| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
6,181 |
3,826 |
$574K |
| 80053 |
Comprehensive metabolic panel |
15,220 |
12,487 |
$276K |
| 87631 |
|
1,873 |
1,675 |
$183K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,790 |
2,845 |
$181K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
19,570 |
15,858 |
$159K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,529 |
1,155 |
$147K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,124 |
972 |
$129K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
2,598 |
2,327 |
$114K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,166 |
710 |
$89K |
| 84443 |
Thyroid stimulating hormone (TSH) |
5,475 |
4,845 |
$82K |
| 83880 |
|
2,277 |
1,978 |
$74K |
| 80050 |
General health panel |
1,448 |
1,432 |
$69K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
333 |
254 |
$68K |
| 80061 |
Lipid panel |
3,580 |
3,104 |
$65K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,986 |
4,090 |
$65K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
242 |
228 |
$55K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
475 |
373 |
$53K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,510 |
2,986 |
$49K |
| 80305 |
|
2,616 |
2,227 |
$48K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,185 |
2,630 |
$48K |
| 71046 |
Radiologic examination, chest; 2 views |
1,841 |
1,666 |
$45K |
| 59025 |
Fetal non-stress test |
230 |
113 |
$45K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,305 |
1,201 |
$42K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
665 |
506 |
$40K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,925 |
3,349 |
$36K |
| 87070 |
|
2,184 |
1,935 |
$34K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
194 |
177 |
$30K |
| 84484 |
|
2,612 |
1,837 |
$30K |
| 71045 |
Radiologic examination, chest; single view |
2,709 |
2,251 |
$28K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,488 |
1,341 |
$28K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,347 |
49 |
$25K |
| 36415 |
Collection of venous blood by venipuncture |
6,888 |
4,927 |
$25K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,664 |
2,885 |
$25K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
802 |
649 |
$23K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
477 |
229 |
$23K |
| 83735 |
|
2,826 |
2,373 |
$21K |
| 87400 |
|
1,875 |
1,232 |
$17K |
| 87186 |
|
2,007 |
1,654 |
$17K |
| 82550 |
|
1,906 |
1,492 |
$15K |
| 81001 |
|
4,278 |
3,644 |
$15K |
| 82553 |
|
1,318 |
1,018 |
$14K |
| 87088 |
|
1,219 |
1,043 |
$14K |
| 97161 |
|
250 |
223 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,047 |
980 |
$13K |
| 87581 |
|
242 |
228 |
$12K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
201 |
192 |
$12K |
| 83690 |
|
1,157 |
1,004 |
$12K |
| 83874 |
|
968 |
800 |
$11K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
92 |
75 |
$11K |
| 82728 |
|
699 |
658 |
$10K |
| 81025 |
|
1,178 |
1,040 |
$10K |
| 85610 |
|
2,316 |
1,852 |
$9K |
| 85730 |
|
1,457 |
1,217 |
$9K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
35 |
31 |
$7K |
| 82150 |
|
818 |
727 |
$7K |
| 84439 |
|
467 |
414 |
$6K |
| 86901 |
|
446 |
405 |
$6K |
| 83540 |
|
867 |
816 |
$6K |
| 74018 |
|
200 |
171 |
$6K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,471 |
1,221 |
$5K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
62 |
54 |
$4K |
| 81003 |
|
1,835 |
1,575 |
$4K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
892 |
673 |
$4K |
| 87077 |
|
223 |
183 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
13 |
12 |
$4K |
| A9270 |
Non-covered item or service |
3,290 |
1,102 |
$4K |
| 83605 |
|
303 |
256 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
50 |
40 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
45 |
40 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
12 |
12 |
$3K |
| 97597 |
|
38 |
26 |
$3K |
| 80164 |
|
85 |
53 |
$3K |
| 73610 |
|
132 |
120 |
$3K |
| 83550 |
|
257 |
244 |
$3K |
| 73630 |
|
97 |
79 |
$3K |
| 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 |
56 |
51 |
$3K |
| 86140 |
|
381 |
356 |
$2K |
| 85651 |
|
563 |
504 |
$2K |
| 97001 |
|
53 |
51 |
$2K |
| 71020 |
|
131 |
115 |
$2K |
| 82607 |
|
143 |
132 |
$2K |
| 0001A |
|
76 |
69 |
$2K |
| 86850 |
|
296 |
269 |
$2K |
| 82565 |
|
97 |
91 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
118 |
112 |
$2K |
| 84146 |
|
33 |
26 |
$2K |
| 84702 |
|
171 |
141 |
$2K |
| 86900 |
|
400 |
359 |
$2K |
| 73030 |
|
53 |
49 |
$2K |
| 87420 |
|
137 |
132 |
$2K |
| 87040 |
|
110 |
70 |
$1K |
| 73130 |
|
48 |
38 |
$1K |
| 73110 |
|
27 |
25 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
71 |
65 |
$1K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
13 |
13 |
$1K |
| 71010 |
|
142 |
131 |
$934.51 |
| 77066 |
Tomosynthesis, mammo |
13 |
12 |
$900.40 |
| 0002A |
|
43 |
42 |
$870.52 |
| 86592 |
|
243 |
226 |
$840.59 |
| 73564 |
|
26 |
24 |
$820.48 |
| 73562 |
|
25 |
25 |
$818.76 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
61 |
53 |
$676.67 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
12 |
12 |
$600.00 |
| 80320 |
|
47 |
40 |
$531.66 |
| 80329 |
|
48 |
37 |
$501.52 |
| 84550 |
|
80 |
62 |
$492.46 |
| 83615 |
|
61 |
52 |
$417.81 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
83 |
68 |
$394.68 |
| 87075 |
|
13 |
13 |
$360.39 |
| 83020 |
|
14 |
12 |
$202.29 |
| 82948 |
|
18 |
16 |
$169.72 |
| 82248 |
|
15 |
13 |
$86.04 |
| 82570 |
|
13 |
12 |
$83.63 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
127 |
100 |
$73.58 |
| 82043 |
|
13 |
12 |
$57.89 |
| 87340 |
|
27 |
24 |
$44.25 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
174 |
138 |
$16.30 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
69 |
18 |
$7.29 |
| 91300 |
|
41 |
31 |
$0.38 |
| 86762 |
|
13 |
12 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
174 |
134 |
$0.00 |