| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
23,068 |
22,163 |
$1.75M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
9,974 |
9,567 |
$1.07M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12,928 |
12,425 |
$658K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,439 |
6,031 |
$190K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,079 |
2,021 |
$149K |
| 95811 |
|
1,084 |
1,064 |
$139K |
| 95806 |
|
1,548 |
1,510 |
$133K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
756 |
740 |
$95K |
| 87428 |
|
439 |
434 |
$53K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,052 |
1,996 |
$40K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
772 |
744 |
$32K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
553 |
528 |
$30K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
758 |
735 |
$28K |
| 90961 |
|
431 |
416 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
300 |
297 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
301 |
292 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
528 |
470 |
$17K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
173 |
172 |
$15K |
| 76642 |
|
266 |
239 |
$11K |
| 43249 |
|
71 |
70 |
$9K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
111 |
38 |
$8K |
| 99460 |
|
121 |
121 |
$8K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
382 |
242 |
$7K |
| 94060 |
|
394 |
386 |
$6K |
| 90686 |
|
386 |
384 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
68 |
67 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
70 |
67 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
468 |
458 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
575 |
546 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
66 |
63 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
159 |
79 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
131 |
55 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
107 |
100 |
$3K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
12 |
12 |
$3K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
103 |
89 |
$3K |
| 94726 |
|
289 |
285 |
$3K |
| 90962 |
|
51 |
51 |
$3K |
| 80061 |
Lipid panel |
185 |
178 |
$2K |
| 94729 |
|
295 |
291 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
786 |
716 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
261 |
256 |
$2K |
| 77065 |
Tomosynthesis, mammo |
26 |
24 |
$2K |
| 99219 |
|
13 |
13 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
61 |
39 |
$1K |
| 43235 |
|
14 |
13 |
$1K |
| 83655 |
|
78 |
76 |
$1K |
| 83721 |
|
171 |
164 |
$1K |
| 90461 |
|
414 |
405 |
$1K |
| 90651 |
|
30 |
29 |
$1K |
| 99462 |
|
30 |
24 |
$1K |
| 80053 |
Comprehensive metabolic panel |
102 |
97 |
$979.72 |
| 77080 |
|
34 |
34 |
$915.05 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
100 |
95 |
$757.67 |
| 99223 |
Prolong inpt eval add15 m |
15 |
12 |
$717.95 |
| 84443 |
Thyroid stimulating hormone (TSH) |
59 |
56 |
$716.10 |
| 90710 |
|
65 |
64 |
$609.13 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$547.99 |
| 90670 |
|
207 |
202 |
$542.79 |
| 97597 |
|
122 |
76 |
$496.45 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
32 |
26 |
$436.83 |
| 90715 |
|
13 |
13 |
$201.20 |
| 81001 |
|
58 |
51 |
$180.74 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
43 |
40 |
$167.08 |
| 90734 |
|
29 |
29 |
$123.28 |
| 85004 |
|
15 |
14 |
$119.73 |
| 81003 |
|
41 |
41 |
$114.12 |
| 84460 |
|
28 |
27 |
$109.06 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$96.46 |
| 90648 |
|
14 |
12 |
$72.53 |
| 90700 |
|
13 |
13 |
$72.15 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
43 |
43 |
$68.74 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
68 |
66 |
$59.08 |
| 90633 |
|
13 |
13 |
$31.95 |
| 90647 |
|
159 |
154 |
$26.23 |
| 90723 |
|
148 |
144 |
$0.00 |