| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15,177 |
14,482 |
$1.36M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,020 |
4,872 |
$276K |
| 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 |
3,090 |
2,907 |
$242K |
| 80053 |
Comprehensive metabolic panel |
9,170 |
8,216 |
$93K |
| 80050 |
General health panel |
2,132 |
2,096 |
$86K |
| T1015 |
Clinic visit/encounter, all-inclusive |
4,182 |
860 |
$83K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
901 |
863 |
$76K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,302 |
1,161 |
$73K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
368 |
349 |
$58K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,257 |
1,975 |
$45K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,463 |
8,389 |
$37K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,575 |
1,385 |
$36K |
| 87275 |
|
3,256 |
3,183 |
$34K |
| 87279 |
|
2,790 |
2,752 |
$33K |
| 80061 |
Lipid panel |
2,618 |
2,562 |
$32K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,200 |
173 |
$28K |
| 70450 |
Computed tomography, head or brain; without contrast material |
477 |
458 |
$26K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
205 |
205 |
$25K |
| 99233 |
Prolong inpt eval add15 m |
230 |
26 |
$24K |
| 86756 |
|
1,226 |
1,192 |
$21K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
265 |
254 |
$19K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
523 |
516 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
1,390 |
1,358 |
$18K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,054 |
933 |
$18K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
237 |
232 |
$17K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,332 |
2,182 |
$16K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
718 |
690 |
$16K |
| 84443 |
Thyroid stimulating hormone (TSH) |
620 |
604 |
$12K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
330 |
327 |
$12K |
| 81003 |
|
5,276 |
5,041 |
$12K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
139 |
139 |
$9K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
358 |
246 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
212 |
71 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,470 |
1,446 |
$9K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,241 |
1,163 |
$9K |
| 83880 |
|
333 |
307 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
50 |
49 |
$8K |
| 84484 |
|
1,204 |
971 |
$8K |
| 84439 |
|
1,124 |
1,095 |
$8K |
| 87070 |
|
1,147 |
1,128 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
718 |
567 |
$7K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
44 |
42 |
$7K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
165 |
158 |
$7K |
| 87430 |
|
1,075 |
1,055 |
$7K |
| 86631 |
|
693 |
672 |
$7K |
| 0001A |
|
151 |
150 |
$6K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
222 |
221 |
$6K |
| 87088 |
|
849 |
795 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
999 |
953 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
34 |
34 |
$6K |
| 83735 |
|
1,163 |
1,076 |
$6K |
| 99215 |
Prolong outpt/office vis |
116 |
86 |
$5K |
| 76830 |
Ultrasound, transvaginal |
130 |
126 |
$5K |
| 82607 |
|
451 |
442 |
$5K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
90 |
88 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
116 |
115 |
$5K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
122 |
121 |
$5K |
| 82728 |
|
414 |
393 |
$5K |
| 80346 |
|
339 |
312 |
$4K |
| 73564 |
|
216 |
204 |
$4K |
| 83690 |
|
1,152 |
1,068 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
616 |
524 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
91 |
91 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
79 |
78 |
$4K |
| 0002A |
|
112 |
112 |
$4K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
167 |
163 |
$4K |
| 87077 |
|
517 |
486 |
$3K |
| 73610 |
|
187 |
175 |
$3K |
| 85730 |
|
613 |
592 |
$3K |
| 87797 |
|
70 |
67 |
$3K |
| 85610 |
