| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
391 |
366 |
$71K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
175 |
156 |
$45K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
374 |
351 |
$42K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
853 |
271 |
$22K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
97 |
93 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
249 |
244 |
$8K |
| 80061 |
Lipid panel |
520 |
518 |
$7K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
90 |
84 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
126 |
126 |
$6K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
98 |
95 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
123 |
119 |
$5K |
| 76830 |
Ultrasound, transvaginal |
90 |
88 |
$5K |
| 97161 |
|
122 |
121 |
$5K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
473 |
413 |
$5K |
| 80053 |
Comprehensive metabolic panel |
1,441 |
1,303 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
788 |
751 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
89 |
86 |
$5K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
334 |
133 |
$4K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
13 |
13 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
162 |
158 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
162 |
158 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,451 |
1,275 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
53 |
52 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
598 |
408 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
368 |
360 |
$3K |
| G0145 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision |
143 |
143 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,454 |
2,079 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
81 |
72 |
$2K |
| 86900 |
|
84 |
83 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
69 |
59 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
77 |
72 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
277 |
257 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
30 |
29 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
291 |
290 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
126 |
126 |
$2K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
71 |
71 |
$2K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
43 |
14 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
93 |
93 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
485 |
453 |
$1K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
119 |
119 |
$1K |
| 73630 |
|
55 |
54 |
$1K |
| 86780 |
|
120 |
62 |
$998.38 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
119 |
118 |
$951.04 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$946.00 |
| 76641 |
|
15 |
14 |
$873.90 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$757.38 |
| 87807 |
|
156 |
154 |
$739.14 |
| 84439 |
|
155 |
150 |
$647.28 |
| 81025 |
|
465 |
420 |
$517.44 |
| 73130 |
|
30 |
29 |
$505.92 |
| 84702 |
|
82 |
63 |
$490.38 |
| 72100 |
|
15 |
15 |
$466.12 |
| 87186 |
|
121 |
117 |
$433.87 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
134 |
128 |
$416.47 |
| 74019 |
|
12 |
12 |
$407.82 |
| 82607 |
|
60 |
60 |
$402.62 |
| 85027 |
|
124 |
122 |
$399.07 |
| 87070 |
|
90 |
90 |
$390.21 |
| 73610 |
|
30 |
29 |
$347.15 |
| 84481 |
|
43 |
41 |
$344.91 |
| 81002 |
|
206 |
203 |
$312.16 |
| 87102 |
|
65 |
65 |
$302.79 |
| 83735 |
|
373 |
336 |
$297.94 |
| 73562 |
|
14 |
14 |
$281.23 |
| 82728 |
|
39 |
39 |
$265.67 |
| 83880 |
|
106 |
102 |
$258.70 |
| 81001 |
|
495 |
459 |
$238.50 |
| 74018 |
|
19 |
12 |
$221.34 |
| 86140 |
|
136 |
128 |
$210.52 |
| 87088 |
|
65 |
63 |
$207.18 |
| 86850 |
|
167 |
84 |
$202.52 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
97 |
77 |
$189.74 |
| 85610 |
|
284 |
241 |
$178.48 |
| 87210 |
|
67 |
67 |
$177.81 |
| 82570 |
|
63 |
62 |
$169.00 |
| 82565 |
|
70 |
65 |
$158.54 |
| 87081 |
|
38 |
37 |
$144.71 |
| 83690 |
|
186 |
171 |
$135.35 |
| 82043 |
|
41 |
41 |
$134.31 |
| 87205 |
|
66 |
66 |
$132.37 |
| 73030 |
|
13 |
13 |
$126.48 |
| 94726 |
|
12 |
12 |
$120.10 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
99 |
92 |
$116.35 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
263 |
259 |
$110.25 |
| 85652 |
|
118 |
115 |
$109.29 |
| 36592 |
|
91 |
86 |
$106.94 |
| 86592 |
|
37 |
37 |
$99.28 |
| 87147 |
|
30 |
30 |
$97.54 |
| 82950 |
|
29 |
29 |
$86.34 |
| 82550 |
|
100 |
97 |
$79.30 |
| 82746 |
|
12 |
12 |
$64.68 |
| 81003 |
|
171 |
166 |
$64.53 |
| 73110 |
|
12 |
12 |
$63.24 |
| 82150 |
|
100 |
95 |
$61.58 |
| 84484 |
|
199 |
176 |
$51.43 |
| 87077 |
|
13 |
12 |
$47.61 |
| 87340 |
|
27 |
27 |
$45.43 |
| 87040 |
|
75 |
72 |
$45.37 |
| 86308 |
|
14 |
13 |
$33.76 |
| 85730 |
|
106 |
99 |
$30.24 |
| 85379 |
|
33 |
32 |
$25.56 |
| 82962 |
|
61 |
43 |
$18.36 |
| 86901 |
|
90 |
89 |
$16.19 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
133 |
128 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
128 |
119 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
70 |
48 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
268 |
218 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
15 |
12 |
$0.00 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
31 |
31 |
$0.00 |
| 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 |
80 |
76 |
$0.00 |
| 83605 |
|
61 |
57 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
149 |
127 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
15 |
15 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
108 |
76 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
13 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
344 |
298 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
66 |
59 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
218 |
192 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
30 |
28 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
185 |
174 |
$0.00 |
| 88312 |
|
12 |
12 |
$0.00 |
| 94729 |
|
12 |
12 |
$0.00 |