| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
70,386 |
37,714 |
$4.79M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,000 |
15,481 |
$1.56M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,557 |
7,576 |
$1.20M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,464 |
4,602 |
$713K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,200 |
2,906 |
$250K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,490 |
1,319 |
$245K |
| 71045 |
Radiologic examination, chest; single view |
5,527 |
4,357 |
$166K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,565 |
796 |
$153K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,228 |
1,007 |
$129K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,827 |
1,557 |
$111K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,747 |
1,360 |
$96K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,043 |
527 |
$95K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
3,954 |
3,385 |
$85K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,066 |
1,842 |
$83K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,275 |
806 |
$80K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
475 |
422 |
$72K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,011 |
883 |
$63K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
955 |
869 |
$60K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
957 |
699 |
$58K |
| 80053 |
Comprehensive metabolic panel |
10,471 |
8,139 |
$52K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13,874 |
10,515 |
$50K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,074 |
335 |
$49K |
| 36415 |
Collection of venous blood by venipuncture |
23,888 |
18,755 |
$47K |
| 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 |
749 |
627 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
307 |
161 |
$31K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,361 |
1,132 |
$30K |
| A0425 |
Ground mileage, per statute mile |
282 |
223 |
$28K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,146 |
1,691 |
$25K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
465 |
400 |
$25K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,260 |
1,157 |
$24K |
| 86003 |
|
381 |
331 |
$23K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,239 |
929 |
$22K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
5,751 |
4,130 |
$20K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
130 |
101 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
2,548 |
2,011 |
$14K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
871 |
633 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,304 |
606 |
$12K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
621 |
584 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
243 |
152 |
$9K |
| 80061 |
Lipid panel |
1,095 |
1,014 |
$8K |
| 84484 |
|
1,083 |
781 |
$8K |
| 83605 |
|
1,249 |
975 |
$8K |
| 11719 |
|
2,027 |
1,592 |
$7K |
| 90680 |
|
61 |
42 |
$6K |
| 87634 |
|
138 |
111 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
791 |
604 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
122 |
99 |
$6K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
506 |
160 |
$5K |
| 80050 |
General health panel |
18 |
17 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
463 |
362 |
$4K |
| 90651 |
|
41 |
28 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
677 |
621 |
$3K |
| 99215 |
Prolong outpt/office vis |
46 |
27 |
$3K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
706 |
569 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
516 |
366 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
225 |
166 |
$3K |
| 73630 |
|
527 |
455 |
$3K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
12 |
12 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
563 |
489 |
$3K |
| 73130 |
|
453 |
380 |
$3K |
| 83880 |
|
154 |
129 |
$3K |
| 97162 |
|
35 |
25 |
$3K |
| 20610 |
|
36 |
15 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
86 |
66 |
$2K |
| 83690 |
|
659 |
537 |
$2K |
| 81005 |
|
1,260 |
1,102 |
$2K |
| 94760 |
|
55 |
45 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
318 |
225 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
273 |
250 |
$2K |
| 90682 |
|
139 |
112 |
$2K |
| 84481 |
|
124 |
111 |
$2K |
| 73030 |
|
286 |
229 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
88 |
56 |
$2K |
| 87400 |
|
410 |
342 |
$1K |
| 73564 |
|
171 |
152 |
$1K |
| 80305 |
|
264 |
225 |
$1K |
| 73610 |
|
240 |
209 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
85 |
47 |
$1K |
| 84439 |
|
178 |
160 |
$1K |
| 99307 |
|
228 |
156 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
33 |
24 |
$1K |
| 82728 |
|
171 |
152 |
$885.03 |
| 73110 |
|
140 |
113 |
$861.20 |
| 85379 |
|
159 |
125 |
$767.39 |
| 82550 |
|
177 |
165 |
$662.51 |
| 90686 |
|
1,362 |
1,122 |
$601.09 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
30 |
26 |
$579.30 |
| 82150 |
|
230 |
200 |
$569.16 |
| 72100 |
|
66 |
61 |
$553.67 |
| 81001 |
|
412 |
321 |
$476.44 |
| 84460 |
|
162 |
149 |
$447.20 |
| 74018 |
|
72 |
63 |
$445.84 |
| 83735 |
|
157 |
135 |
$436.29 |
| 83550 |
|
144 |
125 |
$406.30 |
| 81025 |
|
50 |
42 |
$351.34 |
| 81015 |
|
147 |
75 |
$336.61 |
| 83540 |
|
145 |
126 |
$311.28 |
| 84443 |
Thyroid stimulating hormone (TSH) |
32 |
26 |
$302.40 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
12 |
$202.65 |
| 85018 |
|
24 |
19 |
$163.86 |
| P9603 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled |
419 |
289 |
$153.49 |
| 83655 |
|
12 |
12 |
$142.08 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
27 |
25 |
$107.46 |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
41 |
26 |
$101.19 |
| 87807 |
|
19 |
16 |
$92.30 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
17 |
12 |
$68.20 |
| 82607 |
|
12 |
12 |
$60.32 |
| 87077 |
|
15 |
13 |
$52.20 |
| 81002 |
|
13 |
12 |
$39.78 |
| 85027 |
|
12 |
12 |
$28.73 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
116 |
94 |
$27.24 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
869 |
673 |
$25.58 |
| 81003 |
|
16 |
12 |
$16.39 |
| 99000 |
|
22 |
12 |
$8.02 |
| A9270 |
Non-covered item or service |
119 |
91 |
$0.29 |
| 90656 |
|
29 |
28 |
$0.20 |
| 90670 |
|
283 |
236 |
$0.10 |
| 90744 |
|
50 |
28 |
$0.01 |
| 90688 |
|
30 |
28 |
$0.01 |
| 90633 |
|
151 |
114 |
$0.01 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
118 |
58 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
38 |
35 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
139 |
79 |
$0.00 |
| 90698 |
|
28 |
19 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
28 |
25 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
27 |
17 |
$0.00 |
| 80320 |
|
33 |
28 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
326 |
264 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
69 |
59 |
$0.00 |
| 90648 |
|
64 |
52 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
13 |
12 |
$0.00 |
| 90710 |
|
34 |
27 |
$0.00 |
| 90685 |
|
26 |
26 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |