| Code | Description | Claims | Beneficiaries | Total Paid |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
42,160 |
10,209 |
$4.28M |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
14,193 |
4,443 |
$934K |
| 97161 |
|
5,518 |
3,473 |
$698K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
18,200 |
13,016 |
$470K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
29,231 |
20,232 |
$466K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
29,146 |
20,181 |
$463K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
4,776 |
1,620 |
$266K |
| 97162 |
|
1,829 |
1,124 |
$235K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
1,322 |
805 |
$212K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,360 |
2,475 |
$183K |
| 97535 |
Self-care/home management training, each 15 minutes |
2,594 |
642 |
$174K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
2,517 |
958 |
$154K |
| 97116 |
|
1,905 |
516 |
$154K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
19,749 |
13,554 |
$147K |
| 86480 |
|
4,478 |
2,975 |
$99K |
| 84443 |
Thyroid stimulating hormone (TSH) |
16,309 |
11,424 |
$97K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
1,786 |
676 |
$94K |
| 80053 |
Comprehensive metabolic panel |
28,566 |
18,628 |
$93K |
| 87536 |
|
1,888 |
1,183 |
$82K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
4,069 |
2,305 |
$76K |
| 90670 |
|
3,308 |
1,267 |
$76K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
770 |
557 |
$73K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,109 |
489 |
$73K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,234 |
899 |
$67K |
| 86780 |
|
16,294 |
11,742 |
$63K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
5,522 |
3,756 |
$59K |
| 90686 |
|
3,703 |
1,362 |
$58K |
| 73562 |
|
2,452 |
1,315 |
$57K |
| 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 |
2,302 |
1,071 |
$54K |
| 87799 |
|
1,664 |
843 |
$52K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
35,629 |
22,301 |
$49K |
| 87653 |
|
2,106 |
1,506 |
$48K |
| 83655 |
|
8,786 |
6,015 |
$46K |
| 73630 |
|
2,676 |
1,486 |
$46K |
| 87522 |
Neg quan hep c or qual rna |
1,833 |
1,162 |
$46K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
16,357 |
10,125 |
$45K |
| 97010 |
|
964 |
302 |
$43K |
| 97035 |
|
878 |
166 |
$42K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
14,929 |
10,241 |
$39K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
22,785 |
15,767 |
$38K |
| 83970 |
|
2,563 |
1,500 |
$38K |
| 36415 |
Collection of venous blood by venipuncture |
20,728 |
14,424 |
$37K |
| 73610 |
|
1,694 |
997 |
$36K |
| 87497 |
|
1,800 |
871 |
$33K |
| 73564 |
|
1,232 |
677 |
$31K |
| 71046 |
Radiologic examination, chest; 2 views |
3,258 |
2,223 |
$30K |
| 73030 |
|
1,613 |
1,011 |
$28K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
10,480 |
6,920 |
$27K |
| 73110 |
|
1,166 |
681 |
$24K |
| 86803 |
