| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,982 |
6,971 |
$889K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,169 |
2,485 |
$358K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,752 |
3,447 |
$342K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
739 |
500 |
$214K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,792 |
1,389 |
$210K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
524 |
411 |
$146K |
| 70450 |
Computed tomography, head or brain; without contrast material |
522 |
426 |
$127K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
803 |
501 |
$84K |
| 80053 |
Comprehensive metabolic panel |
6,980 |
5,581 |
$80K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
914 |
889 |
$80K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,369 |
307 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
963 |
827 |
$53K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
146 |
123 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,309 |
1,124 |
$45K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
11,515 |
9,109 |
$40K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,802 |
1,519 |
$35K |
| 80061 |
Lipid panel |
2,025 |
1,743 |
$28K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
1,727 |
1,278 |
$27K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,584 |
1,939 |
$24K |
| 71046 |
Radiologic examination, chest; 2 views |
1,195 |
1,023 |
$22K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
356 |
319 |
$18K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
335 |
210 |
$18K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
748 |
615 |
$17K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,356 |
1,152 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
12,292 |
9,364 |
$17K |
| 82607 |
|
372 |
302 |
$9K |
| 73630 |
|
346 |
285 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
80 |
68 |
$8K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
16 |
12 |
$8K |
| 84439 |
|
308 |
260 |
$6K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
271 |
245 |
$6K |
| 97162 |
|
169 |
121 |
$5K |
| 97014 |
|
181 |
39 |
$5K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
26 |
26 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
76 |
66 |
$4K |
| 85610 |
|
711 |
510 |
$4K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,776 |
1,389 |
$4K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
27 |
13 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
118 |
107 |
$3K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
18 |
12 |
$3K |
| 81001 |
|
2,380 |
1,909 |
$3K |
| 82728 |
|
155 |
129 |
$3K |
| 83540 |
|
262 |
218 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
1,969 |
1,576 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
239 |
220 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
638 |
494 |
$3K |
| 83735 |
|
1,264 |
851 |
$3K |
| 73610 |
|
123 |
105 |
$3K |
| 82248 |
|
458 |
339 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
855 |
673 |
$2K |
| 82043 |
|
270 |
231 |
$2K |
| 80305 |
|
629 |
475 |
$2K |
| 85027 |
|
164 |
119 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,081 |
849 |
$1K |
| 86140 |
|
92 |
68 |
$1K |
| 83880 |
|
585 |
438 |
$1K |
| 83690 |
|
1,069 |
838 |
$1K |
| 84484 |
|
1,284 |
935 |
$1K |
| 82570 |
|
80 |
69 |
$949.08 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,144 |
774 |
$853.09 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
774 |
507 |
$807.30 |
| G0378 |
Hospital observation service, per hour |
26 |
13 |
$774.32 |
| 90715 |
|
35 |
24 |
$700.29 |
| 87077 |
|
236 |
193 |
$659.48 |
| 84481 |
|
31 |
25 |
$654.20 |
| 85652 |
|
130 |
99 |
$602.26 |
| 83605 |
|
946 |
587 |
$569.18 |
| 82746 |
|
70 |
57 |
$546.77 |
| 73030 |
|
15 |
13 |
$523.67 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
72 |
51 |
$503.87 |
| 85730 |
|
349 |
279 |
$425.34 |
| 87186 |
|
161 |
133 |
$403.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
48 |
43 |
$364.19 |
| 87040 |
|
344 |
189 |
$303.35 |
| 81025 |
|
608 |
466 |
$273.83 |
| 86618 |
|
12 |
12 |
$179.91 |
| 73130 |
|
31 |
25 |
$147.51 |
| 85379 |
|
149 |
115 |
$109.20 |
| 74022 |
|
14 |
13 |
$100.70 |
| 96376 |
|
33 |
24 |
$78.88 |
| 82077 |
|
110 |
92 |
$69.83 |
| 81003 |
|
55 |
49 |
$43.71 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
853 |
605 |
$36.48 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
249 |
113 |
$15.01 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
708 |
499 |
$9.90 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
42 |
39 |
$6.65 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
71 |
51 |
$0.14 |
| J2704 |
Injection, propofol, 10 mg |
170 |
127 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
30 |
29 |
$0.00 |
| 82150 |
|
29 |
28 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
35 |
27 |
$0.00 |
| 82550 |
|
44 |
39 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
34 |
17 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
27 |
24 |
$0.00 |
| 80076 |
|
13 |
12 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
16 |
14 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
20 |
14 |
$0.00 |