| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
22,302 |
18,845 |
$1.79M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
9,052 |
7,789 |
$1.06M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15,015 |
12,982 |
$777K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,501 |
4,896 |
$151K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
4,985 |
3,741 |
$38K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
324 |
243 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,094 |
1,626 |
$36K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
953 |
507 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,401 |
1,152 |
$33K |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
2,438 |
50 |
$31K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,098 |
474 |
$11K |
| 12011 |
|
90 |
80 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
510 |
168 |
$7K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
511 |
55 |
$7K |
| 12001 |
|
65 |
62 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
210 |
69 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
46 |
27 |
$4K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
244 |
98 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
95 |
92 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
95 |
86 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
394 |
59 |
$2K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
108 |
108 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
60 |
51 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
147 |
131 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
100 |
95 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
109 |
88 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
140 |
119 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
100 |
96 |
$2K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
176 |
43 |
$2K |
| 93971 |
|
75 |
26 |
$2K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
20 |
20 |
$1K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
47 |
39 |
$895.61 |
| 99215 |
Prolong outpt/office vis |
38 |
36 |
$800.24 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
64 |
17 |
$694.75 |
| 99221 |
|
31 |
30 |
$676.28 |
| 71046 |
Radiologic examination, chest; 2 views |
72 |
52 |
$662.07 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
23 |
21 |
$608.90 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
70 |
38 |
$598.52 |
| Q3014 |
Telehealth originating site facility fee |
46 |
27 |
$583.01 |
| 90961 |
|
12 |
12 |
$573.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
39 |
32 |
$513.05 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
34 |
15 |
$452.60 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
58 |
28 |
$422.62 |
| 99307 |
|
24 |
13 |
$388.36 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
88 |
86 |
$372.10 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
17 |
17 |
$344.43 |
| E0601 |
Continuous positive airway pressure (cpap) device |
34 |
33 |
$343.52 |
| 97116 |
|
86 |
12 |
$330.08 |
| A7031 |
Face mask interface, replacement for full face mask, each |
14 |
14 |
$329.83 |
| A7030 |
Full face mask used with positive airway pressure device, each |
13 |
13 |
$314.76 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
46 |
46 |
$244.20 |
| 71045 |
Radiologic examination, chest; single view |
134 |
100 |
$218.90 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
15 |
15 |
$192.90 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
19 |
19 |
$185.20 |
| 20610 |
|
13 |
13 |
$175.26 |
| 93970 |
|
21 |
15 |
$165.00 |
| 99152 |
|
64 |
62 |
$156.16 |
| E1392 |
Portable oxygen concentrator, rental |
24 |
24 |
$156.02 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
27 |
27 |
$130.01 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
39 |
39 |
$127.41 |
| 93296 |
|
16 |
16 |
$116.53 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
12 |
12 |
$113.19 |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
15 |
15 |
$105.77 |
| 70450 |
Computed tomography, head or brain; without contrast material |
13 |
12 |
$93.28 |
| A7035 |
Headgear used with positive airway pressure device |
15 |
15 |
$75.95 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
21 |
21 |
$67.28 |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
12 |
12 |
$40.21 |
| E0570 |
Nebulizer, with compressor |
25 |
25 |
$39.85 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
12 |
12 |
$32.94 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
12 |
12 |
$29.04 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
12 |
12 |
$11.33 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$0.00 |