| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
25,129 |
24,539 |
$12.42M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
71,406 |
70,310 |
$9.16M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,136 |
3,889 |
$2.10M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,841 |
15,044 |
$1.56M |
| 41899 |
Unlisted procedure, dentoalveolar structures |
584 |
535 |
$684K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,208 |
5,174 |
$568K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,932 |
3,896 |
$526K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16,002 |
14,087 |
$383K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,370 |
2,344 |
$259K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,880 |
1,528 |
$169K |
| 80053 |
Comprehensive metabolic panel |
8,346 |
7,792 |
$160K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,499 |
1,438 |
$148K |
| G0378 |
Hospital observation service, per hour |
71 |
69 |
$128K |
| 71046 |
Radiologic examination, chest; 2 views |
5,305 |
5,175 |
$119K |
| 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 |
4,369 |
4,316 |
$118K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
28 |
26 |
$98K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
790 |
767 |
$84K |
| 72082 |
|
1,413 |
1,392 |
$80K |
| 85045 |
|
2,946 |
2,454 |
$76K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
883 |
273 |
$74K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
641 |
616 |
$43K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,709 |
1,319 |
$39K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,816 |
1,693 |
$36K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
7,101 |
6,972 |
$34K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
13 |
12 |
$30K |
| 29705 |
|
2,419 |
2,367 |
$30K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
18 |
18 |
$29K |
| 29075 |
|
208 |
200 |
$29K |
| U0005 |
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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
3,730 |
3,692 |
$27K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
222 |
163 |
$22K |
| 81001 |
|
12,088 |
11,818 |
$22K |
| 73100 |
|
774 |
710 |
$22K |
| 77073 |
|
458 |
448 |
$14K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
543 |
507 |
$12K |
| 99215 |
Prolong outpt/office vis |
146 |
142 |
$11K |
| 82728 |
|
80 |
73 |
$9K |
| 73090 |
|
431 |
399 |
$9K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
25 |
12 |
$9K |
| 29125 |
|
530 |
498 |
$8K |
| 93320 |
|
25 |
12 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
127 |
118 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
56 |
49 |
$7K |
| 73521 |
|
209 |
205 |
$6K |
| 73070 |
|
216 |
207 |
$6K |
| L3913 |
Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment |
69 |
67 |
$6K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
25 |
25 |
$5K |
| 64642 |
|
12 |
12 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
516 |
503 |
$4K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
27 |
12 |
$4K |
| 73630 |
|
176 |
122 |
$4K |
| 29065 |
|
27 |
26 |
$3K |
| 73610 |
|
102 |
91 |
$3K |
| 77072 |
|
113 |
112 |
$3K |
| 73130 |
|
61 |
53 |
$2K |
| 83880 |
|
68 |
53 |
$2K |
| 87070 |
|
474 |
462 |
$2K |
| 97161 |
|
15 |
12 |
$2K |
| 84466 |
|
12 |
12 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
790 |
712 |
$1K |
| 84460 |
|
127 |
89 |
$1K |
| 82247 |
|
157 |
115 |
$1K |
| 84450 |
|
115 |
77 |
$1K |
| 82784 |
|
18 |
12 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
12 |
12 |
$1K |
| 87040 |
|
155 |
146 |
$1K |
| 83735 |
|
97 |
74 |
$1K |
| 97750 |
|
25 |
25 |
$960.86 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
207 |
173 |
$899.46 |
| 73140 |
|
44 |
43 |
$893.58 |
| 83540 |
|
12 |
12 |
$823.34 |
| 93325 |
|
25 |
12 |
$767.25 |
| 72081 |
|
25 |
24 |
$712.59 |
| 64643 |
|
22 |
12 |
$672.41 |
| C1889 |
Implantable/insertable device, not otherwise classified |
12 |
12 |
$643.86 |
| 83690 |
|
90 |
89 |
$601.46 |
| 87486 |
|
25 |
25 |
$468.30 |
| 87581 |
|
25 |
25 |
$468.30 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
25 |
25 |
$468.30 |
| 84100 |
|
40 |
25 |
$416.24 |
| 92523 |
|
12 |
12 |
$393.27 |
| 97166 |
|
12 |
12 |
$385.74 |
| 92610 |
|
12 |
12 |
$379.98 |
| 97162 |
|
12 |
12 |
$321.87 |
| 86140 |
|
55 |
53 |
$145.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
43 |
$93.71 |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
14 |
14 |
$78.88 |
| 81025 |
|
26 |
25 |
$78.78 |
| 82962 |
|
82 |
81 |
$43.98 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
29 |
29 |
$37.81 |
| 73080 |
|
12 |
12 |
$34.27 |
| 87205 |
|
13 |
12 |
$11.46 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
25 |
24 |
$7.32 |
| J2704 |
Injection, propofol, 10 mg |
12 |
12 |
$5.46 |
| L4386 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
13 |
12 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
14 |
12 |
$0.00 |