| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
72,584 |
24,957 |
$882K |
| A9270 |
Non-covered item or service |
27,153 |
7,491 |
$685K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,188 |
6,949 |
$566K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
18,034 |
1,951 |
$264K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
7,774 |
2,061 |
$165K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,602 |
1,496 |
$138K |
| 80053 |
Comprehensive metabolic panel |
633 |
517 |
$130K |
| 95886 |
|
779 |
702 |
$125K |
| J3490 |
Unclassified drugs |
1,946 |
1,155 |
$119K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,969 |
1,686 |
$70K |
| 36415 |
Collection of venous blood by venipuncture |
1,395 |
1,135 |
$64K |
| 95913 |
|
326 |
288 |
$57K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
532 |
173 |
$54K |
| G0378 |
Hospital observation service, per hour |
3,788 |
91 |
$48K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
126 |
50 |
$27K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
193 |
180 |
$27K |
| G0008 |
Administration of influenza virus vaccine |
2,263 |
375 |
$23K |
| 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 |
1,933 |
1,676 |
$23K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
147 |
130 |
$22K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
455 |
27 |
$21K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
144 |
134 |
$19K |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
541 |
434 |
$19K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
767 |
387 |
$18K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
73 |
63 |
$14K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,852 |
998 |
$12K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
13 |
12 |
$11K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
3,103 |
1,569 |
$10K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,358 |
534 |
$10K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
322 |
287 |
$9K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
169 |
159 |
$8K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,246 |
1,233 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,126 |
952 |
$7K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
85 |
79 |
$6K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,285 |
855 |
$6K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
218 |
62 |
$5K |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
112 |
101 |
$5K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
232 |
93 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
134 |
110 |
$3K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
106 |
95 |
$3K |
| 95887 |
|
168 |
142 |
$3K |
| 0240U |
|
28 |
27 |
$3K |
| J2704 |
Injection, propofol, 10 mg |
3,005 |
2,088 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
255 |
226 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
97 |
93 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
16 |
12 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
14 |
14 |
$1K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,145 |
841 |
$1K |
| 0124A |
|
188 |
41 |
$1K |
| G0009 |
Administration of pneumococcal vaccine |
235 |
28 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60 |
50 |
$1K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
81 |
39 |
$752.96 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
18 |
$687.92 |
| 92587 |
|
16 |
13 |
$498.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
88 |
67 |
$482.42 |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
19 |
19 |
$411.84 |
| 87480 |
|
15 |
13 |
$411.04 |
| 0054A |
|
63 |
14 |
$382.41 |
| 90480 |
|
160 |
27 |
$370.43 |
| J0689 |
Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg |
370 |
220 |
$289.75 |
| 84443 |
Thyroid stimulating hormone (TSH) |
85 |
79 |
$261.32 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
340 |
196 |
$208.95 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$184.42 |
| 84439 |
|
85 |
78 |
$176.10 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
24 |
20 |
$165.20 |
| 99334 |
|
13 |
13 |
$155.35 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
15 |
13 |
$120.63 |
| 71045 |
Radiologic examination, chest; single view |
30 |
26 |
$95.99 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
17 |
16 |
$94.18 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
15 |
12 |
$93.81 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
15 |
12 |
$87.65 |
| 86140 |
|
57 |
51 |
$76.08 |
| 85027 |
|
58 |
51 |
$59.68 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
20 |
18 |
$40.21 |
| 85610 |
|
57 |
50 |
$31.48 |
| 85652 |
|
72 |
63 |
$28.41 |
| 90662 |
|
50 |
47 |
$23.75 |
| 82785 |
|
21 |
19 |
$22.36 |
| 87510 |
|
15 |
13 |
$20.05 |
| 87660 |
|
15 |
13 |
$20.05 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
18 |
17 |
$20.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
92 |
82 |
$2.45 |
| 86780 |
|
16 |
12 |
$0.00 |
| 90686 |
|
103 |
100 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
12 |
12 |
$0.00 |
| 90694 |
|
33 |
33 |
$0.00 |
| 87077 |
|
32 |
25 |
$0.00 |
| 90656 |
|
18 |
18 |
$0.00 |
| 82657 |
|
15 |
13 |
$0.00 |
| 86850 |
|
16 |
12 |
$0.00 |
| 91322 |
|
37 |
37 |
$0.00 |
| 90653 |
|
15 |
15 |
$0.00 |
| 80076 |
|
12 |
12 |
$0.00 |