| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
754 |
719 |
$140K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
790 |
728 |
$106K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
412 |
380 |
$94K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
466 |
452 |
$93K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
48 |
47 |
$74K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
120 |
102 |
$59K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
36 |
36 |
$55K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
38 |
37 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
116 |
115 |
$21K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
99 |
35 |
$16K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
15 |
14 |
$16K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
92 |
92 |
$15K |
| 87428 |
|
241 |
238 |
$14K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
79 |
60 |
$13K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
91 |
90 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
73 |
73 |
$13K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
61 |
61 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
428 |
418 |
$10K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
123 |
48 |
$9K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
265 |
75 |
$9K |
| 62323 |
|
12 |
12 |
$8K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
28 |
27 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32 |
32 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
738 |
667 |
$5K |
| ATP14 |
|
365 |
338 |
$4K |
| 12001 |
|
12 |
12 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
18 |
18 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
18 |
18 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
14 |
14 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
41 |
41 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
61 |
59 |
$3K |
| 76770 |
|
12 |
12 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
14 |
14 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
15 |
$2K |
| ATP08 |
|
212 |
200 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
279 |
243 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
124 |
122 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
15 |
13 |
$2K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
12 |
12 |
$2K |
| 84484 |
|
221 |
139 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
41 |
41 |
$1K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
81 |
26 |
$1K |
| 81025 |
|
178 |
172 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
358 |
337 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
43 |
41 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
43 |
41 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
108 |
92 |
$1K |
| 73610 |
|
46 |
46 |
$958.88 |
| 97802 |
|
14 |
14 |
$932.71 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$880.84 |
| 84703 |
|
144 |
134 |
$861.90 |
| 83690 |
|
146 |
132 |
$845.12 |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
26 |
26 |
$775.97 |
| 93270 |
|
20 |
20 |
$775.00 |
| 97161 |
|
12 |
12 |
$767.31 |
| 82728 |
|
62 |
61 |
$745.24 |
| 90715 |
|
32 |
32 |
$736.50 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
104 |
102 |
$704.88 |
| 73130 |
|
43 |
42 |
$663.84 |
| 84466 |
|
59 |
59 |
$663.75 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
16 |
15 |
$659.30 |
| 76830 |
Ultrasound, transvaginal |
19 |
19 |
$659.30 |
| G0378 |
Hospital observation service, per hour |
22 |
12 |
$650.31 |
| 87081 |
|
100 |
98 |
$555.75 |
| ATP15 |
|
51 |
50 |
$544.32 |
| 72100 |
|
13 |
13 |
$534.76 |
| 81001 |
|
196 |
190 |
$504.00 |
| 73630 |
|
33 |
33 |
$479.44 |
| 83735 |
|
79 |
67 |
$390.06 |
| 87807 |
|
34 |
34 |
$381.15 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
15 |
15 |
$371.28 |
| 83540 |
|
59 |
59 |
$342.60 |
| 86850 |
|
38 |
36 |
$310.32 |
| J2704 |
Injection, propofol, 10 mg |
271 |
219 |
$290.62 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
174 |
164 |
$290.62 |
| 81003 |
|
161 |
157 |
$279.18 |
| 87070 |
|
31 |
30 |
$243.20 |
| 82947 |
|
160 |
119 |
$242.90 |
| 85730 |
|
45 |
44 |
$238.50 |
| 87077 |
|
31 |
31 |
$199.64 |
| 84702 |
|
15 |
14 |
$199.05 |
| 85610 |
|
52 |
48 |
$192.78 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
32 |
31 |
$187.40 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
14 |
$186.60 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
172 |
147 |
$172.01 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
92 |
92 |
$153.49 |
| 73140 |
|
13 |
12 |
$147.52 |
| 73562 |
|
13 |
13 |
$147.52 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
194 |
166 |
$145.31 |
| 86900 |
|
39 |
37 |
$97.68 |
| 86901 |
|
39 |
37 |
$97.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
34 |
$96.40 |
| 73030 |
|
22 |
20 |
$92.20 |
| 87186 |
|
13 |
13 |
$91.56 |
| 73110 |
|
12 |
12 |
$73.76 |
| 83615 |
|
42 |
38 |
$15.99 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
14 |
14 |
$3.33 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
20 |
15 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
63 |
50 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
265 |
236 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
139 |
117 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
66 |
55 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
26 |
12 |
$0.00 |
| 80076 |
|
22 |
22 |
$0.00 |
| 84100 |
|
15 |
12 |
$0.00 |
| 80143 |
|
15 |
12 |
$0.00 |
| 80179 |
|
13 |
12 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
21 |
17 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
280 |
262 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
437 |
401 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
72 |
71 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
184 |
139 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
192 |
157 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
41 |
25 |
$0.00 |
| 96376 |
|
25 |
25 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
96 |
73 |
$0.00 |
| 80320 |
|
13 |
13 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
30 |
30 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
83 |
75 |
$0.00 |