| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
883 |
845 |
$164K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
569 |
540 |
$125K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
713 |
659 |
$116K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
477 |
465 |
$97K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
107 |
104 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
236 |
231 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
185 |
174 |
$32K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
162 |
161 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
127 |
127 |
$21K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
461 |
456 |
$17K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
314 |
282 |
$16K |
| 59025 |
Fetal non-stress test |
64 |
32 |
$15K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
72 |
71 |
$15K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
445 |
440 |
$13K |
| 80053 |
Comprehensive metabolic panel |
1,016 |
919 |
$11K |
| 76830 |
Ultrasound, transvaginal |
68 |
68 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,257 |
1,123 |
$9K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
105 |
103 |
$8K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
59 |
59 |
$8K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
189 |
188 |
$7K |
| 70450 |
Computed tomography, head or brain; without contrast material |
54 |
52 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
488 |
475 |
$6K |
| 84443 |
Thyroid stimulating hormone (TSH) |
376 |
369 |
$6K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
664 |
604 |
$5K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
146 |
146 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
30 |
25 |
$4K |
| 84702 |
|
274 |
228 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
144 |
142 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
231 |
229 |
$3K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
13 |
13 |
$3K |
| 83735 |
|
438 |
395 |
$3K |
| 87070 |
|
339 |
325 |
$3K |
| 84484 |
|
231 |
190 |
$3K |
| 87480 |
|
92 |
90 |
$3K |
| 87081 |
|
348 |
342 |
$2K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
68 |
67 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
178 |
165 |
$2K |
| 85027 |
|
326 |
320 |
$2K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
25 |
25 |
$2K |
| 80061 |
Lipid panel |
289 |
289 |
$2K |
| 86592 |
|
75 |
75 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
153 |
151 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
12 |
$2K |
| 87510 |
|
92 |
90 |
$2K |
| 81001 |
|
549 |
517 |
$2K |
| 87660 |
|
92 |
90 |
$2K |
| 81025 |
|
226 |
220 |
$1K |
| 82553 |
|
119 |
106 |
$1K |
| 80074 |
|
49 |
49 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
23 |
21 |
$1K |
| 73630 |
|
62 |
61 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
448 |
403 |
$1K |
| 87205 |
|
233 |
224 |
$1K |
| 83690 |
|
151 |
145 |
$985.00 |
| 86850 |
|
65 |
62 |
$964.19 |
| 80076 |
|
168 |
160 |
$789.64 |
| 82728 |
|
50 |
50 |
$772.66 |
| 87186 |
|
93 |
92 |
$724.64 |
| 84439 |
|
80 |
79 |
$675.29 |
| 82150 |
|
96 |
93 |
$639.47 |
| 73610 |
|
30 |
30 |
$604.87 |
| 73562 |
|
26 |
26 |
$604.87 |
| 81003 |
|
265 |
258 |
$568.22 |
| 83655 |
|
28 |
28 |
$563.56 |
| 82948 |
|
92 |
77 |
$482.01 |
| 87400 |
|
18 |
18 |
$393.84 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
13 |
13 |
$346.60 |
| 87147 |
|
45 |
44 |
$324.24 |
| 83540 |
|
40 |
40 |
$277.81 |
| 86900 |
|
79 |
76 |
$274.47 |
| 86901 |
|
79 |
76 |
$226.94 |
| 73110 |
|
13 |
13 |
$201.63 |
| 82550 |
|
243 |
201 |
$182.29 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$156.80 |
| 85652 |
|
53 |
51 |
$152.54 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
60 |
60 |
$138.00 |
| 85610 |
|
30 |
25 |
$115.43 |
| 83550 |
|
14 |
14 |
$103.61 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
169 |
136 |
$47.30 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
182 |
172 |
$47.30 |
| 82947 |
|
16 |
15 |
$25.06 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
72 |
72 |
$0.00 |
| 84460 |
|
12 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
115 |
106 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
344 |
327 |
$0.00 |
| 80320 |
|
275 |
242 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
257 |
243 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
114 |
111 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
15 |
14 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
17 |
12 |
$0.00 |