| Code | Description | Claims | Beneficiaries | Total Paid |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,246 |
844 |
$204K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
3,882 |
669 |
$131K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
5,683 |
4,352 |
$79K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
5,665 |
4,339 |
$78K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
3,158 |
2,468 |
$70K |
| 87507 |
|
300 |
288 |
$67K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,272 |
1,198 |
$64K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
5,897 |
4,502 |
$54K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
3,427 |
2,496 |
$52K |
| 80053 |
Comprehensive metabolic panel |
9,726 |
8,533 |
$39K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,664 |
1,306 |
$35K |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,657 |
4,333 |
$28K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
5,357 |
4,469 |
$17K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,570 |
1,306 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
344 |
318 |
$15K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
877 |
582 |
$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 |
566 |
406 |
$15K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,061 |
5,972 |
$14K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
357 |
333 |
$10K |
| 85027 |
|
5,100 |
4,497 |
$8K |
| 84439 |
|
3,607 |
3,321 |
$8K |
| 80061 |
Lipid panel |
4,990 |
4,675 |
$8K |
| 87186 |
|
2,021 |
1,633 |
$8K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
51 |
44 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,265 |
3,949 |
$7K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,373 |
2,046 |
$7K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
364 |
270 |
$7K |
| 80074 |
|
565 |
403 |
$6K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
665 |
348 |
$6K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,238 |
2,086 |
$6K |
| 87641 |
|
275 |
254 |
$5K |
| 84702 |
|
1,293 |
817 |
$5K |
| 83970 |
|
382 |
348 |
$5K |
| 81001 |
|
5,765 |
4,997 |
$5K |
| 82607 |
|
1,081 |
978 |
$4K |
| 83516 |
|
829 |
384 |
$4K |
| 87088 |
|
1,063 |
946 |
$4K |
| 83655 |
|
438 |
431 |
$4K |
| 96040 |
|
76 |
74 |
$4K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
164 |
133 |
$3K |
| 85610 |
|
2,232 |
1,426 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
410 |
166 |
$3K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
23 |
23 |
$3K |
| 83550 |
|
1,304 |
1,139 |
$3K |
| 86803 |
|
407 |
357 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
106 |
105 |
$3K |
| 82784 |
|
415 |
299 |
$3K |
| 84481 |
|
1,026 |
937 |
$3K |
| 86038 |
|
408 |
370 |
$3K |
| 86003 |
|
6,149 |
335 |
$2K |
| 82746 |
|
896 |
802 |
$2K |
| 86696 |
|
372 |
227 |
$2K |
| 82570 |
|
2,068 |
1,827 |
$2K |
| 82728 |
|
1,310 |
1,137 |
$2K |
| 97161 |
|
26 |
21 |
$2K |
| 86235 |
|
244 |
143 |
$2K |
| 86140 |
|
1,843 |
1,653 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
234 |
165 |
$2K |
| 87210 |
|
2,834 |
2,264 |
$2K |
| G0483 |
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; 22 or more drug class(es), including metabolite(s) if performed |
32 |
32 |
$2K |
| 83540 |
|
1,323 |
1,154 |
$2K |
| 92523 |
|
45 |
25 |
$2K |
| 80055 |
|
323 |
214 |
$2K |
| 87077 |
|
570 |
383 |
$2K |
| 83735 |
|
936 |
733 |
$2K |
| 84153 |
|
307 |
281 |
$2K |
| 87070 |
|
709 |
609 |
$2K |
| 85652 |
|
2,147 |
1,944 |
$1K |
| 87081 |
|
585 |
539 |
$1K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
95 |
84 |
$1K |
| 97162 |
|
20 |
14 |
$1K |
| 82105 |
|
140 |
127 |
