| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,393 |
1,987 |
$262K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
887 |
649 |
$186K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,210 |
1,017 |
$150K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,989 |
1,503 |
$122K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
392 |
316 |
$92K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
349 |
205 |
$50K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
101 |
77 |
$44K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
243 |
167 |
$36K |
| 87631 |
|
105 |
96 |
$9K |
| 80053 |
Comprehensive metabolic panel |
1,617 |
1,289 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,600 |
1,267 |
$5K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
91 |
86 |
$4K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
831 |
647 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14 |
12 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
14 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
31 |
31 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
41 |
37 |
$1K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
73 |
24 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
52 |
39 |
$514.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
17 |
12 |
$443.30 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
26 |
$387.48 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
25 |
12 |
$331.39 |
| 81001 |
|
226 |
177 |
$296.45 |
| 84484 |
|
65 |
50 |
$236.24 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$211.98 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
18 |
16 |
$82.04 |
| 85027 |
|
31 |
26 |
$66.90 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
19 |
12 |
$51.96 |
| 81003 |
|
40 |
36 |
$45.63 |
| 36415 |
Collection of venous blood by venipuncture |
130 |
104 |
$17.54 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
115 |
93 |
$13.44 |
| 85610 |
|
16 |
15 |
$5.01 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
78 |
58 |
$0.00 |
| 92015 |
Determination of refractive state |
227 |
185 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
39 |
38 |
$0.00 |
| A9270 |
Non-covered item or service |
52 |
28 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
13 |
12 |
$0.00 |