| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
16,697 |
14,106 |
$2.35M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
14,541 |
11,722 |
$2.26M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,266 |
14,609 |
$1.42M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,236 |
9,226 |
$952K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
6,444 |
4,610 |
$700K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,224 |
2,479 |
$568K |
| A0425 |
Ground mileage, per statute mile |
14,880 |
9,873 |
$494K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,464 |
3,285 |
$444K |
| 71045 |
Radiologic examination, chest; single view |
3,308 |
2,575 |
$323K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,501 |
3,991 |
$288K |
| 80053 |
Comprehensive metabolic panel |
25,977 |
19,990 |
$248K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,525 |
1,989 |
$224K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
4,838 |
3,879 |
$221K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,074 |
1,674 |
$198K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
26,693 |
19,807 |
$169K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,675 |
2,686 |
$163K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,648 |
2,232 |
$160K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,591 |
1,366 |
$145K |
| 59425 |
|
675 |
489 |
$138K |
| 59426 |
|
683 |
256 |
$116K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
4,973 |
3,135 |
$102K |
| 81001 |
|
11,960 |
9,192 |
$88K |
| 0240U |
|
1,002 |
791 |
$87K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
45 |
41 |
$47K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,755 |
3,705 |
$47K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,304 |
1,033 |
$46K |
| 36415 |
Collection of venous blood by venipuncture |
12,793 |
8,747 |
$42K |
| 71046 |
Radiologic examination, chest; 2 views |
410 |
339 |
$39K |
| 84484 |
|
3,185 |
2,188 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
300 |
276 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
470 |
397 |
$33K |
| 83690 |
|
1,871 |
1,510 |
$32K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,207 |
2,212 |
$32K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
350 |
289 |
$29K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
413 |
293 |
$28K |
| 80306 |
|
1,501 |
1,243 |
$28K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
170 |
143 |
$27K |
| 84703 |
|
2,315 |
1,929 |
$26K |
| 70450 |
Computed tomography, head or brain; without contrast material |
163 |
111 |
$25K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
429 |
362 |
$24K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
562 |
270 |
$23K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,318 |
1,006 |
$22K |
| 20610 |
|
143 |
102 |
$21K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
375 |
70 |
$20K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
468 |
387 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,459 |
932 |
$19K |
| 87400 |
|
2,365 |
1,035 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,169 |
1,445 |
$13K |
| 90670 |
|
1,503 |
1,171 |
$13K |
| 73630 |
|
467 |
193 |
$10K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,198 |
1,898 |
$10K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,553 |
1,066 |
$10K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
403 |
361 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
78 |
68 |
$9K |
| 87081 |
|
1,145 |
1,044 |
$8K |
| 99215 |
Prolong outpt/office vis |
128 |
110 |
$8K |
| 92551 |
|
1,557 |
1,316 |
$8K |
| 96127 |
|
95 |
91 |
$8K |
| 83735 |
|
1,346 |
1,073 |
$8K |
| G0378 |
Hospital observation service, per hour |
120 |
64 |
$8K |
| 80061 |
Lipid panel |
1,081 |
898 |
$7K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
447 |
252 |
$7K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
82 |
57 |
$7K |
| 84443 |
Thyroid stimulating hormone (TSH) |
911 |
756 |
$7K |
| 87430 |
|
418 |
365 |
$7K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
85 |
66 |
$6K |
| 90698 |
|
1,292 |
974 |
$5K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
43 |
37 |
$5K |
| 73560 |
|
339 |
206 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
96 |
87 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
916 |
460 |
$4K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,814 |
1,456 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
634 |
556 |
$3K |
| 85027 |
|
1,234 |
930 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
13 |
$3K |
| 90680 |
|
810 |
619 |
$2K |
| 81003 |
|
311 |
264 |
$2K |
| 82607 |
|
268 |
246 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
129 |
92 |
$2K |
| 90688 |
|
162 |
134 |
$2K |
| 82550 |
|
384 |
296 |
$2K |
| 87040 |
|
78 |
49 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
28 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
93 |
88 |
$1K |
| 99173 |
|
1,562 |
1,326 |
$1K |
| 85610 |
|
340 |
276 |
$1K |
| 83880 |
|
84 |
59 |
$1K |
| 99460 |
|
17 |
14 |
$941.50 |
| 11721 |
|
62 |
26 |
$816.72 |
| 80320 |
|
32 |
31 |
$811.62 |
| 85379 |
|
14 |
13 |
$714.08 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,732 |
1,334 |
$712.17 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
28 |
12 |
$667.94 |
| 90686 |
|
1,098 |
924 |
$635.45 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$626.89 |
| 85730 |
|
238 |
198 |
$622.42 |
| 36416 |
|
519 |
349 |
$596.52 |
| 83605 |
|
60 |
42 |
$580.82 |
| 87390 |
|
30 |
24 |
$477.00 |
| 90744 |
|
405 |
298 |
$443.10 |
| 99462 |
|
16 |
14 |
$411.88 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
92 |
63 |
$342.66 |
| 86703 |
|
30 |
24 |
$287.10 |
| 96376 |
|
62 |
24 |
$285.39 |
| 90633 |
|
423 |
309 |
$260.10 |
| 87807 |
|
61 |
38 |
$243.72 |
| 83655 |
|
142 |
87 |
$229.48 |
| 90710 |
|
34 |
29 |
$195.00 |
| 82150 |
|
72 |
55 |
$150.39 |
| 90696 |
|
51 |
40 |
$149.46 |
| 90685 |
|
197 |
129 |
$146.66 |
| 86803 |
|
17 |
12 |
$142.70 |
| 84466 |
|
24 |
18 |
$114.56 |
| 85652 |
|
68 |
51 |
$100.35 |
| 80076 |
|
24 |
12 |
$90.35 |
| 83540 |
|
24 |
18 |
$58.11 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
68 |
52 |
$48.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
127 |
98 |
$22.60 |
| G0008 |
Administration of influenza virus vaccine |
217 |
155 |
$14.80 |
| 82950 |
|
12 |
12 |
$13.00 |
| 81002 |
|
43 |
25 |
$3.03 |
| 90671 |
|
228 |
218 |
$0.39 |
| 90677 |
|
85 |
82 |
$0.20 |
| C1758 |
Catheter, ureteral |
26 |
16 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
85 |
56 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
82 |
59 |
$0.00 |
| 90707 |
|
16 |
13 |
$0.00 |
| 90662 |
|
15 |
14 |
$0.00 |
| 90474 |
|
12 |
12 |
$0.00 |
| 90697 |
|
54 |
54 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
58 |
51 |
$0.00 |
| 90656 |
|
95 |
79 |
$0.00 |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
149 |
129 |
$0.00 |
| 90716 |
|
16 |
13 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
47 |
28 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
28 |
16 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
51 |
29 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
30 |
12 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
13 |
13 |
$0.00 |