| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0510 |
|
10,538 |
9,359 |
$764K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
5,520 |
3,764 |
$105K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
27,278 |
13,045 |
$85K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
37,413 |
15,640 |
$55K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
669 |
601 |
$30K |
| 76770 |
|
1,108 |
1,094 |
$28K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
11,355 |
4,818 |
$22K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,026 |
1,846 |
$20K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
2,589 |
1,769 |
$12K |
| 80053 |
Comprehensive metabolic panel |
5,597 |
5,043 |
$9K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
5,712 |
3,118 |
$8K |
| 97167 |
|
1,922 |
1,776 |
$8K |
| 98960 |
|
3,616 |
2,530 |
$8K |
| 80061 |
Lipid panel |
3,389 |
3,313 |
$7K |
| 51705 |
|
105 |
90 |
$6K |
| 0760 |
|
297 |
258 |
$6K |
| 73564 |
|
2,401 |
2,348 |
$6K |
| 97535 |
Self-care/home management training, each 15 minutes |
4,003 |
1,917 |
$6K |
| 92523 |
|
1,636 |
1,420 |
$6K |
| 97162 |
|
5,090 |
4,608 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,361 |
2,230 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,856 |
4,684 |
$5K |
| 97542 |
|
2,940 |
2,396 |
$5K |
| 98968 |
|
2,033 |
1,660 |
$4K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,380 |
2,314 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,608 |
7,944 |
$4K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
6,693 |
6,169 |
$4K |
| 97161 |
|
3,671 |
3,353 |
$4K |
| 97116 |
|
2,774 |
1,644 |
$4K |
| 52287 |
|
46 |
41 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,502 |
4,068 |
$3K |
| 73562 |
|
1,326 |
1,277 |
$3K |
| 92550 |
|
458 |
420 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,750 |
1,710 |
$3K |
| 92557 |
|
983 |
886 |
$3K |
| 97163 |
|
641 |
580 |
$3K |
| 92227 |
|
2,023 |
1,730 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,889 |
1,692 |
$2K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
1,862 |
1,785 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
253 |
230 |
$2K |
| 74018 |
|
1,211 |
1,127 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,836 |
1,541 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
2,324 |
2,191 |
$2K |
| 90889 |
|
3,706 |
2,890 |
$2K |
| 86703 |
|
712 |
689 |
$1K |
| 87186 |
|
1,014 |
922 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,476 |
21,517 |
$1K |
| 97166 |
|
1,726 |
1,563 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,365 |
2,013 |
$1K |
| 90885 |
|
725 |
576 |
$1K |
| 92015 |
Determination of refractive state |
877 |
737 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,182 |
7,650 |
$938.09 |
| 97150 |
Therapeutic procedure(s), group (2 or more individuals) |
6,678 |
1,882 |
$923.35 |
| 85610 |
|
3,003 |
2,383 |
$895.81 |
| 36415 |
Collection of venous blood by venipuncture |
46,857 |
37,160 |
$831.74 |
| 85027 |
|
823 |
638 |
$746.47 |
| 73630 |
|
888 |
824 |
$722.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,136 |
1,012 |
$594.10 |
| 77073 |
|
658 |
646 |
$554.46 |
| 98967 |
|
2,141 |
1,929 |
$554.27 |
| 86480 |
|
196 |
183 |
$551.49 |
| 71045 |
Radiologic examination, chest; single view |
1,736 |
1,519 |
$539.83 |
| 73522 |
|
381 |
366 |
$535.82 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,887 |
5,584 |
$518.07 |
| 81001 |
|
3,783 |
3,414 |
