| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,521 |
11,175 |
$1.28M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,319 |
5,492 |
$685K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,807 |
4,037 |
$543K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,464 |
1,774 |
$257K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,522 |
1,107 |
$190K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
516 |
359 |
$140K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,276 |
358 |
$90K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,328 |
1,082 |
$76K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
577 |
466 |
$75K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
533 |
330 |
$67K |
| 80053 |
Comprehensive metabolic panel |
5,910 |
4,797 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
462 |
358 |
$40K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
177 |
132 |
$39K |
| J3490 |
Unclassified drugs |
9,700 |
3,300 |
$36K |
| 70450 |
Computed tomography, head or brain; without contrast material |
156 |
130 |
$35K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,396 |
1,096 |
$31K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
171 |
95 |
$20K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
67 |
27 |
$16K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,121 |
913 |
$15K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,250 |
1,075 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
11,159 |
8,499 |
$14K |
| 90834 |
Psychotherapy, 45 minutes with patient |
333 |
199 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,518 |
4,362 |
$12K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,745 |
1,488 |
$11K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,503 |
1,232 |
$11K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
69 |
65 |
$11K |
| 80061 |
Lipid panel |
796 |
731 |
$10K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
940 |
663 |
$10K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
152 |
52 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
578 |
482 |
$8K |
| 84439 |
|
412 |
362 |
$7K |
| G0378 |
Hospital observation service, per hour |
136 |
52 |
$7K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
391 |
340 |
$6K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
37 |
25 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
586 |
526 |
$6K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,226 |
982 |
$4K |
| 81001 |
|
4,450 |
3,677 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
17 |
12 |
$4K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,044 |
1,550 |
$3K |
| 85027 |
|
711 |
530 |
$3K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
237 |
171 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,310 |
906 |
$2K |
| 84484 |
|
1,477 |
923 |
$2K |
| 80305 |
|
736 |
582 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
32 |
24 |
$2K |
| 85610 |
|
446 |
306 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
680 |
607 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
570 |
437 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
101 |
81 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
888 |
704 |
$1K |
| 97162 |
|
33 |
27 |
$1K |
| 82570 |
|
138 |
114 |
$1K |
| 83874 |
|
808 |
650 |
$954.27 |
| 86140 |
|
94 |
77 |
$734.80 |
| 82553 |
|
83 |
63 |
$702.16 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
101 |
81 |
$625.42 |
| 83735 |
|
355 |
274 |
$597.59 |
| 87186 |
|
303 |
253 |
$566.72 |
| 83605 |
|
655 |
441 |
$541.23 |
| 85007 |
|
452 |
289 |
$465.79 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
39 |
24 |
$432.44 |
| 82550 |
|
803 |
624 |
$400.22 |
| 81002 |
|
954 |
499 |
$397.56 |
| 73630 |
|
15 |
15 |
$364.59 |
| 82607 |
|
25 |
25 |
$357.32 |
| 82043 |
|
61 |
56 |
$343.19 |
| 73562 |
|
27 |
24 |
$339.56 |
| 90674 |
|
18 |
18 |
$312.20 |
| 86592 |
|
15 |
12 |
$310.37 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
18 |
15 |
$296.01 |
| 83690 |
|
572 |
403 |
$289.27 |
| 80074 |
|
15 |
12 |
$277.79 |
| 85379 |
|
257 |
202 |
$274.62 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
37 |
26 |
$233.10 |
| 81025 |
|
496 |
320 |
$222.30 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
840 |
542 |
$219.40 |
| 88142 |
|
31 |
24 |
$216.33 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,041 |
1,118 |
$194.81 |
| 87077 |
|
63 |
53 |
$192.95 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,092 |
797 |
$189.44 |
| 83540 |
|
15 |
12 |
$182.32 |
| 87040 |
|
231 |
123 |
$181.87 |
| 85652 |
|
46 |
38 |
$181.72 |
| 85730 |
|
195 |
139 |
$158.91 |
| 83880 |
|
142 |
106 |
$144.55 |
| 90686 |
|
15 |
12 |
$133.41 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
705 |
473 |
$71.23 |
| 82150 |
|
114 |
77 |
$53.93 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,244 |
683 |
$50.61 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17 |
14 |
$39.99 |
| 82962 |
|
67 |
41 |
$36.90 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
353 |
171 |
$14.47 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
117 |
107 |
$13.52 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
373 |
185 |
$10.04 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
166 |
74 |
$10.02 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
933 |
513 |
$8.18 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15 |
12 |
$1.80 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
24 |
13 |
$1.16 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
540 |
231 |
$0.62 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
146 |
73 |
$0.00 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
16 |
13 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
330 |
104 |
$0.00 |
| 96376 |
|
17 |
12 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
15 |
12 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
116 |
102 |
$0.00 |
| 01992 |
|
17 |
13 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
31 |
26 |
$0.00 |