| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,893 |
1,397 |
$334K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,642 |
1,278 |
$201K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,061 |
722 |
$192K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,316 |
969 |
$50K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
772 |
237 |
$40K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
592 |
404 |
$36K |
| 96521 |
|
442 |
105 |
$22K |
| 71045 |
Radiologic examination, chest; single view |
679 |
464 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
981 |
722 |
$16K |
| 80053 |
Comprehensive metabolic panel |
1,879 |
1,186 |
$15K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
748 |
506 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
768 |
558 |
$12K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
372 |
241 |
$11K |
| 70450 |
Computed tomography, head or brain; without contrast material |
136 |
103 |
$11K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
977 |
713 |
$10K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
86 |
75 |
$8K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
134 |
112 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
735 |
548 |
$6K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
515 |
144 |
$6K |
| 36000 |
|
1,076 |
739 |
$6K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
626 |
433 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
152 |
127 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,939 |
1,240 |
$5K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
123 |
74 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
122 |
88 |
$3K |
| 84484 |
|
680 |
395 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
448 |
278 |
$2K |
| 83880 |
|
145 |
96 |
$2K |
| 93041 |
|
141 |
109 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
100 |
15 |
$2K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
35 |
13 |
$2K |
| 82962 |
|
654 |
164 |
$2K |
| 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 |
21 |
12 |
$1K |
| 81003 |
|
1,256 |
843 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
131 |
109 |
$735.24 |
| 83735 |
|
145 |
83 |
$474.44 |
| 94761 |
|
184 |
136 |
$394.72 |
| 87807 |
|
38 |
33 |
$356.64 |
| J3490 |
Unclassified drugs |
115 |
49 |
$91.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
109 |
83 |
$51.21 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
103 |
78 |
$36.00 |
| J1815 |
Injection, insulin, per 5 units |
216 |
54 |
$0.00 |