| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
8,343 |
5,794 |
$2.03M |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
15,436 |
14,662 |
$1.50M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
11,467 |
8,459 |
$1.35M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,483 |
5,888 |
$1.27M |
| Y7506 |
|
12,577 |
12,010 |
$1.26M |
| X4011 |
State-specific procedure code |
6,007 |
5,700 |
$954K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,454 |
7,750 |
$271K |
| 80053 |
Comprehensive metabolic panel |
7,564 |
7,073 |
$256K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,427 |
8,135 |
$221K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
2,021 |
1,934 |
$196K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,195 |
1,187 |
$144K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,177 |
1,156 |
$132K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,515 |
1,495 |
$85K |
| 87081 |
|
3,764 |
3,643 |
$84K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
705 |
658 |
$83K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,753 |
1,720 |
$73K |
| 71046 |
Radiologic examination, chest; 2 views |
1,086 |
1,054 |
$73K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,129 |
1,040 |
$51K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
163 |
154 |
$45K |
| 87428 |
|
1,568 |
1,538 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,216 |
3,042 |
$40K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
544 |
497 |
$37K |
| 71045 |
Radiologic examination, chest; single view |
728 |
664 |
$37K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,233 |
1,115 |
$32K |
| 87400 |
|
835 |
826 |
$16K |
| 73630 |
|
251 |
249 |
$16K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
183 |
182 |
$15K |
| 99223 |
Prolong inpt eval add15 m |
133 |
120 |
$14K |
| 81003 |
|
1,346 |
1,275 |
$13K |
| 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 |
1,837 |
1,687 |
$12K |
| G0378 |
Hospital observation service, per hour |
14 |
13 |
$12K |
| 84484 |
|
679 |
615 |
$11K |
| G0380 |
Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) |
125 |
122 |
$11K |
| 83690 |
|
245 |
234 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
128 |
128 |
$10K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
54 |
54 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
26 |
24 |
$9K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
26 |
25 |
$9K |
| 81025 |
|
862 |
810 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
121 |
115 |
$7K |
| 73610 |
|
93 |
91 |
$7K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
46 |
42 |
$6K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
97 |
87 |
$5K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
130 |
118 |
$5K |
| 73130 |
|
68 |
67 |
$5K |
| 87430 |
|
298 |
295 |
$5K |
| 81001 |
|
952 |
911 |
$4K |
| 85610 |
|
12 |
12 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
41 |
39 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
473 |
449 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
116 |
39 |
$3K |
| 87077 |
|
331 |
317 |
$2K |
| 87807 |
|
195 |
189 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$2K |
| X4003 |
|
28 |
13 |
$2K |
| 85027 |
|
124 |
120 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12 |
12 |
$2K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
48 |
39 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
41 |
41 |
$1K |
| 80306 |
|
69 |
65 |
$1K |
| J3490 |
Unclassified drugs |
478 |
394 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
34 |
26 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
34 |
26 |
$1K |
| 87186 |
|
112 |
104 |
$838.03 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$621.74 |
| 87420 |
|
28 |
28 |
$365.15 |
| 83735 |
|
73 |
68 |
$318.44 |
| 87070 |
|
28 |
27 |
$225.37 |
| 86140 |
|
76 |
66 |
$183.51 |
| 82077 |
|
12 |
12 |
$179.63 |
| 97802 |
|
12 |
12 |
$174.05 |
| 87088 |
|
28 |
26 |
$171.75 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
13 |
12 |
$144.06 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
76 |
66 |
$136.74 |
| 85379 |
|
12 |
12 |
$106.37 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$102.59 |
| 84703 |
|
15 |
14 |
$78.54 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
12 |
12 |
$65.77 |
| 83605 |
|
18 |
13 |
$47.64 |
| 87205 |
|
13 |
13 |
$47.51 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$20.36 |