| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
9,263 |
7,912 |
$1.58M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
18,130 |
15,401 |
$1.56M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,116 |
1,695 |
$516K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,317 |
5,860 |
$189K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,138 |
3,771 |
$163K |
| 80053 |
Comprehensive metabolic panel |
3,351 |
3,115 |
$131K |
| 36415 |
Collection of venous blood by venipuncture |
8,290 |
7,463 |
$74K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
634 |
167 |
$50K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
332 |
146 |
$41K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
624 |
602 |
$38K |
| 86140 |
|
603 |
577 |
$28K |
| J3490 |
Unclassified drugs |
664 |
304 |
$28K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
568 |
528 |
$23K |
| J2704 |
Injection, propofol, 10 mg |
1,153 |
846 |
$23K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,015 |
784 |
$21K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
369 |
343 |
$21K |
| 81001 |
|
1,676 |
1,574 |
$20K |
| 83605 |
|
524 |
485 |
$18K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
235 |
223 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
439 |
409 |
$13K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
15 |
12 |
$13K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
440 |
376 |
$9K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
166 |
151 |
$9K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
218 |
200 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
318 |
284 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
149 |
75 |
$8K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
90 |
79 |
$8K |
| 85027 |
|
376 |
345 |
$7K |
| 84484 |
|
175 |
158 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
225 |
137 |
$6K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
334 |
323 |
$5K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
231 |
216 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
184 |
174 |
$5K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
154 |
128 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
133 |
126 |
$3K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
29 |
25 |
$1K |
| 80076 |
|
32 |
29 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
215 |
207 |
$1K |
| 87430 |
|
27 |
26 |
$964.85 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
23 |
12 |
$866.32 |
| J7121 |
5% dextrose in lactated ringers infusion, up to 1000 cc |
17 |
15 |
$806.95 |
| A9270 |
Non-covered item or service |
4,538 |
2,010 |
$593.40 |
| 83690 |
|
15 |
13 |
$422.34 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
17 |
15 |
$386.81 |
| 87081 |
|
16 |
13 |
$365.63 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
13 |
13 |
$339.96 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
18 |
15 |
$312.34 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
13 |
12 |
$289.79 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
23 |
13 |
$138.81 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
71 |
43 |
$42.06 |