| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
43,395 |
36,874 |
$9.37M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
53,507 |
46,427 |
$8.03M |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
37,475 |
22,153 |
$2.31M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
10,218 |
8,782 |
$2.28M |
| 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 |
29,015 |
19,983 |
$1.16M |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
4,373 |
4,180 |
$794K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
6,115 |
5,455 |
$756K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
6,717 |
3,913 |
$624K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,824 |
4,490 |
$498K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
7,986 |
7,298 |
$447K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,311 |
3,172 |
$304K |
| 80053 |
Comprehensive metabolic panel |
96,763 |
86,845 |
$257K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
13,807 |
11,747 |
$249K |
| 84443 |
Thyroid stimulating hormone (TSH) |
20,830 |
19,416 |
$211K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
99,146 |
87,715 |
$176K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,353 |
605 |
$167K |
| 86900 |
|
2,467 |
2,314 |
$166K |
| 80061 |
Lipid panel |
19,774 |
18,469 |
$156K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
2,688 |
2,498 |
$149K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
7,861 |
7,373 |
$148K |
| 76813 |
|
1,505 |
1,423 |
$139K |
| 71046 |
Radiologic examination, chest; 2 views |
2,557 |
2,347 |
$136K |
| 36415 |
Collection of venous blood by venipuncture |
86,895 |
74,107 |
$116K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
17,069 |
15,803 |
$92K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
489 |
279 |
$86K |
| 93296 |
|
4,458 |
3,851 |
$58K |
| 76825 |
|
115 |
114 |
$53K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
3,028 |
2,843 |
$50K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
584 |
482 |
$43K |
| 80074 |
|
1,159 |
1,101 |
$40K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
996 |
900 |
$37K |
| 86780 |
|
3,379 |
3,176 |
$31K |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
1,111 |
1,019 |
$30K |
| 43762 |
|
272 |
201 |
$30K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,983 |
1,841 |
$30K |
| 97602 |
|
468 |
239 |
$26K |
| 84439 |
|
4,058 |
3,854 |
$24K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
920 |
856 |
$23K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
912 |
849 |
$23K |
| 71045 |
Radiologic examination, chest; single view |
469 |
418 |
$23K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
584 |
542 |
$18K |
| 29581 |
|
303 |
119 |
$17K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
39 |
38 |
$16K |
| 76801 |
|
162 |
146 |
$15K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,799 |
3,459 |
$15K |
| 87631 |
|
402 |
379 |
$14K |
| 81514 |
|
59 |
56 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
713 |
473 |
$11K |
| 97597 |
|
207 |
101 |
$10K |
| 0240U |
|
118 |
106 |
$10K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
39 |
37 |
$9K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
74 |
73 |
$8K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
946 |
862 |
$8K |
| 84207 |
|
442 |
414 |
$8K |
| 82607 |
|
786 |
746 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
76 |
69 |
$8K |
| 82746 |
|
752 |
715 |
$7K |
| 87081 |
|
1,476 |
1,411 |
$7K |
| 87536 |
|
151 |
144 |
$7K |
| 43235 |
|
12 |
12 |
$7K |
| 87150 |
|
239 |
233 |
$6K |
| 82728 |
|
667 |
622 |
$6K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,365 |
959 |
$5K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
135 |
123 |
$5K |
| 84481 |
|
441 |
417 |
$5K |
| J3490 |
Unclassified drugs |
342 |
250 |
$5K |
| 99201 |
|
52 |
39 |
$4K |
| 85027 |
|
2,122 |
1,646 |
$4K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
7,481 |
6,774 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
43 |
30 |
$4K |
| 99070 |
|
260 |
199 |
$3K |
| 86762 |
|
334 |
314 |
$3K |
| 83721 |
|
469 |
433 |
$3K |
| 83550 |
|
490 |
462 |
$3K |
| 82043 |
|
809 |
750 |
$2K |
| 87340 |
|
333 |
314 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
533 |
486 |
$2K |
| 82670 |
|
112 |
101 |
$2K |
| 82570 |
|
855 |
789 |
$2K |
| 87800 |
|
70 |
66 |
$2K |
| 84480 |
|
264 |
248 |
$2K |
| 93298 |
|
95 |
77 |
$2K |
| 83540 |
|
502 |
474 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
