| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14,468 |
12,692 |
$1.01M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
10,251 |
9,369 |
$803K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,822 |
8,895 |
$496K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,442 |
5,005 |
$430K |
| 80053 |
Comprehensive metabolic panel |
4,327 |
4,062 |
$275K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
2,688 |
2,555 |
$236K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,225 |
7,668 |
$221K |
| 36415 |
Collection of venous blood by venipuncture |
11,775 |
10,541 |
$163K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,260 |
1,128 |
$113K |
| J3490 |
Unclassified drugs |
5,494 |
3,675 |
$95K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,067 |
1,860 |
$65K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,701 |
1,538 |
$56K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
389 |
94 |
$46K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
566 |
523 |
$24K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
884 |
850 |
$20K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
485 |
466 |
$19K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
67 |
65 |
$15K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
285 |
279 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
220 |
209 |
$13K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,216 |
1,116 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
636 |
613 |
$11K |
| 86140 |
|
716 |
675 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
149 |
133 |
$9K |
| 83605 |
|
319 |
306 |
$9K |
| 81001 |
|
277 |
207 |
$7K |
| 0002A |
|
328 |
322 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
202 |
190 |
$7K |
| 0001A |
|
341 |
331 |
$6K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
291 |
284 |
$6K |
| 83735 |
|
170 |
157 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
144 |
141 |
$5K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
66 |
64 |
$5K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
46 |
13 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
67 |
64 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
53 |
53 |
$4K |
| 80061 |
Lipid panel |
302 |
295 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
305 |
285 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
53 |
48 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
379 |
333 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
198 |
189 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
34 |
24 |
$3K |
| 90686 |
|
277 |
268 |
$3K |
| 92552 |
|
142 |
140 |
$3K |
| 84145 |
|
26 |
25 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
119 |
116 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
28 |
26 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
71 |
62 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
26 |
$2K |
| 84484 |
|
27 |
26 |
$2K |
| 0003A |
|
63 |
61 |
$2K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
67 |
65 |
$1K |
| 87486 |
|
67 |
65 |
$1K |
| 87581 |
|
67 |
65 |
$1K |
| 81003 |
|
69 |
62 |
$1K |
| 82803 |
|
12 |
12 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
24 |
24 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
120 |
117 |
$1K |
| 85610 |
|
52 |
51 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
106 |
100 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$916.40 |
| 81000 |
|
241 |
227 |
$860.48 |
| 83690 |
|
27 |
27 |
$858.57 |
| 96127 |
|
183 |
183 |
$816.70 |
| 0072A |
|
17 |
17 |
$680.00 |
| 20610 |
|
15 |
14 |
$625.09 |
| 87070 |
|
15 |
15 |
$480.49 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39 |
30 |
$453.81 |
| 80076 |
|
52 |
50 |
$435.80 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
66 |
66 |
$429.41 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
155 |
124 |
$403.27 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
42 |
39 |
$358.42 |
| 90480 |
|
13 |
13 |
$335.12 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12 |
12 |
$332.16 |
| 0124A |
|
14 |
14 |
$319.71 |
| 99188 |
|
35 |
35 |
$242.40 |
| 99173 |
|
143 |
143 |
$223.12 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
41 |
39 |
$220.52 |
| J2704 |
Injection, propofol, 10 mg |
24 |
13 |
$180.24 |
| 85027 |
|
21 |
12 |
$138.39 |
| 74019 |
|
12 |
12 |
$98.73 |
| 85018 |
|
37 |
36 |
$79.81 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
14 |
12 |
$73.19 |
| 90710 |
|
13 |
13 |
$0.00 |