| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 41899 |
Unlisted procedure, dentoalveolar structures |
2,165 |
1,697 |
$2.19M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
30,816 |
21,146 |
$2.05M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
28,990 |
17,084 |
$1.45M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48,862 |
29,683 |
$870K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,957 |
17,997 |
$723K |
| 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 |
22,450 |
9,438 |
$664K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
7,152 |
1,426 |
$529K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
7,191 |
4,420 |
$513K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,691 |
1,417 |
$336K |
| 36415 |
Collection of venous blood by venipuncture |
14,455 |
9,148 |
$260K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
934 |
791 |
$198K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,269 |
804 |
$194K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,302 |
3,181 |
$170K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
1,882 |
577 |
$168K |
| 80053 |
Comprehensive metabolic panel |
16,213 |
10,765 |
$154K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
9,155 |
2,938 |
$140K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
652 |
356 |
$125K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17,782 |
11,643 |
$98K |
| D7140 |
Extraction, erupted tooth or exposed root |
445 |
288 |
$90K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,680 |
1,369 |
$88K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,361 |
429 |
$85K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,858 |
1,188 |
$83K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
445 |
359 |
$82K |
| 87400 |
|
11,671 |
6,072 |
$70K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,616 |
1,216 |
$68K |
| D0272 |
Bitewings - two radiographic images |
308 |
272 |
$65K |
| G0378 |
Hospital observation service, per hour |
1,109 |
804 |
$63K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,515 |
3,901 |
$60K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
487 |
439 |
$56K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
509 |
386 |
$53K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
829 |
764 |
$52K |
| 82550 |
|
5,310 |
3,610 |
$52K |
| 82553 |
|
5,217 |
3,558 |
$47K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
6,108 |
4,365 |
$47K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
950 |
705 |
$46K |
| 84484 |
|
5,231 |
3,529 |
$46K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,053 |
754 |
$45K |
| 71045 |
Radiologic examination, chest; single view |
4,972 |
3,985 |
$45K |
| 97161 |
|
252 |
230 |
$45K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
6,248 |
5,452 |
$42K |
| 84703 |
|
2,430 |
2,089 |
$37K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
4,772 |
3,673 |
$37K |
| 71046 |
Radiologic examination, chest; 2 views |
1,176 |
987 |
$36K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,842 |
4,455 |
$34K |
| 85610 |
|
1,890 |
1,370 |
$32K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,133 |
2,254 |
$30K |
| 83519 |
|
2,951 |
2,121 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
508 |
451 |
$28K |
| 81001 |
|
4,919 |
3,845 |
$26K |
| 85730 |
|
1,511 |
1,120 |
$26K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
23 |
12 |
$25K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,159 |
812 |
$24K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,327 |
1,544 |
$24K |
| 81003 |
|
3,264 |
2,668 |
$21K |
| 82150 |
|
1,921 |
1,522 |
$21K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,356 |
710 |
$20K |
| H1000 |
Prenatal care, at-risk assessment |
690 |
294 |
$19K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,284 |
2,578 |
$19K |
| 87802 |
|
4,245 |
3,848 |
$17K |
| 83690 |
|
2,706 |
2,136 |
$17K |
| 73564 |
|
266 |
214 |
$15K |
| 80306 |
|
2,481 |
2,065 |
$15K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
277 |
228 |
$13K |
| 73630 |
|
304 |
273 |
$12K |
| 94760 |
|
872 |
692 |
$11K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
76 |
63 |
$11K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
772 |
472 |
$11K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,692 |
2,316 |
$10K |
| 87070 |
|
