| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
50,922 |
29,441 |
$2.66M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
19,480 |
16,266 |
$1.64M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,495 |
14,468 |
$1.22M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12,646 |
10,501 |
$831K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
8,455 |
6,605 |
$772K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
2,117 |
1,696 |
$269K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,740 |
1,301 |
$199K |
| 80053 |
Comprehensive metabolic panel |
16,625 |
14,450 |
$184K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,043 |
741 |
$181K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,445 |
2,103 |
$171K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,181 |
2,016 |
$165K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,225 |
963 |
$153K |
| 70450 |
Computed tomography, head or brain; without contrast material |
634 |
533 |
$139K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,011 |
3,566 |
$134K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,407 |
678 |
$106K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,565 |
355 |
$103K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
367 |
306 |
$100K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
5,093 |
694 |
$96K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
343 |
263 |
$94K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,558 |
974 |
$83K |
| 80061 |
Lipid panel |
6,216 |
5,783 |
$78K |
| 84443 |
Thyroid stimulating hormone (TSH) |
5,784 |
5,170 |
$75K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,220 |
1,056 |
$71K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
482 |
426 |
$70K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15,427 |
12,745 |
$45K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
931 |
765 |
$41K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
724 |
423 |
$40K |
| 71046 |
Radiologic examination, chest; 2 views |
1,946 |
1,655 |
$37K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,181 |
2,905 |
$34K |
| 90671 |
|
228 |
197 |
$30K |
| 36415 |
Collection of venous blood by venipuncture |
16,716 |
14,212 |
$29K |
| 84439 |
|
2,176 |
1,988 |
$26K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
173 |
82 |
$24K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,860 |
3,751 |
$22K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,011 |
921 |
$21K |
| 90670 |
|
857 |
780 |
$20K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
490 |
313 |
$18K |
| 85027 |
|
1,966 |
1,724 |
$17K |
| 84481 |
|
1,202 |
1,102 |
$17K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,158 |
1,834 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
244 |
189 |
$13K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
246 |
217 |
$12K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,682 |
1,074 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
354 |
315 |
$12K |
| 82607 |
|
739 |
657 |
$11K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,965 |
1,610 |
$10K |
| 96127 |
|
3,206 |
2,888 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
300 |
264 |
$9K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
465 |
387 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
426 |
382 |
$9K |
| 87070 |
|
1,424 |
1,204 |
$8K |
| 83655 |
|
344 |
307 |
$8K |
| 90686 |
|
989 |
913 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,236 |
1,027 |
$7K |
| 83540 |
|
652 |
584 |
$7K |
| 83735 |
|
2,184 |
1,558 |
$7K |
| 99215 |
Prolong outpt/office vis |
130 |
75 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
424 |
383 |
$6K |
| 82728 |
|
458 |
410 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,215 |
593 |
$6K |
| 82746 |
|
597 |
532 |
$6K |
| 73630 |
|
214 |
180 |
$6K |
| 83550 |
|
504 |
445 |
$5K |
| 84484 |
|
2,482 |
1,694 |
$5K |
| 82570 |
|
655 |
581 |
$5K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
30 |
28 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
1,350 |
1,075 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
117 |
91 |
$5K |
| 71250 |
|
33 |
26 |
$4K |
| 90648 |
|
854 |
786 |
$4K |
| 82043 |
|
621 |
560 |
$4K |
