| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
10,030 |
9,316 |
$2.88M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,177 |
1,864 |
$451K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
881 |
657 |
$291K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,316 |
2,099 |
$227K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,077 |
989 |
$224K |
| G0330 |
Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room |
75 |
72 |
$203K |
| 80053 |
Comprehensive metabolic panel |
4,275 |
3,723 |
$160K |
| 87428 |
|
1,274 |
1,201 |
$108K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,583 |
1,513 |
$71K |
| 36415 |
Collection of venous blood by venipuncture |
7,742 |
6,410 |
$68K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,063 |
3,576 |
$54K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
761 |
678 |
$51K |
| G0378 |
Hospital observation service, per hour |
65 |
55 |
$38K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
77 |
75 |
$27K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
211 |
189 |
$23K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,149 |
1,047 |
$21K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
376 |
292 |
$20K |
| 83605 |
|
1,002 |
858 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
541 |
530 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
182 |
167 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
241 |
146 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
275 |
264 |
$8K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
188 |
179 |
$7K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
138 |
132 |
$7K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
140 |
133 |
$7K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
222 |
184 |
$7K |
| J2704 |
Injection, propofol, 10 mg |
115 |
110 |
$7K |
| 85027 |
|
711 |
625 |
$6K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
118 |
111 |
$6K |
| D1120 |
Prophylaxis - child |
15 |
13 |
$5K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
29 |
25 |
$5K |
| 81001 |
|
240 |
216 |
$5K |
| 84484 |
|
176 |
156 |
$4K |
| 80061 |
Lipid panel |
114 |
113 |
$2K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
15 |
13 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
216 |
196 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
63 |
62 |
$2K |
| 83690 |
|
73 |
66 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
76 |
74 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
41 |
41 |
$1K |
| 86140 |
|
45 |
41 |
$1K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
25 |
13 |
$853.56 |
| 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 |
13 |
13 |
$766.04 |
| 85379 |
|
12 |
12 |
$701.70 |
| 83655 |
|
17 |
14 |
$686.38 |
| 87807 |
|
26 |
26 |
$577.20 |
| 85018 |
|
98 |
95 |
$522.86 |
| 87040 |
|
31 |
14 |
$477.84 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
13 |
12 |
$467.89 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
13 |
$459.00 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$349.30 |
| 81003 |
|
89 |
87 |
$208.93 |
| D1206 |
Topical application of fluoride varnish |
15 |
13 |
$20.99 |
| A9270 |
Non-covered item or service |
234 |
87 |
$0.30 |