| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,796 |
5,742 |
$333K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,675 |
6,614 |
$253K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,150 |
2,107 |
$186K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
14,072 |
12,237 |
$180K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,124 |
1,192 |
$172K |
| 71045 |
Radiologic examination, chest; single view |
11,040 |
9,158 |
$76K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,773 |
1,639 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
762 |
712 |
$58K |
| 0450 |
Emergency room services |
1,143 |
928 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
907 |
831 |
$32K |
| 99223 |
Prolong inpt eval add15 m |
317 |
311 |
$29K |
| 99233 |
Prolong inpt eval add15 m |
756 |
383 |
$29K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
508 |
508 |
$23K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
428 |
409 |
$22K |
| J3490 |
Unclassified drugs |
889 |
545 |
$19K |
| 93970 |
|
419 |
399 |
$18K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
26 |
25 |
$15K |
| 90480 |
|
461 |
460 |
$13K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
167 |
149 |
$11K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
192 |
192 |
$9K |
| 90686 |
|
407 |
407 |
$9K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
61 |
52 |
$8K |
| 0124A |
|
210 |
210 |
$8K |
| 99460 |
|
165 |
165 |
$8K |
| 99253 |
|
86 |
82 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
173 |
173 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
839 |
835 |
$7K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
217 |
55 |
$6K |
| 99464 |
|
87 |
87 |
$6K |
| 99462 |
|
191 |
185 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
189 |
158 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
98 |
98 |
$5K |
| 0081A |
|
112 |
112 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
106 |
106 |
$4K |
| 91322 |
|
37 |
37 |
$4K |
| 59425 |
|
50 |
36 |
$4K |
| 80053 |
Comprehensive metabolic panel |
265 |
238 |
$3K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
90 |
75 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
302 |
258 |
$2K |
| 88307 |
|
31 |
30 |
$2K |
| 0173A |
|
37 |
37 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
61 |
53 |
$1K |
| 93971 |
|
111 |
108 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
244 |
243 |
$1K |
| 97803 |
|
26 |
26 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
35 |
31 |
$1K |
| 20610 |
|
15 |
12 |
$951.00 |
| 0300 |
|
22 |
20 |
$859.32 |
| 99222 |
Initial hospital care, per day, moderate complexity |
16 |
16 |
$809.01 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
33 |
30 |
$769.60 |
| 0002A |
|
19 |
19 |
$760.00 |
| 11720 |
|
17 |
17 |
$660.96 |
| 93308 |
|
26 |
26 |
$627.46 |
| 0071A |
|
15 |
15 |
$600.00 |
| 86703 |
|
45 |
44 |
$538.20 |
| 0154A |
|
13 |
13 |
$520.00 |
| 0074A |
|
12 |
12 |
$480.00 |
| 86803 |
|
32 |
31 |
$402.24 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
16 |
$374.55 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$356.55 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$315.48 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12 |
12 |
$269.05 |
| 81025 |
|
100 |
89 |
$267.80 |
| 99188 |
|
13 |
13 |
$250.12 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$199.16 |
| 73030 |
|
31 |
27 |
$189.16 |
| 73610 |
|
25 |
24 |
$152.35 |
| 81002 |
|
71 |
56 |
$125.50 |
| 87210 |
|
32 |
32 |
$111.17 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
16 |
16 |
$102.62 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
13 |
12 |
$87.36 |
| 83690 |
|
16 |
16 |
$85.35 |
| 81003 |
|
29 |
25 |
$54.50 |
| 0250 |
|
23 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
15 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
13 |
13 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
401 |
161 |
$0.00 |
| 0510 |
|
19 |
19 |
$0.00 |