| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32,010 |
21,897 |
$497K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,065 |
23,229 |
$345K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,626 |
1,847 |
$127K |
| 90834 |
Psychotherapy, 45 minutes with patient |
9,712 |
3,620 |
$88K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,674 |
3,014 |
$81K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,648 |
2,965 |
$59K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
274 |
215 |
$31K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
5,867 |
1,634 |
$29K |
| 80053 |
Comprehensive metabolic panel |
10,152 |
8,705 |
$23K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,335 |
1,930 |
$23K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,336 |
1,078 |
$21K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
785 |
546 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
796 |
666 |
$16K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
239 |
197 |
$16K |
| 70450 |
Computed tomography, head or brain; without contrast material |
137 |
105 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,069 |
1,542 |
$13K |
| 99215 |
Prolong outpt/office vis |
1,082 |
735 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,079 |
1,653 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
697 |
521 |
$10K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
890 |
772 |
$9K |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,638 |
4,358 |
$9K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,368 |
2,646 |
$9K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
745 |
602 |
$7K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,929 |
657 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,985 |
7,314 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,755 |
3,555 |
$6K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
594 |
481 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
17,768 |
14,221 |
$5K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
19 |
12 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
771 |
423 |
$5K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,917 |
2,308 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
290 |
221 |
$3K |
| 80061 |
Lipid panel |
3,643 |
3,475 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
564 |
436 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
646 |
631 |
$3K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
43 |
24 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
246 |
117 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
790 |
621 |
$2K |
| 82607 |
|
612 |
586 |
$2K |
| 84484 |
|
1,192 |
905 |
$2K |
| 83735 |
|
3,144 |
2,543 |
$2K |
| 85027 |
|
1,829 |
1,705 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,499 |
1,222 |
$2K |
| 90686 |
|
1,383 |
1,345 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,218 |
3,082 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,412 |
1,261 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
97 |
81 |
$1K |
| 82043 |
|
628 |
604 |
$1K |
| 97161 |
|
224 |
204 |
$1K |
| 83880 |
|
451 |
386 |
$1K |
| 82728 |
|
485 |
460 |
$1K |
| 86140 |
|
2,050 |
1,798 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
327 |
253 |
$968.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
1,029 |
714 |
$951.12 |
| 81003 |
|
2,328 |
2,069 |
$804.00 |
| 99205 |
Prolong outpt/office vis |
56 |
40 |
$768.91 |
| 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 |
1,182 |
736 |
$753.88 |
| 85610 |
|
2,447 |
1,431 |
$644.47 |
| 84466 |
|
430 |
407 |
$635.88 |
| J2704 |
Injection, propofol, 10 mg |
507 |
353 |
$634.42 |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
730 |
671 |
$622.01 |
| 84439 |
|
333 |
319 |
$611.22 |
| 83540 |
|
693 |
654 |
$593.11 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
540 |
430 |
$519.08 |
| 82570 |
|
420 |
396 |
$518.67 |
| 87077 |
|
207 |
185 |
$514.67 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
944 |
819 |
$490.30 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
416 |
345 |
$461.95 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
257 |
250 |
$458.19 |
| 85652 |
|
907 |
842 |
$431.95 |
| 90715 |
|
186 |
180 |
$421.48 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
32 |
25 |
$410.72 |
| 86618 |
|
253 |
240 |
$409.76 |
| 82803 |
|
214 |
163 |
$381.94 |
| 81001 |
|
750 |
644 |
$363.38 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
469 |
378 |
$346.59 |
| 87631 |
|
457 |
426 |
$317.21 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
45 |
38 |
$304.67 |
| 83605 |
|
338 |
259 |
$290.99 |
| 90832 |
Psychotherapy, 30 minutes with patient |
66 |
39 |
$231.11 |
| 81002 |
|
2,146 |
1,648 |
$229.20 |
| 83690 |
|
693 |
607 |
$195.16 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
605 |
575 |
$194.32 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
39 |
27 |
$186.64 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
54 |
26 |
$184.66 |
| 83550 |
|
245 |
229 |
$163.72 |
| 84703 |
|
539 |
466 |
$152.13 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
18 |
12 |
$143.66 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
578 |
551 |
$133.40 |
| 84153 |
|
27 |
26 |
$132.96 |
| 81015 |
|
303 |
262 |
$114.10 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
553 |
533 |
$102.44 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
18 |
13 |
$100.66 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
14 |
12 |
$68.00 |
| 85730 |
|
14 |
13 |
$65.54 |
| 86803 |
|
82 |
80 |
$48.27 |
| 0001A |
|
45 |
44 |
$40.00 |
| 95909 |
|
16 |
12 |
$37.46 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
12 |
$36.00 |
| 97803 |
|
13 |
13 |
$34.24 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
383 |
358 |
$32.59 |
| 87205 |
|
98 |
92 |
$28.73 |
| J3490 |
Unclassified drugs |
13 |
12 |
$26.03 |
| 87469 |
|
43 |
42 |
$24.42 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
91 |
73 |
$24.30 |
| 83721 |
|
13 |
13 |
$23.59 |
| G0008 |
Administration of influenza virus vaccine |
778 |
751 |
$20.07 |
| 87484 |
|
43 |
42 |
$19.07 |
| 87468 |
|
43 |
42 |
$19.07 |
| 87478 |
|
43 |
42 |
$19.07 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,043 |
998 |
$14.40 |
| 90670 |
|
40 |
37 |
$12.26 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
46 |
45 |
$10.12 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
185 |
176 |
$7.56 |
| 86900 |
|
16 |
12 |
$5.18 |
| 84481 |
|
12 |
12 |
$2.38 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
544 |
509 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
946 |
861 |
$0.00 |
| 90633 |
|
101 |
96 |
$0.00 |
| 90662 |
|
150 |
142 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,065 |
953 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
335 |
309 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
214 |
201 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
164 |
147 |
$0.00 |
| 91300 |
|
204 |
182 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
348 |
267 |
$0.00 |
| 80305 |
|
31 |
25 |
$0.00 |
| 81025 |
|
39 |
37 |
$0.00 |
| 0004A |
|
72 |
72 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
26 |
$0.00 |
| 91322 |
|
77 |
76 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$0.00 |
| 0071A |
|
13 |
12 |
$0.00 |
| 0002A |
|
53 |
50 |
$0.00 |
| 90734 |
|
15 |
13 |
$0.00 |
| 90656 |
|
289 |
283 |
$0.00 |
| 90480 |
|
102 |
100 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
73 |
73 |
$0.00 |
| 87070 |
|
12 |
12 |
$0.00 |
| 90677 |
|
65 |
64 |
$0.00 |
| 87081 |
|
26 |
24 |
$0.00 |
| 87040 |
|
43 |
30 |
$0.00 |
| 86592 |
|
14 |
14 |
$0.00 |
| 86702 |
|
14 |
14 |
$0.00 |
| 87390 |
|
14 |
14 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
17 |
12 |
$0.00 |
| 86701 |
|
14 |
14 |
$0.00 |
| 0072A |
|
15 |
15 |
$0.00 |