| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,643 |
1,729 |
$428K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,102 |
2,430 |
$426K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,572 |
7,374 |
$312K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,264 |
3,506 |
$207K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,306 |
711 |
$199K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,895 |
834 |
$142K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,238 |
1,973 |
$82K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
878 |
662 |
$73K |
| 87631 |
|
543 |
478 |
$59K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
864 |
294 |
$44K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
546 |
412 |
$42K |
| 71046 |
Radiologic examination, chest; 2 views |
661 |
410 |
$35K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
579 |
413 |
$33K |
| 80053 |
Comprehensive metabolic panel |
5,326 |
3,981 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
442 |
407 |
$27K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,114 |
774 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
412 |
395 |
$25K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,819 |
4,813 |
$25K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,315 |
1,085 |
$21K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
273 |
197 |
$21K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
19 |
13 |
$21K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,156 |
1,837 |
$21K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,284 |
824 |
$20K |
| 70450 |
Computed tomography, head or brain; without contrast material |
57 |
40 |
$19K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
257 |
142 |
$17K |
| 80061 |
Lipid panel |
1,390 |
1,231 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,421 |
2,136 |
$15K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
469 |
422 |
$13K |
| G0378 |
Hospital observation service, per hour |
27 |
12 |
$12K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
538 |
458 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
197 |
134 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
177 |
145 |
$10K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
145 |
90 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
137 |
127 |
$8K |
| G0381 |
Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) |
432 |
307 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,206 |
1,037 |
$8K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
351 |
277 |
$8K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
351 |
277 |
$8K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
253 |
190 |
$7K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
66 |
63 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,490 |
1,033 |
$6K |
| G0382 |
Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) |
88 |
84 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12 |
12 |
$5K |
| 84439 |
|
706 |
618 |
$5K |
| 97161 |
|
59 |
34 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
989 |
792 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
404 |
184 |
$4K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
144 |
65 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
291 |
274 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
472 |
449 |
$2K |
| 84484 |
|
612 |
355 |
$2K |
| 87081 |
|
482 |
446 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
7,032 |
5,326 |
$2K |
| 90461 |
|
563 |
496 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
57 |
56 |
$2K |
| 82728 |
|
160 |
122 |
$2K |
| 86140 |
|
511 |
363 |
$2K |
| 83690 |
|
437 |
298 |
$2K |
| G0380 |
Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) |
175 |
124 |
$1K |
| 81001 |
|
926 |
667 |
$1K |
| 81025 |
|
276 |
208 |
$1K |
| 86803 |
|
111 |
84 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
12 |
12 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
42 |
36 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
62 |
39 |
$1K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
20 |
12 |
$1K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
29 |
25 |
$823.84 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
408 |
271 |
$767.70 |
| 81003 |
|
540 |
430 |
$670.74 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
345 |
199 |
$639.07 |
| 86618 |
|
57 |
52 |
$637.05 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
201 |
114 |
$608.22 |
| 96127 |
|
216 |
194 |
$547.22 |
| 85652 |
|
255 |
191 |
$437.43 |
| 80050 |
General health panel |
52 |
52 |
$404.87 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
231 |
157 |
$389.70 |
| 85027 |
|
87 |
67 |
$378.82 |
| J7050 |
Infusion, normal saline solution, 250 cc |
176 |
69 |
$333.63 |
| 87077 |
|
76 |
52 |
$322.14 |
| 84702 |
|
27 |
12 |
$311.94 |
| 90686 |
|
926 |
874 |
$280.85 |
| 85610 |
|
158 |
93 |
$243.19 |
| 87186 |
|
51 |
39 |
$241.95 |
| 83735 |
|
59 |
46 |
$180.65 |
| A0425 |
Ground mileage, per statute mile |
14 |
12 |
$167.33 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
33 |
29 |
$147.22 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
49 |
37 |
$137.43 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
41 |
38 |
$133.26 |
| 99215 |
Prolong outpt/office vis |
24 |
12 |
$119.47 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
19 |
12 |
$29.92 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
20 |
13 |
$8.64 |
| 90734 |
|
13 |
12 |
$0.00 |
| 90670 |
|
13 |
12 |
$0.00 |
| 90685 |
|
13 |
13 |
$0.00 |
| 90656 |
|
49 |
49 |
$0.00 |