| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
11,261 |
1,014 |
$1.62M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,815 |
5,154 |
$539K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,379 |
1,774 |
$437K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,427 |
2,047 |
$277K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,774 |
3,363 |
$270K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,322 |
4,128 |
$190K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,054 |
990 |
$126K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,685 |
1,243 |
$116K |
| 71046 |
Radiologic examination, chest; 2 views |
3,066 |
2,275 |
$105K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,856 |
2,052 |
$101K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,287 |
6,125 |
$92K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
6,714 |
501 |
$87K |
| 71045 |
Radiologic examination, chest; single view |
2,366 |
1,613 |
$77K |
| 94799 |
|
1,496 |
1,037 |
$76K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14,271 |
10,246 |
$74K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,129 |
800 |
$73K |
| 80053 |
Comprehensive metabolic panel |
10,309 |
7,449 |
$70K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,068 |
1,844 |
$62K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,142 |
3,637 |
$58K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,664 |
1,354 |
$49K |
| 87428 |
|
1,220 |
938 |
$48K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
605 |
527 |
$47K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,809 |
1,317 |
$33K |
| 87430 |
|
3,130 |
2,260 |
$32K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,184 |
812 |
$31K |
| 36415 |
Collection of venous blood by venipuncture |
12,372 |
8,351 |
$26K |
| 80061 |
Lipid panel |
2,277 |
1,872 |
$22K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
254 |
184 |
$20K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
628 |
397 |
$20K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,710 |
1,361 |
$18K |
| 81025 |
|
2,066 |
1,622 |
$12K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,719 |
1,403 |
$11K |
| 81001 |
|
5,664 |
4,176 |
$10K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
48 |
43 |
$10K |
| 87807 |
|
797 |
663 |
$8K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
89 |
67 |
$8K |
| 83880 |
|
401 |
271 |
$8K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
53 |
49 |
$7K |
| 84484 |
|
945 |
648 |
$7K |
| 80305 |
|
858 |
655 |
$7K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
862 |
669 |
$5K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,668 |
1,287 |
$4K |
| 74018 |
|
98 |
78 |
$4K |
| 73562 |
|
108 |
78 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
182 |
150 |
$3K |
| 73630 |
|
89 |
68 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
43 |
30 |
$2K |
| 82550 |
|
349 |
230 |
$2K |
| 82553 |
|
396 |
276 |
$2K |
| 94664 |
|
226 |
149 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
14 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
117 |
82 |
$1K |
| 82043 |
|
327 |
267 |
$1K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,408 |
745 |
$1K |
| 81000 |
|
390 |
289 |
$1K |
| 71250 |
|
12 |
12 |
$1K |
| 86677 |
|
103 |
91 |
$938.60 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
15 |
12 |
$808.02 |
| 97032 |
|
79 |
16 |
$789.45 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
149 |
93 |
$759.74 |
| 72100 |
|
15 |
13 |
$716.88 |
| 87070 |
|
118 |
78 |
$715.57 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57 |
27 |
$689.02 |
| 0012A |
|
47 |
29 |
$665.31 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
169 |
126 |
$632.04 |
| 87186 |
|
90 |
57 |
$594.21 |
| 83735 |
|
164 |
118 |
$559.27 |
| 81003 |
|
267 |
219 |
$482.78 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
13 |
$435.96 |
| 87081 |
|
59 |
53 |
$418.96 |
| 81002 |
|
174 |
127 |
$336.69 |
| 83690 |
|
69 |
53 |
$243.64 |
| 87205 |
|
86 |
70 |
$241.50 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
12 |
12 |
$235.37 |
| 83655 |
|
17 |
14 |
$219.78 |
| 0011A |
|
46 |
31 |
$215.49 |
| 82962 |
|
94 |
64 |
$212.40 |
| 94760 |
|
84 |
46 |
$174.81 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
100 |
58 |
$166.21 |
| 93000 |
|
19 |
13 |
$141.96 |
| 87210 |
|
34 |
26 |
$103.82 |
| 85379 |
|
18 |
13 |
$88.60 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
82 |
61 |
$58.56 |
| 86140 |
|
14 |
13 |
$55.92 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
95 |
75 |
$6.00 |
| Q0243 |
Injection, casirivimab and imdevimab, 2400 mg |
32 |
31 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
23 |
14 |
$0.00 |
| 84145 |
|
14 |
12 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
25 |
14 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
49 |
41 |
$0.00 |
| 91301 |
|
96 |
62 |
$0.00 |