| 87077 |
|
859 |
705 |
$3K |
| 84153 |
|
187 |
165 |
$3K |
| 85610 |
|
1,271 |
1,014 |
$3K |
| 97161 |
|
52 |
42 |
$3K |
| 80306 |
|
1,234 |
1,019 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
408 |
344 |
$3K |
| 87186 |
|
695 |
582 |
$3K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
252 |
199 |
$3K |
| 81001 |
|
2,991 |
2,484 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,266 |
1,610 |
$3K |
| 90633 |
|
186 |
178 |
$2K |
| 73562 |
|
133 |
108 |
$2K |
| 99442 |
|
110 |
100 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,920 |
1,513 |
$2K |
| 82553 |
|
220 |
199 |
$2K |
| 11721 |
|
192 |
181 |
$2K |
| 11720 |
|
224 |
199 |
$2K |
| 86140 |
|
112 |
85 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
18 |
15 |
$2K |
| 81003 |
|
1,584 |
1,338 |
$2K |
| 83690 |
|
1,489 |
1,164 |
$1K |
| 93017 |
|
15 |
12 |
$1K |
| 76536 |
|
12 |
12 |
$1K |
| 85651 |
|
210 |
169 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,945 |
1,422 |
$1K |
| 97162 |
|
14 |
14 |
$1K |
| 96376 |
|
652 |
333 |
$1K |
| 99173 |
|
575 |
527 |
$1K |
| 83880 |
|
369 |
289 |
$1K |
| 87430 |
|
267 |
249 |
$977.08 |
| 85379 |
|
183 |
156 |
$972.79 |
| 90723 |
|
410 |
374 |
$876.82 |
| 99381 |
|
28 |
12 |
$698.80 |
| 90680 |
|
236 |
208 |
$662.84 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
193 |
155 |
$644.95 |
| 82962 |
|
720 |
229 |
$573.73 |
| 99406 |
|
115 |
103 |
$508.63 |
| 82947 |
|
634 |
232 |
$467.79 |
| 90651 |
|
63 |
62 |
$466.77 |
| 81025 |
|
802 |
622 |
$442.24 |
| 73610 |
|
65 |
54 |
$427.60 |
| 84703 |
|
268 |
221 |
$406.56 |
| 73030 |
|
13 |
12 |
$391.12 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
19 |
12 |
$369.30 |
| 96367 |
|
14 |
12 |
$338.36 |
| 73130 |
|
29 |
27 |
$318.10 |
| 83605 |
|
609 |
413 |
$313.19 |
| 99443 |
|
14 |
12 |
$308.21 |
| 84403 |
|
14 |
14 |
$288.96 |
| 96161 |
|
182 |
153 |
$284.27 |
| 87040 |
|
351 |
165 |
$264.91 |
| 80143 |
|
211 |
147 |
$261.10 |
| 82150 |
|
563 |
470 |
$244.24 |
| 92551 |
|
44 |
41 |
$239.98 |
| 73110 |
|
13 |
12 |
$237.20 |
| 80179 |
|
203 |
146 |
$220.27 |
| 84402 |
|
14 |
14 |
$193.00 |
| 87807 |
|
21 |
17 |
$184.99 |
| 85018 |
|
115 |
105 |
$184.06 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,244 |
1,373 |
$164.23 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
19 |
12 |
$153.90 |
| 82550 |
|
304 |
261 |
$144.82 |
| 84520 |
|
13 |
13 |
$144.35 |
| 87205 |
|
49 |
32 |
$119.76 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
626 |
300 |
$118.42 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,280 |
1,669 |
$116.33 |
| 90734 |
|
113 |
109 |
$98.71 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
160 |
105 |
$80.94 |
| 82565 |
|
14 |
14 |
$72.21 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
23 |
23 |
$58.20 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
736 |
565 |
$55.08 |
| 90715 |
|
13 |
12 |
$29.02 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,784 |
1,063 |
$28.71 |
| J7050 |
Infusion, normal saline solution, 250 cc |
515 |
334 |
$25.96 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
12 |
$25.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
36 |
12 |
$12.33 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
357 |
291 |
$5.25 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
46 |
25 |
$3.72 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
228 |
129 |
$3.63 |
| J2704 |
Injection, propofol, 10 mg |
371 |
296 |
$2.68 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
40 |
27 |
$1.35 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
434 |
214 |
$0.84 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
89 |
60 |
$0.24 |
| 90697 |
|
23 |
13 |
$0.18 |
| 90649 |
|
14 |
13 |
$0.02 |
| 90710 |
|
33 |
31 |
$0.00 |
| 87420 |
|
12 |
12 |
$0.00 |
| 73080 |
|
15 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$0.00 |
| 85730 |
|
13 |
12 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
53 |
41 |
$0.00 |
| 94761 |
|
32 |
30 |
$0.00 |
| A9270 |
Non-covered item or service |
64 |
61 |
$0.00 |
| 00142 |
|
20 |
12 |
$0.00 |
| 94760 |
|
23 |
13 |
$0.00 |
| 90696 |
|
32 |
30 |
$0.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
44 |
39 |
$0.00 |