| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
10,420 |
8,971 |
$2.09M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,050 |
3,109 |
$1.17M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,476 |
1,992 |
$1.17M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
538 |
484 |
$1.02M |
| 70450 |
Computed tomography, head or brain; without contrast material |
956 |
829 |
$577K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,163 |
2,242 |
$393K |
| 71046 |
Radiologic examination, chest; 2 views |
2,910 |
2,544 |
$391K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,636 |
2,040 |
$368K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,302 |
1,652 |
$308K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,697 |
1,539 |
$223K |
| 80306 |
|
2,490 |
2,208 |
$218K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,901 |
8,224 |
$206K |
| 80053 |
Comprehensive metabolic panel |
10,013 |
8,482 |
$201K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,527 |
2,781 |
$165K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,173 |
1,868 |
$159K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,774 |
3,546 |
$157K |
| 36415 |
Collection of venous blood by venipuncture |
10,217 |
7,942 |
$117K |
| 71045 |
Radiologic examination, chest; single view |
1,315 |
1,115 |
$108K |
| 80061 |
Lipid panel |
2,448 |
2,384 |
$104K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,540 |
1,368 |
$89K |
| 84484 |
|
2,777 |
2,117 |
$88K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,152 |
2,873 |
$84K |
| 83690 |
|
1,957 |
1,683 |
$73K |
| 81001 |
|
5,244 |
4,516 |
$64K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,007 |
1,931 |
$60K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,275 |
1,886 |
$56K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
940 |
616 |
$55K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,256 |
1,000 |
$54K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
127 |
124 |
$49K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,819 |
1,445 |
$38K |
| 83880 |
|
1,086 |
854 |
$38K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
967 |
917 |
$35K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,529 |
1,220 |
$33K |
| 84439 |
|
1,210 |
1,134 |
$33K |
| 96367 |
|
157 |
118 |
$31K |
| 82550 |
|
1,248 |
958 |
$30K |
| 85027 |
|
1,496 |
1,254 |
$30K |
| 82553 |
|
1,057 |
791 |
$30K |
| 83605 |
|
1,903 |
1,535 |
$29K |
| 87040 |
|
992 |
534 |
$28K |
| 80050 |
General health panel |
231 |
228 |
$28K |
| 83735 |
|
1,573 |
1,317 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
902 |
780 |
$28K |
| 96376 |
|
381 |
272 |
$26K |
| 87186 |
|
447 |
408 |
$26K |
| 87070 |
|
813 |
763 |
$25K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,201 |
1,100 |
$23K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,193 |
1,088 |
$23K |
| 85610 |
|
1,323 |
1,075 |
$21K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
900 |
725 |
$18K |
| G0378 |
Hospital observation service, per hour |
28 |
26 |
$17K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,703 |
1,420 |
$17K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
121 |
117 |
$16K |
| 81025 |
|
498 |
458 |
$14K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,348 |
1,158 |
$14K |
| 86140 |
|
436 |
402 |
$14K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
14 |
12 |
$13K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
123 |
98 |
$12K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
25 |
24 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
499 |
487 |
$10K |
| 82077 |
|
207 |
162 |
$10K |
| 85730 |
|
512 |
454 |
$9K |
| 87631 |
|
40 |
40 |
$8K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
127 |
97 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
206 |
184 |
$7K |
| 73630 |
|
37 |
37 |
$6K |
| 73562 |
|
40 |
36 |
$6K |
| 87077 |
|
189 |
176 |
$6K |
| J2704 |
Injection, propofol, 10 mg |
306 |
246 |
$6K |
| 84703 |
|
235 |
212 |
$6K |
| 82150 |
|
178 |
157 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
122 |
109 |
$5K |
| 72100 |
|
29 |
27 |
$5K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
68 |
36 |
$5K |
| J3490 |
Unclassified drugs |
323 |
204 |
$4K |
| 85379 |
|
135 |
125 |
$4K |
| 73030 |
|
26 |
25 |
$4K |
| 85651 |
|
200 |
187 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
14 |
14 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
61 |
52 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
14 |
14 |
$2K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
151 |
109 |
$2K |
| 87088 |
|
72 |
64 |
$2K |
| 82607 |
|
64 |
64 |
$2K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
75 |
57 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
25 |
25 |
$1K |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
50 |
43 |
$1K |
| 82962 |
|
75 |
62 |
$1K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
674 |
553 |
$910.81 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
15 |
12 |
$823.55 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
14 |
12 |
$675.06 |
| 87081 |
|
33 |
33 |
$669.20 |
| 82728 |
|
16 |
16 |
$547.14 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
138 |
108 |
$530.96 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
12 |
12 |
$497.02 |
| 90686 |
|
15 |
14 |
$461.13 |
| 82570 |
|
24 |
24 |
$448.14 |
| 83540 |
|
25 |
25 |
$429.58 |
| C9113 |
Injection, pantoprazole sodium, per vial |
32 |
27 |
$429.15 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
29 |
28 |
$323.13 |
| 83550 |
|
24 |
24 |
$307.78 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
17 |
14 |
$289.71 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
505 |
383 |
$236.11 |
| 82043 |
|
12 |
12 |
$196.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
61 |
44 |
$122.05 |
| 85007 |
|
15 |
14 |
$97.79 |
| 80320 |
|
137 |
116 |
$92.59 |
| 99441 |
|
24 |
21 |
$71.28 |
| J7050 |
Infusion, normal saline solution, 250 cc |
17 |
12 |
$59.98 |