| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,002 |
953 |
$187K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
824 |
789 |
$170K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
585 |
562 |
$112K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
487 |
465 |
$73K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
944 |
869 |
$48K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
362 |
362 |
$37K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
432 |
353 |
$36K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
367 |
116 |
$34K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
768 |
768 |
$33K |
| 80053 |
Comprehensive metabolic panel |
2,591 |
2,427 |
$33K |
| 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 |
327 |
314 |
$32K |
| 76830 |
Ultrasound, transvaginal |
282 |
282 |
$31K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
216 |
195 |
$31K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
461 |
461 |
$30K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,381 |
3,871 |
$28K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,811 |
1,771 |
$27K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
740 |
730 |
$24K |
| 71046 |
Radiologic examination, chest; 2 views |
614 |
593 |
$24K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,190 |
1,185 |
$21K |
| 99441 |
|
138 |
132 |
$21K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
740 |
730 |
$20K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
346 |
346 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
124 |
107 |
$17K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
149 |
149 |
$16K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
251 |
75 |
$15K |
| 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 |
331 |
309 |
$14K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,529 |
1,397 |
$14K |
| 80061 |
Lipid panel |
2,328 |
2,319 |
$14K |
| 99219 |
|
16 |
13 |
$12K |
| 86803 |
|
468 |
466 |
$12K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
61 |
59 |
$10K |
| 87480 |
|
381 |
365 |
$8K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
30 |
28 |
$8K |
| 80050 |
General health panel |
500 |
498 |
$8K |
| 87510 |
|
381 |
365 |
$7K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
977 |
920 |
$7K |
| 87660 |
|
381 |
365 |
$7K |
| 70450 |
Computed tomography, head or brain; without contrast material |
54 |
53 |
$6K |
| 82728 |
|
255 |
251 |
$6K |
| 84439 |
|
602 |
591 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
79 |
77 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
25 |
25 |
$5K |
| 82607 |
|
313 |
310 |
$4K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
24 |
24 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
59 |
38 |
$4K |
| 80076 |
|
868 |
840 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
44 |
44 |
$3K |
| 76801 |
|
12 |
12 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
7,547 |
6,534 |
$3K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
32 |
27 |
$3K |
| 84484 |
|
300 |
252 |
$2K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
108 |
108 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
28 |
26 |
$2K |
| 81003 |
|
1,170 |
1,113 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
12 |
$2K |
| 87340 |
|
165 |
165 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
588 |
516 |
$2K |
| 83690 |
|
401 |
377 |
$2K |
| 83550 |
|
123 |
119 |
$2K |
| 80081 |
|
25 |
25 |
$2K |
| 86618 |
|
116 |
114 |
$2K |
| 86706 |
|
146 |
146 |
$2K |
| 82043 |
|
299 |
297 |
$2K |
| 87070 |
|
244 |
232 |
$2K |
| 84481 |
|
94 |
94 |
$2K |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
18 |
18 |
$1K |
| 83540 |
|
196 |
192 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$1K |
| 81001 |
|
514 |
485 |
$1K |
| 86704 |
|
87 |
87 |
$1K |
| 87522 |
Neg quan hep c or qual rna |
27 |
27 |
$1K |
| 84702 |
|
93 |
69 |
$1K |
| 86709 |
|
56 |
56 |
$1K |
| 97161 |
|
12 |
12 |
$1K |
| 81025 |
|
268 |
257 |
$1K |
| 99217 |
|
12 |
12 |
$900.00 |
| 83735 |
|
160 |
147 |
$850.91 |
| 87186 |
|
100 |
96 |
$836.88 |
| 82746 |
|
52 |
52 |
$802.47 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
437 |
415 |
$797.00 |
| 85651 |
|
226 |
220 |
$760.54 |
| 94761 |
|
146 |
132 |
$720.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
28 |
28 |
$656.88 |
| 87077 |
|
66 |
64 |
$589.60 |
| 86038 |
|
42 |
41 |
$570.78 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
236 |
209 |
$550.00 |
| 83520 |
|
13 |
13 |
$538.35 |
| 86140 |
|
106 |
103 |
$497.14 |
| 85610 |
|
145 |
122 |
$466.24 |
| J2704 |
Injection, propofol, 10 mg |
557 |
525 |
$378.04 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
541 |
487 |
$306.89 |
| 82950 |
|
31 |
31 |
$302.79 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
96 |
96 |
$268.71 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
341 |
246 |
$248.04 |
| 86592 |
|
51 |
51 |
$212.04 |
| 82565 |
|
49 |
39 |
$172.72 |
| 86430 |
|
25 |
25 |
$159.50 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
185 |
175 |
$118.33 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
149 |
139 |
$110.36 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
384 |
339 |
$94.63 |
| 82570 |
|
17 |
12 |
$89.68 |
| 86850 |
|
24 |
24 |
$86.64 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
97 |
88 |
$86.64 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
56 |
36 |
$69.00 |
| 86900 |
|
26 |
26 |
$62.86 |
| 86901 |
|
26 |
26 |
$62.86 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
26 |
24 |
$54.95 |
| 82948 |
|
35 |
26 |
$35.74 |
| 84703 |
|
14 |
14 |
$15.50 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
243 |
239 |
$0.00 |
| 84520 |
|
30 |
25 |
$0.00 |
| 94760 |
|
45 |
41 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
14 |
13 |
$0.00 |