| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
Emergency room services |
4,720 |
4,064 |
$407K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
215 |
204 |
$50K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
662 |
586 |
$49K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
611 |
555 |
$46K |
| 99199 |
Unlisted special service, procedure or report |
365 |
350 |
$39K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
371 |
325 |
$28K |
| 70450 |
Computed tomography, head or brain; without contrast material |
204 |
193 |
$27K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
304 |
264 |
$26K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
673 |
591 |
$21K |
| 80053 |
Comprehensive metabolic panel |
1,597 |
1,394 |
$18K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
143 |
137 |
$18K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
581 |
495 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
685 |
640 |
$15K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
1,103 |
744 |
$15K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,846 |
1,598 |
$14K |
| J3490 |
Unclassified drugs |
2,026 |
1,262 |
$13K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
103 |
95 |
$10K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
100 |
97 |
$10K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
133 |
122 |
$9K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
757 |
585 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
634 |
356 |
$7K |
| 83880 |
|
244 |
223 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
291 |
265 |
$6K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
70 |
63 |
$6K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
116 |
61 |
$5K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
726 |
538 |
$5K |
| 84484 |
|
568 |
459 |
$5K |
| 81001 |
|
1,464 |
1,329 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
350 |
316 |
$5K |
| 83690 |
|
623 |
556 |
$4K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
566 |
510 |
$4K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
542 |
503 |
$4K |
| 80306 |
|
219 |
206 |
$4K |
| 87040 |
|
280 |
154 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
62 |
56 |
$3K |
| 96376 |
|
90 |
76 |
$3K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
320 |
269 |
$3K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
76 |
64 |
$3K |
| Q9962 |
High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml |
214 |
202 |
$3K |
| 76801 |
|
63 |
56 |
$3K |
| 83605 |
|
273 |
222 |
$3K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
469 |
411 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
13 |
$3K |
| 81025 |
|
608 |
569 |
$3K |
| 29125 |
|
26 |
26 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
267 |
241 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
33 |
33 |
$2K |
| 73610 |
|
72 |
71 |
$2K |
| 84702 |
|
129 |
114 |
$2K |
| 73630 |
|
65 |
64 |
$2K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
195 |
172 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
227 |
206 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
44 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
33 |
33 |
$2K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
289 |
267 |
$2K |
| 73130 |
|
54 |
47 |
$2K |
| 0270 |
|
108 |
66 |
$1K |
| 73110 |
|
37 |
36 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
131 |
127 |
$1K |
| 76830 |
Ultrasound, transvaginal |
27 |
27 |
$1K |
| J7050 |
Infusion, normal saline solution, 250 cc |
166 |
137 |
$1K |
| 73030 |
|
51 |
51 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12 |
12 |
$982.77 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
160 |
155 |
$933.69 |
| 87420 |
|
92 |
88 |
$894.00 |
| 87070 |
|
87 |
81 |
$841.90 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
131 |
120 |
$839.21 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
111 |
101 |
$709.27 |
| 74018 |
|
33 |
30 |
$603.96 |
| 84443 |
Thyroid stimulating hormone (TSH) |
43 |
42 |
$531.09 |
| 73562 |
|
18 |
17 |
$510.88 |
| 84703 |
|
102 |
99 |
$503.42 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
14 |
12 |
$467.40 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
12 |
12 |
$460.38 |
| 86901 |
|
131 |
122 |
$454.21 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
66 |
64 |
$449.54 |
| J2060 |
Injection, lorazepam, 2 mg |
62 |
57 |
$421.61 |
| 36415 |
Collection of venous blood by venipuncture |
299 |
263 |
$405.41 |
| 85379 |
|
34 |
31 |
$377.48 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
40 |
28 |
$369.17 |
| 90714 |
|
12 |
12 |
$348.79 |
| 86900 |
|
127 |
120 |
$336.74 |
| 73590 |
|
14 |
13 |
$309.21 |
| 86140 |
|
50 |
50 |
$288.52 |
| 85610 |
|
73 |
63 |
$267.20 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
13 |
13 |
$263.90 |
| 85730 |
|
29 |
25 |
$163.35 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
131 |
118 |
$12.64 |