| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,271 |
1,206 |
$244K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
849 |
794 |
$190K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
718 |
683 |
$165K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,472 |
1,394 |
$132K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
885 |
841 |
$95K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
299 |
286 |
$94K |
| 70450 |
Computed tomography, head or brain; without contrast material |
140 |
136 |
$79K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,132 |
655 |
$74K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
379 |
373 |
$69K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,662 |
1,972 |
$50K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
66 |
65 |
$46K |
| 76830 |
Ultrasound, transvaginal |
159 |
156 |
$42K |
| 59025 |
Fetal non-stress test |
176 |
70 |
$40K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,714 |
504 |
$37K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
234 |
210 |
$33K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
170 |
170 |
$33K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
151 |
148 |
$32K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
544 |
487 |
$24K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
83 |
80 |
$21K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
498 |
375 |
$20K |
| 71046 |
Radiologic examination, chest; 2 views |
612 |
598 |
$19K |
| 80053 |
Comprehensive metabolic panel |
1,660 |
1,521 |
$18K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
602 |
593 |
$16K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
596 |
587 |
$16K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,891 |
1,692 |
$14K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,962 |
890 |
$14K |
| 99233 |
Prolong inpt eval add15 m |
332 |
129 |
$13K |
| 87650 |
|
600 |
592 |
$13K |
| 84443 |
Thyroid stimulating hormone (TSH) |
468 |
461 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
106 |
97 |
$8K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
248 |
248 |
$8K |
| 90791 |
Psychiatric diagnostic evaluation |
219 |
185 |
$7K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
851 |
781 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
31 |
28 |
$6K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
354 |
340 |
$6K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
253 |
251 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
19 |
16 |
$5K |
| 83735 |
|
716 |
642 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
26 |
25 |
$4K |
| 73630 |
|
122 |
113 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
104 |
102 |
$4K |
| 84702 |
|
275 |
184 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$4K |
| 85027 |
|
575 |
565 |
$4K |
| 84484 |
|
321 |
251 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
318 |
301 |
$4K |
| 12001 |
|
12 |
12 |
$3K |
| 87070 |
|
368 |
359 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
447 |
405 |
$3K |
| 81025 |
|
400 |
392 |
$3K |
| 81001 |
|
782 |
741 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
242 |
242 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$2K |
| 73610 |
|
68 |
68 |
$2K |
| 80061 |
Lipid panel |
419 |
418 |
$2K |
| 83690 |
|
261 |
250 |
$2K |
| 87186 |
|
189 |
184 |
$2K |
| 82553 |
|
168 |
135 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$1K |
| 82150 |
|
209 |
198 |
$1K |
| 87077 |
|
226 |
218 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
225 |
194 |
$1K |
| 80076 |
|
273 |
263 |
$1K |
| 99221 |
|
25 |
25 |
$1K |
| 84439 |
|
116 |
115 |
$1K |
| 82607 |
|
65 |
64 |
$1K |
| 86592 |
|
174 |
173 |
$966.07 |
| 82948 |
|
267 |
197 |
$930.98 |
| 81003 |
|
385 |
369 |
$871.39 |
| 83655 |
|
66 |
66 |
$848.10 |
| 99307 |
|
26 |
25 |
$765.31 |
| 87400 |
|
28 |
28 |
$661.36 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
160 |
160 |
$498.71 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
78 |
70 |
$435.47 |
| 86901 |
|
137 |
130 |
$427.02 |
| 86900 |
|
137 |
130 |
$427.02 |
| 80050 |
General health panel |
25 |
25 |
$423.50 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
35 |
35 |
$413.35 |
| 82728 |
|
28 |
28 |
$388.50 |
| 99318 |
|
25 |
25 |
$379.52 |
| 85652 |
|
119 |
114 |
$332.76 |
| 87510 |
|
16 |
15 |
$330.88 |
| 87480 |
|
16 |
15 |
$330.88 |
| 87660 |
|
16 |
15 |
$330.88 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
14 |
14 |
$322.32 |
| 73562 |
|
14 |
14 |
$315.32 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
66 |
66 |
$309.99 |
| 86803 |
|
25 |
25 |
$299.75 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
16 |
$296.04 |
| 86140 |
|
54 |
52 |
$288.36 |
| 85379 |
|
26 |
26 |
$273.00 |
| 82550 |
|
271 |
216 |
$265.16 |
| 87205 |
|
53 |
52 |
$237.60 |
| 86850 |
|
105 |
103 |
$163.50 |
| 82947 |
|
62 |
62 |
$119.65 |
| 84703 |
|
13 |
13 |
$100.75 |
| 73130 |
|
13 |
13 |
$78.83 |
| 82043 |
|
12 |
12 |
$66.84 |
| 82570 |
|
12 |
12 |
$64.08 |
| 82950 |
|
12 |
12 |
$58.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$43.05 |
| 82565 |
|
16 |
15 |
$28.64 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
40 |
28 |
$27.02 |
| J2704 |
Injection, propofol, 10 mg |
98 |
81 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
249 |
227 |
$0.00 |
| 80320 |
|
117 |
106 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
164 |
155 |
$0.00 |
| 94760 |
|
46 |
43 |
$0.00 |
| 94761 |
|
62 |
59 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
14 |
14 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
27 |
25 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
180 |
152 |
$0.00 |
| A4649 |
Surgical supply; miscellaneous |
74 |
73 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
46 |
46 |
$0.00 |
| 84520 |
|
14 |
13 |
$0.00 |