| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
11,587 |
9,105 |
$1.12M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,237 |
10,548 |
$952K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,466 |
4,129 |
$580K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,640 |
9,656 |
$546K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,959 |
3,821 |
$310K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,198 |
2,773 |
$160K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,102 |
775 |
$152K |
| 70450 |
Computed tomography, head or brain; without contrast material |
396 |
332 |
$131K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
273 |
211 |
$95K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
300 |
221 |
$91K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
184 |
117 |
$80K |
| 80053 |
Comprehensive metabolic panel |
4,658 |
3,655 |
$56K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
291 |
181 |
$46K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
527 |
125 |
$32K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,502 |
1,252 |
$26K |
| 62323 |
|
194 |
103 |
$24K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
386 |
278 |
$20K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
327 |
295 |
$20K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,417 |
4,173 |
$19K |
| 80061 |
Lipid panel |
1,495 |
1,290 |
$19K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
364 |
349 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
226 |
158 |
$16K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,281 |
1,066 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
7,662 |
5,755 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
567 |
479 |
$13K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
88 |
45 |
$11K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
510 |
419 |
$10K |
| 99406 |
|
365 |
275 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,404 |
874 |
$9K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
860 |
608 |
$8K |
| 82607 |
|
307 |
238 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
127 |
123 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
17 |
13 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
75 |
71 |
$4K |
| 99442 |
|
167 |
153 |
$3K |
| 73630 |
|
147 |
122 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,328 |
1,013 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
379 |
289 |
$2K |
| 81001 |
|
1,668 |
1,306 |
$2K |
| 76830 |
Ultrasound, transvaginal |
29 |
28 |
$2K |
| 85610 |
|
875 |
639 |
$2K |
| 83735 |
|
637 |
451 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
788 |
606 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
43 |
37 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
776 |
616 |
$1K |
| 84439 |
|
62 |
53 |
$1K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
54 |
53 |
$1K |
| 85027 |
|
252 |
172 |
$1K |
| 84484 |
|
1,139 |
818 |
$1K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
96 |
92 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
29 |
28 |
$1K |
| A0425 |
Ground mileage, per statute mile |
129 |
88 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
448 |
373 |
$926.05 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
17 |
17 |
$900.68 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
59 |
47 |
$887.26 |
| 90686 |
|
31 |
25 |
$787.35 |
| 82570 |
|
88 |
72 |
$744.67 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
37 |
36 |
$732.71 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
38 |
37 |
$700.23 |
| 83605 |
|
835 |
585 |
$690.20 |
| 72110 |
|
28 |
25 |
$643.93 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
193 |
169 |
$574.14 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,029 |
732 |
$543.75 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
34 |
30 |
$539.24 |
| G0378 |
Hospital observation service, per hour |
33 |
14 |
$487.96 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
16 |
13 |
$483.82 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
800 |
528 |
$448.13 |
| 83690 |
|
1,088 |
829 |
$394.37 |
| 99441 |
|
52 |
48 |
$384.21 |
| 83880 |
|
272 |
211 |
$374.41 |
| 81025 |
|
286 |
243 |
$357.29 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
17 |
15 |
$333.15 |
| 85007 |
|
51 |
25 |
$311.63 |
| 73130 |
|
16 |
12 |
$298.21 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
69 |
58 |
$282.09 |
| 90656 |
|
25 |
25 |
$268.70 |
| 85730 |
|
466 |
372 |
$258.40 |
| 86803 |
|
27 |
25 |
$243.01 |
| 82043 |
|
51 |
44 |
$225.08 |
| 82962 |
|
51 |
13 |
$220.98 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
185 |
98 |
$200.08 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
292 |
156 |
$147.69 |
| 99305 |
|
17 |
16 |
$135.84 |
| 73610 |
|
29 |
28 |
$135.66 |
| 87807 |
|
48 |
43 |
$87.60 |
| 80305 |
|
35 |
30 |
$74.22 |
| G0008 |
Administration of influenza virus vaccine |
30 |
27 |
$74.04 |
| 83540 |
|
17 |
15 |
$73.20 |
| 87077 |
|
41 |
37 |
$69.10 |
| J3490 |
Unclassified drugs |
41 |
27 |
$60.00 |
| 86618 |
|
18 |
15 |
$55.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
684 |
477 |
$22.84 |
| 86140 |
|
13 |
12 |
$21.97 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
110 |
98 |
$21.07 |
| 87186 |
|
26 |
24 |
$17.27 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
46 |
43 |
$16.16 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
619 |
387 |
$10.58 |
| 87081 |
|
27 |
25 |
$8.08 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
14 |
12 |
$7.83 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
35 |
25 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
33 |
26 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
49 |
40 |
$0.00 |
| 87400 |
|
24 |
24 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
17 |
12 |
$0.00 |
| 87040 |
|
16 |
13 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
114 |
110 |
$0.00 |
| 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 |
88 |
65 |
$0.00 |
| 85379 |
|
16 |
16 |
$0.00 |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
15 |
14 |
$0.00 |
| A9270 |
Non-covered item or service |
15 |
12 |
$0.00 |
| 84703 |
|
15 |
12 |
$0.00 |
| 98967 |
|
30 |
21 |
$0.00 |
| 82803 |
|
13 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
18 |
14 |
$0.00 |