| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
11,179 |
7,436 |
$915K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
129 |
127 |
$566K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,753 |
2,657 |
$481K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
10,628 |
6,746 |
$377K |
| A0999 |
Unlisted ambulance service |
317 |
273 |
$277K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
206 |
192 |
$145K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,412 |
1,707 |
$141K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,511 |
578 |
$54K |
| 99223 |
Prolong inpt eval add15 m |
286 |
260 |
$30K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
453 |
403 |
$25K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
112 |
60 |
$17K |
| A0425 |
Ground mileage, per statute mile |
1,272 |
1,013 |
$17K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
149 |
147 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
555 |
324 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
277 |
259 |
$11K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
763 |
578 |
$11K |
| D2999 |
|
12 |
12 |
$10K |
| 97597 |
|
166 |
53 |
$9K |
| 87081 |
|
1,359 |
1,269 |
$9K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,458 |
1,194 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
108 |
49 |
$7K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
49 |
41 |
$6K |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
200 |
192 |
$5K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
45 |
39 |
$5K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
93 |
80 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,980 |
4,350 |
$4K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
149 |
142 |
$4K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
116 |
45 |
$4K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
90 |
68 |
$3K |
| 80053 |
Comprehensive metabolic panel |
4,226 |
2,936 |
$3K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
17 |
14 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
3,623 |
2,878 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
179 |
89 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$1K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
51 |
28 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
17 |
17 |
$825.56 |
| 74018 |
|
14 |
13 |
$565.21 |
| Q3014 |
Telehealth originating site facility fee |
54 |
43 |
$556.29 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
144 |
121 |
$543.68 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
12 |
$460.28 |
| 71045 |
Radiologic examination, chest; single view |
15 |
14 |
$451.46 |
| 87077 |
|
41 |
40 |
$377.24 |
| 81001 |
|
423 |
389 |
$271.62 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
52 |
40 |
$235.07 |
| 83605 |
|
27 |
24 |
$207.82 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
601 |
532 |
$142.04 |
| J2704 |
Injection, propofol, 10 mg |
614 |
536 |
$112.64 |
| 86140 |
|
13 |
12 |
$110.96 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
576 |
513 |
$97.94 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
121 |
119 |
$45.92 |
| 82728 |
|
76 |
51 |
$35.09 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
390 |
316 |
$9.74 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
80 |
27 |
$7.46 |
| 83550 |
|
38 |
25 |
$2.16 |
| 83540 |
|
38 |
25 |
$1.46 |
| 87430 |
|
81 |
59 |
$0.00 |
| J3490 |
Unclassified drugs |
36 |
27 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
12 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
13 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
27 |
25 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
80 |
68 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
24 |
12 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
15 |
12 |
$0.00 |