| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,957 |
1,877 |
$221K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,812 |
1,738 |
$217K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
810 |
769 |
$103K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
251 |
248 |
$75K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
141 |
138 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
642 |
587 |
$61K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,143 |
380 |
$50K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
343 |
157 |
$48K |
| 70450 |
Computed tomography, head or brain; without contrast material |
240 |
233 |
$48K |
| 80053 |
Comprehensive metabolic panel |
2,012 |
1,860 |
$42K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
405 |
399 |
$34K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
131 |
130 |
$30K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
210 |
186 |
$29K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
274 |
274 |
$26K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
674 |
246 |
$23K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
84 |
84 |
$22K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
404 |
396 |
$15K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
149 |
148 |
$15K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
409 |
382 |
$13K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,613 |
1,366 |
$11K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
713 |
583 |
$9K |
| 93975 |
|
35 |
35 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
92 |
88 |
$8K |
| 10060 |
|
27 |
27 |
$8K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
404 |
396 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
221 |
219 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
611 |
584 |
$7K |
| 29515 |
|
38 |
38 |
$7K |
| 93971 |
|
56 |
56 |
$6K |
| 12001 |
|
24 |
24 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
1,140 |
1,120 |
$6K |
| 64402 |
|
12 |
12 |
$5K |
| 97162 |
|
41 |
41 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
273 |
273 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
115 |
115 |
$4K |
| 76770 |
|
12 |
12 |
$4K |
| 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 |
38 |
36 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$4K |
| 80348 |
|
200 |
179 |
$3K |
| 86901 |
|
90 |
85 |
$3K |
| 29125 |
|
16 |
16 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
184 |
156 |
$3K |
| 76830 |
Ultrasound, transvaginal |
118 |
118 |
$3K |
| 76536 |
|
29 |
29 |
$2K |
| 86900 |
|
90 |
85 |
$2K |
| 86850 |
|
57 |
57 |
$2K |
| 81025 |
|
657 |
640 |
$2K |
| 97035 |
|
143 |
63 |
$2K |
| 97165 |
|
25 |
25 |
$2K |
| 97010 |
|
99 |
46 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
205 |
203 |
$1K |
| 90715 |
|
51 |
51 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
42 |
42 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,016 |
921 |
$1K |
| 90682 |
|
37 |
36 |
$994.83 |
| 86701 |
|
96 |
95 |
$909.59 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
28 |
13 |
$909.13 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,013 |
1,839 |
$891.82 |
| 80061 |
Lipid panel |
137 |
136 |
$878.03 |
| 36416 |
|
283 |
150 |
$860.46 |
| 76870 |
|
12 |
12 |
$852.72 |
| 82043 |
|
145 |
136 |
$741.91 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
801 |
758 |
$731.93 |
| 73564 |
|
91 |
82 |
$730.01 |
| 84439 |
|
85 |
84 |
$688.48 |
| 90686 |
|
28 |
28 |
$686.63 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
88 |
88 |
$663.59 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
16 |
16 |
$622.09 |
| 36415 |
Collection of venous blood by venipuncture |
2,353 |
2,125 |
$614.89 |
| 94760 |
|
5,155 |
4,692 |
$582.40 |
| 97760 |
|
21 |
13 |
$550.84 |
| 81003 |
|
932 |
883 |
$476.20 |
| 97535 |
Self-care/home management training, each 15 minutes |
23 |
17 |
$456.54 |
| 76641 |
|
14 |
14 |
$416.77 |
| 82570 |
|
133 |
117 |
$392.87 |
| 71045 |
Radiologic examination, chest; single view |
102 |
99 |
$318.44 |
| 73030 |
|
82 |
76 |
$317.78 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
720 |
685 |
$306.52 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
681 |
647 |
$303.61 |
| 85610 |
|
97 |
75 |
$275.45 |
| 73630 |
|
114 |
106 |
$218.15 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
147 |
142 |
$217.56 |
| 73130 |
|
60 |
55 |
$164.72 |
| 83735 |
|
213 |
180 |
$113.43 |
| 81001 |
|
714 |
689 |
$110.79 |
| 73610 |
|
64 |
61 |
$108.87 |
| 87660 |
|
261 |
257 |
$69.85 |
| 87510 |
|
262 |
258 |
$69.85 |
| 87480 |
|
261 |
257 |
$69.85 |
| 83690 |
|
638 |
615 |
$63.12 |
| 84702 |
|
108 |
101 |
$61.68 |
| J7050 |
Infusion, normal saline solution, 250 cc |
28 |
26 |
$57.62 |
| 73110 |
|
16 |
14 |
$57.50 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
36 |
36 |
$55.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
276 |
270 |
$53.56 |
| 94664 |
|
356 |
325 |
$51.87 |
| 74018 |
|
12 |
12 |
$50.00 |
| 73502 |
|
13 |
13 |
$45.11 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
286 |
282 |
$45.00 |
| 86618 |
|
12 |
12 |
$37.66 |
| 84703 |
|
414 |
408 |
$33.58 |
| 85027 |
|
13 |
13 |
$31.90 |
| 82947 |
|
178 |
141 |
$29.94 |
| 87186 |
|
90 |
86 |
$25.83 |
| 80320 |
|
70 |
69 |
$20.00 |
| 84484 |
|
400 |
370 |
$17.56 |
| 83605 |
|
106 |
103 |
$9.30 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
64 |
52 |
$9.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
245 |
240 |
$8.57 |
| 87040 |
|
46 |
46 |
$8.15 |
| 87070 |
|
14 |
14 |
$6.01 |
| 87077 |
|
80 |
79 |
$5.66 |
| 87205 |
|
13 |
13 |
$5.54 |
| J2704 |
Injection, propofol, 10 mg |
267 |
266 |
$5.35 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
724 |
687 |
$4.26 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
228 |
212 |
$3.64 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
38 |
38 |
$2.83 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
239 |
237 |
$2.23 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
252 |
245 |
$1.65 |
| S0028 |
Injection, famotidine, 20 mg |
115 |
111 |
$1.07 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
251 |
221 |
$0.32 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
219 |
199 |
$0.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
15 |
13 |
$0.00 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
13 |
13 |
$0.00 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
42 |
42 |
$0.00 |
| 87088 |
|
85 |
84 |
$0.00 |
| 85379 |
|
52 |
52 |
$0.00 |
| 96376 |
|
103 |
91 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
154 |
134 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
26 |
25 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
164 |
156 |
$0.00 |