| Code | Description | Claims | Beneficiaries | Total Paid |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
12,494 |
10,570 |
$3.83M |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
11,125 |
8,687 |
$3.24M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
61,507 |
48,826 |
$2.55M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
79,751 |
63,143 |
$2.33M |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
18,690 |
16,273 |
$932K |
| 80050 |
General health panel |
34,158 |
29,631 |
$887K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
41,804 |
35,763 |
$865K |
| 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 |
17,842 |
14,149 |
$810K |
| 94060 |
|
25,409 |
21,660 |
$657K |
| 82670 |
|
29,211 |
24,737 |
$586K |
| 84403 |
|
29,961 |
25,341 |
$554K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
19,563 |
15,786 |
$508K |
| 82607 |
|
42,624 |
36,677 |
$461K |
| 84270 |
|
29,326 |
24,825 |
$457K |
| 82746 |
|
42,582 |
36,675 |
$450K |
| 84144 |
|
28,979 |
24,567 |
$435K |
| L0642 |
Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
1,427 |
1,331 |
$430K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
9,315 |
6,377 |
$422K |
| 86376 |
|
39,806 |
33,996 |
$415K |
| 82728 |
|
42,696 |
36,154 |
$406K |
| 83001 |
|
29,398 |
24,838 |
$392K |
| 83002 |
|
29,310 |
24,804 |
$389K |
| 71046 |
Radiologic examination, chest; 2 views |
23,734 |
20,359 |
$372K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
12,436 |
10,371 |
$369K |
| 83735 |
|
74,950 |
62,517 |
$366K |
| 84146 |
|
26,018 |
21,775 |
$358K |
| 80061 |
Lipid panel |
42,682 |
36,243 |
$356K |
| 87581 |
|
12,150 |
10,406 |
$352K |
| 87486 |
|
12,089 |
10,367 |
$351K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13,414 |
10,020 |
$341K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,489 |
3,721 |
$312K |
| 99497 |
|
17,038 |
13,020 |
$309K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
12,545 |
10,112 |
$302K |
| 80053 |
Comprehensive metabolic panel |
41,773 |
34,147 |
$287K |
| 71250 |
|
2,902 |
2,430 |
$281K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
9,549 |
8,178 |
$271K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
9,522 |
8,174 |
$270K |
| 84100 |
|
75,645 |
62,432 |
$258K |
| 84439 |
|
39,946 |
34,076 |
$257K |
| 70220 |
|
12,730 |
11,108 |
$256K |
| 82533 |
|
21,510 |
18,717 |
$255K |
| 80305 |
|
34,243 |
27,469 |
$227K |
| 83880 |
|
7,822 |
6,985 |
$217K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
590 |
523 |
$212K |
| 86200 |
|
21,554 |
18,581 |
$211K |
| 95816 |
|
2,717 |
2,192 |
$211K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
40,780 |
33,319 |
$197K |
| 94664 |
|
37,968 |
29,335 |
$192K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
7,421 |
6,123 |
$187K |
| 93000 |
|
18,648 |
15,826 |
$185K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,533 |
1,324 |
$178K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
34,334 |
23,173 |
$171K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
25,428 |
21,404 |
$168K |
| 81025 |
|
31,345 |
25,727 |
$158K |
| 95957 |
|
2,654 |
1,909 |
$149K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,604 |
1,417 |
$149K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,907 |
1,657 |
$145K |
| 72110 |
|
5,438 |
4,776 |
$137K |
| 84480 |
|
26,634 |
23,912 |
$124K |
| 99454 |
|
8,133 |
6,266 |
$121K |
| 99457 |
|
8,168 |
6,246 |
$120K |
| 70360 |
|
9,116 |
7,957 |
$120K |
| 99401 |
|
8,987 |
6,893 |
$115K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,503 |
2,038 |
$114K |
| 93925 |
|
820 |
731 |
$106K |
| 93970 |
|
885 |
757 |
$100K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,062 |
4,271 |
$99K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,962 |
1,548 |
$98K |
| 81003 |
|
70,481 |
55,324 |
$95K |
| 80306 |
|
7,029 |
6,342 |
$95K |
| 92250 |
|
3,355 |
2,974 |
$94K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
1,971 |
1,732 |
$94K |
| 97032 |
|
10,124 |
8,371 |
$91K |
| 36415 |
Collection of venous blood by venipuncture |
