545 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
450 |
450 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
114 |
113 |
$5K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
127 |
115 |
$5K |
| 80061 |
Lipid panel |
2,895 |
2,872 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
529 |
442 |
$4K |
| J0178 |
Injection, aflibercept, 1 mg |
14 |
13 |
$4K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
120 |
108 |
$3K |
| 20610 |
|
138 |
130 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
179 |
179 |
$3K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,130 |
396 |
$3K |
| Q3014 |
Telehealth originating site facility fee |
1,088 |
994 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
134 |
132 |
$3K |
| 80053 |
Comprehensive metabolic panel |
3,073 |
2,607 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,909 |
4,316 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
668 |
663 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,116 |
1,087 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
859 |
853 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,185 |
1,159 |
$2K |
| 93017 |
|
121 |
121 |
$1K |
| 83735 |
|
2,676 |
2,233 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,716 |
2,658 |
$1K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
264 |
253 |
$1K |
| 92553 |
|
74 |
73 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
7,927 |
7,226 |
$1K |
| 72100 |
|
66 |
66 |
$1K |
| 92083 |
|
959 |
957 |
$955.65 |
| 84100 |
|
1,747 |
1,384 |
$824.76 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,836 |
1,744 |
$801.13 |
| 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 |
251 |
242 |
$800.00 |
| 90694 |
|
73 |
73 |
$795.62 |
| 90677 |
|
26 |
26 |
$700.44 |
| 0002A |
|
12 |
12 |
$675.80 |
| 90653 |
|
64 |
63 |
$657.76 |
| 97162 |
|
117 |
117 |
$625.35 |
| 82947 |
|
1,474 |
1,394 |
$623.69 |
| 0001A |
|
18 |
18 |
$609.84 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
208 |
208 |
$490.10 |
| 83970 |
|
343 |
341 |
$417.38 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
57 |
55 |
$410.48 |
| 82565 |
|
1,292 |
1,228 |
$400.40 |
| 90662 |
|
93 |
93 |
$398.04 |
| 85027 |
|
806 |
757 |
$393.04 |
| 83615 |
|
939 |
826 |
$385.87 |
| 84460 |
|
1,230 |
1,210 |
$385.13 |
| 84450 |
|
1,225 |
1,205 |
$376.27 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
19 |
13 |
$370.72 |
| 92557 |
|
147 |
147 |
$370.56 |
| 84550 |
|
1,022 |
905 |
$360.26 |
| 82570 |
|
1,635 |
1,584 |
$340.26 |
| 80051 |
|
699 |
655 |
$318.20 |
| 90686 |
|
201 |
201 |
$317.79 |
| 91322 |
|
41 |
41 |
$298.34 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
38 |
38 |
$294.61 |
| 82043 |
|
1,376 |
1,343 |
$293.00 |
| 0004A |
|
83 |
83 |
$286.38 |
| 92134 |
|
1,212 |
1,199 |
$270.18 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
38 |
26 |
$269.62 |
| 0064A |
|
35 |
35 |
$236.79 |
| 84520 |
|
973 |
919 |
$232.89 |
| 92133 |
|
1,088 |
1,087 |
$215.96 |
| 73030 |
|
27 |
26 |
$204.76 |
| 0134A |
|
29 |
29 |
$190.92 |
| 84075 |
|
662 |
648 |
$185.50 |
| 82607 |
|
152 |
151 |
$180.96 |
| 84466 |
|
273 |
268 |
$180.06 |
| 82247 |
|
629 |
614 |
$174.72 |
| 87517 |
|
36 |
36 |
$171.36 |
| 0124A |
|
91 |
91 |
$143.19 |
| 81002 |
|
1,399 |
1,363 |
$142.68 |
| 82728 |
|
262 |
252 |
$136.30 |
| 83880 |
|
25 |
24 |
$117.78 |
| 80069 |
|
516 |
495 |
$115.85 |
| 73562 |
|
29 |
26 |
$99.18 |
| 84153 |
|
78 |
77 |
$98.32 |
| 82248 |
|
174 |
172 |
$91.65 |
| 83540 |
|
272 |
267 |
$91.30 |
| 93296 |
|
13 |
13 |
$82.32 |
| 84156 |
|
658 |
627 |
$80.74 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
33 |
26 |
$50.70 |
| 82105 |
|
25 |
25 |
$50.31 |
| G0009 |
Administration of pneumococcal vaccine |
26 |
26 |
$49.93 |
| 81001 |
|
248 |
228 |
$41.56 |
| 86140 |
|
174 |
165 |
$31.08 |
| 84439 |
|
69 |
66 |
$27.06 |
| 90480 |
|
39 |
39 |
$19.02 |
| 85652 |
|
172 |
162 |
$13.50 |
| 85610 |
|
234 |
195 |
$13.11 |
| 85007 |
|
19 |
14 |
$11.40 |
| 82948 |
|
397 |
317 |
$10.08 |
| 82040 |
|
28 |
27 |
$9.90 |
| 81003 |
|
559 |
537 |
$9.76 |
| 91300 |
|
80 |
70 |
$0.03 |
| J2704 |
Injection, propofol, 10 mg |
653 |
649 |
$0.00 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
111 |
111 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
559 |
556 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
377 |
349 |
$0.00 |
| 92567 |
|
53 |
53 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
69 |
65 |
$0.00 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
26 |
26 |
$0.00 |
| 92136 |
|
50 |
50 |
$0.00 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
26 |
26 |
$0.00 |
| 73564 |
|
12 |
12 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
13 |
13 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
14 |
13 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
13 |
12 |
$0.00 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
286 |
283 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
204 |
197 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
324 |
321 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
556 |
421 |
$0.00 |
| 91312 |
|
55 |
55 |
$0.00 |
| 92015 |
Determination of refractive state |
38 |
38 |
$0.00 |
| 92555 |
|
42 |
41 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
39 |
37 |
$0.00 |
| 0690T |
|
35 |
35 |
$0.00 |
| 91313 |
|
14 |
14 |
$0.00 |