| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
9,220 |
8,745 |
$1.18M |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
1,823 |
1,428 |
$615K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,905 |
1,904 |
$206K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
950 |
950 |
$161K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,939 |
1,924 |
$150K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,834 |
1,794 |
$119K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
5,445 |
5,398 |
$119K |
| 84443 |
Thyroid stimulating hormone (TSH) |
8,718 |
8,580 |
$118K |
| 80061 |
Lipid panel |
9,103 |
9,019 |
$96K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,937 |
4,229 |
$90K |
| 86769 |
|
1,361 |
1,334 |
$88K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,764 |
2,731 |
$87K |
| 80053 |
Comprehensive metabolic panel |
9,492 |
9,369 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,753 |
1,564 |
$70K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
10,355 |
10,206 |
$64K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,811 |
5,382 |
$57K |
| 99223 |
Prolong inpt eval add15 m |
504 |
468 |
$54K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,369 |
6,291 |
$52K |
| 71046 |
Radiologic examination, chest; 2 views |
1,602 |
1,585 |
$52K |
| 84439 |
|
6,392 |
6,324 |
$46K |
| 0012A |
|
1,101 |
1,101 |
$39K |
| 73562 |
|
1,129 |
1,047 |
$38K |
| 0011A |
|
1,086 |
1,086 |
$35K |
| 76536 |
|
333 |
330 |
$33K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
890 |
881 |
$32K |
| 0001A |
|
708 |
708 |
$27K |
| 72100 |
|
833 |
832 |
$26K |
| 82746 |
|
2,128 |
2,118 |
$26K |
| 90715 |
|
592 |
591 |
$25K |
| 73630 |
|
856 |
801 |
$25K |
| 99222 |
Initial hospital care, per day, moderate complexity |
235 |
230 |
$24K |
| 0002A |
|
598 |
598 |
$24K |
| 11721 |
|
3,978 |
3,700 |
$21K |
| 86480 |
|
458 |
452 |
$20K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
101 |
101 |
$19K |
| 76770 |
|
194 |
194 |
$18K |
| 82607 |
|
1,516 |
1,503 |
$18K |
| 99460 |
|
192 |
188 |
$17K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
660 |
643 |
$17K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
356 |
264 |
$17K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
156 |
156 |
$16K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
139 |
139 |
$16K |
| 86481 |
|
253 |
251 |
$16K |
| 76641 |
|
117 |
108 |
$14K |
| 84480 |
|
1,191 |
1,179 |
$13K |
| 73030 |
|
512 |
494 |
$13K |
| 72110 |
|
300 |
299 |
$12K |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
209 |
154 |
$12K |
| 99490 |
Ccm add 20min |
3,911 |
3,909 |
$11K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
398 |
388 |
$10K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,184 |
1,043 |
$10K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
2,202 |
2,051 |
$9K |
| 11056 |
|
927 |
764 |
$8K |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
176 |
166 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
181 |
181 |
$8K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
45 |
45 |
$8K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
39 |
39 |
$7K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,714 |
1,507 |
$7K |
| 99462 |
|
175 |
120 |
$7K |
| 83550 |
|
956 |
950 |
$6K |
| 83540 |
|
1,149 |
1,141 |
$6K |
| 72040 |
|
200 |
198 |
$6K |
| 73610 |
|
162 |
155 |
$5K |
| 81002 |
|
2,932 |
2,828 |
$5K |
| 90686 |
|
179 |
179 |
$5K |
| 99454 |
|
710 |
699 |
