| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,465 |
5,898 |
$2.42M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,592 |
4,098 |
$2.28M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,743 |
1,567 |
$1.47M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
8,441 |
3,099 |
$814K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,805 |
2,603 |
$660K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
547 |
519 |
$537K |
| 80053 |
Comprehensive metabolic panel |
10,060 |
9,061 |
$293K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
3,713 |
1,546 |
$242K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,365 |
2,175 |
$230K |
| 71046 |
Radiologic examination, chest; 2 views |
1,676 |
1,611 |
$202K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
10,175 |
9,017 |
$189K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,987 |
2,930 |
$189K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,421 |
2,094 |
$185K |
| 84484 |
|
2,498 |
1,852 |
$181K |
| 70450 |
Computed tomography, head or brain; without contrast material |
367 |
357 |
$165K |
| 80061 |
Lipid panel |
3,207 |
3,182 |
$147K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,655 |
1,514 |
$139K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,015 |
1,881 |
$134K |
| 71045 |
Radiologic examination, chest; single view |
1,589 |
1,450 |
$132K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,220 |
2,200 |
$114K |
| 83690 |
|
1,722 |
1,580 |
$101K |
| 93041 |
|
2,604 |
2,406 |
$95K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,313 |
1,208 |
$89K |
| 36415 |
Collection of venous blood by venipuncture |
4,954 |
4,278 |
$82K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,387 |
1,300 |
$76K |
| 83880 |
|
787 |
637 |
$72K |
| 73630 |
|
412 |
382 |
$71K |
| 97113 |
|
408 |
149 |
$67K |
| 80050 |
General health panel |
412 |
408 |
$64K |
| 97161 |
|
805 |
789 |
$61K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,653 |
1,444 |
$59K |
| 83605 |
|
922 |
735 |
$54K |
| 85730 |
|
1,527 |
1,402 |
$45K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
915 |
878 |
$45K |
| 81003 |
|
1,771 |
1,698 |
$43K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
402 |
245 |
$41K |
| 85610 |
|
1,996 |
1,772 |
$40K |
| 87400 |
|
360 |
350 |
$38K |
| 81015 |
|
1,781 |
1,676 |
$32K |
| 81025 |
|
1,127 |
1,053 |
$31K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
39 |
38 |
$29K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,018 |
958 |
$27K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
311 |
147 |
$27K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
106 |
105 |
$26K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
927 |
837 |
$25K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
943 |
835 |
$23K |
| 86140 |
|
515 |
466 |
$20K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,531 |
1,444 |
$19K |
| 86141 |
|
470 |
405 |
$19K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,469 |
1,384 |
$15K |
| 85652 |
|
650 |
627 |
$15K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
271 |
262 |
$15K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
72 |
71 |
$15K |
| 83735 |
|
323 |
288 |
$15K |
| 73030 |
|
75 |
72 |
$13K |
| 84439 |
|
290 |
286 |
$12K |
| 85379 |
|
163 |
155 |
$11K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
84 |
70 |
$11K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
490 |
447 |
$11K |
| 73610 |
|
63 |
61 |
$10K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
68 |
68 |
$9K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
98 |
98 |
$9K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
313 |
275 |
$9K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
149 |
147 |
$6K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
100 |
90 |
$5K |
| 82550 |
|
119 |
115 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
94 |
93 |
$4K |
| 97535 |
Self-care/home management training, each 15 minutes |
75 |
57 |
$4K |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
12 |
12 |
$4K |
| 87070 |
|
51 |
51 |
$3K |
| 12001 |
|
14 |
14 |
$3K |
| 87205 |
|
93 |
89 |
$3K |
| 73130 |
|
14 |
14 |
$2K |
| 85027 |
|
79 |
68 |
$2K |
| 85007 |
|
106 |
90 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
25 |
13 |
$2K |
| 82962 |
|
104 |
67 |
$2K |
| J2704 |
Injection, propofol, 10 mg |
73 |
71 |
$1K |
| 82043 |
|
28 |
27 |
$1K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
16 |
14 |
$964.02 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
57 |
46 |
$944.80 |
| 84153 |
|
14 |
13 |
$870.73 |
| 82607 |
|
12 |
12 |
$658.74 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$593.23 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
52 |
36 |
$227.38 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
46 |
38 |
$210.75 |
| J7050 |
Infusion, normal saline solution, 250 cc |
16 |
12 |
$169.32 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
32 |
28 |
$114.50 |
| A9270 |
Non-covered item or service |
1,163 |
452 |
$0.00 |