| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
13,125 |
6,905 |
$1.87M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
16,959 |
8,863 |
$1.83M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,710 |
1,516 |
$726K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,865 |
2,659 |
$319K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,580 |
2,354 |
$280K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,031 |
1,789 |
$209K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,339 |
1,193 |
$133K |
| 71046 |
Radiologic examination, chest; 2 views |
2,912 |
2,789 |
$125K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
500 |
483 |
$96K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,591 |
2,400 |
$93K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
659 |
626 |
$82K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
992 |
973 |
$75K |
| 70450 |
Computed tomography, head or brain; without contrast material |
609 |
596 |
$63K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,329 |
1,292 |
$42K |
| 71045 |
Radiologic examination, chest; single view |
796 |
773 |
$41K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,534 |
517 |
$26K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,421 |
2,321 |
$25K |
| 80061 |
Lipid panel |
2,524 |
2,502 |
$23K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
582 |
550 |
$21K |
| 80053 |
Comprehensive metabolic panel |
8,731 |
8,027 |
$16K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,507 |
3,428 |
$15K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,276 |
1,267 |
$12K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,475 |
2,189 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,246 |
8,458 |
$9K |
| 97161 |
|
163 |
161 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,034 |
2,014 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
452 |
439 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
3,009 |
2,667 |
$6K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,078 |
1,007 |
$5K |
| 73630 |
|
330 |
303 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
72 |
70 |
$4K |
| 73610 |
|
141 |
135 |
$3K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
68 |
64 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,613 |
1,495 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,799 |
2,549 |
$1K |
| 82607 |
|
303 |
301 |
$1K |
| 73130 |
|
119 |
109 |
$1K |
| 84439 |
|
417 |
411 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
72 |
70 |
$1K |
| 85027 |
|
1,965 |
1,748 |
$801.79 |
| 82728 |
|
188 |
187 |
$735.56 |
| 85610 |
|
920 |
801 |
$561.13 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
27 |
$403.25 |
| 86756 |
|
363 |
353 |
$358.36 |
| 83550 |
|
124 |
121 |
$342.39 |
| 86140 |
|
1,045 |
991 |
$337.67 |
| 81001 |
|
3,108 |
2,901 |
$322.88 |
| 83690 |
|
2,387 |
2,180 |
$274.64 |
| 83540 |
|
128 |
125 |
$264.56 |
| 73030 |
|
14 |
14 |
$262.04 |
| 80076 |
|
502 |
481 |
$253.67 |
| 81003 |
|
2,182 |
2,091 |
$208.41 |
| 85651 |
|
506 |
480 |
$206.71 |
| 73080 |
|
13 |
12 |
$197.12 |
| 84703 |
|
644 |
621 |
$191.64 |
| 83880 |
|
71 |
65 |
$179.70 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,032 |
1,998 |
$143.05 |
| 73110 |
|
15 |
12 |
$130.08 |
| 82043 |
|
58 |
55 |
$119.45 |
| 87400 |
|
1,713 |
1,675 |
$61.21 |
| 81025 |
|
1,678 |
1,608 |
$57.75 |
| 84484 |
|
1,313 |
1,014 |
$44.27 |
| 82150 |
|
26 |
26 |
$30.46 |
| 85730 |
|
225 |
206 |
$18.55 |
| 80305 |
|
196 |
183 |
$16.46 |
| 83735 |
|
29 |
26 |
$10.60 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
235 |
179 |
$10.10 |
| 87210 |
|
13 |
13 |
$8.85 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,809 |
2,495 |
$8.62 |
| 83605 |
|
115 |
108 |
$5.60 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,888 |
2,245 |
$0.56 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,182 |
1,935 |
$0.15 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
772 |
656 |
$0.14 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
59 |
52 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,221 |
1,171 |
$0.00 |
| J0136 |
Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg |
19 |
19 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
69 |
67 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
180 |
91 |
$0.00 |
| 90715 |
|
24 |
24 |
$0.00 |
| A9270 |
Non-covered item or service |
4,333 |
3,752 |
$0.00 |
| 85379 |
|
126 |
122 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
100 |
82 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
54 |
38 |
$0.00 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
13 |
13 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
15 |
12 |
$0.00 |
| 96376 |
|
12 |
12 |
$0.00 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
34 |
15 |
$0.00 |