| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,639 |
3,305 |
$406K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,561 |
1,359 |
$328K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,905 |
1,730 |
$204K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,055 |
930 |
$109K |
| 80053 |
Comprehensive metabolic panel |
6,209 |
5,505 |
$77K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
1,062 |
1,026 |
$69K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
150 |
143 |
$10K |
| 0002A |
|
89 |
82 |
$5K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,678 |
2,400 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
39 |
25 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
31 |
25 |
$4K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
42 |
39 |
$3K |
| 0001A |
|
74 |
70 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
151 |
140 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
16 |
14 |
$1K |
| 84484 |
|
64 |
39 |
$991.55 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
17 |
14 |
$976.36 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12,285 |
10,861 |
$972.05 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
756 |
668 |
$967.40 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,412 |
1,106 |
$934.70 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
388 |
333 |
$701.61 |
| 83605 |
|
18 |
13 |
$530.98 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
39 |
13 |
$353.41 |
| 82728 |
|
12 |
12 |
$353.40 |
| 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 |
12 |
12 |
$284.46 |
| 80061 |
Lipid panel |
12 |
12 |
$209.40 |
| 83540 |
|
24 |
24 |
$131.88 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
24 |
24 |
$125.83 |
| 83550 |
|
24 |
24 |
$115.38 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$111.98 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12 |
12 |
$108.24 |
| 71045 |
Radiologic examination, chest; single view |
222 |
201 |
$71.55 |
| 82607 |
|
12 |
12 |
$61.08 |
| 85610 |
|
25 |
24 |
$60.80 |
| 84425 |
|
12 |
12 |
$54.12 |
| 81001 |
|
12 |
12 |
$14.47 |
| J2704 |
Injection, propofol, 10 mg |
532 |
331 |
$11.28 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
160 |
143 |
$10.05 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
527 |
478 |
$7.02 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
3,140 |
2,413 |
$1.53 |
| 84703 |
|
247 |
228 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
75 |
67 |
$0.00 |
| 83690 |
|
42 |
29 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
108 |
79 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
17 |
13 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
14 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
13 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
84 |
49 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
14 |
13 |
$0.00 |
| 82077 |
|
18 |
13 |
$0.00 |
| 0753T |
|
38 |
24 |
$0.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
16 |
13 |
$0.00 |
| 81003 |
|
151 |
114 |
$0.00 |