| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 41899 |
Unlisted procedure, dentoalveolar structures |
125 |
119 |
$811K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
5,582 |
3,991 |
$148K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,842 |
2,149 |
$134K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,955 |
1,463 |
$121K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,772 |
884 |
$90K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
5,869 |
4,017 |
$81K |
| 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 |
120 |
117 |
$64K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
184 |
158 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
749 |
398 |
$27K |
| 83655 |
|
1,571 |
1,566 |
$18K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
973 |
949 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
211 |
115 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,560 |
4,554 |
$11K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,827 |
2,767 |
$11K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
744 |
516 |
$9K |
| 80053 |
Comprehensive metabolic panel |
8,214 |
4,935 |
$8K |
| 85004 |
|
2,146 |
1,873 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
151 |
115 |
$5K |
| ATP14 |
|
650 |
579 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
183 |
179 |
$4K |
| 81025 |
|
588 |
482 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
77 |
49 |
$3K |
| 85048 |
|
2,178 |
1,892 |
$3K |
| 80159 |
|
202 |
170 |
$2K |
| 80050 |
General health panel |
401 |
392 |
$2K |
| 85027 |
|
2,009 |
1,122 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
19,356 |
9,432 |
$2K |
| 90658 |
|
69 |
69 |
$2K |
| 86141 |
|
712 |
419 |
$2K |
| 80061 |
Lipid panel |
2,180 |
2,127 |
$1K |
| 83735 |
|
1,124 |
591 |
$1K |
| 99441 |
|
32 |
31 |
$1K |
| 81001 |
|
811 |
744 |
$1K |
| 85652 |
|
1,405 |
939 |
$907.66 |
| ATP17 |
|
88 |
86 |
$825.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
25 |
18 |
$800.25 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
25 |
18 |
$800.25 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
69 |
13 |
$782.97 |
| 84443 |
Thyroid stimulating hormone (TSH) |
125 |
122 |
$781.83 |
| 84439 |
|
125 |
125 |
$558.96 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
57 |
12 |
$492.11 |
| ATP03 |
|
221 |
194 |
$479.50 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
455 |
191 |
$423.96 |
| 86317 |
|
55 |
55 |
$381.13 |
| 88300 |
|
78 |
76 |
$355.74 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
16 |
15 |
$351.52 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
55 |
55 |
$333.55 |
| 82728 |
|
199 |
139 |
$327.05 |
| 85610 |
|
603 |
249 |
$300.18 |
| 83550 |
|
142 |
129 |
$277.89 |
| 80164 |
|
88 |
62 |
$250.01 |
| 83540 |
|
156 |
140 |
$233.01 |
| 86780 |
|
19 |
15 |
$229.33 |
| 86803 |
|
16 |
15 |
$208.16 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
12 |
12 |
$168.00 |
| 86592 |
|
24 |
24 |
$57.20 |
| 87088 |
|
12 |
12 |
$36.90 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
14 |
12 |
$0.00 |
| 84550 |
|
69 |
53 |
$0.00 |
| 80348 |
|
218 |
142 |
$0.00 |
| 84100 |
|
119 |
40 |
$0.00 |
| 80305 |
|
50 |
41 |
$0.00 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
12 |
12 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,444 |
1,286 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
226 |
159 |
$0.00 |
| 85379 |
|
80 |
38 |
$0.00 |
| 84484 |
|
32 |
25 |
$0.00 |
| 83615 |
|
56 |
27 |
$0.00 |