| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
26,879 |
23,939 |
$4.71M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
18,109 |
15,587 |
$3.44M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,536 |
3,851 |
$1.14M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,211 |
4,817 |
$630K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
3,139 |
2,792 |
$462K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
142 |
123 |
$292K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
9,351 |
7,618 |
$244K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,734 |
787 |
$167K |
| 80053 |
Comprehensive metabolic panel |
24,359 |
20,561 |
$166K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
25,627 |
21,723 |
$161K |
| 71045 |
Radiologic examination, chest; single view |
3,927 |
3,337 |
$146K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
5,185 |
4,518 |
$140K |
| G0378 |
Hospital observation service, per hour |
3,139 |
1,273 |
$136K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
2,551 |
2,164 |
$118K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,265 |
1,697 |
$69K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
114 |
103 |
$59K |
| 81001 |
|
17,940 |
15,348 |
$51K |
| 83735 |
|
8,334 |
6,852 |
$46K |
| 71046 |
Radiologic examination, chest; 2 views |
1,199 |
1,025 |
$43K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
742 |
640 |
$41K |
| 84703 |
|
4,362 |
3,693 |
$37K |
| J3590 |
Unclassified biologics |
37,907 |
11,373 |
$36K |
| 36415 |
Collection of venous blood by venipuncture |
16,042 |
13,927 |
$33K |
| 70450 |
Computed tomography, head or brain; without contrast material |
244 |
215 |
$31K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,678 |
1,056 |
$24K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,304 |
490 |
$24K |
| 84484 |
|
2,715 |
1,932 |
$23K |
| 96376 |
|
876 |
325 |
$20K |
| J3490 |
Unclassified drugs |
17,107 |
4,940 |
$17K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
425 |
257 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
268 |
229 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
626 |
535 |
$14K |
| 83690 |
|
2,309 |
1,982 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
483 |
404 |
$11K |
| 97597 |
|
175 |
117 |
$11K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,899 |
1,161 |
$8K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
10,858 |
5,494 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
603 |
537 |
$7K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
383 |
286 |
$7K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
528 |
438 |
$6K |
| 82948 |
|
3,304 |
779 |
$5K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
664 |
408 |
$5K |
| 85027 |
|
1,826 |
970 |
$4K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
90 |
79 |
$4K |
| J2704 |
Injection, propofol, 10 mg |
329 |
290 |
$4K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
186 |
164 |
$3K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
33 |
26 |
$3K |
| 80061 |
Lipid panel |
441 |
347 |
$3K |
| 59025 |
Fetal non-stress test |
54 |
37 |
$2K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
247 |
157 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
78 |
57 |
$2K |
| J1644 |
Injection, heparin sodium, per 1000 units |
223 |
86 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
12 |
$2K |
| 0001A |
|
73 |
52 |
$2K |
| 87150 |
|
40 |
39 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
123 |
104 |
$2K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
117 |
104 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
124 |
108 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
40 |
38 |
$1K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
32 |
12 |
$1K |
| 87088 |
|
110 |
108 |
$1K |
| 88304 |
|
16 |
14 |
$1K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
41 |
15 |
$1K |
| 83880 |
|
65 |
47 |
$885.55 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
149 |
62 |
$844.12 |
| 80076 |
|
103 |
94 |
$750.66 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
173 |
148 |
$750.53 |
| 84702 |
|
50 |
45 |
$620.78 |
| 83605 |
|
124 |
75 |
$609.02 |
| 87081 |
|
93 |
77 |
$545.68 |
| Q9957 |
Injection, perflutren lipid microspheres, per ml |
18 |
14 |
$424.82 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
50 |
40 |
$266.80 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
33 |
14 |
$260.26 |
| 86756 |
|
15 |
15 |
$240.90 |
| 85610 |
|
72 |
64 |
$158.25 |
| 84100 |
|
67 |
54 |
$114.19 |
| 84443 |
Thyroid stimulating hormone (TSH) |
15 |
12 |
$112.46 |
| 82962 |
|
27 |
12 |
$90.11 |
| 85730 |
|
12 |
12 |
$48.51 |
| 85379 |
|
12 |
12 |
$45.26 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
45 |
28 |
$35.67 |
| 91300 |
|
30 |
15 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
19 |
12 |
$0.00 |