| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,817 |
3,238 |
$143K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,880 |
2,786 |
$90K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,143 |
743 |
$7K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
722 |
669 |
$7K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
742 |
197 |
$6K |
| 80053 |
Comprehensive metabolic panel |
5,682 |
4,737 |
$6K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
618 |
412 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
119 |
102 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,513 |
4,405 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,012 |
956 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
74 |
64 |
$4K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
191 |
176 |
$4K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,530 |
1,243 |
$4K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
278 |
260 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
15 |
12 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,078 |
1,697 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
591 |
546 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
848 |
764 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
859 |
719 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
798 |
645 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
9,888 |
7,885 |
$1K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
171 |
141 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,339 |
2,231 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
878 |
798 |
$1K |
| 86140 |
|
2,274 |
1,940 |
$1K |
| 80050 |
General health panel |
940 |
880 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,129 |
1,097 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
542 |
470 |
$1K |
| 81001 |
|
2,568 |
2,168 |
$925.45 |
| 83605 |
|
955 |
772 |
$840.73 |
| 83690 |
|
1,109 |
928 |
$834.20 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
108 |
82 |
$635.53 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
233 |
182 |
$608.16 |
| 84439 |
|
969 |
931 |
$579.37 |
| 80306 |
|
547 |
475 |
$548.99 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
751 |
642 |
$519.63 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
859 |
731 |
$479.28 |
| 84484 |
|
1,090 |
874 |
$470.24 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
116 |
109 |
$446.50 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,860 |
1,812 |
$388.63 |
| 80061 |
Lipid panel |
1,154 |
1,122 |
$324.46 |
| 84481 |
|
393 |
380 |
$319.20 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
586 |
516 |
$290.21 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
318 |
80 |
$245.18 |
| 81003 |
|
1,092 |
1,001 |
$235.08 |
| 87186 |
|
141 |
127 |
$190.98 |
| 85027 |
|
1,052 |
991 |
$153.25 |
| 82607 |
|
122 |
116 |
$122.15 |
| 81025 |
|
219 |
195 |
$120.60 |
| J7050 |
Infusion, normal saline solution, 250 cc |
155 |
108 |
$85.08 |
| 83735 |
|
279 |
222 |
$71.62 |
| 73562 |
|
13 |
12 |
$61.13 |
| 72100 |
|
141 |
121 |
$55.98 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
325 |
304 |
$53.99 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
31 |
26 |
$51.31 |
| 85610 |
|
762 |
531 |
$50.08 |
| 84403 |
|
16 |
15 |
$41.81 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
76 |
71 |
$33.13 |
| 87077 |
|
76 |
64 |
$30.44 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
227 |
200 |
$29.15 |
| 83550 |
|
26 |
24 |
$28.32 |
| 86803 |
|
156 |
154 |
$23.11 |
| 82728 |
|
24 |
24 |
$22.08 |
| 83540 |
|
26 |
24 |
$20.96 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
90 |
81 |
$15.60 |
| 85651 |
|
57 |
52 |
$6.91 |
| 82962 |
|
23 |
12 |
$6.30 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
12 |
12 |
$3.86 |
| 84145 |
|
34 |
28 |
$0.00 |
| 87210 |
|
14 |
13 |
$0.00 |
| 87400 |
|
12 |
12 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
24 |
12 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
16 |
14 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
103 |
83 |
$0.00 |
| 85379 |
|
22 |
13 |
$0.00 |
| 82746 |
|
28 |
24 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
12 |
12 |
$0.00 |
| 83880 |
|
19 |
12 |
$0.00 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
48 |
40 |
$0.00 |
| 81015 |
|
45 |
41 |
$0.00 |
| 87486 |
|
16 |
14 |
$0.00 |
| 87581 |
|
16 |
14 |
$0.00 |
| 93000 |
|
16 |
12 |
$0.00 |
| 97010 |
|
75 |
12 |
$0.00 |