| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
517 |
487 |
$79K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
477 |
445 |
$61K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
201 |
151 |
$60K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
151 |
128 |
$23K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
168 |
161 |
$23K |
| 80053 |
Comprehensive metabolic panel |
997 |
857 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
99 |
94 |
$17K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
59 |
57 |
$14K |
| 70450 |
Computed tomography, head or brain; without contrast material |
46 |
46 |
$14K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
96 |
96 |
$13K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
196 |
192 |
$8K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
31 |
24 |
$7K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
265 |
260 |
$7K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
142 |
139 |
$6K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
265 |
260 |
$6K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
15 |
15 |
$5K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
148 |
147 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
48 |
48 |
$5K |
| 86885 |
|
65 |
65 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
199 |
161 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
432 |
426 |
$4K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
122 |
112 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
368 |
337 |
$3K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
135 |
133 |
$3K |
| 88142 |
|
106 |
106 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
105 |
103 |
$2K |
| 80061 |
Lipid panel |
256 |
255 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
288 |
273 |
$2K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
123 |
123 |
$2K |
| 88304 |
|
64 |
64 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
126 |
98 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
956 |
781 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
214 |
205 |
$2K |
| 76641 |
|
44 |
44 |
$1K |
| 84439 |
|
182 |
172 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
136 |
122 |
$1K |
| 80076 |
|
88 |
67 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
227 |
212 |
$1K |
| 87340 |
|
114 |
114 |
$969.60 |
| 82607 |
|
78 |
77 |
$925.23 |
| 86780 |
|
87 |
87 |
$890.22 |
| 90686 |
|
39 |
39 |
$848.71 |
| 81025 |
|
264 |
255 |
$792.51 |
| 86803 |
|
101 |
101 |
$740.92 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
24 |
24 |
$574.26 |
| 82728 |
|
42 |
41 |
$571.25 |
| 81001 |
|
402 |
378 |
$548.10 |
| 83001 |
|
26 |
25 |
$524.06 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
16 |
12 |
$508.00 |
| 82746 |
|
38 |
37 |
$462.50 |
| 87077 |
|
77 |
75 |
$455.90 |
| 85027 |
|
329 |
310 |
$430.91 |
| J2704 |
Injection, propofol, 10 mg |
82 |
80 |
$421.61 |
| 83655 |
|
27 |
27 |
$403.65 |
| 82378 |
|
19 |
17 |
$397.97 |
| 86300 |
|
14 |
14 |
$340.90 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
12 |
12 |
$327.60 |
| 87081 |
|
78 |
78 |
$322.40 |
| 84146 |
|
13 |
12 |
$275.74 |
| 83002 |
|
13 |
12 |
$242.30 |
| 85730 |
|
154 |
148 |
$216.65 |
| 83540 |
|
42 |
41 |
$197.81 |
| 81003 |
|
204 |
197 |
$195.08 |
| 83550 |
|
41 |
40 |
$191.49 |
| 85007 |
|
132 |
125 |
$189.37 |
| 87510 |
|
15 |
15 |
$181.35 |
| 87480 |
|
15 |
15 |
$181.35 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
316 |
282 |
$174.78 |
| 83615 |
|
41 |
31 |
$155.93 |
| 85610 |
|
74 |
64 |
$144.67 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
138 |
134 |
$123.94 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
141 |
98 |
$120.56 |
| 85652 |
|
53 |
49 |
$117.18 |
| 85045 |
|
34 |
34 |
$100.63 |
| 84702 |
|
18 |
14 |
$98.96 |
| 87660 |
|
15 |
15 |
$83.70 |
| 83690 |
|
227 |
203 |
$78.09 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
18 |
12 |
$56.98 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
161 |
146 |
$52.29 |
| 86706 |
|
12 |
12 |
$50.50 |
| 83735 |
|
19 |
12 |
$50.30 |
| 87186 |
|
13 |
12 |
$46.13 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
25 |
25 |
$27.64 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
13 |
12 |
$24.17 |
| 82550 |
|
15 |
14 |
$18.43 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
17 |
13 |
$14.07 |
| 84436 |
|
16 |
14 |
$11.40 |
| 84512 |
|
124 |
109 |
$10.40 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
12 |
12 |
$10.05 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
25 |
25 |
$8.40 |
| 82948 |
|
166 |
147 |
$6.67 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
97 |
96 |
$5.00 |
| 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 |
17 |
16 |
$0.76 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
208 |
151 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
207 |
189 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
31 |
26 |
$0.00 |