| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,190 |
3,853 |
$1.88M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,902 |
2,678 |
$1.12M |
| 90832 |
Psychotherapy, 30 minutes with patient |
7,490 |
5,068 |
$839K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,396 |
1,337 |
$706K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,014 |
3,376 |
$487K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,689 |
1,157 |
$282K |
| 90791 |
Psychiatric diagnostic evaluation |
1,076 |
848 |
$194K |
| 36415 |
Collection of venous blood by venipuncture |
12,963 |
11,048 |
$172K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
85 |
85 |
$108K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
3,913 |
2,878 |
$96K |
| 80053 |
Comprehensive metabolic panel |
6,722 |
6,048 |
$75K |
| 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 |
1,090 |
1,020 |
$70K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,129 |
947 |
$64K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,457 |
1,432 |
$54K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,344 |
1,320 |
$48K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,584 |
1,448 |
$42K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,156 |
894 |
$41K |
| 70450 |
Computed tomography, head or brain; without contrast material |
548 |
538 |
$41K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,211 |
2,814 |
$34K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
507 |
507 |
$31K |
| 71046 |
Radiologic examination, chest; 2 views |
2,233 |
2,192 |
$26K |
| Q3014 |
Telehealth originating site facility fee |
461 |
400 |
$25K |
| 80061 |
Lipid panel |
3,093 |
3,088 |
$23K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
448 |
160 |
$22K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
378 |
368 |
$21K |
| G0378 |
Hospital observation service, per hour |
27 |
12 |
$21K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,047 |
6,935 |
$21K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
990 |
984 |
$19K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,267 |
902 |
$18K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
254 |
250 |
$17K |
| 88342 |
|
137 |
136 |
$17K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
500 |
500 |
$16K |
| 99233 |
Prolong inpt eval add15 m |
187 |
52 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
265 |
185 |
$13K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,455 |
1,438 |
$13K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,013 |
2,002 |
$13K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,307 |
2,180 |
$13K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
26 |
24 |
$11K |
| 73630 |
|
501 |
471 |
$10K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
552 |
538 |
$9K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,334 |
2,175 |
$8K |
| 81001 |
|
2,392 |
2,267 |
$8K |
| 82607 |
|
568 |
566 |
$7K |
| 82570 |
|
1,963 |
1,483 |
$7K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
596 |
581 |
$7K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,211 |
1,181 |
$7K |
| 84439 |
|
912 |
891 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
130 |
122 |
$5K |
| 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 |
603 |
472 |
$5K |
| 11721 |
|
547 |
311 |
$5K |
| 76830 |
Ultrasound, transvaginal |
127 |
127 |
$4K |
| 86803 |
|
354 |
353 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
1,229 |
1,181 |
$4K |
| 83735 |
|
1,109 |
887 |
$4K |
| 82652 |
|
105 |
104 |
$4K |
| 73564 |
|
155 |
141 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
44 |
43 |
$3K |
| 87077 |
|
441 |
429 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
14 |
14 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
44 |
13 |
$3K |
| 74018 |
|
298 |
295 |
$3K |
| 86701 |
|
297 |
296 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
64 |
63 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
29 |
29 |
$2K |
| 82746 |
|
165 |
165 |
$2K |
| 73502 |
|
68 |
68 |
$2K |
| 83789 |
|
463 |
284 |
$2K |
| 85610 |
|
1,575 |
1,428 |
$2K |
| 84153 |
|
150 |
149 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
31 |
22 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
99 |
99 |
$2K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
38 |
38 |
$2K |
| 81003 |
|
2,228 |
1,780 |
$2K |
| 87186 |
|
357 |
348 |
$2K |
| 92557 |
|
75 |
75 |
$2K |
| 85730 |
|
559 |
549 |
$1K |
| 88112 |
|
29 |
29 |
$1K |
| 85027 |
|
213 |
197 |
$995.92 |
| 72100 |
|
51 |
51 |
$933.40 |
| 94060 |
|
27 |
27 |
$884.22 |
| 73030 |
|
77 |
73 |
$870.53 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
61 |
59 |
$856.52 |
| 87400 |
|
289 |
285 |
$834.68 |
| H0038 |
Self-help/peer services, per 15 minutes |
32 |
26 |
$798.28 |
| 83970 |
|
40 |
40 |
$784.74 |
| 73610 |
|
46 |
41 |
$775.71 |
| 97161 |
|
14 |
14 |
$721.86 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$720.81 |
| 87510 |
|
127 |
123 |
$717.83 |
| 82728 |
|
66 |
66 |
$643.39 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
24 |
24 |
$621.47 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$560.24 |
| 71250 |
|
12 |
12 |
$558.16 |
| 94729 |
|
14 |
14 |
$554.92 |
| 83690 |
|
1,026 |
954 |
$548.33 |
| 87425 |
|
100 |
99 |
$548.13 |
| 83986 |
|
610 |
379 |
$545.56 |
| 87070 |
|
50 |
49 |
$529.10 |
| 94726 |
|
14 |
14 |
$498.93 |
| 80320 |
|
94 |
53 |
$466.58 |
| 84100 |
|
125 |
95 |
$463.80 |
| 84460 |
|
79 |
79 |
$413.16 |
| 84450 |
|
79 |
79 |
$411.48 |
| 92567 |
|
85 |
84 |
$404.78 |
| 84484 |
|
1,232 |
1,095 |
$403.81 |
| 83550 |
|
54 |
54 |
$382.81 |
| 80050 |
General health panel |
69 |
68 |
$374.36 |
| 76775 |
|
25 |
25 |
$363.00 |
| 83540 |
|
85 |
85 |
$337.84 |
| 81025 |
|
112 |
111 |
$332.85 |
| 87040 |
|
74 |
73 |
$330.58 |
| 87480 |
|
31 |
29 |
$299.50 |
| 82962 |
|
34 |
27 |
$283.48 |
| 87660 |
|
31 |
29 |
$277.05 |
| G0145 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision |
13 |
13 |
$253.25 |
| 82043 |
|
43 |
43 |
$248.94 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
144 |
95 |
$223.00 |
| 80076 |
|
36 |
36 |
$181.03 |
| 84156 |
|
53 |
48 |
$121.59 |
| 80354 |
|
358 |
191 |
$102.52 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,083 |
946 |
$99.94 |
| 83880 |
|
14 |
13 |
$98.84 |
| 84702 |
|
15 |
12 |
$94.09 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
252 |
229 |
$90.57 |
| 87340 |
|
12 |
12 |
$89.87 |
| 85651 |
|
46 |
41 |
$82.49 |
| 86140 |
|
13 |
13 |
$61.23 |
| 86901 |
|
13 |
13 |
$55.18 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,060 |
901 |
$53.94 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
33 |
31 |
$51.82 |
| 86900 |
|
13 |
13 |
$48.86 |
| 86592 |
|
12 |
12 |
$35.97 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,068 |
970 |
$22.69 |
| 81015 |
|
41 |
39 |
$4.78 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
32 |
31 |
$3.75 |
| 84703 |
|
14 |
14 |
$3.74 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
26 |
24 |
$3.66 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
216 |
191 |
$3.34 |
| J3490 |
Unclassified drugs |
1,560 |
1,045 |
$1.73 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
133 |
131 |
$0.63 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
68 |
65 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
69 |
68 |
$0.00 |
| 94760 |
|
29 |
28 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
13 |
12 |
$0.00 |
| 83605 |
|
90 |
84 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
69 |
69 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
14 |
12 |
$0.00 |