| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
181 |
174 |
$23K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
75 |
69 |
$14K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
136 |
130 |
$10K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
59 |
59 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
116 |
111 |
$4K |
| 80053 |
Comprehensive metabolic panel |
270 |
261 |
$4K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
92 |
92 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
13 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
101 |
101 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
15 |
15 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
101 |
101 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
67 |
58 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
119 |
119 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
36 |
32 |
$1K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
15 |
13 |
$949.56 |
| 82607 |
|
70 |
70 |
$777.65 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
67 |
47 |
$762.98 |
| 84443 |
Thyroid stimulating hormone (TSH) |
93 |
92 |
$697.23 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
63 |
61 |
$664.03 |
| 84439 |
|
92 |
92 |
$583.71 |
| 80061 |
Lipid panel |
117 |
117 |
$580.50 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
285 |
263 |
$539.06 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
13 |
13 |
$518.40 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
188 |
44 |
$509.14 |
| 82746 |
|
52 |
52 |
$507.46 |
| 86703 |
|
32 |
32 |
$472.25 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
65 |
59 |
$359.62 |
| 84702 |
|
54 |
51 |
$332.49 |
| 81025 |
|
70 |
69 |
$237.38 |
| 82150 |
|
42 |
42 |
$201.56 |
| 85730 |
|
82 |
80 |
$172.10 |
| 87430 |
|
45 |
45 |
$166.95 |
| 82728 |
|
13 |
12 |
$158.05 |
| 85610 |
|
86 |
84 |
$150.47 |
| 86803 |
|
15 |
15 |
$136.62 |
| 87070 |
|
56 |
55 |
$132.56 |
| 87340 |
|
12 |
12 |
$109.96 |
| 81001 |
|
80 |
77 |
$94.88 |
| 86592 |
|
27 |
27 |
$79.44 |
| 83550 |
|
15 |
15 |
$63.35 |
| 83540 |
|
14 |
14 |
$62.34 |
| 71046 |
Radiologic examination, chest; 2 views |
77 |
77 |
$61.36 |
| 93000 |
|
79 |
76 |
$56.43 |
| 83690 |
|
49 |
48 |
$55.50 |
| 81003 |
|
63 |
63 |
$49.87 |
| 36415 |
Collection of venous blood by venipuncture |
97 |
82 |
$44.40 |
| 82550 |
|
42 |
42 |
$43.23 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
39 |
38 |
$33.79 |
| 85007 |
|
32 |
32 |
$29.52 |
| 85027 |
|
14 |
14 |
$23.69 |
| 76376 |
|
34 |
34 |
$22.52 |
| 83735 |
|
13 |
13 |
$20.22 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
32 |
29 |
$0.93 |
| 84484 |
|
51 |
50 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
57 |
56 |
$0.00 |
| 80050 |
General health panel |
51 |
51 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
17 |
13 |
$0.00 |