65,002 |
53,963 |
$90K |
| 86141 |
|
7,985 |
7,338 |
$89K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,318 |
1,182 |
$87K |
| 72131 |
|
789 |
713 |
$84K |
| 93880 |
|
815 |
679 |
$79K |
| 73700 |
|
756 |
556 |
$75K |
| 84481 |
|
9,820 |
8,639 |
$71K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,487 |
1,188 |
$71K |
| 84550 |
|
21,763 |
18,733 |
$70K |
| 73564 |
|
3,399 |
2,335 |
$65K |
| 95930 |
|
1,842 |
1,445 |
$64K |
| 20610 |
|
1,897 |
1,479 |
$64K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
9,452 |
7,952 |
$61K |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
763 |
703 |
$60K |
| 85651 |
|
23,054 |
19,861 |
$59K |
| 96132 |
|
2,376 |
1,510 |
$57K |
| 72202 |
|
3,240 |
2,916 |
$56K |
| 86318 |
|
5,393 |
4,736 |
$55K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
880 |
797 |
$52K |
| 72050 |
|
2,107 |
1,896 |
$51K |
| 76536 |
|
996 |
890 |
$51K |
| 82043 |
|
12,921 |
10,749 |
$50K |
| 82962 |
|
27,319 |
21,245 |
$49K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,393 |
3,642 |
$48K |
| 84153 |
|
3,687 |
3,053 |
$46K |
| 70486 |
|
434 |
373 |
$43K |
| 95913 |
|
393 |
255 |
$41K |
| 77080 |
|
938 |
842 |
$40K |
| 72220 |
|
2,707 |
2,387 |
$39K |
| 93922 |
|
776 |
685 |
$39K |
| 99205 |
Prolong outpt/office vis |
419 |
382 |
$38K |
| 73030 |
|
2,587 |
1,844 |
$38K |
| 99406 |
|
15,742 |
10,936 |
$38K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14,217 |
11,650 |
$37K |
| 82570 |
|
13,372 |
10,559 |
$36K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
4,626 |
3,736 |
$36K |
| 90674 |
|
2,200 |
1,730 |
$35K |
| 86308 |
|
9,166 |
7,570 |
$34K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,605 |
3,183 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,141 |
2,843 |
$34K |
| 99215 |
Prolong outpt/office vis |
628 |
551 |
$33K |
| L0180 |
Cervical, multiple post collar, occipital/mandibular supports, adjustable |
170 |
160 |
$31K |
| 90756 |
|
2,063 |
1,801 |
$30K |
| 87806 |
|
2,737 |
1,595 |
$29K |
| 99402 |
|
1,820 |
1,392 |
$28K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
232 |
216 |
$27K |
| 20552 |
|
1,670 |
1,371 |
$27K |
| 74022 |
|
1,100 |
955 |
$26K |
| 83690 |
|
4,883 |
4,194 |
$26K |
| G0181 |
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans |
1,742 |
1,572 |
$24K |
| 82150 |
|
4,788 |
4,160 |
$24K |
| 72070 |
|
1,422 |
1,316 |
$24K |
| 76770 |
|
410 |
339 |
$24K |
| 74019 |
|
1,243 |
1,145 |
$23K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
477 |
416 |
$23K |
| L0627 |
Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
95 |
85 |
$23K |
| 99407 |
|
6,028 |
4,156 |
$21K |
| 73630 |
|
1,322 |
926 |
$21K |
| 87634 |
|
589 |
437 |
$20K |
| 93224 |
|
358 |
309 |
$19K |
| 70210 |
|
973 |
848 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
1,330 |
1,160 |
$16K |
| 73130 |
|
1,038 |
697 |
$16K |
| 84443 |
Thyroid stimulating hormone (TSH) |
6,071 |
4,713 |
$16K |
| 73110 |
|
856 |
623 |
$15K |
| 73522 |
|
601 |
557 |
$15K |
| 76706 |
|
327 |
288 |
$14K |
| 82140 |
|
1,325 |
1,217 |
$14K |
| 92585 |
|
663 |
341 |
$14K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,752 |
1,413 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,702 |
1,216 |
$13K |
| 73610 |
|
862 |
634 |
$13K |
| 69210 |
|
610 |
522 |
$13K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
445 |
313 |
$13K |
| 74018 |
|
885 |
723 |
$12K |
| 72120 |
|
526 |
507 |
$12K |
| 96127 |
|
4,086 |
2,521 |
$11K |
| 73200 |
|
99 |
83 |
$11K |
| 96138 |
|
2,083 |
1,371 |
$9K |
| 76775 |
|
169 |
161 |
$9K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
11,503 |
9,530 |
$7K |
| 95912 |
|
64 |
55 |
$7K |
| J7328 |
Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg |
33 |
16 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
245 |
188 |
$7K |
| J3490 |
Unclassified drugs |
686 |
481 |
$7K |
| 76830 |
Ultrasound, transvaginal |
115 |
102 |
$7K |
| 99453 |
|
1,183 |
1,137 |
$6K |
| 93971 |
|
78 |
64 |
$6K |
| 92652 |
|
1,437 |
942 |
$5K |
| 85379 |
|
619 |
576 |
$5K |
