| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
21,408 |
17,717 |
$3.06M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
76,970 |
54,532 |
$2.26M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
8,458 |
7,210 |
$2.20M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,450 |
19,415 |
$1.26M |
| 36415 |
Collection of venous blood by venipuncture |
18,992 |
16,749 |
$416K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,834 |
4,792 |
$398K |
| X5622 |
|
3,423 |
3,198 |
$292K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
647 |
499 |
$284K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
2,844 |
2,782 |
$263K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,666 |
6,004 |
$202K |
| 80053 |
Comprehensive metabolic panel |
2,831 |
2,631 |
$200K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,270 |
2,936 |
$185K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
4,553 |
3,283 |
$142K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,994 |
4,754 |
$126K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
3,082 |
3,070 |
$121K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,695 |
1,668 |
$90K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,940 |
2,891 |
$78K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,701 |
1,687 |
$77K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
3,227 |
3,187 |
$63K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,340 |
1,129 |
$58K |
| G0378 |
Hospital observation service, per hour |
180 |
110 |
$57K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
560 |
150 |
$55K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,327 |
5,232 |
$54K |
| 80306 |
|
875 |
705 |
$53K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,053 |
1,016 |
$52K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
985 |
901 |
$50K |
| 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 |
2,025 |
1,988 |
$48K |
| J3490 |
Unclassified drugs |
1,414 |
872 |
$45K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
550 |
543 |
$36K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,713 |
2,495 |
$33K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
359 |
321 |
$30K |
| 85027 |
|
1,328 |
1,296 |
$28K |
| 92551 |
|
4,592 |
4,521 |
$27K |
| 20610 |
|
619 |
513 |
$26K |
| 99401 |
|
1,553 |
1,476 |
$25K |
| 11721 |
|
2,251 |
1,318 |
$24K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
577 |
518 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
436 |
424 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,368 |
2,258 |
$23K |
| 71045 |
Radiologic examination, chest; single view |
527 |
506 |
$23K |
| 99215 |
Prolong outpt/office vis |
337 |
169 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
523 |
269 |
$21K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
192 |
95 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
549 |
482 |
$18K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$17K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
661 |
646 |
$16K |
| 99188 |
|
2,735 |
2,698 |
$15K |
| 96127 |
|
2,123 |
2,068 |
$14K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
255 |
241 |
$13K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
199 |
194 |
$12K |
| 81001 |
|
590 |
549 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
529 |
518 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
322 |
308 |
$11K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,999 |
1,847 |
$11K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
265 |
258 |
$11K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
65 |
58 |
$10K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
71 |
24 |
$9K |
| 99173 |
|
4,644 |
4,572 |
$8K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
76 |
31 |
$8K |
| 84443 |
Thyroid stimulating hormone (TSH) |
266 |
261 |
$7K |
| 83735 |
|
226 |
210 |
$7K |
| 85610 |
|
615 |
374 |
$7K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
60 |
54 |
$7K |
| 80061 |
Lipid panel |
304 |
299 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
44 |
44 |
$6K |
| J2704 |
Injection, propofol, 10 mg |
125 |
113 |
$6K |
| 90686 |
|
1,712 |
1,683 |
$5K |
| 84484 |
|
159 |
138 |
$5K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
107 |
102 |
$5K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
109 |
99 |
$5K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
21 |
21 |
$4K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
111 |
108 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
298 |
294 |
$4K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
79 |
75 |
$4K |
| 86140 |
|
289 |
263 |
$3K |
| 83690 |
|
42 |
40 |
$3K |
| 17110 |
|
104 |
99 |
$2K |
| 97162 |
|
14 |
14 |
$2K |
| 80076 |
|
22 |
19 |
$2K |
| 82607 |
|
53 |
52 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
16 |
16 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
48 |
47 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
94 |
88 |
$2K |
| 81025 |
|
48 |
47 |
$2K |
| 83655 |
|
140 |
133 |
$1K |
| 90474 |
|
319 |
307 |
$1K |
| 73630 |
|
38 |
24 |
$1K |
| G0471 |
Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) |
441 |
295 |
$1K |
| 99490 |
Ccm add 20min |
27 |
27 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
24 |
24 |
$1K |
| 87210 |
|
97 |
93 |
$937.98 |
| 87807 |
|
12 |
12 |
$937.08 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
51 |
51 |
$886.98 |
| 84439 |
|
66 |
62 |
$854.53 |
| 81003 |
|
40 |
38 |
$851.10 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
16 |
16 |
$663.48 |
| 83605 |
|
26 |
26 |
$589.23 |
| 0124A |
|
30 |
30 |
$561.35 |
| 85018 |
|
131 |
124 |
$554.24 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$470.26 |
| 90651 |
|
327 |
324 |
$451.34 |
| 90662 |
|
13 |
12 |
$418.40 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
16 |
16 |
$417.24 |
| 90480 |
|
36 |
36 |
$412.58 |
| 87070 |
|
25 |
24 |
$293.06 |
| 85652 |
|
29 |
27 |
$290.10 |
| 84100 |
|
37 |
32 |
$281.89 |
| 0002A |
|
32 |
32 |
$258.24 |
| 0072A |
|
14 |
14 |
$255.34 |
| 36416 |
|
111 |
104 |
$255.13 |
| 0012A |
|
15 |
15 |
$240.24 |
| 0001A |
|
30 |
30 |
$239.60 |
| 0071A |
|
13 |
13 |
$237.37 |
| A9270 |
Non-covered item or service |
119 |
43 |
$221.66 |
| 0011A |
|
13 |
13 |
$184.80 |
| G0008 |
Administration of influenza virus vaccine |
13 |
12 |
$163.12 |
| 90734 |
|
297 |
297 |
$125.23 |
| 82248 |
|
12 |
12 |
$117.33 |
| 91320 |
|
14 |
14 |
$66.35 |
| 90633 |
|
427 |
414 |
$63.88 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
8,653 |
8,301 |
$54.81 |
| 96161 |
|
24 |
24 |
$34.01 |
| 90670 |
|
713 |
690 |
$0.79 |
| 90698 |
|
389 |
368 |
$0.68 |
| 90680 |
|
322 |
309 |
$0.47 |
| 90685 |
|
90 |
88 |
$0.35 |
| 90744 |
|
146 |
138 |
$0.29 |
| 90715 |
|
120 |
120 |
$0.24 |
| 90648 |
|
318 |
314 |
$0.12 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90710 |
|
15 |
15 |
$0.00 |
| 90723 |
|
151 |
148 |
$0.00 |
| 90696 |
|
27 |
27 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 91319 |
|
19 |
19 |
$0.00 |