| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
86,225 |
81,443 |
$13.51M |
| X4011 |
State-specific procedure code |
28,497 |
25,668 |
$12.57M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
31,784 |
29,696 |
$7.47M |
| 85027 |
|
54,132 |
46,377 |
$3.12M |
| 81025 |
|
29,428 |
27,857 |
$2.85M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
6,190 |
5,235 |
$1.98M |
| 80053 |
Comprehensive metabolic panel |
40,010 |
34,055 |
$1.95M |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
13,050 |
12,037 |
$1.70M |
| 81003 |
|
23,258 |
21,963 |
$1.55M |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
14,158 |
12,741 |
$1.13M |
| 81001 |
|
13,334 |
12,260 |
$1.05M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
7,214 |
6,950 |
$786K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
8,244 |
7,483 |
$766K |
| 80047 |
|
5,891 |
5,419 |
$744K |
| 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 |
6,949 |
6,251 |
$714K |
| G0378 |
Hospital observation service, per hour |
665 |
531 |
$418K |
| 36415 |
Collection of venous blood by venipuncture |
32,890 |
27,054 |
$389K |
| 83690 |
|
4,880 |
4,452 |
$340K |
| 71045 |
Radiologic examination, chest; single view |
5,753 |
5,272 |
$280K |
| 71046 |
Radiologic examination, chest; 2 views |
2,214 |
2,058 |
$279K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
7,364 |
6,447 |
$276K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,787 |
1,713 |
$274K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
5,318 |
5,110 |
$266K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
5,132 |
4,928 |
$259K |
| 87430 |
|
4,259 |
4,076 |
$245K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,838 |
1,052 |
$245K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,063 |
1,855 |
$212K |
| 87081 |
|
2,906 |
2,768 |
$183K |
| Y7506 |
|
3,720 |
2,045 |
$159K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
579 |
541 |
$147K |
| 84484 |
|
6,955 |
5,296 |
$124K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,513 |
2,375 |
$122K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,759 |
3,060 |
$116K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
5,382 |
4,970 |
$111K |
| 80076 |
|
507 |
468 |
$102K |
| X4003 |
|
1,181 |
802 |
$87K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,668 |
1,558 |
$85K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
406 |
381 |
$78K |
| 85014 |
|
305 |
247 |
$49K |
| 77336 |
|
55 |
24 |
$37K |
| 87210 |
|
1,510 |
1,465 |
$36K |
| J3490 |
Unclassified drugs |
6,782 |
5,226 |
$30K |
| 85610 |
|
510 |
462 |
$21K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,079 |
840 |
$19K |
| 83880 |
|
570 |
502 |
$14K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
247 |
228 |
$14K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,323 |
927 |
$12K |
| 82378 |
|
1,018 |
639 |
$10K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
112 |
89 |
$10K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
56 |
53 |
$10K |
| 82728 |
|
1,272 |
1,038 |
$7K |
| 83735 |
|
1,354 |
1,140 |
$5K |
| 87428 |
|
207 |
204 |
$5K |
| 85730 |
|
262 |
235 |
$3K |
| 73562 |
|
71 |
67 |
$3K |
| 73130 |
|
56 |
56 |
$3K |
| 73610 |
|
57 |
52 |
$3K |
| 96417 |
|
114 |
55 |
$2K |
| 83615 |
|
777 |
545 |
$2K |
| 87070 |
|
247 |
246 |
$2K |
| 74022 |
|
14 |
14 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
27 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
47 |
44 |
$993.82 |
| 73630 |
|
15 |
14 |
$783.19 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
14 |
$680.64 |
| 86900 |
|
12 |
12 |
$647.75 |
| 86301 |
|
43 |
27 |
$621.76 |
| 84702 |
|
51 |
50 |
$472.55 |
| 87807 |
|
42 |
41 |
$411.38 |
| 96402 |
|
13 |
12 |
$336.76 |
| 86850 |
|
12 |
12 |
$298.49 |
| 86901 |
|
12 |
12 |
$203.38 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
13 |
$192.50 |
| 80306 |
|
17 |
14 |
$190.69 |
| 86300 |
|
29 |
13 |
$150.03 |
| J2704 |
Injection, propofol, 10 mg |
141 |
110 |
$137.97 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
108 |
77 |
$122.37 |
| 80197 |
|
82 |
41 |
$99.98 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
14 |
14 |
$85.54 |
| 84100 |
|
137 |
86 |
$83.75 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
33 |
24 |
$61.13 |
| J1644 |
Injection, heparin sodium, per 1000 units |
64 |
50 |
$57.75 |
| 82565 |
|
15 |
13 |
$47.70 |
| J7050 |
Infusion, normal saline solution, 250 cc |
571 |
266 |
$16.82 |
| A9270 |
Non-covered item or service |
34 |
26 |
$0.00 |
| C1788 |
Port, indwelling (implantable) |
16 |
13 |
$0.00 |