| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,287 |
4,195 |
$550K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,482 |
4,253 |
$453K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,079 |
1,953 |
$288K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,913 |
5,560 |
$285K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
7,210 |
6,490 |
$232K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,005 |
992 |
$116K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,872 |
1,785 |
$107K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
745 |
735 |
$98K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,363 |
326 |
$89K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,098 |
1,075 |
$89K |
| 80053 |
Comprehensive metabolic panel |
9,717 |
8,399 |
$77K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,121 |
1,033 |
$76K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,264 |
2,138 |
$70K |
| 70450 |
Computed tomography, head or brain; without contrast material |
824 |
813 |
$65K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,072 |
1,039 |
$60K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,464 |
2,412 |
$49K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,958 |
1,800 |
$38K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,147 |
949 |
$36K |
| 83880 |
|
2,047 |
1,907 |
$22K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,571 |
2,552 |
$21K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
343 |
343 |
$20K |
| 36415 |
Collection of venous blood by venipuncture |
7,430 |
6,489 |
$17K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
206 |
204 |
$15K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
532 |
530 |
$15K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,276 |
1,193 |
$14K |
| 80305 |
|
1,883 |
1,630 |
$13K |
| 80061 |
Lipid panel |
2,042 |
2,034 |
$12K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
98 |
86 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
187 |
179 |
$12K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,374 |
1,368 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,682 |
6,951 |
$11K |
| 84439 |
|
1,180 |
1,174 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
2,040 |
2,005 |
$8K |
| 93976 |
|
324 |
316 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
88 |
87 |
$7K |
| 0011A |
|
171 |
171 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
39 |
39 |
$4K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,294 |
2,162 |
$4K |
| 99441 |
|
203 |
194 |
$4K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,036 |
1,001 |
$4K |
| 82607 |
|
301 |
301 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,298 |
1,266 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
69 |
69 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
343 |
343 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
87 |
87 |
$3K |
| 90686 |
|
161 |
160 |
$3K |
| 87634 |
|
659 |
651 |
$2K |
| 76830 |
Ultrasound, transvaginal |
82 |
81 |
$2K |
| 85610 |
|
4,320 |
3,971 |
$2K |
| 85730 |
|
3,314 |
3,070 |
$2K |
| 81001 |
|
1,590 |
1,532 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
21 |
12 |
$2K |
| 81003 |
|
2,754 |
2,629 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
47 |
46 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
303 |
302 |
$2K |
| 85027 |
|
1,031 |
938 |
$2K |
| 0012A |
|
79 |
79 |
$2K |
| 83735 |
|
2,945 |
2,579 |
$2K |
| 84153 |
|
93 |
93 |
$2K |
| 20610 |
|
47 |
39 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
177 |
170 |
$1K |
| 97162 |
|
13 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
125 |
124 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$901.54 |
| 83690 |
|
1,899 |
1,740 |
$806.82 |
| 71045 |
Radiologic examination, chest; single view |
542 |
518 |
$691.53 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
119 |
111 |
$623.20 |
| 81025 |
|
401 |
397 |
$617.84 |
| 82150 |
|
1,848 |
1,695 |
$600.61 |
| 86769 |
|
30 |
29 |
$592.32 |
| 73564 |
|
29 |
24 |
$581.13 |
| 84484 |
|
1,809 |
1,611 |
$483.18 |
| 84703 |
|
1,175 |
1,147 |
$480.99 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
182 |
171 |
$417.02 |
| 73630 |
|
34 |
32 |
$378.68 |
| 83605 |
|
2,167 |
1,973 |
$377.50 |
| 85379 |
|
200 |
194 |
$373.22 |
| 82550 |
|
1,744 |
1,622 |
$346.57 |
| 73610 |
|
26 |
25 |
$298.70 |
| 82746 |
|
25 |
25 |
$278.52 |
| 73030 |
|
13 |
12 |
$276.32 |
| 72110 |
|
15 |
15 |
$276.00 |
| 99401 |
|
12 |
12 |
$266.89 |
| 73130 |
|
29 |
26 |
$190.55 |
| 83540 |
|
43 |
43 |
$189.68 |
| 85651 |
|
133 |
128 |
$187.19 |
| 3074F |
|
105 |
99 |
$140.00 |
| 86803 |
|
12 |
12 |
$114.92 |
| 82570 |
|
30 |
29 |
$110.66 |
| 82043 |
|
28 |
27 |
$100.60 |
| 83550 |
|
27 |
27 |
$92.14 |
| 93041 |
|
1,209 |
1,152 |
$78.11 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,479 |
1,237 |
$68.72 |
| 73110 |
|
17 |
16 |
$67.06 |
| 85007 |
|
210 |
202 |
$55.61 |
| 87088 |
|
25 |
24 |
$46.86 |
| 3078F |
|
64 |
61 |
$40.00 |
| 87186 |
|
25 |
24 |
$34.72 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
12 |
12 |
$33.36 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
35 |
35 |
$29.00 |
| 99152 |
|
14 |
14 |
$25.32 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,612 |
1,442 |
$15.88 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
37 |
36 |
$13.00 |
| 94761 |
|
2,026 |
1,914 |
$11.86 |
| J2704 |
Injection, propofol, 10 mg |
110 |
83 |
$7.80 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
277 |
188 |
$5.48 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
90 |
82 |
$2.61 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
32 |
30 |
$0.50 |
| 99080 |
|
1,373 |
1,333 |
$0.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
64 |
55 |
$0.00 |
| 3725F |
|
14 |
14 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
39 |
38 |
$0.00 |
| 87430 |
|
27 |
27 |
$0.00 |
| 3008F |
|
12 |
12 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
17 |
17 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
18 |
12 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
28 |
26 |
$0.00 |
| 96376 |
|
13 |
12 |
$0.00 |
| 87040 |
|
39 |
39 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
28 |
25 |
$0.00 |