| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,814 |
2,280 |
$173K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,675 |
3,200 |
$125K |
| 8888888 |
Internal/system code - not a standard HCPCS code |
118 |
42 |
$48K |
| 80053 |
Comprehensive metabolic panel |
4,321 |
3,335 |
$47K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,729 |
3,653 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
198 |
175 |
$27K |
| 70450 |
Computed tomography, head or brain; without contrast material |
250 |
222 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
209 |
174 |
$18K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,229 |
990 |
$10K |
| 81000 |
|
2,754 |
2,248 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
764 |
642 |
$6K |
| 86318 |
|
668 |
597 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55 |
52 |
$5K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
418 |
368 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
211 |
180 |
$4K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
956 |
683 |
$4K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
965 |
773 |
$3K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
547 |
416 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
346 |
297 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
12 |
$2K |
| 73562 |
|
49 |
44 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$2K |
| 86141 |
|
208 |
169 |
$2K |
| G0378 |
Hospital observation service, per hour |
83 |
74 |
$2K |
| 87631 |
|
46 |
46 |
$1K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
57 |
55 |
$880.86 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
877 |
693 |
$827.67 |
| G0481 |
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; 8-14 drug class(es), including metabolite(s) if performed |
103 |
82 |
$760.99 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$687.20 |
| 83735 |
|
14 |
12 |
$506.79 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
386 |
295 |
$428.37 |
| 85651 |
|
38 |
37 |
$408.25 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
30 |
26 |
$318.39 |
| 71045 |
Radiologic examination, chest; single view |
283 |
226 |
$225.71 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
114 |
96 |
$152.28 |
| 83690 |
|
341 |
265 |
$46.78 |
| 85610 |
|
144 |
124 |
$26.11 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
12 |
$24.90 |
| 82150 |
|
103 |
79 |
$18.27 |
| 84512 |
|
106 |
82 |
$9.48 |
| 82803 |
|
28 |
20 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
59 |
37 |
$0.00 |
| 87040 |
|
56 |
29 |
$0.00 |
| 83605 |
|
26 |
21 |
$0.00 |
| 96376 |
|
24 |
12 |
$0.00 |
| 82550 |
|
20 |
12 |
$0.00 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
27 |
24 |
$0.00 |
| 81025 |
|
94 |
85 |
$0.00 |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
61 |
13 |
$0.00 |
| 88302 |
|
52 |
37 |
$0.00 |