| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
6,138 |
4,826 |
$153K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
937 |
851 |
$70K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
294 |
280 |
$37K |
| 0250 |
|
1,222 |
921 |
$28K |
| Q3014 |
Telehealth originating site facility fee |
1,546 |
1,364 |
$19K |
| 70450 |
Computed tomography, head or brain; without contrast material |
52 |
51 |
$16K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,290 |
1,887 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
2,737 |
2,116 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
422 |
368 |
$3K |
| 80053 |
Comprehensive metabolic panel |
1,330 |
1,242 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
963 |
697 |
$2K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
221 |
205 |
$2K |
| 70355 |
|
17 |
17 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
58 |
52 |
$1K |
| 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 |
60 |
58 |
$1K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
18 |
18 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
47 |
39 |
$1K |
| 0510 |
|
206 |
182 |
$926.09 |
| 84484 |
|
234 |
196 |
$842.39 |
| 81001 |
|
294 |
275 |
$566.44 |
| 71046 |
Radiologic examination, chest; 2 views |
26 |
25 |
$463.30 |
| 99234 |
|
243 |
204 |
$306.90 |
| 80061 |
Lipid panel |
81 |
81 |
$204.75 |
| 82948 |
|
390 |
260 |
$185.67 |
| 85730 |
|
42 |
36 |
$162.81 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
244 |
238 |
$158.54 |
| 85610 |
|
172 |
138 |
$142.54 |
| 83721 |
|
85 |
83 |
$129.03 |
| 85027 |
|
33 |
24 |
$109.89 |
| 84443 |
Thyroid stimulating hormone (TSH) |
201 |
195 |
$84.24 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
33 |
30 |
$58.57 |
| 86780 |
|
43 |
31 |
$55.94 |
| 80076 |
|
27 |
25 |
$42.10 |
| 82550 |
|
48 |
42 |
$34.86 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
24 |
24 |
$29.60 |
| 0270 |
|
88 |
81 |
$26.22 |
| 86803 |
|
19 |
16 |
$13.63 |
| 81003 |
|
50 |
48 |
$6.66 |
| J3490 |
Unclassified drugs |
47 |
26 |
$3.37 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
29 |
29 |
$2.69 |
| 83735 |
|
68 |
40 |
$0.76 |
| 84100 |
|
37 |
26 |
$0.54 |
| 1036F |
|
47 |
26 |
$0.00 |
| 99402 |
|
14 |
14 |
$0.00 |