| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,591 |
7,142 |
$491K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,870 |
5,245 |
$189K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,777 |
2,492 |
$146K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,449 |
3,292 |
$104K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,401 |
3,056 |
$96K |
| 80053 |
Comprehensive metabolic panel |
6,141 |
5,468 |
$48K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
242 |
236 |
$32K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
322 |
261 |
$31K |
| G0378 |
Hospital observation service, per hour |
61 |
52 |
$30K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,497 |
357 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,443 |
768 |
$28K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,026 |
5,282 |
$23K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,272 |
1,221 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,400 |
875 |
$15K |
| T1015 |
Clinic visit/encounter, all-inclusive |
312 |
108 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
375 |
358 |
$13K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
240 |
190 |
$13K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
164 |
159 |
$13K |
| 80050 |
General health panel |
237 |
229 |
$11K |
| 70450 |
Computed tomography, head or brain; without contrast material |
243 |
229 |
$11K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
514 |
254 |
$11K |
| 80061 |
Lipid panel |
880 |
850 |
$10K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
400 |
364 |
$8K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,192 |
1,072 |
$8K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
237 |
227 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
771 |
687 |
$8K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,134 |
1,024 |
$7K |
| 97161 |
|
138 |
135 |
$7K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
374 |
95 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
946 |
878 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
6,443 |
5,177 |
$5K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
15 |
15 |
$5K |
| 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 |
102 |
92 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
390 |
372 |
$4K |
| 84484 |
|
706 |
578 |
$4K |
| 83874 |
|
442 |
366 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
607 |
588 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
255 |
211 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
42 |
38 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
552 |
437 |
$3K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
318 |
258 |
$3K |
| 82553 |
|
469 |
390 |
$3K |
| 82550 |
|
597 |
475 |
$3K |
| 83735 |
|
519 |
450 |
$3K |
| 82607 |
|
213 |
208 |
$3K |
| 84439 |
|
320 |
310 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
12 |
12 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
28 |
28 |
$2K |
| 83690 |
|
448 |
397 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
285 |
263 |
$2K |
| 84703 |
|
184 |
175 |
$2K |
| 81001 |
|
804 |
737 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
78 |
68 |
$2K |
| 85610 |
|
519 |
391 |
$1K |
| 80306 |
|
112 |
105 |
$1K |
| 73630 |
|
128 |
119 |
$1K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
56 |
54 |
$1K |
| 87807 |
|
87 |
85 |
$944.94 |
| 85007 |
|
284 |
224 |
$903.66 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
77 |
25 |
$895.58 |
| 82150 |
|
216 |
199 |
$892.15 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
36 |
12 |
$825.03 |
| 72110 |
|
38 |
38 |
$757.00 |
| 73610 |
|
46 |
42 |
$755.46 |
| 85379 |
|
100 |
95 |
$743.06 |
| 93971 |
|
12 |
12 |
$740.84 |
| 85730 |
|
154 |
142 |
$734.81 |
| 82728 |
|
69 |
66 |
$722.72 |
| 76536 |
|
12 |
12 |
$674.37 |
| 83880 |
|
49 |
40 |
$667.52 |
| 83540 |
|
100 |
94 |
$650.10 |
| 85652 |
|
264 |
216 |
$636.07 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
48 |
14 |
$626.65 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
113 |
110 |
$621.81 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$596.46 |
| 81003 |
|
238 |
229 |
$534.53 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
28 |
28 |
$509.37 |
| 87081 |
|
115 |
113 |
$497.64 |
| 84702 |
|
30 |
27 |
$469.58 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$448.00 |
| 86140 |
|
173 |
149 |
$426.39 |
| 86038 |
|
27 |
26 |
$405.00 |
| 85027 |
|
59 |
56 |
$384.21 |
| 82947 |
|
391 |
141 |
$378.41 |
| 82570 |
|
65 |
60 |
$371.95 |
| 83605 |
|
72 |
63 |
$347.20 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
104 |
99 |
$344.00 |
| 80076 |
|
42 |
42 |
$338.55 |
| 87070 |
|
66 |
61 |
$318.00 |
| 84403 |
|
12 |
12 |
$310.50 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
12 |
12 |
$272.00 |
| 84550 |
|
44 |
39 |
$265.10 |
| 87641 |
|
14 |
13 |
$254.50 |
| 84153 |
|
12 |
12 |
$231.44 |
| 87040 |
|
22 |
14 |
$197.40 |
| 73502 |
|
13 |
12 |
$193.56 |
| 82043 |
|
27 |
25 |
$171.20 |
| 74018 |
|
14 |
12 |
$151.50 |
| 83550 |
|
44 |
40 |
$145.50 |
| 81025 |
|
45 |
44 |
$132.80 |
| 82746 |
|
14 |
14 |
$126.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
163 |
152 |
$96.32 |
| 86430 |
|
14 |
13 |
$90.30 |
| 87205 |
|
15 |
14 |
$39.09 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
67 |
56 |
$9.20 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
14 |
14 |
$1.74 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
70 |
49 |
$0.00 |