| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 41899 |
Unlisted procedure, dentoalveolar structures |
938 |
882 |
$1.86M |
| G0330 |
Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room |
274 |
271 |
$1.15M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,790 |
3,438 |
$616K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,496 |
3,737 |
$562K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,709 |
3,201 |
$483K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
211 |
193 |
$464K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
73 |
69 |
$222K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
3,982 |
3,328 |
$190K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
940 |
829 |
$180K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
847 |
717 |
$150K |
| 99218 |
|
233 |
144 |
$144K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,840 |
1,625 |
$144K |
| 99221 |
|
177 |
148 |
$113K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
796 |
713 |
$92K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,611 |
2,145 |
$84K |
| 71045 |
Radiologic examination, chest; single view |
436 |
366 |
$59K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
214 |
171 |
$42K |
| 71046 |
Radiologic examination, chest; 2 views |
457 |
375 |
$38K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,635 |
6,446 |
$31K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
75 |
63 |
$29K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
358 |
322 |
$28K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
640 |
555 |
$26K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
13 |
13 |
$21K |
| 80053 |
Comprehensive metabolic panel |
3,440 |
2,927 |
$21K |
| 36415 |
Collection of venous blood by venipuncture |
6,091 |
5,091 |
$17K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
25 |
12 |
$14K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,301 |
1,053 |
$14K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,320 |
1,925 |
$10K |
| 84484 |
|
1,355 |
833 |
$8K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
63 |
42 |
$7K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
198 |
148 |
$7K |
| 87503 |
|
259 |
231 |
$6K |
| 76770 |
|
25 |
25 |
$6K |
| 81025 |
|
589 |
516 |
$3K |
| 85027 |
|
758 |
664 |
$3K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
58 |
53 |
$2K |
| 83690 |
|
675 |
572 |
$2K |
| 81003 |
|
1,203 |
1,022 |
$2K |
| 81001 |
|
944 |
797 |
$2K |
| 87276 |
|
202 |
154 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
15 |
13 |
$1K |
| 87275 |
|
202 |
154 |
$1K |
| 76820 |
|
16 |
12 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
125 |
112 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
142 |
131 |
$1K |
| 96415 |
|
13 |
12 |
$1K |
| 83970 |
|
25 |
24 |
$908.16 |
| 83880 |
|
30 |
24 |
$844.10 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
18 |
17 |
$718.21 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
13 |
12 |
$602.38 |
| 83735 |
|
112 |
95 |
$403.34 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
13 |
12 |
$325.60 |
| 82728 |
|
25 |
24 |
$299.86 |
| 84425 |
|
15 |
15 |
$297.22 |
| 85379 |
|
32 |
25 |
$226.76 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
48 |
37 |
$209.51 |
| 84134 |
|
15 |
15 |
$204.26 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$184.80 |
| 82607 |
|
13 |
12 |
$165.88 |
| 82746 |
|
13 |
12 |
$161.70 |
| 84590 |
|
14 |
14 |
$150.93 |
| 80061 |
Lipid panel |
12 |
12 |
$147.29 |
| 86003 |
|
108 |
13 |
$130.50 |
| 83540 |
|
13 |
12 |
$71.17 |
| 80076 |
|
13 |
12 |
$60.18 |
| 83605 |
|
14 |
12 |
$23.74 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
22 |
15 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
23 |
12 |
$0.00 |