| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,562 |
3,438 |
$933K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,297 |
1,198 |
$570K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
493 |
434 |
$152K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
948 |
922 |
$141K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
57 |
54 |
$86K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
267 |
256 |
$53K |
| 71045 |
Radiologic examination, chest; single view |
874 |
789 |
$40K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
84 |
79 |
$33K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,036 |
814 |
$31K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,992 |
2,492 |
$14K |
| 80053 |
Comprehensive metabolic panel |
2,151 |
1,823 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
215 |
190 |
$12K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
208 |
204 |
$11K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
698 |
563 |
$11K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
390 |
330 |
$8K |
| 0240U |
|
462 |
448 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
312 |
234 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
71 |
69 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
28 |
$4K |
| 81001 |
|
1,634 |
1,481 |
$4K |
| 76801 |
|
15 |
15 |
$4K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
145 |
99 |
$4K |
| 84484 |
|
609 |
411 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
13 |
12 |
$3K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
46 |
27 |
$2K |
| 87400 |
|
104 |
100 |
$2K |
| 83735 |
|
477 |
403 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
74 |
30 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
71 |
68 |
$1K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
114 |
25 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
26 |
24 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
348 |
315 |
$774.16 |
| 83605 |
|
131 |
107 |
$567.28 |
| 83690 |
|
154 |
138 |
$523.84 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
335 |
290 |
$461.19 |
| 83880 |
|
61 |
51 |
$387.17 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
16 |
13 |
$357.90 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$330.63 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$203.19 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
30 |
28 |
$191.90 |
| 36415 |
Collection of venous blood by venipuncture |
4,005 |
3,197 |
$174.36 |
| 87088 |
|
39 |
38 |
$162.32 |
| 84030 |
|
12 |
12 |
$125.02 |
| 85610 |
|
84 |
75 |
$121.53 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
57 |
54 |
$92.05 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
29 |
25 |
$68.48 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
44 |
42 |
$46.70 |
| 84145 |
|
12 |
12 |
$37.29 |
| 80047 |
|
31 |
30 |
$17.54 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
418 |
246 |
$8.22 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
28 |
25 |
$4.62 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
143 |
129 |
$0.00 |
| 83970 |
|
14 |
13 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
49 |
47 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
160 |
148 |
$0.00 |
| 82962 |
|
87 |
54 |
$0.00 |
| A9270 |
Non-covered item or service |
26 |
14 |
$0.00 |
| 85018 |
|
14 |
12 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
30 |
27 |
$0.00 |
| 85027 |
|
77 |
66 |
$0.00 |