| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,413 |
3,507 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,107 |
2,945 |
$65K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
900 |
734 |
$48K |
| 80053 |
Comprehensive metabolic panel |
2,237 |
1,957 |
$17K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
500 |
183 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,897 |
1,643 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
674 |
596 |
$10K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
106 |
104 |
$9K |
| 84443 |
Thyroid stimulating hormone (TSH) |
609 |
602 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
3,807 |
3,073 |
$8K |
| 80306 |
|
374 |
349 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
677 |
635 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
399 |
348 |
$4K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
14 |
12 |
$4K |
| 81001 |
|
1,193 |
1,103 |
$4K |
| 85027 |
|
511 |
486 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
414 |
413 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
61 |
54 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
60 |
59 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
155 |
138 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
56 |
55 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
56 |
55 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
228 |
220 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
95 |
50 |
$1K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
14 |
13 |
$1K |
| 80061 |
Lipid panel |
103 |
102 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
447 |
356 |
$983.83 |
| 81025 |
|
132 |
128 |
$969.23 |
| 97161 |
|
26 |
26 |
$910.56 |
| 86140 |
|
179 |
162 |
$889.53 |
| 85610 |
|
443 |
259 |
$829.88 |
| 84512 |
|
91 |
77 |
$775.06 |
| 87186 |
|
61 |
58 |
$568.46 |
| 87430 |
|
38 |
38 |
$531.47 |
| 85651 |
|
115 |
111 |
$422.01 |
| 99490 |
Ccm add 20min |
266 |
132 |
$380.48 |
| 82553 |
|
30 |
27 |
$361.13 |
| 83690 |
|
42 |
40 |
$317.91 |
| 82550 |
|
45 |
40 |
$304.32 |
| 88142 |
|
13 |
13 |
$292.63 |
| 83615 |
|
50 |
43 |
$290.93 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
221 |
175 |
$175.95 |
| 87210 |
|
28 |
15 |
$157.20 |
| G0008 |
Administration of influenza virus vaccine |
78 |
78 |
$78.32 |
| 90686 |
|
55 |
55 |
$59.84 |
| 81003 |
|
15 |
15 |
$34.35 |
| 90662 |
|
14 |
14 |
$20.83 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
14 |
12 |
$0.00 |