| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,279 |
1,234 |
$262K |
| G0378 |
Hospital observation service, per hour |
279 |
258 |
$193K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
734 |
706 |
$153K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
283 |
272 |
$76K |
| 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 |
508 |
454 |
$30K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
600 |
528 |
$29K |
| 80053 |
Comprehensive metabolic panel |
2,010 |
1,791 |
$16K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,927 |
1,707 |
$14K |
| 70450 |
Computed tomography, head or brain; without contrast material |
35 |
30 |
$11K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$11K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
38 |
38 |
$8K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
257 |
255 |
$7K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
256 |
255 |
$7K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
75 |
27 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
34 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
28 |
$5K |
| 85027 |
|
518 |
457 |
$3K |
| 80050 |
General health panel |
170 |
132 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
16 |
15 |
$3K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
15 |
13 |
$2K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
80 |
80 |
$2K |
| 83690 |
|
310 |
297 |
$2K |
| 83735 |
|
296 |
261 |
$2K |
| 82248 |
|
416 |
375 |
$2K |
| 80061 |
Lipid panel |
393 |
391 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
236 |
224 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
13 |
12 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
239 |
200 |
$2K |
| 87088 |
|
200 |
189 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
93 |
92 |
$1K |
| 81001 |
|
420 |
403 |
$1K |
| 84484 |
|
86 |
68 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
111 |
111 |
$1K |
| 84703 |
|
121 |
119 |
$937.75 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
30 |
30 |
$811.26 |
| 84100 |
|
151 |
137 |
$790.75 |
| 81025 |
|
121 |
116 |
$782.41 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
32 |
32 |
$760.64 |
| 84439 |
|
81 |
79 |
$725.02 |
| 86317 |
|
16 |
16 |
$711.16 |
| 85610 |
|
130 |
91 |
$515.62 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
16 |
16 |
$488.64 |
| 81003 |
|
215 |
211 |
$485.28 |
| 82607 |
|
31 |
31 |
$432.04 |
| 87186 |
|
45 |
41 |
$428.16 |
| 86803 |
|
32 |
31 |
$393.88 |
| 84702 |
|
25 |
25 |
$388.25 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
15 |
$374.36 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
73 |
70 |
$362.20 |
| 87070 |
|
40 |
39 |
$355.20 |
| 86850 |
|
42 |
39 |
$164.64 |
| 86900 |
|
42 |
39 |
$129.36 |
| 86901 |
|
42 |
39 |
$129.36 |
| 87077 |
|
14 |
12 |
$81.00 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |