| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
25,910 |
23,135 |
$1.52M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
28,701 |
25,685 |
$1.07M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,482 |
2,200 |
$416K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
30,931 |
27,122 |
$244K |
| 80053 |
Comprehensive metabolic panel |
21,569 |
18,861 |
$212K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
7,893 |
6,681 |
$176K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,532 |
4,145 |
$170K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
36,012 |
27,164 |
$159K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,947 |
1,716 |
$146K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,718 |
6,670 |
$114K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
634 |
481 |
$103K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
10,222 |
8,820 |
$100K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,648 |
2,123 |
$88K |
| 87088 |
|
8,700 |
7,849 |
$82K |
| 87400 |
|
12,397 |
7,305 |
$80K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,830 |
2,414 |
$78K |
| 81001 |
|
20,311 |
18,085 |
$72K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,440 |
1,282 |
$60K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
248 |
217 |
$57K |
| 71045 |
Radiologic examination, chest; single view |
11,251 |
9,847 |
$53K |
| 83605 |
|
6,436 |
5,349 |
$50K |
| 59025 |
Fetal non-stress test |
8,398 |
4,612 |
$39K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
331 |
302 |
$39K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,062 |
3,564 |
$35K |
| 87070 |
|
2,792 |
2,487 |
$31K |
| 84484 |
|
4,259 |
3,481 |
$31K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,713 |
759 |
$29K |
| 99223 |
Prolong inpt eval add15 m |
596 |
419 |
$29K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
987 |
483 |
$29K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
1,031 |
493 |
$22K |
| 87581 |
|
635 |
482 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,674 |
769 |
$16K |
| 81025 |
|
4,800 |
4,340 |
$15K |
| 99233 |
Prolong inpt eval add15 m |
554 |
222 |
$14K |
| 83690 |
|
2,337 |
2,122 |
$14K |
| 87420 |
|
921 |
819 |
$14K |
| G0330 |
Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room |
12 |
12 |
$13K |
| 88304 |
|
822 |
762 |
$12K |
| 83735 |
|
2,049 |
1,798 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
599 |
449 |
$9K |
| 82150 |
|
1,561 |
1,423 |
$8K |
| 93000 |
|
608 |
439 |
$6K |
| 85610 |
|
1,900 |
1,685 |
$6K |
| 43237 |
|
52 |
42 |
$6K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
25 |
25 |
$6K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
113 |
61 |
$6K |
| 83880 |
|
266 |
237 |
$5K |
| 76377 |
|
92 |
80 |
$5K |
| 81002 |
|
2,262 |
1,868 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
530 |
477 |
$5K |
| 87040 |
|
611 |
345 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
681 |
537 |
$4K |
| 43259 |
|
27 |
26 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
121 |
76 |
$4K |
| D9420 |
|
13 |
12 |
$4K |
| 80076 |
|
947 |
832 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
294 |
264 |
$3K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,721 |
1,173 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
802 |
723 |
$3K |
| 43249 |
|
39 |
39 |
$3K |
| 85730 |
|
1,699 |
1,495 |
$3K |
| 82550 |
|
441 |
396 |
$3K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
17 |
14 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,148 |
1,935 |
$3K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,854 |
2,155 |
$3K |
| 84702 |
|
229 |
206 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,861 |
1,644 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
95 |
79 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
105 |
30 |
$2K |
| 78227 |
|
12 |
12 |
$2K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
95 |
27 |
$2K |
| 76801 |
|
74 |
65 |
$2K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
15 |
15 |
$2K |
| 84550 |
|
218 |
135 |
$1K |
| 95819 |
|
100 |
53 |
$1K |
| 87077 |
|
2,626 |
2,351 |
$1K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
25 |
25 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
92 |
68 |
$1K |
| 83615 |
|
175 |
104 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
149 |
135 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
15 |
14 |
$897.92 |
| 81000 |
|
434 |
329 |
$844.95 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
61 |
47 |
$770.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
65 |
47 |
$665.14 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
924 |
815 |
$655.57 |
| 82140 |
|
66 |
52 |
$566.94 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
63 |
55 |
$552.68 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,120 |
1,847 |
$550.88 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
49 |
14 |
$537.60 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
288 |
239 |
$530.86 |
| 87186 |
|
79 |
67 |
$500.70 |
| 87280 |
|
26 |
26 |
$417.04 |
| 85379 |
|
47 |
44 |
$359.36 |
| 84439 |
|
74 |
65 |
$343.06 |
| 93018 |
|
79 |
49 |
$297.67 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
12 |
$287.36 |
| 86900 |
|
159 |
129 |
$256.34 |
| A9537 |
Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries |
12 |
12 |
$245.00 |
| 86901 |
|
142 |
117 |
$237.70 |
| 82565 |
|
29 |
25 |
$177.40 |
| 86850 |
|
69 |
52 |
$175.71 |
| 93016 |
|
43 |
24 |
$153.86 |
| 80061 |
Lipid panel |
38 |
27 |
$109.60 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
203 |
159 |
$105.12 |
| 84156 |
|
16 |
12 |
$53.88 |
| 85027 |
|
52 |
39 |
$51.56 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
13 |
13 |
$40.08 |
| 36415 |
Collection of venous blood by venipuncture |
4,932 |
4,169 |
$23.77 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
24 |
17 |
$14.88 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
194 |
155 |
$6.77 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
3,921 |
3,245 |
$0.03 |
| 1160F |
|
166 |
137 |
$0.00 |
| 3288F |
|
149 |
106 |
$0.00 |
| 1159F |
|
166 |
137 |
$0.00 |
| 3078F |
|
103 |
73 |
$0.00 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
16 |
12 |
$0.00 |
| 3077F |
|
15 |
15 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
14 |
14 |
$0.00 |
| 99152 |
|
32 |
26 |
$0.00 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
16 |
12 |
$0.00 |
| 1126F |
|
263 |
212 |
$0.00 |
| 82962 |
|
157 |
138 |
$0.00 |
| 3074F |
|
70 |
50 |
$0.00 |
| 3008F |
|
151 |
133 |
$0.00 |
| 1036F |
|
87 |
64 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
60 |
52 |
$0.00 |
| 0012A |
|
45 |
21 |
$0.00 |
| 80320 |
|
59 |
53 |
$0.00 |
| J3490 |
Unclassified drugs |
35 |
28 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
13 |
13 |
$0.00 |
| 0011A |
|
51 |
26 |
$0.00 |