| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,359 |
7,107 |
$1.62M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,283 |
4,178 |
$1.14M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,801 |
3,660 |
$607K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,835 |
7,529 |
$538K |
| 80053 |
Comprehensive metabolic panel |
9,991 |
9,003 |
$513K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,468 |
3,368 |
$351K |
| 36415 |
Collection of venous blood by venipuncture |
5,131 |
4,099 |
$282K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
895 |
883 |
$253K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,079 |
995 |
$239K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
1,569 |
1,536 |
$155K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,856 |
2,675 |
$143K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
974 |
950 |
$140K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
914 |
831 |
$97K |
| 70450 |
Computed tomography, head or brain; without contrast material |
298 |
291 |
$93K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
741 |
442 |
$93K |
| 81025 |
|
1,238 |
1,202 |
$66K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,261 |
2,913 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
615 |
615 |
$57K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
156 |
152 |
$51K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
519 |
501 |
$47K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
516 |
516 |
$47K |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,360 |
4,301 |
$42K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,179 |
1,122 |
$36K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
364 |
360 |
$34K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,124 |
1,119 |
$33K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
387 |
139 |
$31K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12,844 |
11,274 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
341 |
341 |
$29K |
| 80061 |
Lipid panel |
3,886 |
3,862 |
$28K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,434 |
2,410 |
$25K |
| 99051 |
|
3,101 |
3,062 |
$18K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
326 |
326 |
$18K |
| 84439 |
|
1,807 |
1,788 |
$18K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
339 |
330 |
$17K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
79 |
78 |
$17K |
| 99215 |
Prolong outpt/office vis |
101 |
94 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
1,933 |
1,889 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,690 |
2,674 |
$13K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,983 |
1,898 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,013 |
1,013 |
$11K |
| 87070 |
|
1,453 |
1,429 |
$11K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
312 |
303 |
$10K |
| 83880 |
|
67 |
58 |
$10K |
| 82607 |
|
662 |
658 |
$8K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,350 |
1,320 |
$8K |
| 29125 |
|
42 |
42 |
$8K |
| 90686 |
|
1,515 |
1,514 |
$8K |
| 80076 |
|
887 |
867 |
$7K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
429 |
409 |
$7K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
13 |
13 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
66 |
66 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
638 |
638 |
$6K |
| 96127 |
|
1,152 |
1,132 |
$6K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,042 |
1,863 |
$6K |
| 87081 |
|
1,224 |
1,188 |
$6K |
| 73610 |
|
351 |
341 |
$6K |
| 87428 |
|
133 |
133 |
$5K |
| 83550 |
|
1,055 |
1,038 |
$5K |
| 84484 |
|
1,692 |
1,388 |
$5K |
| 81003 |
|
4,016 |
3,787 |
$5K |
| 83655 |
|
391 |
391 |
$5K |
| 83690 |
|
1,836 |
1,730 |
$5K |
| 83735 |
|
1,721 |
1,450 |
$5K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
240 |
236 |
$5K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
691 |
625 |
$4K |
| 36000 |
|
189 |
181 |
$4K |
| 86140 |
|
1,039 |
983 |
$4K |
| 82746 |
|
337 |
337 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$4K |
| 87186 |
|
942 |
833 |
$4K |
| 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 |
87 |
84 |
$4K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
12 |
12 |
$4K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
125 |
125 |
$3K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,918 |
1,825 |
$3K |
| 84153 |
|
175 |
174 |
$3K |
| 85610 |
|
1,116 |
926 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
975 |
948 |
$3K |
| 76641 |
|
110 |
110 |
$3K |
| 82728 |
|
217 |
208 |
$3K |
| 85652 |
|
1,231 |
1,169 |
$3K |
| 97161 |
|
15 |
15 |
$3K |
| 82570 |
|
423 |
417 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
327 |
327 |
$2K |
| 87077 |
|
390 |
369 |
$2K |
| 86900 |
|
85 |
84 |
$2K |
| 82043 |
|
358 |
357 |
$2K |
| 73630 |
|
185 |
178 |
$2K |
| 82248 |
|
590 |
563 |
$2K |
| 85730 |
|
545 |
524 |
$2K |
| 87075 |
|
210 |
198 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
36 |
36 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
827 |
760 |
$1K |
| 90715 |
|
36 |
36 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
283 |
163 |
$1K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
39 |
39 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
333 |
333 |
$996.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
967 |
960 |
$900.20 |
| 86901 |
|
72 |
72 |
$813.08 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
26 |
26 |
$720.73 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
39 |
39 |
$540.26 |
| 73130 |
|
37 |
37 |
$449.36 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,785 |
1,556 |
$360.12 |
| 86618 |
|
37 |
29 |
$340.60 |
| 73562 |
|
28 |
28 |
$314.01 |
| 73110 |
|
40 |
40 |
$306.69 |
| 93041 |
|
553 |
378 |
$305.88 |
| 86617 |
|
24 |
13 |
$278.82 |
| 83605 |
|
68 |
51 |
$223.31 |
| 85379 |
|
66 |
65 |
$217.30 |
| 86038 |
|
42 |
41 |
$211.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
91 |
77 |
$207.47 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,250 |
1,154 |
$200.61 |
| J2274 |
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg |
113 |
95 |
$195.94 |
| 74018 |
|
27 |
27 |
$149.44 |
| 72100 |
|
12 |
12 |
$144.56 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
704 |
603 |
$144.36 |
| 73030 |
|
12 |
12 |
$93.37 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
200 |
195 |
$81.02 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
378 |
375 |
$55.00 |
| 92551 |
|
15 |
15 |
$45.08 |
| 87205 |
|
14 |
14 |
$42.06 |
| 87040 |
|
46 |
28 |
$39.56 |
| 84702 |
|
13 |
12 |
$37.47 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
103 |
86 |
$34.52 |
| 86308 |
|
14 |
14 |
$33.36 |
| 73564 |
|
12 |
12 |
$24.00 |
| 81015 |
|
12 |
12 |
$16.40 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
345 |
338 |
$10.84 |
| 90461 |
|
269 |
269 |
$10.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
28 |
28 |
$5.64 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
263 |
259 |
$3.60 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
37 |
37 |
$1.80 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
30 |
29 |
$1.72 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
12 |
12 |
$1.21 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
16 |
13 |
$0.00 |
| 90723 |
|
14 |
14 |
$0.00 |
| 90648 |
|
140 |
138 |
$0.00 |
| 99173 |
|
51 |
51 |
$0.00 |
| 90670 |
|
94 |
93 |
$0.00 |