| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
21,131 |
17,546 |
$2.14M |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
22,732 |
19,408 |
$940K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,789 |
4,096 |
$876K |
| X4011 |
State-specific procedure code |
5,169 |
4,603 |
$710K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
3,337 |
665 |
$562K |
| X4006 |
|
524 |
282 |
$416K |
| 64635 |
|
1,038 |
514 |
$396K |
| 80053 |
Comprehensive metabolic panel |
11,681 |
10,418 |
$309K |
| 81001 |
|
9,161 |
8,370 |
$307K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12,181 |
10,862 |
$303K |
| 59025 |
Fetal non-stress test |
2,805 |
2,113 |
$296K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,856 |
4,605 |
$272K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,649 |
4,952 |
$203K |
| X4003 |
|
7,995 |
6,556 |
$186K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,193 |
2,001 |
$182K |
| 64636 |
|
2,836 |
467 |
$157K |
| Y7506 |
|
1,098 |
637 |
$133K |
| 87400 |
|
2,998 |
2,837 |
$125K |
| 71045 |
Radiologic examination, chest; single view |
6,321 |
4,903 |
$111K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
458 |
324 |
$100K |
| 64493 |
|
387 |
175 |
$99K |
| 87428 |
|
3,265 |
3,155 |
$74K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,602 |
6,403 |
$65K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,724 |
2,536 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
873 |
839 |
$51K |
| 36415 |
Collection of venous blood by venipuncture |
7,348 |
6,030 |
$47K |
| 71046 |
Radiologic examination, chest; 2 views |
1,521 |
1,389 |
$46K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
772 |
701 |
$41K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,279 |
999 |
$38K |
| 83690 |
|
2,204 |
1,995 |
$37K |
| 84703 |
|
206 |
192 |
$36K |
| 84484 |
|
2,900 |
2,494 |
$36K |
| J3490 |
Unclassified drugs |
2,190 |
1,343 |
$32K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,257 |
1,145 |
$31K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,140 |
1,023 |
$29K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
575 |
520 |
$27K |
| 99152 |
|
548 |
450 |
$25K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
244 |
99 |
$23K |
| 64494 |
|
386 |
158 |
$21K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,475 |
1,405 |
$19K |
| G0378 |
Hospital observation service, per hour |
135 |
74 |
$18K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
473 |
422 |
$17K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
649 |
606 |
$15K |
| 64495 |
|
116 |
50 |
$11K |
| 87807 |
|
638 |
622 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
638 |
520 |
$9K |
| 87081 |
|
499 |
485 |
$8K |
| 81002 |
|
4,652 |
4,148 |
$7K |
| 81025 |
|
1,268 |
1,198 |
$6K |
| 85610 |
|
1,653 |
1,499 |
$5K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
60 |
42 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
136 |
131 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
61 |
61 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
132 |
71 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
63 |
62 |
$4K |
| 86850 |
|
83 |
78 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
71 |
70 |
$4K |
| 85730 |
|
1,118 |
1,023 |
$4K |
| 86592 |
|
56 |
53 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
200 |
195 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
134 |
78 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$3K |
| 80306 |
|
282 |
258 |
$3K |
| 80061 |
Lipid panel |
260 |
250 |
$2K |
| 82077 |
|
252 |
226 |
$2K |
| 85651 |
|
110 |
106 |
$2K |
| 85027 |
|
12 |
12 |
$2K |
| 76801 |
|
55 |
52 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
18 |
17 |
$1K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
100 |
95 |
$1K |
| 87070 |
|
306 |
295 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
171 |
163 |
$1K |
| 90648 |
|
55 |
55 |
$964.03 |
| 80074 |
|
27 |
26 |
$846.67 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
14 |
12 |
$796.79 |
| 73610 |
|
119 |
110 |
$790.51 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
38 |
37 |
$784.49 |
| 86593 |
|
303 |
293 |
$714.40 |
| 73630 |
|
99 |
92 |
$708.78 |
| 86901 |
|
43 |
40 |
$707.46 |
| 86900 |
|
43 |
40 |
$690.25 |
| 71250 |
|
14 |
12 |
$654.34 |
| 80179 |
|
63 |
59 |
$594.88 |
| 80143 |
|
63 |
59 |
$594.88 |
| 73562 |
|
83 |
78 |
$590.68 |
| 83735 |
|
199 |
164 |
$548.18 |
| 90686 |
|
64 |
64 |
$489.16 |
| 82607 |
|
40 |
39 |
$456.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
44 |
44 |
$447.62 |
| 84439 |
|
80 |
78 |
$440.43 |
| 72100 |
|
12 |
12 |
$434.50 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
28 |
26 |
$407.40 |
| 87150 |
|
17 |
17 |
$366.34 |
| 86803 |
|
45 |
42 |
$303.60 |
| 83880 |
|
17 |
14 |
$295.02 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
45 |
43 |
$279.64 |
| 87340 |
|
45 |
42 |
$229.75 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$218.83 |
| Q3014 |
Telehealth originating site facility fee |
12 |
12 |
$216.85 |
| 73130 |
|
30 |
27 |
$164.56 |
| 90723 |
|
12 |
12 |
$162.56 |
| 83605 |
|
31 |
25 |
$150.42 |
| 86787 |
|
12 |
12 |
$93.55 |
| 85045 |
|
38 |
37 |
$87.43 |
| 73110 |
|
13 |
12 |
$74.84 |
| 73502 |
|
16 |
13 |
$69.65 |
| 90633 |
|
13 |
13 |
$50.40 |
| 90671 |
|
14 |
14 |
$46.40 |
| 82950 |
|
12 |
12 |
$46.22 |
| 99406 |
|
14 |
14 |
$18.60 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
458 |
421 |
$6.98 |
| 99153 |
Mod sedat endo service >5yrs |
42 |
39 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
40 |
29 |
$0.00 |
| 86756 |
|
12 |
12 |
$0.00 |