| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
41,799 |
26,806 |
$10.30M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
44,029 |
28,825 |
$7.32M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
17,773 |
10,957 |
$4.83M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,311 |
2,125 |
$1.86M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
18,911 |
13,931 |
$1.67M |
| 80053 |
Comprehensive metabolic panel |
45,243 |
39,656 |
$1.06M |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
37,373 |
32,303 |
$696K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
9,191 |
8,312 |
$665K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
12,281 |
10,337 |
$663K |
| G0330 |
Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room |
106 |
84 |
$492K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
4,812 |
4,318 |
$476K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
7,545 |
6,486 |
$430K |
| 71045 |
Radiologic examination, chest; single view |
6,556 |
5,687 |
$387K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
7,931 |
7,086 |
$310K |
| 36415 |
Collection of venous blood by venipuncture |
39,188 |
33,361 |
$295K |
| 81001 |
|
21,329 |
19,107 |
$286K |
| 70450 |
Computed tomography, head or brain; without contrast material |
808 |
701 |
$219K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,823 |
692 |
$203K |
| 84443 |
Thyroid stimulating hormone (TSH) |
7,838 |
7,154 |
$200K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,734 |
1,312 |
$154K |
| 84484 |
|
5,312 |
4,374 |
$148K |
| 83690 |
|
5,771 |
5,237 |
$122K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
4,308 |
3,875 |
$120K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
3,880 |
3,515 |
$116K |
| 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 |
1,460 |
1,204 |
$98K |
| 80306 |
|
2,075 |
1,831 |
$96K |
| 71046 |
Radiologic examination, chest; 2 views |
1,128 |
1,053 |
$95K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
3,284 |
2,021 |
$94K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,556 |
5,114 |
$90K |
| 80061 |
Lipid panel |
4,112 |
3,768 |
$87K |
| 85027 |
|
6,481 |
5,882 |
$82K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
13 |
12 |
$71K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,361 |
1,257 |
$69K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
944 |
797 |
$66K |
| 83735 |
|
3,939 |
3,497 |
$55K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,506 |
1,416 |
$49K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,696 |
2,369 |
$46K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
800 |
747 |
$33K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
977 |
842 |
$30K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
776 |
673 |
$29K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
241 |
153 |
$29K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
3,992 |
3,196 |
$29K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
834 |
710 |
$28K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
23 |
13 |
$20K |
| 81025 |
|
838 |
798 |
$17K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
21 |
16 |
$16K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
174 |
146 |
$15K |
| 83605 |
|
681 |
559 |
$14K |
| 82607 |
|
427 |
401 |
$13K |
| 59025 |
Fetal non-stress test |
156 |
78 |
$13K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
15 |
13 |
$12K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
168 |
54 |
$12K |
| 97602 |
|
156 |
80 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
324 |
281 |
$10K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
106 |
101 |
$10K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
705 |
553 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
248 |
195 |
$8K |
| 73630 |
|
42 |
37 |
$6K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,264 |
1,070 |
$6K |
| 84703 |
|
143 |
136 |
$4K |
| 86780 |
|
280 |
265 |
$4K |
| 85610 |
|
524 |
409 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
154 |
55 |
$4K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
90 |
62 |
$4K |
| 82803 |
|
50 |
42 |
$4K |
| 84145 |
|
131 |
113 |
$3K |
| 96376 |
|
52 |
39 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
53 |
45 |
$3K |
| 87040 |
|
64 |
36 |
$3K |
| 86803 |
|
127 |
116 |
$3K |
| A9270 |
Non-covered item or service |
3,315 |
2,673 |
$3K |
| 86140 |
|
307 |
255 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
89 |
38 |
$2K |
| 84439 |
|
157 |
139 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
14 |
12 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
44 |
38 |
$2K |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$2K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
101 |
91 |
$2K |
| 97597 |
|
22 |
12 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
29 |
24 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
29 |
24 |
$1K |
| 87800 |
|
40 |
38 |
$1K |
| 85652 |
|
137 |
120 |
$1K |
| 82948 |
|
177 |
129 |
$1K |
| 73030 |
|
14 |
13 |
$1K |
| 83550 |
|
51 |
50 |
$1K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
43 |
40 |
$1K |
| 86850 |
|
27 |
24 |
$1K |
| 88142 |
|
29 |
27 |
$839.00 |
| 82728 |
|
53 |
39 |
$747.76 |
| 87077 |
|
74 |
65 |
$739.32 |
| 83880 |
|
33 |
27 |
$681.46 |
| 83540 |
|
51 |
50 |
$641.33 |
| 99223 |
Prolong inpt eval add15 m |
16 |
12 |
$559.74 |
| 85379 |
|
38 |
26 |
$385.10 |
| 82746 |
|
32 |
27 |
$381.60 |
| 82550 |
|
27 |
25 |
$360.83 |
| 80069 |
|
114 |
60 |
$261.38 |
| 99441 |
|
21 |
14 |
$144.75 |
| 87186 |
|
18 |
14 |
$128.00 |