| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,344 |
2,943 |
$1.58M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,514 |
4,191 |
$1.33M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,830 |
1,597 |
$1.05M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
6,138 |
2,079 |
$654K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,043 |
1,933 |
$509K |
| 80053 |
Comprehensive metabolic panel |
3,698 |
3,359 |
$260K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,499 |
1,349 |
$218K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
2,951 |
1,126 |
$205K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,092 |
1,005 |
$190K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,779 |
3,433 |
$178K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
865 |
760 |
$123K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,062 |
1,029 |
$119K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
435 |
413 |
$116K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
972 |
887 |
$85K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
526 |
475 |
$74K |
| 36415 |
Collection of venous blood by venipuncture |
2,206 |
1,968 |
$64K |
| 93041 |
|
175 |
163 |
$62K |
| 84484 |
|
876 |
716 |
$60K |
| 71045 |
Radiologic examination, chest; single view |
1,049 |
765 |
$59K |
| 84703 |
|
963 |
920 |
$58K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
887 |
754 |
$52K |
| 83690 |
|
792 |
738 |
$42K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
38 |
36 |
$38K |
| 81001 |
|
1,187 |
1,138 |
$32K |
| 81003 |
|
878 |
845 |
$22K |
| 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 |
79 |
75 |
$20K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
540 |
215 |
$18K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
121 |
118 |
$16K |
| 84443 |
Thyroid stimulating hormone (TSH) |
177 |
171 |
$15K |
| 87400 |
|
188 |
181 |
$15K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
15 |
13 |
$13K |
| 97161 |
|
55 |
55 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
75 |
57 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
124 |
117 |
$7K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
143 |
95 |
$7K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
22 |
13 |
$6K |
| 82550 |
|
132 |
120 |
$6K |
| 97602 |
|
51 |
22 |
$5K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
84 |
37 |
$4K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
411 |
389 |
$3K |
| 87420 |
|
60 |
59 |
$3K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
412 |
353 |
$3K |
| 82553 |
|
30 |
27 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
38 |
38 |
$2K |
| 85610 |
|
42 |
40 |
$1K |
| 85730 |
|
40 |
38 |
$1K |
| 82948 |
|
31 |
29 |
$788.00 |
| 86140 |
|
14 |
14 |
$547.11 |
| 87081 |
|
12 |
12 |
$465.41 |
| 93000 |
|
18 |
15 |
$106.65 |