| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
41,632 |
25,773 |
$6.52M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
24,625 |
16,539 |
$6.38M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,808 |
2,664 |
$1.16M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
13,639 |
8,865 |
$1.08M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,942 |
12,034 |
$924K |
| 80053 |
Comprehensive metabolic panel |
27,268 |
23,137 |
$575K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
24,799 |
20,845 |
$432K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
8,641 |
7,631 |
$333K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
4,113 |
3,545 |
$294K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,225 |
4,326 |
$292K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,454 |
2,145 |
$220K |
| 36415 |
Collection of venous blood by venipuncture |
29,295 |
24,309 |
$202K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
252 |
174 |
$143K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,402 |
2,031 |
$142K |
| 71045 |
Radiologic examination, chest; single view |
3,151 |
1,971 |
$139K |
| 81001 |
|
10,752 |
9,329 |
$137K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
3,110 |
1,692 |
$107K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,453 |
1,337 |
$86K |
| 97602 |
|
1,277 |
401 |
$70K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
738 |
648 |
$66K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,941 |
2,608 |
$66K |
| 71046 |
Radiologic examination, chest; 2 views |
1,856 |
1,493 |
$66K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
52 |
38 |
$64K |
| 83690 |
|
2,946 |
2,612 |
$57K |
| 84484 |
|
2,064 |
1,640 |
$56K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,790 |
1,656 |
$52K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
643 |
567 |
$50K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,077 |
1,016 |
$49K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
941 |
842 |
$48K |
| 95811 |
|
38 |
26 |
$45K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,108 |
2,757 |
$44K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
296 |
265 |
$38K |
| 80061 |
Lipid panel |
2,187 |
1,953 |
$37K |
| 70450 |
Computed tomography, head or brain; without contrast material |
168 |
111 |
$36K |
| 73630 |
|
326 |
216 |
$33K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
3,704 |
2,637 |
$25K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
435 |
367 |
$24K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
840 |
781 |
$23K |
| 81514 |
|
73 |
62 |
$20K |
| 85027 |
|
1,502 |
1,370 |
$20K |
| 86850 |
|
464 |
419 |
$19K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
841 |
742 |
$19K |
| 76801 |
|
138 |
81 |
$18K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
941 |
826 |
$17K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
90 |
38 |
$17K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
826 |
769 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
715 |
702 |
$16K |
| 83735 |
|
1,443 |
1,218 |
$15K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
506 |
449 |
$14K |
| 83605 |
|
616 |
515 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
460 |
408 |
$12K |
| 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 |
175 |
149 |
$12K |
| 11719 |
|
554 |
474 |
$11K |
| 11055 |
|
179 |
159 |
$10K |
| 86780 |
|
954 |
878 |
$10K |
| 11721 |
|
515 |
436 |
$10K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
268 |
239 |
$10K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
268 |
239 |
$10K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
16 |
12 |
$10K |
| 86900 |
|
331 |
301 |
$9K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
75 |
75 |
$8K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
151 |
50 |
$8K |
| 80306 |
|
187 |
170 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
38 |
27 |
$8K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
66 |
59 |
$7K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
72 |
66 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
167 |
165 |
$6K |
| 82607 |
|
251 |
224 |
$6K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
212 |
64 |
$6K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
151 |
132 |
$6K |
| 90715 |
|
87 |
77 |
$5K |
| 11720 |
|
249 |
211 |
$5K |
| 86901 |
|
331 |
301 |
$5K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
282 |
255 |
$5K |
| 83880 |
|
61 |
55 |
$4K |
| 93798 |
|
71 |
12 |
$4K |
| 85610 |
|
387 |
319 |
$4K |
| 84703 |
|
130 |
114 |
$4K |
| 86762 |
|
288 |
260 |
$3K |
| 87340 |
|
259 |
230 |
$3K |
| 0002A |
|
87 |
82 |
$3K |
| 11056 |
|
64 |
59 |
$2K |
| 88142 |
|
59 |
51 |
$2K |
| 84702 |
|
72 |
56 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
17 |
12 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
75 |
66 |
$2K |
| 87420 |
|
47 |
46 |
$2K |
| 0001A |
|
45 |
43 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
260 |
219 |
$1K |
| 81003 |
|
387 |
350 |
$1K |
| A9270 |
Non-covered item or service |
1,757 |
1,409 |
$1K |
| 81025 |
|
56 |
52 |
$989.14 |
| 82728 |
|
47 |
44 |
$906.10 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
40 |
38 |
$807.00 |
| 99215 |
Prolong outpt/office vis |
21 |
14 |
$762.78 |
| 85379 |
|
12 |
12 |
$738.00 |
| 82803 |
|
16 |
15 |
$629.67 |
| 86803 |
|
25 |
24 |
$600.39 |
| 87077 |
|
35 |
30 |
$572.66 |
| 0064A |
|
21 |
21 |
$515.25 |
| 81002 |
|
63 |
49 |
$492.48 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
12 |
$457.49 |
| 0004A |
|
15 |
14 |
$439.35 |
| 0124A |
|
16 |
15 |
$377.70 |
| 85730 |
|
27 |
24 |
$374.10 |
| 87186 |
|
18 |
16 |
$369.00 |
| 82043 |
|
27 |
24 |
$348.45 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$213.24 |
| 86140 |
|
14 |
13 |
$205.00 |
| 82375 |
|
21 |
21 |
$198.33 |
| 83550 |
|
14 |
13 |
$172.20 |
| 99001 |
|
30 |
25 |
$169.20 |
| 77080 |
|
25 |
25 |
$160.68 |
| 85652 |
|
16 |
14 |
$151.70 |
| 83540 |
|
14 |
13 |
$108.24 |
| 72100 |
|
15 |
12 |
$102.21 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
12 |
$71.25 |
| 91306 |
|
21 |
21 |
$0.09 |
| 91300 |
|
234 |
215 |
$0.01 |
| 91312 |
|
17 |
16 |
$0.00 |