| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,531 |
860 |
$227K |
| 80053 |
Comprehensive metabolic panel |
3,285 |
2,737 |
$138K |
| 81001 |
|
2,647 |
2,225 |
$91K |
| 36415 |
Collection of venous blood by venipuncture |
1,896 |
1,352 |
$83K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
2,427 |
725 |
$71K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,487 |
2,195 |
$66K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
743 |
602 |
$35K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
520 |
472 |
$33K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
1,577 |
476 |
$27K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,061 |
813 |
$25K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,417 |
1,219 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
296 |
278 |
$19K |
| 86850 |
|
130 |
119 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
1,043 |
905 |
$12K |
| 76830 |
Ultrasound, transvaginal |
28 |
26 |
$11K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
372 |
241 |
$10K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
845 |
718 |
$8K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,923 |
1,647 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
455 |
407 |
$8K |
| 87070 |
|
238 |
206 |
$7K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
81 |
75 |
$7K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
241 |
210 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
417 |
373 |
$6K |
| 73630 |
|
102 |
84 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
675 |
493 |
$6K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
57 |
26 |
$5K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
132 |
111 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,802 |
3,002 |
$5K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,211 |
1,020 |
$5K |
| 81025 |
|
1,067 |
913 |
$4K |
| 73610 |
|
84 |
75 |
$4K |
| 87077 |
|
525 |
454 |
$4K |
| 80055 |
|
166 |
136 |
$4K |
| 86900 |
|
184 |
160 |
$3K |
| 72100 |
|
79 |
70 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
973 |
899 |
$3K |
| 73564 |
|
79 |
71 |
$3K |
| 82950 |
|
152 |
138 |
$2K |
| 84702 |
|
241 |
181 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
153 |
148 |
$2K |
| 73130 |
|
41 |
38 |
$2K |
| 73110 |
|
43 |
40 |
$2K |
| 87081 |
|
325 |
309 |
$2K |
| 87210 |
|
119 |
105 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
28 |
26 |
$1K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,439 |
1,200 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
76 |
69 |
$1K |
| 87147 |
|
49 |
39 |
$1K |
| 81003 |
|
59 |
50 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
329 |
297 |
$1K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
224 |
199 |
$1K |
| 82105 |
|
19 |
18 |
$950.10 |
| 71045 |
Radiologic examination, chest; single view |
681 |
579 |
$863.03 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,357 |
1,096 |
$816.21 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
415 |
121 |
$795.16 |
| 80061 |
Lipid panel |
551 |
523 |
$768.14 |
| 84484 |
|
1,219 |
815 |
$732.50 |
| 84439 |
|
202 |
182 |
$659.30 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
660 |
538 |
$610.22 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12 |
12 |
$516.63 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
271 |
227 |
$451.05 |
| 74022 |
|
30 |
28 |
$368.50 |
| 80076 |
|
41 |
38 |
$359.74 |
| 97161 |
|
17 |
16 |
$284.38 |
| 83880 |
|
405 |
346 |
$235.60 |
| 97162 |
|
32 |
29 |
$200.67 |
| 86780 |
|
37 |
33 |
$77.80 |
| 83735 |
|
661 |
483 |
$73.98 |
| 82607 |
|
27 |
27 |
$43.02 |
| 85610 |
|
412 |
351 |
$33.97 |
| 87186 |
|
464 |
400 |
$31.96 |
| 85651 |
|
67 |
62 |
$29.94 |
| 85027 |
|
443 |
369 |
$20.64 |
| 86703 |
|
229 |
191 |
$19.98 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
82 |
69 |
$16.95 |
| 82150 |
|
15 |
12 |
$16.45 |
| 85018 |
|
146 |
119 |
$9.91 |
| 94664 |
|
596 |
337 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
118 |
104 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
533 |
414 |
$0.00 |
| 84145 |
|
77 |
72 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
104 |
88 |
$0.00 |
| 84100 |
|
102 |
84 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
224 |
194 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
667 |
560 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
377 |
292 |
$0.00 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
100 |
83 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
315 |
278 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
108 |
39 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
32 |
28 |
$0.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
100 |
86 |
$0.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
16 |
15 |
$0.00 |
| 59025 |
Fetal non-stress test |
15 |
12 |
$0.00 |
| 85007 |
|
16 |
12 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
579 |
467 |
$0.00 |
| A9270 |
Non-covered item or service |
331 |
266 |
$0.00 |
| G0378 |
Hospital observation service, per hour |
270 |
246 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
693 |
599 |
$0.00 |
| 82550 |
|
134 |
85 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
160 |
133 |
$0.00 |
| 96376 |
|
302 |
222 |
$0.00 |
| 83605 |
|
381 |
315 |
$0.00 |
| 87040 |
|
224 |
156 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
30 |
24 |
$0.00 |
| 83690 |
|
796 |
676 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
235 |
212 |
$0.00 |
| 85379 |
|
151 |
140 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
270 |
234 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
88 |
74 |
$0.00 |
| 86901 |
|
234 |
203 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
241 |
210 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
664 |
366 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
13 |
13 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
82 |
67 |
$0.00 |
| 86762 |
|
45 |
41 |
$0.00 |
| 87205 |
|
42 |
37 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
48 |
43 |
$0.00 |
| 85730 |
|
44 |
36 |
$0.00 |
| 86140 |
|
32 |
28 |
$0.00 |
| 86592 |
|
13 |
12 |
$0.00 |
| 87340 |
|
46 |
42 |
$0.00 |
| 83874 |
|
95 |
64 |
$0.00 |