| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
40,678 |
30,708 |
$1.21M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
11,695 |
10,980 |
$1.13M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,757 |
2,502 |
$388K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,290 |
3,111 |
$231K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,861 |
1,745 |
$215K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
671 |
597 |
$173K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12,063 |
10,758 |
$33K |
| 71045 |
Radiologic examination, chest; single view |
1,663 |
1,478 |
$21K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
452 |
407 |
$18K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
762 |
704 |
$18K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
462 |
410 |
$16K |
| 43450 |
|
144 |
130 |
$16K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
120 |
104 |
$16K |
| 80053 |
Comprehensive metabolic panel |
8,506 |
7,609 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
13,949 |
12,048 |
$11K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
897 |
662 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
785 |
700 |
$9K |
| 84484 |
|
1,393 |
1,123 |
$8K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
41 |
38 |
$7K |
| G0260 |
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography |
78 |
59 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,037 |
1,639 |
$6K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
30 |
28 |
$5K |
| 80074 |
|
270 |
263 |
$5K |
| 87279 |
|
1,868 |
1,260 |
$5K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,644 |
2,305 |
$5K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
340 |
332 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
95 |
89 |
$4K |
| 93017 |
|
209 |
192 |
$3K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
306 |
300 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
98 |
41 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
318 |
305 |
$2K |
| 87430 |
|
453 |
441 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
46 |
38 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
25 |
25 |
$1K |
| 94762 |
|
71 |
64 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
54 |
26 |
$1K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,178 |
1,001 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
636 |
557 |
$985.49 |
| 86780 |
|
169 |
159 |
$810.56 |
| 72100 |
|
14 |
14 |
$744.62 |
| G0378 |
Hospital observation service, per hour |
14 |
12 |
$670.45 |
| 83880 |
|
152 |
133 |
$610.46 |
| 87522 |
Neg quan hep c or qual rna |
36 |
34 |
$542.12 |
| 83690 |
|
209 |
190 |
$534.99 |
| 82550 |
|
272 |
243 |
$521.22 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
40 |
24 |
$328.34 |
| 82150 |
|
117 |
107 |
$310.18 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
66 |
38 |
$293.08 |
| 72110 |
|
20 |
19 |
$261.20 |
| 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 |
24 |
12 |
$226.14 |
| 83605 |
|
52 |
47 |
$182.15 |
| 76000 |
|
14 |
12 |
$181.75 |
| 86592 |
|
95 |
95 |
$174.67 |
| 81003 |
|
795 |
735 |
$172.14 |
| 81025 |
|
106 |
97 |
$152.85 |
| 77002 |
|
184 |
113 |
$133.26 |
| 83735 |
|
130 |
108 |
$118.23 |
| 94375 |
|
15 |
12 |
$96.90 |
| 81001 |
|
386 |
348 |
$91.26 |
| J2785 |
Injection, regadenoson, 0.1 mg |
12 |
12 |
$85.78 |
| 94760 |
|
65 |
62 |
$42.56 |
| 85730 |
|
13 |
12 |
$28.61 |
| 85610 |
|
26 |
25 |
$27.14 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,589 |
1,367 |
$24.48 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,045 |
826 |
$15.07 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
593 |
498 |
$9.33 |
| 82553 |
|
12 |
12 |
$7.51 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
193 |
169 |
$3.92 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
2,101 |
1,630 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
43 |
30 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
117 |
82 |
$0.00 |
| J0694 |
Injection, cefoxitin sodium, 1 gm |
167 |
157 |
$0.00 |
| 88312 |
|
12 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
44 |
44 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
196 |
180 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
117 |
78 |
$0.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
14 |
13 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
14 |
13 |
$0.00 |