| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,310 |
3,183 |
$1.03M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,027 |
3,823 |
$789K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,889 |
2,731 |
$696K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
555 |
541 |
$329K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
470 |
456 |
$202K |
| 70450 |
Computed tomography, head or brain; without contrast material |
590 |
567 |
$88K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
503 |
496 |
$57K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
793 |
768 |
$27K |
| 71250 |
|
37 |
37 |
$24K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
56 |
56 |
$19K |
| G0378 |
Hospital observation service, per hour |
42 |
41 |
$8K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
26 |
25 |
$5K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,663 |
2,585 |
$5K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,963 |
1,672 |
$899.08 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,494 |
1,409 |
$786.13 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,656 |
1,162 |
$765.36 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
460 |
433 |
$668.58 |
| 80053 |
Comprehensive metabolic panel |
3,141 |
2,849 |
$546.13 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,233 |
2,890 |
$417.13 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,980 |
1,672 |
$416.49 |
| A4649 |
Surgical supply; miscellaneous |
567 |
502 |
$307.63 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,305 |
1,146 |
$262.12 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
621 |
583 |
$250.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,485 |
1,455 |
$197.48 |
| 71045 |
Radiologic examination, chest; single view |
1,512 |
1,444 |
$194.27 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
576 |
559 |
$166.31 |
| 84484 |
|
1,323 |
1,059 |
$134.87 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,288 |
2,091 |
$128.42 |
| 81025 |
|
1,293 |
1,237 |
$120.01 |
| 83690 |
|
1,233 |
1,167 |
$111.64 |
| 83605 |
|
390 |
344 |
$101.50 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,850 |
1,750 |
$96.07 |
| 71046 |
Radiologic examination, chest; 2 views |
287 |
285 |
$82.43 |
| 80305 |
|
510 |
490 |
$70.56 |
| 83735 |
|
934 |
872 |
$63.73 |
| 83880 |
|
294 |
281 |
$60.30 |
| 81003 |
|
1,758 |
1,687 |
$58.54 |
| J3490 |
Unclassified drugs |
343 |
306 |
$52.36 |
| 82077 |
|
72 |
66 |
$41.46 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
563 |
543 |
$40.12 |
| 87040 |
|
74 |
39 |
$39.14 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
416 |
396 |
$37.62 |
| 73030 |
|
49 |
48 |
$37.27 |
| 81001 |
|
1,002 |
953 |
$37.16 |
| 73130 |
|
64 |
61 |
$36.05 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
303 |
281 |
$33.96 |
| 85379 |
|
118 |
111 |
$24.60 |
| 85730 |
|
206 |
204 |
$20.79 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
919 |
851 |
$20.20 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
537 |
516 |
$19.34 |
| 85610 |
|
247 |
243 |
$18.89 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
1,341 |
808 |
$18.02 |
| 94760 |
|
276 |
270 |
$8.02 |
| 82150 |
|
37 |
36 |
$5.73 |
| J7050 |
Infusion, normal saline solution, 250 cc |
289 |
282 |
$5.12 |
| 99001 |
|
460 |
443 |
$0.00 |
| 84439 |
|
12 |
12 |
$0.00 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
43 |
37 |
$0.00 |
| 73562 |
|
75 |
66 |
$0.00 |
| 73610 |
|
108 |
102 |
$0.00 |
| 82947 |
|
55 |
38 |
$0.00 |
| 96367 |
|
14 |
12 |
$0.00 |
| 74018 |
|
101 |
101 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 73630 |
|
111 |
105 |
$0.00 |
| 84702 |
|
12 |
12 |
$0.00 |
| 73110 |
|
14 |
14 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
14 |
12 |
$0.00 |
| 99053 |
|
156 |
154 |
$0.00 |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
23 |
21 |
$0.00 |
| A4565 |
Slings |
12 |
12 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
13 |
13 |
$0.00 |
| 72100 |
|
12 |
12 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
168 |
164 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,253 |
2,107 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
47 |
47 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
67 |
66 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
192 |
190 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
238 |
230 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
48 |
46 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
84 |
83 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |
| A6448 |
Light compression bandage, elastic, knitted/woven, width less than three inches, per yard |
28 |
25 |
$0.00 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
13 |
13 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
13 |
12 |
$0.00 |
| 83874 |
|
14 |
14 |
$0.00 |
| 86140 |
|
13 |
13 |
$0.00 |
| 82553 |
|
14 |
14 |
$0.00 |