| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
13,855 |
12,530 |
$3.12M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
16,936 |
15,608 |
$2.65M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,247 |
3,696 |
$1.41M |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
48,289 |
38,673 |
$1.12M |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
3,793 |
3,291 |
$485K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
431 |
377 |
$471K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
6,742 |
6,073 |
$375K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,261 |
2,706 |
$285K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,978 |
5,134 |
$245K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,299 |
2,934 |
$153K |
| 99199 |
Unlisted special service, procedure or report |
47,632 |
46,531 |
$142K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
20,693 |
17,733 |
$142K |
| 80053 |
Comprehensive metabolic panel |
16,375 |
14,121 |
$121K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,445 |
8,046 |
$118K |
| 87428 |
|
1,402 |
1,211 |
$110K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,740 |
2,447 |
$95K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
563 |
524 |
$93K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,118 |
2,686 |
$90K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,907 |
5,139 |
$68K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
796 |
630 |
$63K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
918 |
461 |
$54K |
| 71046 |
Radiologic examination, chest; 2 views |
687 |
631 |
$44K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,433 |
2,334 |
$37K |
| 71045 |
Radiologic examination, chest; single view |
1,025 |
912 |
$34K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,074 |
927 |
$33K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,585 |
2,386 |
$32K |
| 81001 |
|
9,481 |
8,476 |
$29K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
305 |
279 |
$29K |
| 92587 |
|
1,062 |
1,005 |
$26K |
| 70450 |
Computed tomography, head or brain; without contrast material |
68 |
62 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,026 |
1,978 |
$20K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
3,672 |
3,089 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
176 |
101 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
157 |
105 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
6,453 |
4,849 |
$15K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
533 |
451 |
$14K |
| 84703 |
|
1,387 |
1,226 |
$13K |
| 90837 |
Psychotherapy, 53 minutes with patient |
401 |
216 |
$13K |
| 81003 |
|
5,157 |
3,839 |
$13K |
| 83690 |
|
1,889 |
1,682 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
399 |
389 |
$12K |
| 96127 |
|
625 |
530 |
$12K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,297 |
1,117 |
$11K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
16 |
16 |
$10K |
| 92557 |
|
410 |
395 |
$9K |
| 99493 |
|
151 |
122 |
$8K |
| 81002 |
|
1,904 |
1,406 |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
158 |
120 |
$6K |
| 84484 |
|
772 |
536 |
$6K |
| 99215 |
Prolong outpt/office vis |
185 |
166 |
$5K |
| J7050 |
Infusion, normal saline solution, 250 cc |
805 |
495 |
$5K |
| 87070 |
|
452 |
428 |
$5K |
| 87806 |
|
182 |
179 |
$5K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,105 |
990 |
$5K |
| 81025 |
|
579 |
548 |
$4K |
| 86592 |
|
833 |
732 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
161 |
146 |
$4K |
| 92552 |
|
183 |
153 |
$4K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,235 |
1,084 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
39 |
29 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
40 |
36 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
174 |
123 |
$2K |
| 86850 |
|
179 |
155 |
$2K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
16 |
14 |
$2K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
339 |
311 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
25 |
24 |
$2K |
| 96367 |
|
92 |
50 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
36 |
35 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
49 |
40 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
49 |
40 |
$2K |
| 76830 |
Ultrasound, transvaginal |
50 |
46 |
$2K |
| 80061 |
Lipid panel |
131 |
107 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$1K |
| 87807 |
|
95 |
92 |
$1K |
| 97597 |
|
42 |
25 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
26 |
25 |
$977.63 |
| 0011A |
|
20 |
19 |
$960.00 |
| 0012A |
|
17 |
17 |
$960.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
27 |
$950.97 |
| 84112 |
|
13 |
12 |
$918.13 |
| 90686 |
|
2,701 |
2,095 |
$906.78 |
| 85027 |
|
101 |
90 |
$848.36 |
| 87081 |
|
76 |
71 |
$741.65 |
| 0031A |
|
21 |
21 |
$678.73 |
| 86901 |
|
177 |
156 |
$664.68 |
| 92567 |
|
109 |
105 |
$634.87 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
97 |
78 |
$617.26 |
| 86900 |
|
180 |
156 |
$579.77 |
| 92570 |
|
68 |
65 |
$575.20 |
| 99494 |
|
13 |
12 |
$556.67 |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$498.75 |
| 80076 |
|
72 |
63 |
$472.75 |
| 90474 |
|
63 |
63 |
$467.28 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
93 |
77 |
$454.91 |
| 92551 |
|
178 |
132 |
$436.17 |
| 94760 |
|
418 |
386 |
$432.60 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
797 |
284 |
$417.90 |
| 59025 |
Fetal non-stress test |
15 |
12 |
$399.92 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
165 |
80 |
$309.92 |
| 82950 |
|
52 |
27 |
$301.92 |
| J3490 |
Unclassified drugs |
92 |
76 |
$297.04 |
| 82150 |
|
49 |
46 |
$274.72 |
| D1206 |
Topical application of fluoride varnish |
17 |
12 |
$265.89 |
| 82565 |
|
59 |
51 |
$249.67 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
42 |
38 |
$197.81 |
| J2704 |
Injection, propofol, 10 mg |
16 |
12 |
$176.51 |
| 99173 |
|
158 |
114 |
$167.99 |
| 82947 |
|
111 |
92 |
$156.48 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
13 |
12 |
$154.10 |
| 86140 |
|
26 |
24 |
$153.75 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
64 |
64 |
$151.98 |
| 85652 |
|
27 |
25 |
$83.49 |
| 90670 |
|
1,758 |
1,572 |
$76.16 |
| 90681 |
|
43 |
41 |
$73.53 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
16 |
15 |
$65.50 |
| 90688 |
|
100 |
26 |
$44.00 |
| 90734 |
|
16 |
15 |
$42.77 |
| 90647 |
|
405 |
390 |
$37.04 |
| 90744 |
|
12 |
12 |
$26.73 |
| 90648 |
|
97 |
90 |
$22.92 |
| 90656 |
|
124 |
118 |
$18.75 |
| 85018 |
|
16 |
15 |
$5.90 |
| 90633 |
|
41 |
38 |
$5.35 |
| 90723 |
|
575 |
501 |
$0.00 |
| 1036F |
|
1,494 |
794 |
$0.00 |
| 3008F |
|
3,337 |
1,885 |
$0.00 |
| 3074F |
|
1,788 |
1,082 |
$0.00 |
| 90698 |
|
70 |
67 |
$0.00 |
| 90716 |
|
51 |
51 |
$0.00 |
| 90677 |
|
40 |
40 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90685 |
|
145 |
142 |
$0.00 |
| 1159F |
|
3,737 |
1,863 |
$0.00 |
| 1160F |
|
3,941 |
2,004 |
$0.00 |
| 3078F |
|
1,737 |
1,052 |
$0.00 |
| 90707 |
|
66 |
66 |
$0.00 |
| 90700 |
|
29 |
29 |
$0.00 |