| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
76,106 |
67,364 |
$13.32M |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
128,298 |
105,415 |
$11.13M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
43,262 |
35,611 |
$5.71M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12,892 |
11,742 |
$2.59M |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
1,553 |
1,290 |
$2.31M |
| 59425 |
|
15,536 |
12,689 |
$1.99M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14,966 |
12,115 |
$1.59M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15,373 |
12,040 |
$1.56M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
12,559 |
10,902 |
$1.54M |
| 59426 |
|
11,896 |
8,690 |
$1.41M |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
614 |
488 |
$1.41M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,754 |
2,243 |
$1.05M |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
22,563 |
20,180 |
$1.02M |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
12,811 |
11,004 |
$963K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,331 |
6,457 |
$831K |
| 92558 |
|
7,309 |
5,379 |
$792K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
9,971 |
8,274 |
$715K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
10,247 |
8,242 |
$555K |
| 71046 |
Radiologic examination, chest; 2 views |
3,336 |
2,782 |
$524K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,877 |
3,690 |
$465K |
| 92551 |
|
3,934 |
3,044 |
$429K |
| A0425 |
Ground mileage, per statute mile |
6,011 |
4,415 |
$428K |
| 59025 |
Fetal non-stress test |
2,635 |
1,720 |
$414K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,293 |
576 |
$398K |
| 99173 |
|
13,631 |
10,446 |
$359K |
| 71045 |
Radiologic examination, chest; single view |
2,320 |
2,014 |
$354K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
2,361 |
716 |
$292K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,916 |
1,517 |
$277K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
62,120 |
48,527 |
$271K |
| 59430 |
|
1,661 |
1,452 |
$250K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
3,495 |
3,162 |
$219K |
| 80053 |
Comprehensive metabolic panel |
36,789 |
27,978 |
$216K |
| 87634 |
|
3,098 |
2,776 |
$194K |
| 74018 |
|
1,265 |
1,084 |
$191K |
| 90670 |
|
10,065 |
7,803 |
$165K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,131 |
910 |
$147K |
| 99218 |
|
248 |
180 |
$130K |
| 99217 |
|
258 |
188 |
$123K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,232 |
1,125 |
$120K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,484 |
814 |
$118K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,643 |
1,989 |
$100K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
3,431 |
3,023 |
$86K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
594 |
461 |
$76K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
748 |
663 |
$75K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
891 |
706 |
$74K |
| 36416 |
|
9,465 |
6,378 |
$69K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
584 |
540 |
$69K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
180 |
151 |
$69K |
| 90680 |
|
6,914 |
5,476 |
$67K |
| 81025 |
|
12,599 |
10,719 |
$67K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,575 |
4,185 |
$61K |
| 88342 |
|
580 |
465 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
349 |
284 |
$59K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
161 |
134 |
$51K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
533 |
335 |
$50K |
| A0225 |
Ambulance service, neonatal transport, base rate, emergency transport, one way |
645 |
434 |
$49K |
| 90723 |
|
7,107 |
5,550 |
$49K |
| 99221 |
|
186 |
154 |
$46K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
423 |
224 |
$45K |
| 86832 |
|
760 |
561 |
$45K |
| 70450 |
Computed tomography, head or brain; without contrast material |
403 |
333 |
$43K |
| 86833 |
|
759 |
551 |
$39K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,122 |
10,829 |
$38K |
| 83655 |
|
2,922 |
2,270 |
$36K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
60 |
53 |
$36K |
| 94664 |
|
404 |
354 |
$35K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
422 |
296 |
$35K |
| 90651 |
|
1,039 |
799 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
370 |
307 |
$32K |
| 84484 |
|
3,498 |
2,795 |
$30K |
| 99381 |
|
272 |
220 |
$29K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
589 |
468 |
$28K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
147 |
128 |
$28K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
965 |
827 |
$27K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
963 |
826 |
$27K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,725 |
1,317 |
$26K |
| 87799 |
|
927 |
695 |
$22K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
13 |
13 |
$21K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
145 |
138 |
$21K |
| A0433 |
Advanced life support, level 2 (als 2) |
118 |
90 |
$21K |
| 81003 |
|
12,896 |
10,401 |
$20K |
| 81001 |
|
13,237 |
9,701 |
$20K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,472 |
3,228 |
$19K |
| G0378 |
Hospital observation service, per hour |
132 |
90 |
$19K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,073 |
2,580 |
$18K |
| 87481 |
|
160 |
145 |
$17K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
15 |
12 |
$15K |
| 94010 |
|
163 |
125 |
$14K |
| 85018 |
|
5,445 |
4,219 |
$13K |
| 94760 |
|
115 |
96 |
$12K |
| 90734 |
|
1,175 |
852 |
$10K |
| 76830 |
Ultrasound, transvaginal |
