| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
6,754 |
6,302 |
$308K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,013 |
923 |
$63K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
127 |
114 |
$49K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
113 |
105 |
$26K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
522 |
504 |
$26K |
| 94726 |
|
307 |
300 |
$23K |
| 94060 |
|
258 |
252 |
$22K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
456 |
383 |
$17K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
389 |
370 |
$16K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
56 |
54 |
$14K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,651 |
2,433 |
$13K |
| 80053 |
Comprehensive metabolic panel |
5,332 |
4,643 |
$13K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
71 |
71 |
$12K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,039 |
954 |
$12K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,039 |
954 |
$11K |
| 94618 |
|
232 |
221 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
186 |
139 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
889 |
811 |
$7K |
| 87070 |
|
2,341 |
2,269 |
$7K |
| 92557 |
|
102 |
101 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
628 |
499 |
$6K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
235 |
181 |
$6K |
| X4011 |
State-specific procedure code |
30 |
28 |
$5K |
| 87088 |
|
1,555 |
1,238 |
$5K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
589 |
561 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,934 |
4,220 |
$5K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
27 |
26 |
$4K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
256 |
63 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,376 |
1,206 |
$3K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
39 |
39 |
$3K |
| 83970 |
|
242 |
193 |
$3K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
332 |
327 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
510 |
492 |
$3K |
| 73630 |
|
175 |
96 |
$3K |
| 87186 |
|
738 |
623 |
$2K |
| 84702 |
|
637 |
506 |
$2K |
| 88142 |
|
1,038 |
999 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,173 |
1,045 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,838 |
1,762 |
$2K |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
160 |
158 |
$2K |
| 87480 |
|
566 |
533 |
$2K |
| 87510 |
|
562 |
529 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,599 |
1,369 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15 |
15 |
$1K |
| 80061 |
Lipid panel |
1,918 |
1,863 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
14 |
13 |
$1K |
| 85610 |
|
984 |
634 |
$1K |
| 87340 |
|
559 |
500 |
$1K |
| 85027 |
|
1,219 |
1,110 |
$944.92 |
| 82607 |
|
469 |
441 |
$905.84 |
| 84439 |
|
959 |
887 |
$856.28 |
| 83655 |
|
101 |
83 |
$829.89 |
| 11720 |
|
172 |
167 |
$813.25 |
| 87205 |
|
1,937 |
1,679 |
$676.46 |
| 86141 |
|
190 |
175 |
$674.91 |
| 87081 |
|
251 |
241 |
$649.52 |
| 82570 |
|
881 |
724 |
$648.62 |
| 11721 |
|
171 |
166 |
$636.63 |
| 87660 |
|
562 |
529 |
$604.74 |
| 83735 |
|
778 |
631 |
$594.31 |
| 86850 |
|
705 |
632 |
$513.76 |
| 83550 |
|
417 |
385 |
$462.60 |
| 86592 |
|
893 |
802 |
$390.58 |
| 84481 |
|
257 |
232 |
$373.49 |
| 82746 |
|
266 |
255 |
$357.12 |
| 86803 |
|
106 |
85 |
$352.26 |
| 86038 |
|
130 |
115 |
$338.33 |
| 86738 |
|
111 |
106 |
$322.97 |
| 71045 |
Radiologic examination, chest; single view |
12 |
12 |
$310.95 |
| 86901 |
|
669 |
598 |
$303.96 |
| 84403 |
|
13 |
13 |
$295.20 |
| 84425 |
|
47 |
42 |
$286.84 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
18 |
18 |
$284.22 |
| 74018 |
|
36 |
29 |
$267.97 |
| 83540 |
|
436 |
408 |
$242.13 |
| 86900 |
|
670 |
599 |
$240.69 |
| 82950 |
|
343 |
313 |
$233.96 |
| 86762 |
|
307 |
280 |
$215.46 |
| 82043 |
|
588 |
511 |
$213.37 |
| 80076 |
|
109 |
106 |
$212.94 |
| 81003 |
|
405 |
368 |
$187.62 |
| 92567 |
|
12 |
12 |
$180.24 |
| 82728 |
|
266 |
242 |
$170.66 |
| 81001 |
|
335 |
306 |
$155.56 |
| 93296 |
|
28 |
26 |
$117.00 |
| 85652 |
|
390 |
343 |
$112.38 |
| 84146 |
|
17 |
12 |
$91.42 |
| 84100 |
|
365 |
274 |
$90.85 |
| 81002 |
|
314 |
253 |
$74.74 |
| 93298 |
|
17 |
16 |
$68.76 |
| 84153 |
|
15 |
12 |
$64.46 |
| 84156 |
|
246 |
172 |
$41.44 |
| 84550 |
|
64 |
55 |
$38.74 |
| 94729 |
|
222 |
216 |
$35.72 |
| 84402 |
|
12 |
12 |
$35.68 |
| 87147 |
|
40 |
39 |
$28.08 |
| 87220 |
|
41 |
39 |
$27.48 |
| 85730 |
|
15 |
15 |
$11.55 |
| 87210 |
|
27 |
26 |
$6.87 |
| 86063 |
|
12 |
12 |
$0.00 |