| Code | Description | Claims | Beneficiaries | Total Paid |
| 41899 |
Unlisted procedure, dentoalveolar structures |
1,532 |
1,367 |
$1.38M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,405 |
7,059 |
$1.29M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
9,573 |
9,212 |
$1.18M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,300 |
2,109 |
$609K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,744 |
13,932 |
$249K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
644 |
630 |
$239K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
848 |
827 |
$220K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
125 |
124 |
$110K |
| J3490 |
Unclassified drugs |
23,334 |
12,515 |
$98K |
| 80053 |
Comprehensive metabolic panel |
9,490 |
8,668 |
$98K |
| 93320 |
|
862 |
840 |
$94K |
| 93325 |
|
894 |
868 |
$88K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
11,824 |
10,592 |
$85K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,409 |
1,191 |
$70K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,606 |
2,464 |
$58K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
118 |
116 |
$54K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
952 |
925 |
$51K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,476 |
2,259 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,486 |
1,096 |
$43K |
| 81229 |
|
40 |
40 |
$42K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,243 |
1,192 |
$35K |
| 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 |
1,387 |
1,202 |
$33K |
| G0378 |
Hospital observation service, per hour |
228 |
222 |
$30K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
131 |
126 |
$28K |
| 36415 |
Collection of venous blood by venipuncture |
11,150 |
10,013 |
$28K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
113 |
110 |
$26K |
| 95816 |
|
204 |
203 |
$25K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,845 |
1,761 |
$17K |
| 86780 |
|
1,130 |
1,087 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
386 |
294 |
$16K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
500 |
437 |
$15K |
| 86703 |
|
1,115 |
1,073 |
$14K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,358 |
1,246 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
320 |
309 |
$14K |
| 72081 |
|
177 |
174 |
$13K |
| 93922 |
|
314 |
307 |
$13K |
| 81001 |
|
4,155 |
3,983 |
$13K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,021 |
1,842 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
61 |
54 |
$13K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
204 |
195 |
$12K |
| 96101 |
|
304 |
290 |
$11K |
| 95813 |
|
58 |
58 |
$10K |
| 84439 |
|
971 |
919 |
$10K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
296 |
290 |
$9K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
13 |
13 |
$9K |
| 72170 |
|
124 |
122 |
$7K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
181 |
173 |
$7K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
12 |
12 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
251 |
173 |
$6K |
| 87070 |
|
600 |
585 |
$6K |
| 77073 |
|
171 |
168 |
$6K |
| 81025 |
|
373 |
348 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
157 |
151 |
$5K |
| 96040 |
|
555 |
546 |
$5K |
| 74018 |
|
129 |
113 |
$5K |
| 84484 |
|
486 |
437 |
$5K |
| 83690 |
|
796 |
761 |
$5K |
| 64483 |
|
17 |
16 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
142 |
139 |
$4K |
| 87081 |
|
593 |
582 |
$4K |
| 86850 |
|
327 |
308 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
242 |
231 |
$4K |
| 84466 |
|
237 |
235 |
$4K |
| 86762 |
|
226 |
217 |
$4K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
375 |
331 |
$3K |
| 73100 |
|
82 |
67 |
$3K |
| 87486 |
|
113 |
110 |
$3K |
| 87581 |
|
113 |
110 |
$3K |
| 87340 |
|
319 |
307 |
$3K |
| 83516 |
|
231 |
197 |
$3K |
| 86738 |
|
187 |
186 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
52 |
49 |
$3K |
| 82728 |
|
188 |
162 |
$3K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
187 |
174 |
$3K |
| 82784 |
|
212 |
179 |
$2K |
| 94010 |
|
567 |
553 |
$2K |
| 36591 |
|
67 |
28 |
$2K |
| A9270 |
Non-covered item or service |
1,329 |
579 |
$2K |
| 80050 |
General health panel |
201 |
200 |
$2K |
| 83540 |
|
237 |
235 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
27 |
27 |
$2K |
| 93880 |
|
12 |
12 |
$2K |
| 29581 |
|
70 |
24 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
85 |
82 |
$1K |
| 92587 |
|
39 |
37 |
$1K |
| 95819 |
|
13 |
12 |
$1K |
| 87653 |
|
46 |
45 |
$1K |
| 80061 |
Lipid panel |
92 |
90 |
$1K |
| J2060 |
Injection, lorazepam, 2 mg |
216 |
166 |
$1K |
| J2704 |
Injection, propofol, 10 mg |
123 |
122 |
$1K |
| 96131 |
|
33 |
27 |
$1K |
| 86900 |
|
328 |
309 |
$1K |
| 86901 |
|
328 |
309 |
$1K |
| 77072 |
|
26 |
26 |
$1K |
| 80177 |
|
70 |
64 |
$989.50 |
| 96112 |
|
20 |
19 |
$960.83 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
927 |
559 |
$959.12 |
| 87116 |
|
69 |
65 |
$867.31 |
| 82607 |
|
66 |
46 |
$814.37 |
| 82746 |
|
67 |
47 |
$812.75 |
| 87102 |
|
69 |
65 |
$674.15 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
73 |
54 |
$631.20 |
| 82024 |
|
13 |
13 |
$625.69 |
| 82951 |
|
40 |
40 |
$576.46 |
| 87205 |
|
123 |
119 |
$559.61 |
| 84703 |
|
53 |
51 |
$552.63 |
| 84481 |
|
27 |
27 |
$548.86 |
| 87015 |
|
69 |
65 |
$535.71 |
| 96130 |
|
34 |
28 |
$495.84 |
| J7050 |
Infusion, normal saline solution, 250 cc |
40 |
24 |
$491.98 |
| 94664 |
|
34 |
33 |
$471.24 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
86 |
83 |
$438.01 |
| 87206 |
|
69 |
65 |
$430.76 |
| 86140 |
|
76 |
64 |
$394.61 |
| 84403 |
|
14 |
12 |
$386.04 |
| G0379 |
Direct admission of patient for hospital observation care |
55 |
52 |
$369.08 |
| 85610 |
|
108 |
64 |
$318.50 |
| 92567 |
|
12 |
12 |
$291.96 |
| 29075 |
|
19 |
16 |
$236.17 |
| 80164 |
|
14 |
13 |
$233.80 |
| 82150 |
|
37 |
30 |
$229.15 |
| C1769 |
Guide wire |
16 |
12 |
$181.24 |
| 96111 |
|
183 |
183 |
$153.04 |
| 80076 |
|
13 |
13 |
$129.87 |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
14 |
14 |
$112.84 |
| 96136 |
|
34 |
28 |
$112.80 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
27 |
26 |
$104.82 |
| 11719 |
|
30 |
30 |
$102.50 |
| 96137 |
|
22 |
18 |
$92.45 |
| J3411 |
Injection, thiamine hcl, 100 mg |
28 |
24 |
$90.92 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
13 |
13 |
$77.51 |
| 85027 |
|
13 |
13 |
$74.12 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
12 |
12 |
$68.97 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
41 |
40 |
$63.02 |
| 83735 |
|
14 |
12 |
$58.45 |
| 85651 |
|
16 |
14 |
$57.46 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
32 |
31 |
$52.52 |
| 96127 |
|
48 |
47 |
$36.18 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
27 |
26 |
$26.12 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
124 |
51 |
$0.00 |