| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
Emergency room services |
28,925 |
26,429 |
$1.13M |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,320 |
3,193 |
$278K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,646 |
2,543 |
$237K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
5,420 |
4,987 |
$195K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
3,552 |
3,360 |
$155K |
| Z7502 |
|
3,300 |
3,175 |
$121K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
2,399 |
2,066 |
$109K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,241 |
4,915 |
$90K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,110 |
3,884 |
$84K |
| 80053 |
Comprehensive metabolic panel |
10,366 |
9,676 |
$81K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,346 |
3,157 |
$79K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
365 |
357 |
$73K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,566 |
2,404 |
$73K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,382 |
1,349 |
$62K |
| 99199 |
Unlisted special service, procedure or report |
1,573 |
1,470 |
$60K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
927 |
879 |
$57K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
10,541 |
9,682 |
$55K |
| 94642 |
|
622 |
581 |
$52K |
| J3490 |
Unclassified drugs |
11,656 |
6,798 |
$51K |
| 71045 |
Radiologic examination, chest; single view |
4,882 |
4,683 |
$51K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
955 |
912 |
$50K |
| 0270 |
|
17,055 |
13,479 |
$44K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
653 |
604 |
$37K |
| Z7610 |
|
2,441 |
2,128 |
$32K |
| 72131 |
|
257 |
251 |
$26K |
| 0636 |
|
2,280 |
2,109 |
$26K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
882 |
853 |
$23K |
| 0250 |
|
4,349 |
3,948 |
$22K |
| 84484 |
|
3,416 |
3,134 |
$22K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
183 |
178 |
$22K |
| 0272 |
|
3,501 |
3,298 |
$19K |
| 81025 |
|
5,143 |
4,935 |
$19K |
| 0360 |
|
270 |
225 |
$17K |
| 83880 |
|
1,030 |
965 |
$17K |
| 83690 |
|
3,240 |
3,111 |
$16K |
| 85730 |
|
3,867 |
3,747 |
$15K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,771 |
2,667 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
947 |
907 |
$14K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,265 |
3,083 |
$13K |
| 81001 |
|
5,055 |
4,852 |
$12K |
| 87040 |
|
926 |
888 |
$10K |
| 85610 |
|
4,011 |
3,879 |
$10K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,095 |
1,994 |
$7K |
| 0710 |
|
666 |
639 |
$7K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
185 |
173 |
$6K |
| 83605 |
|
715 |
676 |
$5K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
748 |
682 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
327 |
315 |
$5K |
| 87077 |
|
951 |
922 |
$5K |
| 90715 |
|
166 |
164 |
$5K |
| 81003 |
|
2,947 |
2,865 |
$4K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
13 |
13 |
$4K |
| 87186 |
|
678 |
656 |
$4K |
| 80320 |
|
1,827 |
1,699 |
$4K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
60 |
57 |
$4K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
674 |
607 |
$4K |
| 82948 |
|
1,247 |
995 |
$3K |
| 84703 |
|
502 |
490 |
$2K |
| 70486 |
|
24 |
24 |
$2K |
| 73130 |
|
117 |
113 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
519 |
493 |
$2K |
| 86328 |
|
72 |
66 |
$2K |
| 85007 |
|
691 |
654 |
$1K |
| 94760 |
|
217 |
187 |
$1K |
| 86769 |
|
79 |
72 |
$1K |
| J2704 |
Injection, propofol, 10 mg |
369 |
355 |
$1K |
| 80329 |
|
317 |
297 |
$1K |
| 85027 |
|
279 |
254 |
$1K |
| 73630 |
|
49 |
49 |
$868.04 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
85 |
83 |
$813.66 |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
20 |
12 |
$813.21 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
147 |
146 |
$807.90 |
| 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 |
15 |
13 |
$795.18 |
| 36415 |
Collection of venous blood by venipuncture |
1,973 |
1,755 |
$699.52 |
| 82553 |
|
101 |
92 |
$639.43 |
| 84443 |
Thyroid stimulating hormone (TSH) |
72 |
70 |
$629.96 |
| 96368 |
|
40 |
38 |
$614.98 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$612.51 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
57 |
55 |
$604.69 |
| 99070 |
|
167 |
105 |
$594.73 |
| 87807 |
|
104 |
104 |
$524.46 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
153 |
151 |
$500.25 |
| A4649 |
Surgical supply; miscellaneous |
773 |
394 |
$496.71 |
| J7050 |
Infusion, normal saline solution, 250 cc |
101 |
90 |
$404.92 |
| 73562 |
|
26 |
24 |
$399.61 |
| 80354 |
|
673 |
659 |
$396.51 |
| 73110 |
|
12 |
12 |
$347.72 |
| 82150 |
|
46 |
41 |
$205.41 |
| 0324 |
|
29 |
29 |
$201.61 |
| 83735 |
|
40 |
39 |
$156.29 |
| 85014 |
|
47 |
46 |
$148.01 |
| 73610 |
|
13 |
12 |
$141.81 |
| 85018 |
|
56 |
55 |
$139.72 |
| 87400 |
|
51 |
48 |
$126.66 |
| 88313 |
|
13 |
13 |
$115.66 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
30 |
26 |
$112.15 |
| 88312 |
|
13 |
13 |
$98.49 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
12 |
12 |
$73.19 |
| 84512 |
|
13 |
13 |
$63.46 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
77 |
73 |
$53.14 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$46.16 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
13 |
13 |
$42.90 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
14 |
14 |
$36.76 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
72 |
69 |
$13.90 |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
12 |
12 |
$0.70 |
| 0301 |
|
13 |
12 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
36 |
27 |
$0.00 |
| 0300 |
|
13 |
12 |
$0.00 |