| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
15,753 |
1,623 |
$2.34M |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
7,786 |
2,329 |
$1.59M |
| D7240 |
Removal of impacted tooth - completely bony |
4,641 |
1,974 |
$1.22M |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
30,680 |
23,704 |
$917K |
| D7140 |
Extraction, erupted tooth or exposed root |
3,392 |
1,250 |
$754K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
22,271 |
2,617 |
$737K |
| 41874 |
|
540 |
295 |
$616K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
23,936 |
19,128 |
$494K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,293 |
5,157 |
$473K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
7,797 |
5,725 |
$453K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
6,128 |
3,192 |
$397K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
10,507 |
1,957 |
$344K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
9,249 |
7,778 |
$257K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,273 |
2,226 |
$241K |
| 71046 |
Radiologic examination, chest; 2 views |
8,578 |
5,396 |
$234K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,067 |
3,128 |
$229K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
2,239 |
609 |
$212K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,991 |
3,692 |
$201K |
| 80053 |
Comprehensive metabolic panel |
23,859 |
17,335 |
$199K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
10,444 |
7,891 |
$192K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
33,408 |
24,287 |
$186K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
855 |
706 |
$185K |
| D7230 |
|
827 |
490 |
$180K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,028 |
2,886 |
$179K |
| 71045 |
Radiologic examination, chest; single view |
8,152 |
3,894 |
$171K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,752 |
1,149 |
$170K |
| D7241 |
|
426 |
301 |
$165K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,387 |
1,830 |
$158K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
292 |
215 |
$114K |
| 73564 |
|
2,041 |
1,374 |
$97K |
| D7220 |
|
404 |
240 |
$93K |
| D7250 |
|
691 |
166 |
$86K |
| G0378 |
Hospital observation service, per hour |
507 |
329 |
$82K |
| 83880 |
|
3,898 |
2,973 |
$78K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,405 |
947 |
$74K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
617 |
354 |
$65K |
| D0330 |
Panoramic radiographic image |
2,396 |
1,683 |
$64K |
| 84703 |
|
7,063 |
5,292 |
$63K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,981 |
977 |
$59K |
| 94726 |
|
727 |
516 |
$55K |
| 80061 |
Lipid panel |
5,088 |
4,334 |
$51K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,623 |
1,840 |
$49K |
| 74018 |
|
1,532 |
991 |
$48K |
| 84484 |
|
6,890 |
5,037 |
$47K |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,332 |
3,488 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,983 |
1,526 |
$43K |
| 94060 |
|
484 |
391 |
$41K |
| 36415 |
Collection of venous blood by venipuncture |
19,189 |
12,521 |
$41K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,048 |
938 |
$41K |
| 82553 |
|
6,234 |
4,522 |
$41K |
| 97116 |
|
1,692 |
231 |
$39K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,499 |
1,216 |
$38K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,488 |
1,204 |
$37K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,337 |
4,509 |
$37K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
157 |
127 |
$37K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
134 |
66 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,014 |
1,682 |
$34K |
| 87807 |
|
3,149 |
2,641 |
$31K |
| 83735 |
|
7,245 |
5,513 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,352 |
1,934 |
$29K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
64 |
52 |
$27K |
| 74019 |
|
542 |
362 |
$26K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
763 |
686 |
$24K |
| 73630 |
|
727 |
484 |
$24K |
| 80074 |
|
819 |
663 |
$24K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,263 |
1,062 |
$24K |
| 72110 |
|
596 |
411 |
$23K |
| J2357 |
Injection, omalizumab, 5 mg |
19 |
12 |
$23K |
| 73130 |
|
615 |
437 |
$23K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,812 |
2,082 |
$19K |
| 73030 |
|
564 |
366 |
$16K |
| 81001 |
|
4,823 |
3,820 |
$15K |
| 87088 |
|
2,810 |
2,230 |
$15K |
| 85730 |
|
4,326 |
3,270 |
$15K |
| 82607 |
|
1,468 |
1,214 |
$14K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
32 |
15 |
$14K |
| 86703 |
|
1,313 |
1,069 |
$13K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,073 |
289 |
$13K |
| 83690 |
|
2,877 |
2,148 |
$13K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
413 |
329 |
$13K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
146 |
117 |
$13K |
