| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,400 |
5,017 |
$1.52M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,217 |
4,053 |
$733K |
| 0450 |
Emergency room services |
13,411 |
11,520 |
$576K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
936 |
883 |
$537K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,373 |
4,123 |
$387K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,117 |
2,077 |
$352K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,339 |
2,238 |
$219K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,451 |
2,378 |
$147K |
| 71045 |
Radiologic examination, chest; single view |
4,158 |
3,929 |
$109K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,885 |
5,378 |
$80K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
3,373 |
3,106 |
$78K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,961 |
1,897 |
$73K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12,753 |
11,070 |
$59K |
| 80051 |
|
9,501 |
8,515 |
$49K |
| 71046 |
Radiologic examination, chest; 2 views |
1,456 |
1,434 |
$38K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,104 |
2,021 |
$35K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
244 |
244 |
$34K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,482 |
2,313 |
$34K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
839 |
756 |
$31K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,604 |
2,454 |
$29K |
| 82565 |
|
10,216 |
9,097 |
$29K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
273 |
269 |
$25K |
| 84520 |
|
9,487 |
8,505 |
$25K |
| G0378 |
Hospital observation service, per hour |
168 |
92 |
$25K |
| 82947 |
|
9,569 |
8,588 |
$24K |
| 83690 |
|
5,242 |
4,845 |
$23K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
1,546 |
1,474 |
$22K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,165 |
1,077 |
$22K |
| 84460 |
|
6,047 |
5,479 |
$19K |
| 84075 |
|
5,416 |
4,945 |
$19K |
| 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 |
402 |
396 |
$19K |
| 82247 |
|
5,948 |
5,360 |
$19K |
| 84450 |
|
5,877 |
5,338 |
$19K |
| 84484 |
|
2,991 |
2,681 |
$18K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
5,356 |
4,479 |
$17K |
| 83880 |
|
1,284 |
1,213 |
$15K |
| J3490 |
Unclassified drugs |
1,009 |
819 |
$15K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
291 |
282 |
$15K |
| 84703 |
|
2,666 |
2,552 |
$13K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,991 |
1,848 |
$11K |
| 81001 |
|
7,523 |
7,022 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
9,036 |
7,546 |
$11K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
716 |
689 |
$11K |
| 87040 |
|
1,029 |
987 |
$11K |
| 87631 |
|
335 |
332 |
$10K |
| 99070 |
|
4,405 |
1,927 |
$10K |
| 83605 |
|
1,299 |
1,178 |
$9K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
553 |
543 |
$9K |
| 86900 |
|
259 |
242 |
$9K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,827 |
1,788 |
$9K |
| 83735 |
|
2,260 |
2,010 |
$8K |
| 82077 |
|
964 |
873 |
$8K |
| 73630 |
|
188 |
175 |
$7K |
| 84702 |
|
1,194 |
998 |
$7K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,037 |
2,729 |
$7K |
| 85610 |
|
2,320 |
2,106 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
663 |
621 |
$6K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,350 |
2,159 |
$5K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
2,142 |
1,920 |
$5K |
| 73610 |
|
92 |
90 |
$5K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
14 |
14 |
$5K |
| 0270 |
|
843 |
662 |
$4K |
| 81003 |
|
3,466 |
3,363 |
$4K |
| 84100 |
|
1,652 |
1,512 |
$4K |
| 80306 |
|
454 |
432 |
$4K |
| 73560 |
|
95 |
82 |
$4K |
| 85379 |
|
741 |
726 |
$4K |
| 73030 |
|
55 |
54 |
$3K |
| 0637 |
|
14,227 |
5,732 |
$3K |
| 87088 |
|
1,237 |
1,183 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
125 |
117 |
$3K |
| 86901 |
|
259 |
242 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
125 |
117 |
$3K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
681 |
613 |
$2K |
| 71250 |
|
13 |
13 |
$2K |
| 82962 |
|
926 |
741 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
171 |
167 |
$2K |
| 85652 |
|
1,850 |
1,805 |
$2K |
| 93976 |
|
29 |
29 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
455 |
420 |
$1K |
| 73130 |
|
27 |
25 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
28 |
27 |
$1K |
| 86850 |
|
117 |
113 |
$1K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
13 |
13 |
$1K |
| 93971 |
|
12 |
12 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$769.40 |
| 96376 |
|
175 |
156 |
$722.97 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
186 |
127 |
$683.92 |
| 0250 |
|
1,599 |
1,133 |
$642.06 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
364 |
342 |
$606.65 |
| 70486 |
|
12 |
12 |
$598.14 |
| 0710 |
|
362 |
359 |
$568.33 |
| 85730 |
|
144 |
144 |
$515.74 |
| 86140 |
|
101 |
95 |
$461.02 |
| 85378 |
|
103 |
102 |
$444.82 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
213 |
197 |
$369.01 |
| 80179 |
|
25 |
25 |
$253.47 |
| 82248 |
|
87 |
61 |
$243.77 |
| J2060 |
Injection, lorazepam, 2 mg |
90 |
81 |
$194.08 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
131 |
122 |
$175.02 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
22 |
12 |
$152.69 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
45 |
40 |
$106.18 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
137 |
121 |
$78.90 |
| J0137 |
Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg |
13 |
12 |
$77.46 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
66 |
59 |
$66.12 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$51.82 |
| 85027 |
|
28 |
24 |
$47.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$35.68 |
| 84132 |
|
27 |
25 |
$21.11 |
| 0258 |
|
93 |
85 |
$8.78 |
| 0370 |
|
237 |
237 |
$0.00 |