|
4,888 |
3,338 |
$23K |
| 85027 |
|
18,284 |
12,460 |
$23K |
| 87088 |
|
6,468 |
4,541 |
$23K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
1,818 |
1,113 |
$23K |
| 80061 |
Lipid panel |
17,548 |
12,587 |
$23K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
4,178 |
2,796 |
$22K |
| 73130 |
|
1,280 |
702 |
$22K |
| 72110 |
|
714 |
489 |
$21K |
| 92523 |
|
196 |
139 |
$21K |
| 87340 |
|
7,200 |
4,820 |
$21K |
| 90734 |
|
597 |
191 |
$21K |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
845 |
610 |
$19K |
| 74220 |
|
368 |
271 |
$19K |
| 72100 |
|
881 |
607 |
$19K |
| 87581 |
|
1,329 |
809 |
$16K |
| 90715 |
|
663 |
243 |
$16K |
| 86235 |
|
1,047 |
398 |
$16K |
| 87486 |
|
1,326 |
809 |
$16K |
| 85610 |
|
10,170 |
5,140 |
$16K |
| 72082 |
|
651 |
424 |
$16K |
| 81511 |
|
353 |
260 |
$14K |
| 80197 |
|
3,329 |
1,319 |
$13K |
| 83021 |
|
3,214 |
2,229 |
$12K |
| 87186 |
|
2,801 |
1,983 |
$12K |
| 73502 |
|
838 |
572 |
$11K |
| 82607 |
|
3,021 |
1,976 |
$11K |
| 80076 |
|
5,268 |
3,330 |
$11K |
| 87081 |
|
3,981 |
3,035 |
$10K |
| 86787 |
|
3,213 |
2,181 |
$10K |
| 92083 |
|
324 |
235 |
$10K |
| 90620 |
|
255 |
79 |
$10K |
| 90648 |
|
2,763 |
1,058 |
$10K |
| 84153 |
|
1,853 |
1,310 |
$10K |
| 86038 |
|
2,284 |
1,369 |
$10K |
| 90723 |
|
2,356 |
891 |
$10K |
| 90707 |
|
767 |
288 |
$9K |
| 84403 |
|
846 |
544 |
$9K |
| 0502F |
|
297 |
236 |
$9K |
| 83735 |
|
5,722 |
2,996 |
$9K |
| 82105 |
|
1,700 |
1,094 |
$9K |
| 90681 |
|
1,478 |
547 |
$9K |
| 97165 |
|
959 |
608 |
$9K |
| 84439 |
|
4,798 |
3,235 |
$9K |
| 82784 |
|
1,596 |
844 |
$8K |
| 81003 |
|
10,928 |
6,773 |
$8K |
| 88142 |
|
3,742 |
2,686 |
$8K |
| 82728 |
|
4,203 |
2,735 |
$8K |
| 90633 |
|
1,396 |
520 |
$8K |
| 83550 |
|
3,430 |
2,233 |
$8K |
| 82043 |
|
8,304 |
5,384 |
$7K |
| 86146 |
|
406 |
140 |
$7K |
| 83516 |
|
1,863 |
943 |
$7K |
| 77077 |
|
220 |
112 |
$7K |
| 77066 |
Tomosynthesis, mammo |
105 |
83 |
$7K |
| 86704 |
|
1,924 |
1,087 |
$7K |
| 73140 |
|
426 |
248 |
$7K |
| 86160 |
|
999 |
556 |
$7K |
| 87517 |
|
238 |
129 |
$7K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
634 |
490 |
$7K |
| 86850 |
|
4,941 |
3,364 |
$7K |
| 87641 |
|
362 |
237 |
$7K |
| 86003 |
|
961 |
338 |
$6K |
| 90710 |
|
268 |
69 |
$6K |
| 90649 |
|
295 |
92 |
$6K |
| 81001 |
|
9,178 |
5,773 |
$6K |
| 82570 |
|
5,320 |
2,915 |
$6K |
| 73080 |
|
349 |
231 |
$6K |
| 87506 |
|
71 |
53 |
$6K |
| 84702 |
|
2,048 |
1,408 |
$6K |
| 87338 |
|
643 |
449 |
$6K |
| 72050 |
|
234 |
164 |
$6K |
| 72040 |
|
331 |
229 |
$6K |
| 86901 |
|
4,963 |
3,387 |
$6K |
| 83001 |
|
932 |
632 |
$6K |
| 86334 |
|
321 |
184 |
$5K |
| 86762 |
|
3,349 |
2,423 |
$5K |
| 92250 |
|
180 |
148 |
$5K |
| 87102 |
|
3,240 |
2,133 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
397 |
306 |
$5K |
| 82962 |
|
7,880 |
4,759 |
$5K |
| 83540 |
|
4,020 |
2,614 |
$5K |
| 84100 |
|
4,267 |
2,147 |
$5K |
