| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,824 |
3,519 |
$784K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,479 |
2,119 |
$623K |
| 80053 |
Comprehensive metabolic panel |
14,186 |
10,948 |
$617K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16,764 |
12,153 |
$405K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,091 |
3,080 |
$336K |
| 84443 |
Thyroid stimulating hormone (TSH) |
6,182 |
4,978 |
$317K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,325 |
2,128 |
$242K |
| 36415 |
Collection of venous blood by venipuncture |
21,736 |
15,612 |
$235K |
| 81001 |
|
8,170 |
6,406 |
$220K |
| 80061 |
Lipid panel |
5,276 |
4,329 |
$194K |
| 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 |
2,586 |
1,700 |
$182K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,145 |
850 |
$171K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,266 |
4,461 |
$164K |
| 84484 |
|
3,340 |
1,557 |
$140K |
| 84439 |
|
3,271 |
2,643 |
$134K |
| 71045 |
Radiologic examination, chest; single view |
2,435 |
1,771 |
$129K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
289 |
202 |
$127K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,191 |
2,943 |
$122K |
| 71046 |
Radiologic examination, chest; 2 views |
1,834 |
1,492 |
$119K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,770 |
3,318 |
$113K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,284 |
1,815 |
$106K |
| 87070 |
|
2,662 |
2,174 |
$88K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
323 |
258 |
$87K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
945 |
493 |
$73K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,894 |
1,524 |
$70K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,151 |
2,551 |
$66K |
| 83605 |
|
1,564 |
1,135 |
$66K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
898 |
679 |
$60K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,970 |
1,609 |
$55K |
| 83690 |
|
2,061 |
1,559 |
$54K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,090 |
262 |
$51K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,501 |
1,214 |
$49K |
| 85610 |
|
1,472 |
996 |
$43K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,936 |
1,186 |
$41K |
| 80076 |
|
1,021 |
807 |
$39K |
| 85027 |
|
840 |
542 |
$34K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
956 |
899 |
$34K |
| 82607 |
|
1,155 |
939 |
$27K |
| 87186 |
|
1,268 |
897 |
$27K |
| 80305 |
|
983 |
613 |
$26K |
| 82150 |
|
638 |
512 |
$26K |
| 83519 |
|
624 |
442 |
$24K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
830 |
560 |
$21K |
| 82550 |
|
418 |
317 |
$21K |
| G0378 |
Hospital observation service, per hour |
102 |
39 |
$21K |
| 83735 |
|
1,482 |
1,134 |
$21K |
| 83550 |
|
421 |
338 |
$18K |
| 97161 |
|
238 |
190 |
$15K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
34 |
24 |
$15K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
145 |
102 |
$13K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
308 |
86 |
$13K |
| 82044 |
|
552 |
451 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
101 |
79 |
$13K |
| 85730 |
|
228 |
195 |
$11K |
| 72100 |
|
148 |
125 |
$10K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
150 |
111 |
$10K |
| 82553 |
|
235 |
120 |
$10K |
| 82728 |
|
459 |
370 |
$9K |
| 73630 |
|
214 |
166 |
$9K |
| 73564 |
|
112 |
89 |
$9K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
25 |
19 |
$9K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
137 |
99 |
$9K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
32 |
24 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
28 |
24 |
$6K |
| 86140 |
|
206 |
169 |
$6K |
| 74018 |
|
147 |
120 |
$6K |
| 74019 |
|
59 |
56 |
$6K |
| 85651 |
|
238 |
195 |
$6K |
| 81025 |
|
220 |
179 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
111 |
76 |
$4K |
| 82746 |
|
157 |
140 |
$4K |
| 97014 |
|
105 |
27 |
$4K |
| 84703 |
|
95 |
82 |
$4K |
| 73610 |
|
77 |
68 |
$4K |
| 80074 |
|
58 |
41 |
$4K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
70 |
12 |
$4K |
| 87103 |
|
82 |
38 |
$4K |
| 85007 |
|
112 |
74 |
$3K |
| 85379 |
|
93 |
75 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
12 |
$3K |
| 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 |
13 |
12 |
$2K |
| 36416 |
|
149 |
111 |
$2K |
| 73030 |
|
58 |
43 |
$2K |
| 82248 |
|
60 |
58 |
$1K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
22 |
17 |
$1K |
| 84481 |
|
16 |
13 |
$998.76 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
14 |
12 |
$923.22 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
13 |
13 |
$859.93 |
| 86677 |
|
16 |
12 |
$836.98 |
| 86701 |
|
16 |
12 |
$825.84 |
| 87581 |
|
25 |
19 |
$768.53 |
| 87486 |
|
25 |
19 |
$768.52 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
25 |
19 |
$724.20 |
| 73130 |
|
13 |
12 |
$722.97 |
| 87210 |
|
34 |
27 |
$696.34 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
14 |
12 |
$508.89 |
| 82570 |
|
28 |
25 |
$473.97 |
| 83655 |
|
13 |
13 |
$399.24 |
| 84550 |
|
47 |
37 |
$364.08 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42 |
27 |
$305.72 |
| 99222 |
Initial hospital care, per day, moderate complexity |
27 |
15 |
$127.55 |
| 84100 |
|
16 |
12 |
$111.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
23 |
14 |
$62.64 |
| T1015 |
Clinic visit/encounter, all-inclusive |
197 |
87 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
32 |
12 |
$0.00 |