| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| X4011 |
State-specific procedure code |
11,659 |
10,810 |
$3.29M |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
20,620 |
19,236 |
$1.78M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,993 |
8,541 |
$1.51M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
6,681 |
6,205 |
$1.47M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,000 |
2,770 |
$1.15M |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
47,335 |
4,467 |
$740K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12,257 |
11,390 |
$463K |
| 80053 |
Comprehensive metabolic panel |
10,086 |
9,416 |
$322K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,060 |
1,909 |
$256K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,829 |
3,109 |
$153K |
| X4006 |
|
261 |
213 |
$145K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,066 |
988 |
$118K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,818 |
2,624 |
$113K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,752 |
5,641 |
$98K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,759 |
3,106 |
$96K |
| 80306 |
|
3,657 |
3,310 |
$81K |
| X4003 |
|
1,028 |
863 |
$70K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
751 |
723 |
$70K |
| 71045 |
Radiologic examination, chest; single view |
929 |
871 |
$45K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,215 |
1,056 |
$41K |
| 81025 |
|
1,125 |
1,065 |
$30K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
272 |
250 |
$29K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
158 |
158 |
$27K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,325 |
2,122 |
$27K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
599 |
563 |
$27K |
| 80047 |
|
154 |
143 |
$25K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
200 |
180 |
$21K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
509 |
471 |
$19K |
| 76818 |
|
144 |
66 |
$18K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
72 |
50 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
458 |
448 |
$14K |
| 0240U |
|
107 |
104 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
120 |
120 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,236 |
1,214 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
28 |
$12K |
| 87428 |
|
224 |
222 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
38 |
36 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
490 |
487 |
$9K |
| 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 |
315 |
310 |
$8K |
| 87400 |
|
157 |
149 |
$7K |
| 84484 |
|
688 |
593 |
$6K |
| 81003 |
|
820 |
630 |
$6K |
| 80076 |
|
29 |
28 |
$5K |
| 83690 |
|
239 |
222 |
$4K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
66 |
53 |
$4K |
| 73630 |
|
61 |
52 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
16 |
14 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
119 |
108 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
52 |
48 |
$2K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
94 |
90 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
13 |
12 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
30 |
27 |
$2K |
| 86780 |
|
128 |
125 |
$1K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
12 |
12 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
43 |
40 |
$1K |
| 83735 |
|
276 |
255 |
$1K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
13 |
12 |
$527.57 |
| 87081 |
|
78 |
77 |
$522.32 |
| 81001 |
|
224 |
212 |
$470.80 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
16 |
13 |
$470.54 |
| 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 |
205 |
204 |
$375.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
12 |
12 |
$279.53 |
| 73610 |
|
17 |
12 |
$256.70 |
| 72100 |
|
13 |
13 |
$242.55 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
26 |
25 |
$181.56 |
| 85610 |
|
73 |
65 |
$152.34 |
| 99484 |
|
42 |
36 |
$130.59 |
| 85379 |
|
14 |
13 |
$127.53 |
| 81002 |
|
43 |
42 |
$122.74 |
| 82962 |
|
55 |
55 |
$110.67 |
| 84703 |
|
16 |
15 |
$99.88 |
| J3490 |
Unclassified drugs |
85 |
37 |
$0.36 |