| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,638 |
2,121 |
$497K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,243 |
7,881 |
$323K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,276 |
4,056 |
$250K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,204 |
2,169 |
$218K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,117 |
1,981 |
$180K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,234 |
1,206 |
$98K |
| 80053 |
Comprehensive metabolic panel |
6,972 |
6,210 |
$54K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,516 |
1,458 |
$42K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,285 |
1,182 |
$33K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,534 |
6,556 |
$29K |
| 70450 |
Computed tomography, head or brain; without contrast material |
468 |
445 |
$24K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
842 |
823 |
$24K |
| G0378 |
Hospital observation service, per hour |
66 |
24 |
$18K |
| 80050 |
General health panel |
379 |
374 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
1,221 |
1,189 |
$14K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,072 |
1,039 |
$13K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,806 |
1,703 |
$13K |
| 83605 |
|
2,076 |
1,919 |
$12K |
| 84484 |
|
1,777 |
1,634 |
$12K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,207 |
1,093 |
$11K |
| 83735 |
|
2,066 |
1,929 |
$11K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
813 |
707 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
959 |
834 |
$10K |
| 80061 |
Lipid panel |
676 |
661 |
$9K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
101 |
101 |
$9K |
| 83690 |
|
1,629 |
1,542 |
$7K |
| 82150 |
|
1,561 |
1,481 |
$6K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
380 |
254 |
$5K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
190 |
188 |
$5K |
| 81001 |
|
2,080 |
2,012 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
25 |
24 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
730 |
714 |
$4K |
| 84439 |
|
488 |
474 |
$4K |
| 85730 |
|
654 |
622 |
$3K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
198 |
197 |
$3K |
| 87040 |
|
370 |
266 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
537 |
529 |
$3K |
| 82553 |
|
549 |
512 |
$3K |
| 73610 |
|
169 |
160 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
345 |
306 |
$2K |
| 85027 |
|
391 |
375 |
$2K |
| 83880 |
|
119 |
113 |
$2K |
| 85610 |
|
761 |
720 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
66 |
64 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
118 |
78 |
$2K |
| 73630 |
|
190 |
185 |
$2K |
| 87088 |
|
257 |
252 |
$2K |
| 81025 |
|
433 |
421 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
8,674 |
7,031 |
$1K |
| 73564 |
|
71 |
70 |
$1K |
| 87634 |
|
18 |
16 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
185 |
183 |
$1K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
62 |
57 |
$1K |
| 72110 |
|
47 |
47 |
$900.62 |
| 81003 |
|
329 |
313 |
$765.26 |
| 80306 |
|
54 |
53 |
$683.20 |
| 73110 |
|
58 |
57 |
$614.53 |
| 73130 |
|
46 |
45 |
$478.40 |
| 90715 |
|
26 |
26 |
$424.81 |
| 87077 |
|
72 |
70 |
$411.46 |
| 83540 |
|
65 |
60 |
$377.05 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
12 |
$359.75 |
| 82043 |
|
47 |
43 |
$344.80 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
37 |
36 |
$341.00 |
| 87186 |
|
42 |
40 |
$241.21 |
| 82728 |
|
24 |
24 |
$208.80 |
| 71045 |
Radiologic examination, chest; single view |
30 |
28 |
$186.51 |
| 73030 |
|
14 |
14 |
$185.04 |
| 83874 |
|
26 |
24 |
$174.10 |
| 85651 |
|
74 |
67 |
$165.90 |
| 82607 |
|
13 |
13 |
$156.00 |
| 85378 |
|
16 |
15 |
$117.86 |
| 94760 |
|
64 |
61 |
$104.04 |
| 94664 |
|
15 |
14 |
$104.00 |
| 84703 |
|
12 |
12 |
$102.12 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
72 |
67 |
$93.47 |
| 83550 |
|
25 |
24 |
$76.00 |
| 3044F |
|
355 |
348 |
$70.00 |
| J2704 |
Injection, propofol, 10 mg |
157 |
93 |
$62.43 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
374 |
353 |
$48.28 |
| 86140 |
|
14 |
14 |
$42.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$22.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
326 |
290 |
$16.24 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
87 |
73 |
$9.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
12 |
12 |
$5.20 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
12 |
12 |
$0.33 |
| 3008F |
|
246 |
242 |
$0.07 |
| 3074F |
|
295 |
288 |
$0.07 |
| 3078F |
|
247 |
241 |
$0.05 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
124 |
121 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
918 |
831 |
$0.00 |
| 1036F |
|
243 |
240 |
$0.00 |
| 1034F |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
16 |
16 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
48 |
26 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
131 |
127 |
$0.00 |