| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
10,462 |
10,087 |
$946K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,653 |
3,322 |
$483K |
| 87631 |
|
1,344 |
1,287 |
$183K |
| 71046 |
Radiologic examination, chest; 2 views |
3,254 |
3,053 |
$132K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,387 |
1,339 |
$128K |
| G0378 |
Hospital observation service, per hour |
629 |
486 |
$111K |
| 94010 |
|
346 |
340 |
$71K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,336 |
1,305 |
$65K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
465 |
378 |
$62K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
149 |
141 |
$54K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,204 |
1,167 |
$48K |
| 85027 |
|
7,373 |
6,275 |
$46K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
71 |
68 |
$37K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,312 |
996 |
$34K |
| 87400 |
|
2,101 |
2,015 |
$31K |
| 80053 |
Comprehensive metabolic panel |
2,396 |
1,996 |
$26K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
657 |
609 |
$24K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
657 |
609 |
$24K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
474 |
391 |
$23K |
| 84702 |
|
1,581 |
1,368 |
$23K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
245 |
211 |
$21K |
| 87088 |
|
1,935 |
1,796 |
$16K |
| 36415 |
Collection of venous blood by venipuncture |
6,246 |
5,508 |
$15K |
| 95012 |
|
390 |
382 |
$14K |
| 76801 |
|
149 |
130 |
$13K |
| 95812 |
|
99 |
93 |
$13K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
494 |
476 |
$12K |
| 86141 |
|
895 |
754 |
$11K |
| 81025 |
|
1,593 |
1,470 |
$10K |
| 86780 |
|
669 |
646 |
$10K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
323 |
309 |
$9K |
| 82677 |
|
377 |
355 |
$9K |
| 87420 |
|
573 |
550 |
$8K |
| 74021 |
|
159 |
142 |
$8K |
| 87430 |
|
552 |
524 |
$7K |
| 86762 |
|
489 |
472 |
$7K |
| 82784 |
|
258 |
248 |
$7K |
| 81001 |
|
2,558 |
2,183 |
$7K |
| 84443 |
Thyroid stimulating hormone (TSH) |
398 |
380 |
$7K |
| 74018 |
|
192 |
176 |
$7K |
| 82728 |
|
458 |
430 |
$7K |
| 87340 |
|
489 |
472 |
$6K |
| 86336 |
|
377 |
355 |
$6K |
| 82105 |
|
377 |
355 |
$5K |
| P9016 |
Red blood cells, leukocytes reduced, each unit |
29 |
24 |
$5K |
| 82785 |
|
234 |
224 |
$4K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
508 |
254 |
$4K |
| 86850 |
|
750 |
710 |
$4K |
| 84439 |
|
407 |
386 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
243 |
142 |
$4K |
| 95951 |
|
19 |
16 |
$3K |
| 87081 |
|
476 |
452 |
$3K |
| 83615 |
|
517 |
277 |
$3K |
| 82787 |
|
254 |
245 |
$3K |
| 99157 |
|
44 |
42 |
$3K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
81 |
79 |
$3K |
| 93225 |
|
24 |
24 |
$3K |
| 85046 |
|
451 |
405 |
$3K |
| 95957 |
|
227 |
170 |
$3K |
| 82950 |
|
578 |
564 |
$3K |
| 86901 |
|
769 |
728 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
83 |
64 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
31 |
31 |
$2K |
| 87210 |
|
795 |
655 |
$2K |
| 86900 |
|
769 |
728 |
$2K |
| 84550 |
|
509 |
268 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
215 |
165 |
$2K |
| 83540 |
|
316 |
301 |
$2K |
| 87040 |
|
158 |
145 |
$2K |
| 81003 |
|
409 |
363 |
$840.95 |
| J3480 |
Injection, potassium chloride, per 2 meq |
436 |
147 |
$837.17 |
| 85007 |
|
307 |
219 |
$630.42 |
| 83020 |
|
34 |
31 |
$426.69 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
73 |
54 |
$409.02 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
14 |
$375.14 |
| 84460 |
|
59 |
54 |
$308.20 |
| 84450 |
|
59 |
54 |
$305.08 |
| 83690 |
|
45 |
40 |
$300.76 |
| 83002 |
|
14 |
14 |
$249.63 |
| 82140 |
|
17 |
15 |
$246.66 |
| 84305 |
|
12 |
12 |
$231.21 |
| 83001 |
|
13 |
13 |
$229.73 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
12 |
$209.49 |
| 82150 |
|
33 |
28 |
$195.38 |
| 80047 |
|
14 |
14 |
$168.36 |
| 86738 |
|
13 |
12 |
$163.74 |
| 82043 |
|
25 |
25 |
$160.83 |
| 82570 |
|
25 |
25 |
$143.99 |
| 82977 |
|
14 |
13 |
$98.34 |
| 87077 |
|
13 |
13 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
16 |
$0.00 |