| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,725 |
5,596 |
$957K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,789 |
1,738 |
$446K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
629 |
628 |
$424K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
65 |
65 |
$237K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,027 |
996 |
$143K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
994 |
990 |
$94K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,377 |
1,358 |
$74K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
575 |
552 |
$39K |
| 42830 |
|
18 |
18 |
$29K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
570 |
548 |
$28K |
| 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 |
251 |
248 |
$23K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
453 |
444 |
$19K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
105 |
105 |
$19K |
| 87400 |
|
1,080 |
1,075 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,986 |
1,918 |
$13K |
| 80053 |
Comprehensive metabolic panel |
1,516 |
1,462 |
$13K |
| 87430 |
|
848 |
846 |
$12K |
| 81025 |
|
1,397 |
1,363 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
537 |
527 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
143 |
142 |
$7K |
| 81001 |
|
2,058 |
1,999 |
$6K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
13 |
13 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
673 |
660 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
526 |
515 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
255 |
253 |
$3K |
| 83690 |
|
319 |
312 |
$2K |
| 86756 |
|
112 |
112 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
223 |
215 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
181 |
181 |
$1K |
| 84484 |
|
48 |
43 |
$528.32 |
| 81003 |
|
282 |
280 |
$508.00 |
| 74022 |
|
13 |
13 |
$373.75 |
| 80305 |
|
27 |
27 |
$279.46 |
| A7002 |
Tubing, used with suction pump, each |
63 |
63 |
$243.82 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
13 |
$187.80 |
| 86850 |
|
14 |
14 |
$112.97 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
108 |
108 |
$93.89 |
| 82150 |
|
12 |
12 |
$63.36 |
| 86900 |
|
16 |
16 |
$44.24 |
| 86901 |
|
14 |
14 |
$34.58 |
| J0136 |
Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg |
14 |
14 |
$22.68 |
| 99152 |
|
111 |
100 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
95 |
70 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
26 |
25 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
14 |
14 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
444 |
434 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
49 |
49 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
27 |
27 |
$0.00 |