| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
9,210 |
7,348 |
$498K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,099 |
16,785 |
$490K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,288 |
17,066 |
$408K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,536 |
7,015 |
$350K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
623 |
476 |
$84K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
4,493 |
2,738 |
$47K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,182 |
1,082 |
$40K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,243 |
2,310 |
$38K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
15,616 |
10,978 |
$36K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,338 |
643 |
$30K |
| 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 |
644 |
534 |
$26K |
| 99215 |
Prolong outpt/office vis |
646 |
559 |
$25K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,843 |
1,862 |
$25K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
994 |
834 |
$24K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,181 |
455 |
$20K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
859 |
611 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
337 |
230 |
$17K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
470 |
405 |
$15K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,360 |
761 |
$14K |
| 80053 |
Comprehensive metabolic panel |
1,773 |
1,310 |
$14K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
497 |
403 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
251 |
198 |
$13K |
| 99233 |
Prolong inpt eval add15 m |
600 |
252 |
$11K |
| 90461 |
|
1,074 |
725 |
$10K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
17 |
13 |
$9K |
| 99205 |
Prolong outpt/office vis |
211 |
148 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,820 |
1,947 |
$9K |
| 64615 |
|
92 |
67 |
$7K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
201 |
151 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
404 |
281 |
$5K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
70 |
55 |
$5K |
| 80305 |
|
1,397 |
801 |
$4K |
| 81000 |
|
687 |
572 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
666 |
613 |
$3K |
| 99354 |
|
89 |
60 |
$3K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
45 |
29 |
$3K |
| 99307 |
|
323 |
186 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
365 |
299 |
$3K |
| 90480 |
|
86 |
76 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
137 |
105 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
57 |
42 |
$2K |
| 99443 |
|
124 |
60 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
152 |
128 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
64 |
51 |
$1K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
643 |
533 |
$1K |
| 99442 |
|
69 |
57 |
$1K |
| 59025 |
Fetal non-stress test |
129 |
91 |
$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 |
323 |
138 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
259 |
186 |
$973.46 |
| 90686 |
|
1,732 |
1,454 |
$891.28 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
27 |
25 |
$808.35 |
| 81003 |
|
924 |
686 |
$752.55 |
| 36415 |
Collection of venous blood by venipuncture |
2,037 |
1,407 |
$560.96 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$557.69 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
16 |
14 |
$512.93 |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$473.37 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
32 |
25 |
$452.20 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
20 |
15 |
$423.61 |
| 99173 |
|
720 |
561 |
$347.65 |
| 99335 |
|
19 |
14 |
$316.11 |
| 20610 |
|
30 |
12 |
$306.39 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
91 |
78 |
$276.85 |
| 84703 |
|
70 |
54 |
$255.49 |
| 11721 |
|
29 |
27 |
$232.31 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
53 |
31 |
$192.35 |
| 87430 |
|
201 |
177 |
$188.72 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
32 |
30 |
$177.39 |
| 99217 |
|
18 |
12 |
$160.94 |
| 99310 |
Prolong nursin fac eval 15m |
18 |
12 |
$137.00 |
| 87400 |
|
30 |
25 |
$132.79 |
| 91320 |
|
17 |
15 |
$131.15 |
| 94760 |
|
146 |
123 |
$125.99 |
| 80061 |
Lipid panel |
12 |
12 |
$110.16 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
84 |
20 |
$105.00 |
| 93000 |
|
16 |
14 |
$82.02 |
| G9001 |
Coordinated care fee, initial rate |
13 |
12 |
$81.60 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
25 |
24 |
$79.26 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
27 |
25 |
$79.20 |
| 99441 |
|
24 |
16 |
$70.70 |
| 87081 |
|
12 |
12 |
$51.48 |
| 99000 |
|
532 |
479 |
$41.63 |
| 83690 |
|
16 |
14 |
$35.52 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
129 |
122 |
$26.22 |
| 90723 |
|
31 |
27 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90648 |
|
51 |
45 |
$0.00 |
| 90661 |
|
37 |
36 |
$0.00 |
| 90685 |
|
93 |
81 |
$0.00 |
| 90670 |
|
81 |
69 |
$0.00 |
| 99080 |
|
85 |
20 |
$0.00 |