| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,206 |
9,543 |
$691K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,500 |
1,450 |
$100K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,070 |
980 |
$94K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,916 |
1,813 |
$26K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
283 |
280 |
$16K |
| 64635 |
|
27 |
26 |
$14K |
| 80050 |
General health panel |
242 |
240 |
$12K |
| 80053 |
Comprehensive metabolic panel |
1,513 |
1,425 |
$11K |
| 80061 |
Lipid panel |
777 |
776 |
$10K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
2,089 |
1,850 |
$10K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
266 |
259 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,115 |
1,930 |
$9K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
227 |
225 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,411 |
1,371 |
$7K |
| 84443 |
Thyroid stimulating hormone (TSH) |
657 |
648 |
$6K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
74 |
72 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
500 |
466 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
93 |
90 |
$5K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
237 |
217 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
577 |
540 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
320 |
308 |
$4K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
43 |
42 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
309 |
302 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
80 |
80 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
376 |
356 |
$3K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
211 |
207 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
150 |
141 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
270 |
266 |
$2K |
| 80361 |
|
65 |
65 |
$2K |
| 84439 |
|
212 |
207 |
$2K |
| 83735 |
|
218 |
183 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
224 |
211 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
28 |
25 |
$1K |
| 81003 |
|
457 |
434 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
153 |
145 |
$879.48 |
| 84484 |
|
140 |
135 |
$783.05 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12 |
12 |
$686.58 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
224 |
214 |
$601.21 |
| 73564 |
|
26 |
26 |
$535.50 |
| 36415 |
Collection of venous blood by venipuncture |
2,947 |
2,677 |
$488.85 |
| 85651 |
|
185 |
174 |
$453.06 |
| 80365 |
|
12 |
12 |
$449.29 |
| 87254 |
|
14 |
12 |
$428.30 |
| 87077 |
|
59 |
57 |
$393.71 |
| 87070 |
|
68 |
68 |
$360.15 |
| 72110 |
|
24 |
24 |
$353.79 |
| 85610 |
|
143 |
123 |
$329.76 |
| 87186 |
|
42 |
41 |
$327.33 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
12 |
12 |
$308.36 |
| 73630 |
|
29 |
28 |
$297.65 |
| 83880 |
|
15 |
13 |
$278.60 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
26 |
24 |
$254.57 |
| 80076 |
|
25 |
25 |
$190.31 |
| 87040 |
|
13 |
13 |
$177.27 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
779 |
762 |
$174.69 |
| 83690 |
|
43 |
40 |
$158.80 |
| 73030 |
|
16 |
13 |
$127.05 |
| 83605 |
|
26 |
26 |
$120.61 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
18 |
$119.79 |
| 81025 |
|
53 |
51 |
$119.77 |
| 85730 |
|
18 |
18 |
$66.59 |
| 86140 |
|
26 |
25 |
$59.90 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
12 |
12 |
$44.14 |
| 64636 |
|
14 |
13 |
$21.02 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
41 |
40 |
$5.30 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
17 |
14 |
$2.79 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
171 |
154 |
$1.76 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
323 |
290 |
$1.07 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
110 |
107 |
$0.79 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
52 |
46 |
$0.02 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
14 |
12 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
27 |
24 |
$0.00 |
| A4649 |
Surgical supply; miscellaneous |
31 |
14 |
$0.00 |