| Code | Description | Claims | Beneficiaries | Total Paid |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
13,633 |
7,148 |
$459K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
8,633 |
4,116 |
$134K |
| X0620 |
|
649 |
573 |
$129K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
409 |
403 |
$80K |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,077 |
2,766 |
$69K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
802 |
788 |
$66K |
| V2020 |
Frames, purchases |
7,810 |
7,278 |
$60K |
| 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 |
601 |
589 |
$48K |
| L4386 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
314 |
308 |
$37K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
364 |
364 |
$36K |
| 17110 |
|
491 |
463 |
$35K |
| 90670 |
|
519 |
517 |
$33K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
816 |
762 |
$28K |
| Q3014 |
Telehealth originating site facility fee |
1,619 |
1,581 |
$22K |
| X0592 |
|
531 |
482 |
$22K |
| 90686 |
|
1,925 |
1,909 |
$22K |
| G0008 |
Administration of influenza virus vaccine |
1,638 |
1,617 |
$20K |
| 76642 |
|
423 |
347 |
$20K |
| 84443 |
Thyroid stimulating hormone (TSH) |
980 |
953 |
$19K |
| 77066 |
Tomosynthesis, mammo |
166 |
166 |
$18K |
| 90723 |
|
395 |
393 |
$18K |
| 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 |
1,277 |
1,248 |
$18K |
| 20610 |
|
1,061 |
778 |
$17K |
| 80053 |
Comprehensive metabolic panel |
1,766 |
1,723 |
$17K |
| 90651 |
|
123 |
123 |
$17K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
216 |
208 |
$16K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
303 |
262 |
$15K |
| 73610 |
|
696 |
643 |
$14K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,111 |
877 |
$14K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
55 |
54 |
$14K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
363 |
363 |
$14K |
| 320 |
|
91 |
73 |
$13K |
| 80061 |
Lipid panel |
1,051 |
1,033 |
$13K |
| 0100U |
|
30 |
28 |
$12K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
340 |
338 |
$12K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
533 |
280 |
$11K |
| 72082 |
|
271 |
267 |
$11K |
| 73630 |
|
1,048 |
918 |
$11K |
| 62323 |
|
156 |
155 |
$11K |
| 92134 |
|
849 |
814 |
$11K |
| 90680 |
|
287 |
287 |
$11K |
| 77065 |
Tomosynthesis, mammo |
98 |
98 |
$9K |
| 97165 |
|
159 |
159 |
$9K |
| 92133 |
|
394 |
374 |
$8K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
261 |
256 |
$8K |
| G0009 |
Administration of pneumococcal vaccine |
456 |
439 |
$7K |
| 11102 |
|
237 |
230 |
$6K |
| 11900 |
|
85 |
85 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
483 |
482 |
$6K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
332 |
165 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,254 |
1,208 |
$6K |
| 73564 |
|
304 |
254 |
$6K |
| 90647 |
|
325 |
323 |
$6K |
| 73030 |
|
389 |
347 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
923 |
892 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
525 |
522 |
$5K |
| 73562 |
|
274 |
242 |
$5K |
| 90633 |
|
85 |
85 |
$5K |
| 90734 |
|
55 |
55 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
2,875 |
2,734 |
$5K |
| 87631 |
|
32 |
32 |
$4K |
| 0124A |
|
125 |
115 |
$4K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
66 |
58 |
$4K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
789 |
729 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
154 |
152 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
180 |
165 |
$3K |
| 82607 |
|
284 |
276 |
$3K |
| 72170 |
|
241 |
240 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
415 |
407 |
$3K |
| 73110 |
|
221 |
201 |
$3K |
| 0001A |
|
68 |
68 |
$3K |
| 83655 |
|
265 |
261 |
$3K |
| 0072A |
|
64 |
64 |
$3K |
| 90473 |
|
261 |
248 |
$3K |
| 92083 |
|
46 |
46 |
$3K |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
1,106 |
1,051 |
$2K |
| 0004A |
|
56 |
56 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
106 |
104 |
$2K |
| X0616 |
|
12 |
12 |
$2K |
| 0002A |
|
46 |
46 |
$2K |
| 20611 |
|
46 |
37 |
$2K |
| 85027 |
|
301 |
295 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
265 |
253 |
$2K |
| 0071A |
|
42 |
