| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,461 |
6,290 |
$812K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,733 |
6,757 |
$451K |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
2,982 |
743 |
$365K |
| X4011 |
State-specific procedure code |
702 |
540 |
$160K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
10,235 |
8,274 |
$141K |
| 80053 |
Comprehensive metabolic panel |
7,144 |
5,551 |
$117K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,117 |
3,057 |
$99K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,333 |
1,964 |
$99K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,136 |
1,085 |
$63K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
528 |
452 |
$56K |
| 36415 |
Collection of venous blood by venipuncture |
3,547 |
2,404 |
$54K |
| 80305 |
|
639 |
514 |
$45K |
| Y7506 |
|
2,342 |
1,825 |
$39K |
| 59025 |
Fetal non-stress test |
472 |
227 |
$38K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
850 |
662 |
$35K |
| 81003 |
|
1,516 |
1,195 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
785 |
758 |
$30K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
376 |
351 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,412 |
2,335 |
$24K |
| 87400 |
|
126 |
113 |
$23K |
| 87428 |
|
1,228 |
1,169 |
$23K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,781 |
1,724 |
$20K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
290 |
269 |
$18K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
335 |
332 |
$17K |
| 99215 |
Prolong outpt/office vis |
2,250 |
2,068 |
$14K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
3,310 |
1,918 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
381 |
300 |
$12K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
161 |
149 |
$10K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
135 |
124 |
$9K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,842 |
2,279 |
$8K |
| 84702 |
|
71 |
64 |
$7K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
68 |
52 |
$7K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
352 |
330 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,836 |
599 |
$5K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
112 |
95 |
$4K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
17 |
14 |
$4K |
| 80055 |
|
43 |
39 |
$3K |
| 0240U |
|
107 |
85 |
$3K |
| 76818 |
|
54 |
24 |
$3K |
| 81001 |
|
31 |
26 |
$3K |
| 81025 |
|
569 |
553 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
208 |
133 |
$3K |
| 86703 |
|
49 |
43 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
27 |
$2K |
| 86803 |
|
28 |
27 |
$2K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
12 |
12 |
$2K |
| X4003 |
|
470 |
382 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
91 |
85 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
214 |
178 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 87653 |
|
40 |
36 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
220 |
207 |
$1K |
| 92550 |
|
24 |
24 |
$829.43 |
| 80061 |
Lipid panel |
116 |
95 |
$809.16 |
| 84439 |
|
197 |
168 |
$797.24 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
129 |
105 |
$587.68 |
| 69210 |
|
63 |
40 |
$569.06 |
| J3490 |
Unclassified drugs |
651 |
264 |
$458.61 |
| 71046 |
Radiologic examination, chest; 2 views |
17 |
16 |
$200.38 |
| 84484 |
|
60 |
41 |
$185.98 |
| 99233 |
Prolong inpt eval add15 m |
20 |
12 |
$147.30 |
| 85027 |
|
45 |
39 |
$127.60 |
| 87807 |
|
54 |
53 |
$113.29 |
| 81002 |
|
41 |
38 |
$111.47 |
| 85018 |
|
42 |
39 |
$68.54 |
| 11721 |
|
23 |
12 |
$58.10 |
| 85378 |
|
22 |
12 |
$55.48 |
| A9270 |
Non-covered item or service |
40 |
12 |
$0.00 |