| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0760 |
|
11,538 |
9,044 |
$267K |
| Q3014 |
Telehealth originating site facility fee |
1,579 |
1,477 |
$34K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
248 |
248 |
$29K |
| 90739 |
|
204 |
203 |
$29K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,484 |
1,471 |
$28K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
943 |
918 |
$23K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
942 |
917 |
$22K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,840 |
1,821 |
$21K |
| 80053 |
Comprehensive metabolic panel |
2,624 |
2,559 |
$18K |
| 80061 |
Lipid panel |
2,062 |
2,048 |
$18K |
| 90674 |
|
741 |
739 |
$17K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,046 |
1,044 |
$16K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,426 |
2,401 |
$16K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,091 |
2,977 |
$16K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
286 |
260 |
$13K |
| 80074 |
|
395 |
395 |
$13K |
| 86480 |
|
340 |
338 |
$11K |
| 90677 |
|
74 |
74 |
$9K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
380 |
378 |
$8K |
| 90715 |
|
259 |
258 |
$8K |
| 84439 |
|
1,223 |
1,211 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
895 |
879 |
$7K |
| 86171 |
|
424 |
412 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
171 |
171 |
$7K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
583 |
485 |
$6K |
| 86803 |
|
666 |
664 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,087 |
1,048 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
456 |
451 |
$5K |
| 86780 |
|
642 |
606 |
$5K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
269 |
268 |
$5K |
| 86331 |
|
424 |
412 |
$5K |
| 82607 |
|
414 |
413 |
$4K |
| 90651 |
|
63 |
63 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
325 |
322 |
$4K |
| 82728 |
|
358 |
354 |
$3K |
| 87340 |
|
473 |
472 |
$3K |
| 82043 |
|
799 |
780 |
$3K |
| 82570 |
|
864 |
835 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
348 |
278 |
$3K |
| 86317 |
|
479 |
476 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
165 |
165 |
$3K |
| 81001 |
|
1,255 |
1,230 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
476 |
464 |
$3K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
206 |
204 |
$2K |
| 80076 |
|
499 |
495 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
268 |
260 |
$2K |
| 83550 |
|
343 |
339 |
$2K |
| 86140 |
|
480 |
471 |
$2K |
| 83540 |
|
369 |
364 |
$2K |
| 83970 |
|
55 |
54 |
$2K |
| 86704 |
|
243 |
242 |
$1K |
| 86708 |
|
190 |
189 |
$1K |
| 84153 |
|
252 |
251 |
$1K |
| 92228 |
|
108 |
107 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
26 |
26 |
$1K |
| 87522 |
Neg quan hep c or qual rna |
37 |
37 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
54 |
43 |
$952.69 |
| 83735 |
|
208 |
194 |
$905.10 |
| 85610 |
|
353 |
313 |
$902.57 |
| 84154 |
|
216 |
215 |
$886.50 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
14 |
$884.66 |
| 85652 |
|
465 |
453 |
$846.72 |
| 81002 |
|
438 |
345 |
$796.36 |
| 86592 |
|
328 |
322 |
$788.80 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
28 |
26 |
$691.74 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
16 |
16 |
$690.05 |
| 85018 |
|
412 |
412 |
$684.27 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
42 |
41 |
$683.50 |
| 85730 |
|
162 |
159 |
$641.60 |
| 81025 |
|
237 |
230 |
$627.84 |
| 90694 |
|
26 |
26 |
$609.12 |
| 71045 |
Radiologic examination, chest; single view |
166 |
119 |
$604.20 |
| 0710 |
|
57 |
56 |
$601.26 |
| 86038 |
|
200 |
197 |
$588.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$582.42 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14 |
13 |
$579.80 |
| 82274 |
|
44 |
44 |
$497.64 |
| 84100 |
|
155 |
138 |
$471.80 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
63 |
63 |
$416.08 |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
12 |
12 |
$376.95 |
| 86706 |
|
98 |
98 |
$372.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
42 |
42 |
$366.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
43 |
43 |
$318.82 |
| 87338 |
|
26 |
26 |
$306.96 |
| 84550 |
|
96 |
94 |
$296.92 |
| 86705 |
|
37 |
37 |
$282.20 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
67 |
67 |
$253.20 |
| 86235 |
|
13 |
12 |
$251.43 |
| 83655 |
|
58 |
58 |
$246.50 |
| 86762 |
|
25 |
25 |
$235.29 |
| 86431 |
|
40 |
40 |
$160.80 |
| 87186 |
|
26 |
25 |
$157.56 |
| 82950 |
|
42 |
42 |
$140.70 |
| 86255 |
|
12 |
12 |
$105.84 |
| 86200 |
|
14 |
14 |
$99.40 |
| 82247 |
|
32 |
25 |
$98.93 |
| 92020 |
|
27 |
27 |
$98.40 |
| 90633 |
|
101 |
100 |
$96.92 |
| 73630 |
|
17 |
14 |
$96.88 |
| 99153 |
Mod sedat endo service >5yrs |
12 |
12 |
$90.81 |
| 99173 |
|
109 |
109 |
$88.66 |
| 87077 |
|
12 |
12 |
$84.90 |
| 86039 |
|
12 |
12 |
$84.00 |
| 96127 |
|
53 |
53 |
$81.77 |
| 84403 |
|
13 |
13 |
$74.00 |
| 86225 |
|
12 |
12 |
$72.00 |
| 86901 |
|
41 |
41 |
$68.95 |
| 86850 |
|
39 |
39 |
$68.64 |
| 86900 |
|
41 |
41 |
$66.50 |
| 87081 |
|
12 |
12 |
$54.48 |
| 82272 |
|
40 |
40 |
$49.92 |
| 92134 |
|
12 |
12 |
$48.38 |
| 99001 |
|
1,324 |
1,280 |
$20.01 |
| 90670 |
|
224 |
203 |
$18.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$10.00 |
| 90710 |
|
83 |
83 |
$9.00 |
| 90697 |
|
169 |
168 |
$9.00 |
| 0270 |
|
473 |
347 |
$4.94 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90734 |
|
18 |
18 |
$0.00 |
| 76818 |
|
33 |
14 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
103 |
70 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
16 |
15 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 99606 |
|
12 |
12 |
$0.00 |