| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12,263 |
10,690 |
$2.09M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,860 |
4,293 |
$1.40M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,273 |
1,897 |
$823K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,381 |
11,425 |
$524K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
8,115 |
7,415 |
$487K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,239 |
4,198 |
$225K |
| 76820 |
|
1,297 |
807 |
$206K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
365 |
316 |
$176K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
969 |
937 |
$175K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
987 |
623 |
$165K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,072 |
1,796 |
$145K |
| 80053 |
Comprehensive metabolic panel |
7,928 |
6,768 |
$138K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,076 |
874 |
$135K |
| 90461 |
|
1,764 |
1,758 |
$131K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,350 |
2,218 |
$122K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
2,486 |
2,034 |
$117K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,196 |
1,853 |
$110K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
623 |
581 |
$106K |
| 36415 |
Collection of venous blood by venipuncture |
14,044 |
11,768 |
$104K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,777 |
8,254 |
$104K |
| 71046 |
Radiologic examination, chest; 2 views |
1,358 |
1,202 |
$100K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
471 |
357 |
$86K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
749 |
636 |
$84K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,401 |
1,305 |
$84K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,355 |
1,340 |
$82K |
| G0378 |
Hospital observation service, per hour |
93 |
64 |
$75K |
| 70450 |
Computed tomography, head or brain; without contrast material |
329 |
277 |
$70K |
| J3490 |
Unclassified drugs |
7,103 |
2,852 |
$63K |
| 87631 |
|
378 |
366 |
$61K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,304 |
1,272 |
$54K |
| 71045 |
Radiologic examination, chest; single view |
872 |
747 |
$53K |
| 80306 |
|
1,683 |
1,545 |
$52K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
545 |
457 |
$40K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,005 |
1,892 |
$39K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
368 |
347 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,217 |
1,144 |
$29K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
188 |
182 |
$27K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
551 |
534 |
$27K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
410 |
394 |
$26K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,928 |
1,837 |
$26K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
489 |
479 |
$23K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
417 |
402 |
$22K |
| 80061 |
Lipid panel |
1,279 |
1,213 |
$22K |
| 83605 |
|
1,266 |
1,101 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
347 |
345 |
$21K |
| 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 |
159 |
146 |
$20K |
| 81003 |
|
3,776 |
3,353 |
$20K |
| 87428 |
|
184 |
183 |
$19K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,444 |
1,333 |
$17K |
| 90686 |
|
897 |
890 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
643 |
633 |
$16K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
80 |
54 |
$16K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
497 |
480 |
$16K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
94 |
90 |
$13K |
| 83690 |
|
1,159 |
1,049 |
$13K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
184 |
183 |
$13K |
| 84484 |
|
925 |
745 |
$11K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
292 |
268 |
$10K |
| 80050 |
General health panel |
272 |
266 |
$9K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
83 |
71 |
$9K |
| 84439 |
|
750 |
721 |
$9K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
15 |
15 |
$9K |
| 81025 |
|
678 |
657 |
$8K |
| 0002A |
|
200 |
200 |
$8K |
| 83735 |
|
921 |
783 |
$8K |
| 0001A |
|
207 |
207 |
$8K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,198 |
1,050 |
$7K |
| 87641 |
|
131 |
123 |
$7K |
| 83655 |
|
169 |
160 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
419 |
388 |
$6K |
| 84702 |
|
204 |
163 |
$5K |
| 87400 |
|
212 |
211 |
$4K |
| 81001 |
|
1,042 |
938 |
$4K |
| 90656 |
|
178 |
178 |
$4K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
14 |
13 |
$4K |
| 91300 |
|
393 |
338 |
$4K |
| 83880 |
|
78 |
70 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
177 |
177 |
$3K |
| 72110 |
|
25 |
25 |
$3K |
| 73610 |
|
26 |
25 |
$3K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
614 |
529 |
$3K |
| 86780 |
|
122 |
115 |
$3K |
| 85610 |
|
470 |
352 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
38 |
38 |
$3K |
| 99173 |
|
75 |
74 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
44 |
44 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
17 |
17 |
$2K |
| 36416 |
|
82 |
74 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
212 |
201 |
$2K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
414 |
276 |
$2K |
| 90723 |
|
70 |
70 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
419 |
363 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
12 |
$2K |
| 73562 |
|
18 |
17 |
$2K |
| 82150 |
|
171 |
162 |
$2K |
| 99443 |
|
14 |
14 |
$2K |
| 73030 |
|
13 |
13 |
$2K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
48 |
48 |
$1K |
| 87480 |
|
40 |
40 |
$1K |
| 87510 |
|
40 |
40 |
$1K |
| 86703 |
|
53 |
53 |
$1K |
| 87660 |
|
40 |
40 |
$1K |
| 86850 |
|
84 |
81 |
$1K |
| 86900 |
|
63 |
56 |
$1K |
| 85379 |
|
56 |
51 |
$935.60 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$906.88 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
224 |
206 |
$868.36 |
| 88738 |
|
74 |
74 |
$829.26 |
| 82607 |
|
49 |
47 |
$809.67 |
| 85378 |
|
60 |
57 |
$805.71 |
| 85730 |
|
77 |
73 |
$775.90 |
| 87430 |
|
35 |
34 |
$775.73 |
| 87340 |
|
41 |
41 |
$758.34 |
| 85652 |
|
172 |
158 |
$748.37 |
| 82550 |
|
58 |
51 |
$610.27 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
153 |
145 |
$607.78 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
13 |
13 |
$559.26 |
| 86901 |
|
65 |
58 |
$554.28 |
| 0003A |
|
13 |
13 |
$520.09 |
| 86141 |
|
15 |
13 |
$518.42 |
| 86803 |
|
14 |
14 |
$517.01 |
| 85018 |
|
55 |
55 |
$502.85 |
| G0008 |
Administration of influenza virus vaccine |
94 |
91 |
$417.21 |
| 87807 |
|
17 |
17 |
$406.69 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
60 |
60 |
$392.77 |
| 82553 |
|
19 |
16 |
$389.46 |
| 84481 |
|
14 |
14 |
$353.96 |
| 80320 |
|
63 |
55 |
$289.86 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
24 |
24 |
$276.70 |
| 87040 |
|
14 |
13 |
$246.38 |
| 85048 |
|
58 |
54 |
$167.64 |
| 90677 |
|
63 |
63 |
$158.29 |
| 84100 |
|
27 |
25 |
$156.78 |
| J2704 |
Injection, propofol, 10 mg |
12 |
12 |
$130.55 |
| 86140 |
|
14 |
14 |
$87.06 |
| 90670 |
|
427 |
426 |
$83.57 |
| 90688 |
|
135 |
134 |
$81.68 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
14 |
13 |
$43.59 |
| 90685 |
|
79 |
79 |
$34.40 |
| 90680 |
|
53 |
53 |
$0.23 |
| 90647 |
|
36 |
36 |
$0.18 |