| 81025 |
|
4,203 |
2,656 |
$5K |
| 82746 |
|
1,599 |
1,042 |
$4K |
| 87205 |
|
5,103 |
3,475 |
$4K |
| 88304 |
|
110 |
71 |
$4K |
| 86361 |
|
1,439 |
924 |
$4K |
| 83880 |
|
499 |
326 |
$4K |
| 86147 |
|
446 |
216 |
$4K |
| 86829 |
|
369 |
216 |
$4K |
| 86900 |
|
4,954 |
3,380 |
$4K |
| 86665 |
|
382 |
201 |
$4K |
| 74246 |
|
36 |
30 |
$3K |
| 84146 |
|
1,128 |
768 |
$3K |
| 81596 |
|
137 |
88 |
$3K |
| 86140 |
|
3,445 |
2,054 |
$3K |
| 90696 |
|
299 |
81 |
$3K |
| 92134 |
|
353 |
288 |
$3K |
| 86336 |
|
327 |
226 |
$3K |
| 86708 |
|
1,294 |
733 |
$3K |
| 96900 |
|
200 |
73 |
$3K |
| 82950 |
|
2,460 |
1,764 |
$3K |
| 84156 |
|
5,527 |
3,062 |
$3K |
| 73560 |
|
135 |
64 |
$3K |
| 97166 |
|
242 |
144 |
$3K |
| 86317 |
|
1,821 |
1,097 |
$3K |
| 83615 |
|
2,022 |
1,087 |
$2K |
| 87077 |
|
2,203 |
1,394 |
$2K |
| 88342 |
|
54 |
40 |
$2K |
| 83520 |
|
471 |
306 |
$2K |
| 84165 |
|
579 |
344 |
$2K |
| 92524 |
|
38 |
26 |
$2K |
| 85652 |
|
4,122 |
2,514 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
82 |
80 |
$2K |
| 73521 |
|
192 |
123 |
$2K |
| 85598 |
|
278 |
148 |
$2K |
| 85730 |
|
1,811 |
1,077 |
$2K |
| 90698 |
|
77 |
45 |
$2K |
| 87902 |
|
22 |
15 |
$2K |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
107 |
85 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
604 |
421 |
$2K |
| 86694 |
|
553 |
328 |
$2K |
| 86920 |
|
220 |
141 |
$2K |
| 86225 |
|
757 |
415 |
$2K |
| 80069 |
|
727 |
435 |
$2K |
| 90702 |
|
383 |
141 |
$2K |
| 86359 |
|
883 |
605 |
$2K |
| 73590 |
|
141 |
82 |
$2K |
| 86735 |
|
577 |
405 |
$2K |
| 87147 |
|
747 |
491 |
$2K |
| 92567 |
|
95 |
87 |
$2K |
| 84550 |
|
1,579 |
954 |
$2K |
| 83883 |
|
272 |
109 |
$1K |
| 86705 |
|
473 |
273 |
$1K |
| 96415 |
|
97 |
55 |
$1K |
| 86200 |
|
524 |
301 |
$1K |
| 82248 |
|
1,700 |
841 |
$1K |
| 83690 |
|
737 |
458 |
$1K |
| 84270 |
|
376 |
233 |
$1K |
| 82670 |
|
523 |
351 |
$1K |
| 92133 |
|
195 |
155 |
$1K |
| 86593 |
|
1,508 |
1,085 |
$1K |
| 90685 |
|
270 |
127 |
$1K |
| 87070 |
|
763 |
489 |
$1K |
| 73090 |
|
93 |
56 |
$1K |
| 96127 |
|
92 |
88 |
$1K |
| 82977 |
|
1,370 |
629 |
$1K |
| 85045 |
|
1,939 |
1,227 |
$1K |
| 86431 |
|
760 |
465 |
$1K |
| 86357 |
|
112 |
63 |
$1K |
| 86039 |
|
420 |
240 |
$1K |
| 84681 |
|
323 |
175 |
$1K |
| 82951 |
|
192 |
141 |
$1K |
| 70355 |
|
94 |
60 |
$1K |
| 86664 |
|
295 |
154 |
$1K |
| 86663 |
|
324 |
170 |
$1K |
| 82652 |
|
212 |
105 |
$1K |
| 86355 |
|
112 |
63 |
$1K |
| 86360 |
|
344 |
204 |
$959.92 |
| 86765 |
|
603 |
414 |
$942.10 |
| 83002 |
|
478 |
306 |
$938.98 |
| 82785 |
|
536 |
332 |
$904.24 |
| 86902 |
|
111 |
71 |
$896.44 |
| 88720 |
|
431 |
293 |
$881.54 |
| 86376 |
|
400 |
251 |
$867.00 |
| 82677 |
|
315 |
219 |
$851.71 |
| 73620 |
|
92 |
42 |
$780.48 |
| 82565 |
|
502 |
348 |
$778.94 |
| 87210 |
|
1,168 |
771 |
$759.28 |
| 82378 |
|
120 |
71 |
$744.65 |
| 85018 |
|
1,411 |
1,048 |
$739.41 |
| 84460 |
|
799 |
