| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90832 |
Psychotherapy, 30 minutes with patient |
4,973 |
3,356 |
$638K |
| 80053 |
Comprehensive metabolic panel |
13,031 |
12,135 |
$569K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
7,311 |
6,044 |
$369K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,378 |
2,903 |
$348K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,075 |
867 |
$295K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
159 |
117 |
$268K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
284 |
260 |
$252K |
| 36415 |
Collection of venous blood by venipuncture |
4,139 |
3,899 |
$241K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
921 |
852 |
$237K |
| 81001 |
|
3,912 |
3,732 |
$237K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,552 |
1,363 |
$227K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
3,734 |
3,532 |
$210K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,110 |
974 |
$204K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,393 |
1,327 |
$195K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
4,702 |
4,420 |
$190K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,386 |
1,224 |
$181K |
| 86850 |
|
2,024 |
1,846 |
$181K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,024 |
658 |
$161K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,070 |
1,006 |
$140K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,659 |
1,581 |
$131K |
| 87806 |
|
2,284 |
2,276 |
$130K |
| 87631 |
|
1,362 |
1,337 |
$121K |
| 86480 |
|
1,087 |
1,074 |
$119K |
| 80061 |
Lipid panel |
9,459 |
9,330 |
$107K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,588 |
1,536 |
$105K |
| 81003 |
|
1,772 |
1,716 |
$99K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,318 |
3,138 |
$95K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,846 |
1,758 |
$84K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,823 |
661 |
$78K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
537 |
527 |
$65K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,127 |
1,126 |
$64K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
494 |
493 |
$61K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18,566 |
16,916 |
$58K |
| 87081 |
|
1,165 |
1,146 |
$55K |
| 86900 |
|
2,032 |
1,851 |
$51K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,237 |
2,099 |
$50K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
426 |
396 |
$49K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
414 |
373 |
$47K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
264 |
251 |
$47K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
341 |
339 |
$45K |
| 86769 |
|
741 |
740 |
$42K |
| 71046 |
Radiologic examination, chest; 2 views |
1,432 |
1,383 |
$41K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
251 |
250 |
$39K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
160 |
157 |
$38K |
| 86901 |
|
2,032 |
1,851 |
$38K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
4,223 |
4,167 |
$37K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,101 |
1,057 |
$37K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
736 |
564 |
$35K |
| 92551 |
|
669 |
642 |
$35K |
| 82948 |
|
843 |
628 |
$33K |
| 86780 |
|
2,926 |
2,790 |
$32K |
| 87481 |
|
199 |
196 |
$30K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,702 |
2,574 |
$30K |
| 80076 |
|
1,783 |
1,730 |
$29K |
| 82728 |
|
2,653 |
2,585 |
$29K |
| 90686 |
|
1,965 |
1,896 |
$25K |
| 90791 |
Psychiatric diagnostic evaluation |
121 |
113 |
$24K |
| 83655 |
|
1,128 |
1,103 |
$23K |
| 82784 |
|
596 |
474 |
$23K |
| 87486 |
|
78 |
75 |
$21K |
| 87070 |
|
376 |
367 |
$21K |
| 83021 |
|
547 |
500 |
$21K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
26 |
25 |
$20K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
811 |
807 |
$20K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
224 |
223 |
$20K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
8,898 |
8,791 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
249 |
237 |
