| Code | Description | Claims | Beneficiaries | Total Paid |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
11,851 |
4,463 |
$1.15M |
| 97161 |
|
1,857 |
1,597 |
$202K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,623 |
1,270 |
$147K |
| 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 |
1,574 |
1,205 |
$118K |
| 99245 |
|
917 |
720 |
$111K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,317 |
1,650 |
$105K |
| 99243 |
|
1,041 |
935 |
$79K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
4,431 |
1,670 |
$79K |
| 97162 |
|
708 |
560 |
$77K |
| 80053 |
Comprehensive metabolic panel |
20,765 |
13,185 |
$68K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
899 |
474 |
$58K |
| 94010 |
|
2,208 |
1,317 |
$56K |
| 90686 |
|
4,974 |
1,303 |
$56K |
| 87536 |
|
1,287 |
905 |
$50K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,120 |
928 |
$47K |
| 99205 |
Prolong outpt/office vis |
557 |
299 |
$38K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
249 |
151 |
$38K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,604 |
1,716 |
$36K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,609 |
1,717 |
$35K |
| 84443 |
Thyroid stimulating hormone (TSH) |
5,432 |
4,271 |
$35K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
20,283 |
12,379 |
$31K |
| 90715 |
|
1,594 |
475 |
$29K |
| 93798 |
|
908 |
68 |
$23K |
| 86480 |
|
1,095 |
784 |
$22K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,314 |
1,369 |
$21K |
| 96415 |
|
1,505 |
498 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
423 |
205 |
$19K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,995 |
1,668 |
$19K |
| L3808 |
Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment |
54 |
42 |
$19K |
| 87522 |
Neg quan hep c or qual rna |
806 |
641 |
$18K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
6,359 |
4,543 |
$18K |
| 87390 |
|
2,090 |
1,539 |
$18K |
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
17 |
12 |
$16K |
| 90670 |
|
255 |
60 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
1,272 |
995 |
$15K |
| L3906 |
Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment |
43 |
37 |
$14K |
| 92134 |
|
871 |
620 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
318 |
203 |
$13K |
| 87497 |
|
711 |
260 |
$12K |
| 87799 |
|
637 |
241 |
$11K |
| 83970 |
|
794 |
663 |
$11K |
| 97165 |
|
842 |
643 |
$11K |
| 85027 |
|
6,785 |
5,114 |
$10K |
| 83735 |
|
4,941 |
2,426 |
$10K |
| 86780 |
|
2,334 |
1,649 |
$10K |
| 86334 |
|
787 |
467 |
$10K |
| 90656 |
|
786 |
291 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
240 |
126 |
$9K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,655 |
486 |
$9K |
| 90732 |
|
264 |
71 |
$9K |
| 73630 |
|
812 |
474 |
$9K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
390 |
266 |
$8K |
| 73564 |
|
769 |
447 |
$8K |
| 92557 |
|
223 |
205 |
$8K |
| 83880 |
|
1,371 |
1,037 |
$8K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
745 |
554 |
$8K |
| 73610 |
|
472 |
342 |
$7K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
3,137 |
2,470 |
$7K |
| 73130 |
|
885 |
497 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,730 |
2,936 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
