| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
21,889 |
19,342 |
$5.72M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
20,165 |
18,003 |
$3.48M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
8,956 |
7,718 |
$3.16M |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,727 |
2,381 |
$336K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,471 |
174 |
$174K |
| S9480 |
Intensive outpatient psychiatric services, per diem |
701 |
102 |
$139K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,077 |
964 |
$109K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,838 |
1,497 |
$77K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,647 |
1,437 |
$47K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
641 |
546 |
$30K |
| 71046 |
Radiologic examination, chest; 2 views |
333 |
289 |
$15K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
578 |
174 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
178 |
157 |
$10K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
300 |
97 |
$9K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
27 |
27 |
$8K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
251 |
67 |
$5K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
28 |
26 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
21 |
12 |
$3K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
26 |
15 |
$3K |
| 80053 |
Comprehensive metabolic panel |
31,151 |
26,855 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
18 |
15 |
$2K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
179 |
81 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
33,333 |
28,716 |
$1K |
| 11720 |
|
82 |
59 |
$246.79 |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
357 |
308 |
$209.38 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,430 |
3,821 |
$176.29 |
| 97535 |
Self-care/home management training, each 15 minutes |
24 |
12 |
$130.98 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
233 |
216 |
$129.35 |
| G0127 |
Trimming of dystrophic nails, any number |
138 |
85 |
$125.84 |
| 36415 |
Collection of venous blood by venipuncture |
4,145 |
3,604 |
$82.38 |
| 11721 |
|
19 |
12 |
$54.94 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,055 |
857 |
$42.17 |
| 81001 |
|
3,939 |
3,439 |
$37.62 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
965 |
813 |
$20.30 |
| 84703 |
|
1,298 |
1,173 |
$16.26 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
81 |
70 |
$10.80 |
| 83690 |
|
1,248 |
1,129 |
$9.82 |
| 80305 |
|
335 |
277 |
$9.00 |
| 84484 |
|
429 |
273 |
$9.00 |
| 84460 |
|
346 |
301 |
$3.71 |
| 84450 |
|
346 |
301 |
$3.63 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
116 |
91 |
$0.00 |
| 87631 |
|
308 |
289 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
154 |
139 |
$0.00 |
| 83605 |
|
37 |
27 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
17 |
14 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
81 |
64 |
$0.00 |
| 83735 |
|
157 |
133 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
30 |
27 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
14 |
13 |
$0.00 |