| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
Emergency room services |
12,145 |
11,049 |
$689K |
| 80053 |
Comprehensive metabolic panel |
6,751 |
6,192 |
$100K |
| 0270 |
|
12,175 |
11,139 |
$87K |
| 99199 |
Unlisted special service, procedure or report |
1,572 |
1,427 |
$84K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,004 |
6,396 |
$73K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,885 |
1,756 |
$59K |
| 0250 |
|
7,326 |
4,358 |
$58K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
893 |
852 |
$52K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
738 |
702 |
$47K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,924 |
1,874 |
$43K |
| 80305 |
|
3,018 |
2,892 |
$40K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
271 |
269 |
$37K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,251 |
1,200 |
$33K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
1,491 |
926 |
$31K |
| 80061 |
Lipid panel |
1,491 |
1,479 |
$23K |
| 94760 |
|
2,036 |
1,857 |
$21K |
| 71046 |
Radiologic examination, chest; 2 views |
894 |
867 |
$20K |
| J3490 |
Unclassified drugs |
983 |
786 |
$20K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,372 |
1,359 |
$17K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,567 |
1,475 |
$16K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
272 |
258 |
$14K |
| 83605 |
|
925 |
845 |
$13K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,989 |
1,879 |
$12K |
| 36000 |
|
1,065 |
997 |
$11K |
| 81025 |
|
1,649 |
1,588 |
$11K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
207 |
193 |
$10K |
| 84484 |
|
834 |
726 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
567 |
536 |
$9K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
236 |
236 |
$8K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
197 |
183 |
$8K |
| 83690 |
|
846 |
798 |
$8K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
98 |
94 |
$7K |
| 70450 |
Computed tomography, head or brain; without contrast material |
42 |
40 |
$6K |
| 83735 |
|
630 |
587 |
$6K |
| 99000 |
|
1,477 |
1,428 |
$6K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
121 |
113 |
$5K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
779 |
704 |
$4K |
| 83880 |
|
103 |
92 |
$4K |
| 82077 |
|
185 |
171 |
$3K |
| 87430 |
|
234 |
232 |
$3K |
| 84439 |
|
162 |
162 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
231 |
227 |
$2K |
| 85610 |
|
353 |
324 |
$2K |
| 81003 |
|
636 |
626 |
$2K |
| 83874 |
|
92 |
79 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
198 |
194 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
49 |
12 |
$2K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
30 |
12 |
$1K |
| 73610 |
|
27 |
25 |
$1K |
| 73110 |
|
30 |
26 |
$1K |
| 82150 |
|
153 |
138 |
$1K |
| 82553 |
|
70 |
58 |
$1K |
| 73130 |
|
25 |
25 |
$969.02 |
| Z7502 |
|
25 |
25 |
$883.50 |
| 73630 |
|
29 |
26 |
$726.02 |
| 82746 |
|
24 |
24 |
$577.79 |
| 90715 |
|
13 |
13 |
$539.52 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
84 |
83 |
$438.44 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
43 |
40 |
$427.87 |
| Z7610 |
|
40 |
25 |
$426.53 |
| 73030 |
|
13 |
12 |
$364.16 |
| 87807 |
|
21 |
21 |
$313.62 |
| J7050 |
Infusion, normal saline solution, 250 cc |
52 |
37 |
$290.85 |
| 87081 |
|
41 |
39 |
$282.92 |
| 85379 |
|
13 |
13 |
$246.86 |
| 85027 |
|
30 |
29 |
$244.46 |
| 85730 |
|
27 |
27 |
$180.27 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
24 |
24 |
$125.14 |
| 83550 |
|
14 |
14 |
$107.80 |
| 83540 |
|
14 |
14 |
$104.58 |
| 85007 |
|
26 |
25 |
$103.30 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
17 |
16 |
$88.64 |
| 0258 |
|
92 |
84 |
$0.00 |