| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
11,494 |
11,119 |
$1.72M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,909 |
6,722 |
$737K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,189 |
2,119 |
$398K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
3,265 |
3,138 |
$346K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,007 |
979 |
$158K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,637 |
2,518 |
$66K |
| 80053 |
Comprehensive metabolic panel |
6,722 |
6,439 |
$65K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,724 |
7,397 |
$40K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,611 |
1,490 |
$26K |
| 84703 |
|
2,227 |
2,158 |
$21K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,314 |
2,228 |
$19K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,811 |
1,688 |
$19K |
| 84484 |
|
1,552 |
1,455 |
$16K |
| 70450 |
Computed tomography, head or brain; without contrast material |
259 |
248 |
$15K |
| 83690 |
|
2,495 |
2,389 |
$10K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
108 |
88 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
838 |
802 |
$8K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
127 |
121 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
980 |
953 |
$7K |
| 83880 |
|
230 |
226 |
$7K |
| 83735 |
|
1,060 |
1,025 |
$6K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
816 |
794 |
$5K |
| 81003 |
|
1,869 |
1,815 |
$5K |
| T1015 |
Clinic visit/encounter, all-inclusive |
134 |
42 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
279 |
262 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
535 |
516 |
$4K |
| 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 |
64 |
56 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
340 |
327 |
$3K |
| 81001 |
|
1,239 |
1,215 |
$3K |
| 76830 |
Ultrasound, transvaginal |
65 |
63 |
$3K |
| 80076 |
|
337 |
329 |
$3K |
| 85379 |
|
258 |
255 |
$2K |
| 83605 |
|
212 |
198 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
20 |
19 |
$962.51 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$676.63 |
| 85610 |
|
196 |
158 |
$639.31 |
| 97161 |
|
12 |
12 |
$638.34 |
| 85730 |
|
70 |
32 |
$479.62 |
| 73630 |
|
41 |
41 |
$422.78 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$383.30 |
| 84443 |
Thyroid stimulating hormone (TSH) |
14 |
13 |
$255.30 |
| 73610 |
|
14 |
14 |
$185.40 |
| 86850 |
|
13 |
13 |
$77.57 |
| 36415 |
Collection of venous blood by venipuncture |
31 |
26 |
$58.47 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
60 |
59 |
$47.69 |
| 86901 |
|
14 |
14 |
$42.87 |
| 86900 |
|
14 |
14 |
$42.31 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,897 |
3,720 |
$3.15 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,213 |
2,073 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,538 |
1,281 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
99 |
79 |
$0.00 |
| A9270 |
Non-covered item or service |
935 |
353 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
544 |
514 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
219 |
180 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,193 |
1,102 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
361 |
329 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
1,831 |
1,650 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
97 |
92 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
49 |
45 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
75 |
71 |
$0.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
52 |
46 |
$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 |
31 |
26 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,570 |
3,301 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
789 |
732 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
2,168 |
2,056 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
42 |
37 |
$0.00 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
50 |
47 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
163 |
158 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
3,746 |
3,418 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,777 |
1,710 |
$0.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
68 |
68 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
120 |
118 |
$0.00 |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
240 |
212 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
119 |
114 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
12 |
12 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
29 |
29 |
$0.00 |
| 90715 |
|
65 |
65 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
18 |
13 |
$0.00 |
| J2800 |
Injection, methocarbamol, up to 10 ml |
12 |
12 |
$0.00 |