| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
11,697 |
10,250 |
$1.50M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
9,364 |
7,651 |
$1.25M |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
5,155 |
4,244 |
$286K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,163 |
3,642 |
$156K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
463 |
315 |
$109K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
3,488 |
3,169 |
$103K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
885 |
807 |
$101K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,208 |
969 |
$75K |
| G0378 |
Hospital observation service, per hour |
449 |
266 |
$53K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,096 |
366 |
$45K |
| 85027 |
|
10,916 |
8,327 |
$30K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
600 |
510 |
$29K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,289 |
1,217 |
$25K |
| 80053 |
Comprehensive metabolic panel |
9,400 |
7,427 |
$23K |
| 84484 |
|
2,789 |
1,996 |
$23K |
| 70450 |
Computed tomography, head or brain; without contrast material |
629 |
504 |
$15K |
| 87634 |
|
291 |
274 |
$10K |
| 83605 |
|
2,103 |
1,656 |
$10K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,323 |
2,512 |
$9K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,232 |
974 |
$9K |
| 83690 |
|
2,388 |
2,018 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
4,239 |
3,385 |
$7K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
60 |
55 |
$6K |
| 85730 |
|
2,146 |
1,681 |
$5K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
312 |
152 |
$4K |
| G0481 |
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; 8-14 drug class(es), including metabolite(s) if performed |
89 |
73 |
$4K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
206 |
162 |
$3K |
| 85610 |
|
2,256 |
1,770 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
498 |
393 |
$2K |
| 81025 |
|
856 |
767 |
$2K |
| 87070 |
|
220 |
219 |
$1K |
| 81001 |
|
1,780 |
1,566 |
$1K |
| 83880 |
|
115 |
96 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
199 |
164 |
$998.12 |
| 81003 |
|
1,444 |
1,128 |
$568.59 |
| 83735 |
|
225 |
193 |
$551.59 |
| 82803 |
|
55 |
40 |
$475.22 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
101 |
101 |
$426.69 |
| 94729 |
|
45 |
37 |
$386.72 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
303 |
187 |
$313.74 |
| 94727 |
|
49 |
39 |
$303.20 |
| 87040 |
|
82 |
56 |
$275.19 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
17 |
13 |
$251.76 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
188 |
180 |
$210.19 |
| 84703 |
|
39 |
37 |
$198.45 |
| 82077 |
|
48 |
40 |
$170.92 |
| 83874 |
|
37 |
26 |
$114.30 |
| 80179 |
|
32 |
24 |
$114.10 |
| 80143 |
|
32 |
24 |
$114.10 |
| 36415 |
Collection of venous blood by venipuncture |
262 |
94 |
$104.04 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
33 |
27 |
$77.20 |
| 87807 |
|
14 |
14 |
$58.83 |
| 80076 |
|
50 |
33 |
$52.80 |
| 59025 |
Fetal non-stress test |
14 |
13 |
$44.79 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$18.88 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
266 |
234 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
307 |
284 |
$0.00 |
| G1003 |
Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program |
48 |
40 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
261 |
230 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
178 |
151 |
$0.00 |