42 |
$2K |
| 11104 |
|
55 |
55 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
4,418 |
4,304 |
$2K |
| 90716 |
|
13 |
13 |
$2K |
| 73130 |
|
143 |
125 |
$2K |
| 73080 |
|
122 |
116 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
192 |
188 |
$2K |
| 90715 |
|
83 |
83 |
$1K |
| 73100 |
|
113 |
100 |
$1K |
| 73560 |
|
139 |
124 |
$1K |
| 72100 |
|
64 |
63 |
$1K |
| 82728 |
|
118 |
117 |
$1K |
| 90696 |
|
12 |
12 |
$1K |
| 90707 |
|
27 |
27 |
$1K |
| 84439 |
|
147 |
143 |
$1K |
| 83540 |
|
139 |
135 |
$964.80 |
| 27096 |
|
12 |
12 |
$934.15 |
| 88312 |
|
28 |
25 |
$903.91 |
| 86480 |
|
13 |
13 |
$821.69 |
| 90700 |
|
12 |
12 |
$781.80 |
| 73590 |
|
61 |
55 |
$765.54 |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
1,798 |
1,765 |
$719.48 |
| 71046 |
Radiologic examination, chest; 2 views |
32 |
32 |
$674.63 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
13 |
12 |
$662.59 |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
13 |
12 |
$653.50 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
24 |
24 |
$626.84 |
| 81003 |
|
197 |
187 |
$579.32 |
| 31231 |
|
12 |
12 |
$552.73 |
| 20552 |
|
26 |
25 |
$551.29 |
| 86140 |
|
233 |
229 |
$511.86 |
| 83550 |
|
120 |
119 |
$498.35 |
| 85652 |
|
217 |
214 |
$495.42 |
| 92025 |
|
24 |
24 |
$485.12 |
| 81001 |
|
185 |
175 |
$484.29 |
| 73070 |
|
29 |
27 |
$476.17 |
| 87070 |
|
102 |
97 |
$433.95 |
| 87186 |
|
67 |
64 |
$432.82 |
| 86618 |
|
25 |
25 |
$426.35 |
| 82570 |
|
75 |
71 |
$407.15 |
| 85610 |
|
130 |
111 |
$405.29 |
| 73090 |
|
28 |
26 |
$329.39 |
| 72081 |
|
13 |
13 |
$295.98 |
| 87641 |
|
13 |
13 |
$288.41 |
| 80076 |
|
34 |
34 |
$278.35 |
| 84702 |
|
17 |
13 |
$277.95 |
| 82248 |
|
51 |
50 |
$260.56 |
| 20550 |
|
12 |
12 |
$238.40 |
| 90474 |
|
24 |
24 |
$236.00 |
| 82962 |
|
178 |
173 |
$222.72 |
| 73600 |
|
17 |
15 |
$201.03 |
| 73140 |
|
14 |
12 |
$159.83 |
| 83735 |
|
30 |
27 |
$158.61 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
334 |
303 |
$142.67 |
| 36416 |
|
164 |
159 |
$134.20 |
| 85018 |
|
40 |
40 |
$128.90 |
| V2744 |
Tint, photochromatic, per lens |
12 |
12 |
$108.35 |
| 84460 |
|
17 |
16 |
$98.82 |
| 87077 |
|
14 |
14 |
$82.14 |
| 84450 |
|
13 |
12 |
$75.77 |
| 87430 |
|
13 |
13 |
$73.67 |
| 84100 |
|
14 |
14 |
$62.65 |
| 81025 |
|
12 |
12 |
$42.04 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,231 |
1,204 |
$36.42 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
84 |
80 |
$0.00 |
| J0134 |
Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg |
219 |
218 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
726 |
712 |
$0.00 |
| V2025 |
Deluxe frame |
145 |
141 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
1,351 |
1,337 |
$0.00 |
| 90380 |
|
13 |
12 |
$0.00 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
91 |
91 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
14 |
14 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
42 |
42 |
$0.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
40 |
38 |
$0.00 |
| 91320 |
|
32 |
31 |
$0.00 |
| J0137 |
Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg |
16 |
16 |
$0.00 |
| J0136 |
Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg |
33 |
33 |
$0.00 |
| Q9961 |
High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml |
14 |
14 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
31 |
31 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
91 |
91 |
$0.00 |
| J0178 |
Injection, aflibercept, 1 mg |
79 |
76 |
$0.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
71 |
62 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
324 |
322 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
1,378 |
1,237 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
372 |
355 |
$0.00 |
| 90656 |
|
403 |
403 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
392 |
389 |
$0.00 |
| J1597 |
Injection, glycopyrrolate (glyrx-pf), 0.1 mg |
125 |
125 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
325 |
322 |
$0.00 |
| 90677 |
|
193 |
191 |
$0.00 |
| 90480 |
|
60 |
55 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
93 |
84 |
$0.00 |
| 91305 |
|
38 |
37 |
$0.00 |