| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,489 |
6,406 |
$470K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,619 |
1,327 |
$203K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,561 |
2,174 |
$147K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
828 |
713 |
$62K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
395 |
363 |
$37K |
| 70450 |
Computed tomography, head or brain; without contrast material |
457 |
406 |
$31K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
269 |
254 |
$27K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
413 |
376 |
$26K |
| 80047 |
|
4,030 |
3,297 |
$24K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
302 |
264 |
$22K |
| 85027 |
|
4,294 |
3,493 |
$14K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
342 |
292 |
$10K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
135 |
110 |
$9K |
| 84484 |
|
1,328 |
927 |
$8K |
| 82150 |
|
1,964 |
1,661 |
$7K |
| 82977 |
|
1,963 |
1,660 |
$7K |
| 84460 |
|
1,861 |
1,582 |
$5K |
| 84075 |
|
1,861 |
1,582 |
$5K |
| 84450 |
|
1,861 |
1,582 |
$5K |
| 82040 |
|
1,852 |
1,576 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
56 |
51 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
68 |
56 |
$5K |
| 82247 |
|
1,860 |
1,581 |
$4K |
| 84155 |
|
1,859 |
1,580 |
$4K |
| 81025 |
|
504 |
449 |
$3K |
| 81003 |
|
1,816 |
1,574 |
$3K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,344 |
1,955 |
$2K |
| 85379 |
|
232 |
208 |
$1K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
97 |
89 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,912 |
1,617 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,494 |
1,236 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
198 |
178 |
$860.55 |
| 83605 |
|
136 |
109 |
$770.36 |
| 83690 |
|
164 |
152 |
$685.86 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
60 |
58 |
$625.35 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
162 |
132 |
$560.68 |
| 83880 |
|
55 |
50 |
$496.18 |
| 80053 |
Comprehensive metabolic panel |
66 |
54 |
$290.11 |
| 81001 |
|
107 |
100 |
$215.26 |
| 71046 |
Radiologic examination, chest; 2 views |
769 |
680 |
$159.65 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
13 |
$146.13 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,147 |
958 |
$144.31 |
| 84702 |
|
14 |
12 |
$140.42 |
| 83735 |
|
28 |
24 |
$77.44 |
| 71045 |
Radiologic examination, chest; single view |
829 |
741 |
$30.21 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,257 |
1,074 |
$19.54 |
| 96376 |
|
99 |
76 |
$3.15 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
31 |
27 |
$1.31 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,525 |
1,305 |
$1.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
310 |
225 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
714 |
582 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
99 |
89 |
$0.00 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
109 |
100 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
13 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
37 |
27 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
22 |
15 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
143 |
120 |
$0.00 |