| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,935 |
1,961 |
$147K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
485 |
235 |
$26K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
214 |
105 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,110 |
973 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
560 |
444 |
$4K |
| 80053 |
Comprehensive metabolic panel |
1,188 |
1,039 |
$4K |
| G0483 |
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; 22 or more drug class(es), including metabolite(s) if performed |
34 |
33 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
113 |
94 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,555 |
1,330 |
$2K |
| 84484 |
|
177 |
156 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47 |
28 |
$1K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
34 |
34 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
144 |
126 |
$780.62 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
12 |
$750.41 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
182 |
164 |
$638.89 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
40 |
38 |
$623.95 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
35 |
30 |
$502.18 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
27 |
25 |
$494.81 |
| G0378 |
Hospital observation service, per hour |
27 |
24 |
$415.36 |
| 99220 |
|
17 |
13 |
$346.21 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
36 |
18 |
$258.96 |
| 85027 |
|
72 |
67 |
$251.49 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
15 |
14 |
$212.33 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
14 |
13 |
$208.00 |
| 83690 |
|
13 |
12 |
$136.08 |
| 82150 |
|
13 |
12 |
$127.86 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
56 |
51 |
$111.05 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
16 |
12 |
$87.99 |
| 99219 |
|
16 |
16 |
$84.03 |
| 81003 |
|
114 |
98 |
$54.00 |
| 81001 |
|
32 |
24 |
$16.62 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
79 |
66 |
$0.00 |