| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,174 |
14,664 |
$2.30M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,950 |
2,118 |
$1.11M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,345 |
6,154 |
$1.10M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,144 |
3,683 |
$753K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,188 |
2,375 |
$415K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,636 |
1,197 |
$314K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,662 |
1,455 |
$309K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,129 |
1,596 |
$298K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
294 |
231 |
$294K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,918 |
1,489 |
$290K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,047 |
921 |
$257K |
| 70450 |
Computed tomography, head or brain; without contrast material |
895 |
771 |
$194K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
728 |
638 |
$143K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
170 |
151 |
$137K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,247 |
1,087 |
$97K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
3,116 |
2,803 |
$97K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,115 |
1,854 |
$87K |
| 87631 |
|
877 |
788 |
$82K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
741 |
648 |
$74K |
| 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 |
1,459 |
1,224 |
$73K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,545 |
1,246 |
$53K |
| 80053 |
Comprehensive metabolic panel |
6,251 |
4,829 |
$50K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
420 |
309 |
$39K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,785 |
5,864 |
$39K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
101 |
84 |
$27K |
| 87430 |
|
960 |
771 |
$26K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
504 |
445 |
$20K |
| U0005 |
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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
1,287 |
1,078 |
$19K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
492 |
332 |
$18K |
| 84484 |
|
2,924 |
2,044 |
$18K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,672 |
1,943 |
$16K |
| 81025 |
|
2,090 |
1,752 |
$16K |
| 83690 |
|
3,001 |
2,388 |
$14K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,499 |
524 |
$13K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
35 |
28 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,591 |
1,395 |
$10K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
26 |
25 |
$10K |
| 81001 |
|
3,644 |
3,004 |
$9K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
46 |
38 |
$9K |
| 95806 |
|
40 |
39 |
$8K |
| 83735 |
|
2,066 |
1,452 |
$8K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
3,459 |
2,689 |
$7K |
| 87400 |
|
763 |
296 |
$7K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,250 |
1,055 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,652 |
1,959 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
2,130 |
1,792 |
$5K |
| 81003 |
|
1,819 |
1,523 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
136 |
126 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
136 |
126 |
$4K |
| 82077 |
|
503 |
372 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
17 |
12 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,797 |
2,890 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,823 |
2,100 |
$3K |
| 83605 |
|
430 |
303 |
$2K |
| 87481 |
|
80 |
71 |
$2K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
81 |
72 |
$2K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
123 |
95 |
$2K |
| 80306 |
|
147 |
129 |
$2K |
| 87077 |
|
359 |
279 |
$2K |
| 85610 |
|
633 |
471 |
$2K |
| 85379 |
|
300 |
259 |
$2K |
| 84703 |
|
294 |
255 |
$2K |
| 85027 |
|
328 |
244 |
$1K |
| 83880 |
|
106 |
81 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
6,177 |
4,330 |
$1K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
70 |
37 |
$913.96 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,334 |
2,573 |
$868.57 |
| 84443 |
Thyroid stimulating hormone (TSH) |
110 |
101 |
$853.36 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
4,005 |
2,997 |
$804.57 |
| 87186 |
|
132 |
104 |
$653.55 |
| 73610 |
|
75 |
69 |
$643.45 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
13 |
$621.96 |
| 87040 |
|
108 |
52 |
$603.66 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
53 |
27 |
$353.43 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
24 |
20 |
$351.42 |
| 84145 |
|
30 |
24 |
$255.37 |
| 87808 |
|
17 |
15 |
$221.20 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,478 |
1,746 |
$215.70 |
| 87420 |
|
16 |
13 |
$212.22 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,936 |
1,637 |
$208.44 |
| 80143 |
|
13 |
12 |
$180.08 |
| 87905 |
|
17 |
15 |
$176.82 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
710 |
517 |
$149.45 |
| J7050 |
Infusion, normal saline solution, 250 cc |
3,616 |
2,492 |
$130.75 |
| 96376 |
|
646 |
408 |
$119.99 |
| 73030 |
|
14 |
12 |
$110.01 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,595 |
2,625 |
$99.58 |
| J2704 |
Injection, propofol, 10 mg |
1,607 |
1,117 |
$92.43 |
| J2060 |
Injection, lorazepam, 2 mg |
360 |
240 |
$91.80 |
| 86140 |
|
21 |
12 |
$80.25 |
| 87220 |
|
19 |
16 |
$66.15 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,848 |
1,356 |
$58.46 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,617 |
1,216 |
$40.48 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
630 |
419 |
$32.57 |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
282 |
219 |
$30.60 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
338 |
231 |
$21.12 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
35 |
27 |
$9.13 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
61 |
44 |
$2.47 |
| 73110 |
|
16 |
14 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
47 |
26 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
180 |
123 |
$0.00 |
| G0378 |
Hospital observation service, per hour |
18 |
13 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
16 |
13 |
$0.00 |