| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
Emergency room services |
4,609 |
4,276 |
$234K |
| 99199 |
Unlisted special service, procedure or report |
2,140 |
2,071 |
$106K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
825 |
768 |
$80K |
| 80053 |
Comprehensive metabolic panel |
5,482 |
5,112 |
$77K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,492 |
2,466 |
$52K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,736 |
4,441 |
$43K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
1,819 |
909 |
$43K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,408 |
1,405 |
$34K |
| 80061 |
Lipid panel |
2,331 |
2,325 |
$31K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,957 |
1,950 |
$23K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
75 |
75 |
$18K |
| 0250 |
|
1,436 |
980 |
$17K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
677 |
627 |
$15K |
| 84439 |
|
1,149 |
1,137 |
$13K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
120 |
120 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
414 |
375 |
$10K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
132 |
130 |
$8K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
189 |
178 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
428 |
410 |
$8K |
| 83735 |
|
919 |
862 |
$7K |
| 81001 |
|
1,290 |
1,216 |
$5K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
154 |
139 |
$5K |
| 0270 |
|
1,251 |
868 |
$4K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
215 |
211 |
$4K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
566 |
457 |
$4K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
146 |
142 |
$4K |
| 83690 |
|
250 |
237 |
$4K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
634 |
599 |
$4K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
76 |
70 |
$4K |
| 87430 |
|
242 |
236 |
$3K |
| 82607 |
|
508 |
505 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
17 |
17 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
305 |
295 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
76 |
75 |
$3K |
| 81002 |
|
919 |
894 |
$3K |
| 84484 |
|
209 |
178 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
212 |
195 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
43 |
43 |
$2K |
| 87070 |
|
194 |
185 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
16 |
16 |
$2K |
| 83605 |
|
138 |
116 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
46 |
43 |
$2K |
| 85610 |
|
381 |
315 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
93 |
89 |
$1K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
25 |
25 |
$1K |
| 81003 |
|
438 |
420 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
5,015 |
4,611 |
$1K |
| 82043 |
|
113 |
110 |
$835.11 |
| 85027 |
|
118 |
114 |
$830.61 |
| 0272 |
|
449 |
334 |
$683.51 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
34 |
29 |
$662.65 |
| 85651 |
|
177 |
173 |
$651.28 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
121 |
116 |
$640.13 |
| 81025 |
|
100 |
96 |
$545.42 |
| 83880 |
|
16 |
13 |
$432.47 |
| 99001 |
|
1,571 |
1,488 |
$428.40 |
| 82550 |
|
53 |
43 |
$416.78 |
| 85730 |
|
56 |
53 |
$406.81 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
81 |
68 |
$404.39 |
| J3490 |
Unclassified drugs |
528 |
322 |
$399.09 |
| 86140 |
|
58 |
53 |
$349.81 |
| 0271 |
|
173 |
168 |
$319.54 |
| 87077 |
|
69 |
62 |
$270.88 |
| 87186 |
|
39 |
37 |
$208.66 |
| 85007 |
|
58 |
55 |
$179.54 |
| 83550 |
|
20 |
20 |
$160.08 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
26 |
24 |
$136.87 |
| 0258 |
|
48 |
33 |
$130.50 |
| 82150 |
|
14 |
14 |
$110.56 |
| 80377 |
|
168 |
161 |
$66.60 |
| 0259 |
|
27 |
24 |
$20.50 |