| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
15,326 |
15,165 |
$1.11M |
| 70450 |
Computed tomography, head or brain; without contrast material |
27,908 |
27,000 |
$844K |
| 71045 |
Radiologic examination, chest; single view |
95,301 |
84,725 |
$684K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
9,297 |
9,167 |
$620K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
4,052 |
4,001 |
$550K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
5,292 |
4,872 |
$339K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
6,324 |
6,028 |
$295K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,745 |
864 |
$202K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,335 |
1,981 |
$120K |
| 99233 |
Prolong inpt eval add15 m |
2,738 |
1,402 |
$119K |
| 71046 |
Radiologic examination, chest; 2 views |
14,082 |
13,911 |
$116K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
3,183 |
3,131 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,674 |
1,422 |
$68K |
| 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 |
823 |
803 |
$61K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,073 |
1,031 |
$58K |
| 93970 |
|
1,347 |
1,320 |
$58K |
| 99223 |
Prolong inpt eval add15 m |
517 |
515 |
$41K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,216 |
1,216 |
$37K |
| 76801 |
|
780 |
771 |
$37K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,843 |
1,830 |
$34K |
| 76813 |
|
313 |
312 |
$30K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
418 |
417 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
851 |
768 |
$20K |
| 70496 |
|
246 |
246 |
$17K |
| 70498 |
|
234 |
234 |
$13K |
| 99255 |
|
168 |
159 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
157 |
154 |
$10K |
| 73630 |
|
1,425 |
1,317 |
$10K |
| 74018 |
|
1,338 |
1,132 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,488 |
2,223 |
$8K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
314 |
314 |
$8K |
| 80053 |
Comprehensive metabolic panel |
1,799 |
1,613 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
272 |
270 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
126 |
122 |
$6K |
| 99215 |
Prolong outpt/office vis |
188 |
174 |
$5K |
| 73562 |
|
814 |
742 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
163 |
162 |
$5K |
| 71250 |
|
164 |
157 |
$5K |
| 76830 |
Ultrasound, transvaginal |
196 |
195 |
$4K |
| 73610 |
|
601 |
565 |
$4K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
76 |
76 |
$4K |
| 93975 |
|
40 |
40 |
$3K |
| 73130 |
|
463 |
432 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
58 |
53 |
$3K |
| 76820 |
|
71 |
51 |
$2K |
| 73030 |
|
324 |
305 |
$2K |
| 93971 |
|
162 |
161 |
$2K |
| 76641 |
|
58 |
41 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
26 |
24 |
$2K |
| 77066 |
Tomosynthesis, mammo |
41 |
41 |
$1K |
| 70486 |
|
51 |
50 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
36 |
$1K |
| 88304 |
|
53 |
53 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
212 |
189 |
$1K |
| 85060 |
|
90 |
88 |
$978.57 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
18 |
18 |
$898.52 |
| 99310 |
Prolong nursin fac eval 15m |
29 |
13 |
$741.94 |
| 73110 |
|
113 |
104 |
$686.79 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$676.61 |
| 72100 |
|
63 |
63 |
$611.38 |
| 99242 |
|
12 |
12 |
$586.88 |
| 99152 |
|
13 |
13 |
$531.57 |
| 80061 |
Lipid panel |
109 |
108 |
$517.82 |
| 76642 |
|
17 |
15 |
$488.87 |
| 36415 |
Collection of venous blood by venipuncture |
778 |
714 |
$412.39 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$411.22 |
| 84443 |
Thyroid stimulating hormone (TSH) |
111 |
108 |
$384.03 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
116 |
114 |
$314.81 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
55 |
53 |
$225.37 |
| 86334 |
|
51 |
51 |
$188.11 |
| 84165 |
|
100 |
99 |
$180.04 |
| 74022 |
|
17 |
14 |
$163.99 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
45 |
44 |
$158.29 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
38 |
29 |
$153.81 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12 |
12 |
$141.86 |
| 76937 |
|
13 |
13 |
$122.76 |
| 73502 |
|
15 |
14 |
$114.70 |
| 77001 |
|
12 |
12 |
$111.75 |
| 72040 |
|
14 |
14 |
$111.49 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$104.44 |
| 73590 |
|
12 |
12 |
$76.51 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
12 |
12 |
$64.35 |
| 81001 |
|
55 |
52 |
$64.02 |
| 84484 |
|
25 |
23 |
$58.97 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$22.87 |
| 83690 |
|
18 |
15 |
$22.49 |
| 85610 |
|
25 |
25 |
$15.22 |
| 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 |
13 |
13 |
$0.00 |
| 3008F |
|
14 |
14 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |