| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
10,231 |
9,354 |
$2.09M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
11,705 |
10,949 |
$1.61M |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
125 |
125 |
$454K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,101 |
2,049 |
$268K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
156 |
155 |
$140K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,127 |
1,017 |
$75K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
1,001 |
342 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
844 |
807 |
$65K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
512 |
512 |
$45K |
| 80053 |
Comprehensive metabolic panel |
4,671 |
4,495 |
$43K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,227 |
6,008 |
$41K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
742 |
723 |
$31K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
351 |
337 |
$31K |
| 71045 |
Radiologic examination, chest; single view |
2,278 |
2,214 |
$26K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
524 |
517 |
$26K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
408 |
403 |
$22K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
588 |
572 |
$21K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
359 |
114 |
$20K |
| 87631 |
|
134 |
133 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
4,161 |
3,979 |
$11K |
| 88304 |
|
252 |
252 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
62 |
62 |
$9K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
32 |
25 |
$8K |
| 84443 |
Thyroid stimulating hormone (TSH) |
540 |
536 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
272 |
270 |
$8K |
| 81001 |
|
2,810 |
2,765 |
$7K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,201 |
1,180 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
74 |
74 |
$6K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
15 |
12 |
$6K |
| 87400 |
|
470 |
467 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
358 |
355 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
81 |
80 |
$5K |
| 80061 |
Lipid panel |
380 |
380 |
$4K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
122 |
121 |
$4K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
532 |
510 |
$4K |
| 84703 |
|
509 |
501 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
103 |
102 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
70 |
67 |
$3K |
| 62323 |
|
14 |
14 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
61 |
61 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
125 |
123 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
45 |
13 |
$2K |
| 84484 |
|
134 |
128 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
13 |
13 |
$1K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
14 |
12 |
$1K |
| 84436 |
|
199 |
199 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
38 |
38 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
38 |
38 |
$1K |
| 84479 |
|
199 |
199 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
137 |
137 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
51 |
51 |
$867.72 |
| 80081 |
|
12 |
12 |
$803.52 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
920 |
916 |
$761.37 |
| 73130 |
|
15 |
15 |
$584.33 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
76 |
75 |
$523.10 |
| 82550 |
|
65 |
65 |
$353.19 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$311.78 |
| 87807 |
|
24 |
24 |
$267.95 |
| 86140 |
|
43 |
42 |
$184.79 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$182.16 |
| 83690 |
|
28 |
26 |
$165.51 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
376 |
356 |
$135.64 |
| 83540 |
|
12 |
12 |
$81.24 |
| J3490 |
Unclassified drugs |
237 |
236 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
791 |
744 |
$0.00 |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
161 |
161 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
193 |
186 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
12 |
12 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
345 |
329 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
213 |
204 |
$0.00 |
| 90686 |
|
15 |
15 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
41 |
41 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
12 |
12 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
43 |
43 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
12 |
12 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
12 |
12 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
12 |
12 |
$0.00 |