| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G6015 |
Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session |
12,757 |
1,456 |
$3.69M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59,701 |
51,655 |
$3.28M |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
1,845 |
1,589 |
$2.59M |
| 77014 |
|
10,178 |
1,252 |
$804K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,552 |
16,637 |
$749K |
| 99215 |
Prolong outpt/office vis |
10,972 |
9,691 |
$737K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
9,112 |
8,770 |
$687K |
| 80053 |
Comprehensive metabolic panel |
70,691 |
51,303 |
$618K |
| 11102 |
|
6,618 |
6,512 |
$601K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
77,600 |
53,433 |
$525K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,928 |
5,874 |
$521K |
| 17110 |
|
3,445 |
3,329 |
$358K |
| 83735 |
|
60,205 |
42,303 |
$337K |
| 17108 |
|
362 |
359 |
$317K |
| 83615 |
|
60,758 |
42,478 |
$298K |
| 82728 |
|
23,354 |
22,053 |
$275K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,619 |
2,611 |
$274K |
| 77427 |
|
2,287 |
992 |
$265K |
| 11103 |
|
2,660 |
2,632 |
$256K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
998 |
989 |
$256K |
| 84466 |
|
23,539 |
22,242 |
$255K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
1,689 |
1,604 |
$243K |
| 82378 |
|
14,224 |
13,093 |
$228K |
| 84550 |
|
59,719 |
41,875 |
$222K |
| 77301 |
|
211 |
191 |
$212K |
| 99245 |
|
1,400 |
1,394 |
$203K |
| 99490 |
Ccm add 20min |
10,619 |
10,610 |
$172K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,449 |
1,413 |
$154K |
| 77336 |
|
2,871 |
1,337 |
$140K |
| 86300 |
|
7,005 |
6,510 |
$125K |
| 83540 |
|
20,949 |
20,132 |
$119K |
| 77300 |
|
633 |
550 |
$112K |
| 96922 |
|
469 |
175 |
$110K |
| 17000 |
|
2,092 |
2,010 |
$108K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
742 |
742 |
$103K |
| 77334 |
|
501 |
399 |
$88K |
| 99233 |
Prolong inpt eval add15 m |
1,607 |
421 |
$82K |
| 77338 |
|
195 |
176 |
$64K |
| 17311 |
|
139 |
121 |
$63K |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,325 |
4,042 |
$61K |
| 88185 |
|
108 |
104 |
$58K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,246 |
1,234 |
$52K |
| 85046 |
|
11,463 |
9,528 |
$51K |
| 74178 |
|
287 |
271 |
$51K |
| 77263 |
|
377 |
368 |
$43K |
| 82607 |
|
3,510 |
3,452 |
$43K |
| G6002 |
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy |
641 |
84 |
$42K |
| 17003 |
|
1,336 |
1,282 |
$42K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
708 |
708 |
$40K |
| 82746 |
|
2,991 |
2,935 |
$39K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
979 |
874 |
$35K |
| G6013 |
Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev |
129 |
15 |
$28K |
| 11900 |
|
1,193 |
1,158 |
$28K |
| 11100 |
|
588 |
533 |
$26K |
| 99205 |
Prolong outpt/office vis |
227 |
227 |
$22K |
| 84436 |
|
3,161 |
3,033 |
$21K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,120 |
2,064 |
$21K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
234 |
234 |
$20K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
480 |
477 |
$20K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
325 |
106 |
$18K |
| 84479 |
|
3,126 |
3,000 |
$17K |
| 82784 |
|
1,203 |
1,181 |
$16K |
| 99255 |
|
145 |
144 |
$16K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,201 |
2,150 |
$16K |
| 84134 |
|
1,314 |
1,141 |
$15K |
| 70491 |
|
201 |
181 |
$13K |
| 11901 |
|
349 |
342 |
$12K |
| 86140 |
|
2,145 |
2,121 |
$11K |
| 80050 |
General health panel |
781 |
734 |
$11K |
| 80061 |
Lipid panel |
965 |
942 |
$10K |
| 20553 |
|
124 |
36 |
$8K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
157 |
154 |
$8K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
51 |
51 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
247 |
246 |
$7K |
| 11101 |
|
208 |
169 |
$7K |
| 11104 |
|
52 |
51 |
$7K |
| G9678 |
Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation agreement |
69 |
69 |
$6K |
| 85610 |
|
1,755 |
1,082 |
$6K |
| 84165 |
|
583 |
577 |
$6K |
| 88184 |
|
108 |
104 |
$6K |
| 77332 |
|
117 |
98 |
$5K |
| 77049 |
|
14 |
13 |
$4K |
| 77080 |
|
113 |
112 |
$4K |
| 82465 |
|
849 |
835 |
$4K |
| J1940 |
Injection, furosemide, up to 20 mg |
761 |
651 |
$4K |
| 84478 |
|
704 |
690 |
$4K |
| 82232 |
|
276 |
267 |
$3K |
| 84703 |
|
501 |
488 |
$3K |
| 84100 |
|
858 |
504 |
$3K |
| 99242 |
|
39 |
38 |
$3K |
| 84439 |
|
182 |
181 |
$3K |
| 76642 |
|
31 |
28 |
$3K |
| 82105 |
|
59 |
56 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
149 |
69 |
$2K |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$2K |
| 84403 |
|
132 |
127 |
$2K |
| 85730 |
|
323 |
297 |
$2K |
| 86304 |
|
107 |
89 |
$2K |
| 82977 |
|
213 |
211 |
$1K |
| 72193 |
|
13 |
12 |
$1K |
| 76377 |
|
685 |
576 |
$1K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
49 |
49 |
$1K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
41 |
38 |
$1K |
| 86334 |
|
57 |
57 |
$1K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
63 |
24 |
$871.21 |
| 99253 |
|
15 |
14 |
$819.67 |
| 93000 |
|
26 |
26 |
$788.15 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
32 |
26 |
$778.87 |
| 82565 |
|
163 |
163 |
$674.88 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
81 |
78 |
$634.87 |
| 97167 |
|
12 |
12 |
$575.94 |
| 85055 |
|
18 |
13 |
$553.86 |
| 88313 |
|
12 |
12 |
$530.20 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
35 |
12 |
$487.96 |
| 11301 |
|
17 |
15 |
$482.19 |
| 84520 |
|
151 |
151 |
$481.80 |
| 80047 |
|
28 |
27 |
$215.56 |
| 77417 |
|
23 |
12 |
$210.39 |
| 84153 |
|
25 |
24 |
$158.68 |
| 84460 |
|
28 |
27 |
$120.71 |
| 84450 |
|
28 |
27 |
$116.29 |
| 84075 |
|
28 |
27 |
$108.81 |
| 82247 |
|
28 |
27 |
$107.82 |
| 82040 |
|
28 |
27 |
$106.07 |
| 80076 |
|
16 |
16 |
$105.28 |
| 81000 |
|
31 |
27 |
$82.88 |
| 84155 |
|
29 |
27 |
$81.69 |
| 36415 |
Collection of venous blood by venipuncture |
416 |
366 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
116 |
107 |
$0.00 |