$1K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
171 |
113 |
$1K |
| 86592 |
|
1,171 |
948 |
$1K |
| 84403 |
|
118 |
101 |
$1K |
| 86695 |
|
356 |
227 |
$1K |
| 83880 |
|
188 |
163 |
$1K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
65 |
57 |
$1K |
| 82043 |
|
1,196 |
1,108 |
$1K |
| 87147 |
|
810 |
656 |
$1K |
| 87340 |
|
268 |
216 |
$971.55 |
| 86850 |
|
856 |
726 |
$967.76 |
| 83001 |
|
182 |
151 |
$904.75 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
34 |
27 |
$901.88 |
| 84146 |
|
271 |
252 |
$870.47 |
| 85007 |
|
1,010 |
875 |
$849.46 |
| 80076 |
|
327 |
288 |
$789.31 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
18 |
12 |
$779.10 |
| 82950 |
|
690 |
633 |
$772.51 |
| 86901 |
|
862 |
711 |
$766.19 |
| 83690 |
|
441 |
409 |
$757.26 |
| 86162 |
|
106 |
81 |
$714.94 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
20 |
16 |
$691.83 |
| 87338 |
|
69 |
69 |
$682.00 |
| 86225 |
|
213 |
179 |
$666.46 |
| 88141 |
|
458 |
265 |
$651.48 |
| 82274 |
|
161 |
136 |
$636.34 |
| 86255 |
|
232 |
220 |
$610.62 |
| 86900 |
|
848 |
698 |
$581.75 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$570.14 |
| 86787 |
|
171 |
111 |
$540.40 |
| 81003 |
|
834 |
799 |
$538.64 |
| 87581 |
|
50 |
44 |
$534.74 |
| 74018 |
|
53 |
41 |
$516.46 |
| 87486 |
|
50 |
44 |
$512.45 |
| 84156 |
|
961 |
773 |
$500.60 |
| 84550 |
|
444 |
377 |
$495.55 |
| 86403 |
|
209 |
136 |
$483.40 |
| 86431 |
|
288 |
263 |
$451.48 |
| 81025 |
|
515 |
425 |
$428.54 |
| 84100 |
|
377 |
322 |
$426.18 |
| 82785 |
|
63 |
58 |
$408.66 |
| 81015 |
|
612 |
537 |
$382.55 |
| 84484 |
|
90 |
65 |
$379.15 |
| G0378 |
Hospital observation service, per hour |
27 |
13 |
$346.47 |
| 82550 |
|
243 |
219 |
$335.80 |
| 88341 |
|
20 |
13 |
$304.60 |
| 80305 |
|
99 |
91 |
$287.89 |
| 86800 |
|
64 |
49 |
$278.25 |
| 85730 |
|
207 |
193 |
$272.79 |
| 86376 |
|
118 |
101 |
$241.64 |
| 80177 |
|
58 |
55 |
$234.26 |
| 82565 |
|
153 |
129 |
$227.30 |
| 85018 |
|
345 |
315 |
$227.08 |
| 86141 |
|
27 |
27 |
$197.28 |
| 80050 |
General health panel |
1,800 |
1,691 |
$177.31 |
| 84681 |
|
60 |
54 |
$168.78 |
| 83002 |
|
118 |
94 |
$168.69 |
| 86200 |
|
45 |
36 |
$168.65 |
| 86762 |
|
92 |
78 |
$168.24 |
| 83525 |
|
30 |
30 |
$166.91 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
16 |
13 |
$164.73 |
| 87205 |
|
147 |
141 |
$164.69 |
| 86677 |
|
34 |
33 |
$140.50 |
| 80306 |
|
53 |
53 |
$128.26 |
| 82652 |
|
37 |
37 |
$117.16 |
| 80164 |
|
42 |
41 |
$112.21 |
| 82465 |
|
155 |
148 |
$110.27 |
| 85014 |
|
214 |
191 |
$109.91 |
| 83921 |
|
15 |
12 |
$87.92 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
13 |
13 |
$77.52 |
| 88342 |
|
17 |
13 |
$76.74 |
| 36415 |
Collection of venous blood by venipuncture |
4,111 |
3,411 |
$75.69 |
| 82150 |
|
66 |
66 |
$74.67 |
| 82962 |
|
41 |
24 |
$71.75 |
| 82951 |
|
12 |
12 |
$67.60 |
| 84425 |
|
14 |
14 |
$62.40 |
| 84630 |
|
13 |
13 |
$44.10 |
| 82670 |
|
14 |
14 |
$39.66 |
| 84165 |
|
12 |
12 |
$35.91 |
| 84703 |
|
18 |
16 |
$34.81 |
| 83615 |
|
41 |
38 |
$34.64 |
| 86778 |
|
15 |
12 |
$27.45 |
| 84480 |
|
12 |
12 |
$23.39 |
| 86308 |
|
14 |
14 |
$18.72 |
| 86777 |
|
15 |
12 |
$18.54 |
| 82952 |
|
12 |
12 |
$13.07 |
| 82947 |
|
12 |
12 |
$13.07 |
| 84460 |
|
14 |
13 |
$10.15 |
| 84590 |
|
15 |
12 |
$9.08 |
| 83013 |
|
14 |
12 |
$8.38 |
| J2704 |
Injection, propofol, 10 mg |
114 |
52 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
18 |
14 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
30 |
28 |
$0.00 |
| 87150 |
|
65 |
65 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
208 |
169 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
15 |
12 |
$0.00 |