| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
59,094 |
15,317 |
$4.58M |
| G0151 |
Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes |
20,133 |
5,660 |
$1.22M |
| G0152 |
Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes |
7,337 |
2,451 |
$457K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,535 |
1,477 |
$362K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
937 |
907 |
$229K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
529 |
488 |
$176K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
592 |
578 |
$138K |
| S9123 |
Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) |
7,600 |
2,247 |
$129K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
559 |
180 |
$115K |
| S9131 |
Physical therapy; in the home, per diem |
4,713 |
1,318 |
$81K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
337 |
334 |
$73K |
| G0300 |
Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes |
1,128 |
615 |
$67K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
133 |
97 |
$30K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
204 |
202 |
$22K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
75 |
69 |
$18K |
| 59025 |
Fetal non-stress test |
70 |
41 |
$17K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
133 |
43 |
$17K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
109 |
108 |
$17K |
| 70450 |
Computed tomography, head or brain; without contrast material |
143 |
140 |
$16K |
| S9129 |
Occupational therapy, in the home, per diem |
1,085 |
339 |
$12K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
424 |
370 |
$12K |
| 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 |
311 |
292 |
$12K |
| 80053 |
Comprehensive metabolic panel |
1,197 |
1,081 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,417 |
1,222 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
71 |
71 |
$7K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
228 |
226 |
$6K |
| G0156 |
Services of home health/hospice aide in home health or hospice settings, each 15 minutes |
613 |
102 |
$6K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
34 |
33 |
$6K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
12 |
12 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
474 |
465 |
$5K |
| J3490 |
Unclassified drugs |
81 |
67 |
$4K |
| A0425 |
Ground mileage, per statute mile |
230 |
211 |
$4K |
| 84484 |
|
313 |
276 |
$3K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
12 |
12 |
$2K |
| 84702 |
|
199 |
188 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
270 |
249 |
$2K |
| 81025 |
|
363 |
339 |
$2K |
| 83690 |
|
356 |
335 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
213 |
208 |
$1K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
61 |
60 |
$898.27 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
27 |
23 |
$732.34 |
| 81001 |
|
350 |
339 |
$725.78 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
662 |
622 |
$690.22 |
| 83735 |
|
130 |
114 |
$612.28 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
109 |
109 |
$592.27 |
| 85027 |
|
120 |
97 |
$561.54 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
200 |
182 |
$482.50 |
| 81003 |
|
303 |
292 |
$449.31 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
37 |
36 |
$448.14 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
37 |
36 |
$448.14 |
| 85610 |
|
167 |
135 |
$447.22 |
| 86141 |
|
45 |
38 |
$427.24 |
| 86850 |
|
72 |
70 |
$423.24 |
| 85379 |
|
50 |
50 |
$374.54 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
212 |
185 |
$368.57 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
513 |
481 |
$324.66 |
| 87070 |
|
49 |
49 |
$272.85 |
| 87081 |
|
96 |
96 |
$266.84 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
436 |
379 |
$237.84 |
| 87040 |
|
25 |
25 |
$236.92 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
807 |
600 |
$209.36 |
| 86901 |
|
84 |
82 |
$188.63 |
| 86900 |
|
84 |
82 |
$188.63 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
176 |
148 |
$184.06 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
294 |
275 |
$182.60 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
102 |
93 |
$168.75 |
| 96376 |
|
32 |
25 |
$155.00 |
| J2060 |
Injection, lorazepam, 2 mg |
35 |
27 |
$135.44 |
| 87205 |
|
37 |
37 |
$125.36 |
| 85652 |
|
56 |
51 |
$114.06 |
| 71045 |
Radiologic examination, chest; single view |
59 |
58 |
$113.47 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
81 |
80 |
$100.87 |
| 74019 |
|
12 |
12 |
$77.77 |
| 85007 |
|
35 |
25 |
$71.99 |
| J2704 |
Injection, propofol, 10 mg |
67 |
57 |
$63.31 |
| 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 |
181 |
174 |
$59.87 |
| 83605 |
|
14 |
13 |
$58.50 |
| 87420 |
|
17 |
17 |
$32.82 |
| 82962 |
|
121 |
107 |
$31.56 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
360 |
330 |
$25.48 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
101 |
86 |
$4.04 |
| 1111F |
|
689 |
686 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$0.00 |