| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
135,438 |
116,254 |
$11.81M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
3,228 |
3,034 |
$1.36M |
| 20610 |
|
9,162 |
7,545 |
$1.19M |
| 64483 |
|
1,977 |
1,785 |
$1000K |
| 62323 |
|
1,642 |
1,495 |
$556K |
| 95886 |
|
2,134 |
1,659 |
$470K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
711 |
660 |
$446K |
| 95811 |
|
478 |
452 |
$277K |
| 58661 |
|
142 |
107 |
$274K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
535 |
490 |
$268K |
| 64493 |
|
393 |
339 |
$243K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
338 |
310 |
$180K |
| 62321 |
|
463 |
422 |
$175K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
341 |
302 |
$168K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
843 |
785 |
$126K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
194 |
183 |
$123K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
543 |
510 |
$122K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
494 |
470 |
$98K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
525 |
485 |
$91K |
| 64635 |
|
213 |
187 |
$88K |
| G0378 |
Hospital observation service, per hour |
971 |
407 |
$69K |
| 72141 |
|
380 |
351 |
$65K |
| 71046 |
Radiologic examination, chest; 2 views |
1,974 |
1,837 |
$60K |
| 95911 |
|
1,136 |
1,075 |
$55K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
538 |
506 |
$54K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,118 |
1,027 |
$45K |
| 73221 |
|
216 |
189 |
$43K |
| 20550 |
|
352 |
287 |
$43K |
| 76770 |
|
337 |
312 |
$41K |
| 76982 |
|
336 |
303 |
$36K |
| 20553 |
|
290 |
260 |
$32K |
| 95117 |
|
1,031 |
420 |
$31K |
| 27096 |
|
71 |
64 |
$30K |
| 76536 |
|
280 |
262 |
$28K |
| 73564 |
|
1,313 |
1,233 |
$25K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
57 |
50 |
$23K |
| 73030 |
|
1,161 |
1,077 |
$23K |
| 92557 |
|
561 |
531 |
$22K |
| 74018 |
|
811 |
724 |
$22K |
| 72100 |
|
1,153 |
1,061 |
$22K |
| 72110 |
|
1,259 |
1,185 |
$20K |
| 76641 |
|
149 |
137 |
$20K |
| 93971 |
|
246 |
224 |
$20K |
| 73630 |
|
585 |
528 |
$19K |
| 73562 |
|
1,005 |
920 |
$18K |
| 20526 |
|
91 |
80 |
$17K |
| 72197 |
|
83 |
76 |
$17K |
| 73130 |
|
902 |
815 |
$17K |
| 58558 |
|
12 |
12 |
$16K |
| 88307 |
|
127 |
101 |
$15K |
| 73502 |
|
931 |
867 |
$14K |
| 72040 |
|
564 |
524 |
$14K |
| 76981 |
|
168 |
154 |
$12K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,120 |
1,031 |
$11K |
| 73610 |
|
375 |
343 |
$11K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
59 |
55 |
$11K |
| 64636 |
|
299 |
184 |
$10K |
| 72050 |
|
618 |
570 |
$10K |
| 73110 |
|
531 |
478 |
$9K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
261 |
224 |
$9K |
| 86850 |
|
388 |
350 |
$8K |
| 31575 |
|
30 |
30 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
29 |
26 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
647 |
404 |
$6K |
| 93017 |
|
92 |
83 |
$6K |
| 87081 |
|
1,204 |
1,126 |
$6K |
| 97116 |
|
307 |
112 |
$5K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
29 |
27 |
$5K |
| 74420 |
|
71 |
66 |
$5K |
| 20605 |
|
32 |
27 |
$5K |
| 95913 |
|
55 |
53 |
$4K |
| 86900 |
|
388 |
350 |
$4K |
| 92567 |
|
476 |
451 |
$4K |
| 73560 |
|
383 |
340 |
$4K |
| 97165 |
|
103 |
81 |
$4K |
| 72170 |
|
143 |
134 |
$4K |
| 86901 |
|
388 |
350 |
$3K |
| 77062 |
|
76 |
71 |
$3K |
| 74178 |
|
12 |
12 |
$3K |
| 85027 |
|
658 |
415 |
$3K |
| 72070 |
|
172 |
156 |
$3K |
| 82962 |
|
4,397 |
3,721 |
$2K |
| 77080 |
|
41 |
41 |
$2K |
| 77002 |
|
293 |
278 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,515 |
3,293 |
$2K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
267 |
111 |
$2K |
| 76642 |
|
13 |
12 |
$2K |
| J3490 |
Unclassified drugs |
4,383 |
3,715 |
$2K |
| 73521 |
|
142 |
128 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
45 |
24 |
$2K |
| 70486 |
|
13 |
13 |
$2K |
| 90734 |
|
183 |
159 |
$1K |
| 90715 |
|
129 |
103 |
$1K |
| 77066 |
Tomosynthesis, mammo |