$509.75 |
| 90834 |
Psychotherapy, 45 minutes with patient |
287 |
237 |
$488.62 |
| 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 |
462 |
437 |
$430.37 |
| 86141 |
|
302 |
291 |
$383.57 |
| 20610 |
|
435 |
415 |
$368.44 |
| 90750 |
|
663 |
566 |
$364.42 |
| 82043 |
|
879 |
841 |
$364.03 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
556 |
506 |
$318.11 |
| 97113 |
|
349 |
201 |
$304.01 |
| 85730 |
|
185 |
183 |
$297.42 |
| 92250 |
|
133 |
116 |
$280.29 |
| 84439 |
|
169 |
164 |
$257.93 |
| 95816 |
|
13 |
13 |
$248.06 |
| 90791 |
Psychiatric diagnostic evaluation |
425 |
390 |
$237.05 |
| 93247 |
|
277 |
255 |
$215.76 |
| 82274 |
|
3,592 |
3,123 |
$206.94 |
| 87522 |
Neg quan hep c or qual rna |
484 |
456 |
$194.99 |
| 82540 |
|
1,127 |
1,052 |
$186.79 |
| 90832 |
Psychotherapy, 30 minutes with patient |
109 |
75 |
$173.82 |
| 99215 |
Prolong outpt/office vis |
8,855 |
8,124 |
$169.89 |
| 85652 |
|
293 |
284 |
$164.57 |
| 93971 |
|
111 |
95 |
$164.45 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
26 |
26 |
$140.00 |
| 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 |
1,280 |
1,184 |
$136.73 |
| 99443 |
|
6,887 |
6,412 |
$126.00 |
| 73030 |
|
63 |
51 |
$122.83 |
| 99442 |
|
16,475 |
15,159 |
$120.13 |
| 72040 |
|
53 |
52 |
$116.30 |
| 87088 |
|
797 |
706 |
$113.64 |
| 83540 |
|
54 |
53 |
$110.23 |
| 92526 |
|
181 |
94 |
$104.79 |
| 80305 |
|
274 |
259 |
$84.40 |
| 97032 |
|
203 |
122 |
$80.79 |
| 84153 |
|
27 |
25 |
$67.56 |
| 73521 |
|
14 |
13 |
$63.73 |
| 98966 |
|
375 |
352 |
$63.09 |
| 88142 |
|
258 |
251 |
$59.99 |
| 83735 |
|
13 |
12 |
$48.20 |
| 81003 |
|
423 |
396 |
$44.69 |
| 99441 |
|
3,282 |
3,091 |
$40.64 |
| 86901 |
|
98 |
97 |
$38.70 |
| 92610 |
|
57 |
54 |
$38.30 |
| 92002 |
|
14 |
13 |
$37.02 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
556 |
545 |
$34.10 |
| 82565 |
|
116 |
104 |
$29.87 |
| 0771 |
|
1,946 |
1,699 |
$29.52 |
| 82728 |
|
14 |
14 |
$26.98 |
| 83550 |
|
28 |
27 |
$25.95 |
| 86850 |
|
25 |
25 |
$25.78 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
24,033 |
18,470 |
$25.65 |
| 94770 |
|
517 |
510 |
$25.00 |
| 82607 |
|
121 |
120 |
$24.17 |
| 92508 |
Group treatment of speech, language, voice, communication, and/or auditory processing disorder |
367 |
146 |
$21.52 |
| 93970 |
|
44 |
42 |
$21.50 |
| 85008 |
|
27 |
26 |
$20.40 |
| 86900 |
|
13 |
13 |
$17.43 |
| 0250 |
|
212 |
211 |
$16.92 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
422 |
412 |
$14.29 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
249 |
242 |
$13.49 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,450 |
2,967 |
$13.34 |
| 92134 |
|
197 |
172 |
$11.49 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
1,156 |
1,111 |
$8.92 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
553 |
541 |
$8.91 |
| 81025 |
|
176 |
166 |
$4.50 |
| 97165 |
|
48 |
41 |
$0.81 |
| 82962 |
|
656 |
102 |
$0.34 |
| 99205 |
Prolong outpt/office vis |
1,159 |
1,066 |
$0.00 |
| 73560 |
|
96 |
92 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
744 |
629 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,322 |
1,297 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,334 |
974 |
$0.00 |
| 99024 |
|
244 |
204 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
433 |
358 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
931 |
673 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,340 |
