| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
24,083 |
18,733 |
$3.07M |
| 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 |
158 |
123 |
$564K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,029 |
1,601 |
$257K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,761 |
2,359 |
$252K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,708 |
1,345 |
$164K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
992 |
745 |
$118K |
| 71045 |
Radiologic examination, chest; single view |
605 |
481 |
$102K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,393 |
1,096 |
$100K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,076 |
1,612 |
$98K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,727 |
1,339 |
$83K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
20,464 |
14,818 |
$75K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
59 |
26 |
$53K |
| 71046 |
Radiologic examination, chest; 2 views |
707 |
560 |
$47K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
38 |
30 |
$47K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
19 |
12 |
$44K |
| 80053 |
Comprehensive metabolic panel |
8,380 |
5,992 |
$43K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,006 |
884 |
$42K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,288 |
1,150 |
$36K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,288 |
1,150 |
$36K |
| 36415 |
Collection of venous blood by venipuncture |
20,688 |
14,718 |
$36K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
241 |
208 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,865 |
1,292 |
$34K |
| G0378 |
Hospital observation service, per hour |
262 |
146 |
$28K |
| 99218 |
|
236 |
156 |
$27K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,174 |
808 |
$25K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
865 |
774 |
$24K |
| 92557 |
|
292 |
240 |
$24K |
| 92567 |
|
775 |
656 |
$20K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
813 |
604 |
$18K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
144 |
79 |
$16K |
| 80500 |
|
227 |
179 |
$16K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
842 |
739 |
$11K |
| J3300 |
Injection, triamcinolone acetonide, preservative free, 1 mg |
361 |
275 |
$9K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
78 |
25 |
$9K |
| 70486 |
|
58 |
41 |
$8K |
| 84443 |
Thyroid stimulating hormone (TSH) |
593 |
518 |
$6K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
44 |
37 |
$5K |
| 84484 |
|
761 |
566 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,149 |
898 |
$4K |
| 80503 |
|
39 |
28 |
$3K |
| 80061 |
Lipid panel |
418 |
369 |
$3K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
28 |
12 |
$3K |
| 80081 |
|
39 |
36 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
17 |
12 |
$2K |
| 83655 |
|
197 |
181 |
$2K |
| 87088 |
|
320 |
270 |
$2K |
| 85652 |
|
1,106 |
943 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
624 |
453 |
$2K |
| 36591 |
|
32 |
12 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
318 |
264 |
$1K |
| 83690 |
|
483 |
376 |
$1K |
| 84703 |
|
342 |
264 |
$1K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
78 |
64 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
95 |
79 |
$1K |
| 82728 |
|
138 |
117 |
$979.38 |
| 87563 |
|
27 |
24 |
$753.10 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
25 |
25 |
$736.89 |
| 81001 |
|
487 |
393 |
$704.67 |
| A0425 |
Ground mileage, per statute mile |
2,578 |
1,589 |
$679.35 |
| 82565 |
|
213 |
169 |
$528.16 |
| 84460 |
|
172 |
125 |
$443.15 |
| 84450 |
|
172 |
125 |
$433.29 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
13 |
$374.27 |
| 84439 |
|
66 |
59 |
$363.53 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
15 |
12 |
$331.36 |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
23 |
15 |
$259.98 |
| 83550 |
|
51 |
39 |
$224.86 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
158 |
36 |
$206.52 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
13 |
13 |
$205.04 |
| 81003 |
|
238 |
176 |
$198.33 |
| 82040 |
|
91 |
57 |
$197.89 |
| 83540 |
|
51 |
39 |
$167.50 |
| 87040 |
|
21 |
12 |
$135.23 |
| 86885 |
|
14 |
12 |
$111.00 |
| 86431 |
|
13 |
12 |
$86.29 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
261 |
183 |
$45.36 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
23 |
12 |
$44.89 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
47 |
39 |
$33.46 |
| 86901 |
|
14 |
12 |
$11.60 |
| 86900 |
|
14 |
12 |
$11.60 |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
227 |
156 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
45 |
25 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
27 |
13 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
127 |
95 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
117 |
77 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
12 |
$0.00 |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
585 |
462 |
$0.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
30 |
25 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
22 |
16 |
$0.00 |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
22 |
13 |
$0.00 |
| J0595 |
Injection, butorphanol tartrate, 1 mg |
18 |
12 |
$0.00 |