542 |
$701.94 |
| 86644 |
|
274 |
137 |
$694.78 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
82 |
62 |
$693.48 |
| 82103 |
|
272 |
146 |
$678.11 |
| 0500F |
|
38 |
38 |
$617.40 |
| 92557 |
|
14 |
12 |
$615.74 |
| 73100 |
|
25 |
18 |
$604.51 |
| 73120 |
|
30 |
14 |
$603.76 |
| 86800 |
|
254 |
146 |
$569.06 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,345 |
537 |
$536.00 |
| 86769 |
|
17 |
15 |
$517.51 |
| 82550 |
|
360 |
206 |
$504.24 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27 |
22 |
$501.16 |
| 80164 |
|
119 |
73 |
$484.52 |
| 84480 |
|
234 |
141 |
$484.38 |
| 86709 |
|
448 |
255 |
$481.35 |
| 83921 |
|
148 |
77 |
$478.97 |
| 84450 |
|
567 |
383 |
$457.62 |
| 86335 |
|
37 |
13 |
$444.99 |
| 87075 |
|
93 |
51 |
$416.40 |
| 84481 |
|
187 |
111 |
$409.14 |
| 74018 |
|
40 |
25 |
$403.12 |
| 82088 |
|
21 |
12 |
$390.90 |
| 84154 |
|
96 |
84 |
$384.21 |
| 82139 |
|
69 |
42 |
$382.49 |
| 82270 |
|
316 |
217 |
$377.22 |
| 84160 |
|
655 |
382 |
$376.90 |
| 82040 |
|
486 |
299 |
$370.83 |
| 86318 |
|
110 |
82 |
$370.36 |
| 82150 |
|
212 |
117 |
$357.40 |
| 86255 |
|
84 |
43 |
$353.04 |
| 82164 |
|
223 |
126 |
$348.98 |
| 84436 |
|
237 |
157 |
$341.80 |
| 85379 |
|
165 |
101 |
$338.30 |
| 84445 |
|
18 |
12 |
$335.20 |
| 86592 |
|
529 |
390 |
$331.65 |
| 87254 |
|
151 |
111 |
$323.21 |
| 82533 |
|
79 |
43 |
$315.42 |
| 84630 |
|
130 |
65 |
$309.54 |
| 96160 |
|
25 |
25 |
$306.60 |
| 87106 |
|
618 |
376 |
$302.75 |
| 77072 |
|
22 |
13 |
$294.91 |
| 84030 |
|
110 |
51 |
$284.75 |
| 82247 |
|
176 |
120 |
$277.80 |
| 87493 |
|
17 |
12 |
$270.58 |
| 86256 |
|
61 |
26 |
$244.51 |
| 84425 |
|
87 |
43 |
$243.52 |
| 82390 |
|
113 |
64 |
$241.72 |
| 85014 |
|
680 |
488 |
$236.63 |
| 82136 |
|
41 |
28 |
$225.48 |
| 84134 |
|
164 |
89 |
$225.41 |
| 84305 |
|
65 |
36 |
$220.99 |
| 70350 |
|
38 |
25 |
$184.36 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
12 |
12 |
$183.00 |
| 82024 |
|
18 |
13 |
$175.44 |
| 82330 |
|
51 |
32 |
$170.44 |
| 82104 |
|
82 |
45 |
$167.34 |
| 82627 |
|
109 |
56 |
$156.39 |
| 90700 |
|
27 |
12 |
$144.99 |
| 87040 |
|
22 |
12 |
$144.72 |
| 72170 |
|
17 |
12 |
$136.62 |
| 80177 |
|
43 |
28 |
$132.19 |
| 82525 |
|
43 |
25 |
$124.20 |
| 83090 |
|
51 |
27 |
$122.70 |
| 83718 |
|
39 |
18 |
$121.66 |
| 83498 |
|
46 |
24 |
$108.35 |
| 99173 |
|
17 |
17 |
$104.30 |
| 82947 |
|
177 |
102 |
$95.73 |
| 82465 |
|
103 |
48 |
$95.00 |
| 82952 |
|
107 |
80 |
$91.64 |
| 80178 |
|
39 |
14 |
$75.57 |
| 84479 |
|
29 |
17 |
$65.64 |
| 84207 |
|
22 |
14 |
$52.72 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
164 |
57 |
$41.82 |
| 85613 |
|
40 |
20 |
$41.04 |
| 85384 |
|
21 |
12 |
$38.40 |
| 36416 |
|
19 |
12 |
$36.68 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28 |
27 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22 |
21 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
15 |
$0.00 |