1,283 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
431 |
415 |
$0.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
455 |
455 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
256 |
215 |
$0.00 |
| 3075F |
|
1,309 |
1,183 |
$0.00 |
| 0100 |
|
559 |
49 |
$0.00 |
| J3490 |
Unclassified drugs |
384 |
378 |
$0.00 |
| 0636 |
|
1,967 |
1,715 |
$0.00 |
| 3052F |
|
231 |
202 |
$0.00 |
| 1111F |
|
3,296 |
2,909 |
$0.00 |
| 3074F |
|
3,925 |
3,450 |
$0.00 |
| 3079F |
|
1,136 |
1,102 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
1,129 |
1,110 |
$0.00 |
| 93294 |
|
75 |
66 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
27 |
25 |
$0.00 |
| 90677 |
|
242 |
217 |
$0.00 |
| 3080F |
|
402 |
392 |
$0.00 |
| 3044F |
|
2,761 |
2,457 |
$0.00 |
| 92587 |
|
13 |
13 |
$0.00 |
| 90723 |
|
27 |
25 |
$0.00 |
| 93797 |
|
165 |
51 |
$0.00 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
57 |
54 |
$0.00 |
| 90656 |
|
487 |
422 |
$0.00 |
| 87081 |
|
73 |
60 |
$0.00 |
| 99386 |
|
131 |
122 |
$0.00 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
26 |
25 |
$0.00 |
| 90887 |
|
14 |
12 |
$0.00 |
| 95992 |
|
12 |
12 |
$0.00 |
| 94010 |
|
15 |
15 |
$0.00 |
| 81015 |
|
118 |
110 |
$0.00 |
| 99243 |
|
13 |
12 |
$0.00 |
| 98961 |
|
25 |
12 |
$0.00 |
| 95851 |
|
16 |
13 |
$0.00 |
| 90651 |
|
15 |
13 |
$0.00 |
| 90686 |
|
910 |
781 |
$0.00 |
| J0588 |
Injection, incobotulinumtoxin a, 1 unit |
12 |
12 |
$0.00 |
| 99385 |
|
13 |
13 |
$0.00 |
| 1220F |
|
13 |
12 |
$0.00 |
| 91300 |
|
584 |
472 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,264 |
1,035 |
$0.00 |
| 3078F |
|
4,725 |
4,401 |
$0.00 |
| Q0163 |
Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen |
1,091 |
668 |
$0.00 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
401 |
42 |
$0.00 |
| 93017 |
|
93 |
90 |
$0.00 |
| 93798 |
|
1,400 |
342 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
249 |
198 |
$0.00 |
| 0300 |
|
544 |
508 |
$0.00 |
| 3051F |
|
413 |
355 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
715 |
325 |
$0.00 |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
280 |
279 |
$0.00 |
| 72100 |
|
141 |
132 |
$0.00 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
770 |
593 |
$0.00 |
| 90648 |
|
58 |
55 |
$0.00 |
| 3046F |
|
397 |
326 |
$0.00 |
| 99201 |
|
58 |
58 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
108 |
101 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
129 |
89 |
$0.00 |
| 90670 |
|
16 |
16 |
$0.00 |
| 31502 |
|
59 |
57 |
$0.00 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
475 |
463 |
$0.00 |
| 3077F |
|
1,443 |
1,263 |
$0.00 |
| 73523 |
|
13 |
13 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
45 |
42 |
$0.00 |
| 87338 |
|
59 |
50 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
15 |
15 |
$0.00 |
| 0120 |
|
2,262 |
207 |
$0.00 |
| 90653 |
|
81 |
71 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
127 |
127 |
$0.00 |
| 92083 |
|
13 |
12 |
$0.00 |
| 43762 |
|
27 |
25 |
$0.00 |
| 90714 |
|
54 |
44 |
$0.00 |
| S5551 |
Insulin, most rapid onset (lispro or aspart); 5 units |
316 |
38 |
$0.00 |
| 73610 |
|
14 |
14 |
$0.00 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
12 |
12 |
$0.00 |
| 97164 |
|
18 |
13 |
$0.00 |
| 91312 |
|
16 |
12 |
$0.00 |
| 0124A |
|
16 |
12 |
$0.00 |
| 0731 |
|
13 |
13 |
$0.00 |
| 84100 |
|
12 |
12 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
152 |
16 |
$0.00 |
| 92133 |
|
14 |
13 |
$0.00 |