| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,099 |
4,039 |
$497K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,454 |
1,394 |
$344K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
942 |
919 |
$264K |
| 80061 |
Lipid panel |
18,461 |
18,199 |
$262K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
2,940 |
2,854 |
$248K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
9,158 |
9,058 |
$243K |
| 80053 |
Comprehensive metabolic panel |
23,141 |
22,158 |
$243K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
4,462 |
4,113 |
$231K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,103 |
998 |
$226K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16,301 |
16,099 |
$181K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,943 |
1,876 |
$165K |
| 84443 |
Thyroid stimulating hormone (TSH) |
8,290 |
8,193 |
$143K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
19,081 |
18,009 |
$135K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,227 |
1,169 |
$121K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
417 |
407 |
$116K |
| 77080 |
|
1,506 |
1,496 |
$112K |
| 71046 |
Radiologic examination, chest; 2 views |
2,971 |
2,865 |
$108K |
| 87517 |
|
1,750 |
1,702 |
$96K |
| 70450 |
Computed tomography, head or brain; without contrast material |
865 |
849 |
$95K |
| 0064A |
|
1,798 |
1,797 |
$71K |
| 82274 |
|
3,882 |
3,828 |
$65K |
| 86480 |
|
937 |
888 |
$62K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,557 |
3,367 |
$61K |
| 80050 |
General health panel |
607 |
574 |
$59K |
| 71250 |
|
429 |
423 |
$58K |
| 0012A |
|
1,448 |
1,448 |
$58K |
| 0011A |
|
1,483 |
1,481 |
$57K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
10,690 |
9,728 |
$55K |
| 84153 |
|
2,608 |
2,579 |
$54K |
| 71045 |
Radiologic examination, chest; single view |
1,417 |
1,370 |
$54K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
289 |
283 |
$49K |
| 86706 |
|
3,344 |
3,292 |
$47K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
7,181 |
3,569 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
362 |
348 |
$44K |
| 82043 |
|
7,139 |
7,065 |
$43K |
| 87340 |
|
3,231 |
3,173 |
$43K |
| 84439 |
|
4,050 |
4,002 |
$41K |
| 82105 |
|
1,637 |
1,601 |
$40K |
| 0450 |
Emergency room services |
1,967 |
1,865 |
$36K |
| 82570 |
|
7,099 |
7,017 |
$35K |
| 86803 |
|
1,929 |
1,897 |
$33K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
205 |
197 |
$30K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
362 |
207 |
$29K |
| 99215 |
Prolong outpt/office vis |
206 |
202 |
$28K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
516 |
464 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
493 |
428 |
$26K |
| 83880 |
|
781 |
732 |
$26K |
| 86704 |
|
1,602 |
1,578 |
$25K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
837 |
795 |
$24K |
| 76770 |
|
239 |
235 |
$23K |
| 73562 |
|
769 |
746 |
$20K |
| 82607 |
|
1,462 |
1,455 |
$19K |
| 84466 |
|
1,278 |
1,217 |
$17K |
| 86708 |
|
1,055 |
1,028 |
$17K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
152 |
149 |
$17K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
62 |
61 |
$16K |
| 81001 |
|
4,757 |
4,581 |
$16K |
| 0710 |
|
942 |
935 |
$15K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
203 |
198 |
$15K |
| 82728 |
|
1,050 |
1,000 |
$15K |
| 0250 |
|
3,488 |
2,407 |
$14K |
| 85027 |
|
1,633 |
1,592 |
$14K |
| 76536 |
|
172 |
171 |
$13K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
310 |
297 |
$13K |
| 83970 |
|
366 |
361 |
$13K |
| 0134A |
|
373 |
373 |
$13K |
| 84550 |
|
2,653 |
2,616 |
$12K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
3,045 |
2,913 |
$12K |
| 82746 |
|
898 |
892 |
$11K |
| 81003 |
|
4,410 |
4,294 |
$11K |
| 99152 |
|
224 |
224 |
$11K |
| 72114 |
|
99 |
99 |
$11K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
551 |
544 |
$11K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
67 |
67 |
$10K |
| 84484 |
|
1,686 |
1,552 |
$10K |
| 84480 |
|
612 |
610 |
$10K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
233 |
232 |
$10K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
27 |
27 |
$9K |
| J0881 |
Injection, darbepoetin alfa, 1 microgram (non-esrd use) |
352 |
335 |
$9K |
| 83540 |
|
1,291 |
1,227 |
$9K |
| 72110 |
|
163 |
160 |
$9K |
| 83013 |
|
137 |
135 |
$8K |
| 0270 |
|
993 |
878 |
$8K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,002 |
