| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
16,145 |
14,405 |
$1.65M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
9,463 |
8,325 |
$1.18M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
5,289 |
4,454 |
$899K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,246 |
3,949 |
$340K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,562 |
2,390 |
$97K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14,961 |
12,365 |
$78K |
| 80053 |
Comprehensive metabolic panel |
13,417 |
11,172 |
$49K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,103 |
978 |
$46K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
9,142 |
7,170 |
$40K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,069 |
890 |
$38K |
| 84484 |
|
2,937 |
2,307 |
$32K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
452 |
428 |
$30K |
| 87276 |
|
2,344 |
2,180 |
$23K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,267 |
1,872 |
$22K |
| 87275 |
|
2,799 |
2,503 |
$19K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,487 |
1,384 |
$18K |
| 87430 |
|
1,422 |
1,369 |
$17K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,679 |
2,968 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
850 |
825 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
4,262 |
3,512 |
$12K |
| 83690 |
|
2,179 |
1,921 |
$11K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,225 |
959 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
7,899 |
6,546 |
$10K |
| 82150 |
|
1,889 |
1,665 |
$9K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,849 |
1,366 |
$8K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,762 |
1,352 |
$6K |
| 83735 |
|
1,333 |
1,138 |
$6K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
22 |
12 |
$5K |
| 81025 |
|
1,292 |
1,206 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
319 |
293 |
$5K |
| 80061 |
Lipid panel |
461 |
427 |
$5K |
| G0378 |
Hospital observation service, per hour |
122 |
54 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
437 |
424 |
$4K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
172 |
157 |
$4K |
| 81003 |
|
4,160 |
3,433 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
74 |
63 |
$3K |
| 81001 |
|
2,832 |
2,512 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
517 |
439 |
$3K |
| 83880 |
|
365 |
294 |
$2K |
| 87280 |
|
159 |
154 |
$2K |
| 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 |
75 |
69 |
$2K |
| 80306 |
|
210 |
186 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
282 |
261 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
108 |
98 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$858.63 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
12 |
$743.49 |
| 94760 |
|
362 |
298 |
$699.01 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
318 |
236 |
$659.71 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
29 |
27 |
$589.54 |
| 83605 |
|
74 |
62 |
$554.58 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
167 |
139 |
$438.38 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
15 |
12 |
$325.10 |
| 87210 |
|
55 |
52 |
$309.97 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
691 |
621 |
$249.76 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
63 |
59 |
$247.06 |
| 74018 |
|
18 |
14 |
$204.97 |
| 82607 |
|
20 |
18 |
$197.38 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
30 |
27 |
$170.21 |
| 73630 |
|
14 |
13 |
$136.44 |
| 85027 |
|
55 |
46 |
$103.64 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
138 |
107 |
$69.75 |
| 73030 |
|
14 |
12 |
$48.36 |
| 84439 |
|
13 |
12 |
$39.00 |
| 99000 |
|
238 |
136 |
$37.72 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
118 |
85 |
$35.73 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,658 |
3,066 |
$16.74 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,207 |
966 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
313 |
304 |
$0.00 |
| A9270 |
Non-covered item or service |
141 |
72 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
37 |
24 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
66 |
52 |
$0.00 |
| J0595 |
Injection, butorphanol tartrate, 1 mg |
164 |
135 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,022 |
1,420 |
$0.00 |
| J2274 |
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg |
114 |
79 |
$0.00 |
| C1780 |
Lens, intraocular (new technology) |
39 |
25 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
55 |
31 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
16 |
16 |
$0.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
33 |
27 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
22 |
12 |
$0.00 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
22 |
12 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
14 |
12 |
$0.00 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
22 |
12 |
$0.00 |