326 |
284 |
$7K |
| 85610 |
|
5,679 |
3,637 |
$7K |
| 86803 |
|
1,418 |
1,053 |
$7K |
| 86701 |
|
2,064 |
1,496 |
$7K |
| 87517 |
|
320 |
253 |
$7K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
490 |
163 |
$6K |
| 82784 |
|
2,400 |
939 |
$6K |
| 87340 |
|
1,929 |
1,471 |
$6K |
| 80197 |
|
1,587 |
725 |
$6K |
| 92015 |
Determination of refractive state |
391 |
363 |
$6K |
| 73502 |
|
467 |
336 |
$6K |
| 80061 |
Lipid panel |
3,489 |
2,587 |
$6K |
| 83615 |
|
3,348 |
1,832 |
$6K |
| 82607 |
|
1,507 |
1,253 |
$6K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
374 |
251 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,571 |
1,266 |
$5K |
| 86702 |
|
2,075 |
1,507 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,036 |
1,705 |
$5K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
706 |
541 |
$5K |
| 96402 |
|
477 |
297 |
$5K |
| 73562 |
|
559 |
363 |
$5K |
| 73030 |
|
420 |
301 |
$5K |
| 94760 |
|
1,935 |
1,580 |
$5K |
| 82728 |
|
2,716 |
2,137 |
$5K |
| 83550 |
|
2,146 |
1,752 |
$5K |
| 96417 |
|
279 |
133 |
$5K |
| 82378 |
|
1,026 |
533 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
852 |
530 |
$4K |
| 81003 |
|
5,560 |
3,672 |
$4K |
| 84439 |
|
2,171 |
1,685 |
$4K |
| 86706 |
|
1,178 |
884 |
$4K |
| 82570 |
|
2,897 |
1,948 |
$4K |
| 97803 |
|
114 |
103 |
$4K |
| 82962 |
|
6,010 |
2,539 |
$4K |
| 84100 |
|
3,124 |
1,564 |
$4K |
| 86140 |
|
3,088 |
2,278 |
$4K |
| 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 |
33 |
33 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
180 |
119 |
$4K |
| 72110 |
|
166 |
136 |
$4K |
| 86225 |
|
786 |
609 |
$4K |
| 86160 |
|
1,239 |
672 |
$3K |
| 83883 |
|
894 |
375 |
$3K |
| 86704 |
|
770 |
608 |
$3K |
| 83540 |
|
2,246 |
1,832 |
$3K |
| 80076 |
|
1,472 |
1,093 |
$3K |
| 77066 |
Tomosynthesis, mammo |
42 |
38 |
$3K |
| 82105 |
|
553 |
450 |
$3K |
| 84702 |
|
876 |
578 |
$3K |
| 86850 |
|
1,917 |
1,368 |
$3K |
| 99242 |
|
75 |
70 |
$3K |
| 84165 |
|
874 |
535 |
$3K |
| 84403 |
|
280 |
200 |
$3K |
| 83037 |
|
4,837 |
1,583 |
$3K |
| 86901 |
|
2,178 |
1,536 |
$3K |
| 84153 |
|
540 |
431 |
$3K |
| 73110 |
|
241 |
156 |
$3K |
| 92083 |
|
122 |
105 |
$2K |
| 83021 |
|
553 |
422 |
$2K |
| 86360 |
|
1,106 |
758 |
$2K |
| 72100 |
|
139 |
123 |
$2K |
| 81001 |
|
2,897 |
2,235 |
$2K |
| 80069 |
|
836 |
659 |
$2K |
| 96910 |
|
226 |
39 |
$2K |
| 86146 |
|
222 |
87 |
$2K |
| G0475 |
Hiv antigen/antibody, combination assay, screening |
167 |
136 |
$2K |
| 86900 |
|
2,178 |
1,538 |
$2K |
| 95800 |
|
17 |
14 |
$2K |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
883 |
670 |
$2K |
| 84480 |
|
855 |
697 |
$2K |
| 84550 |
|
1,384 |
830 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
49 |
46 |
$2K |
| 86235 |
|
621 |
212 |
$2K |
| 99215 |
Prolong outpt/office vis |
35 |
14 |
$2K |
| 84703 |
|
619 |
476 |
$2K |
| 82043 |
|
1,379 |
920 |
$2K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
142 |
117 |
$2K |
| 85046 |
|
926 |
641 |
$1K |
| 85652 |
|
2,031 |
1,538 |
$1K |
| 84156 |
|
2,147 |
1,481 |
$1K |
| 88321 |
|
264 |
158 |
$1K |
| 87631 |
|
26 |
23 |
$1K |
| 85730 |
|
615 |
444 |
$1K |
| 96416 |
|
72 |
12 |
$1K |
| 82746 |
|
