| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,756 |
5,714 |
$926K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,597 |
12,109 |
$773K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,917 |
1,896 |
$411K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,813 |
3,684 |
$326K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,661 |
2,632 |
$67K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,640 |
4,550 |
$66K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
103 |
101 |
$34K |
| 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 |
426 |
422 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
257 |
256 |
$26K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
385 |
385 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,320 |
1,308 |
$23K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
397 |
396 |
$20K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
158 |
157 |
$19K |
| 99441 |
|
640 |
628 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
145 |
145 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
416 |
416 |
$13K |
| 80050 |
General health panel |
390 |
390 |
$12K |
| 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 |
426 |
422 |
$10K |
| 80053 |
Comprehensive metabolic panel |
446 |
440 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
63 |
63 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
716 |
710 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
55 |
55 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
2,085 |
1,989 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
139 |
138 |
$4K |
| 80061 |
Lipid panel |
285 |
285 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
42 |
40 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
136 |
134 |
$2K |
| 87807 |
|
142 |
139 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
37 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
29 |
29 |
$905.09 |
| 99442 |
|
37 |
35 |
$795.32 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
81 |
81 |
$693.26 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
13 |
13 |
$612.59 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
43 |
41 |
$228.03 |
| 99406 |
|
15 |
15 |
$183.37 |
| 81001 |
|
41 |
41 |
$91.95 |
| 83735 |
|
12 |
12 |
$71.52 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
12 |
12 |
$67.50 |
| 85027 |
|
15 |
15 |
$64.85 |
| 90686 |
|
322 |
321 |
$30.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
56 |
56 |
$13.22 |
| 84443 |
Thyroid stimulating hormone (TSH) |
14 |
14 |
$6.68 |
| 99072 |
|
1,846 |
1,764 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
38 |
38 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 90688 |
|
44 |
44 |
$0.00 |