| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14,068 |
13,662 |
$865K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,260 |
5,694 |
$853K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,818 |
4,429 |
$640K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,656 |
1,579 |
$584K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,616 |
5,470 |
$504K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,819 |
2,739 |
$352K |
| H0013 |
Alcohol and/or drug services; acute detoxification (residential addiction program outpatient) |
309 |
281 |
$283K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,243 |
1,208 |
$192K |
| G0378 |
Hospital observation service, per hour |
651 |
301 |
$188K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,959 |
1,836 |
$185K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,470 |
1,449 |
$129K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,647 |
2,545 |
$89K |
| 87634 |
|
1,437 |
1,420 |
$83K |
| 99215 |
Prolong outpt/office vis |
419 |
395 |
$73K |
| 80053 |
Comprehensive metabolic panel |
6,911 |
6,410 |
$61K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
392 |
380 |
$57K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
307 |
305 |
$49K |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,108 |
2,443 |
$48K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,489 |
1,382 |
$45K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
498 |
484 |
$41K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,014 |
7,101 |
$35K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
685 |
670 |
$35K |
| 70450 |
Computed tomography, head or brain; without contrast material |
431 |
420 |
$24K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
949 |
913 |
$21K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,638 |
2,605 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,556 |
1,303 |
$16K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,217 |
1,194 |
$14K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
694 |
342 |
$13K |
| 83735 |
|
1,972 |
1,890 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
890 |
861 |
$10K |
| 83690 |
|
2,082 |
2,001 |
$9K |
| 82150 |
|
1,966 |
1,890 |
$8K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
250 |
246 |
$8K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,133 |
1,072 |
$8K |
| 11721 |
|
550 |
545 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
81 |
80 |
$7K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
34 |
34 |
$7K |
| 97597 |
|
479 |
258 |
$7K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
971 |
905 |
$7K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
325 |
320 |
$6K |
| 51798 |
|
458 |
448 |
$6K |
| 73630 |
|
526 |
463 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
67 |
66 |
$5K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
2,252 |
2,010 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
348 |
329 |
$5K |
| 85610 |
|
1,444 |
1,370 |
$4K |
| 81025 |
|
1,273 |
1,224 |
$4K |
| 73610 |
|
227 |
205 |
$4K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
346 |
316 |
$4K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
463 |
321 |
$4K |
| 72110 |
|
188 |
186 |
$4K |
| 96127 |
|
1,055 |
1,030 |
$4K |
| 73564 |
|
177 |
159 |
$4K |
| 73130 |
|
276 |
248 |
$3K |
| 92551 |
|
359 |
356 |
$3K |
| 84484 |
|
450 |
416 |
$3K |
| 81001 |
|
1,110 |
1,070 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
103 |
103 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
399 |
385 |
$2K |
| 99173 |
|
371 |
369 |
$2K |
| 73030 |
|
182 |
171 |
$2K |
| H0034 |
Medication training and support, per 15 minutes |
30 |
24 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
399 |
323 |
$2K |
| 85730 |
|
366 |
355 |
$2K |
| 81002 |
|
514 |
500 |
$1K |
| 81003 |
|
601 |
575 |
$1K |
| 73110 |
|
130 |
118 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
4,923 |
4,099 |
$1K |
| 73502 |
|
56 |
54 |
$915.36 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
188 |
185 |
$906.45 |
| 87186 |
|
115 |
114 |
$720.27 |
| 73560 |
|
41 |
38 |
$654.05 |
| 71045 |
Radiologic examination, chest; single view |
112 |
106 |
$544.29 |
| 87150 |
|
29 |
29 |
$514.80 |
| G0008 |
Administration of influenza virus vaccine |
78 |
77 |
$497.10 |
| 82140 |
|
80 |
80 |
$387.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,949 |
1,546 |
$332.65 |
| 80061 |
Lipid panel |
29 |
29 |
$245.00 |
| J2704 |
Injection, propofol, 10 mg |
967 |
782 |
$240.69 |
| 87430 |
|
34 |
33 |
$212.95 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
15 |
15 |
$208.74 |
| 83605 |
|
46 |
40 |
$185.90 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
938 |
842 |
$180.65 |
| 87081 |
|
31 |
30 |
$158.60 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
403 |
280 |
$128.57 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
51 |
50 |
$92.90 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
43 |
43 |
$88.45 |
| 87075 |
|
14 |
12 |
$86.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
13 |
$76.59 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
96 |
84 |
$68.56 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
272 |
237 |
$65.01 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
693 |
546 |
$61.07 |
| 87070 |
|
14 |
12 |
$59.34 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
14 |
12 |
$57.66 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
700 |
587 |
$42.43 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
959 |
751 |
$28.27 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
51 |
38 |
$21.86 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
241 |
233 |
$20.50 |
| J1644 |
Injection, heparin sodium, per 1000 units |
23 |
12 |
$8.55 |
| 96160 |
|
14 |
14 |
$7.66 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
18 |
15 |
$2.85 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
323 |
321 |
$0.23 |
| 90715 |
|
27 |
27 |
$0.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
12 |
12 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
48 |
48 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |
| J3411 |
Injection, thiamine hcl, 100 mg |
24 |
24 |
$0.00 |
| 96376 |
|
20 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
40 |
40 |
$0.00 |
| 90686 |
|
110 |
107 |
$0.00 |