82 |
76 |
$1K |
| 51798 |
|
553 |
504 |
$1K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
5,082 |
4,706 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
5,022 |
4,565 |
$1K |
| 73565 |
|
188 |
180 |
$1K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
621 |
525 |
$1K |
| 90674 |
|
56 |
49 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,315 |
1,042 |
$1K |
| 72081 |
|
307 |
284 |
$980.84 |
| 36415 |
Collection of venous blood by venipuncture |
357 |
321 |
$905.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,422 |
4,817 |
$859.47 |
| 81003 |
|
4,947 |
4,488 |
$836.14 |
| 95912 |
|
12 |
12 |
$831.84 |
| 73140 |
|
81 |
68 |
$794.97 |
| 82565 |
|
139 |
132 |
$752.79 |
| 0012A |
|
22 |
20 |
$695.04 |
| 20552 |
|
13 |
12 |
$675.87 |
| 81025 |
|
4,365 |
3,805 |
$662.69 |
| 0011A |
|
27 |
24 |
$650.71 |
| 73120 |
|
43 |
38 |
$591.71 |
| 85018 |
|
3,073 |
2,780 |
$551.72 |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
12 |
12 |
$508.82 |
| 76830 |
Ultrasound, transvaginal |
28 |
28 |
$502.29 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,136 |
933 |
$489.62 |
| 72114 |
|
40 |
40 |
$465.07 |
| 72072 |
|
25 |
25 |
$440.64 |
| 64484 |
|
512 |
451 |
$365.75 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
4,388 |
3,892 |
$332.08 |
| 81001 |
|
2,237 |
2,021 |
$302.07 |
| 90661 |
|
33 |
33 |
$272.89 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
5,776 |
4,893 |
$224.88 |
| 73080 |
|
16 |
15 |
$193.53 |
| 90651 |
|
19 |
17 |
$192.40 |
| 90461 |
|
177 |
115 |
$175.14 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
3,290 |
2,883 |
$144.63 |
| 88342 |
|
1,440 |
1,335 |
$143.82 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,704 |
1,584 |
$142.49 |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
85 |
77 |
$139.95 |
| 85610 |
|
16 |
16 |
$132.65 |
| 90670 |
|
17 |
15 |
$131.40 |
| 90696 |
|
12 |
12 |
$101.00 |
| 88302 |
|
195 |
145 |
$94.05 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
4,227 |
3,869 |
$93.00 |
| 88304 |
|
597 |
514 |
$78.83 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
714 |
681 |
$67.40 |
| G0008 |
Administration of influenza virus vaccine |
16 |
16 |
$66.04 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
1,205 |
1,093 |
$58.53 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,281 |
2,929 |
$49.07 |
| 86580 |
|
52 |
40 |
$48.92 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
150 |
129 |
$16.54 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,994 |
1,811 |
$16.49 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
4,196 |
3,265 |
$16.14 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
2,969 |
2,653 |
$11.19 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
4,493 |
3,568 |
$6.97 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
172 |
144 |
$4.77 |
| J2704 |
Injection, propofol, 10 mg |
3,100 |
2,770 |
$2.13 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
646 |
630 |
$1.48 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
147 |
125 |
$0.14 |
| 64494 |
|
359 |
312 |
$0.00 |
| 88300 |
|
12 |
12 |
$0.00 |
| J2002 |
Injection, lidocaine hcl in 5% dextrose, 1 mg |
44 |
44 |
$0.00 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
57 |
50 |
$0.00 |
| J2785 |
Injection, regadenoson, 0.1 mg |
15 |
13 |
$0.00 |
| 84703 |
|
13 |
13 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
96 |
92 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
61 |
59 |
$0.00 |
| 94010 |
|
14 |
14 |
$0.00 |
| C2617 |
Stent, non-coronary, temporary, without delivery system |
36 |
26 |
$0.00 |
| J0461 |
Injection, atropine sulfate, 0.01 mg |
14 |
14 |
$0.00 |
| C1776 |
Joint device (implantable) |
42 |
39 |
$0.00 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
690 |
607 |
$0.00 |
| 64495 |
|
39 |
36 |
$0.00 |
| J2274 |
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg |
14 |
12 |
$0.00 |
| 83655 |
|
98 |
97 |
$0.00 |