| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,094 |
322 |
$55K |
| 80053 |
Comprehensive metabolic panel |
1,519 |
1,277 |
$44K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
484 |
423 |
$42K |
| 70450 |
Computed tomography, head or brain; without contrast material |
239 |
220 |
$21K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
311 |
249 |
$19K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
337 |
238 |
$18K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
513 |
150 |
$16K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
333 |
104 |
$15K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,571 |
1,265 |
$14K |
| 59025 |
Fetal non-stress test |
57 |
43 |
$9K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
674 |
509 |
$9K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
276 |
157 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
1,550 |
1,253 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
353 |
326 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
126 |
114 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
44 |
40 |
$5K |
| 83880 |
|
240 |
192 |
$4K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
484 |
407 |
$4K |
| 83735 |
|
626 |
518 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
523 |
456 |
$4K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
128 |
97 |
$4K |
| 86901 |
|
185 |
154 |
$4K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
277 |
252 |
$4K |
| 84484 |
|
400 |
333 |
$3K |
| 85027 |
|
608 |
483 |
$3K |
| T1015 |
Clinic visit/encounter, all-inclusive |
326 |
257 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
46 |
43 |
$2K |
| 97162 |
|
31 |
27 |
$2K |
| 81001 |
|
931 |
777 |
$2K |
| 81025 |
|
264 |
233 |
$2K |
| 94760 |
|
99 |
69 |
$2K |
| 83690 |
|
254 |
227 |
$2K |
| 87088 |
|
272 |
239 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
272 |
239 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
28 |
26 |
$1K |
| 82248 |
|
309 |
252 |
$1K |
| 82550 |
|
249 |
222 |
$1K |
| 82247 |
|
192 |
158 |
$1K |
| 85730 |
|
251 |
237 |
$1K |
| 86900 |
|
185 |
154 |
$1K |
| 85610 |
|
281 |
259 |
$893.70 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
312 |
228 |
$876.06 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
144 |
123 |
$866.14 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
212 |
134 |
$849.59 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
503 |
390 |
$803.84 |
| 87040 |
|
111 |
81 |
$783.19 |
| 84075 |
|
153 |
133 |
$777.38 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
262 |
219 |
$740.80 |
| 83605 |
|
111 |
97 |
$736.56 |
| 87210 |
|
152 |
112 |
$729.88 |
| 82040 |
|
150 |
130 |
$729.86 |
| 84460 |
|
155 |
135 |
$709.56 |
| 84155 |
|
156 |
135 |
$537.17 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
341 |
290 |
$436.33 |
| 86850 |
|
154 |
131 |
$404.85 |
| 84443 |
Thyroid stimulating hormone (TSH) |
37 |
34 |
$402.53 |
| 96376 |
|
34 |
13 |
$360.00 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
31 |
28 |
$327.62 |
| 81003 |
|
235 |
200 |
$319.84 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
28 |
26 |
$298.25 |
| 82565 |
|
39 |
38 |
$205.82 |
| 74018 |
|
16 |
12 |
$198.07 |
| 87077 |
|
32 |
28 |
$172.95 |
| 80061 |
Lipid panel |
14 |
14 |
$164.35 |
| 85055 |
|
14 |
13 |
$130.00 |
| 85007 |
|
92 |
82 |
$123.00 |
| 82947 |
|
23 |
12 |
$119.20 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
125 |
102 |
$91.54 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
243 |
185 |
$81.47 |
| 82150 |
|
14 |
12 |
$64.82 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
38 |
26 |
$62.40 |
| 87186 |
|
15 |
13 |
$62.01 |
| 84439 |
|
16 |
13 |
$52.74 |
| 86140 |
|
14 |
12 |
$44.34 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
36 |
26 |
$6.30 |
| J2704 |
Injection, propofol, 10 mg |
101 |
91 |
$4.63 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
507 |
353 |
$0.58 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
249 |
200 |
$0.28 |
| J7050 |
Infusion, normal saline solution, 250 cc |
97 |
55 |
$0.16 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
27 |
24 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
73 |
66 |
$0.00 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
13 |
13 |
$0.00 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
34 |
32 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
37 |
23 |
$0.00 |