| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
17,763 |
16,942 |
$7.77M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,591 |
4,268 |
$3.11M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,678 |
1,568 |
$1.08M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,763 |
1,723 |
$617K |
| 99215 |
Prolong outpt/office vis |
1,418 |
945 |
$587K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,175 |
6,048 |
$398K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,023 |
5,814 |
$389K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
7,455 |
7,297 |
$367K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
720 |
632 |
$361K |
| 71045 |
Radiologic examination, chest; single view |
3,654 |
2,897 |
$178K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,120 |
990 |
$149K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,041 |
829 |
$127K |
| 80053 |
Comprehensive metabolic panel |
9,621 |
8,398 |
$125K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,635 |
1,202 |
$124K |
| 71046 |
Radiologic examination, chest; 2 views |
1,234 |
1,041 |
$94K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
610 |
137 |
$86K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,319 |
8,015 |
$79K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,417 |
3,707 |
$78K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
32 |
30 |
$62K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,112 |
1,028 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
968 |
335 |
$61K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,369 |
1,020 |
$47K |
| 81001 |
|
7,232 |
6,561 |
$40K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
739 |
451 |
$38K |
| 87420 |
|
824 |
813 |
$33K |
| 83690 |
|
2,562 |
2,348 |
$33K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,154 |
1,122 |
$32K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
78 |
77 |
$27K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,706 |
1,323 |
$20K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,614 |
1,518 |
$18K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
279 |
237 |
$16K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,204 |
1,087 |
$15K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
40 |
39 |
$12K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
44 |
42 |
$11K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
245 |
244 |
$10K |
| 84484 |
|
2,729 |
2,133 |
$8K |
| 84703 |
|
668 |
627 |
$7K |
| CP007 |
|
43 |
40 |
$4K |
| 73130 |
|
85 |
58 |
$4K |
| 87428 |
|
122 |
121 |
$4K |
| 80061 |
Lipid panel |
1,220 |
1,197 |
$3K |
| 87807 |
|
90 |
80 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,522 |
1,115 |
$2K |
| 85027 |
|
807 |
743 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
13 |
13 |
$2K |
| 87806 |
|
40 |
39 |
$2K |
| 73610 |
|
38 |
29 |
$1K |
| 73110 |
|
116 |
91 |
$1K |
| 87040 |
|
1,032 |
662 |
$1K |
| 83880 |
|
539 |
497 |
$1K |
| 81025 |
|
105 |
102 |
$1K |
| 83605 |
|
952 |
787 |
$1K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
25 |
24 |
$1K |
| 82805 |
|
151 |
128 |
$1K |
| 87077 |
|
951 |
886 |
$916.37 |
| 73630 |
|
20 |
15 |
$840.46 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
15 |
13 |
$763.24 |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,118 |
1,078 |
$741.06 |
| 73562 |
|
33 |
28 |
$706.98 |
| 96367 |
|
92 |
79 |
$616.19 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,175 |
1,154 |
$571.69 |
| 36415 |
Collection of venous blood by venipuncture |
5,317 |
4,378 |
$570.09 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
889 |
770 |
$372.13 |
| 96376 |
|
198 |
119 |
$342.87 |
| 87181 |
|
938 |
870 |
$339.80 |
| A9270 |
Non-covered item or service |
10,168 |
9,245 |
$302.25 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
24 |
24 |
$260.76 |
| 85610 |
|
351 |
306 |
$232.86 |
| 86592 |
|
41 |
40 |
$202.08 |
| 86901 |
|
73 |
65 |
$172.80 |
| 86900 |
|
74 |
66 |
$172.80 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
24 |
24 |
$103.58 |
| 85730 |
|
45 |
43 |
$72.73 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
84 |
72 |
$56.60 |
| 84145 |
|
16 |
14 |
$37.29 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
117 |
91 |
$33.51 |
| 82570 |
|
314 |
305 |
$26.24 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
13 |
13 |
$23.62 |
| 82550 |
|
63 |
57 |
$21.41 |
| 87400 |
|
297 |
285 |
$19.35 |
| 82248 |
|
83 |
80 |
$16.94 |
| 83735 |
|
113 |
58 |
$15.60 |
| 82043 |
|
222 |
222 |
$13.46 |
| 80164 |
|
91 |
84 |
$10.80 |
| 85007 |
|
74 |
70 |
$3.65 |
| 82728 |
|
41 |
30 |
$0.00 |
| 87070 |
|
19 |
15 |
$0.00 |
| 86140 |
|
28 |
25 |
$0.00 |
| 85379 |
|
19 |
17 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
575 |
548 |
$0.00 |