| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,282 |
850 |
$77K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
588 |
424 |
$75K |
| G0378 |
Hospital observation service, per hour |
233 |
107 |
$47K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
201 |
151 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,081 |
1,433 |
$44K |
| G0483 |
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; 22 or more drug class(es), including metabolite(s) if performed |
547 |
468 |
$44K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
661 |
479 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,785 |
909 |
$30K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
466 |
402 |
$26K |
| 97597 |
|
688 |
275 |
$25K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
312 |
145 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
616 |
410 |
$15K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,449 |
1,033 |
$15K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
102 |
84 |
$9K |
| 80053 |
Comprehensive metabolic panel |
1,075 |
734 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
326 |
254 |
$8K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
91 |
74 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,286 |
815 |
$8K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
126 |
43 |
$7K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
284 |
188 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
213 |
100 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
141 |
64 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
505 |
194 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
317 |
216 |
$4K |
| 72100 |
|
77 |
60 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
54 |
42 |
$3K |
| 80061 |
Lipid panel |
292 |
194 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
246 |
173 |
$2K |
| 80305 |
|
427 |
335 |
$2K |
| 81025 |
|
606 |
427 |
$2K |
| 84484 |
|
237 |
110 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,878 |
1,095 |
$2K |
| 97602 |
|
46 |
26 |
$2K |
| 20610 |
|
69 |
51 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
120 |
77 |
$2K |
| 73560 |
|
56 |
29 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
253 |
167 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
55 |
46 |
$2K |
| 81000 |
|
630 |
407 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
204 |
136 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
88 |
43 |
$1K |
| 87070 |
|
145 |
113 |
$1K |
| 99215 |
Prolong outpt/office vis |
46 |
35 |
$722.63 |
| 72170 |
|
17 |
13 |
$656.59 |
| 83735 |
|
124 |
74 |
$620.25 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
18 |
12 |
$600.21 |
| 83690 |
|
93 |
75 |
$547.34 |
| 87205 |
|
145 |
113 |
$541.92 |
| 99217 |
|
15 |
13 |
$465.75 |
| 71045 |
Radiologic examination, chest; single view |
18 |
12 |
$458.09 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
24 |
14 |
$410.19 |
| 83037 |
|
72 |
38 |
$358.96 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
473 |
359 |
$353.87 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
474 |
279 |
$243.98 |
| J3300 |
Injection, triamcinolone acetonide, preservative free, 1 mg |
97 |
69 |
$238.11 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
311 |
170 |
$230.52 |
| 82948 |
|
110 |
29 |
$158.44 |
| 81002 |
|
61 |
52 |
$134.30 |
| 85610 |
|
53 |
33 |
$124.90 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
17 |
13 |
$97.10 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
605 |
372 |
$95.14 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
15 |
12 |
$73.63 |
| 85730 |
|
21 |
15 |
$66.04 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
163 |
98 |
$27.41 |
| 94760 |
|
330 |
217 |
$18.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
47 |
29 |
$2.48 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
38 |
27 |
$0.96 |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
70 |
54 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
26 |
13 |
$0.00 |
| J3490 |
Unclassified drugs |
114 |
60 |
$0.00 |
| 99406 |
|
85 |
59 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
215 |
124 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
63 |
45 |
$0.00 |