| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,222 |
976 |
$1.88M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,343 |
1,071 |
$1.37M |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
4,209 |
3,525 |
$743K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
4,195 |
3,516 |
$741K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
890 |
729 |
$703K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
4,551 |
3,918 |
$595K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
2,888 |
2,470 |
$521K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,831 |
782 |
$373K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
2,499 |
2,070 |
$274K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
288 |
152 |
$266K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,641 |
1,636 |
$208K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,108 |
813 |
$200K |
| 87150 |
|
1,129 |
941 |
$190K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,603 |
3,704 |
$184K |
| 87480 |
|
1,771 |
1,486 |
$183K |
| 87660 |
|
1,770 |
1,487 |
$182K |
| 87510 |
|
1,760 |
1,477 |
$181K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,231 |
1,037 |
$164K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
840 |
513 |
$151K |
| 86780 |
|
2,394 |
1,981 |
$145K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
857 |
754 |
$137K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,377 |
1,138 |
$128K |
| 86480 |
|
423 |
338 |
$122K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
619 |
540 |
$121K |
| 86803 |
|
1,526 |
1,271 |
$112K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
580 |
358 |
$105K |
| 84702 |
|
1,238 |
862 |
$95K |
| 87340 |
|
1,770 |
1,445 |
$94K |
| 99218 |
|
41 |
37 |
$87K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,984 |
1,564 |
$80K |
| 59025 |
Fetal non-stress test |
160 |
66 |
$80K |
| 86762 |
|
1,036 |
857 |
$77K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,379 |
1,039 |
$77K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
425 |
374 |
$77K |
| 76801 |
|
424 |
322 |
$76K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,907 |
1,587 |
$67K |
| 82677 |
|
538 |
464 |
$66K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
354 |
305 |
$64K |
| 82105 |
|
720 |
619 |
$62K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
342 |
265 |
$62K |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
33 |
27 |
$61K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
201 |
79 |
$57K |
| 76830 |
Ultrasound, transvaginal |
309 |
264 |
$55K |
| 76818 |
|
304 |
116 |
$55K |
| 80061 |
Lipid panel |
778 |
689 |
$53K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
295 |
255 |
$53K |
| 86336 |
|
530 |
458 |
$42K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
87 |
39 |
$42K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
141 |
116 |
$42K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
805 |
688 |
$40K |
| 87070 |
|
987 |
779 |
$40K |
| 96040 |
|
225 |
195 |
$39K |
| 86850 |
|
1,898 |
1,552 |
$38K |
| 88141 |
|
762 |
663 |
$38K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
851 |
748 |
$35K |
| 76642 |
|
318 |
268 |
$30K |
| 80076 |
|
710 |
533 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
252 |
191 |
$30K |
| 86901 |
|
1,889 |
1,554 |
$29K |
| 86900 |
|
1,887 |
1,551 |
$29K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
666 |
559 |
$29K |
| 81001 |
|
1,754 |
1,464 |
$29K |
| 87088 |
|
741 |
583 |
$29K |
| 92587 |
|
141 |
137 |
$27K |
| 82728 |
|
374 |
311 |
$26K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
161 |
127 |
$26K |
| 84163 |
|
329 |
286 |
$25K |
| 82950 |
|
950 |
799 |
$23K |
| 80053 |
Comprehensive metabolic panel |
408 |
330 |
$22K |
| 92579 |
|
97 |
95 |
$20K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
71 |
71 |
$20K |
| 86787 |
|
296 |
240 |
$20K |
| 85027 |
|
587 |
493 |
$19K |
| 87186 |
|
431 |
335 |
$19K |
| 80050 |
General health panel |
102 |
89 |
$18K |
| 83021 |
|
203 |
146 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
111 |
86 |
$16K |
| 82607 |
|
206 |
182 |
$16K |
| 82565 |
|
578 |
424 |
$15K |
| 83550 |
|
299 |
241 |
$13K |
| 82951 |
|
184 |
148 |
$12K |
| 92567 |
|
127 |
120 |
$12K |
| 87077 |
|
256 |
200 |
$12K |
| 84450 |
|
428 |
348 |
$11K |
| 81025 |
|
314 |
256 |
$10K |
| 82570 |
|
377 |
294 |
$10K |
| 96415 |
|
20 |
12 |
$10K |
| 84439 |
|
203 |
157 |
$9K |
| 84146 |
|
91 |
73 |
$9K |
| 87210 |
|
398 |
326 |
$9K |
| 83001 |
|
88 |
70 |
$8K |
| 93975 |
|
14 |
14 |
$8K |
| 77066 |
Tomosynthesis, mammo |
41 |
32 |
$8K |
| 77062 |
|
41 |
32 |
$8K |
| 84156 |
|
378 |
290 |
$7K |
| 77065 |
Tomosynthesis, mammo |
43 |
41 |
$6K |
| 77061 |
|
42 |
40 |
$6K |
| 83615 |
|
185 |
115 |
$6K |
| 84460 |
|
209 |
165 |
$6K |
| 82248 |
|
213 |
155 |
$5K |
| 83735 |
|
156 |
100 |
$5K |
| 82465 |
|
234 |
188 |
$5K |
| 76813 |
|
28 |
28 |
$5K |
| 99024 |
|
60 |
27 |
$4K |
| 82947 |
|
208 |
185 |
$4K |
| 84520 |
|
206 |
144 |
$4K |
| 82247 |
|
151 |
111 |
$4K |
| 80051 |
|
98 |
67 |
$4K |
| 84550 |
|
139 |
107 |
$3K |
| 81002 |
|
227 |
151 |
$3K |
| 84100 |
|
109 |
70 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
26 |
$2K |
| 82310 |
|
93 |
72 |
$2K |
| 85610 |
|
122 |
47 |
$2K |
| 83516 |
|
30 |
12 |
$2K |
| 82952 |
|
111 |
86 |
$2K |
| 81003 |
|
119 |
85 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
33 |
30 |
$1K |
| 86140 |
|
40 |
26 |
$1K |
| 82043 |
|
20 |
12 |
$594.80 |
| 85652 |
|
21 |
15 |
$291.48 |
| 90686 |
|
131 |
100 |
$1.31 |
| 90674 |
|
87 |
58 |
$0.87 |