1,400 |
1,294 |
$10K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,397 |
924 |
$10K |
| 94664 |
|
816 |
693 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,605 |
1,348 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
36 |
32 |
$8K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,185 |
1,606 |
$7K |
| 80061 |
Lipid panel |
2,203 |
1,902 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
505 |
445 |
$6K |
| 73610 |
|
149 |
137 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,230 |
550 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
109 |
58 |
$4K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
36 |
19 |
$4K |
| D3220 |
Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction |
113 |
71 |
$4K |
| 73030 |
|
95 |
84 |
$4K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,635 |
2,054 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
202 |
154 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,763 |
1,465 |
$3K |
| 83605 |
|
199 |
154 |
$3K |
| 73130 |
|
42 |
39 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
885 |
807 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$2K |
| 99215 |
Prolong outpt/office vis |
22 |
13 |
$2K |
| 97802 |
|
73 |
66 |
$2K |
| 0011A |
|
51 |
50 |
$2K |
| 87040 |
|
231 |
168 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
39 |
37 |
$2K |
| 82607 |
|
725 |
636 |
$2K |
| 83735 |
|
527 |
427 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
36 |
27 |
$1K |
| 00320 |
|
14 |
14 |
$1K |
| 0012A |
|
42 |
40 |
$1K |
| 87420 |
|
509 |
468 |
$1K |
| 73110 |
|
44 |
39 |
$1K |
| 86677 |
|
121 |
87 |
$1K |
| 87077 |
|
1,029 |
849 |
$909.89 |
| 99381 |
|
40 |
27 |
$791.35 |
| 87490 |
|
222 |
203 |
$763.57 |
| 87186 |
|
721 |
576 |
$682.14 |
| 99383 |
|
43 |
12 |
$644.21 |
| 99188 |
|
64 |
49 |
$641.65 |
| 72100 |
|
18 |
15 |
$547.02 |
| 90670 |
|
750 |
532 |
$540.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
405 |
246 |
$505.00 |
| 99490 |
Ccm add 20min |
157 |
97 |
$475.70 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
64 |
54 |
$472.08 |
| 36600 |
|
20 |
14 |
$379.63 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
156 |
98 |
$355.00 |
| 99442 |
|
37 |
18 |
$312.21 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,917 |
1,703 |
$309.90 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
26 |
12 |
$300.36 |
| 20610 |
|
531 |
299 |
$172.43 |
| 84439 |
|
518 |
490 |
$148.21 |
| 90671 |
|
446 |
341 |
$147.52 |
| 82728 |
|
79 |
64 |
$145.05 |
| 80305 |
|
17 |
13 |
$126.42 |
| 90461 |
|
369 |
220 |
$120.00 |
| 84436 |
|
268 |
209 |
$98.33 |
| 99406 |
|
15 |
13 |
$95.16 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
65 |
60 |
$93.70 |
| 90686 |
|
252 |
191 |
$81.26 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
225 |
162 |
$30.24 |
| 83540 |
|
92 |
80 |
$27.02 |
| 82746 |
|
82 |
76 |
$17.43 |
| 84479 |
|
151 |
107 |
$12.66 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
203 |
106 |
$12.00 |
| 87590 |
|
222 |
203 |
$11.32 |
| 0013A |
|
22 |
14 |
$8.73 |
| 99173 |
|
517 |
418 |
$5.97 |
| 85027 |
|
166 |
108 |
$2.04 |
| 90672 |
|
71 |
68 |
$0.04 |
| 3078F |
|
7,621 |
5,830 |
$0.03 |
| 1159F |
|
5,167 |
3,999 |
$0.01 |
| 90723 |
|
274 |
189 |
$0.01 |
| 3074F |
|
8,050 |
6,641 |
$0.01 |
| 3008F |
|
12,343 |
9,644 |
$0.01 |
| 1126F |
|
3,567 |
3,122 |
$0.01 |
| 1160F |
|
5,699 |
4,288 |
$0.00 |
| 90633 |
|
253 |
211 |
$0.00 |
| 3077F |
|
101 |
76 |
$0.00 |
| 90710 |
|
368 |
285 |
$0.00 |
| 3725F |
|
185 |
127 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
105 |
40 |
$0.00 |
| 3046F |
|
185 |
70 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
155 |
91 |
$0.00 |
| 90648 |
|
326 |
213 |
$0.00 |
| 80076 |
|
20 |
13 |
$0.00 |
| 90715 |
|
14 |
13 |
$0.00 |
| 85378 |
|
13 |
12 |
$0.00 |
| 1036F |
|
5,435 |
3,902 |
$0.00 |
| 1125F |
|
941 |
891 |
$0.00 |
| 1034F |
|
567 |
341 |
$0.00 |
| 3079F |
|
982 |
684 |
$0.00 |
| 92551 |
|
501 |
407 |
$0.00 |
| 3044F |
|
105 |
76 |
$0.00 |
| 90651 |
|
53 |
45 |
$0.00 |
| 90680 |
|
334 |
263 |
$0.00 |
| 99000 |
|
122 |
97 |
$0.00 |
| 90698 |
|
155 |
110 |
$0.00 |
| 90697 |
|
124 |
95 |
$0.00 |
| 3075F |
|
113 |
102 |
$0.00 |
| 96127 |
|
16 |
16 |
$0.00 |
| 90696 |
|
52 |
31 |
$0.00 |
| D2335 |
|
47 |
22 |
$0.00 |
| 3080F |
|
42 |
32 |
$0.00 |
| 90677 |
|
28 |
28 |
$0.00 |