| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12,015 |
9,936 |
$1.21M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
8,427 |
6,749 |
$998K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,058 |
14,688 |
$839K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21,900 |
19,263 |
$815K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
6,527 |
5,727 |
$676K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,768 |
1,850 |
$637K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,987 |
7,126 |
$574K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
5,157 |
1,833 |
$493K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
4,155 |
1,502 |
$438K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
7,614 |
5,581 |
$358K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,329 |
4,541 |
$271K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
3,549 |
3,126 |
$266K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,064 |
2,701 |
$228K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,754 |
2,664 |
$216K |
| 36415 |
Collection of venous blood by venipuncture |
10,232 |
8,633 |
$194K |
| 80053 |
Comprehensive metabolic panel |
6,856 |
5,932 |
$180K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,790 |
7,577 |
$137K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
5,234 |
4,026 |
$114K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,660 |
648 |
$113K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
861 |
814 |
$103K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,616 |
966 |
$89K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,087 |
1,048 |
$83K |
| 99215 |
Prolong outpt/office vis |
636 |
597 |
$73K |
| 92587 |
|
754 |
444 |
$64K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
866 |
746 |
$58K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
670 |
624 |
$54K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,480 |
759 |
$53K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
681 |
419 |
$52K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,167 |
965 |
$46K |
| J0178 |
Injection, aflibercept, 1 mg |
37 |
24 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
451 |
430 |
$38K |
| J3490 |
Unclassified drugs |
1,409 |
860 |
$36K |
| 92134 |
|
1,499 |
692 |
$31K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
492 |
194 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
287 |
258 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,901 |
3,649 |
$21K |
| 81001 |
|
1,609 |
1,451 |
$21K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
229 |
227 |
$19K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
805 |
721 |
$19K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,646 |
508 |
$18K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
382 |
376 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
169 |
165 |
$15K |
| 87634 |
|
99 |
89 |
$13K |
| 80061 |
Lipid panel |
766 |
737 |
$13K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
353 |
279 |
$13K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
254 |
168 |
$10K |
| 92551 |
|
67 |
65 |
$10K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
311 |
303 |
$10K |
| 92567 |
|
814 |
573 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
793 |
771 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,797 |
1,697 |
$9K |
| 84443 |
Thyroid stimulating hormone (TSH) |
516 |
498 |
$9K |
| X5622 |
|
294 |
210 |
$8K |
| 0240U |
|
41 |
39 |
$7K |
| 90686 |
|
2,296 |
2,136 |
$7K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
245 |
162 |
$7K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
43 |
42 |
$7K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
230 |
168 |
$7K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
189 |
118 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
16 |
13 |
$6K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
34 |
29 |
$6K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
38 |
37 |
$6K |
| 92557 |
|
256 |
236 |
$6K |
| 0002A |
|
155 |
146 |
$5K |
| 73630 |
|
50 |
37 |
$4K |
| 0001A |
|
147 |
139 |
$4K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
159 |
115 |
$4K |
| 85610 |
|
218 |
197 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
58 |
53 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
581 |
539 |
$3K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
16 |
16 |
$3K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
188 |
62 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
103 |
82 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
47 |
41 |
$3K |
| 99383 |
|
36 |
25 |
$3K |
| A9270 |
Non-covered item or service |
4,544 |
2,660 |
$3K |
| 84484 |
|
106 |
76 |
$2K |
| 84439 |
|
132 |
127 |
$2K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
32 |
24 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
83 |
75 |
$2K |
| 92015 |
Determination of refractive state |
185 |
176 |
$2K |
| 83605 |
|
75 |
66 |
$2K |
| 11721 |
|
78 |
30 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
182 |
176 |
$2K |
| 86780 |
|
146 |
134 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
59 |
51 |
$1K |
| 83690 |
|
74 |
66 |
$1K |
| 36416 |
|
27 |
25 |
$1K |
| 86803 |
|
57 |
56 |
$1K |
| 96161 |
|
156 |
126 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
76 |
66 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
27 |
13 |
$973.94 |
| 85027 |
|
187 |
159 |
$952.93 |
| J2704 |
Injection, propofol, 10 mg |
38 |
29 |
$887.52 |
| 96127 |
|
371 |
325 |
$789.55 |
| 97802 |
|
13 |
12 |
$677.96 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
14 |
$566.07 |
| 83655 |
|
38 |
36 |
$493.43 |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
13 |
13 |
$401.77 |
| 93041 |
|
32 |
26 |
$347.66 |
| 99188 |
|
326 |
317 |
$342.39 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
42 |
38 |
$298.95 |
| 90473 |
|
123 |
117 |
$289.12 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$201.53 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
69 |
38 |
$170.12 |
| 87340 |
|
13 |
13 |
$152.76 |
| Q3014 |
Telehealth originating site facility fee |
13 |
12 |
$85.36 |
| 82950 |
|
13 |
12 |
$73.79 |
| 85018 |
|
23 |
12 |
$46.52 |
| 90461 |
|
18 |
16 |
$42.99 |
| 94761 |
|
14 |
12 |
$36.09 |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
56 |
28 |
$25.25 |
| 90633 |
|
73 |
69 |
$16.16 |
| 90474 |
|
12 |
12 |
$7.75 |
| 90647 |
|
251 |
233 |
$0.00 |
| 90680 |
|
128 |
120 |
$0.00 |
| 90723 |
|
280 |
269 |
$0.00 |
| 90651 |
|
33 |
31 |
$0.00 |
| 90670 |
|
623 |
592 |
$0.00 |
| 90715 |
|
31 |
29 |
$0.00 |
| 90710 |
|
28 |
28 |
$0.00 |
| 99173 |
|
85 |
80 |
$0.00 |
| 90734 |
|
33 |
31 |
$0.00 |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
17 |
12 |
$0.00 |