| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
20,921 |
20,763 |
$3.38M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,361 |
7,290 |
$1.76M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,797 |
1,786 |
$613K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
3,686 |
3,640 |
$488K |
| D9999 |
Unspecified adjunctive procedure, by report |
426 |
426 |
$375K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,328 |
2,291 |
$84K |
| 36415 |
Collection of venous blood by venipuncture |
11,152 |
10,797 |
$66K |
| 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 |
473 |
469 |
$38K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
204 |
204 |
$27K |
| 87400 |
|
1,149 |
1,146 |
$27K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
627 |
606 |
$27K |
| 85027 |
|
4,893 |
4,830 |
$26K |
| 80053 |
Comprehensive metabolic panel |
2,846 |
2,747 |
$24K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
6,009 |
5,263 |
$23K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
139 |
138 |
$19K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,949 |
2,688 |
$19K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,628 |
2,563 |
$18K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
224 |
224 |
$18K |
| 71045 |
Radiologic examination, chest; single view |
1,031 |
1,026 |
$13K |
| 81001 |
|
3,382 |
3,041 |
$9K |
| 87430 |
|
585 |
582 |
$8K |
| 81003 |
|
4,091 |
4,032 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
92 |
92 |
$8K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,075 |
1,059 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
26 |
26 |
$4K |
| 87070 |
|
527 |
523 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
251 |
251 |
$4K |
| 84703 |
|
533 |
530 |
$3K |
| 87420 |
|
268 |
268 |
$3K |
| 83690 |
|
473 |
464 |
$3K |
| 81025 |
|
297 |
297 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
28 |
28 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
183 |
179 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
36 |
36 |
$927.65 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
36 |
36 |
$927.65 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
15 |
$801.32 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
141 |
49 |
$412.94 |
| 84484 |
|
26 |
24 |
$288.34 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
261 |
261 |
$201.75 |
| 80143 |
|
12 |
12 |
$165.80 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
426 |
219 |
$97.64 |
| 97162 |
|
12 |
12 |
$83.23 |
| 87210 |
|
24 |
24 |
$80.74 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
38 |
38 |
$2.94 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
43 |
38 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
43 |
42 |
$0.00 |
| C1751 |
Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) |
14 |
12 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
446 |
329 |
$0.00 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
18 |
18 |
$0.00 |