| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,495 |
3,813 |
$320K |
| 64493 |
|
1,048 |
736 |
$281K |
| 64635 |
|
613 |
461 |
$217K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,787 |
1,587 |
$208K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
234 |
232 |
$92K |
| 99152 |
|
1,251 |
887 |
$48K |
| 80053 |
Comprehensive metabolic panel |
4,294 |
3,554 |
$47K |
| 87631 |
|
361 |
350 |
$45K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
184 |
167 |
$43K |
| 64450 |
|
231 |
69 |
$41K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
823 |
742 |
$28K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,083 |
3,303 |
$27K |
| 64640 |
|
110 |
39 |
$25K |
| A4649 |
Surgical supply; miscellaneous |
249 |
175 |
$23K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
496 |
459 |
$22K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
414 |
351 |
$21K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
436 |
363 |
$21K |
| 71046 |
Radiologic examination, chest; 2 views |
517 |
472 |
$20K |
| 64494 |
|
118 |
80 |
$16K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
389 |
345 |
$16K |
| 64495 |
|
87 |
67 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
2,905 |
2,527 |
$11K |
| 84443 |
Thyroid stimulating hormone (TSH) |
542 |
528 |
$8K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
76 |
68 |
$8K |
| J3490 |
Unclassified drugs |
1,245 |
840 |
$6K |
| 80061 |
Lipid panel |
403 |
391 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
144 |
126 |
$4K |
| 84484 |
|
260 |
188 |
$4K |
| 99153 |
Mod sedat endo service >5yrs |
288 |
226 |
$4K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
944 |
705 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
119 |
81 |
$2K |
| 81001 |
|
393 |
368 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
34 |
34 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
12 |
12 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
206 |
197 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
345 |
309 |
$2K |
| 83605 |
|
121 |
101 |
$1K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
311 |
259 |
$1K |
| 83690 |
|
122 |
106 |
$929.86 |
| 84439 |
|
80 |
80 |
$692.77 |
| 81002 |
|
199 |
188 |
$682.33 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
13 |
12 |
$674.23 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
708 |
517 |
$583.76 |
| J8597 |
Antiemetic drug, oral, not otherwise specified |
579 |
430 |
$562.20 |
| 83735 |
|
59 |
49 |
$423.35 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
15 |
15 |
$375.28 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
123 |
108 |
$328.13 |
| 83880 |
|
16 |
13 |
$272.95 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
150 |
123 |
$271.63 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
120 |
96 |
$204.25 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
25 |
24 |
$190.38 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
69 |
57 |
$178.95 |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
26 |
24 |
$149.13 |
| 86140 |
|
27 |
24 |
$148.37 |