| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,176 |
3,101 |
$258K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,147 |
3,073 |
$254K |
| 87428 |
|
1,507 |
1,470 |
$189K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,220 |
1,205 |
$93K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
579 |
548 |
$87K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
840 |
828 |
$62K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,437 |
2,592 |
$61K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,001 |
1,852 |
$59K |
| 87430 |
|
910 |
879 |
$49K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
431 |
430 |
$35K |
| 80053 |
Comprehensive metabolic panel |
1,629 |
1,480 |
$22K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
275 |
268 |
$22K |
| 90461 |
|
6,730 |
1,718 |
$12K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
90 |
89 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
168 |
161 |
$11K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,180 |
953 |
$10K |
| 87420 |
|
114 |
107 |
$7K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
54 |
50 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
51 |
51 |
$5K |
| 81001 |
|
459 |
425 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
299 |
180 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
425 |
402 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
852 |
770 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
173 |
169 |
$2K |
| 99243 |
|
29 |
27 |
$2K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
16 |
12 |
$2K |
| 87400 |
|
48 |
36 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
62 |
61 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
172 |
160 |
$2K |
| 92551 |
|
1,056 |
1,049 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
202 |
181 |
$1K |
| 85027 |
|
621 |
524 |
$1K |
| 99381 |
|
13 |
13 |
$1K |
| 87070 |
|
12 |
12 |
$812.65 |
| 86703 |
|
12 |
12 |
$727.08 |
| 87301 |
|
18 |
18 |
$689.22 |
| 85007 |
|
643 |
541 |
$651.61 |
| 87088 |
|
145 |
134 |
$364.63 |
| 51798 |
|
87 |
76 |
$348.38 |
| 84443 |
Thyroid stimulating hormone (TSH) |
68 |
66 |
$313.33 |
| 86592 |
|
12 |
12 |
$297.20 |
| 80061 |
Lipid panel |
140 |
139 |
$294.22 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
82 |
74 |
$225.14 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
133 |
131 |
$210.78 |
| 93000 |
|
25 |
25 |
$164.10 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
46 |
45 |
$42.07 |
| 96160 |
|
29 |
29 |
$29.32 |
| 82948 |
|
32 |
25 |
$23.80 |
| 87186 |
|
12 |
12 |
$9.01 |
| 87077 |
|
12 |
12 |
$8.42 |
| 36415 |
Collection of venous blood by venipuncture |
2,821 |
2,377 |
$3.13 |
| 1036F |
|
25 |
25 |
$0.00 |
| 90688 |
|
801 |
792 |
$0.00 |
| 90723 |
|
54 |
54 |
$0.00 |
| 1125F |
|
68 |
64 |
$0.00 |
| 90697 |
|
38 |
38 |
$0.00 |
| 96161 |
|
19 |
19 |
$0.00 |
| 84484 |
|
14 |
12 |
$0.00 |
| 96127 |
|
29 |
29 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
13 |
12 |
$0.00 |
| 90656 |
|
44 |
44 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 99177 |
|
1,465 |
1,454 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
12 |
12 |
$0.00 |
| 90670 |
|
662 |
653 |
$0.00 |
| 90681 |
|
242 |
239 |
$0.00 |
| 90648 |
|
283 |
278 |
$0.00 |
| 99173 |
|
112 |
110 |
$0.00 |
| 90710 |
|
128 |
128 |
$0.00 |
| 90633 |
|
128 |
127 |
$0.00 |
| 90671 |
|
86 |
84 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
25 |
25 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |