| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,532 |
1,383 |
$349K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
642 |
590 |
$206K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
997 |
932 |
$151K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
915 |
815 |
$48K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
410 |
354 |
$45K |
| G0378 |
Hospital observation service, per hour |
315 |
232 |
$43K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
272 |
252 |
$29K |
| 71045 |
Radiologic examination, chest; single view |
514 |
485 |
$25K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
341 |
258 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
730 |
697 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
679 |
654 |
$15K |
| 70450 |
Computed tomography, head or brain; without contrast material |
270 |
253 |
$15K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
363 |
300 |
$14K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
146 |
126 |
$13K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
409 |
382 |
$12K |
| 80053 |
Comprehensive metabolic panel |
1,656 |
1,351 |
$10K |
| 86900 |
|
181 |
162 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
208 |
183 |
$9K |
| 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 |
125 |
112 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
187 |
167 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
1,334 |
1,123 |
$7K |
| 59025 |
Fetal non-stress test |
111 |
73 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
53 |
51 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,044 |
894 |
$5K |
| 83880 |
|
223 |
202 |
$5K |
| 87430 |
|
385 |
378 |
$5K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
57 |
51 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
108 |
101 |
$4K |
| 80306 |
|
360 |
326 |
$4K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
33 |
30 |
$4K |
| 85027 |
|
879 |
725 |
$3K |
| 86901 |
|
181 |
162 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
72 |
71 |
$3K |
| 84484 |
|
306 |
273 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
16 |
16 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
50 |
49 |
$2K |
| 83735 |
|
496 |
454 |
$2K |
| 87420 |
|
182 |
175 |
$2K |
| 81001 |
|
887 |
781 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
34 |
34 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
86 |
84 |
$2K |
| 84703 |
|
314 |
298 |
$2K |
| 82731 |
|
48 |
37 |
$1K |
| 86850 |
|
51 |
49 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
123 |
120 |
$1K |
| 83690 |
|
243 |
226 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
100 |
80 |
$1K |
| 85730 |
|
246 |
226 |
$828.16 |
| 87040 |
|
118 |
106 |
$797.17 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
192 |
169 |
$783.52 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
152 |
133 |
$648.43 |
| 82962 |
|
229 |
165 |
$621.96 |
| 85610 |
|
262 |
241 |
$614.39 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
122 |
115 |
$605.08 |
| 76830 |
Ultrasound, transvaginal |
14 |
14 |
$467.99 |
| 87210 |
|
164 |
133 |
$467.67 |
| 83605 |
|
60 |
53 |
$465.46 |
| 81025 |
|
62 |
60 |
$451.58 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$403.73 |
| 81003 |
|
333 |
308 |
$363.84 |
| 84702 |
|
44 |
30 |
$271.27 |
| 82607 |
|
28 |
27 |
$225.21 |
| 82570 |
|
80 |
72 |
$179.77 |
| 84156 |
|
87 |
74 |
$140.58 |
| 86140 |
|
44 |
40 |
$133.11 |
| 80061 |
Lipid panel |
12 |
12 |
$108.71 |
| 85384 |
|
27 |
24 |
$65.67 |
| 85651 |
|
18 |
17 |
$28.90 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
521 |
469 |
$16.52 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
455 |
342 |
$15.84 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
285 |
268 |
$9.54 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
242 |
230 |
$2.60 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
82 |
73 |
$2.46 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
88 |
78 |
$2.32 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
336 |
272 |
$0.36 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
75 |
74 |
$0.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
15 |
12 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
14 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
32 |
31 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
12 |
12 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
42 |
42 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
96 |
88 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
15 |
12 |
$0.00 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
25 |
25 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
62 |
52 |
$0.00 |
| 96376 |
|
14 |
13 |
$0.00 |
| 94660 |
|
72 |
68 |
$0.00 |
| G0379 |
Direct admission of patient for hospital observation care |
31 |
19 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
18 |
12 |
$0.00 |