| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,326 |
2,268 |
$938K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
759 |
741 |
$173K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
905 |
871 |
$162K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
517 |
504 |
$85K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
329 |
318 |
$35K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
329 |
318 |
$35K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
206 |
194 |
$31K |
| 84443 |
Thyroid stimulating hormone (TSH) |
503 |
477 |
$25K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
610 |
596 |
$17K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
44 |
44 |
$14K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
183 |
176 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
525 |
520 |
$13K |
| 80061 |
Lipid panel |
339 |
328 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
176 |
176 |
$12K |
| 87631 |
|
85 |
84 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,232 |
1,175 |
$12K |
| 80053 |
Comprehensive metabolic panel |
492 |
470 |
$11K |
| 87506 |
|
16 |
16 |
$10K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
88 |
87 |
$9K |
| 86780 |
|
211 |
205 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
202 |
195 |
$7K |
| 85027 |
|
381 |
368 |
$7K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
91 |
74 |
$7K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
94 |
93 |
$7K |
| 88307 |
|
23 |
17 |
$6K |
| 82607 |
|
124 |
121 |
$5K |
| 88142 |
|
91 |
91 |
$5K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
227 |
213 |
$5K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
47 |
43 |
$5K |
| 76801 |
|
20 |
20 |
$5K |
| 86803 |
|
109 |
108 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
14 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
18 |
17 |
$4K |
| 82728 |
|
156 |
152 |
$4K |
| 87529 |
|
19 |
19 |
$4K |
| 87536 |
|
16 |
16 |
$4K |
| 87340 |
|
122 |
122 |
$4K |
| 86850 |
|
382 |
327 |
$4K |
| 84702 |
|
78 |
68 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
13 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
147 |
139 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
222 |
215 |
$3K |
| 81001 |
|
384 |
358 |
$3K |
| 81025 |
|
163 |
155 |
$3K |
| 82565 |
|
207 |
202 |
$3K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
26 |
26 |
$3K |
| 87653 |
|
24 |
22 |
$3K |
| 87522 |
Neg quan hep c or qual rna |
19 |
18 |
$2K |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
38 |
38 |
$2K |
| 83550 |
|
89 |
86 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
80 |
79 |
$2K |
| 85610 |
|
211 |
167 |
$2K |
| 84460 |
|
132 |
125 |
$2K |
| 80076 |
|
77 |
74 |
$2K |
| 83540 |
|
89 |
86 |
$2K |
| 88141 |
|
22 |
22 |
$2K |
| 84403 |
|
33 |
32 |
$2K |
| 83880 |
|
38 |
38 |
$2K |
| 82570 |
|
120 |
113 |
$2K |
| 84439 |
|
60 |
54 |
$2K |
| 87186 |
|
65 |
62 |
$2K |
| 84153 |
|
31 |
31 |
$2K |
| 87077 |
|
61 |
59 |
$2K |
| 83970 |
|
14 |
13 |
$2K |
| 59025 |
Fetal non-stress test |
13 |
13 |
$2K |
| 86787 |
|
37 |
36 |
$1K |
| 87081 |
|
71 |
67 |
$1K |
| 86140 |
|
84 |
74 |
$1K |
| 83516 |
|
39 |
39 |
$1K |
| 82670 |
|
15 |
13 |
$1K |
| 0502F |
|
13 |
13 |
$1K |
| 80069 |
|
59 |
53 |
$1K |
| 82746 |
|
27 |
27 |
$1K |
| 90686 |
|
286 |
284 |
$1K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
14 |
13 |
$1K |
| 83001 |
|
20 |
18 |
$1K |
| 82042 |
|
78 |
75 |
$1K |
| 86706 |
|
33 |
32 |
$1K |
| 87210 |
|
77 |
75 |
$975.00 |
| 84146 |
|
16 |
15 |
$944.00 |
| 82274 |
|
19 |
15 |
$931.00 |
| 86762 |
|
22 |
20 |
$924.00 |
| 84132 |
|
77 |
72 |
$896.00 |
| 87070 |
|
35 |
32 |
$884.00 |
| 86708 |
|
22 |
21 |
$836.00 |
| 81003 |
|
125 |
121 |
$827.00 |
| 87088 |
|
38 |
35 |
$825.00 |
| 86038 |
|
23 |
22 |
$814.00 |
| 83735 |
|
43 |
32 |
$798.00 |
| 86200 |
|
19 |
19 |
$720.00 |
| 86704 |
|
19 |
18 |
$703.00 |
| 83690 |
|
45 |
44 |
$672.00 |
| 86003 |
|
17 |
17 |
$640.00 |
| 84165 |
|
14 |
12 |
$636.00 |
| 82784 |
|
30 |
29 |
$620.00 |
| 92227 |
|
24 |
24 |
$609.00 |
| 82951 |
|
26 |
25 |
$592.00 |
| 84450 |
|
38 |
37 |
$543.00 |
| 82950 |
|
36 |
36 |
$540.00 |
| 84550 |
|
38 |
36 |
$481.00 |
| 82550 |
|
22 |
22 |
$440.00 |
| 87205 |
|
35 |
33 |
$429.00 |
| 82105 |
|
23 |
23 |
$415.00 |
| 86431 |
|
24 |
24 |
$408.00 |
| 86900 |
|
96 |
74 |
$376.00 |
| 86901 |
|
96 |
74 |
$376.00 |
| 82248 |
|
30 |
28 |
$375.00 |
| 84156 |
|
41 |
37 |
$374.00 |
| 82040 |
|
27 |
27 |
$330.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$260.00 |
| 80178 |
|
14 |
14 |
$255.00 |
| 84100 |
|
20 |
15 |
$240.00 |
| 85652 |
|
30 |
29 |
$232.00 |
| 86592 |
|
17 |
17 |
$208.00 |
| 84075 |
|
13 |
12 |
$176.00 |
| 81507 |
|
14 |
14 |
$154.00 |
| 85014 |
|
16 |
16 |
$112.00 |
| 85018 |
|
16 |
16 |
$112.00 |
| 87338 |
|
12 |
12 |
$96.00 |
| 83655 |
|
15 |
15 |
$75.00 |
| 84402 |
|
12 |
12 |
$72.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
12 |
12 |
$0.00 |