947 |
$8K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
152 |
147 |
$8K |
| 83690 |
|
1,640 |
1,575 |
$8K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,805 |
1,796 |
$7K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,032 |
984 |
$7K |
| 76641 |
|
87 |
87 |
$7K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
94 |
90 |
$6K |
| 0072A |
|
147 |
147 |
$6K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,972 |
2,889 |
$6K |
| 72050 |
|
66 |
66 |
$6K |
| 0071A |
|
141 |
141 |
$6K |
| 72100 |
|
121 |
121 |
$6K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
92 |
91 |
$5K |
| 85610 |
|
1,474 |
1,391 |
$5K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
683 |
678 |
$5K |
| 83735 |
|
663 |
643 |
$5K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
391 |
349 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
10,436 |
9,371 |
$4K |
| 0031A |
|
122 |
122 |
$4K |
| 83090 |
|
183 |
179 |
$4K |
| 99153 |
Mod sedat endo service >5yrs |
778 |
778 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
57 |
56 |
$4K |
| 82270 |
|
831 |
793 |
$4K |
| 73030 |
|
114 |
108 |
$3K |
| 0124A |
|
104 |
104 |
$3K |
| 72141 |
|
14 |
13 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
278 |
269 |
$3K |
| 86765 |
|
146 |
146 |
$3K |
| 93225 |
|
12 |
12 |
$2K |
| 83921 |
|
110 |
108 |
$2K |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
1,342 |
1,341 |
$2K |
| 87350 |
|
166 |
163 |
$2K |
| J7050 |
Infusion, normal saline solution, 250 cc |
614 |
371 |
$2K |
| 86735 |
|
131 |
131 |
$2K |
| 84100 |
|
293 |
288 |
$2K |
| 72070 |
|
67 |
67 |
$2K |
| 72170 |
|
51 |
50 |
$2K |
| 90656 |
|
20 |
20 |
$2K |
| 96367 |
|
105 |
54 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
791 |
726 |
$2K |
| 85651 |
|
483 |
467 |
$2K |
| 86707 |
|
150 |
147 |
$1K |
| 0154A |
|
36 |
36 |
$1K |
| 86140 |
|
235 |
234 |
$1K |
| 73630 |
|
25 |
25 |
$1K |
| 86762 |
|
72 |
72 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
614 |
604 |
$1K |
| 86038 |
|
82 |
81 |
$1K |
| 86787 |
|
73 |
72 |
$1K |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
67 |
59 |
$999.72 |
| 96415 |
|
53 |
38 |
$928.33 |
| 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 |
28 |
27 |
$899.68 |
| V2632 |
Posterior chamber intraocular lens |
88 |
77 |
$840.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
51 |
25 |
$755.75 |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
29 |
24 |
$548.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
34 |
$546.04 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
92 |
89 |
$512.83 |
| 84156 |
|
99 |
97 |
$511.39 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
63 |
63 |
$507.32 |
| 0272 |
|
1,603 |
1,523 |
$487.08 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
499 |
484 |
$459.64 |
| 73130 |
|
12 |
12 |
$457.50 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
162 |
133 |
$456.93 |
| A4217 |
Sterile water/saline, 500 ml |
80 |
72 |
$450.20 |
| 83605 |
|
85 |
82 |
$445.56 |
| 74018 |
|
15 |
14 |
$285.53 |
| Z7502 |
|
69 |
63 |
$213.13 |
| 96127 |
|
12 |
12 |
$207.84 |
| 85730 |
|
42 |
42 |
$197.87 |
| 86430 |
|
26 |
26 |
$191.43 |
| 0258 |
|
1,313 |
1,294 |
$181.07 |
| 87184 |
|
27 |
26 |
$177.61 |
| 86592 |
|
28 |
28 |
$144.13 |
| 86431 |
|
12 |
12 |
$90.49 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
138 |
135 |
$89.50 |
| 99201 |
|
13 |
13 |
$89.32 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
13 |
13 |
$62.24 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
207 |
175 |
$57.31 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
17 |
$57.20 |
| 85041 |
|
26 |
26 |
$9.23 |
| 87400 |
|
19 |
19 |
$8.11 |
| J0897 |
Injection, denosumab, 1 mg |
19 |
19 |
$4.96 |
| 91306 |
|
12 |
12 |
$0.00 |
| 0250R |
|
981 |
225 |
$0.00 |
| A9270 |
Non-covered item or service |
17 |
13 |
$0.00 |
| 0370 |
|
327 |
311 |
$0.00 |
| 0305 |
|
42 |
41 |
$0.00 |
| 0301 |
|
42 |
41 |
$0.00 |
| 0306 |
|
12 |
12 |
$0.00 |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
42 |
38 |
$0.00 |
| 93016 |
|
13 |
13 |
$0.00 |
| 93018 |
|
13 |
13 |
$0.00 |
| 0258R |
|
385 |
383 |
$0.00 |
| 0272R |
|
395 |
375 |
$0.00 |
| 0710R |
|
140 |
138 |
$0.00 |
| 0270R |
|
140 |
140 |
$0.00 |
| 0370R |
|
90 |
79 |
$0.00 |
| 91313 |
|
12 |
12 |
$0.00 |
| 0300 |
|
42 |
41 |
$0.00 |
| 0120 |
|
28 |
26 |
$0.00 |
| 72131 |
|
12 |
12 |
$0.00 |