| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,207 |
2,919 |
$485K |
| G0378 |
Hospital observation service, per hour |
650 |
588 |
$464K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,070 |
2,703 |
$368K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,691 |
1,528 |
$278K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
2,091 |
1,735 |
$102K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,880 |
5,846 |
$22K |
| 80053 |
Comprehensive metabolic panel |
5,572 |
4,480 |
$22K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,232 |
3,630 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
2,085 |
1,913 |
$5K |
| 84484 |
|
2,716 |
2,292 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,682 |
1,492 |
$5K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
181 |
149 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
301 |
282 |
$5K |
| 81001 |
|
3,135 |
2,804 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,415 |
1,301 |
$4K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
117 |
95 |
$4K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
35 |
34 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
65 |
59 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,269 |
1,161 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,344 |
1,625 |
$2K |
| 87400 |
|
36 |
33 |
$2K |
| 83690 |
|
1,322 |
1,208 |
$1K |
| 87581 |
|
35 |
34 |
$1K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
35 |
34 |
$1K |
| 83735 |
|
2,139 |
1,643 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
220 |
205 |
$986.65 |
| 85610 |
|
1,403 |
1,251 |
$821.95 |
| 83605 |
|
331 |
292 |
$715.43 |
| 82550 |
|
568 |
496 |
$569.17 |
| 82077 |
|
56 |
50 |
$348.80 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
29 |
26 |
$347.16 |
| 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 |
150 |
124 |
$220.82 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
81 |
81 |
$217.44 |
| 83880 |
|
391 |
352 |
$156.75 |
| 36415 |
Collection of venous blood by venipuncture |
334 |
193 |
$145.58 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
188 |
155 |
$99.03 |
| 85730 |
|
121 |
114 |
$97.95 |
| 85027 |
|
50 |
39 |
$86.89 |
| 84703 |
|
13 |
13 |
$63.44 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
111 |
86 |
$35.98 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
929 |
709 |
$31.21 |
| J2704 |
Injection, propofol, 10 mg |
41 |
38 |
$0.00 |
| J3490 |
Unclassified drugs |
135 |
98 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
376 |
187 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
99 |
97 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
12 |
12 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
18 |
13 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
24 |
24 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
100 |
96 |
$0.00 |
| 87486 |
|
19 |
19 |
$0.00 |
| 82553 |
|
16 |
13 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
63 |
61 |
$0.00 |
| 87077 |
|
12 |
12 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
478 |
367 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
106 |
86 |
$0.00 |
| 80076 |
|
58 |
54 |
$0.00 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
19 |
13 |
$0.00 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$0.00 |