| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
28,480 |
21,185 |
$5.30M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
32,469 |
24,997 |
$3.97M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
26,602 |
21,185 |
$3.86M |
| Y7506 |
|
19,458 |
17,030 |
$2.91M |
| X4011 |
State-specific procedure code |
13,000 |
12,299 |
$2.56M |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
28,522 |
25,586 |
$1.56M |
| 80053 |
Comprehensive metabolic panel |
22,336 |
20,207 |
$1.01M |
| X4006 |
|
1,638 |
1,367 |
$756K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
6,783 |
6,454 |
$673K |
| 71045 |
Radiologic examination, chest; single view |
5,192 |
4,978 |
$294K |
| 59025 |
Fetal non-stress test |
2,133 |
992 |
$274K |
| 83690 |
|
4,073 |
3,897 |
$186K |
| 81001 |
|
3,712 |
3,578 |
$167K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
384 |
379 |
$144K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,970 |
1,883 |
$139K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,205 |
1,136 |
$122K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
436 |
388 |
$102K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
925 |
871 |
$94K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,126 |
1,067 |
$91K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,498 |
2,381 |
$88K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
433 |
423 |
$80K |
| 36415 |
Collection of venous blood by venipuncture |
1,425 |
1,293 |
$65K |
| X4003 |
|
951 |
644 |
$65K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,269 |
907 |
$61K |
| 83735 |
|
650 |
583 |
$49K |
| 71046 |
Radiologic examination, chest; 2 views |
387 |
363 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
103 |
86 |
$45K |
| 84484 |
|
1,122 |
865 |
$36K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
672 |
650 |
$36K |
| 84443 |
Thyroid stimulating hormone (TSH) |
767 |
740 |
$32K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
196 |
182 |
$30K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
89 |
86 |
$29K |
| 73630 |
|
787 |
665 |
$28K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
370 |
271 |
$24K |
| 64483 |
|
99 |
92 |
$24K |
| 86803 |
|
299 |
292 |
$23K |
| 62323 |
|
66 |
64 |
$21K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
101 |
100 |
$20K |
| 94761 |
|
171 |
165 |
$20K |
| 81003 |
|
395 |
380 |
$19K |
| 86140 |
|
330 |
311 |
$18K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
283 |
236 |
$18K |
| G0378 |
Hospital observation service, per hour |
17 |
17 |
$15K |
| 87081 |
|
162 |
159 |
$15K |
| 81025 |
|
1,376 |
1,324 |
$15K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
13 |
13 |
$14K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
45 |
12 |
$12K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
1,625 |
1,568 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
260 |
253 |
$11K |
| 76801 |
|
95 |
92 |
$10K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
12 |
12 |
$10K |
| 71250 |
|
218 |
217 |
$9K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
86 |
85 |
$9K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
30 |
29 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
165 |
155 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
49 |
42 |
$7K |
| 93271 |
|
131 |
130 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
260 |
253 |
$6K |
| 80081 |
|
50 |
50 |
$6K |
| J3490 |
Unclassified drugs |
3,386 |
2,499 |
$6K |
| Y7507 |
|
101 |
55 |
$6K |
| 87807 |
|
13 |
13 |
$5K |
| 94726 |
|
65 |
63 |
$5K |
| 87070 |
|
239 |
236 |
$5K |
| 85610 |
|
61 |
52 |
$5K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
12 |
12 |
$4K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
41 |
37 |
$4K |
| 80061 |
Lipid panel |
304 |
295 |
$4K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
12 |
12 |
$3K |
| 87631 |
|
12 |
12 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
140 |
131 |
$3K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
13 |
13 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
42 |
$3K |
| 87430 |
|
199 |
199 |
$2K |
| 95806 |
|
25 |
25 |
$2K |
| 87653 |
|
12 |
12 |
$2K |
| 94618 |
|
51 |
49 |
$2K |
| 94729 |
|
61 |
60 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
29 |
29 |
$1K |
| 76830 |
Ultrasound, transvaginal |
15 |
15 |
$1K |
| 87428 |
|
32 |
30 |
$882.64 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$841.38 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
16 |
16 |
$706.64 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$697.91 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
46 |
45 |
$492.06 |
| 82950 |
|
25 |
24 |
$399.30 |
| 0240U |
|
27 |
27 |
$285.26 |
| 83970 |
|
12 |
12 |
$261.13 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12 |
12 |
$165.76 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
13 |
13 |
$140.35 |
| 81002 |
|
38 |
37 |
$102.61 |
| 82947 |
|
46 |
41 |
$92.88 |
| 84439 |
|
17 |
17 |
$86.98 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
48 |
47 |
$84.21 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
48 |
47 |
$84.21 |
| 80069 |
|
13 |
13 |
$47.35 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
108 |
104 |
$36.80 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
12 |
12 |
$21.28 |
| 82962 |
|
13 |
13 |
$13.10 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
28 |
17 |
$1.35 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
58 |
25 |
$0.42 |
| J2704 |
Injection, propofol, 10 mg |
44 |
40 |
$0.00 |
| A9270 |
Non-covered item or service |
14 |
13 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
403 |
372 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
15 |
12 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
32 |
27 |
$0.00 |