| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,105 |
1,938 |
$444K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,563 |
2,431 |
$412K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
663 |
622 |
$271K |
| G0378 |
Hospital observation service, per hour |
482 |
246 |
$199K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,024 |
972 |
$89K |
| 59025 |
Fetal non-stress test |
205 |
176 |
$35K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
168 |
158 |
$26K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
115 |
111 |
$22K |
| 80047 |
|
1,180 |
1,073 |
$22K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,193 |
2,777 |
$17K |
| 80053 |
Comprehensive metabolic panel |
1,169 |
1,089 |
$15K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
684 |
664 |
$15K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
37 |
37 |
$15K |
| 87081 |
|
1,397 |
1,364 |
$15K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
680 |
672 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
570 |
538 |
$12K |
| 84443 |
Thyroid stimulating hormone (TSH) |
593 |
575 |
$12K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
682 |
662 |
$12K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,325 |
1,252 |
$11K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
197 |
173 |
$10K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
324 |
294 |
$10K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
134 |
126 |
$8K |
| 81001 |
|
1,962 |
1,806 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
680 |
482 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
57 |
56 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
210 |
189 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
130 |
117 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
70 |
66 |
$6K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
239 |
233 |
$6K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
139 |
135 |
$6K |
| 94760 |
|
517 |
432 |
$5K |
| 80061 |
Lipid panel |
316 |
311 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
182 |
177 |
$5K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
355 |
344 |
$5K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
152 |
148 |
$5K |
| 87340 |
|
365 |
357 |
$5K |
| 73630 |
|
101 |
100 |
$5K |
| 86803 |
|
323 |
316 |
$5K |
| 81025 |
|
787 |
736 |
$5K |
| 73610 |
|
91 |
85 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
104 |
97 |
$4K |
| 76770 |
|
29 |
29 |
$4K |
| 93975 |
|
214 |
208 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
537 |
521 |
$4K |
| 86850 |
|
254 |
244 |
$4K |
| 74018 |
|
154 |
149 |
$4K |
| 86901 |
|
302 |
287 |
$3K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
818 |
765 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
402 |
346 |
$3K |
| 86780 |
|
660 |
648 |
$3K |
| 82105 |
|
131 |
129 |
$3K |
| 86762 |
|
194 |
193 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
257 |
247 |
$3K |
| 86900 |
|
302 |
287 |
$3K |
| 83655 |
|
182 |
182 |
$3K |
| 87077 |
|
237 |
229 |
$3K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
138 |
135 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
125 |
119 |
$2K |
| 84439 |
|
190 |
188 |
$2K |
| 73140 |
|
34 |
30 |
$2K |
| 72100 |
|
55 |
53 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
728 |
662 |
$2K |
| 87186 |
|
211 |
205 |
$2K |
| A9270 |
Non-covered item or service |
79 |
27 |
$2K |
| 82950 |
|
308 |
301 |
$2K |
| 82731 |
|
30 |
28 |
$2K |
| 86140 |
|
326 |
313 |
$2K |
| 84484 |
|
248 |
222 |
$2K |
| 84702 |
|
272 |
238 |
$2K |
| 80076 |
|
306 |
292 |
$2K |
| 87040 |
|
194 |
186 |
$2K |
| 85027 |
|
241 |
231 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
422 |
396 |
$1K |
| 83690 |
|
348 |
333 |
$1K |
| 84112 |
|
39 |
36 |
$1K |
| 76801 |
|
127 |
115 |
$1K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
155 |
149 |
$1K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
165 |
150 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
138 |
127 |
$1K |
| 76830 |
Ultrasound, transvaginal |
80 |
76 |
$1K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$1K |
| 85379 |
|
141 |
140 |
$932.63 |
| 87070 |
|
112 |
106 |
$910.63 |
| 86696 |
|
40 |
39 |
$892.52 |
| 85018 |
|
292 |
286 |
$887.83 |
| 73562 |
|
27 |
27 |
$880.68 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
500 |
460 |
$833.35 |
| 85014 |
|
270 |
264 |
$787.55 |
| 69210 |
|
39 |
39 |
$776.10 |
| 83021 |
|
88 |
87 |
$706.10 |
| 80330 |
|
96 |
93 |
$690.39 |
| 80320 |
|
148 |
136 |
$680.84 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
303 |
281 |
$652.28 |
| 82607 |
|
35 |
33 |
$640.02 |
| 88142 |
|
33 |
33 |
$613.14 |
| 71045 |
Radiologic examination, chest; single view |
100 |
99 |
$594.69 |
| 84550 |
|
124 |
107 |
$581.91 |
| 82570 |
|
104 |
93 |
$567.87 |
| 87807 |
|
74 |
69 |
$517.44 |
| 73090 |
|
13 |
12 |
$512.74 |
| 88342 |
|
12 |
12 |
$498.34 |
| 85610 |
|
147 |
119 |
$451.28 |
| 83605 |
|
46 |
44 |
$447.04 |
| 87210 |
|
135 |
131 |
$431.13 |
| 74019 |
|
12 |
12 |
$374.71 |
| 83735 |
|
73 |
67 |
$342.72 |
| 85041 |
|
88 |
87 |
$335.07 |
| 85730 |
|
74 |
72 |
$321.16 |
| 84156 |
|
83 |
70 |
$306.44 |
| 83540 |
|
38 |
38 |
$299.55 |
| 84146 |
|
13 |
12 |
$294.10 |
| 82728 |
|
15 |
15 |
$286.80 |
| S9443 |
Lactation classes, non-physician provider, per session |
13 |
12 |
$273.05 |
| 87205 |
|
114 |
108 |
$265.49 |
| 83880 |
|
16 |
13 |
$246.18 |
| 73030 |
|
13 |
13 |
$237.38 |
| 85652 |
|
84 |
80 |
$227.62 |
| 90715 |
|
13 |
13 |
$213.76 |
| 93325 |
|
16 |
12 |
$176.49 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
26 |
26 |
$176.10 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
295 |
269 |
$166.59 |
| 83550 |
|
14 |
14 |
$159.79 |
| 82150 |
|
26 |
26 |
$156.21 |
| 82803 |
|
12 |
12 |
$151.86 |
| 94644 |
|
73 |
68 |
$151.24 |
| 80329 |
|
97 |
93 |
$132.35 |
| J2274 |
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg |
16 |
15 |
$111.87 |
| 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 |
16 |
15 |
$101.43 |
| 86592 |
|
17 |
17 |
$74.44 |
| 36415 |
Collection of venous blood by venipuncture |
2,257 |
2,048 |
$74.37 |
| 87147 |
|
12 |
12 |
$67.43 |
| C1729 |
Catheter, drainage |
41 |
41 |
$7.11 |
| 90791 |
Psychiatric diagnostic evaluation |
103 |
93 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$0.00 |
| 96376 |
|
15 |
13 |
$0.00 |