| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,165 |
17,438 |
$775K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,908 |
10,627 |
$640K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,801 |
3,899 |
$348K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,376 |
1,024 |
$130K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,559 |
1,369 |
$79K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
887 |
193 |
$66K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
3,644 |
2,239 |
$52K |
| 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 |
767 |
471 |
$39K |
| 80053 |
Comprehensive metabolic panel |
1,586 |
1,200 |
$24K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,580 |
1,404 |
$24K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
86 |
44 |
$21K |
| 84443 |
Thyroid stimulating hormone (TSH) |
507 |
395 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
5,429 |
4,061 |
$11K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
113 |
70 |
$11K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
256 |
65 |
$10K |
| 80305 |
|
503 |
370 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,012 |
1,495 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
323 |
296 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
361 |
298 |
$7K |
| 97035 |
|
66 |
12 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
133 |
119 |
$6K |
| 80061 |
Lipid panel |
368 |
292 |
$5K |
| 87088 |
|
210 |
148 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
108 |
81 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
152 |
109 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
290 |
183 |
$3K |
| 73630 |
|
43 |
37 |
$3K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
54 |
50 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
250 |
172 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
33 |
33 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
228 |
89 |
$1K |
| 84439 |
|
22 |
12 |
$850.12 |
| 73130 |
|
16 |
13 |
$810.32 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
82 |
57 |
$373.27 |
| 81001 |
|
340 |
229 |
$359.47 |
| 93000 |
|
30 |
22 |
$308.98 |
| 87400 |
|
28 |
12 |
$265.53 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
169 |
101 |
$191.23 |
| 83690 |
|
43 |
24 |
$164.48 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
35 |
26 |
$140.02 |
| 83735 |
|
70 |
41 |
$138.50 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
200 |
114 |
$115.27 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
14 |
14 |
$83.16 |
| 84484 |
|
28 |
15 |
$56.96 |
| 87428 |
|
263 |
221 |
$54.46 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
50 |
31 |
$47.28 |
| 81003 |
|
17 |
13 |
$45.92 |
| 84703 |
|
23 |
13 |
$17.31 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
16 |
16 |
$16.17 |
| 97161 |
|
19 |
12 |
$6.24 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
211 |
97 |
$1.18 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
198 |
99 |
$0.09 |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,524 |
1,308 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
53 |
41 |
$0.00 |
| P9603 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled |
526 |
339 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
73 |
63 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
12 |
12 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
26 |
25 |
$0.00 |
| 87070 |
|
12 |
12 |
$0.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
18 |
12 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
61 |
56 |
$0.00 |
| 94760 |
|
99 |
61 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
12 |
12 |
$0.00 |