| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,003 |
3,646 |
$853K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
623 |
598 |
$720K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,316 |
5,588 |
$478K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,807 |
2,607 |
$386K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,398 |
6,767 |
$343K |
| 36415 |
Collection of venous blood by venipuncture |
7,767 |
6,704 |
$156K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
315 |
280 |
$107K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,459 |
3,140 |
$78K |
| 80053 |
Comprehensive metabolic panel |
1,428 |
1,306 |
$60K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
336 |
309 |
$51K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
451 |
402 |
$21K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
728 |
655 |
$20K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
295 |
250 |
$17K |
| 90837 |
Psychotherapy, 53 minutes with patient |
108 |
87 |
$12K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
91 |
81 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
304 |
262 |
$11K |
| 99215 |
Prolong outpt/office vis |
173 |
118 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
559 |
532 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
138 |
134 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
169 |
159 |
$9K |
| 84484 |
|
204 |
176 |
$8K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
177 |
155 |
$8K |
| 91300 |
|
236 |
233 |
$8K |
| 86140 |
|
545 |
494 |
$8K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
77 |
67 |
$8K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
537 |
516 |
$7K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
552 |
528 |
$7K |
| J2704 |
Injection, propofol, 10 mg |
505 |
477 |
$7K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
458 |
438 |
$5K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
411 |
397 |
$5K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
163 |
160 |
$5K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
137 |
120 |
$5K |
| 90686 |
|
573 |
552 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
198 |
177 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
35 |
29 |
$3K |
| 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 |
85 |
78 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
29 |
25 |
$3K |
| 80076 |
|
116 |
104 |
$3K |
| 81001 |
|
282 |
261 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
25 |
24 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
36 |
36 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
41 |
40 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
79 |
74 |
$1K |
| 83605 |
|
55 |
48 |
$1K |
| 85027 |
|
58 |
53 |
$1K |
| 80061 |
Lipid panel |
29 |
27 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
140 |
60 |
$756.27 |
| 82728 |
|
28 |
27 |
$715.81 |
| 0002A |
|
181 |
179 |
$710.78 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$579.56 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
18 |
18 |
$492.18 |
| 80306 |
|
15 |
13 |
$433.64 |
| 82746 |
|
13 |
12 |
$390.64 |
| 82607 |
|
13 |
12 |
$352.74 |
| 0001A |
|
114 |
113 |
$292.42 |
| 83735 |
|
14 |
14 |
$252.17 |
| 90656 |
|
24 |
24 |
$156.62 |
| 0004A |
|
14 |
13 |
$94.57 |
| 87081 |
|
26 |
24 |
$76.07 |
| 0012A |
|
12 |
12 |
$0.00 |