| 99490 |
Ccm add 20min |
5,251 |
4,664 |
$5K |
| 99385 |
|
98 |
77 |
$5K |
| 72128 |
|
41 |
36 |
$5K |
| 72052 |
|
116 |
110 |
$4K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
419 |
399 |
$4K |
| 73590 |
|
255 |
183 |
$4K |
| 64505 |
|
65 |
53 |
$4K |
| 27096 |
|
47 |
44 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
62 |
55 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
440 |
279 |
$3K |
| 82248 |
|
991 |
919 |
$3K |
| 99491 |
Ccm add 20min |
1,365 |
1,258 |
$3K |
| 99439 |
|
3,845 |
3,307 |
$3K |
| 73502 |
|
137 |
122 |
$3K |
| 94375 |
|
148 |
118 |
$2K |
| 99386 |
|
29 |
29 |
$2K |
| 51798 |
|
298 |
240 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
144 |
133 |
$2K |
| 70490 |
|
13 |
12 |
$2K |
| 73080 |
|
83 |
68 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
50 |
40 |
$1K |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
76 |
66 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
13 |
$925.08 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,774 |
1,079 |
$786.27 |
| 95911 |
|
19 |
13 |
$736.00 |
| 73090 |
|
51 |
43 |
$718.98 |
| 72192 |
|
14 |
13 |
$705.73 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
7,377 |
4,922 |
$640.78 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
1,500 |
1,061 |
$630.08 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
774 |
574 |
$623.97 |
| 93040 |
|
125 |
90 |
$539.97 |
| 92228 |
|
83 |
67 |
$525.00 |
| 20605 |
|
13 |
12 |
$522.44 |
| 96160 |
|
1,065 |
742 |
$513.48 |
| 73565 |
|
42 |
39 |
$509.07 |
| 73060 |
|
28 |
26 |
$429.16 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
178 |
127 |
$404.25 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
2,879 |
2,211 |
$397.99 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
223 |
167 |
$374.62 |
| J1815 |
Injection, insulin, per 5 units |
730 |
601 |
$360.43 |
| 73552 |
|
22 |
15 |
$291.20 |
| 80076 |
|
147 |
105 |
$270.58 |
| 97014 |
|
1,593 |
814 |
$269.90 |
| 82270 |
|
88 |
85 |
$241.82 |
| 92650 |
|
50 |
38 |
$166.48 |
| 99498 |
|
24 |
12 |
$164.85 |
| 82565 |
|
194 |
113 |
$162.88 |
| 92551 |
|
18 |
17 |
$140.23 |
| 76882 |
|
14 |
12 |
$108.57 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
91 |
63 |
$85.48 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
71 |
58 |
$80.97 |
| J3121 |
Injection, testosterone enanthate, 1 mg |
88 |
65 |
$61.24 |
| 3044F |
|
6,009 |
4,440 |
$40.00 |
| 99173 |
|
38 |
29 |
$37.54 |
| 1160F |
|
106,979 |
83,156 |
$35.09 |
| 1159F |
|
107,873 |
83,763 |
$31.05 |
| G0403 |
Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report |
32 |
27 |
$29.25 |
| 90694 |
|
24 |
19 |
$20.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
488 |
355 |
$16.59 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
14 |
12 |
$13.53 |
| 3074F |
|
67,442 |
53,822 |
$2.60 |
| G0008 |
Administration of influenza virus vaccine |
477 |
386 |
$2.35 |
| 3078F |
|
54,154 |
43,927 |
$0.41 |
| 3079F |
|
34,744 |
28,702 |
$0.22 |
| 3077F |
|
19,170 |
15,780 |
$0.02 |
| 3080F |
|
12,976 |
10,770 |
$0.01 |
| 1158F |
|
356 |
303 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
98 |
84 |
$0.00 |
| 3046F |
|
544 |
450 |
$0.00 |
| 3051F |
|
275 |
207 |
$0.00 |
| 0295T |
|
26 |
16 |
$0.00 |
| 2026F |
|
34 |
30 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
18 |
14 |
$0.00 |
| 99409 |
|
324 |
220 |
$0.00 |
| 90653 |
|
48 |
38 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
86 |
72 |
$0.00 |
| 3045F |
|
47 |
44 |
$0.00 |
| 2022F |
|
21 |
21 |
$0.00 |
| 1125F |
|
61,788 |
48,223 |
$0.00 |
| 1126F |
|
50,301 |
40,910 |
$0.00 |
| 3075F |
|
15,903 |
13,432 |
$0.00 |
| 1170F |
|
6,441 |
4,725 |
$0.00 |
| L0637 |
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
89 |
52 |
$0.00 |
| 1111F |
|
3,367 |
2,585 |
$0.00 |
| 3052F |
|
82 |
67 |
$0.00 |
| 3072F |
|
99 |
88 |
$0.00 |
| 99493 |
|
28 |
28 |
$0.00 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
181 |
124 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
68 |
39 |
$0.00 |
| 3060F |
|
16 |
14 |
$0.00 |