| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,963 |
7,653 |
$1.50M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,741 |
3,603 |
$655K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,887 |
4,428 |
$612K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,529 |
2,473 |
$506K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,948 |
1,775 |
$467K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,092 |
2,019 |
$427K |
| 80053 |
Comprehensive metabolic panel |
12,723 |
11,281 |
$398K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
2,975 |
1,061 |
$282K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
746 |
731 |
$207K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
6,878 |
5,377 |
$203K |
| 36415 |
Collection of venous blood by venipuncture |
5,665 |
4,818 |
$179K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
822 |
735 |
$178K |
| 70450 |
Computed tomography, head or brain; without contrast material |
473 |
468 |
$142K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,280 |
1,209 |
$121K |
| 81025 |
|
686 |
672 |
$116K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,006 |
359 |
$82K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
542 |
542 |
$79K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,101 |
970 |
$69K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,082 |
2,071 |
$65K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
411 |
410 |
$59K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
114 |
113 |
$49K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
171 |
167 |
$46K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
370 |
340 |
$46K |
| 87428 |
|
622 |
610 |
$42K |
| 87631 |
|
317 |
308 |
$42K |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,337 |
4,278 |
$41K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
134 |
133 |
$36K |
| G0378 |
Hospital observation service, per hour |
212 |
92 |
$35K |
| 86850 |
|
445 |
419 |
$33K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,063 |
1,031 |
$32K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,155 |
3,140 |
$30K |
| 80061 |
Lipid panel |
4,204 |
4,190 |
$30K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
10,786 |
9,556 |
$29K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,640 |
2,489 |
$28K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,121 |
1,105 |
$28K |
| 80306 |
|
1,188 |
1,114 |
$27K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,143 |
1,124 |
$25K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
136 |
126 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
227 |
219 |
$24K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,650 |
1,499 |
$24K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
3,018 |
2,895 |
$22K |
| 82607 |
|
1,740 |
1,730 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
152 |
152 |
$20K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,504 |
2,349 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
1,680 |
1,660 |
$17K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
434 |
417 |
$16K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,428 |
2,297 |
$16K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
171 |
171 |
$15K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
127 |
126 |
$15K |
| 84466 |
|
1,089 |
1,081 |
$13K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
183 |
183 |
$12K |
| 82728 |
|
854 |
846 |
$11K |
| 87070 |
|
1,249 |
1,222 |
$10K |
| 90686 |
|
460 |
460 |
$9K |
| 12001 |
|
26 |
26 |
$9K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
227 |
225 |
$9K |
| 84439 |
|
874 |
871 |
$8K |
| 86900 |
|
540 |
517 |
$8K |
| 82746 |
|
650 |
649 |
$8K |
| 85027 |
|
2,284 |
2,148 |
$8K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
187 |
156 |
$7K |
| 73564 |
|
390 |
332 |
$7K |
| 83540 |
|
1,269 |
1,258 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
119 |
118 |
$7K |
| 87077 |
|
1,123 |
1,004 |
$7K |
| 83655 |
|
508 |
497 |
$7K |
| 73630 |
|
860 |
790 |
$6K |
| 87660 |
|
420 |
412 |
$6K |
| 97802 |
|
226 |
226 |
$6K |
| G0145 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision |
418 |
417 |
$6K |
| 73610 |
|
459 |
420 |
$6K |
| 86901 |
|
523 |
503 |
$5K |
| 99441 |
|
83 |
