| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,757 |
3,289 |
$148K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,393 |
1,816 |
$147K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,136 |
759 |
$73K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
239 |
200 |
$71K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,554 |
2,245 |
$70K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,585 |
677 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,601 |
1,049 |
$47K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
941 |
817 |
$37K |
| 80053 |
Comprehensive metabolic panel |
3,964 |
3,174 |
$26K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,629 |
436 |
$23K |
| 36415 |
Collection of venous blood by venipuncture |
6,916 |
4,716 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,035 |
2,478 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
869 |
415 |
$9K |
| 84443 |
Thyroid stimulating hormone (TSH) |
937 |
864 |
$7K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
102 |
36 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
634 |
566 |
$6K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
154 |
120 |
$5K |
| 85027 |
|
1,173 |
987 |
$5K |
| 84484 |
|
629 |
483 |
$4K |
| 97161 |
|
69 |
68 |
$4K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
100 |
77 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
117 |
110 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
347 |
260 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
148 |
113 |
$4K |
| 80305 |
|
421 |
366 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
61 |
53 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
752 |
619 |
$3K |
| 81003 |
|
881 |
773 |
$3K |
| 83605 |
|
455 |
353 |
$3K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
41 |
35 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
63 |
61 |
$2K |
| 80061 |
Lipid panel |
509 |
485 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
367 |
325 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
386 |
334 |
$2K |
| 83690 |
|
357 |
306 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$2K |
| 85610 |
|
619 |
442 |
$2K |
| 81015 |
|
349 |
304 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
369 |
349 |
$1K |
| 87254 |
|
42 |
21 |
$930.96 |
| 81001 |
|
485 |
416 |
$916.29 |
| 71045 |
Radiologic examination, chest; single view |
166 |
142 |
$858.08 |
| 85007 |
|
213 |
189 |
$815.56 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
56 |
56 |
$811.73 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
329 |
272 |
$598.69 |
| 73610 |
|
18 |
13 |
$598.33 |
| A9270 |
Non-covered item or service |
610 |
497 |
$589.92 |
| 87420 |
|
61 |
57 |
$537.37 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
109 |
75 |
$528.65 |
| 87040 |
|
75 |
38 |
$499.72 |
| 82803 |
|
35 |
26 |
$357.39 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
262 |
224 |
$261.83 |
| 83735 |
|
40 |
37 |
$186.70 |
| 83880 |
|
16 |
12 |
$182.45 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
27 |
25 |
$177.13 |
| 90674 |
|
13 |
13 |
$154.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
36 |
28 |
$141.07 |
| 82150 |
|
14 |
13 |
$79.47 |
| 84439 |
|
15 |
12 |
$73.38 |
| 87184 |
|
12 |
12 |
$58.64 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
14 |
12 |
$33.62 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
63 |
61 |
$3.10 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
21 |
20 |
$0.00 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
22 |
20 |
$0.00 |
| 80320 |
|
14 |
13 |
$0.00 |