| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
35,818 |
31,200 |
$7.51M |
| 00003 |
Internal/system code - not a standard HCPCS code |
19,259 |
16,986 |
$4.44M |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
1,112 |
1,098 |
$468K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,409 |
13,744 |
$425K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,738 |
6,058 |
$407K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
10,665 |
2,084 |
$263K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,911 |
3,039 |
$182K |
| 80053 |
Comprehensive metabolic panel |
8,252 |
7,570 |
$175K |
| 0450 |
Emergency room services |
2,807 |
2,481 |
$151K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,932 |
8,172 |
$141K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,932 |
1,814 |
$141K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,615 |
3,582 |
$129K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
3,042 |
3,028 |
$120K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,947 |
1,799 |
$118K |
| 87486 |
|
1,107 |
1,093 |
$82K |
| 87581 |
|
1,107 |
1,093 |
$82K |
| 70450 |
Computed tomography, head or brain; without contrast material |
433 |
427 |
$77K |
| 80061 |
Lipid panel |
3,247 |
3,235 |
$71K |
| 87631 |
|
1,070 |
1,042 |
$70K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,147 |
1,133 |
$68K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,259 |
3,237 |
$66K |
| 84439 |
|
2,863 |
2,848 |
$54K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,170 |
1,109 |
$51K |
| 97750 |
|
1,034 |
959 |
$50K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
700 |
603 |
$47K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
453 |
453 |
$47K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,571 |
1,496 |
$44K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit |
600 |
476 |
$41K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
511 |
479 |
$38K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
157 |
155 |
$36K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,127 |
1,074 |
$32K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
451 |
427 |
$31K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,065 |
1,018 |
$30K |
| 90837 |
Psychotherapy, 53 minutes with patient |
345 |
136 |
$24K |
| 90834 |
Psychotherapy, 45 minutes with patient |
396 |
174 |
$23K |
| Q3014 |
Telehealth originating site facility fee |
1,035 |
796 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,260 |
988 |
$22K |
| 81001 |
|
3,153 |
3,039 |
$21K |
| 84153 |
|
448 |
448 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
922 |
900 |
$18K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
289 |
284 |
$16K |
| 84484 |
|
858 |
777 |
$15K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
224 |
217 |
$15K |
| 93040 |
|
517 |
498 |
$15K |
| 82607 |
|
402 |
402 |
$14K |
| 83690 |
|
971 |
902 |
$13K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
1,072 |
893 |
$13K |
| 81003 |
|
2,678 |
2,625 |
$12K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
450 |
450 |
$12K |
| 84145 |
|
501 |
474 |
$11K |
| 83605 |
|
504 |
458 |
$11K |
| 99070 |
|
7,794 |
4,416 |
$11K |
| 82746 |
|
309 |
309 |
$10K |
| 81025 |
|
1,106 |
1,056 |
$10K |
| 86703 |
|
420 |
419 |
$10K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
103 |
100 |
$9K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
463 |
346 |
$9K |
| 71250 |
|
40 |
40 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
121 |
121 |
$9K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,332 |
2,000 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
713 |
683 |
$8K |
| 87430 |
|
312 |
303 |
$6K |
| 73564 |
|
199 |
165 |
$6K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
496 |
482 |
$5K |
| 0031A |
|
167 |
167 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
40 |
40 |
$5K |
| 82270 |
|
777 |
773 |
$4K |
| 87070 |
|
251 |
242 |
$4K |
| 85379 |
|
217 |
211 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
155 |
115 |
$4K |
| 85610 |
|
449 |
429 |
$3K |
| 0013A |
|
78 |
42 |
$3K |
| 83880 |
|
109 |
105 |
$3K |
| 80306 |
|
181 |
172 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
51 |
42 |
$3K |
| 0002A |
|
107 |
107 |
$3K |
| 97763 |
|
76 |
35 |
$3K |
| 85651 |
|
358 |
351 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
40 |
40 |
$2K |
| 99218 |
|
13 |
13 |
$2K |
| 73030 |
|
81 |
77 |
$2K |
| 84550 |
|
238 |
218 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
25 |
25 |
$2K |
| 85730 |
|
144 |
144 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
17 |
13 |
$2K |
| 0001A |
|
95 |
95 |
$2K |
| 0003A |
|
35 |
19 |
$1K |
| 87186 |
|
75 |
72 |
$1K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
54 |
25 |
$1K |
| 73630 |
|
52 |
43 |
$1K |
| 82550 |
|
108 |
102 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,280 |
1,230 |
$1K |
| 85652 |
|
206 |
203 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
23 |
17 |
$1K |
| 82077 |
|
67 |
60 |
$944.12 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
50 |
48 |
$877.10 |
| 83735 |
|
66 |
57 |
$842.27 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
76 |
71 |
$792.32 |
| 73610 |
|
25 |
24 |
$680.08 |
| 82553 |
|
31 |
29 |
$613.57 |
| 74022 |
|
12 |
12 |
$562.32 |
| 97799 |
|
33 |
15 |
$528.90 |
| 86430 |
|
39 |
39 |
$466.15 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
13 |
13 |
$460.44 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
13 |
13 |
$433.80 |
| 85027 |
|
31 |
31 |
$412.38 |
| 99217 |
|
13 |
13 |
$407.68 |
| 84703 |
|
26 |
25 |
$402.75 |
| 73110 |
|
15 |
14 |
$357.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
84 |
67 |
$299.79 |
| 0011A |
|
15 |
15 |
$240.06 |
| 99443 |
|
93 |
72 |
$228.70 |
| 90655 |
|
13 |
12 |
$206.88 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,110 |
989 |
$203.23 |
| 82150 |
|
12 |
12 |
$179.28 |
| J3490 |
Unclassified drugs |
154 |
71 |
$176.35 |
| J2060 |
Injection, lorazepam, 2 mg |
76 |
66 |
$70.73 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
14 |
$61.56 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
12 |
12 |
$29.88 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
15 |
12 |
$27.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
12 |
12 |
$12.60 |
| J7510 |
Prednisolone oral, per 5 mg |
20 |
15 |
$8.99 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$5.07 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
26 |
26 |
$1.05 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
26 |
$0.00 |
| 3074F |
|
30 |
17 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
128 |
19 |
$0.00 |
| 3078F |
|
25 |
14 |
$0.00 |