| 85610 |
|
4,973 |
3,678 |
$12K |
| 87040 |
|
1,143 |
740 |
$12K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
208 |
129 |
$10K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
385 |
97 |
$10K |
| 87077 |
|
1,734 |
1,390 |
$9K |
| 80305 |
|
1,207 |
856 |
$9K |
| 73610 |
|
242 |
180 |
$9K |
| 86696 |
|
708 |
577 |
$9K |
| 82150 |
|
1,984 |
1,503 |
$9K |
| 97161 |
|
236 |
191 |
$9K |
| 87184 |
|
1,721 |
1,376 |
$9K |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
525 |
439 |
$8K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
52 |
46 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
282 |
210 |
$7K |
| 94010 |
|
215 |
172 |
$7K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,658 |
1,430 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
44 |
26 |
$6K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
15 |
13 |
$6K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
103 |
76 |
$6K |
| 87428 |
|
102 |
93 |
$5K |
| 74178 |
|
34 |
24 |
$5K |
| 86677 |
|
615 |
493 |
$5K |
| 96367 |
|
344 |
185 |
$5K |
| 93925 |
|
85 |
49 |
$5K |
| 87590 |
|
302 |
253 |
$5K |
| 83540 |
|
1,104 |
911 |
$4K |
| 81003 |
|
2,885 |
2,349 |
$4K |
| 94150 |
|
451 |
388 |
$4K |
| 87490 |
|
307 |
254 |
$4K |
| 87486 |
|
156 |
127 |
$4K |
| 87581 |
|
156 |
127 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
40 |
24 |
$4K |
| 51702 |
|
117 |
92 |
$3K |
| 82746 |
|
367 |
304 |
$3K |
| 85379 |
|
573 |
435 |
$3K |
| D7280 |
|
19 |
12 |
$3K |
| 93017 |
|
83 |
66 |
$3K |
| 95811 |
|
18 |
12 |
$3K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
80 |
14 |
$3K |
| 86592 |
|
966 |
779 |
$3K |
| 73502 |
|
117 |
68 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
149 |
135 |
$3K |
| 83655 |
|
203 |
156 |
$3K |
| 82728 |
|
294 |
241 |
$2K |
| 94200 |
|
451 |
388 |
$2K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
156 |
126 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
341 |
183 |
$2K |
| 74021 |
|
56 |
35 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
33 |
15 |
$2K |
| 73110 |
|
38 |
26 |
$2K |
| 93922 |
|
60 |
36 |
$2K |
| 94375 |
|
364 |
322 |
$1K |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
1,453 |
1,007 |
$1K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,799 |
1,772 |
$942.30 |
| 81015 |
|
416 |
369 |
$939.62 |
| 87070 |
|
106 |
77 |
$938.25 |
| 73620 |
|
27 |
17 |
$901.54 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
1,252 |
567 |
$771.58 |
| D9310 |
|
14 |
14 |
$761.48 |
| 51701 |
|
29 |
25 |
$744.96 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
26 |
$710.53 |
| 73560 |
|
20 |
13 |
$648.50 |
| 83550 |
|
127 |
98 |
$646.13 |
| 98967 |
|
82 |
52 |
$630.00 |
| D1120 |
Prophylaxis - child |
78 |
64 |
$596.87 |
| 80185 |
|
44 |
39 |
$547.52 |
| 82962 |
|
321 |
199 |
$500.34 |
| D3220 |
Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction |
33 |
13 |
$470.21 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,272 |
936 |
$424.31 |
| D1206 |
Topical application of fluoride varnish |
75 |
64 |
$394.86 |
| 71047 |
|
169 |
91 |
$347.60 |
| 82550 |
|
72 |
62 |
$329.14 |
| 82803 |
|
16 |
13 |
$328.44 |
| 80164 |
|
28 |
26 |
$304.75 |
| C9113 |
Injection, pantoprazole sodium, per vial |
94 |
56 |
$262.04 |
| 85651 |
|
68 |
50 |
$226.74 |
| 83026 |
|
78 |
64 |
$222.83 |
| 84439 |
|
42 |
37 |
$219.24 |
| 94729 |
|
195 |
141 |
$218.97 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
12 |
12 |
$191.18 |
| 86140 |
|
72 |
54 |
$172.42 |
| 87808 |
|
16 |
12 |
$151.36 |
| 85014 |
|
94 |
68 |
$144.25 |
| 82565 |
|
28 |
25 |
$77.54 |
| 87905 |
|
16 |
12 |
$74.67 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
136 |
102 |
$68.98 |
| 84520 |
|
28 |
25 |
$62.84 |
| 96376 |
|
217 |
116 |
$50.00 |
| 87220 |
|
16 |
12 |
$47.54 |
| J3480 |
Injection, potassium chloride, per 2 meq |
41 |
24 |
$39.83 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
56 |
39 |
$20.00 |
| 82247 |
|
21 |
14 |
$13.56 |
| 84132 |
|
19 |
13 |
$10.08 |
| S0164 |
Injection, pantoprazole sodium, 40 mg |
31 |
24 |
$7.39 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
14 |
12 |
$1.28 |
| J1940 |
Injection, furosemide, up to 20 mg |
110 |
80 |
$0.00 |
| 0240U |
|
554 |
433 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
293 |
201 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
12 |
$0.00 |
| J2785 |
Injection, regadenoson, 0.1 mg |
33 |
27 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
48 |
36 |
$0.00 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
74 |
62 |
$0.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
141 |
102 |
$0.00 |
| A9520 |
Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries |
47 |
41 |
$0.00 |
| S0077 |
Injection, clindamycin phosphate, 300 mg |
20 |
16 |
$0.00 |