| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
16,788 |
15,707 |
$1.69M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
10,804 |
10,075 |
$673K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,792 |
8,725 |
$472K |
| 97597 |
|
5,647 |
1,799 |
$194K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,435 |
1,364 |
$192K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,114 |
1,942 |
$138K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,848 |
1,634 |
$92K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,549 |
1,444 |
$86K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
3,776 |
3,446 |
$70K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
2,928 |
1,904 |
$62K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
188 |
178 |
$37K |
| 99233 |
Prolong inpt eval add15 m |
921 |
356 |
$35K |
| 90791 |
Psychiatric diagnostic evaluation |
314 |
298 |
$31K |
| 99223 |
Prolong inpt eval add15 m |
376 |
339 |
$27K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
191 |
191 |
$27K |
| 80053 |
Comprehensive metabolic panel |
14,389 |
12,479 |
$22K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
909 |
851 |
$21K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
217 |
203 |
$21K |
| 90785 |
|
1,378 |
1,295 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
368 |
337 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
16,883 |
14,601 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
19,134 |
16,665 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
59 |
53 |
$6K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
75 |
75 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
114 |
53 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
67 |
50 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
651 |
579 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
60 |
60 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
60 |
60 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
422 |
338 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
55 |
49 |
$2K |
| 99460 |
|
49 |
38 |
$2K |
| 99215 |
Prolong outpt/office vis |
32 |
31 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,753 |
4,225 |
$2K |
| 97803 |
|
39 |
36 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
25 |
14 |
$2K |
| 59025 |
Fetal non-stress test |
13 |
12 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
66 |
54 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
79 |
28 |
$851.95 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
25 |
25 |
$842.06 |
| 84439 |
|
125 |
119 |
$817.55 |
| 99349 |
|
26 |
25 |
$756.14 |
| 80061 |
Lipid panel |
98 |
87 |
$667.23 |
| 87081 |
|
134 |
124 |
$589.80 |
| 86803 |
|
39 |
36 |
$507.92 |
| 82728 |
|
27 |
27 |
$417.50 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
112 |
107 |
$377.65 |
| 85027 |
|
294 |
245 |
$373.67 |
| 84484 |
|
220 |
202 |
$327.11 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
62 |
61 |
$279.88 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
12 |
$229.45 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
70 |
66 |
$224.55 |
| 86140 |
|
57 |
56 |
$176.58 |
| 82607 |
|
12 |
12 |
$154.22 |
| 87070 |
|
125 |
98 |
$142.60 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
143 |
130 |
$110.02 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
62 |
61 |
$87.76 |
| 80076 |
|
13 |
13 |
$83.16 |
| 82565 |
|
25 |
25 |
$67.16 |
| 85652 |
|
41 |
40 |
$50.74 |
| 87581 |
|
62 |
61 |
$43.88 |
| 87486 |
|
62 |
61 |
$43.88 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
374 |
371 |
$32.36 |
| 83615 |
|
31 |
24 |
$28.67 |
| 81001 |
|
2,593 |
2,433 |
$28.46 |
| 81003 |
|
277 |
247 |
$25.19 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
474 |
431 |
$10.80 |
| 81025 |
|
247 |
238 |
$8.62 |
| 85610 |
|
112 |
106 |
$4.00 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
514 |
384 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
248 |
230 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
41 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
29 |
26 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
154 |
144 |
$0.00 |
| 83690 |
|
596 |
565 |
$0.00 |
| 87205 |
|
88 |
64 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
14 |
12 |
$0.00 |
| 85730 |
|
30 |
30 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
48 |
46 |
$0.00 |
| 83735 |
|
12 |
12 |
$0.00 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
77 |
14 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$0.00 |