| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
10,779 |
9,429 |
$1.63M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
8,140 |
6,388 |
$859K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,051 |
3,336 |
$392K |
| 71045 |
Radiologic examination, chest; single view |
2,958 |
2,315 |
$356K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,831 |
2,164 |
$136K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,353 |
1,892 |
$136K |
| 80053 |
Comprehensive metabolic panel |
18,353 |
15,068 |
$110K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
20,165 |
16,042 |
$90K |
| 71046 |
Radiologic examination, chest; 2 views |
451 |
387 |
$78K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,143 |
982 |
$77K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,888 |
1,648 |
$75K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
433 |
388 |
$59K |
| 36415 |
Collection of venous blood by venipuncture |
17,878 |
14,832 |
$43K |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,378 |
3,832 |
$41K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
277 |
207 |
$35K |
| 80061 |
Lipid panel |
4,189 |
3,679 |
$34K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
579 |
456 |
$31K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
3,857 |
652 |
$18K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
695 |
602 |
$13K |
| 87634 |
|
178 |
165 |
$11K |
| 84484 |
|
1,163 |
872 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,318 |
1,147 |
$8K |
| 82607 |
|
836 |
710 |
$8K |
| 82746 |
|
824 |
701 |
$7K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
109 |
100 |
$7K |
| 81001 |
|
2,964 |
2,381 |
$6K |
| 83655 |
|
443 |
428 |
$6K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
787 |
562 |
$5K |
| 86803 |
|
451 |
401 |
$5K |
| 87081 |
|
744 |
710 |
$5K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
57 |
14 |
$4K |
| 71271 |
|
19 |
16 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
238 |
187 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
30 |
26 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
690 |
517 |
$3K |
| 80306 |
|
308 |
233 |
$3K |
| 83540 |
|
555 |
475 |
$2K |
| 83690 |
|
502 |
397 |
$2K |
| 83605 |
|
267 |
213 |
$2K |
| 82728 |
|
138 |
125 |
$1K |
| 83550 |
|
192 |
179 |
$1K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
94 |
79 |
$829.84 |
| 82570 |
|
207 |
188 |
$594.96 |
| 82043 |
|
186 |
171 |
$570.01 |
| 81025 |
|
76 |
63 |
$518.92 |
| 83735 |
|
94 |
78 |
$516.19 |
| 84439 |
|
95 |
72 |
$516.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
146 |
117 |
$461.82 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
36 |
30 |
$440.85 |
| 86140 |
|
153 |
127 |
$423.34 |
| 87088 |
|
71 |
61 |
$288.09 |
| 87070 |
|
29 |
28 |
$232.74 |
| 82553 |
|
114 |
71 |
$189.12 |
| 80076 |
|
37 |
29 |
$184.71 |
| 82550 |
|
112 |
72 |
$183.03 |
| 85610 |
|
47 |
40 |
$115.83 |
| 90791 |
Psychiatric diagnostic evaluation |
14 |
12 |
$49.80 |
| 85652 |
|
30 |
25 |
$26.29 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
13 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
97 |
50 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
32 |
12 |
$0.00 |