| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,366 |
4,968 |
$1.17M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,269 |
3,703 |
$995K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,863 |
1,868 |
$661K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
14,832 |
10,258 |
$493K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,051 |
1,772 |
$277K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
4,100 |
1,205 |
$217K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
3,191 |
1,133 |
$157K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,635 |
700 |
$98K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,686 |
1,733 |
$91K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,832 |
1,818 |
$83K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,754 |
1,138 |
$75K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
653 |
500 |
$56K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,284 |
1,852 |
$52K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
718 |
417 |
$49K |
| 80053 |
Comprehensive metabolic panel |
7,266 |
5,655 |
$40K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
629 |
542 |
$39K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,513 |
5,782 |
$36K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
212 |
181 |
$29K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,802 |
1,633 |
$25K |
| A0425 |
Ground mileage, per statute mile |
849 |
664 |
$23K |
| 87631 |
|
176 |
168 |
$23K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
696 |
607 |
$22K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
509 |
409 |
$18K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
232 |
226 |
$16K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
349 |
334 |
$14K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,440 |
2,032 |
$14K |
| 70450 |
Computed tomography, head or brain; without contrast material |
444 |
390 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
891 |
805 |
$13K |
| 80081 |
|
166 |
157 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,722 |
1,510 |
$12K |
| 59025 |
Fetal non-stress test |
247 |
114 |
$12K |
| 83880 |
|
991 |
814 |
$11K |
| 83690 |
|
2,053 |
1,700 |
$10K |
| 81001 |
|
4,184 |
3,464 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
962 |
822 |
$10K |
| 84702 |
|
721 |
521 |
$9K |
| 90715 |
|
503 |
453 |
$8K |
| 84484 |
|
1,767 |
1,275 |
$8K |
| 87660 |
|
404 |
346 |
$8K |
| 83605 |
|
1,420 |
1,050 |
$8K |
| 90670 |
|
546 |
498 |
$8K |
| 76801 |
|
149 |
127 |
$7K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
141 |
122 |
$7K |
| 84443 |
Thyroid stimulating hormone (TSH) |
691 |
622 |
$7K |
| 87480 |
|
404 |
346 |
$7K |
| 87510 |
|
404 |
346 |
$7K |
| 81025 |
|
992 |
858 |
$7K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
87 |
77 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
493 |
436 |
$6K |
| J2704 |
Injection, propofol, 10 mg |
606 |
529 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
1,509 |
1,226 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
127 |
124 |
$6K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
680 |
492 |
$5K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,630 |
1,244 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
101 |
91 |
$5K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
644 |
453 |
$5K |
| 87081 |
|
798 |
708 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
61 |
60 |
$5K |
| 87186 |
|
1,001 |
800 |
$5K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,003 |
614 |
$5K |
| 73610 |
|
242 |
197 |
$5K |
| 90686 |
|
692 |
667 |
$5K |
| 85027 |
|
833 |
663 |
$4K |
| 97161 |
|
94 |
76 |
$4K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
347 |
293 |
$4K |
| 85610 |
|
1,335 |
948 |
$4K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,083 |
1,402 |
$4K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
716 |
621 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
722 |
648 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
907 |
805 |
$4K |
| 87088 |
|
726 |
600 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
700 |
564 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
50 |
50 |
$3K |
| 87040 |
|
473 |
245 |
$3K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
32 |
24 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
268 |
202 |
$3K |
| 83735 |
|
814 |
628 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
13 |
13 |
$2K |
| 80061 |
Lipid panel |
329 |
292 |
$2K |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
649 |
293 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
784 |
579 |
$2K |
| 73630 |
|
145 |
111 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
67 |
56 |
$2K |
| 74018 |
|
180 |
149 |
$2K |
| 73562 |
|
116 |
94 |
$2K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
135 |
122 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
13 |
12 |
$1K |
| 87807 |
|
142 |
107 |
$1K |
| 82247 |
|
291 |
151 |
$1K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
26 |
25 |
$1K |
| 82950 |
|
316 |
298 |
$1K |
| 73110 |
|
90 |
72 |
$1K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
197 |
169 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
27 |
24 |
$1K |
| 86140 |
|
277 |
229 |
$1K |
| 90680 |
|
237 |
222 |
$964.57 |
| 81003 |
|
538 |
455 |
$807.20 |
| 90698 |
|
361 |
344 |
$796.01 |
| 72100 |
|
45 |
40 |
$775.31 |
| 90473 |
|
43 |
43 |
$757.38 |
| 85018 |
|
370 |
310 |
$723.47 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
12 |
$682.60 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
15 |
14 |
$653.73 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
36 |
27 |
$570.10 |
| 73090 |
|
44 |
37 |
$495.11 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
108 |
94 |
$487.84 |
| 80050 |
General health panel |
376 |
350 |
$476.29 |
| 73130 |
|
29 |
26 |
$457.92 |
| 73030 |
|
54 |
42 |
$450.48 |
| 85379 |
|
56 |
52 |
$421.40 |
| 85730 |
|
91 |
80 |
$354.49 |
| 80306 |
|
25 |
24 |
$321.19 |
| 73502 |
|
34 |
24 |
$291.46 |
| 86901 |
|
49 |
43 |
$169.67 |
| G0008 |
Administration of influenza virus vaccine |
102 |
96 |
$140.00 |
| 84439 |
|
12 |
12 |
$122.02 |
| 82570 |
|
47 |
37 |
$118.80 |
| 90744 |
|
112 |
103 |
$112.58 |
| 90662 |
|
34 |
33 |
$104.78 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
940 |
773 |
$101.80 |
| 85651 |
|
41 |
28 |
$97.01 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
34 |
26 |
$77.81 |
| 36415 |
Collection of venous blood by venipuncture |
243 |
189 |
$76.93 |
| 90633 |
|
102 |
85 |
$76.26 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
41 |
24 |
$49.54 |
| 84100 |
|
21 |
12 |
$48.96 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
54 |
26 |
$42.41 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
13 |
$22.04 |
| 82947 |
|
23 |
14 |
$3.16 |
| 90688 |
|
16 |
16 |
$0.16 |
| 90734 |
|
12 |
12 |
$0.12 |
| 90651 |
|
17 |
17 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
13 |
12 |
$0.00 |
| 96376 |
|
136 |
112 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
62 |
61 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
198 |
196 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
288 |
260 |
$0.00 |