| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
8,360 |
7,430 |
$1.51M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
11,761 |
10,463 |
$948K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,948 |
1,770 |
$219K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,160 |
1,079 |
$205K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
2,320 |
917 |
$199K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,577 |
618 |
$127K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,261 |
501 |
$123K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,897 |
3,769 |
$118K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,245 |
1,164 |
$94K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
577 |
500 |
$84K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
983 |
934 |
$79K |
| 80053 |
Comprehensive metabolic panel |
7,198 |
6,644 |
$73K |
| 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 |
693 |
682 |
$61K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
219 |
201 |
$53K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,530 |
6,139 |
$44K |
| 97750 |
|
299 |
297 |
$40K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,442 |
2,399 |
$39K |
| 86769 |
|
889 |
864 |
$37K |
| 71046 |
Radiologic examination, chest; 2 views |
757 |
734 |
$36K |
| A0425 |
Ground mileage, per statute mile |
746 |
634 |
$28K |
| 80061 |
Lipid panel |
2,006 |
1,992 |
$27K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
198 |
87 |
$20K |
| J3490 |
Unclassified drugs |
2,723 |
2,131 |
$19K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
96 |
96 |
$19K |
| 71045 |
Radiologic examination, chest; single view |
443 |
421 |
$16K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
204 |
203 |
$16K |
| Q3014 |
Telehealth originating site facility fee |
1,672 |
1,037 |
$15K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,125 |
1,067 |
$15K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,520 |
1,504 |
$14K |
| 81001 |
|
2,559 |
2,435 |
$13K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
167 |
161 |
$13K |
| Z7502 |
|
324 |
273 |
$13K |
| 96367 |
|
141 |
135 |
$12K |
| A4217 |
Sterile water/saline, 500 ml |
864 |
794 |
$9K |
| 85027 |
|
1,070 |
980 |
$8K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
196 |
195 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
15 |
15 |
$7K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
29 |
26 |
$7K |
| 83690 |
|
991 |
915 |
$6K |
| 84439 |
|
632 |
628 |
$6K |
| 80305 |
|
415 |
396 |
$6K |
| 83605 |
|
552 |
515 |
$5K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
516 |
342 |
$5K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
142 |
141 |
$5K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
141 |
140 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
592 |
563 |
$4K |
| 84484 |
|
377 |
353 |
$3K |
| 86140 |
|
665 |
630 |
$3K |
| 85007 |
|
1,054 |
963 |
$3K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
16 |
15 |
$3K |
| J7050 |
Infusion, normal saline solution, 250 cc |
498 |
458 |
$3K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
204 |
200 |
$2K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
12 |
12 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
858 |
800 |
$2K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
54 |
53 |
$2K |
| 87186 |
|
197 |
193 |
$2K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
65 |
65 |
$1K |
| 83880 |
|
39 |
39 |
$1K |
| J2704 |
Injection, propofol, 10 mg |
200 |
196 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
162 |
154 |
$1K |
| 85610 |
|
217 |
185 |
$928.21 |
| 87070 |
|
69 |
68 |
$782.22 |
| 83721 |
|
95 |
95 |
$780.90 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
423 |
402 |
$769.25 |
| 81025 |
|
229 |
220 |
$697.73 |
| 86803 |
|
52 |
52 |
$636.00 |
| 83718 |
|
96 |
96 |
$634.50 |
| 73030 |
|
14 |
14 |
$582.83 |
| 83735 |
|
64 |
63 |
$377.04 |
| 82465 |
|
97 |
97 |
$367.65 |
| 87340 |
|
38 |
38 |
$351.08 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
15 |
14 |
$347.06 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
16 |
13 |
$284.55 |
| 86703 |
|
13 |
13 |
$155.48 |
| 87040 |
|
13 |
12 |
$152.66 |
| 85651 |
|
57 |
54 |
$131.38 |
| 87077 |
|
13 |
12 |
$96.22 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$85.46 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
13 |
$50.06 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
12 |
12 |
$45.77 |
| 85652 |
|
12 |
12 |
$26.40 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
16 |
16 |
$16.00 |