| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,214 |
24,970 |
$1.17M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,130 |
8,128 |
$623K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,356 |
2,832 |
$418K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,035 |
2,617 |
$369K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
2,122 |
2,064 |
$243K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,316 |
1,525 |
$243K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,450 |
1,296 |
$154K |
| 36415 |
Collection of venous blood by venipuncture |
11,324 |
9,742 |
$151K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,686 |
2,396 |
$118K |
| 80053 |
Comprehensive metabolic panel |
1,609 |
1,458 |
$103K |
| X5622 |
|
1,248 |
1,197 |
$74K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,505 |
1,328 |
$68K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
477 |
464 |
$50K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
325 |
316 |
$49K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,720 |
2,589 |
$45K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,160 |
1,137 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,066 |
978 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
828 |
718 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,041 |
1,973 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
495 |
483 |
$24K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
415 |
171 |
$22K |
| 99215 |
Prolong outpt/office vis |
224 |
150 |
$19K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
457 |
382 |
$17K |
| 87430 |
|
271 |
265 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
234 |
229 |
$15K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
255 |
210 |
$12K |
| 86140 |
|
407 |
372 |
$11K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
119 |
111 |
$11K |
| 90834 |
Psychotherapy, 45 minutes with patient |
188 |
103 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
579 |
563 |
$8K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
87 |
39 |
$8K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
131 |
108 |
$8K |
| 81001 |
|
467 |
426 |
$8K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
32 |
32 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
149 |
134 |
$5K |
| J3490 |
Unclassified drugs |
335 |
165 |
$5K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
31 |
28 |
$5K |
| 84484 |
|
62 |
55 |
$5K |
| 92551 |
|
830 |
809 |
$5K |
| 99188 |
|
541 |
528 |
$4K |
| A0425 |
Ground mileage, per statute mile |
15 |
12 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
49 |
49 |
$3K |
| 93793 |
|
359 |
129 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
861 |
723 |
$3K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
29 |
27 |
$3K |
| 0002A |
|
125 |
123 |
$3K |
| 83605 |
|
40 |
36 |
$3K |
| 0001A |
|
105 |
104 |
$3K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
54 |
50 |
$2K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
127 |
116 |
$2K |
| 80061 |
Lipid panel |
49 |
40 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
38 |
38 |
$2K |
| 90686 |
|
490 |
476 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
26 |
26 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
49 |
45 |
$2K |
| 99417 |
Prolong home eval add 15m |
26 |
26 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
26 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
13 |
12 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
14 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
38 |
26 |
$1K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
19 |
18 |
$1K |
| J2704 |
Injection, propofol, 10 mg |
63 |
48 |
$900.77 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$876.84 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$851.81 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$830.40 |
| 85610 |
|
44 |
24 |
$742.23 |
| 99173 |
|
632 |
615 |
$732.47 |
| 87081 |
|
42 |
42 |
$719.99 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
15 |
13 |
$702.19 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
66 |
64 |
$612.00 |
| 0011A |
|
22 |
22 |
$600.29 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
13 |
13 |
$471.46 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
86 |
81 |
$458.77 |
| 0012A |
|
13 |
13 |
$311.33 |
| 83690 |
|
13 |
13 |
$282.07 |
| 85018 |
|
12 |
12 |
$265.70 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
36 |
32 |
$233.70 |
| 0124A |
|
13 |
12 |
$133.40 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
13 |
12 |
$132.90 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
31 |
25 |
$127.63 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
12 |
$116.41 |
| 96127 |
|
15 |
13 |
$92.17 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
21 |
12 |
$38.30 |
| 90723 |
|
17 |
13 |
$0.00 |
| 90648 |
|
88 |
78 |
$0.00 |
| 90685 |
|
14 |
13 |
$0.00 |
| 90670 |
|
43 |
41 |
$0.00 |