| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| X4011 |
State-specific procedure code |
6,299 |
4,879 |
$1.60M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,435 |
5,763 |
$702K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
8,165 |
7,036 |
$423K |
| Y7507 |
|
1,768 |
1,234 |
$379K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,553 |
1,656 |
$346K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,551 |
4,402 |
$290K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,301 |
6,490 |
$187K |
| 80053 |
Comprehensive metabolic panel |
8,178 |
6,438 |
$185K |
| 81001 |
|
5,394 |
4,263 |
$161K |
| X4003 |
|
491 |
451 |
$138K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
648 |
447 |
$123K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
670 |
504 |
$122K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
792 |
662 |
$111K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,258 |
1,850 |
$108K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,538 |
2,121 |
$105K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,679 |
1,541 |
$80K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
462 |
299 |
$76K |
| 87428 |
|
3,263 |
2,835 |
$69K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,047 |
994 |
$57K |
| 71046 |
Radiologic examination, chest; 2 views |
421 |
330 |
$48K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
606 |
495 |
$42K |
| 71045 |
Radiologic examination, chest; single view |
836 |
695 |
$30K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
621 |
460 |
$25K |
| 84484 |
|
1,801 |
1,288 |
$19K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
468 |
383 |
$16K |
| 87807 |
|
169 |
162 |
$15K |
| 83690 |
|
740 |
620 |
$14K |
| 83880 |
|
921 |
705 |
$14K |
| 82550 |
|
1,206 |
875 |
$13K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
454 |
395 |
$12K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
178 |
142 |
$12K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,053 |
843 |
$12K |
| J3490 |
Unclassified drugs |
1,259 |
904 |
$12K |
| 86140 |
|
1,767 |
1,512 |
$10K |
| 70450 |
Computed tomography, head or brain; without contrast material |
129 |
115 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
400 |
336 |
$9K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,301 |
2,613 |
$8K |
| 86235 |
|
412 |
101 |
$8K |
| Y7506 |
|
51 |
42 |
$7K |
| 86480 |
|
213 |
174 |
$7K |
| 86328 |
|
705 |
603 |
$7K |
| 73630 |
|
145 |
65 |
$6K |
| 82150 |
|
263 |
250 |
$6K |
| 85651 |
|
1,314 |
1,120 |
$6K |
| 83735 |
|
1,433 |
1,141 |
$6K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
156 |
131 |
$5K |
| 73130 |
|
133 |
55 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
30 |
26 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
247 |
227 |
$4K |
| 82553 |
|
262 |
200 |
$4K |
| 73522 |
|
74 |
57 |
$4K |
| 86225 |
|
186 |
117 |
$3K |
| A9270 |
Non-covered item or service |
3,906 |
1,567 |
$2K |
| 86803 |
|
260 |
193 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
110 |
92 |
$2K |
| 80061 |
Lipid panel |
43 |
42 |
$2K |
| 83605 |
|
354 |
284 |
$2K |
| 83516 |
|
136 |
87 |
$2K |
| 72202 |
|
31 |
24 |
$2K |
| 86705 |
|
178 |
144 |
$1K |
| 86200 |
|
175 |
138 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
93 |
63 |
$1K |
| 81025 |
|
179 |
153 |
$1K |
| 86038 |
|
89 |
72 |
$1K |
| 80076 |
|
125 |
111 |
$1K |
| 86160 |
|
209 |
113 |
$1K |
| 84145 |
|
160 |
142 |
$941.72 |
| 82565 |
|
125 |
114 |
$910.37 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
311 |
287 |
$750.30 |
| 87340 |
|
95 |
80 |
$668.01 |
| 72170 |
|
22 |
15 |
$621.78 |
| 86709 |
|
73 |
63 |
$599.74 |
| 80143 |
|
28 |
24 |
$526.18 |
| 80179 |
|
28 |
24 |
$526.18 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
14 |
$470.50 |
| 85379 |
|
68 |
51 |
$415.39 |
| 86431 |
|
109 |
85 |
$352.19 |
| 84550 |
|
64 |
57 |
$200.03 |
| Q3014 |
Telehealth originating site facility fee |
13 |
12 |
$196.83 |
| 82607 |
|
16 |
14 |
$176.10 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16 |
16 |
$172.99 |
| 84439 |
|
31 |
15 |
$71.27 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
409 |
201 |
$55.13 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
87 |
65 |
$50.19 |
| 84100 |
|
31 |
25 |
$48.64 |
| 87040 |
|
78 |
37 |
$0.00 |
| 80320 |
|
16 |
14 |
$0.00 |
| 85007 |
|
56 |
40 |
$0.00 |