51 |
50 |
$10K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
169 |
132 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,401 |
1,106 |
$8K |
| 83690 |
|
2,415 |
2,033 |
$8K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
103 |
70 |
$8K |
| 90677 |
|
1,548 |
1,424 |
$8K |
| 80305 |
|
1,029 |
850 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
4,248 |
2,428 |
$7K |
| 73630 |
|
202 |
135 |
$7K |
| 85027 |
|
1,503 |
1,125 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
343 |
266 |
$6K |
| 81002 |
|
18,802 |
14,798 |
$6K |
| 87512 |
|
179 |
163 |
$6K |
| 80197 |
|
3,471 |
1,319 |
$6K |
| 84702 |
|
696 |
500 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
12 |
$6K |
| 95700 |
|
16 |
12 |
$6K |
| 99215 |
Prolong outpt/office vis |
87 |
72 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
40 |
37 |
$5K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,052 |
813 |
$5K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
160 |
145 |
$5K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
81 |
70 |
$5K |
| 83735 |
|
4,343 |
1,858 |
$4K |
| 92587 |
|
50 |
41 |
$4K |
| 83874 |
|
475 |
382 |
$4K |
| 95715 |
|
17 |
12 |
$4K |
| 90716 |
|
612 |
511 |
$4K |
| 97165 |
|
26 |
24 |
$4K |
| 86850 |
|
1,089 |
877 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
44 |
24 |
$4K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
42 |
38 |
$4K |
| 90837 |
Psychotherapy, 53 minutes with patient |
48 |
27 |
$4K |
| 87088 |
|
609 |
526 |
$3K |
| 61885 |
|
16 |
14 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
52,973 |
39,533 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
19 |
13 |
$3K |
| 90620 |
|
107 |
101 |
$3K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
83 |
74 |
$3K |
| 82570 |
|
3,815 |
1,617 |
$3K |
| 82553 |
|
475 |
382 |
$3K |
| 87430 |
|
178 |
119 |
$3K |
| 82550 |
|
3,674 |
1,448 |
$3K |
| 76770 |
|
12 |
12 |
$3K |
| 97161 |
|
37 |
30 |
$3K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
25 |
12 |
$2K |
| 97535 |
Self-care/home management training, each 15 minutes |
37 |
24 |
$2K |
| 96127 |
|
35 |
24 |
$2K |
| 86900 |
|
1,151 |
920 |
$2K |
| 86901 |
|
1,171 |
945 |
$2K |
| 84100 |
|
3,937 |
1,547 |
$2K |
| 84550 |
|
3,789 |
1,506 |
$2K |
| 97162 |
|
12 |
12 |
$2K |
| 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 |
43 |
36 |
$2K |
| 88313 |
|
75 |
67 |
$2K |
| 84156 |
|
2,956 |
1,266 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
14 |
12 |
$2K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
48 |
25 |
$1K |
| 88720 |
|
384 |
310 |
$1K |
| 90461 |
|
7,107 |
5,311 |
$1K |
| 87081 |
|
160 |
105 |
$1K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
19 |
13 |
$981.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
57 |
28 |
$902.31 |
| 87210 |
|
377 |
337 |
$870.99 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
292 |
274 |
$683.46 |
| 0001A |
|
280 |
191 |
$669.78 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
407 |
315 |
$651.04 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
13 |
13 |
$612.36 |
| 88173 |
|
26 |
12 |
$584.06 |
| 83605 |
|
93 |
77 |
$529.54 |
| 92567 |
|
23 |
16 |
$516.36 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
35 |
24 |
$481.81 |
| 90686 |
|
22,301 |
15,715 |
$444.60 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
21,305 |
16,040 |
$408.01 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
17 |
$387.50 |
| 82977 |
|
74 |
64 |
$384.46 |
| 88304 |
|
697 |
559 |
$372.96 |
| 83880 |
|
16 |
12 |
$365.12 |
| 82150 |
|
74 |
64 |
$346.17 |
| 83615 |
|
73 |
53 |
$333.51 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
22 |
16 |
$318.06 |
| 88312 |
|
13 |
13 |
$308.01 |
| 0003A |
|
227 |
130 |
$303.96 |
| 80306 |
|
31 |
25 |
$283.73 |
| 82803 |
|
13 |
12 |
$251.25 |
| 86140 |
|
50 |
40 |
$138.10 |
| 85610 |
|
48 |
40 |
$130.86 |
| 82800 |
|
13 |
12 |
$117.37 |
| 80076 |
|
31 |
13 |
$114.40 |
| 85379 |
|
15 |
12 |
$114.00 |
| 0002A |
|
216 |
149 |
$111.63 |
| 90633 |
|
2,616 |
2,040 |
$96.30 |
| 80069 |
|
12 |
12 |
$76.30 |
| 84460 |
|
13 |
13 |
$51.72 |
| 84450 |
|
13 |
13 |
$50.52 |
| 84075 |
|
13 |
13 |
$50.52 |
| 82247 |
|
13 |
13 |
$49.00 |
| 84520 |
|
13 |
12 |
$46.86 |
| 82040 |
|
13 |
13 |
$43.50 |
| 0124A |
|
177 |
110 |
$39.74 |
| 84155 |
|
13 |
13 |
$35.82 |
| 90715 |
|
348 |
299 |
$33.46 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
648 |
503 |
$22.24 |
| 90674 |
|
468 |
299 |
$21.73 |
| 90480 |
|
14 |
12 |
$7.92 |
| 90661 |
|
85 |
78 |
$4.81 |
| 90700 |
|
394 |
313 |
$0.00 |
| 91312 |
|
163 |
103 |
$0.00 |
| 90685 |
|
434 |
289 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
42 |
37 |
$0.00 |
| 90707 |
|
531 |
437 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
20 |
12 |
$0.00 |
| 85014 |
|
99 |
81 |
$0.00 |
| 90710 |
|
437 |
346 |
$0.00 |
| 91300 |
|
870 |
530 |
$0.00 |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
38 |
24 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
57 |
52 |
$0.00 |
| 90647 |
|
7,919 |
6,265 |
$0.00 |
| 90656 |
|
1,639 |
1,561 |
$0.00 |
| 90696 |
|
430 |
340 |
$0.00 |
| 80047 |
|
81 |
67 |
$0.00 |
| 99292 |
|
20 |
18 |
$0.00 |
| 90688 |
|
571 |
426 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
63 |
50 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
20 |
12 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
39 |
26 |
$0.00 |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
30 |
25 |
$0.00 |
| 86352 |
|
34 |
25 |
$0.00 |