| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,983 |
5,459 |
$1.24M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,013 |
2,328 |
$849K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,438 |
1,711 |
$804K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,223 |
2,987 |
$453K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,639 |
1,374 |
$208K |
| 80053 |
Comprehensive metabolic panel |
5,156 |
4,220 |
$170K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,606 |
1,280 |
$152K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,491 |
3,660 |
$121K |
| G0378 |
Hospital observation service, per hour |
255 |
111 |
$112K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
569 |
531 |
$99K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,671 |
1,481 |
$97K |
| 70450 |
Computed tomography, head or brain; without contrast material |
306 |
194 |
$95K |
| 36415 |
Collection of venous blood by venipuncture |
7,198 |
5,465 |
$88K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,143 |
841 |
$82K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,553 |
1,234 |
$77K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
131 |
86 |
$64K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
377 |
259 |
$54K |
| 84484 |
|
1,034 |
763 |
$45K |
| 71045 |
Radiologic examination, chest; single view |
1,587 |
911 |
$41K |
| 71046 |
Radiologic examination, chest; 2 views |
669 |
435 |
$37K |
| 83690 |
|
1,247 |
1,064 |
$32K |
| G0481 |
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; 8-14 drug class(es), including metabolite(s) if performed |
126 |
114 |
$32K |
| 87428 |
|
386 |
364 |
$27K |
| 85027 |
|
1,019 |
863 |
$27K |
| 81003 |
|
1,502 |
1,257 |
$22K |
| 81001 |
|
1,092 |
970 |
$18K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
340 |
331 |
$17K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
36 |
34 |
$16K |
| 82150 |
|
511 |
432 |
$13K |
| 81025 |
|
552 |
529 |
$13K |
| 87081 |
|
389 |
326 |
$12K |
| 83605 |
|
257 |
202 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
238 |
198 |
$12K |
| 84443 |
Thyroid stimulating hormone (TSH) |
146 |
142 |
$12K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
952 |
815 |
$11K |
| 80306 |
|
29 |
26 |
$10K |
| 76801 |
|
58 |
50 |
$10K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
273 |
234 |
$10K |
| 85610 |
|
576 |
456 |
$8K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
445 |
408 |
$8K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
66 |
61 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
188 |
167 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
150 |
134 |
$6K |
| 59025 |
Fetal non-stress test |
32 |
12 |
$6K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
24 |
24 |
$5K |
| 85730 |
|
250 |
211 |
$4K |
| 96376 |
|
41 |
26 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
72 |
53 |
$3K |
| 85007 |
|
108 |
84 |
$3K |
| 87040 |
|
106 |
90 |
$3K |
| 87430 |
|
84 |
81 |
$3K |
| 87486 |
|
49 |
46 |
$2K |
| 87581 |
|
49 |
46 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
26 |
$2K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
19 |
12 |
$2K |
| 86140 |
|
26 |
24 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
41 |
41 |
$1K |
| 83735 |
|
48 |
40 |
$1K |
| 0011A |
|
66 |
66 |
$1K |
| 73610 |
|
13 |
13 |
$1K |
| 87186 |
|
29 |
25 |
$1K |
| 84702 |
|
12 |
12 |
$1K |
| 73110 |
|
13 |
12 |
$982.81 |
| 87400 |
|
13 |
13 |
$923.54 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
64 |
56 |
$897.09 |
| 85379 |
|
16 |
15 |
$777.20 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
31 |
25 |
$709.18 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13 |
13 |
$464.92 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
20 |
15 |
$414.18 |
| 0012A |
|
19 |
19 |
$324.80 |
| 87088 |
|
16 |
12 |
$301.60 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
80 |
79 |
$290.27 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
14 |
$32.62 |
| 91301 |
|
88 |
73 |
$0.00 |
| 80320 |
|
28 |
25 |
$0.00 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
110 |
87 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
33 |
25 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
13 |
13 |
$0.00 |