| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
9,208 |
7,648 |
$1.14M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
9,397 |
8,355 |
$746K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
960 |
801 |
$178K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,429 |
1,961 |
$61K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
10,868 |
8,985 |
$58K |
| 84484 |
|
2,005 |
1,515 |
$25K |
| 80053 |
Comprehensive metabolic panel |
4,375 |
3,650 |
$19K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,774 |
2,972 |
$17K |
| 87631 |
|
247 |
210 |
$17K |
| 84703 |
|
1,897 |
1,650 |
$14K |
| 83690 |
|
2,530 |
2,156 |
$14K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
286 |
260 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,915 |
1,417 |
$13K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
166 |
141 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
1,508 |
1,206 |
$8K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,342 |
1,951 |
$6K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
193 |
165 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
587 |
513 |
$5K |
| 85730 |
|
1,247 |
1,040 |
$4K |
| 83735 |
|
1,048 |
874 |
$4K |
| 81001 |
|
4,292 |
3,675 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
750 |
430 |
$4K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
275 |
192 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,304 |
1,781 |
$3K |
| 85610 |
|
1,263 |
1,056 |
$3K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
550 |
420 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
46 |
28 |
$1K |
| 71250 |
|
24 |
17 |
$857.04 |
| 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 |
20 |
17 |
$621.96 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
123 |
95 |
$576.53 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
74 |
65 |
$548.43 |
| 70450 |
Computed tomography, head or brain; without contrast material |
18 |
12 |
$527.54 |
| 87070 |
|
116 |
88 |
$487.12 |
| 80076 |
|
120 |
107 |
$309.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
84 |
78 |
$273.94 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
62 |
39 |
$242.45 |
| 87088 |
|
52 |
41 |
$238.21 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
38 |
33 |
$229.90 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
22 |
15 |
$133.47 |
| 80305 |
|
17 |
14 |
$90.40 |
| 87077 |
|
19 |
13 |
$89.35 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
36 |
26 |
$25.52 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
996 |
828 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
43 |
36 |
$0.00 |
| A9270 |
Non-covered item or service |
21 |
17 |
$0.00 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
18 |
16 |
$0.00 |
| 82962 |
|
20 |
12 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
744 |
569 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
43 |
36 |
$0.00 |