| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
Emergency room services |
12,316 |
10,769 |
$529K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
7,795 |
6,375 |
$230K |
| Z7502 |
|
3,753 |
3,663 |
$142K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
638 |
568 |
$138K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,506 |
2,299 |
$87K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
963 |
909 |
$84K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,165 |
1,097 |
$82K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
754 |
683 |
$75K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
974 |
858 |
$72K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
778 |
705 |
$72K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
432 |
417 |
$65K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,569 |
1,456 |
$56K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,892 |
1,746 |
$51K |
| 80053 |
Comprehensive metabolic panel |
7,460 |
6,449 |
$51K |
| 0301 |
|
426 |
392 |
$51K |
| 93000 |
|
2,076 |
1,969 |
$50K |
| 0250 |
|
2,494 |
1,661 |
$41K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
797 |
769 |
$39K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,144 |
891 |
$37K |
| 71045 |
Radiologic examination, chest; single view |
3,230 |
2,985 |
$36K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,389 |
7,181 |
$35K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
761 |
729 |
$33K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,294 |
2,091 |
$31K |
| J3490 |
Unclassified drugs |
8,296 |
4,069 |
$30K |
| 0360 |
|
1,107 |
580 |
$30K |
| 0206 |
|
51 |
44 |
$28K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,435 |
1,342 |
$28K |
| 0710 |
|
1,607 |
1,530 |
$26K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,406 |
1,308 |
$26K |
| 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 |
491 |
466 |
$25K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
3,400 |
2,996 |
$24K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
2,701 |
798 |
$22K |
| 0510 |
|
1,661 |
1,587 |
$19K |
| Z7610 |
|
1,432 |
910 |
$18K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
249 |
226 |
$17K |
| 0272 |
|
925 |
771 |
$17K |
| 83880 |
|
1,057 |
946 |
$16K |
| J2704 |
Injection, propofol, 10 mg |
975 |
890 |
$15K |
| 0305 |
|
406 |
375 |
$14K |
| 99199 |
Unlisted special service, procedure or report |
112 |
107 |
$12K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,466 |
2,318 |
$12K |
| 0121 |
|
44 |
42 |
$12K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
219 |
199 |
$11K |
| 0300 |
|
444 |
399 |
$11K |
| 84484 |
|
1,857 |
1,665 |
$11K |
| 83735 |
|
3,521 |
2,888 |
$11K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
905 |
831 |
$10K |
| 85730 |
|
2,279 |
2,111 |
$10K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
546 |
523 |
$10K |
| 83690 |
|
2,099 |
1,923 |
$9K |
| 0306 |
|
397 |
369 |
$8K |
| 81001 |
|
3,411 |
3,190 |
$8K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
681 |
575 |
$8K |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
1,611 |
457 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
2,478 |
1,913 |
$8K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,731 |
1,556 |
$8K |
| 0730 |
|
191 |
175 |
$7K |
| 81025 |
|
1,908 |
1,806 |
$7K |
| 85610 |
|
2,346 |
2,167 |
$7K |
| 87497 |
|
582 |
440 |
$7K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
828 |
720 |
$7K |
| 0320 |
|
191 |
176 |
$7K |
| 73562 |
|
513 |
417 |
$7K |
| 80197 |
|
1,588 |
1,070 |
$6K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
188 |
186 |
$5K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
925 |
818 |
$5K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,841 |
1,674 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
149 |
142 |
$5K |
| 87040 |
|
509 |
478 |
$5K |
| 0420 |
|
210 |
99 |
$5K |
| 83605 |
|
736 |
691 |
$5K |
| 0270 |
|
1,454 |
790 |
$4K |
| 0258 |
|
520 |
447 |
$4K |
| 90715 |
|
127 |
126 |
$4K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
447 |
396 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
322 |
308 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
380 |
350 |
$3K |
| 87400 |
|
687 |
661 |
$3K |
| 0370 |
|
165 |
142 |
$3K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
118 |
118 |
$3K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,237 |
1,123 |
$3K |
| 87186 |
|
568 |
550 |
$3K |
| 0352 |
|
16 |
12 |
$3K |
| 0324 |
|
74 |
73 |
$3K |
| 0760 |
|
260 |
247 |
$3K |
| 20610 |
|
157 |
125 |
$3K |
| 0637 |
|
466 |
383 |
$2K |
| 94664 |
|
341 |
310 |
$2K |
| S0164 |
Injection, pantoprazole sodium, 40 mg |
275 |
259 |
$2K |
| 87077 |
|
590 |
568 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
126 |
124 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
59 |
57 |
$2K |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
15 |
13 |
$2K |
| 0761 |
|
261 |
244 |
$2K |
| 84100 |
|
1,706 |
1,189 |
$2K |
| 72100 |
|
74 |
70 |
$2K |
| 93041 |
|
353 |
332 |
$2K |
| 73610 |
|
45 |
43 |
$2K |
| 73030 |
|
89 |
82 |
$1K |
| G0378 |
Hospital observation service, per hour |
15 |
14 |
$1K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,033 |
937 |
$1K |
| 86850 |
|
455 |
431 |
$1K |
| 97162 |
|
90 |
87 |
$1K |
| 88312 |
|
213 |
210 |
$1K |
| 70486 |
|
12 |
12 |
$1K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
479 |
418 |
$1K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
340 |
323 |
$1K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
44 |
44 |
$1K |
| 82962 |
|
540 |
409 |
$849.57 |
| J1644 |
Injection, heparin sodium, per 1000 units |
186 |
137 |
$818.52 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
253 |
230 |
$795.39 |
| 0636 |
|
118 |
95 |
$787.84 |
| 86900 |
|
511 |
486 |
$780.23 |
| 86901 |
|
513 |
487 |
$754.10 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
201 |
193 |
$754.04 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
401 |
366 |
$625.18 |
| 82570 |
|
322 |
285 |
$612.41 |
| 97161 |
|
50 |
50 |
$600.69 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
305 |
284 |
$563.75 |
| 73502 |
|
44 |
38 |
$545.99 |
| 84439 |
|
84 |
77 |
$498.28 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
85 |
85 |
$403.83 |
| 84156 |
|
293 |
258 |
$386.26 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
68 |
66 |
$361.87 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
13 |
12 |
$357.62 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
52 |
50 |
$343.21 |
| 0307 |
|
103 |
90 |
$283.19 |
| 84702 |
|
29 |
26 |
$280.91 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
188 |
167 |
$269.01 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
76 |
65 |
$259.37 |
| 71010 |
|
15 |
15 |
$223.35 |
| 96376 |
|
37 |
37 |
$196.20 |
| 73564 |
|
20 |
16 |
$182.97 |
| 80061 |
Lipid panel |
113 |
107 |
$176.36 |
| 87147 |
|
52 |
52 |
$130.65 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
26 |
$124.35 |
| J2060 |
Injection, lorazepam, 2 mg |
26 |
26 |
$110.05 |
| 87799 |
|
51 |
44 |
$107.13 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
86 |
78 |
$106.38 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
41 |
38 |
$99.81 |
| 85379 |
|
12 |
12 |
$87.30 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
65 |
57 |
$86.06 |
| 82150 |
|
17 |
13 |
$85.95 |
| 88304 |
|
51 |
49 |
$67.10 |
| 84703 |
|
12 |
12 |
$55.57 |
| 82550 |
|
14 |
14 |
$44.08 |
| 81003 |
|
26 |
25 |
$27.00 |
| 80195 |
|
14 |
12 |
$23.98 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
106 |
95 |
$0.00 |
| 0483 |
|
14 |
14 |
$0.00 |