| 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 |
755 |
197 |
$78K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
840 |
816 |
$68K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
455 |
435 |
$55K |
| G0378 |
Hospital observation service, per hour |
12 |
12 |
$28K |
| 87631 |
|
167 |
165 |
$25K |
| T1015 |
Clinic visit/encounter, all-inclusive |
372 |
116 |
$18K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
119 |
111 |
$18K |
| 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 |
122 |
121 |
$10K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
271 |
267 |
$8K |
| 80053 |
Comprehensive metabolic panel |
671 |
617 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
41 |
38 |
$6K |
| 80050 |
General health panel |
119 |
115 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
872 |
782 |
$5K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
112 |
111 |
$4K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
110 |
108 |
$4K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
139 |
133 |
$4K |
| 80061 |
Lipid panel |
269 |
267 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
37 |
37 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
121 |
120 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
13 |
$3K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
29 |
29 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
236 |
218 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
27 |
27 |
$2K |
| 86618 |
|
74 |
70 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
71 |
70 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
71 |
70 |
$2K |
| 83735 |
|
280 |
239 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
193 |
173 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
107 |
104 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
97 |
90 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
162 |
156 |
$1K |
| 84484 |
|
167 |
147 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
186 |
184 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
184 |
171 |
$1K |
| 84439 |
|
140 |
138 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
18 |
18 |
$1K |
| 83880 |
|
37 |
35 |
$1K |
| 81001 |
|
327 |
311 |
$960.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
80 |
62 |
$922.02 |
| 87081 |
|
155 |
153 |
$869.44 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
57 |
51 |
$841.50 |
| 82728 |
|
66 |
66 |
$805.20 |
| 83721 |
|
63 |
63 |
$805.20 |
| 87077 |
|
91 |
89 |
$773.19 |
| 85027 |
|
104 |
100 |
$760.84 |
| 86617 |
|
16 |
16 |
$753.28 |
| 73630 |
|
60 |
57 |
$733.70 |
| 87480 |
|
28 |
28 |
$699.72 |
| 87660 |
|
28 |
28 |
$690.48 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
563 |
545 |
$679.40 |
| 82607 |
|
51 |
50 |
$672.10 |
| 84702 |
|
39 |
37 |
$632.10 |
| 87186 |
|
66 |
65 |
$589.60 |
| 82043 |
|
69 |
69 |
$554.40 |
| 83690 |
|
116 |
106 |
$550.00 |
| 86038 |
|
34 |
33 |
$511.50 |
| 82570 |
|
71 |
71 |
$503.68 |
| 73610 |
|
28 |
27 |
$494.40 |
| 85610 |
|
136 |
101 |
$462.00 |
| 80076 |
|
50 |
49 |
$446.85 |
| 87040 |
|
24 |
24 |
$446.60 |
| 85730 |
|
83 |
77 |
$445.50 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
12 |
12 |
$408.16 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
12 |
12 |
$390.12 |
| 84153 |
|
16 |
14 |
$375.20 |
| 90715 |
|
12 |
12 |
$333.15 |
| 73130 |
|
26 |
25 |
$328.90 |
| 72110 |
|
16 |
16 |
$321.75 |
| 83605 |
|
46 |
41 |
$299.20 |
| 84481 |
|
12 |
12 |
$283.25 |
| 87510 |
|
28 |
28 |
$282.24 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
721 |
668 |
$275.70 |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
13 |
13 |
$271.70 |
| 73564 |
|
17 |
14 |
$271.26 |
| 83540 |
|
32 |
32 |
$269.70 |
| 82784 |
|
13 |
12 |
$268.66 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
15 |
15 |
$259.38 |
| 84703 |
|
25 |
25 |
$248.38 |
| 85379 |
|
32 |
30 |
$244.86 |
| 85652 |
|
70 |
68 |
$214.50 |
| 82746 |
|
16 |
16 |
$211.20 |
| 84460 |
|
27 |
27 |
$205.92 |
| 84450 |
|
27 |
27 |
$203.84 |
| 86140 |
|
64 |
62 |
$188.10 |
| 84550 |
|
29 |
29 |
$185.22 |
| 81025 |
|
41 |
38 |
$180.40 |
| 84100 |
|
29 |
26 |
$144.20 |
| 82150 |
|
27 |
25 |
$126.50 |
| 73110 |
|
14 |
14 |
$126.50 |
| 86431 |
|
15 |
14 |
$119.00 |
| 82565 |
|
16 |
15 |
$112.80 |
| 81003 |
|
34 |
34 |
$109.12 |
| 83615 |
|
13 |
13 |
$94.92 |
| 83550 |
|
15 |
15 |
$77.00 |
| 86592 |
|
15 |
15 |
$66.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
74 |
70 |
$47.88 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
18 |
15 |
$34.68 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
490 |
458 |
$33.27 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
413 |
381 |
$21.96 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
34 |
26 |
$20.76 |
| 36415 |
Collection of venous blood by venipuncture |
37 |
30 |
$0.00 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
13 |
13 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
108 |
108 |
$0.00 |