$4K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
772 |
700 |
$4K |
| 81025 |
|
1,266 |
1,220 |
$4K |
| 74018 |
|
102 |
102 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
206 |
200 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
55 |
55 |
$3K |
| 0013A |
|
78 |
78 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
431 |
374 |
$3K |
| 84153 |
|
175 |
172 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
25 |
25 |
$2K |
| 80305 |
|
242 |
239 |
$2K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
88 |
88 |
$2K |
| 20611 |
|
52 |
26 |
$2K |
| 82977 |
|
429 |
424 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
44 |
42 |
$2K |
| 95144 |
|
79 |
16 |
$2K |
| 99306 |
Prolong nursin fac eval 15m |
469 |
434 |
$2K |
| 82728 |
|
185 |
184 |
$2K |
| 77065 |
Tomosynthesis, mammo |
12 |
12 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 73130 |
|
57 |
51 |
$2K |
| 80076 |
|
279 |
278 |
$2K |
| 86140 |
|
395 |
391 |
$2K |
| 99000 |
|
438 |
430 |
$2K |
| 92250 |
|
67 |
67 |
$2K |
| 76830 |
Ultrasound, transvaginal |
16 |
16 |
$2K |
| 69209 |
|
187 |
118 |
$1K |
| 76642 |
|
14 |
14 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
15 |
15 |
$1K |
| 86235 |
|
14 |
14 |
$1K |
| 90673 |
|
14 |
14 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
129 |
129 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
41 |
$1K |
| 90682 |
|
13 |
13 |
$1K |
| 86580 |
|
283 |
270 |
$963.83 |
| 72050 |
|
25 |
25 |
$917.32 |
| 82962 |
|
415 |
405 |
$838.44 |
| 83735 |
|
159 |
159 |
$830.07 |
| A6219 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
64 |
52 |
$682.40 |
| 90656 |
|
24 |
24 |
$643.44 |
| 82044 |
|
157 |
157 |
$598.46 |
| 0031A |
|
20 |
20 |
$591.29 |
| 77085 |
|
13 |
13 |
$564.80 |
| 73110 |
|
14 |
14 |
$533.04 |
| 99457 |
|
229 |
227 |
$518.16 |
| A6266 |
Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard |
57 |
37 |
$517.05 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
47 |
45 |
$456.56 |
| 84550 |
|
179 |
179 |
$448.13 |
| A4217 |
Sterile water/saline, 500 ml |
65 |
53 |
$414.00 |
| 85652 |
|
190 |
189 |
$405.57 |
| 93922 |
|
12 |
12 |
$353.28 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
493 |
460 |
$342.30 |
| 90648 |
|
26 |
26 |
$234.00 |
| 90670 |
|
26 |
26 |
$234.00 |
| 90723 |
|
21 |
21 |
$189.00 |
| 99335 |
|
872 |
455 |
$157.27 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
35 |
25 |
$148.94 |
| 86225 |
|
14 |
14 |
$146.91 |
| 90680 |
|
16 |
16 |
$144.00 |
| 99458 |
|
103 |
103 |
$137.19 |
| A6453 |
Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard |
63 |
52 |
$134.21 |
| 86226 |
|
14 |
14 |
$129.54 |
| 83516 |
|
15 |
14 |
$118.99 |
| 99453 |
|
40 |
39 |
$117.60 |
| 85018 |
|
46 |
45 |
$101.98 |
| 86200 |
|
14 |
14 |
$85.42 |
| 86430 |
|
14 |
14 |
$60.64 |
| 86431 |
|
14 |
14 |
$60.44 |
| 36415 |
Collection of venous blood by venipuncture |
99 |
97 |
$46.21 |
| 99173 |
|
13 |
13 |
$40.56 |
| 90688 |
|
16 |
16 |
$31.22 |
| 82150 |
|
13 |
13 |
$16.36 |
| 84450 |
|
19 |
19 |
$12.60 |
| 82947 |
|
18 |
18 |
$10.11 |
| 99318 |
|
13 |
13 |
$9.94 |
| 84460 |
|
18 |
18 |
$9.34 |
| 82565 |
|
18 |
18 |
$8.80 |
| 84075 |
|
18 |
18 |
$8.42 |
| 82310 |
|
18 |
18 |
$8.36 |
| 82247 |
|
18 |
18 |
$8.34 |
| 82040 |
|
18 |
18 |
$8.20 |
| 84520 |
|
18 |
18 |
$6.42 |
| 84155 |
|
18 |
18 |
$6.04 |
| 3078F |
|
15 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
23 |
23 |
$0.00 |
| 99327 |
|
13 |
13 |
$0.00 |
| 3074F |
|
14 |
14 |
$0.00 |