| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
19,063 |
14,665 |
$1.49M |
| X4011 |
State-specific procedure code |
3,206 |
2,739 |
$831K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
6,314 |
5,279 |
$753K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,042 |
4,260 |
$313K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
9,313 |
7,710 |
$228K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,312 |
2,997 |
$223K |
| Y7506 |
|
1,987 |
1,362 |
$207K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
8,142 |
3,842 |
$183K |
| X4003 |
|
4,372 |
3,115 |
$168K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,094 |
5,267 |
$151K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,051 |
1,821 |
$142K |
| 80053 |
Comprehensive metabolic panel |
5,680 |
4,975 |
$107K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,673 |
2,429 |
$103K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
663 |
524 |
$100K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
65 |
40 |
$94K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,593 |
1,539 |
$92K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,568 |
4,298 |
$76K |
| J3490 |
Unclassified drugs |
2,754 |
2,068 |
$69K |
| Y7507 |
|
1,431 |
1,045 |
$67K |
| 99233 |
Prolong inpt eval add15 m |
1,294 |
1,012 |
$63K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,359 |
2,279 |
$49K |
| 59025 |
Fetal non-stress test |
149 |
95 |
$40K |
| 71045 |
Radiologic examination, chest; single view |
980 |
803 |
$32K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
4,181 |
3,928 |
$32K |
| 99221 |
|
497 |
443 |
$30K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,015 |
999 |
$27K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
27 |
14 |
$22K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
4,827 |
3,907 |
$21K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
483 |
433 |
$19K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
191 |
176 |
$18K |
| 81001 |
|
422 |
395 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
350 |
346 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,627 |
2,478 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
53 |
50 |
$6K |
| 80305 |
|
620 |
565 |
$6K |
| 84443 |
Thyroid stimulating hormone (TSH) |
371 |
345 |
$5K |
| 87634 |
|
160 |
156 |
$4K |
| 88304 |
|
51 |
49 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
71 |
69 |
$3K |
| 84146 |
|
51 |
50 |
$3K |
| 90670 |
|
54 |
54 |
$3K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
81 |
73 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
47 |
45 |
$2K |
| 85027 |
|
286 |
258 |
$2K |
| 86900 |
|
214 |
187 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
81 |
76 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
28 |
26 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
97 |
88 |
$2K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
17 |
16 |
$1K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
46 |
44 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
53 |
51 |
$1K |
| 69210 |
|
63 |
55 |
$1K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
29 |
27 |
$1K |
| 84702 |
|
260 |
182 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
65 |
58 |
$1K |
| 86850 |
|
195 |
174 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
48 |
39 |
$1K |
| 99215 |
Prolong outpt/office vis |
17 |
14 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
25 |
25 |
$1K |
| 62323 |
|
24 |
14 |
$898.59 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
45 |
38 |
$889.05 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
42 |
41 |
$784.61 |
| 86901 |
|
212 |
186 |
$693.92 |
| 87070 |
|
176 |
168 |
$655.96 |
| 99490 |
Ccm add 20min |
74 |
69 |
$627.01 |
| 83880 |
|
58 |
39 |
$573.10 |
| 87625 |
|
30 |
27 |
$548.63 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
33 |
30 |
$537.51 |
| 90697 |
|
30 |
30 |
$537.06 |
| 84484 |
|
78 |
67 |
$480.36 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
40 |
$471.74 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
42 |
$447.50 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
48 |
45 |
$446.95 |
| 81002 |
|
186 |
140 |
$430.19 |
| 81003 |
|
28 |
25 |
$416.22 |
| 86592 |
|
213 |
190 |
$392.82 |
| 90700 |
|
27 |
26 |
$391.96 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
41 |
38 |
$360.84 |
| 87400 |
|
26 |
25 |
$351.85 |
| 71046 |
Radiologic examination, chest; 2 views |
108 |
95 |
$342.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
87 |
73 |
$229.72 |
| 86762 |
|
53 |
50 |
$217.61 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
13 |
$207.80 |
| 80061 |
Lipid panel |
26 |
25 |
$187.11 |
| 83690 |
|
67 |
55 |
$178.64 |
| 87081 |
|
44 |
41 |
$176.63 |
| 87340 |
|
41 |
38 |
$160.60 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$157.86 |
| 87807 |
|
16 |
16 |
$143.18 |
| 83605 |
|
16 |
14 |
$121.19 |
| 90648 |
|
39 |
39 |
$97.36 |
| 84439 |
|
12 |
12 |
$89.06 |
| 82077 |
|
12 |
12 |
$83.28 |
| 87210 |
|
28 |
26 |
$80.01 |
| 90686 |
|
12 |
12 |
$76.12 |
| 83735 |
|
18 |
18 |
$65.22 |
| 82150 |
|
14 |
12 |
$43.22 |
| 85018 |
|
13 |
13 |
$15.65 |
| 11721 |
|
48 |
45 |
$4.21 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
12 |
$1.28 |