| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,901 |
4,914 |
$1.23M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,059 |
5,355 |
$738K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,220 |
5,290 |
$440K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,097 |
944 |
$359K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,342 |
4,085 |
$157K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,728 |
4,548 |
$127K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,267 |
964 |
$91K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,408 |
901 |
$89K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,093 |
743 |
$87K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
97 |
90 |
$73K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
10,239 |
9,292 |
$71K |
| 80053 |
Comprehensive metabolic panel |
4,136 |
3,653 |
$63K |
| 59430 |
|
491 |
349 |
$57K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
695 |
670 |
$57K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,181 |
3,044 |
$56K |
| 86850 |
|
3,711 |
3,568 |
$53K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,464 |
1,344 |
$49K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
836 |
809 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
537 |
435 |
$40K |
| 36415 |
Collection of venous blood by venipuncture |
17,633 |
14,655 |
$36K |
| 86900 |
|
3,881 |
3,701 |
$32K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,108 |
2,055 |
$25K |
| 76801 |
|
354 |
230 |
$25K |
| 76830 |
Ultrasound, transvaginal |
464 |
317 |
$22K |
| 80305 |
|
1,743 |
1,645 |
$21K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
673 |
650 |
$20K |
| 59514 |
|
25 |
25 |
$20K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
673 |
650 |
$20K |
| 86901 |
|
3,868 |
3,688 |
$19K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,827 |
2,700 |
$18K |
| 87088 |
|
2,853 |
2,723 |
$17K |
| 86756 |
|
773 |
758 |
$17K |
| 81001 |
|
4,878 |
4,263 |
$17K |
| 87150 |
|
473 |
462 |
$16K |
| 99460 |
|
187 |
186 |
$15K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
266 |
256 |
$15K |
| 59025 |
Fetal non-stress test |
173 |
135 |
$15K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
167 |
104 |
$15K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
473 |
458 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
146 |
112 |
$13K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
204 |
186 |
$13K |
| 81003 |
|
6,040 |
4,096 |
$13K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
214 |
144 |
$13K |
| 86703 |
|
991 |
948 |
$12K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
250 |
213 |
$12K |
| 87340 |
|
1,214 |
1,168 |
$12K |
| 86762 |
|
1,109 |
1,070 |
$11K |
| 81025 |
|
1,358 |
1,312 |
$11K |
| 87081 |
|
1,343 |
1,312 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
322 |
302 |
$10K |
| 83655 |
|
566 |
561 |
$10K |
| 86592 |
|
2,089 |
1,956 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,087 |
1,080 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
171 |
169 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
294 |
265 |
$8K |
| 80061 |
Lipid panel |
737 |
733 |
$8K |
| 99001 |
|
835 |
807 |
$7K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
216 |
204 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
190 |
128 |
$6K |
| 84702 |
|
407 |
332 |
$6K |
| 81514 |
|
27 |
27 |
$5K |
| 87428 |
|
96 |
96 |
$4K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
493 |
448 |
$4K |
| 82950 |
|
782 |
775 |
$4K |
| 87400 |
|
261 |
129 |
$4K |
| 84439 |
|
272 |
271 |
$4K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
374 |
342 |
$4K |
| 86701 |
|
270 |
263 |
$3K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
113 |
105 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
299 |
275 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
117 |
117 |
$3K |
| 83690 |
|
428 |
384 |
$3K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
553 |
495 |
$2K |
| 01961 |
|
17 |
15 |
$2K |
| 82105 |
|
91 |
90 |
$2K |
| 85018 |
|
432 |
429 |
$1K |
| 84484 |
|
274 |
230 |
$1K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
68 |
65 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
163 |
158 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
28 |
26 |
$1K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
68 |
65 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
91 |
63 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
31 |
24 |
$1K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
92 |
92 |
$1K |
| 80050 |
General health panel |
14 |
14 |
$714.93 |
| 83735 |
|
142 |
122 |
$483.75 |
| 85027 |
|
59 |
58 |
$317.67 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
39 |
39 |
$240.82 |
| 94760 |
|
24 |
24 |
$201.92 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
12 |
12 |
$157.64 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
24 |
24 |
$109.38 |
| 85014 |
|
17 |
17 |
$50.07 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
13 |
13 |
$49.39 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
12 |
12 |
$35.62 |
| 36416 |
|
31 |
29 |
$5.68 |