| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12,977 |
7,146 |
$3.86M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
19,554 |
11,182 |
$3.13M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,636 |
6,813 |
$587K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,815 |
9,042 |
$516K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,924 |
2,195 |
$237K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
3,159 |
2,647 |
$219K |
| A0425 |
Ground mileage, per statute mile |
803 |
577 |
$187K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
771 |
580 |
$178K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,939 |
3,330 |
$139K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,267 |
1,046 |
$124K |
| 71045 |
Radiologic examination, chest; single view |
730 |
606 |
$89K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
343 |
279 |
$82K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
92 |
67 |
$58K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
508 |
358 |
$53K |
| 80053 |
Comprehensive metabolic panel |
7,024 |
5,858 |
$50K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
110 |
80 |
$48K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
749 |
627 |
$32K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,694 |
5,635 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
516 |
459 |
$31K |
| 71046 |
Radiologic examination, chest; 2 views |
213 |
176 |
$23K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,117 |
1,813 |
$22K |
| 80061 |
Lipid panel |
2,564 |
2,237 |
$22K |
| 36415 |
Collection of venous blood by venipuncture |
12,235 |
9,694 |
$21K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,848 |
2,441 |
$17K |
| J3490 |
Unclassified drugs |
691 |
458 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
295 |
241 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
711 |
606 |
$14K |
| 86403 |
|
1,168 |
944 |
$10K |
| 70450 |
Computed tomography, head or brain; without contrast material |
17 |
15 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
191 |
174 |
$10K |
| 81001 |
|
3,994 |
3,228 |
$9K |
| 85027 |
|
1,681 |
1,360 |
$8K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
348 |
94 |
$8K |
| 90715 |
|
59 |
54 |
$6K |
| 81025 |
|
954 |
760 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
168 |
89 |
$6K |
| 83735 |
|
1,232 |
1,047 |
$6K |
| 99215 |
Prolong outpt/office vis |
101 |
59 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
203 |
163 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
402 |
372 |
$5K |
| 86803 |
|
377 |
331 |
$4K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
243 |
205 |
$4K |
| 84484 |
|
468 |
378 |
$4K |
| 87807 |
|
340 |
296 |
$3K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
131 |
82 |
$3K |
| 90686 |
|
847 |
598 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
672 |
576 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
100 |
87 |
$2K |
| 85730 |
|
557 |
480 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
121 |
53 |
$2K |
| 90674 |
|
60 |
59 |
$2K |
| 0003A |
|
44 |
38 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
99 |
78 |
$1K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
17 |
16 |
$1K |
| 85610 |
|
557 |
481 |
$1K |
| 87420 |
|
101 |
90 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,785 |
1,118 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
172 |
116 |
$1K |
| Q2039 |
Influenza virus vaccine, not otherwise specified |
83 |
71 |
$1K |
| 80050 |
General health panel |
27 |
24 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
12 |
$1K |
| 82550 |
|
258 |
222 |
$978.68 |
| 92551 |
|
177 |
171 |
$957.52 |
| A0382 |
Bls routine disposable supplies |
30 |
26 |
$899.08 |
| 87634 |
|
13 |
12 |
$863.46 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
12 |
$859.87 |
| 0072A |
|
26 |
18 |
$769.20 |
| 0071A |
|
21 |
19 |
$755.71 |
| 82553 |
|
116 |
97 |
$729.76 |
| 84436 |
|
121 |
111 |
$639.30 |
| 83655 |
|
56 |
52 |
$564.21 |
| 83690 |
|
71 |
39 |
$403.60 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
43 |
24 |
$398.47 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
651 |
434 |
$393.12 |
| A9270 |
Non-covered item or service |
370 |
244 |
$392.80 |
| 80305 |
|
77 |
40 |
$382.30 |
| 84439 |
|
50 |
45 |
$369.61 |
| 90670 |
|
372 |
258 |
$320.92 |
| 82043 |
|
129 |
120 |
$314.80 |
| 82607 |
|
52 |
46 |
$256.36 |
| 99441 |
|
68 |
54 |
$214.17 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
20 |
13 |
$208.56 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
434 |
316 |
$208.44 |
| 90656 |
|
276 |
168 |
$199.24 |
| 83525 |
|
19 |
16 |
$197.54 |
| 99177 |
|
262 |
257 |
$172.50 |
| 86703 |
|
16 |
12 |
$143.70 |
| 99173 |
|
95 |
93 |
$118.73 |
| 90473 |
|
406 |
252 |
$117.00 |
| 85018 |
|
58 |
55 |
$114.72 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
35 |
26 |
$112.35 |
| J7510 |
Prednisolone oral, per 5 mg |
55 |
33 |
$77.28 |
| 90633 |
|
40 |
27 |
$75.55 |
| 81003 |
|
30 |
28 |
$63.62 |
| 91300 |
|
201 |
162 |
$62.08 |
| J7610 |
Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg |
125 |
71 |
$53.52 |
| 86592 |
|
16 |
12 |
$52.70 |
| 82948 |
|
20 |
14 |
$51.72 |
| 81000 |
|
13 |
13 |
$48.27 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
321 |
288 |
$40.32 |
| 85651 |
|
18 |
12 |
$26.72 |
| 82570 |
|
15 |
12 |
$26.42 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
14 |
13 |
$21.34 |
| 84550 |
|
14 |
13 |
$18.08 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
8,239 |
729 |
$0.00 |
| 96160 |
|
568 |
504 |
$0.00 |
| 90648 |
|
208 |
135 |
$0.00 |
| 90710 |
|
13 |
12 |
$0.00 |
| 90461 |
|
129 |
96 |
$0.00 |
| 01992 |
|
15 |
12 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
32 |
30 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
194 |
66 |
$0.00 |
| 91307 |
|
57 |
44 |
$0.00 |
| 90680 |
|
246 |
160 |
$0.00 |
| 90723 |
|
76 |
53 |
$0.00 |
| 96127 |
|
298 |
278 |
$0.00 |
| 90660 |
|
68 |
49 |
$0.00 |