| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0378 |
Hospital observation service, per hour |
780 |
720 |
$613K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,554 |
1,495 |
$479K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,221 |
1,149 |
$466K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
927 |
884 |
$194K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
811 |
788 |
$165K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,176 |
330 |
$138K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
113 |
113 |
$129K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
125 |
125 |
$85K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
764 |
220 |
$49K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
41 |
41 |
$45K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,780 |
2,212 |
$30K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
313 |
307 |
$29K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,486 |
2,106 |
$27K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,320 |
1,188 |
$25K |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
433 |
134 |
$19K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
22 |
12 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
2,274 |
2,063 |
$15K |
| OP259 |
|
2,813 |
2,092 |
$15K |
| 70450 |
Computed tomography, head or brain; without contrast material |
368 |
358 |
$15K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
205 |
179 |
$14K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
487 |
429 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
1,042 |
1,017 |
$13K |
| 97010 |
|
883 |
248 |
$12K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
103 |
103 |
$12K |
| OP272 |
|
476 |
452 |
$10K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
194 |
95 |
$10K |
| 97161 |
|
88 |
88 |
$10K |
| 80053 |
Comprehensive metabolic panel |
622 |
472 |
$10K |
| 85610 |
|
588 |
521 |
$9K |
| 80076 |
|
1,266 |
1,169 |
$9K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
570 |
512 |
$9K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
382 |
357 |
$8K |
| 84484 |
|
860 |
735 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
279 |
272 |
$7K |
| 85730 |
|
510 |
481 |
$7K |
| 81003 |
|
1,242 |
1,159 |
$7K |
| OP279 |
|
361 |
327 |
$7K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
682 |
637 |
$7K |
| 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 |
442 |
391 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
148 |
147 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
439 |
319 |
$6K |
| 93971 |
|
74 |
73 |
$6K |
| 77066 |
Tomosynthesis, mammo |
39 |
39 |
$6K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
40 |
37 |
$5K |
| J2704 |
Injection, propofol, 10 mg |
179 |
173 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
88 |
84 |
$4K |
| OP379 |
|
224 |
224 |
$4K |
| 83690 |
|
716 |
660 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
216 |
214 |
$4K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
89 |
89 |
$4K |
| 76830 |
Ultrasound, transvaginal |
65 |
63 |
$3K |
| 83880 |
|
111 |
109 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
28 |
28 |
$3K |
| 80061 |
Lipid panel |
211 |
202 |
$3K |
| 73562 |
|
161 |
138 |
$3K |
| 86885 |
|
119 |
112 |
$3K |
| 86900 |
|
131 |
119 |
$3K |
| 86901 |
|
131 |
119 |
$3K |
| 85027 |
|
351 |
224 |
$3K |
| 82150 |
|
240 |
229 |
$2K |
| 96376 |
|
195 |
137 |
$2K |
| OP710 |
|
183 |
183 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
86 |
85 |
$2K |
| 83735 |
|
199 |
151 |
$2K |
| J1644 |
Injection, heparin sodium, per 1000 units |
22 |
14 |
$2K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
295 |
218 |
$2K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
91 |
77 |
$2K |
| 87186 |
|
30 |
29 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
173 |
154 |
$2K |
| 87070 |
|
347 |
339 |
$2K |
| 72110 |
|
38 |
38 |
$2K |
| 73630 |
|
140 |
131 |
$2K |
| 97162 |
|
51 |
50 |
$2K |
| 87088 |
|
307 |
300 |
$1K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
444 |
382 |
$1K |
| 88300 |
|
25 |
25 |
$1K |
| 93970 |
|
14 |
13 |
$1K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
99 |
99 |
$1K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
84 |
83 |
$1K |
| 84100 |
|
110 |
81 |
$1K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
43 |
43 |
$1K |
| 87040 |
|
123 |
118 |
$1K |
| 73130 |
|
79 |
68 |
$1K |
| 73610 |
|
122 |
116 |
$1K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
225 |
207 |
$1K |
| 96367 |
|
17 |
16 |
$1K |
| 72100 |
|
81 |
81 |
$1K |
| 73030 |
|
96 |
84 |
$1K |
| J3480 |
Injection, potassium chloride, per 2 meq |
16 |
12 |
$1K |
| 82607 |
|
41 |
41 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
442 |
435 |
$1K |
| 84703 |
|
662 |
614 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
86 |
86 |
$828.68 |
| 87205 |
|
69 |
64 |
$770.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
14 |
14 |
$758.30 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
121 |
120 |
$728.02 |
| 83789 |
|
80 |
78 |
$675.02 |
| 82746 |
|
12 |
12 |
$633.47 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
44 |
44 |
$553.07 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
46 |
46 |
$553.07 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
467 |
422 |
$486.09 |
| 76775 |
|
14 |
14 |
$452.52 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
284 |
280 |
$449.46 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
18 |
18 |
$403.56 |
| 72040 |
|
42 |
41 |
$383.63 |
| 90715 |
|
43 |
43 |
$378.72 |
| 81025 |
|
225 |
220 |
$340.33 |
| 83605 |
|
39 |
39 |
$312.49 |
| 85378 |
|
216 |
211 |
$299.22 |
| 73502 |
|
28 |
27 |
$291.99 |
| 73110 |
|
13 |
12 |
$290.18 |
| 84702 |
|
57 |
48 |
$193.02 |
| 84439 |
|
18 |
18 |
$190.28 |
| J2060 |
Injection, lorazepam, 2 mg |
68 |
62 |
$151.58 |
| 88313 |
|
110 |
107 |
$134.25 |
| 74021 |
|
14 |
12 |
$33.35 |
| 86308 |
|
13 |
13 |
$32.90 |
| 87999 |
|
38 |
37 |
$31.20 |
| 85651 |
|
12 |
12 |
$27.54 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
47 |
25 |
$17.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
41 |
41 |
$15.52 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
63 |
53 |
$9.00 |
| J1956 |
Injection, levofloxacin, 250 mg |
18 |
13 |
$8.20 |
| 88312 |
|
103 |
103 |
$6.38 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
15 |
15 |
$3.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
17 |
14 |
$0.00 |
| 88304 |
|
17 |
17 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
13 |
$0.00 |