| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,860 |
9,433 |
$2.00M |
| 90832 |
Psychotherapy, 30 minutes with patient |
7,631 |
4,392 |
$1.53M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,203 |
6,706 |
$1.44M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,373 |
4,060 |
$709K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,816 |
2,726 |
$640K |
| 36415 |
Collection of venous blood by venipuncture |
7,111 |
6,604 |
$559K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,743 |
2,495 |
$482K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,478 |
1,351 |
$409K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,157 |
1,121 |
$357K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,745 |
1,670 |
$266K |
| 80053 |
Comprehensive metabolic panel |
7,470 |
6,577 |
$213K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,198 |
1,126 |
$211K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
602 |
574 |
$151K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,791 |
2,527 |
$116K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
696 |
694 |
$109K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
375 |
368 |
$90K |
| 86850 |
|
991 |
906 |
$89K |
| 81025 |
|
2,542 |
2,390 |
$81K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
363 |
351 |
$61K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
447 |
413 |
$60K |
| 90834 |
Psychotherapy, 45 minutes with patient |
264 |
201 |
$52K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
257 |
246 |
$49K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,355 |
1,334 |
$48K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
164 |
164 |
$42K |
| 99443 |
|
430 |
240 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
240 |
240 |
$36K |
| 80061 |
Lipid panel |
1,794 |
1,784 |
$30K |
| 86703 |
|
1,005 |
995 |
$28K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
938 |
935 |
$28K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
595 |
580 |
$25K |
| 90686 |
|
1,032 |
1,024 |
$22K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
477 |
462 |
$20K |
| 98968 |
|
193 |
135 |
$18K |
| 92551 |
|
198 |
198 |
$17K |
| 99442 |
|
143 |
127 |
$15K |
| 99188 |
|
268 |
268 |
$15K |
| 90791 |
Psychiatric diagnostic evaluation |
60 |
52 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
80 |
80 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
39 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
59 |
59 |
$9K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,735 |
1,667 |
$8K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
145 |
144 |
$8K |
| 99215 |
Prolong outpt/office vis |
46 |
39 |
$7K |
| 99441 |
|
52 |
48 |
$6K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
97 |
96 |
$6K |
| 99173 |
|
145 |
145 |
$6K |
| 86480 |
|
78 |
78 |
$5K |
| G0378 |
Hospital observation service, per hour |
220 |
127 |
$5K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
212 |
167 |
$5K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
154 |
153 |
$5K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
237 |
222 |
$5K |
| 36416 |
|
68 |
68 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$4K |
| 83655 |
|
205 |
205 |
$3K |
| 90715 |
|
135 |
135 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
1,286 |
1,260 |
$3K |
| 76641 |
|
120 |
119 |
$3K |
| 83880 |
|
105 |
99 |
$3K |
| 90671 |
|
108 |
108 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,183 |
8,290 |
$2K |
| 0002A |
|
79 |
79 |
$2K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
23 |
13 |
$2K |
| 99401 |
|
15 |
15 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,816 |
2,606 |
$2K |
| 0001A |
|
100 |
100 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,947 |
1,821 |
$2K |
| 90688 |
|
89 |
89 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,826 |
1,791 |
$1K |
| 84439 |
|
1,746 |
1,722 |
$1K |
| 90672 |
|
63 |
63 |
$1K |
| 85610 |
|
1,930 |
1,770 |
$955.63 |
| 90670 |
|
51 |
51 |
$856.80 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,647 |
1,636 |
$620.07 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
576 |
483 |
$572.40 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
962 |
920 |
$488.38 |
| 85730 |
|
1,802 |
1,670 |
$466.63 |
| 81003 |
|
5,006 |
4,704 |
$400.29 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
64 |
64 |
$355.54 |
| 90734 |
|
14 |
14 |
$351.40 |
| 90697 |
|
13 |
13 |
$326.30 |
| 90651 |
|
13 |
13 |
$301.21 |
| 82962 |
|
3,148 |
2,074 |
$277.82 |
| 71045 |
Radiologic examination, chest; single view |
2,139 |
2,020 |
$267.99 |
| 86592 |
|
1,019 |
1,010 |
$266.46 |
| 90685 |
|
13 |
13 |
$232.05 |
| 90662 |
|
12 |
12 |
$229.50 |
| 87340 |
|
461 |
458 |
$209.20 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
43 |
43 |
$205.24 |
| 73562 |
|
91 |
90 |
$199.17 |
| 86803 |
|
310 |
309 |
$191.62 |
| 82607 |
|
183 |
183 |
$176.09 |
| 73630 |
|
98 |
95 |
$173.94 |
| 87210 |
|
2,391 |
2,249 |
$149.06 |
| 84484 |
|
2,716 |
2,256 |
$130.09 |
| 84702 |
|
735 |
661 |
$86.71 |
| 84703 |
|
1,015 |
983 |
$80.32 |
| 96127 |
|
900 |
852 |
$72.21 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
861 |
821 |
$50.00 |
| 82746 |
|
15 |
15 |
$37.50 |
| 73130 |
|
53 |
53 |
$30.16 |
| 83690 |
|
1,522 |
1,416 |
$23.06 |
| 85027 |
|
394 |
342 |
$20.77 |
| 82550 |
|
2,021 |
1,851 |
$16.80 |
| 73610 |
|
34 |
31 |
$15.16 |
| 86710 |
|
303 |
297 |
$14.99 |
| 85007 |
|
461 |
419 |
$14.86 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
608 |
583 |
$11.07 |
| 83735 |
|
448 |
401 |
$10.06 |
| 83605 |
|
687 |
641 |
$9.39 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
311 |
308 |
$8.74 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,412 |
1,335 |
$3.94 |
| 85048 |
|
38 |
37 |
$3.13 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
174 |
157 |
$3.06 |
| 85651 |
|
12 |
12 |
$2.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
365 |
333 |
$1.25 |
| 94760 |
|
791 |
754 |
$0.78 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,077 |
985 |
$0.44 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,879 |
1,531 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,250 |
2,238 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
327 |
322 |
$0.00 |
| 90461 |
|
365 |
365 |
$0.00 |
| 87420 |
|
131 |
130 |
$0.00 |
| 91300 |
|
50 |
49 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
93 |
92 |
$0.00 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
53 |
25 |
$0.00 |
| 86787 |
|
12 |
12 |
$0.00 |
| 85378 |
|
41 |
41 |
$0.00 |
| 84100 |
|
17 |
14 |
$0.00 |
| 82553 |
|
543 |
494 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,186 |
1,099 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
16 |
12 |
$0.00 |
| 84132 |
|
160 |
159 |
$0.00 |
| 80320 |
|
226 |
213 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
12 |
$0.00 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
42 |
40 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
13 |
12 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
18 |
18 |
$0.00 |
| 86706 |
|
13 |
13 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
13 |
12 |
$0.00 |
| J1630 |
Injection, haloperidol, up to 5 mg |
14 |
14 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
12 |
12 |
$0.00 |
| 86762 |
|
14 |
14 |
$0.00 |