| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,271 |
3,537 |
$1.72M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,187 |
3,137 |
$1.68M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,564 |
1,901 |
$1.03M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
456 |
319 |
$414K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
465 |
263 |
$141K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
114 |
65 |
$103K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
204 |
170 |
$81K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,281 |
1,336 |
$23K |
| 80053 |
Comprehensive metabolic panel |
1,252 |
794 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
368 |
309 |
$18K |
| 80305 |
|
1,250 |
678 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
3,852 |
2,552 |
$15K |
| 84443 |
Thyroid stimulating hormone (TSH) |
672 |
506 |
$14K |
| 80061 |
Lipid panel |
702 |
533 |
$12K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
307 |
219 |
$11K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
151 |
82 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
130 |
104 |
$8K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
640 |
368 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
495 |
378 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
100 |
72 |
$5K |
| 85027 |
|
476 |
319 |
$4K |
| 82607 |
|
202 |
159 |
$4K |
| 86141 |
|
168 |
132 |
$3K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
25 |
20 |
$3K |
| 80076 |
|
248 |
138 |
$2K |
| 83540 |
|
230 |
171 |
$2K |
| 81001 |
|
475 |
338 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
23 |
12 |
$2K |
| 84439 |
|
124 |
84 |
$1K |
| 85610 |
|
275 |
98 |
$1K |
| 82728 |
|
75 |
56 |
$1K |
| 84460 |
|
178 |
113 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
30 |
26 |
$936.00 |
| 85652 |
|
266 |
190 |
$883.74 |
| 84450 |
|
122 |
82 |
$779.58 |
| 82565 |
|
71 |
38 |
$464.06 |
| 86803 |
|
25 |
25 |
$440.25 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
44 |
24 |
$438.24 |
| 82746 |
|
24 |
24 |
$431.86 |
| 84466 |
|
16 |
14 |
$252.16 |
| 82043 |
|
13 |
13 |
$99.45 |
| 85045 |
|
18 |
13 |
$88.74 |
| 84100 |
|
14 |
12 |
$81.90 |