| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,107 |
3,143 |
$260K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,246 |
895 |
$123K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
302 |
209 |
$69K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
328 |
226 |
$32K |
| 71046 |
Radiologic examination, chest; 2 views |
1,332 |
819 |
$24K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
887 |
507 |
$19K |
| 70450 |
Computed tomography, head or brain; without contrast material |
190 |
135 |
$19K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
426 |
307 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,006 |
712 |
$15K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
512 |
375 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,290 |
1,965 |
$12K |
| 80053 |
Comprehensive metabolic panel |
3,123 |
1,861 |
$11K |
| 73562 |
|
312 |
175 |
$10K |
| G0378 |
Hospital observation service, per hour |
116 |
76 |
$9K |
| 72110 |
|
572 |
310 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
557 |
343 |
$7K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
294 |
194 |
$6K |
| 73630 |
|
294 |
144 |
$5K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
343 |
235 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
526 |
347 |
$5K |
| 73502 |
|
252 |
130 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
985 |
529 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
313 |
176 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
4,517 |
2,634 |
$5K |
| 72050 |
|
184 |
97 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
117 |
68 |
$4K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
145 |
97 |
$4K |
| 73030 |
|
187 |
100 |
$4K |
| 80061 |
Lipid panel |
957 |
520 |
$4K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
127 |
77 |
$3K |
| 87430 |
|
404 |
300 |
$3K |
| 73610 |
|
142 |
74 |
$3K |
| 97597 |
|
404 |
127 |
$3K |
| 73130 |
|
169 |
99 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
767 |
425 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
769 |
451 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
379 |
229 |
$2K |
| 73110 |
|
82 |
44 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
191 |
114 |
$2K |
| 72070 |
|
118 |
54 |
$1K |
| 74018 |
|
99 |
54 |
$1K |
| 84484 |
|
337 |
207 |
$1K |
| 81025 |
|
276 |
192 |
$930.65 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
522 |
361 |
$859.38 |
| 81003 |
|
732 |
463 |
$847.65 |
| J2704 |
Injection, propofol, 10 mg |
342 |
216 |
$700.40 |
| 82607 |
|
156 |
86 |
$695.14 |
| 83721 |
|
267 |
135 |
$641.13 |
| 84439 |
|
232 |
118 |
$635.99 |
| 36000 |
|
124 |
82 |
$552.46 |
| 85027 |
|
281 |
161 |
$543.30 |
| 82570 |
|
366 |
199 |
$499.13 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
383 |
238 |
$417.97 |
| 73080 |
|
27 |
13 |
$382.95 |
| 72170 |
|
23 |
12 |
$382.27 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
142 |
89 |
$365.15 |
| 83690 |
|
161 |
102 |
$355.87 |
| 81015 |
|
425 |
293 |
$341.20 |
| 94761 |
|
49 |
31 |
$321.81 |
| 87077 |
|
138 |
82 |
$312.30 |
| 81001 |
|
327 |
201 |
$294.76 |
| 72100 |
|
22 |
12 |
$275.84 |
| 87186 |
|
96 |
56 |
$272.56 |
| 97602 |
|
53 |
26 |
$228.37 |
| 82962 |
|
172 |
78 |
$226.71 |
| 83880 |
|
18 |
12 |
$215.41 |
| 83735 |
|
117 |
61 |
$214.39 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
37 |
24 |
$188.33 |
| 82043 |
|
68 |
35 |
$143.36 |
| 87040 |
|
41 |
17 |
$128.85 |
| 84156 |
|
162 |
85 |
$127.87 |
| 85610 |
|
107 |
62 |
$119.03 |
| 82746 |
|
21 |
14 |
$104.57 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
131 |
85 |
$103.48 |
| 82150 |
|
54 |
29 |
$95.69 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
21 |
14 |
$94.14 |
| 85652 |
|
94 |
43 |
$92.90 |
| 87070 |
|
29 |
15 |
$79.26 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
63 |
40 |
$75.59 |
| 87420 |
|
15 |
12 |
$65.37 |
| 83605 |
|
24 |
16 |
$61.34 |
| 85007 |
|
63 |
33 |
$55.16 |
| 80305 |
|
22 |
14 |
$29.11 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
16 |
12 |
$18.42 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
30 |
14 |
$0.45 |