| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,078 |
4,763 |
$796K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,054 |
6,194 |
$660K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,513 |
7,478 |
$500K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,257 |
3,180 |
$252K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,717 |
1,548 |
$152K |
| 80053 |
Comprehensive metabolic panel |
1,402 |
1,307 |
$101K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,388 |
1,354 |
$85K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,221 |
1,187 |
$73K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,582 |
2,398 |
$71K |
| 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 |
900 |
867 |
$65K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
570 |
551 |
$44K |
| 36415 |
Collection of venous blood by venipuncture |
3,578 |
3,221 |
$27K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
94 |
92 |
$20K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
204 |
195 |
$12K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
220 |
209 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
129 |
126 |
$12K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
216 |
203 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
134 |
132 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
132 |
129 |
$7K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
159 |
87 |
$5K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
107 |
95 |
$5K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
82 |
65 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
76 |
75 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
99 |
91 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
60 |
59 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
203 |
135 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
61 |
33 |
$4K |
| 86140 |
|
159 |
145 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
167 |
159 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
54 |
54 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
82 |
81 |
$3K |
| 99215 |
Prolong outpt/office vis |
52 |
29 |
$3K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
100 |
97 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
28 |
26 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
21 |
12 |
$2K |
| J3490 |
Unclassified drugs |
314 |
172 |
$2K |
| 80061 |
Lipid panel |
70 |
67 |
$2K |
| 90686 |
|
341 |
325 |
$2K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
253 |
248 |
$2K |
| 84484 |
|
55 |
42 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
30 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
79 |
75 |
$1K |
| 97597 |
|
46 |
12 |
$1K |
| 92551 |
|
143 |
138 |
$991.26 |
| 81001 |
|
55 |
53 |
$926.23 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
15 |
$886.83 |
| 84145 |
|
12 |
12 |
$863.82 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
57 |
57 |
$767.93 |
| 85027 |
|
27 |
25 |
$535.39 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
25 |
25 |
$503.82 |
| 90461 |
|
27 |
27 |
$484.01 |
| 84443 |
Thyroid stimulating hormone (TSH) |
27 |
24 |
$417.90 |
| 99442 |
|
17 |
15 |
$322.72 |
| 99173 |
|
188 |
180 |
$266.29 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$254.66 |
| G0008 |
Administration of influenza virus vaccine |
15 |
14 |
$149.24 |
| 96127 |
|
13 |
12 |
$40.78 |