| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,214 |
2,009 |
$423K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,467 |
1,321 |
$229K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
382 |
305 |
$183K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
512 |
484 |
$159K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
187 |
180 |
$82K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
199 |
187 |
$57K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
346 |
315 |
$52K |
| 87631 |
|
182 |
175 |
$32K |
| G0378 |
Hospital observation service, per hour |
242 |
179 |
$24K |
| 70450 |
Computed tomography, head or brain; without contrast material |
91 |
82 |
$24K |
| 80053 |
Comprehensive metabolic panel |
4,505 |
3,811 |
$19K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,114 |
1,073 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,080 |
3,411 |
$11K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
287 |
275 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
264 |
250 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
5,215 |
4,277 |
$11K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
2,768 |
2,121 |
$11K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
56 |
40 |
$7K |
| 80061 |
Lipid panel |
816 |
779 |
$6K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
870 |
678 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
28 |
27 |
$5K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
34 |
12 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
623 |
589 |
$4K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
43 |
39 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$3K |
| 86140 |
|
1,014 |
860 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
116 |
92 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
95 |
92 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
165 |
163 |
$3K |
| 93296 |
|
143 |
136 |
$3K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
26 |
26 |
$2K |
| 73630 |
|
36 |
27 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
370 |
335 |
$2K |
| 85027 |
|
561 |
466 |
$2K |
| 84439 |
|
234 |
232 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
442 |
334 |
$2K |
| 83880 |
|
287 |
208 |
$2K |
| 82607 |
|
139 |
137 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
24 |
24 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
444 |
380 |
$1K |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
137 |
133 |
$1K |
| 83735 |
|
823 |
594 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
503 |
372 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
790 |
666 |
$1K |
| 81003 |
|
393 |
354 |
$934.02 |
| 85652 |
|
388 |
343 |
$853.10 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
144 |
136 |
$848.45 |
| 81001 |
|
639 |
585 |
$749.28 |
| 83690 |
|
419 |
378 |
$729.26 |
| 97161 |
|
43 |
37 |
$717.35 |
| 84484 |
|
571 |
436 |
$711.71 |
| 80050 |
General health panel |
66 |
60 |
$703.70 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
34 |
12 |
$666.75 |
| 85610 |
|
609 |
506 |
$578.54 |
| 84100 |
|
522 |
408 |
$524.42 |
| 81025 |
|
350 |
329 |
$516.83 |
| 85007 |
|
319 |
244 |
$458.60 |
| 82550 |
|
591 |
466 |
$379.13 |
| 85379 |
|
214 |
196 |
$355.07 |
| 83605 |
|
32 |
26 |
$323.20 |
| 84145 |
|
87 |
58 |
$252.47 |
| 85730 |
|
417 |
356 |
$250.07 |
| 82150 |
|
333 |
299 |
$243.73 |
| 96376 |
|
82 |
63 |
$193.44 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
416 |
345 |
$190.90 |
| 83874 |
|
511 |
393 |
$179.50 |
| 82553 |
|
516 |
401 |
$149.04 |
| 82948 |
|
237 |
90 |
$120.86 |
| 83540 |
|
42 |
37 |
$110.22 |
| 87077 |
|
42 |
38 |
$99.15 |
| 87186 |
|
27 |
24 |
$83.69 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
25 |
16 |
$49.91 |
| 84703 |
|
13 |
12 |
$17.78 |
| 80306 |
|
28 |
27 |
$7.29 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
979 |
689 |
$5.48 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
597 |
415 |
$0.67 |
| J2704 |
Injection, propofol, 10 mg |
423 |
369 |
$0.00 |
| J1630 |
Injection, haloperidol, up to 5 mg |
26 |
25 |
$0.00 |
| A9270 |
Non-covered item or service |
329 |
39 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
402 |
330 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
254 |
176 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
257 |
225 |
$0.00 |
| 94760 |
|
14 |
14 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
76 |
51 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
184 |
168 |
$0.00 |
| 94761 |
|
55 |
28 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
13 |
12 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
451 |
326 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
638 |
489 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
316 |
296 |
$0.00 |