| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,075 |
1,013 |
$252K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,038 |
944 |
$235K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
947 |
834 |
$198K |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
483 |
483 |
$187K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
641 |
572 |
$132K |
| 87536 |
|
1,344 |
1,329 |
$127K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
609 |
559 |
$117K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
255 |
236 |
$89K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,536 |
920 |
$54K |
| 80076 |
|
1,550 |
1,425 |
$40K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,525 |
914 |
$37K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,025 |
1,761 |
$34K |
| 86356 |
|
587 |
584 |
$23K |
| 80053 |
Comprehensive metabolic panel |
930 |
861 |
$22K |
| 86360 |
|
735 |
731 |
$16K |
| 36415 |
Collection of venous blood by venipuncture |
1,818 |
1,735 |
$16K |
| 99215 |
Prolong outpt/office vis |
62 |
58 |
$15K |
| 86359 |
|
735 |
731 |
$14K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
177 |
159 |
$14K |
| 86355 |
|
660 |
657 |
$14K |
| 86357 |
|
660 |
657 |
$13K |
| 80061 |
Lipid panel |
364 |
364 |
$10K |
| 87486 |
|
194 |
172 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
154 |
141 |
$7K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
254 |
227 |
$6K |
| 90686 |
|
178 |
178 |
$6K |
| 88184 |
|
63 |
63 |
$5K |
| 87581 |
|
194 |
172 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
247 |
218 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
26 |
$4K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
31 |
28 |
$4K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
13 |
12 |
$2K |
| 0124A |
|
29 |
29 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,522 |
2,140 |
$1K |
| 0001A |
|
30 |
30 |
$992.46 |
| 0003A |
|
18 |
18 |
$828.00 |
| 86592 |
|
996 |
983 |
$643.32 |
| 91322 |
|
28 |
28 |
$608.22 |
| 0002A |
|
15 |
15 |
$600.00 |
| 90480 |
|
28 |
28 |
$574.90 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
171 |
146 |
$459.65 |
| 85610 |
|
97 |
91 |
$426.12 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,079 |
804 |
$315.26 |
| 86780 |
|
205 |
200 |
$266.26 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
371 |
362 |
$221.31 |
| 71046 |
Radiologic examination, chest; 2 views |
271 |
249 |
$214.64 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
352 |
352 |
$204.16 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
273 |
254 |
$180.26 |
| 86593 |
|
223 |
219 |
$138.46 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
14 |
12 |
$115.52 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
199 |
183 |
$110.16 |
| 86803 |
|
139 |
136 |
$95.16 |
| 81001 |
|
471 |
441 |
$77.93 |
| 84443 |
Thyroid stimulating hormone (TSH) |
164 |
162 |
$71.00 |
| 85027 |
|
180 |
180 |
$55.92 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15 |
15 |
$18.40 |
| 84484 |
|
269 |
141 |
$9.35 |
| 83690 |
|
118 |
108 |
$7.76 |
| 85730 |
|
78 |
72 |
$6.91 |
| 80320 |
|
53 |
49 |
$5.81 |
| 83605 |
|
47 |
38 |
$0.00 |
| 82962 |
|
42 |
29 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
56 |
51 |
$0.00 |
| 81003 |
|
13 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$0.00 |
| G1003 |
Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program |
32 |
25 |
$0.00 |