| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
23,380 |
21,062 |
$5.77M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
8,446 |
7,665 |
$2.29M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
9,164 |
8,439 |
$1.43M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,663 |
3,231 |
$984K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
10,789 |
8,964 |
$530K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,857 |
2,443 |
$192K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,831 |
4,436 |
$168K |
| 80053 |
Comprehensive metabolic panel |
16,144 |
14,213 |
$117K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,900 |
1,406 |
$105K |
| 80061 |
Lipid panel |
5,019 |
4,685 |
$56K |
| 36415 |
Collection of venous blood by venipuncture |
24,819 |
21,604 |
$51K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
829 |
601 |
$50K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,466 |
3,190 |
$50K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,354 |
8,392 |
$49K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,786 |
2,638 |
$39K |
| 74018 |
|
266 |
224 |
$39K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
210 |
164 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,687 |
2,438 |
$36K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
29 |
26 |
$36K |
| 71045 |
Radiologic examination, chest; single view |
738 |
652 |
$30K |
| 70450 |
Computed tomography, head or brain; without contrast material |
90 |
77 |
$27K |
| 71046 |
Radiologic examination, chest; 2 views |
258 |
241 |
$24K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,776 |
3,371 |
$23K |
| 85027 |
|
4,911 |
4,271 |
$22K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
176 |
158 |
$20K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,145 |
2,033 |
$17K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
90 |
50 |
$17K |
| 81001 |
|
7,885 |
6,927 |
$16K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
20 |
17 |
$14K |
| 87081 |
|
2,068 |
1,877 |
$11K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
267 |
225 |
$11K |
| 0240U |
|
67 |
65 |
$9K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
89 |
80 |
$9K |
| 80050 |
General health panel |
231 |
217 |
$8K |
| 84484 |
|
1,188 |
1,005 |
$8K |
| 83880 |
|
384 |
336 |
$8K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
371 |
77 |
$7K |
| 81025 |
|
932 |
833 |
$7K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
730 |
638 |
$6K |
| 82553 |
|
1,042 |
871 |
$6K |
| 74019 |
|
70 |
65 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
46 |
44 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
29 |
26 |
$5K |
| 82550 |
|
1,175 |
1,004 |
$4K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
514 |
464 |
$3K |
| 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 |
31 |
25 |
$3K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
323 |
253 |
$2K |
| 83735 |
|
497 |
450 |
$2K |
| 83690 |
|
396 |
332 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
67 |
63 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
99 |
88 |
$1K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
756 |
640 |
$1K |
| G0378 |
Hospital observation service, per hour |
31 |
25 |
$1K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
31 |
12 |
$1K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
51 |
43 |
$912.43 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
174 |
151 |
$866.10 |
| 85610 |
|
321 |
281 |
$736.49 |
| 82150 |
|
134 |
113 |
$576.74 |
| 85730 |
|
165 |
136 |
$543.82 |
| 83550 |
|
66 |
65 |
$499.35 |
| 83540 |
|
66 |
65 |
$369.65 |
| 86140 |
|
92 |
88 |
$340.66 |
| 84100 |
|
132 |
123 |
$327.06 |
| 82670 |
|
13 |
13 |
$307.34 |
| A9270 |
Non-covered item or service |
1,989 |
1,145 |
$171.23 |
| 82607 |
|
13 |
13 |
$165.88 |
| 82746 |
|
13 |
13 |
$161.70 |
| J2704 |
Injection, propofol, 10 mg |
907 |
633 |
$159.23 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
130 |
110 |
$158.11 |
| J2060 |
Injection, lorazepam, 2 mg |
36 |
25 |
$155.03 |
| 82728 |
|
13 |
13 |
$149.93 |
| 84480 |
|
15 |
15 |
$130.95 |
| 85379 |
|
15 |
14 |
$101.80 |
| 84436 |
|
15 |
15 |
$92.12 |
| 87088 |
|
16 |
14 |
$84.04 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
36 |
26 |
$62.38 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
26 |
25 |
$58.25 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
18 |
12 |
$56.79 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
13 |
12 |
$52.43 |
| 81003 |
|
13 |
13 |
$18.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
141 |
126 |
$11.69 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
15 |
13 |
$10.74 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
105 |
80 |
$5.01 |
| Q0243 |
Injection, casirivimab and imdevimab, 2400 mg |
57 |
49 |
$0.13 |