| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
885 |
829 |
$74K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
873 |
822 |
$59K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
492 |
452 |
$52K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,044 |
380 |
$48K |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
424 |
114 |
$48K |
| 87631 |
|
195 |
189 |
$22K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
140 |
135 |
$20K |
| 80050 |
General health panel |
402 |
388 |
$18K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
459 |
446 |
$17K |
| G0378 |
Hospital observation service, per hour |
13 |
12 |
$13K |
| 80053 |
Comprehensive metabolic panel |
1,477 |
1,239 |
$12K |
| 80061 |
Lipid panel |
733 |
718 |
$9K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
333 |
326 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
66 |
64 |
$8K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
161 |
152 |
$8K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
103 |
103 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,842 |
1,547 |
$8K |
| 84443 |
Thyroid stimulating hormone (TSH) |
432 |
414 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
109 |
103 |
$7K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
300 |
281 |
$6K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
158 |
153 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
136 |
126 |
$6K |
| 0002A |
|
121 |
121 |
$5K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
69 |
68 |
$5K |
| 0001A |
|
127 |
126 |
$5K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
665 |
609 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
139 |
139 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
550 |
483 |
$4K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
169 |
154 |
$4K |
| 83735 |
|
690 |
591 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
282 |
250 |
$3K |
| 84439 |
|
411 |
400 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
139 |
139 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
511 |
498 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
457 |
417 |
$3K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
91 |
90 |
$3K |
| 87480 |
|
118 |
115 |
$3K |
| 87660 |
|
118 |
115 |
$3K |
| 73564 |
|
135 |
128 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
220 |
180 |
$2K |
| 82607 |
|
224 |
215 |
$2K |
| 84702 |
|
159 |
131 |
$2K |
| 83721 |
|
213 |
208 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
195 |
185 |
$2K |
| 83880 |
|
108 |
102 |
$2K |
| 82728 |
|
234 |
223 |
$2K |
| 84484 |
|
419 |
363 |
$2K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
55 |
54 |
$2K |
| 85027 |
|
378 |
340 |
$2K |
| 87081 |
|
316 |
311 |
$2K |
| 83970 |
|
55 |
52 |
$2K |
| 76830 |
Ultrasound, transvaginal |
44 |
44 |
$2K |
| 73610 |
|
112 |
106 |
$2K |
| 82784 |
|
79 |
73 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
35 |
33 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
356 |
339 |
$2K |
| 0012A |
|
40 |
40 |
$2K |
| 73030 |
|
118 |
115 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
156 |
132 |
$2K |
| 86618 |
|
72 |
72 |
$2K |
| 87077 |
|
248 |
233 |
$2K |
| 0011A |
|
44 |
44 |
$2K |
| 81001 |
|
738 |
683 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
208 |
199 |
$2K |
| 82043 |
|
221 |
215 |
$1K |
| 93971 |
|
25 |
24 |
$1K |
| 87040 |
|
89 |
86 |
$1K |
| 82570 |
|
246 |
239 |
$1K |
| 80076 |
|
166 |
163 |
$1K |
| 80320 |
|
107 |
101 |
$1K |
| 73630 |
|
137 |
134 |
$1K |
| 84153 |
|
49 |
48 |
$1K |
| 82746 |
|
127 |
122 |
$1K |
| 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 |
15 |
15 |
$1K |
| 83690 |
|
316 |
285 |
$1K |
| 72110 |
|
74 |
69 |
$1K |
| 87186 |
|
192 |
177 |
$1K |
| 73110 |
|
115 |
101 |
$1K |
| 86038 |
|
80 |
76 |
$1K |
| 85730 |
|
242 |
222 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
16 |
15 |
$1K |
| 83605 |
|
191 |
165 |
$887.33 |
| 83540 |
|
117 |
113 |
$858.09 |
| 97161 |
|
26 |
24 |
$825.64 |
| 85610 |
|
377 |
291 |
$808.92 |
| 85379 |
|
96 |
91 |
$707.51 |
| 83615 |
|
132 |
97 |
$695.49 |
| 85652 |
|
272 |
250 |
$689.31 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
42 |
39 |
$688.65 |
| 73130 |
|
60 |
58 |
$683.15 |
| 84100 |
|
156 |
122 |
$678.20 |
| 84460 |
|
106 |
104 |
$675.66 |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
34 |
34 |
$668.80 |
| 84146 |
|
29 |
29 |
$636.77 |
| 71250 |
|
12 |
12 |
$616.48 |
| 84450 |
|
92 |
90 |
$589.19 |
| 82565 |
|
123 |
117 |
$570.26 |
| 84703 |
|
61 |
57 |
$563.47 |
| 86140 |
|
212 |
196 |
$544.87 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
19 |
16 |
$527.28 |
| 84550 |
|
105 |
100 |
$477.42 |
| 86334 |
|
32 |
27 |
$466.47 |
| 81003 |
|
143 |
137 |
$410.61 |
| 81025 |
|
111 |
102 |
$391.60 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
197 |
172 |
$362.74 |
| 73080 |
|
32 |
29 |
$351.90 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
18 |
16 |
$330.33 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
14 |
14 |
$313.11 |
| 82805 |
|
14 |
12 |
$299.25 |
| 74018 |
|
35 |
32 |
$296.27 |
| 87070 |
|
45 |
40 |
$256.05 |
| 86431 |
|
35 |
32 |
$246.50 |
| 82105 |
|
13 |
12 |
$202.29 |
| 83550 |
|
41 |
41 |
$181.60 |
| 84520 |
|
50 |
50 |
$181.22 |
| 86592 |
|
48 |
46 |
$171.20 |
| 82550 |
|
35 |
30 |
$137.52 |
| 87340 |
|
14 |
12 |
$109.13 |
| 36415 |
Collection of venous blood by venipuncture |
637 |
465 |
$93.39 |
| 86850 |
|
14 |
13 |
$83.70 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
194 |
179 |
$82.02 |
| 82150 |
|
16 |
16 |
$66.00 |
| 82947 |
|
15 |
15 |
$62.30 |
| 36600 |
|
13 |
12 |
$60.77 |
| 86901 |
|
17 |
16 |
$55.08 |
| 86900 |
|
17 |
16 |
$54.36 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
193 |
168 |
$53.60 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
15 |
12 |
$49.28 |
| 84156 |
|
13 |
12 |
$36.08 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
31 |
28 |
$35.70 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
19 |
15 |
$34.21 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
34 |
29 |
$17.12 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
125 |
93 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
37 |
29 |
$0.00 |
| 96376 |
|
82 |
56 |
$0.00 |
| 87510 |
|
115 |
112 |
$0.00 |
| 3044F |
|
13 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
134 |
24 |
$0.00 |