| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
419 |
394 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
542 |
502 |
$9K |
| 99201 |
|
671 |
617 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
250 |
231 |
$8K |
| 99221 |
|
296 |
273 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
236 |
222 |
$7K |
| 0456 |
|
359 |
345 |
$6K |
| 80053 |
Comprehensive metabolic panel |
1,062 |
986 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,531 |
1,427 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
451 |
427 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
364 |
327 |
$2K |
| J3490 |
Unclassified drugs |
952 |
792 |
$2K |
| 36425 |
|
229 |
214 |
$2K |
| 0760 |
|
122 |
108 |
$2K |
| 0250 |
|
498 |
448 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
359 |
345 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
15 |
14 |
$922.43 |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
75 |
72 |
$916.96 |
| 0750 |
|
33 |
33 |
$899.52 |
| 0761 |
|
43 |
41 |
$887.01 |
| 81001 |
|
704 |
666 |
$878.21 |
| 0360 |
|
120 |
89 |
$801.84 |
| 85730 |
|
475 |
454 |
$666.50 |
| 36415 |
Collection of venous blood by venipuncture |
993 |
909 |
$617.62 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
382 |
364 |
$597.97 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
183 |
170 |
$582.20 |
| 0710 |
|
192 |
188 |
$534.00 |
| 82553 |
|
156 |
151 |
$485.26 |
| 85610 |
|
477 |
456 |
$440.05 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
212 |
197 |
$435.12 |
| 84484 |
|
158 |
153 |
$420.93 |
| 83690 |
|
133 |
125 |
$408.71 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
14 |
12 |
$391.08 |
| 82150 |
|
133 |
125 |
$373.75 |
| 82550 |
|
156 |
151 |
$285.91 |
| A4649 |
Surgical supply; miscellaneous |
146 |
127 |
$226.61 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
43 |
43 |
$86.98 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
12 |
$85.44 |
| 84703 |
|
25 |
25 |
$78.92 |
| 0270 |
|
136 |
115 |
$56.57 |
| 81025 |
|
16 |
16 |
$24.92 |
| 0272 |
|
98 |
90 |
$24.75 |
| 82948 |
|
143 |
136 |
$9.31 |
| 96376 |
|
13 |
12 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
13 |
12 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
6,849 |
896 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
15 |
15 |
$0.00 |