| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,464 |
5,135 |
$505K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,093 |
3,969 |
$357K |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,779 |
1,585 |
$269K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
301 |
295 |
$146K |
| 80053 |
Comprehensive metabolic panel |
5,863 |
5,286 |
$141K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,073 |
1,013 |
$120K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,130 |
953 |
$105K |
| 36415 |
Collection of venous blood by venipuncture |
16,880 |
14,776 |
$87K |
| 80050 |
General health panel |
936 |
905 |
$86K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,039 |
7,104 |
$86K |
| G0378 |
Hospital observation service, per hour |
264 |
112 |
$84K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
301 |
290 |
$80K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
223 |
216 |
$79K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,949 |
1,658 |
$76K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,366 |
1,312 |
$74K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
989 |
963 |
$70K |
| 80061 |
Lipid panel |
1,730 |
1,689 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,648 |
2,242 |
$51K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,678 |
1,551 |
$50K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,998 |
1,646 |
$46K |
| 70450 |
Computed tomography, head or brain; without contrast material |
268 |
258 |
$44K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,159 |
1,125 |
$44K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
422 |
345 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,229 |
1,075 |
$38K |
| 73630 |
|
583 |
531 |
$33K |
| 71046 |
Radiologic examination, chest; 2 views |
783 |
753 |
$33K |
| 80076 |
|
1,332 |
1,114 |
$32K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
572 |
561 |
$31K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
800 |
718 |
$28K |
| 87081 |
|
1,611 |
1,582 |
$28K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,068 |
1,041 |
$27K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
654 |
215 |
$23K |
| 81000 |
|
3,501 |
3,288 |
$22K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,582 |
2,489 |
$22K |
| 73564 |
|
300 |
273 |
$21K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
75 |
75 |
$21K |
| 88342 |
|
288 |
286 |
$21K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
325 |
317 |
$21K |
| 99215 |
Prolong outpt/office vis |
762 |
719 |
$19K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
960 |
889 |
$18K |
| 84484 |
|
1,038 |
928 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
879 |
824 |
$17K |
| 84443 |
Thyroid stimulating hormone (TSH) |
858 |
839 |
$17K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
263 |
252 |
$15K |
| 82607 |
|
399 |
387 |
$14K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
380 |
340 |
$14K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
217 |
207 |
$14K |
| 76830 |
Ultrasound, transvaginal |
116 |
116 |
$13K |
| 86803 |
|
264 |
261 |
$13K |
| 84439 |
|
511 |
494 |
$12K |
| 84703 |
|
637 |
598 |
$12K |
| 76536 |
|
95 |
95 |
$11K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
88 |
87 |
$11K |
| 86618 |
|
183 |
180 |
$11K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
222 |
219 |
$11K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,595 |
1,470 |
$10K |
| 82728 |
|
323 |
308 |
$10K |
| 73110 |
|
195 |
163 |
$10K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
15 |
14 |
$10K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
60 |
60 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
406 |
345 |
$9K |
| 73030 |
|
206 |
195 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
393 |
383 |
$9K |
| 83690 |
|
734 |
686 |
$9K |
| 83550 |
|
380 |
374 |
$8K |
| 83735 |
|
608 |
522 |
$8K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
183 |
178 |
$8K |
| 82043 |
|
265 |
261 |
$8K |
| 73610 |
|
157 |
142 |
$7K |
| 87186 |
|
379 |
361 |
$7K |
| 85027 |
|
553 |
445 |
$7K |
| 83605 |
|
390 |
353 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
71 |
69 |
$7K |
| 83540 |
|
392 |
385 |
$6K |
| 84702 |
|
190 |
148 |
$6K |
| 87070 |
|
295 |
279 |
$6K |
| 87400 |
|
169 |
159 |
$6K |
| 72110 |
|
53 |
52 |
$6K |
| 73130 |
|
115 |
100 |
$6K |
| 86901 |
|
225 |
216 |
$5K |
| 85610 |
|
777 |
643 |
$5K |
| 87040 |
|
240 |
216 |
$5K |
| 97161 |
|
68 |
64 |
$5K |
| 80306 |
|
189 |
181 |
$5K |
| 86140 |
|
319 |
267 |
$4K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
96 |
57 |
$4K |
| 86885 |
|
209 |
200 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
31 |
25 |
$4K |
| 85007 |
|
552 |
444 |
$4K |
| 82540 |
|
297 |
291 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
240 |
103 |
$4K |
| 20610 |
|
135 |
101 |
$3K |
| 84145 |
|
188 |
164 |
$3K |
| 85651 |
|
359 |
318 |
$3K |
| 96376 |
|
99 |
51 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
26 |
26 |
$3K |
| 86592 |
|
260 |
250 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
15 |
13 |
$3K |
| 86038 |
|
74 |
72 |
$3K |
| 82784 |
|
61 |
60 |
$2K |
| 85378 |
|
129 |
119 |
$2K |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
90 |
31 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$2K |
| 87340 |
|
25 |
24 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
840 |
743 |
$2K |
| J2704 |
Injection, propofol, 10 mg |
2,234 |
2,104 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
716 |
698 |
$2K |
| 73502 |
|
46 |
40 |
$2K |
| 86900 |
|
225 |
216 |
$2K |
| 82150 |
|
122 |
119 |
$2K |
| 83516 |
|
26 |
26 |
$1K |
| 83880 |
|
21 |
17 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
21 |
17 |
$1K |
| 82247 |
|
39 |
25 |
$758.06 |
| 80320 |
|
32 |
27 |
$703.31 |
| 82962 |
|
252 |
166 |
$664.62 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
773 |
754 |
$656.01 |
| 82248 |
|
32 |
25 |
$557.42 |
| 87420 |
|
13 |
13 |
$544.18 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,481 |
1,394 |
$515.76 |
| 86762 |
|
12 |
12 |
$444.44 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,044 |
1,887 |
$440.26 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,065 |
1,892 |
$439.33 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,288 |
1,139 |
$418.45 |
| 74018 |
|
13 |
12 |
$385.92 |
| 86431 |
|
18 |
18 |
$353.59 |
| 96367 |
|
25 |
13 |
$343.25 |
| 84436 |
|
15 |
15 |
$245.42 |
| 82550 |
|
17 |
13 |
$200.87 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,120 |
1,955 |
$168.53 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$163.52 |
| 84156 |
|
12 |
12 |
$143.36 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
187 |
153 |
$137.65 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,984 |
1,839 |
$134.25 |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,275 |
666 |
$105.85 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
28 |
26 |
$26.92 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
56 |
54 |
$24.96 |
| A9270 |
Non-covered item or service |
24 |
14 |
$12.15 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
31 |
17 |
$11.76 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
130 |
130 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
195 |
193 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
29 |
26 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
111 |
109 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
27 |
27 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
91 |
87 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
51 |
43 |
$0.00 |
| D0330 |
Panoramic radiographic image |
59 |
59 |
$0.00 |
| D1110 |
Prophylaxis - adult |
126 |
124 |
$0.00 |
| D1120 |
Prophylaxis - child |
140 |
138 |
$0.00 |
| D0270 |
|
15 |
14 |
$0.00 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
14 |
14 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
93 |
92 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
16 |
13 |
$0.00 |