|
1,014 |
922 |
$3K |
| 87186 |
|
383 |
356 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,318 |
1,279 |
$3K |
| 86803 |
|
157 |
154 |
$3K |
| 71250 |
|
49 |
47 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
45 |
45 |
$3K |
| 83540 |
|
382 |
362 |
$3K |
| 84145 |
|
177 |
174 |
$3K |
| 87040 |
|
241 |
155 |
$3K |
| 76641 |
|
59 |
57 |
$2K |
| 85379 |
|
285 |
276 |
$2K |
| 84703 |
|
277 |
262 |
$2K |
| 86618 |
|
55 |
51 |
$2K |
| 73630 |
|
203 |
191 |
$2K |
| 85027 |
|
271 |
261 |
$2K |
| 87081 |
|
385 |
377 |
$2K |
| 81025 |
|
490 |
471 |
$2K |
| 83615 |
|
454 |
379 |
$2K |
| 84436 |
|
223 |
218 |
$2K |
| 87390 |
|
176 |
172 |
$2K |
| 84702 |
|
110 |
83 |
$2K |
| 82043 |
|
253 |
244 |
$2K |
| G0480 |
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; 1-7 drug class(es), including metabolite(s) if performed |
27 |
27 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
103 |
90 |
$2K |
| 73110 |
|
161 |
153 |
$2K |
| 83605 |
|
280 |
260 |
$2K |
| 76536 |
|
42 |
42 |
$2K |
| 73030 |
|
125 |
115 |
$2K |
| 84466 |
|
94 |
91 |
$2K |
| 87660 |
|
73 |
68 |
$1K |
| 86850 |
|
197 |
183 |
$1K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
57 |
56 |
$1K |
| 83550 |
|
275 |
260 |
$1K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
196 |
184 |
$1K |
| 73130 |
|
96 |
91 |
$1K |
| 80354 |
|
28 |
28 |
$1K |
| 80329 |
|
117 |
70 |
$1K |
| 82570 |
|
153 |
147 |
$1K |
| 82746 |
|
153 |
152 |
$923.43 |
| 85652 |
|
303 |
291 |
$818.06 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
105 |
81 |
$775.30 |
| 86592 |
|
185 |
180 |
$696.49 |
| 74018 |
|
60 |
56 |
$686.73 |
| 87276 |
|
369 |
357 |
$672.65 |
| 86038 |
|
42 |
42 |
$665.25 |
| 82150 |
|
157 |
149 |
$644.49 |
| 73502 |
|
43 |
41 |
$579.07 |
| 97597 |
|
52 |
42 |
$563.81 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$561.65 |
| 87522 |
Neg quan hep c or qual rna |
15 |
14 |
$561.09 |
| 84481 |
|
24 |
24 |
$557.14 |
| 86901 |
|
153 |
140 |
$548.82 |
| 86900 |
|
154 |
141 |
$541.87 |
| 76801 |
|
15 |
14 |
$455.85 |
| 87340 |
|
30 |
29 |
$452.18 |
| 86787 |
|
27 |
26 |
$422.97 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,289 |
1,216 |
$422.45 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
24 |
24 |
$397.70 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
12 |
$366.50 |
| 82553 |
|
47 |
44 |
$351.33 |
| 85007 |
|
82 |
77 |
$350.52 |
| 82962 |
|
170 |
104 |
$341.50 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
17 |
12 |
$309.73 |
| 36591 |
|
208 |
116 |
$294.27 |
| 82550 |
|
48 |
45 |
$264.98 |
| 84153 |
|
14 |
14 |
$258.76 |
| 72110 |
|
12 |
12 |
$222.75 |
| 73090 |
|
15 |
14 |
$216.41 |
| 80076 |
|
25 |
24 |
$212.37 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,566 |
1,305 |
$200.48 |
| 86039 |
|
12 |
12 |
$179.25 |
| 83655 |
|
15 |
15 |
$163.50 |
| 82248 |
|
28 |
25 |
$150.00 |
| 82247 |
|
19 |
13 |
$136.82 |
| 97607 |
|
15 |
12 |
$123.62 |
| 87075 |
|
13 |
13 |
$119.50 |
| 86141 |
|
12 |
12 |
$115.80 |
| 87205 |
|
25 |
25 |
$111.38 |
| 86140 |
|
38 |
38 |
$107.40 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
57 |
47 |
$99.33 |
| 82950 |
|
14 |
13 |
$90.42 |
| 86308 |
|
14 |
14 |
$89.76 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
122 |
86 |
$84.22 |
| 36415 |
Collection of venous blood by venipuncture |
1,144 |
927 |
$82.17 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
27 |
24 |
$59.97 |
| 85018 |
|
14 |
13 |
$48.90 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
58 |
57 |
$34.08 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
81 |
78 |
$20.50 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
14 |
13 |
$15.90 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
12 |
12 |
$8.52 |
| 90715 |
|
13 |
13 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
12 |
12 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
43 |
39 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
12 |
12 |
$0.00 |