| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
14,964 |
12,286 |
$2.13M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
15,290 |
12,775 |
$1.80M |
| 76819 |
Fetal biophysical profile; without non-stress testing |
12,246 |
8,340 |
$1.07M |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
7,301 |
6,120 |
$709K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,086 |
2,795 |
$472K |
| 59025 |
Fetal non-stress test |
3,353 |
2,670 |
$220K |
| 76820 |
|
2,693 |
1,789 |
$128K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
679 |
555 |
$62K |
| 81002 |
|
16,623 |
12,753 |
$59K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,051 |
441 |
$57K |
| 93325 |
|
179 |
135 |
$40K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,671 |
6,198 |
$31K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
152 |
142 |
$19K |
| 80053 |
Comprehensive metabolic panel |
2,959 |
2,507 |
$19K |
| 81001 |
|
10,480 |
8,966 |
$19K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
453 |
382 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
3,909 |
3,139 |
$10K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
183 |
158 |
$8K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
88 |
38 |
$8K |
| 81513 |
|
29 |
27 |
$7K |
| 76825 |
|
14 |
14 |
$7K |
| 76642 |
|
47 |
42 |
$5K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
198 |
186 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
199 |
186 |
$4K |
| 76801 |
|
28 |
24 |
$2K |
| 77065 |
Tomosynthesis, mammo |
14 |
13 |
$2K |
| 87808 |
|
215 |
205 |
$2K |
| 87905 |
|
213 |
203 |
$1K |
| 76827 |
|
14 |
14 |
$1K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
49 |
46 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
252 |
223 |
$1K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
795 |
541 |
$680.02 |
| 87210 |
|
202 |
192 |
$644.63 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
29 |
27 |
$596.53 |
| 87481 |
|
29 |
27 |
$561.44 |
| 84702 |
|
48 |
38 |
$441.15 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
26 |
25 |
$368.55 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
60 |
51 |
$221.13 |
| 81025 |
|
36 |
24 |
$110.04 |
| 86850 |
|
86 |
67 |
$83.32 |
| 82150 |
|
14 |
13 |
$51.84 |
| 86901 |
|
86 |
67 |
$50.56 |
| 86900 |
|
86 |
67 |
$46.98 |
| 83690 |
|
14 |
13 |
$41.44 |
| A4314 |
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) |
21 |
15 |
$0.00 |
| J0137 |
Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg |
29 |
28 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
325 |
264 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
641 |
391 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
165 |
148 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
67 |
61 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
274 |
169 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
41 |
37 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
37 |
29 |
$0.00 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
114 |
91 |
$0.00 |