| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
387 |
371 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
439 |
405 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
390 |
366 |
$65K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
237 |
232 |
$48K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
206 |
198 |
$45K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
108 |
100 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
85 |
58 |
$18K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
15 |
13 |
$10K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
55 |
53 |
$9K |
| 87428 |
|
153 |
152 |
$9K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
14 |
14 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
44 |
$8K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
49 |
42 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
68 |
67 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
33 |
31 |
$7K |
| 70450 |
Computed tomography, head or brain; without contrast material |
36 |
34 |
$5K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
46 |
45 |
$5K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
30 |
29 |
$5K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
121 |
103 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
36 |
36 |
$4K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
15 |
14 |
$3K |
| 99215 |
Prolong outpt/office vis |
16 |
16 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
470 |
435 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
35 |
35 |
$2K |
| ATP14 |
|
212 |
203 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
40 |
36 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
104 |
100 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
22 |
16 |
$2K |
| 88342 |
|
21 |
20 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
117 |
115 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
220 |
211 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
47 |
47 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
47 |
47 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
35 |
35 |
$1K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
32 |
31 |
$1K |
| 81513 |
|
13 |
12 |
$1K |
| 90688 |
|
52 |
52 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
145 |
144 |
$962.54 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
37 |
36 |
$959.14 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
88 |
81 |
$858.36 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$831.54 |
| 84702 |
|
74 |
69 |
$822.74 |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$692.95 |
| ATP08 |
|
71 |
64 |
$618.12 |
| 81025 |
|
96 |
92 |
$614.79 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
235 |
224 |
$599.40 |
| 84484 |
|
80 |
55 |
$561.00 |
| 83690 |
|
88 |
85 |
$516.80 |
| 84443 |
Thyroid stimulating hormone (TSH) |
38 |
37 |
$400.14 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
56 |
56 |
$368.08 |
| 86850 |
|
41 |
39 |
$318.94 |
| 81001 |
|
129 |
119 |
$288.40 |
| 87481 |
|
13 |
12 |
$278.46 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
14 |
14 |
$254.88 |
| 83735 |
|
44 |
40 |
$218.67 |
| 87077 |
|
30 |
28 |
$213.90 |
| 73030 |
|
13 |
12 |
$193.82 |
| 87081 |
|
36 |
36 |
$193.05 |
| 81003 |
|
121 |
119 |
$178.20 |
| ATP15 |
|
15 |
15 |
$158.76 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
37 |
31 |
$152.72 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
68 |
46 |
$152.72 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
154 |
143 |
$143.06 |
| 85610 |
|
34 |
33 |
$105.84 |
| 86901 |
|
43 |
41 |
$102.96 |
| 86900 |
|
43 |
41 |
$102.96 |
| 73630 |
|
18 |
17 |
$77.53 |
| 73562 |
|
17 |
14 |
$77.53 |
| 73610 |
|
12 |
12 |
$77.53 |
| 85730 |
|
13 |
13 |
$63.60 |
| 80053 |
Comprehensive metabolic panel |
272 |
260 |
$57.97 |
| 82947 |
|
19 |
17 |
$27.76 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
143 |
139 |
$14.92 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
35 |
34 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
67 |
65 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
14 |
14 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
147 |
125 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
38 |
34 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
108 |
60 |
$0.00 |
| 31231 |
|
13 |
13 |
$0.00 |
| 90657 |
|
36 |
36 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
70 |
65 |
$0.00 |
| 80076 |
|
33 |
33 |
$0.00 |
| 80061 |
Lipid panel |
45 |
42 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
15 |
13 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
90 |
80 |
$0.00 |