438 |
402 |
$1K |
| 84630 |
|
452 |
389 |
$1K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
42 |
30 |
$1K |
| 87186 |
|
243 |
173 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
51 |
12 |
$988.90 |
| 86708 |
|
420 |
332 |
$960.88 |
| 86147 |
|
222 |
87 |
$852.84 |
| 83690 |
|
405 |
263 |
$843.88 |
| 84446 |
|
358 |
311 |
$729.01 |
| 86301 |
|
98 |
61 |
$718.08 |
| 84425 |
|
155 |
148 |
$717.60 |
| 20550 |
|
21 |
20 |
$710.49 |
| 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 |
877 |
386 |
$660.91 |
| 92567 |
|
45 |
41 |
$650.76 |
| 93296 |
|
58 |
55 |
$629.13 |
| 82550 |
|
361 |
297 |
$628.04 |
| 92250 |
|
26 |
24 |
$608.25 |
| 83951 |
|
41 |
36 |
$598.50 |
| 86255 |
|
316 |
230 |
$549.95 |
| 82950 |
|
465 |
339 |
$549.46 |
| 92550 |
|
42 |
40 |
$521.13 |
| 82565 |
|
339 |
271 |
$518.72 |
| 87070 |
|
264 |
185 |
$504.57 |
| J9267 |
Injection, paclitaxel, 1 mg |
36 |
14 |
$501.56 |
| 73590 |
|
41 |
26 |
$491.62 |
| 80074 |
|
35 |
30 |
$486.72 |
| 72050 |
|
30 |
12 |
$462.88 |
| 86200 |
|
122 |
85 |
$458.81 |
| 92133 |
|
81 |
73 |
$440.44 |
| 83516 |
|
279 |
135 |
$427.01 |
| 73552 |
|
45 |
35 |
$423.97 |
| 83001 |
|
62 |
48 |
$406.64 |
| 86705 |
|
99 |
65 |
$397.18 |
| 84590 |
|
388 |
331 |
$383.93 |
| J3490 |
Unclassified drugs |
235 |
67 |
$383.38 |
| 87081 |
|
189 |
169 |
$375.33 |
| 86304 |
|
41 |
30 |
$369.60 |
| 87205 |
|
321 |
216 |
$321.96 |
| 87040 |
|
37 |
12 |
$289.80 |
| 84146 |
|
70 |
52 |
$287.86 |
| 86039 |
|
87 |
55 |
$286.55 |
| 87077 |
|
243 |
165 |
$282.33 |
| 86431 |
|
149 |
106 |
$257.16 |
| 86003 |
|
1,107 |
56 |
$249.70 |
| 82107 |
|
41 |
36 |
$229.12 |
| 85613 |
|
161 |
72 |
$225.72 |
| 85705 |
|
152 |
72 |
$224.19 |
| 73140 |
|
20 |
12 |
$216.44 |
| 84270 |
|
47 |
30 |
$215.63 |
| 87338 |
|
26 |
25 |
$210.70 |
| 86592 |
|
205 |
130 |
$208.94 |
| 73560 |
|
17 |
15 |
$191.00 |
| 82274 |
|
40 |
40 |
$185.06 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
27 |
12 |
$181.94 |
| 82785 |
|
92 |
60 |
$180.96 |
| 85732 |
|
124 |
74 |
$176.71 |
| 86665 |
|
27 |
12 |
$149.44 |
| 84134 |
|
78 |
54 |
$130.42 |
| 86644 |
|
41 |
25 |
$129.80 |
| 71045 |
Radiologic examination, chest; single view |
17 |
12 |
$128.75 |
| 82525 |
|
47 |
43 |
$118.80 |
| 82977 |
|
81 |
56 |
$113.30 |
| 82248 |
|
63 |
39 |
$102.32 |
| 84255 |
|
91 |
85 |
$100.62 |
| 84436 |
|
70 |
50 |
$81.93 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
1,212 |
298 |
$76.97 |
| 80164 |
|
18 |
13 |
$64.65 |
| 84154 |
|
16 |
13 |
$64.20 |
| 36415 |
Collection of venous blood by venipuncture |
1,477 |
1,191 |
$51.38 |
| 82104 |
|
18 |
12 |
$48.72 |
| 81025 |
|
62 |
50 |
$42.84 |
| 82040 |
|
35 |
24 |
$41.73 |
| 94150 |
|
19 |
14 |
$40.49 |
| 87210 |
|
21 |
14 |
$18.32 |
| 86800 |
|
16 |
15 |
$17.22 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
137 |
52 |
$16.38 |
| 86376 |
|
14 |
13 |
$4.09 |
| 36591 |
|
293 |
166 |
$1.00 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
396 |
162 |
$0.00 |
| 0001A |
|
19 |
19 |
$0.00 |
| 86317 |
|
19 |
13 |
$0.00 |
| 0002A |
|
16 |
16 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
252 |
156 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
100 |
40 |
$0.00 |