74 |
$5K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,940 |
1,737 |
$5K |
| 99156 |
|
85 |
85 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
1,450 |
1,409 |
$5K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
13 |
13 |
$5K |
| 87480 |
|
343 |
337 |
$5K |
| 87510 |
|
323 |
317 |
$5K |
| 97162 |
|
39 |
38 |
$5K |
| 73030 |
|
478 |
442 |
$4K |
| 72110 |
|
253 |
247 |
$4K |
| 83690 |
|
1,693 |
1,591 |
$4K |
| 81001 |
|
2,564 |
2,416 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
12 |
$4K |
| 93017 |
|
12 |
12 |
$4K |
| 86803 |
|
390 |
389 |
$4K |
| 84484 |
|
1,620 |
1,318 |
$4K |
| 76830 |
Ultrasound, transvaginal |
56 |
56 |
$3K |
| 83735 |
|
1,117 |
920 |
$3K |
| 87186 |
|
809 |
742 |
$3K |
| 85610 |
|
1,557 |
1,399 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
692 |
409 |
$3K |
| 84703 |
|
1,441 |
1,393 |
$3K |
| 90670 |
|
163 |
163 |
$3K |
| 85730 |
|
963 |
917 |
$3K |
| 81002 |
|
1,641 |
1,379 |
$2K |
| 81003 |
|
2,207 |
2,124 |
$2K |
| 0012A |
|
70 |
70 |
$2K |
| 76801 |
|
43 |
36 |
$2K |
| 87430 |
|
792 |
785 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
594 |
583 |
$2K |
| 80076 |
|
194 |
192 |
$2K |
| 86703 |
|
145 |
145 |
$2K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
88 |
88 |
$2K |
| 90685 |
|
102 |
102 |
$2K |
| 84702 |
|
202 |
157 |
$2K |
| 85652 |
|
902 |
873 |
$2K |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
187 |
186 |
$2K |
| 82150 |
|
553 |
523 |
$2K |
| 85379 |
|
329 |
318 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
412 |
402 |
$2K |
| 0011A |
|
121 |
121 |
$2K |
| 86592 |
|
377 |
374 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
80 |
72 |
$1K |
| 73110 |
|
231 |
200 |
$1K |
| 87807 |
|
279 |
270 |
$1K |
| 86140 |
|
362 |
334 |
$1K |
| 84403 |
|
42 |
42 |
$1K |
| 90715 |
|
51 |
51 |
$1K |
| 87536 |
|
13 |
13 |
$1K |
| 90647 |
|
50 |
50 |
$925.02 |
| 83880 |
|
31 |
27 |
$887.56 |
| 87081 |
|
188 |
186 |
$776.60 |
| 84402 |
|
28 |
28 |
$737.72 |
| 90723 |
|
40 |
40 |
$714.00 |
| 82043 |
|
123 |
123 |
$680.15 |
| 90680 |
|
38 |
38 |
$678.30 |
| 0031A |
|
17 |
17 |
$640.00 |
| 87340 |
|
61 |
60 |
$634.76 |
| 83605 |
|
486 |
424 |
$588.26 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
52 |
51 |
$535.52 |
| 86762 |
|
32 |
32 |
$492.88 |
| 87254 |
|
51 |
30 |
$483.02 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
12 |
12 |
$453.96 |
| 86759 |
|
43 |
43 |
$448.01 |
| 73130 |
|
73 |
66 |
$415.30 |
| 96127 |
|
161 |
105 |
$375.78 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
265 |
235 |
$332.98 |
| 84550 |
|
75 |
75 |
$326.68 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
14 |
$295.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
38 |
$290.56 |
| 87040 |
|
162 |
104 |
$260.13 |
| 73562 |
|
15 |
13 |
$243.06 |
| 90633 |
|
12 |
12 |
$214.20 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,999 |
1,777 |
$195.85 |
| 86038 |
|
27 |
27 |
$158.69 |
| J2704 |
Injection, propofol, 10 mg |
476 |
467 |
$146.21 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,727 |
1,551 |
$132.63 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
14 |
14 |
$122.52 |
| 87205 |
|
53 |
26 |
$102.83 |
| 82800 |
|
28 |
24 |
$101.42 |
| 74018 |
|
38 |
38 |
$98.15 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
696 |
599 |
$84.65 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
50 |
41 |
$76.68 |
| 84436 |
|
12 |
12 |
$69.57 |
| 73080 |
|
14 |
14 |
$63.01 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
320 |
316 |
$20.28 |
| 83550 |
|
28 |
28 |
$13.82 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
91 |
78 |
$1.84 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
56 |
56 |
$0.50 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
46 |
35 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
16 |
13 |
$0.00 |
| 90461 |
|
96 |
49 |
$0.00 |
| 1159F |
|
27 |
26 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
13 |
12 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
26 |
26 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
18 |
18 |
$0.00 |
| 3008F |
|
87 |
83 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
15 |
15 |
$0.00 |
| 3044F |
|
15 |
14 |
$0.00 |
| 3079F |
|
24 |
24 |
$0.00 |