| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,492 |
1,201 |
$112K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
759 |
607 |
$81K |
| G0378 |
Hospital observation service, per hour |
622 |
197 |
$39K |
| 71046 |
Radiologic examination, chest; 2 views |
713 |
545 |
$26K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
443 |
302 |
$20K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
138 |
78 |
$20K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
46 |
40 |
$17K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
61 |
50 |
$16K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
619 |
123 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,277 |
585 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,784 |
2,189 |
$14K |
| 80053 |
Comprehensive metabolic panel |
2,430 |
1,837 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
7,026 |
3,251 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,056 |
489 |
$12K |
| 70450 |
Computed tomography, head or brain; without contrast material |
87 |
73 |
$11K |
| 84443 |
Thyroid stimulating hormone (TSH) |
775 |
701 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
692 |
643 |
$9K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
500 |
369 |
$8K |
| 80061 |
Lipid panel |
503 |
472 |
$6K |
| 80305 |
|
718 |
630 |
$5K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
274 |
79 |
$5K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
304 |
147 |
$5K |
| 84439 |
|
550 |
505 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
494 |
469 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
727 |
567 |
$3K |
| 81003 |
|
1,452 |
1,056 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
186 |
167 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
110 |
108 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
612 |
454 |
$2K |
| 87077 |
|
320 |
251 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
339 |
255 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
62 |
39 |
$2K |
| 81001 |
|
784 |
695 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
190 |
134 |
$1K |
| J2704 |
Injection, propofol, 10 mg |
139 |
120 |
$1K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
207 |
118 |
$993.21 |
| 82550 |
|
172 |
123 |
$929.22 |
| 84484 |
|
172 |
109 |
$903.82 |
| 81025 |
|
209 |
194 |
$847.50 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
211 |
157 |
$838.45 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
120 |
97 |
$709.73 |
| 82553 |
|
127 |
93 |
$654.04 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
80 |
75 |
$627.00 |
| 97161 |
|
13 |
12 |
$557.49 |
| 96376 |
|
88 |
14 |
$493.96 |
| 73030 |
|
18 |
12 |
$478.01 |
| 83690 |
|
147 |
121 |
$462.65 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
35 |
12 |
$432.45 |
| 73610 |
|
24 |
13 |
$424.81 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$401.10 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
46 |
28 |
$325.64 |
| 85652 |
|
176 |
152 |
$310.82 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
13 |
$302.95 |
| 71045 |
Radiologic examination, chest; single view |
13 |
12 |
$238.13 |
| 83735 |
|
40 |
34 |
$228.44 |
| 85610 |
|
132 |
99 |
$226.19 |
| 83540 |
|
43 |
40 |
$225.98 |
| 82150 |
|
44 |
39 |
$175.04 |
| 82607 |
|
13 |
12 |
$155.96 |
| 87186 |
|
18 |
15 |
$136.02 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
17 |
12 |
$42.68 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
12 |
12 |
$7.79 |