$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 |
476 |
302 |
$15K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
134 |
132 |
$14K |
| 0002A |
|
362 |
362 |
$14K |
| 0001A |
|
418 |
418 |
$14K |
| 84439 |
|
3,473 |
3,398 |
$14K |
| 90836 |
|
82 |
54 |
$14K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
205 |
204 |
$14K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
139 |
135 |
$13K |
| 84702 |
|
1,848 |
1,661 |
$13K |
| 82607 |
|
2,188 |
2,152 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
88 |
85 |
$13K |
| 85610 |
|
2,140 |
1,987 |
$11K |
| 87077 |
|
694 |
686 |
$11K |
| 86803 |
|
2,331 |
2,313 |
$11K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
674 |
636 |
$11K |
| 84443 |
Thyroid stimulating hormone (TSH) |
6,934 |
6,806 |
$11K |
| 86359 |
|
87 |
85 |
$11K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
247 |
220 |
$10K |
| 99215 |
Prolong outpt/office vis |
55 |
55 |
$10K |
| 96127 |
|
1,372 |
1,362 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
56 |
56 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
265 |
249 |
$9K |
| J2704 |
Injection, propofol, 10 mg |
1,163 |
1,082 |
$9K |
| 87490 |
|
1,587 |
1,575 |
$9K |
| 83735 |
|
2,185 |
1,882 |
$9K |
| 82330 |
|
1,258 |
1,137 |
$9K |
| 84466 |
|
2,362 |
2,310 |
$8K |
| G0475 |
Hiv antigen/antibody, combination assay, screening |
1,447 |
1,416 |
$8K |
| 90670 |
|
335 |
328 |
$8K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,183 |
712 |
$7K |
| 83615 |
|
842 |
693 |
$7K |
| 86140 |
|
972 |
942 |
$7K |
| 83540 |
|
2,447 |
2,389 |
$6K |
| 97010 |
|
106 |
48 |
$6K |
| 87205 |
|
377 |
333 |
$6K |
| 90651 |
|
214 |
205 |
$6K |
| 0003A |
|
154 |
154 |
$6K |
| 73630 |
|
48 |
45 |
$6K |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,681 |
1,023 |
$6K |
| 87581 |
|
78 |
75 |
$5K |
| 92557 |
|
44 |
43 |
$5K |
| 82043 |
|
1,661 |
1,649 |
$5K |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
1,184 |
1,177 |
$4K |
| 84100 |
|
1,315 |
1,166 |
$4K |
| 86706 |
|
1,089 |
1,077 |
$4K |
| 82565 |
|
227 |
210 |
$4K |
| 82550 |
|
1,338 |
1,210 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
3,957 |
3,751 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
46 |
46 |
$4K |
| 90734 |
|
203 |
195 |
$3K |
| 85046 |
|
281 |
242 |
$3K |
| 82785 |
|
101 |
82 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
25 |
25 |
$3K |
| 86704 |
|
415 |
410 |
$3K |
| 77065 |
Tomosynthesis, mammo |
14 |
12 |
$3K |
| 84484 |
|
1,139 |
973 |
$2K |
| 83690 |
|
1,343 |
1,246 |
$2K |
| J3490 |
Unclassified drugs |
1,548 |
1,078 |
$2K |
| 82570 |
|
2,098 |
2,061 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
708 |
615 |
$2K |
| 82746 |
|
859 |
848 |
$2K |
| 83880 |
|
277 |
262 |
$2K |
| 76830 |
Ultrasound, transvaginal |
40 |
40 |
$2K |
| 84153 |
|
315 |
305 |
$2K |
| 84550 |
|
816 |
724 |
$2K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
492 |
482 |
$2K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
33 |
12 |
$2K |
| 99173 |
|
26 |
26 |
$2K |
| 86592 |
|
29 |
28 |
$2K |
| 83605 |
|
1,243 |
1,125 |
$2K |
| 87340 |
|
1,820 |
1,807 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,262 |
1,134 |
$2K |
| 90715 |
|
219 |
216 |
$2K |
| 82375 |
|
1,243 |
1,125 |
$2K |
| 83970 |
|
182 |
173 |
$2K |
| 83001 |
|
212 |
210 |
$2K |
| 85730 |
|
1,787 |
1,699 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
15 |
15 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
30 |
29 |
$2K |
| 76770 |
|
29 |
28 |
$1K |
| 95117 |
|
65 |
42 |
$1K |
| 86696 |
|
13 |
13 |
$1K |
| 0124A |
|
94 |
93 |
$1K |
| 84520 |
|
189 |
171 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
65 |
54 |
$1K |
| 86735 |
|
459 |
453 |
$1K |
| 93970 |
|
25 |
25 |
$1K |
| 84703 |
|
63 |
62 |
$1K |
| H2010 |
Comprehensive medication services, per 15 minutes |
19 |
14 |
$1K |
| 86762 |
|
648 |
641 |
$1K |
| 82947 |
|
1,564 |
1,440 |
$1K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,375 |
1,342 |
$1K |
| 90680 |
|
146 |
