| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
8,868 |
7,933 |
$191K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,581 |
2,103 |
$130K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,678 |
1,452 |
$87K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
2,189 |
1,460 |
$55K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
727 |
595 |
$49K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,017 |
977 |
$48K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
362 |
336 |
$44K |
| 80053 |
Comprehensive metabolic panel |
1,946 |
1,589 |
$41K |
| A0425 |
Ground mileage, per statute mile |
456 |
347 |
$40K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,353 |
1,891 |
$30K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,272 |
1,137 |
$23K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
604 |
592 |
$23K |
| 36415 |
Collection of venous blood by venipuncture |
1,809 |
1,298 |
$14K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
201 |
158 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
134 |
132 |
$7K |
| 86703 |
|
90 |
85 |
$6K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
61 |
50 |
$6K |
| 84443 |
Thyroid stimulating hormone (TSH) |
104 |
98 |
$5K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
80 |
64 |
$5K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
225 |
180 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
67 |
66 |
$4K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
74 |
51 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
209 |
93 |
$3K |
| 87340 |
|
110 |
105 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
86 |
81 |
$3K |
| 86803 |
|
85 |
81 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
86 |
81 |
$2K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
19 |
12 |
$2K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
43 |
38 |
$2K |
| 85027 |
|
103 |
96 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
71 |
64 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
37 |
26 |
$2K |
| 86140 |
|
119 |
103 |
$1K |
| J2704 |
Injection, propofol, 10 mg |
33 |
25 |
$1K |
| 81001 |
|
74 |
66 |
$664.15 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
32 |
26 |
$592.63 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
27 |
25 |
$502.36 |
| 71045 |
Radiologic examination, chest; single view |
17 |
12 |
$491.39 |
| 87420 |
|
14 |
14 |
$480.66 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
13 |
13 |
$464.45 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
13 |
13 |
$452.84 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
18 |
14 |
$416.42 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$404.73 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
14 |
$356.09 |
| 90647 |
|
68 |
68 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90723 |
|
14 |
14 |
$0.00 |
| 90657 |
|
17 |
17 |
$0.00 |
| 90658 |
|
15 |
15 |
$0.00 |
| 90670 |
|
46 |
46 |
$0.00 |