| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
11,754 |
3,768 |
$573K |
| 0450 |
Emergency room services |
5,493 |
4,808 |
$384K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
12,251 |
4,253 |
$289K |
| 0250 |
|
1,114 |
699 |
$239K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,110 |
2,956 |
$203K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,481 |
3,253 |
$152K |
| 99199 |
Unlisted special service, procedure or report |
2,224 |
1,949 |
$113K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
936 |
907 |
$78K |
| 80053 |
Comprehensive metabolic panel |
5,632 |
5,124 |
$76K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,292 |
2,266 |
$49K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,065 |
4,610 |
$49K |
| 97750 |
|
1,077 |
959 |
$38K |
| 80061 |
Lipid panel |
2,305 |
2,293 |
$34K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,213 |
597 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
870 |
804 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,331 |
1,226 |
$27K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
594 |
473 |
$26K |
| 71046 |
Radiologic examination, chest; 2 views |
1,232 |
1,093 |
$25K |
| 0270 |
|
117 |
97 |
$25K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
495 |
436 |
$24K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,885 |
1,870 |
$22K |
| 0259 |
|
502 |
399 |
$21K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
973 |
971 |
$21K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
315 |
279 |
$16K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
460 |
250 |
$15K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
536 |
480 |
$13K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
160 |
158 |
$12K |
| 87631 |
|
179 |
179 |
$11K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
273 |
215 |
$10K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
307 |
187 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
167 |
161 |
$9K |
| 84484 |
|
88 |
79 |
$8K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
147 |
145 |
$6K |
| 86703 |
|
364 |
362 |
$6K |
| 86780 |
|
178 |
177 |
$6K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
52 |
51 |
$5K |
| 86803 |
|
259 |
258 |
$5K |
| 97161 |
|
340 |
339 |
$5K |
| 81003 |
|
1,533 |
1,388 |
$4K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
356 |
182 |
$4K |
| 83690 |
|
432 |
402 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
98 |
91 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
5,871 |
5,108 |
$4K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
59 |
52 |
$3K |
| Z7502 |
|
89 |
86 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
122 |
120 |
$3K |
| 0257 |
|
1,343 |
1,089 |
$3K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
289 |
228 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
52 |
52 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
83 |
82 |
$2K |
| 81001 |
|
305 |
294 |
$2K |
| 81025 |
|
307 |
297 |
$2K |
| 86140 |
|
216 |
202 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
131 |
122 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
18 |
13 |
$1K |
| 84439 |
|
102 |
101 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
26 |
26 |
$1K |
| 84153 |
|
40 |
39 |
$1K |
| 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 |
13 |
13 |
$965.29 |
| 85027 |
|
114 |
109 |
$879.98 |
| 97803 |
|
14 |
13 |
$754.14 |
| 87340 |
|
42 |
42 |
$708.18 |
| 85018 |
|
239 |
237 |
$646.41 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
80 |
78 |
$557.84 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$462.67 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
13 |
$302.49 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
13 |
$265.86 |
| 85651 |
|
65 |
63 |
$238.88 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
12 |
$225.00 |
| 85610 |
|
30 |
28 |
$212.99 |
| J3490 |
Unclassified drugs |
18 |
16 |
$184.87 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
56 |
46 |
$149.72 |
| 99173 |
|
39 |
39 |
$126.56 |
| 87276 |
|
12 |
12 |
$110.11 |
| 83735 |
|
14 |
12 |
$108.00 |
| J7070 |
Infusion, d5w, 1000 cc |
12 |
12 |
$80.16 |
| 87186 |
|
18 |
17 |
$78.82 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$78.18 |
| 87077 |
|
19 |
18 |
$69.25 |
| 87275 |
|
12 |
12 |
$64.91 |
| 85007 |
|
28 |
21 |
$64.77 |
| 90686 |
|
15 |
15 |
$36.00 |
| 0637 |
|
48 |
37 |
$2.24 |
| 99001 |
|
118 |
111 |
$0.00 |