146 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
56 |
56 |
$1K |
| 85044 |
|
551 |
505 |
$1K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
147 |
66 |
$1K |
| 73610 |
|
14 |
12 |
$1K |
| 82150 |
|
260 |
241 |
$1K |
| 90633 |
|
136 |
116 |
$971.15 |
| 92083 |
|
12 |
12 |
$965.30 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
923 |
874 |
$913.86 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
830 |
762 |
$894.83 |
| 86360 |
|
87 |
85 |
$842.30 |
| 84295 |
|
1,407 |
1,300 |
$829.69 |
| 0011A |
|
20 |
20 |
$800.00 |
| 0012A |
|
20 |
20 |
$795.00 |
| 73560 |
|
13 |
12 |
$756.39 |
| 82800 |
|
1,239 |
1,123 |
$747.93 |
| 84403 |
|
203 |
198 |
$740.20 |
| 85652 |
|
929 |
904 |
$719.50 |
| 84146 |
|
109 |
107 |
$699.33 |
| 86038 |
|
310 |
308 |
$680.95 |
| 86200 |
|
13 |
13 |
$672.83 |
| 92567 |
|
51 |
50 |
$642.53 |
| 99385 |
|
16 |
16 |
$583.54 |
| 83050 |
|
1,243 |
1,125 |
$574.45 |
| 86765 |
|
694 |
687 |
$565.31 |
| 87088 |
|
788 |
769 |
$448.25 |
| 82310 |
|
52 |
52 |
$446.12 |
| 84132 |
|
1,156 |
1,069 |
$440.24 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,371 |
1,272 |
$439.59 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$377.35 |
| 86787 |
|
592 |
583 |
$376.17 |
| 86003 |
|
163 |
159 |
$364.96 |
| 80197 |
|
64 |
37 |
$358.97 |
| 90696 |
|
16 |
16 |
$346.45 |
| 90698 |
|
27 |
27 |
$329.77 |
| 81025 |
|
12 |
12 |
$313.22 |
| 82465 |
|
88 |
88 |
$306.76 |
| 85651 |
|
197 |
196 |
$284.01 |
| 90723 |
|
25 |
25 |
$279.64 |
| 90750 |
|
12 |
12 |
$275.91 |
| 90710 |
|
67 |
59 |
$254.24 |
| 86708 |
|
53 |
53 |
$245.69 |
| 90648 |
|
13 |
12 |
$236.69 |
| 87186 |
|
337 |
335 |
$235.88 |
| 84156 |
|
594 |
570 |
$233.82 |
| 76642 |
|
18 |
18 |
$195.04 |
| 84436 |
|
27 |
27 |
$194.00 |
| 84155 |
|
86 |
77 |
$161.99 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
834 |
734 |
$154.37 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
576 |
544 |
$145.92 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
250 |
217 |
$138.60 |
| 82977 |
|
30 |
27 |
$134.00 |
| 87536 |
|
68 |
67 |
$119.42 |
| H0049 |
Alcohol and/or drug screening |
188 |
149 |
$114.25 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
15 |
14 |
$109.56 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
882 |
867 |
$108.92 |
| 83520 |
|
14 |
14 |
$89.15 |
| 87563 |
|
38 |
38 |
$86.55 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
32 |
31 |
$79.42 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
319 |
317 |
$78.15 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,193 |
945 |
$55.79 |
| 87147 |
|
14 |
13 |
$55.00 |
| 84402 |
|
77 |
75 |
$35.98 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,081 |
980 |
$33.62 |
| 86161 |
|
12 |
12 |
$26.48 |
| 90697 |
|
13 |
13 |
$17.85 |
| 86225 |
|
27 |
25 |
$15.09 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
12 |
12 |
$11.97 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
583 |
543 |
$3.44 |
| 91312 |
|
79 |
78 |
$1.08 |
| Q0163 |
Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen |
60 |
55 |
$0.74 |
| 91313 |
|
13 |
13 |
$0.13 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
70 |
67 |
$0.00 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
71 |
69 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
48 |
43 |
$0.00 |
| 86376 |
|
25 |
25 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
128 |
127 |
$0.00 |
| 84480 |
|
26 |
26 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
18 |
12 |
$0.00 |
| 86141 |
|
15 |
15 |
$0.00 |
| 83002 |
|
39 |
39 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
45 |
45 |
$0.00 |
| 85362 |
|
12 |
12 |
$0.00 |
| 86431 |
|
105 |
105 |
$0.00 |
| 83516 |
|
64 |
63 |
$0.00 |
| 81513 |
|
198 |
195 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
50 |
37 |
$0.00 |
| 86618 |
|
12 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
102 |
100 |
$0.00 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
13 |
13 |
$0.00 |
| 99051 |
|
26 |
26 |
$0.00 |
| 76857 |
|
15 |
15 |
$0.00 |
| 90662 |
|
13 |
13 |
$0.00 |