| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,019 |
958 |
$39K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
498 |
454 |
$23K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
341 |
88 |
$14K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
588 |
506 |
$14K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
136 |
130 |
$11K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
97 |
92 |
$6K |
| 80053 |
Comprehensive metabolic panel |
616 |
550 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,053 |
917 |
$3K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
92 |
80 |
$3K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
90 |
27 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
106 |
97 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
304 |
284 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
69 |
57 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
80 |
76 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
45 |
17 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
103 |
91 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14 |
14 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
126 |
109 |
$1K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
67 |
66 |
$1K |
| 97010 |
|
85 |
29 |
$980.44 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
116 |
108 |
$913.85 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
119 |
111 |
$901.23 |
| 84703 |
|
89 |
83 |
$829.43 |
| 84443 |
Thyroid stimulating hormone (TSH) |
76 |
76 |
$706.29 |
| 70450 |
Computed tomography, head or brain; without contrast material |
17 |
16 |
$663.67 |
| 84484 |
|
77 |
61 |
$621.52 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
50 |
49 |
$611.30 |
| 81001 |
|
207 |
186 |
$602.48 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
74 |
34 |
$539.61 |
| 80061 |
Lipid panel |
56 |
56 |
$525.70 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
65 |
65 |
$520.43 |
| G0378 |
Hospital observation service, per hour |
42 |
19 |
$467.64 |
| 85652 |
|
319 |
275 |
$388.04 |
| 83690 |
|
58 |
50 |
$373.47 |
| 83880 |
|
65 |
56 |
$357.44 |
| 87186 |
|
55 |
54 |
$336.06 |
| 87077 |
|
55 |
54 |
$267.00 |
| 71045 |
Radiologic examination, chest; single view |
76 |
69 |
$258.06 |
| 83605 |
|
32 |
25 |
$231.89 |
| 84439 |
|
30 |
30 |
$208.93 |
| 93041 |
|
31 |
29 |
$161.96 |
| 85610 |
|
104 |
66 |
$139.23 |
| 82607 |
|
18 |
18 |
$133.10 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
92 |
76 |
$133.04 |
| 83735 |
|
32 |
29 |
$132.05 |
| 36415 |
Collection of venous blood by venipuncture |
806 |
602 |
$87.11 |
| 81003 |
|
61 |
60 |
$67.36 |
| 85027 |
|
19 |
19 |
$48.17 |
| 82962 |
|
30 |
14 |
$47.04 |
| 82550 |
|
13 |
13 |
$44.62 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
81 |
63 |
$43.58 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
16 |
13 |
$30.37 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
15 |
13 |
$3.10 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
30 |
28 |
$0.00 |
| A9270 |
Non-covered item or service |
200 |
52 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
28 |
24 |
$0.00 |
| 95886 |
|
13 |
13 |
$0.00 |