| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,040 |
3,728 |
$263K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,172 |
1,081 |
$183K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,412 |
1,316 |
$100K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
11,214 |
8,379 |
$81K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
370 |
356 |
$20K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
873 |
773 |
$14K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
591 |
506 |
$14K |
| 87632 |
|
47 |
44 |
$13K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
659 |
627 |
$12K |
| 80053 |
Comprehensive metabolic panel |
3,953 |
3,460 |
$11K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,101 |
1,026 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,232 |
3,554 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
135 |
128 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
501 |
466 |
$4K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
493 |
443 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,523 |
1,494 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
42 |
42 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
55 |
52 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
92 |
44 |
$2K |
| 87081 |
|
80 |
78 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
114 |
78 |
$2K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
38 |
38 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,106 |
971 |
$1K |
| 81001 |
|
1,355 |
1,224 |
$1K |
| 84702 |
|
223 |
179 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$940.79 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
556 |
516 |
$817.07 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
298 |
296 |
$717.83 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
197 |
176 |
$687.08 |
| 85027 |
|
601 |
556 |
$668.01 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,371 |
1,361 |
$587.89 |
| 70450 |
Computed tomography, head or brain; without contrast material |
26 |
24 |
$508.40 |
| 0001A |
|
21 |
21 |
$471.32 |
| 83690 |
|
267 |
215 |
$466.96 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
22 |
12 |
$446.67 |
| 0072A |
|
15 |
15 |
$437.29 |
| 80061 |
Lipid panel |
1,412 |
1,404 |
$431.87 |
| 83735 |
|
579 |
444 |
$401.44 |
| 84703 |
|
80 |
78 |
$391.84 |
| 0071A |
|
12 |
12 |
$354.19 |
| 84484 |
|
413 |
366 |
$341.40 |
| 0031A |
|
28 |
27 |
$330.71 |
| 0002A |
|
20 |
20 |
$324.81 |
| 90686 |
|
98 |
98 |
$285.81 |
| 81003 |
|
326 |
307 |
$259.20 |
| 85610 |
|
427 |
339 |
$233.32 |
| 84439 |
|
397 |
389 |
$193.60 |
| Q3014 |
Telehealth originating site facility fee |
70 |
58 |
$182.07 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
145 |
135 |
$182.04 |
| 83880 |
|
55 |
52 |
$131.92 |
| 0011A |
|
28 |
28 |
$120.00 |
| 0012A |
|
44 |
44 |
$120.00 |
| 36415 |
Collection of venous blood by venipuncture |
5,940 |
4,977 |
$116.97 |
| 82043 |
|
414 |
412 |
$51.45 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
309 |
249 |
$51.08 |
| 82570 |
|
500 |
494 |
$41.54 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
29 |
29 |
$40.92 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
143 |
110 |
$33.58 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
157 |
93 |
$18.04 |
| 86140 |
|
25 |
25 |
$13.05 |
| 82728 |
|
14 |
14 |
$11.45 |
| 80069 |
|
73 |
54 |
$10.00 |
| 83550 |
|
13 |
13 |
$7.34 |
| 83540 |
|
14 |
14 |
$5.43 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
39 |
24 |
$1.77 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
1,194 |
909 |
$0.01 |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
26 |
25 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
52 |
51 |
$0.00 |
| 90662 |
|
67 |
66 |
$0.00 |
| 96127 |
|
18 |
16 |
$0.00 |
| 82962 |
|
51 |
39 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
200 |
199 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
18 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
21 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
54 |
26 |
$0.00 |
| 82607 |
|
12 |
12 |
$0.00 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
19 |
15 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
18 |
16 |
$0.00 |