| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14,731 |
12,455 |
$476K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
10,867 |
9,250 |
$360K |
| 76818 |
|
1,991 |
647 |
$73K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,513 |
1,423 |
$55K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,387 |
837 |
$37K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
119 |
105 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
580 |
297 |
$24K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,933 |
2,591 |
$20K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
696 |
667 |
$18K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
278 |
184 |
$18K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
584 |
304 |
$17K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
274 |
241 |
$16K |
| 80053 |
Comprehensive metabolic panel |
967 |
872 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
342 |
107 |
$8K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
77 |
76 |
$4K |
| 76801 |
|
104 |
95 |
$2K |
| 99245 |
|
24 |
13 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
268 |
230 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
235 |
109 |
$1K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
38 |
30 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
47 |
30 |
$1K |
| 59025 |
Fetal non-stress test |
191 |
141 |
$836.16 |
| 87081 |
|
93 |
85 |
$788.58 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
51 |
45 |
$526.73 |
| 81001 |
|
127 |
93 |
$427.80 |
| 83655 |
|
16 |
14 |
$218.66 |
| 81003 |
|
86 |
77 |
$218.26 |
| 84484 |
|
13 |
12 |
$89.84 |
| 81025 |
|
38 |
28 |
$66.42 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
31 |
26 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
135 |
124 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
32 |
26 |
$0.00 |
| 1036F |
|
31 |
26 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
17 |
13 |
$0.00 |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
63 |
62 |
$0.00 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
31 |
26 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
38 |
31 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
35 |
30 |
$0.00 |