| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
6,496 |
5,543 |
$1.47M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,061 |
6,416 |
$1.24M |
| 41899 |
Unlisted procedure, dentoalveolar structures |
1,797 |
1,465 |
$232K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,087 |
1,032 |
$132K |
| G0330 |
Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room |
121 |
95 |
$91K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
698 |
517 |
$62K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
2,060 |
549 |
$44K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
205 |
183 |
$39K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
538 |
126 |
$32K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,412 |
1,183 |
$26K |
| G0378 |
Hospital observation service, per hour |
110 |
91 |
$21K |
| 70450 |
Computed tomography, head or brain; without contrast material |
92 |
87 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
12,302 |
9,694 |
$11K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
765 |
260 |
$11K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
93 |
92 |
$11K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
14 |
13 |
$11K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
779 |
629 |
$10K |
| 80053 |
Comprehensive metabolic panel |
7,279 |
6,004 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
457 |
351 |
$7K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
211 |
165 |
$7K |
| 97161 |
|
100 |
88 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
281 |
256 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
407 |
360 |
$5K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
98 |
30 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
16 |
14 |
$2K |
| 87632 |
|
29 |
25 |
$2K |
| 97116 |
|
243 |
75 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,748 |
8,011 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
199 |
170 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,519 |
1,247 |
$1K |
| 80061 |
Lipid panel |
169 |
164 |
$733.44 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
56 |
52 |
$661.74 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
66 |
50 |
$636.24 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,117 |
869 |
$627.11 |
| J3490 |
Unclassified drugs |
1,426 |
424 |
$420.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
765 |
621 |
$409.86 |
| 80069 |
|
41 |
39 |
$349.08 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
1,521 |
831 |
$314.81 |
| 0011A |
|
12 |
12 |
$291.47 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,359 |
1,172 |
$285.32 |
| 84443 |
Thyroid stimulating hormone (TSH) |
181 |
170 |
$202.85 |
| 86140 |
|
835 |
701 |
$180.77 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
2,512 |
2,041 |
$175.18 |
| 82962 |
|
344 |
150 |
$112.19 |
| 81001 |
|
554 |
485 |
$61.86 |
| 80076 |
|
82 |
65 |
$36.26 |
| 84484 |
|
377 |
265 |
$25.64 |
| 83690 |
|
503 |
421 |
$23.79 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,424 |
1,932 |
$21.93 |
| 85610 |
|
271 |
210 |
$18.49 |
| 84703 |
|
53 |
48 |
$17.10 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,443 |
1,863 |
$13.62 |
| J2704 |
Injection, propofol, 10 mg |
1,777 |
1,497 |
$8.80 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,975 |
1,667 |
$3.84 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
414 |
337 |
$0.00 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
82 |
72 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
16 |
16 |
$0.00 |
| 81003 |
|
180 |
165 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
36 |
29 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
49 |
29 |
$0.00 |
| 81025 |
|
137 |
127 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
92 |
40 |
$0.00 |
| 82947 |
|
14 |
12 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
29 |
25 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$0.00 |
| A4649 |
Surgical supply; miscellaneous |
40 |
26 |
$0.00 |
| 83605 |
|
150 |
125 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
281 |
184 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,146 |
1,005 |
$0.00 |
| 85652 |
|
31 |
25 |
$0.00 |
| 96376 |
|
173 |
111 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
142 |
114 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
191 |
160 |
$0.00 |
| A9270 |
Non-covered item or service |
1,207 |
199 |
$0.00 |
| A6257 |
Transparent film, sterile, 16 sq. in. or less, each dressing |
543 |
503 |
$0.00 |
| 85027 |
|
493 |
419 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
147 |
125 |
$0.00 |
| 83735 |
|
35 |
29 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
338 |
261 |
$0.00 |
| 87486 |
|
29 |
25 |
$0.00 |
| 87070 |
|
38 |
34 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
26 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
87 |
38 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12 |
12 |
$0.00 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
43 |
42 |
$0.00 |
| 85730 |
|
15 |
14 |
$0.00 |
| 87581 |
|
29 |
25 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$0.00 |
| 85379 |
|
12 |
12 |
$0.00 |
| C1769 |
Guide wire |
18 |
15 |
$0.00 |
| C1889 |
Implantable/insertable device, not otherwise classified |
13 |
13 |
$0.00 |
| 80320 |
|
14 |
13 |
$0.00 |