| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,947 |
24,317 |
$10.08M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,854 |
7,920 |
$3.14M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13,841 |
7,190 |
$2.05M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,814 |
2,187 |
$782K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,446 |
1,098 |
$607K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,011 |
1,584 |
$447K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,633 |
1,927 |
$336K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
665 |
562 |
$190K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
952 |
226 |
$145K |
| 99215 |
Prolong outpt/office vis |
364 |
299 |
$125K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
354 |
305 |
$111K |
| 80053 |
Comprehensive metabolic panel |
3,033 |
2,465 |
$106K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,941 |
544 |
$105K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
381 |
316 |
$99K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
259 |
220 |
$70K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
134 |
107 |
$49K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
13 |
12 |
$46K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
239 |
222 |
$46K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
3,151 |
2,464 |
$45K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
407 |
227 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
49 |
49 |
$22K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
123 |
59 |
$15K |
| 80320 |
|
70 |
60 |
$14K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
132 |
117 |
$12K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,439 |
2,100 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
73 |
47 |
$10K |
| A0425 |
Ground mileage, per statute mile |
479 |
352 |
$10K |
| 99000 |
|
452 |
327 |
$9K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
358 |
275 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,394 |
3,501 |
$8K |
| 87631 |
|
58 |
54 |
$8K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
251 |
216 |
$7K |
| 97533 |
|
160 |
49 |
$7K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
128 |
38 |
$7K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
205 |
119 |
$7K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
31 |
27 |
$7K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
103 |
82 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
3,175 |
2,551 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
17 |
14 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
267 |
230 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
194 |
181 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
287 |
281 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
54 |
37 |
$3K |
| 73630 |
|
24 |
12 |
$3K |
| 84484 |
|
51 |
42 |
$3K |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
777 |
761 |
$3K |
| 0012A |
|
55 |
55 |
$2K |
| J3490 |
Unclassified drugs |
6,964 |
3,359 |
$2K |
| 90648 |
|
46 |
44 |
$2K |
| 99245 |
|
24 |
16 |
$2K |
| 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 |
25 |
18 |
$2K |
| 0011A |
|
59 |
59 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
18 |
12 |
$2K |
| 90716 |
|
16 |
15 |
$1K |
| 72110 |
|
14 |
12 |
$1K |
| 87070 |
|
16 |
12 |
$1K |
| 90670 |
|
31 |
29 |
$958.36 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
48 |
38 |
$818.68 |
| 96127 |
|
494 |
343 |
$796.10 |
| 84443 |
Thyroid stimulating hormone (TSH) |
38 |
25 |
$706.61 |
| 88304 |
|
29 |
13 |
$652.32 |
| 90633 |
|
40 |
37 |
$592.34 |
| 90700 |
|
15 |
14 |
$518.20 |
| 0002A |
|
12 |
12 |
$494.16 |
| 0072A |
|
16 |
14 |
$480.00 |
| 71046 |
Radiologic examination, chest; 2 views |
25 |
25 |
$469.88 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
397 |
290 |
$412.68 |
| 0071A |
|
15 |
15 |
$400.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
414 |
308 |
$371.44 |
| 90723 |
|
28 |
27 |
$331.83 |
| 99307 |
|
13 |
13 |
$264.58 |
| 90707 |
|
15 |
15 |
$259.10 |
| 80305 |
|
166 |
123 |
$227.26 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
140 |
128 |
$212.40 |
| 80348 |
|
40 |
26 |
$200.50 |
| 81001 |
|
244 |
198 |
$158.54 |
| 90461 |
|
158 |
149 |
$158.50 |
| 81002 |
|
47 |
43 |
$56.68 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
65 |
39 |
$28.09 |
| 81003 |
|
136 |
124 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
47 |
38 |
$0.00 |
| 83655 |
|
13 |
13 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
28 |
24 |
$0.00 |
| 99072 |
|
31 |
16 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
262 |
204 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
134 |
84 |
$0.00 |
| 84703 |
|
67 |
61 |
$0.00 |
| 83690 |
|
125 |
109 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
13 |
12 |
$0.00 |
| 85018 |
|
21 |
20 |
$0.00 |
| 83735 |
|
35 |
24 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
119 |
79 |
$0.00 |
| 36416 |
|
21 |
20 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
26 |
24 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
12 |
$0.00 |
| U0005 |
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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
25 |
18 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
12 |
$0.00 |