| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
14,855 |
13,656 |
$3.22M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
6,323 |
5,194 |
$2.50M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13,517 |
12,600 |
$2.41M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,981 |
2,713 |
$1.21M |
| A0425 |
Ground mileage, per statute mile |
11,138 |
8,471 |
$1.20M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,353 |
2,749 |
$748K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,157 |
1,046 |
$424K |
| 73630 |
|
2,070 |
1,901 |
$319K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
3,520 |
3,077 |
$215K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,308 |
1,843 |
$191K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,091 |
4,377 |
$179K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,335 |
2,885 |
$159K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,025 |
960 |
$114K |
| 73564 |
|
558 |
540 |
$91K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,529 |
2,242 |
$89K |
| 74019 |
|
581 |
554 |
$79K |
| 80053 |
Comprehensive metabolic panel |
8,257 |
7,239 |
$65K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
2,197 |
729 |
$57K |
| G0378 |
Hospital observation service, per hour |
90 |
37 |
$56K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,146 |
822 |
$51K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,992 |
7,740 |
$50K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
774 |
590 |
$46K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
123 |
107 |
$44K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,666 |
2,417 |
$32K |
| 81025 |
|
4,887 |
4,463 |
$31K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
944 |
861 |
$28K |
| 71045 |
Radiologic examination, chest; single view |
566 |
496 |
$28K |
| 73610 |
|
279 |
253 |
$28K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
60 |
57 |
$22K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
112 |
85 |
$20K |
| 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 |
266 |
214 |
$15K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
26 |
25 |
$14K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
493 |
118 |
$13K |
| 73130 |
|
161 |
143 |
$13K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
196 |
138 |
$9K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
51 |
25 |
$8K |
| 81000 |
|
2,613 |
2,333 |
$7K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
31 |
17 |
$7K |
| 87400 |
|
464 |
208 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,687 |
2,110 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
105 |
86 |
$6K |
| J1756 |
Injection, iron sucrose, 1 mg |
32 |
12 |
$5K |
| 73030 |
|
41 |
40 |
$3K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
640 |
536 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
13 |
12 |
$3K |
| 94761 |
|
33 |
15 |
$3K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
19 |
17 |
$2K |
| C1769 |
Guide wire |
18 |
12 |
$2K |
| C1887 |
Catheter, guiding (may include infusion/perfusion capability) |
18 |
12 |
$2K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
17 |
14 |
$2K |
| 73562 |
|
12 |
12 |
$1K |
| 83690 |
|
259 |
220 |
$1K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
167 |
116 |
$1K |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
32 |
24 |
$1K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
46 |
42 |
$980.15 |
| 86235 |
|
37 |
14 |
$859.17 |
| 84484 |
|
94 |
75 |
$812.77 |
| 81003 |
|
422 |
374 |
$705.69 |
| 83735 |
|
176 |
129 |
$641.44 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
18 |
12 |
$632.69 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
13 |
12 |
$628.84 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
77 |
71 |
$616.05 |
| J2704 |
Injection, propofol, 10 mg |
3,995 |
2,877 |
$562.47 |
| 99152 |
|
32 |
14 |
$466.78 |
| 80061 |
Lipid panel |
52 |
37 |
$427.08 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
18 |
12 |
$405.27 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,709 |
1,512 |
$384.59 |
| 82728 |
|
28 |
26 |
$288.28 |
| 84466 |
|
28 |
26 |
$269.86 |
| 83970 |
|
12 |
12 |
$207.64 |
| J1644 |
Injection, heparin sodium, per 1000 units |
29 |
13 |
$169.33 |
| 82962 |
|
96 |
91 |
$161.07 |
| 83540 |
|
28 |
26 |
$136.82 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
12 |
12 |
$128.70 |
| 82550 |
|
29 |
25 |
$125.72 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
25 |
13 |
$120.36 |
| 86200 |
|
13 |
12 |
$116.55 |
| 84100 |
|
53 |
40 |
$114.18 |
| 86140 |
|
30 |
28 |
$110.82 |
| J0744 |
Injection, ciprofloxacin for intravenous infusion, 200 mg |
99 |
84 |
$103.56 |
| 85651 |
|
31 |
29 |
$95.62 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
305 |
240 |
$89.24 |
| 88342 |
|
249 |
224 |
$69.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,759 |
1,651 |
$65.03 |
| 82570 |
|
30 |
27 |
$62.64 |
| 86850 |
|
22 |
14 |
$47.37 |
| 84156 |
|
30 |
27 |
$44.37 |
| 85610 |
|
18 |
13 |
$40.75 |
| 86901 |
|
22 |
14 |
$35.02 |
| 86900 |
|
22 |
14 |
$35.02 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
35 |
26 |
$30.81 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
253 |
145 |
$14.94 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
319 |
291 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
57 |
51 |
$0.00 |
| 00813 |
|
415 |
392 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
32 |
29 |
$0.00 |
| 00811 |
|
351 |
336 |
$0.00 |
| 00731 |
|
616 |
565 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
75 |
41 |
$0.00 |
| Q0244 |
Injection, casirivimab and imdevimab, 1200 mg |
24 |
17 |
$0.00 |
| 00812 |
|
24 |
24 |
$0.00 |