| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
32,336 |
11,992 |
$489K |
| A9270 |
Non-covered item or service |
8,073 |
1,098 |
$162K |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
10,925 |
241 |
$117K |
| 88300 |
|
109 |
93 |
$85K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,020 |
1,226 |
$80K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,674 |
642 |
$76K |
| J3490 |
Unclassified drugs |
777 |
371 |
$73K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,677 |
1,223 |
$50K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,224 |
360 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,396 |
948 |
$27K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
276 |
237 |
$25K |
| 80053 |
Comprehensive metabolic panel |
274 |
212 |
$22K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
275 |
236 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,023 |
589 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
121 |
40 |
$19K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,079 |
812 |
$19K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
165 |
150 |
$13K |
| A0425 |
Ground mileage, per statute mile |
573 |
487 |
$13K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
538 |
118 |
$12K |
| 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 |
288 |
262 |
$9K |
| G0008 |
Administration of influenza virus vaccine |
1,482 |
189 |
$8K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
85 |
81 |
$7K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
327 |
44 |
$7K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
154 |
52 |
$6K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
374 |
130 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
164 |
140 |
$5K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
253 |
243 |
$5K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
183 |
42 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
158 |
67 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
97 |
94 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
195 |
58 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
126 |
105 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
125 |
112 |
$3K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
95 |
37 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
119 |
82 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
340 |
176 |
$2K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
133 |
48 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
28 |
18 |
$2K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
157 |
73 |
$2K |
| 93971 |
|
71 |
12 |
$2K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
156 |
128 |
$1K |
| 00731 |
|
17 |
14 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
207 |
146 |
$1K |
| J2704 |
Injection, propofol, 10 mg |
251 |
169 |
$881.19 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
29 |
$841.80 |
| Q3014 |
Telehealth originating site facility fee |
195 |
118 |
$832.01 |
| 90834 |
Psychotherapy, 45 minutes with patient |
54 |
50 |
$823.65 |
| 88307 |
|
28 |
26 |
$823.00 |
| 92134 |
|
38 |
26 |
$791.29 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
13 |
12 |
$768.90 |
| 90832 |
Psychotherapy, 30 minutes with patient |
52 |
45 |
$739.12 |
| 71046 |
Radiologic examination, chest; 2 views |
64 |
31 |
$645.38 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
38 |
31 |
$639.22 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29 |
15 |
$627.36 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
17 |
16 |
$552.26 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
403 |
307 |
$459.75 |
| E1392 |
Portable oxygen concentrator, rental |
55 |
54 |
$382.16 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
75 |
53 |
$362.75 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
33 |
32 |
$338.74 |
| 99334 |
|
25 |
25 |
$328.83 |
| E0601 |
Continuous positive airway pressure (cpap) device |
35 |
35 |
$326.99 |
| 11721 |
|
30 |
19 |
$316.96 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
180 |
173 |
$307.16 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
55 |
27 |
$292.66 |
| 99442 |
|
19 |
16 |
$246.50 |
| 99443 |
|
13 |
12 |
$240.24 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
16 |
16 |
$213.60 |
| 98940 |
|
29 |
27 |
$187.47 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
59 |
59 |
$186.36 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
46 |
43 |
$169.80 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
12 |
$154.60 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
14 |
14 |
$151.06 |
| 93296 |
|
20 |
20 |
$149.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
27 |
$114.71 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
28 |
28 |
$103.18 |
| 87081 |
|
13 |
13 |
$79.17 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
13 |
13 |
$72.60 |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
12 |
12 |
$37.48 |
| 71045 |
Radiologic examination, chest; single view |
21 |
14 |
$31.01 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
31 |
27 |
$0.78 |
| 90656 |
|
12 |
12 |
$0.00 |
| 80061 |
Lipid panel |
12 |
12 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
15 |
14 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
14 |
12 |
$0.00 |
| 92015 |
Determination of refractive state |
25 |
24 |
$0.00 |