| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,338 |
1,175 |
$352K |
| 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 |
1,836 |
1,762 |
$167K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,961 |
1,560 |
$120K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,687 |
2,659 |
$103K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,267 |
6,975 |
$71K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,160 |
1,134 |
$70K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
799 |
790 |
$67K |
| 36415 |
Collection of venous blood by venipuncture |
3,617 |
3,085 |
$50K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,303 |
1,380 |
$40K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,013 |
921 |
$37K |
| 80053 |
Comprehensive metabolic panel |
416 |
382 |
$28K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
273 |
266 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
873 |
858 |
$8K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
371 |
280 |
$8K |
| 90832 |
Psychotherapy, 30 minutes with patient |
266 |
198 |
$6K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
63 |
50 |
$5K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
26 |
26 |
$5K |
| 87420 |
|
50 |
50 |
$4K |
| 11721 |
|
638 |
328 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
261 |
212 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
581 |
389 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
53 |
40 |
$3K |
| 81001 |
|
202 |
184 |
$3K |
| 0001A |
|
151 |
138 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
285 |
184 |
$2K |
| 0002A |
|
95 |
94 |
$2K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
29 |
25 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
85 |
83 |
$2K |
| 87275 |
|
202 |
188 |
$2K |
| 83735 |
|
44 |
39 |
$1K |
| 99442 |
|
50 |
49 |
$1K |
| 90686 |
|
283 |
279 |
$1K |
| 87276 |
|
202 |
188 |
$974.68 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
13 |
12 |
$738.04 |
| 87070 |
|
12 |
12 |
$564.95 |
| 92015 |
Determination of refractive state |
31 |
29 |
$462.90 |
| 86140 |
|
18 |
14 |
$411.78 |
| 99443 |
|
12 |
12 |
$345.41 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
25 |
25 |
$307.30 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
14 |
12 |
$228.67 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
22 |
21 |
$222.04 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
14 |
12 |
$125.17 |
| 92551 |
|
12 |
12 |
$93.61 |
| 96127 |
|
12 |
12 |
$61.29 |