| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
24,362 |
19,476 |
$3.17M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
15,811 |
11,345 |
$1.31M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
6,424 |
5,254 |
$638K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
4,112 |
3,527 |
$416K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
4,625 |
3,381 |
$364K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
6,717 |
3,991 |
$312K |
| 71046 |
Radiologic examination, chest; 2 views |
2,030 |
1,723 |
$262K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,027 |
2,996 |
$168K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
2,375 |
1,758 |
$129K |
| 80053 |
Comprehensive metabolic panel |
20,826 |
16,057 |
$123K |
| 71045 |
Radiologic examination, chest; single view |
1,563 |
1,151 |
$112K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
22,732 |
16,912 |
$111K |
| 59025 |
Fetal non-stress test |
389 |
141 |
$110K |
| 36415 |
Collection of venous blood by venipuncture |
34,259 |
26,224 |
$78K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
5,512 |
4,098 |
$76K |
| 97597 |
|
915 |
256 |
$61K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,250 |
1,086 |
$47K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
128 |
92 |
$44K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,409 |
1,278 |
$38K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
865 |
726 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,295 |
840 |
$24K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
783 |
700 |
$22K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
767 |
686 |
$22K |
| 80061 |
Lipid panel |
2,611 |
2,336 |
$20K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
4,635 |
3,625 |
$19K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,732 |
1,857 |
$19K |
| G0378 |
Hospital observation service, per hour |
305 |
115 |
$14K |
| 84484 |
|
2,224 |
1,333 |
$13K |
| 81001 |
|
6,986 |
5,416 |
$12K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
77 |
65 |
$12K |
| 83605 |
|
2,179 |
1,543 |
$11K |
| 70450 |
Computed tomography, head or brain; without contrast material |
209 |
157 |
$10K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
82 |
26 |
$10K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
51 |
49 |
$10K |
| 76830 |
Ultrasound, transvaginal |
51 |
48 |
$10K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,936 |
1,563 |
$8K |
| 87631 |
|
97 |
86 |
$8K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
99 |
73 |
$8K |
| 84145 |
|
767 |
542 |
$7K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
600 |
519 |
$7K |
| 83690 |
|
1,791 |
1,333 |
$6K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
87 |
25 |
$6K |
| 99218 |
|
21 |
12 |
$6K |
| 81025 |
|
857 |
672 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
613 |
551 |
$5K |
| 94761 |
|
122 |
43 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,007 |
892 |
$4K |
| 87040 |
|
1,115 |
514 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
229 |
170 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
247 |
129 |
$4K |
| J7050 |
Infusion, normal saline solution, 250 cc |
2,615 |
1,750 |
$3K |
| 85730 |
|
1,025 |
743 |
$3K |
| 74018 |
|
22 |
13 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
142 |
92 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,287 |
998 |
$3K |
| 85610 |
|
1,196 |
872 |
$3K |
| 83880 |
|
250 |
170 |
$3K |
| 82803 |
|
192 |
140 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
45 |
42 |
$2K |
| 81003 |
|
625 |
484 |
$2K |
| 80306 |
|
137 |
128 |
$2K |
| 73630 |
|
48 |
37 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
12 |
$1K |
| 85027 |
|
351 |
318 |
$1K |
| 82150 |
|
433 |
304 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
55 |
36 |
$1K |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
1,142 |
739 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
15 |
15 |
$981.30 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
28 |
$964.77 |
| 92567 |
|
14 |
12 |
$932.30 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
28 |
26 |
$750.46 |
| 87660 |
|
42 |
38 |
$700.55 |
| 87480 |
|
42 |
38 |
$700.55 |
| 87510 |
|
42 |
38 |
$700.55 |
| 86850 |
|
124 |
107 |
$521.27 |
| 99223 |
Prolong inpt eval add15 m |
14 |
12 |
$457.98 |
| 86780 |
|
41 |
36 |
$393.23 |
| 83735 |
|
116 |
84 |
$390.57 |
| 85379 |
|
47 |
36 |
$353.49 |
| 86762 |
|
27 |
24 |
$297.88 |
| 86803 |
|
27 |
24 |
$295.30 |
| 86703 |
|
27 |
24 |
$283.74 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
105 |
97 |
$266.40 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
684 |
543 |
$252.23 |
| 86900 |
|
123 |
107 |
$229.26 |
| 87186 |
|
42 |
37 |
$229.02 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
28 |
$220.32 |
| 99217 |
|
26 |
16 |
$216.62 |
| 86901 |
|
107 |
92 |
$203.50 |
| 87340 |
|
27 |
24 |
$189.86 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$138.47 |
| 81002 |
|
112 |
83 |
$126.90 |
| 82728 |
|
18 |
12 |
$102.11 |
| 80076 |
|
33 |
28 |
$89.87 |
| 84439 |
|
12 |
12 |
$87.50 |
| 82465 |
|
20 |
16 |
$60.97 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
809 |
620 |
$39.59 |
| 83874 |
|
19 |
14 |
$33.43 |
| A9270 |
Non-covered item or service |
1,183 |
893 |
$27.72 |
| 82553 |
|
19 |
14 |
$17.57 |
| 82550 |
|
19 |
14 |
$16.85 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,958 |
1,422 |
$3.06 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
447 |
207 |
$2.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
231 |
169 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
15 |
12 |
$0.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
45 |
36 |
$0.00 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
26 |
13 |
$0.00 |
| 82248 |
|
16 |
14 |
$0.00 |
| 83540 |
|
16 |
14 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
371 |
273 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
83 |
64 |
$0.00 |
| 82607 |
|
63 |
59 |
$0.00 |
| 90686 |
|
17 |
15 |
$0.00 |
| 83550 |
|
16 |
14 |
$0.00 |