52 |
50 |
$2K |
| 85007 |
|
1,875 |
1,416 |
$2K |
| 95806 |
|
13 |
13 |
$2K |
| 86360 |
|
79 |
73 |
$2K |
| 82950 |
|
462 |
435 |
$2K |
| 86359 |
|
79 |
73 |
$1K |
| 86141 |
|
145 |
140 |
$1K |
| 86850 |
|
2,386 |
2,236 |
$1K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
214 |
212 |
$1K |
| 83880 |
|
87 |
67 |
$1K |
| 94010 |
|
12 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
260 |
156 |
$1K |
| 84403 |
|
54 |
54 |
$1K |
| 84402 |
|
53 |
52 |
$951.40 |
| 81003 |
|
954 |
885 |
$948.23 |
| 80069 |
|
261 |
199 |
$932.89 |
| 84144 |
|
59 |
52 |
$904.98 |
| 86803 |
|
96 |
87 |
$872.11 |
| 81001 |
|
7,010 |
6,408 |
$851.46 |
| 93295 |
|
112 |
107 |
$762.28 |
| 83090 |
|
65 |
63 |
$748.37 |
| 84252 |
|
54 |
52 |
$741.32 |
| 82627 |
|
39 |
39 |
$638.66 |
| 95251 |
|
34 |
28 |
$615.73 |
| 84425 |
|
39 |
38 |
$534.76 |
| 0450 |
Emergency room services |
15 |
12 |
$496.00 |
| 82533 |
|
41 |
40 |
$495.52 |
| 93294 |
|
122 |
105 |
$492.43 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
282 |
165 |
$435.61 |
| 86140 |
|
101 |
99 |
$369.03 |
| 82550 |
|
92 |
90 |
$304.47 |
| 86901 |
|
2,469 |
2,315 |
$265.54 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
158 |
77 |
$253.13 |
| 83525 |
|
30 |
29 |
$212.12 |
| 83615 |
|
231 |
179 |
$204.63 |
| 85610 |
|
6,831 |
4,643 |
$189.81 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39 |
38 |
$185.08 |
| 82274 |
|
12 |
12 |
$152.88 |
| 84154 |
|
15 |
15 |
$141.00 |
| 84153 |
|
15 |
15 |
$141.00 |
| 87070 |
|
15 |
14 |
$94.86 |
| 87077 |
|
14 |
12 |
$83.99 |
| 85018 |
|
38 |
38 |
$66.73 |
| 81015 |
|
29 |
26 |
$65.58 |
| 87641 |
|
13 |
13 |
$56.14 |
| 87205 |
|
15 |
14 |
$50.01 |
| 85045 |
|
12 |
12 |
$38.28 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
110 |
61 |
$29.72 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
564 |
538 |
$29.43 |
| 83690 |
|
1,620 |
1,511 |
$11.47 |
| 85652 |
|
13 |
13 |
$9.20 |
| 84703 |
|
1,415 |
1,326 |
$6.39 |
| 17250 |
|
40 |
14 |
$2.17 |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
7,344 |
3,071 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
156 |
131 |
$0.00 |
| A6021 |
Collagen dressing, sterile, size 16 sq. in. or less, each |
386 |
201 |
$0.00 |
| A6196 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing |
2,436 |
1,084 |
$0.00 |
| A6251 |
Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
1,199 |
616 |
$0.00 |
| A6457 |
Tubular dressing with or without elastic, any width, per linear yard |
328 |
150 |
$0.00 |
| A6266 |
Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard |
1,039 |
525 |
$0.00 |
| 76821 |
|
351 |
205 |
$0.00 |
| A6209 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
178 |
99 |
$0.00 |
| 93325 |
|
117 |
116 |
$0.00 |
| A6206 |
Contact layer, sterile, 16 sq. in. or less, each dressing |
168 |
63 |
$0.00 |
| 76827 |
|
114 |
113 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
13 |
12 |
$0.00 |
| 76000 |
|
13 |
12 |
$0.00 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
18 |
14 |
$0.00 |
| 84484 |
|
1,112 |
974 |
$0.00 |
| 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 |
418 |
367 |
$0.00 |
| A6452 |
High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard |
303 |
119 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
59 |
51 |
$0.00 |
| A6456 |
Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
47 |
25 |
$0.00 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
347 |
161 |
$0.00 |
| A6213 |
Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing |
353 |
166 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
163 |
101 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
401 |
385 |
$0.00 |
| 85730 |
|
482 |
418 |
$0.00 |
| A6252 |
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing |
65 |
39 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
65 |
51 |
$0.00 |
| A6454 |
Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard |
645 |
249 |
$0.00 |
| A6207 |
Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing |
662 |
307 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
338 |
305 |
$0.00 |
| A6240 |
Hydrocolloid dressing, wound filler, paste, sterile, per ounce |
82 |
37 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
76 |
61 |
$0.00 |
| G0378 |
Hospital observation service, per hour |
31 |
12 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
30 |
25 |
$0.00 |
| 76820 |
|
132 |
89 |
$0.00 |
| 83735 |
|
22 |
17 |
$0.00 |
| 82962 |
|
12 |
12 |
$0.00 |