| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 64636 |
|
915 |
596 |
$1.47M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,580 |
4,011 |
$1.29M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,303 |
6,675 |
$910K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
6,306 |
5,676 |
$674K |
| 80053 |
Comprehensive metabolic panel |
6,332 |
5,112 |
$611K |
| 64483 |
|
899 |
617 |
$398K |
| 64634 |
|
395 |
253 |
$340K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
963 |
875 |
$322K |
| 64493 |
|
263 |
191 |
$252K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
473 |
426 |
$225K |
| 70450 |
Computed tomography, head or brain; without contrast material |
937 |
842 |
$224K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
555 |
515 |
$223K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
437 |
407 |
$174K |
| 64484 |
|
896 |
598 |
$170K |
| 93458 |
|
169 |
149 |
$167K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
361 |
352 |
$139K |
| 62321 |
|
549 |
386 |
$137K |
| 63650 |
|
40 |
37 |
$133K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,334 |
1,256 |
$121K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
140 |
120 |
$107K |
| 27096 |
|
211 |
175 |
$91K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
711 |
309 |
$74K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
159 |
148 |
$67K |
| 64490 |
|
84 |
63 |
$64K |
| 64633 |
|
360 |
253 |
$47K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,154 |
672 |
$36K |
| 62323 |
|
125 |
97 |
$34K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,459 |
1,360 |
$32K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
47 |
43 |
$18K |
| 43235 |
|
54 |
51 |
$17K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,474 |
3,018 |
$15K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,292 |
2,042 |
$13K |
| 66821 |
|
64 |
49 |
$12K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
136 |
37 |
$10K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,803 |
2,213 |
$8K |
| G0260 |
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography |
100 |
68 |
$7K |
| 80050 |
General health panel |
14 |
14 |
$6K |
| 64635 |
|
840 |
596 |
$5K |
| 73562 |
|
45 |
42 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
2,471 |
2,087 |
$4K |
| G0378 |
Hospital observation service, per hour |
2,060 |
843 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
1,124 |
1,035 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
31 |
27 |
$3K |
| 87186 |
|
691 |
648 |
$2K |
| 96376 |
|
635 |
536 |
$2K |
| 97802 |
|
36 |
28 |
$2K |
| 20610 |
|
89 |
65 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
3,697 |
3,205 |
$2K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
117 |
91 |
$1K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
3,132 |
2,888 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,470 |
2,213 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,929 |
2,495 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
169 |
152 |
$877.85 |
| 73130 |
|
132 |
125 |
$805.88 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
973 |
878 |
$760.04 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
14 |
14 |
$726.67 |
| 84484 |
|
1,912 |
1,466 |
$637.27 |
| 87088 |
|
2,334 |
2,138 |
$593.05 |
| 84703 |
|
2,435 |
2,252 |
$518.38 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
3,226 |
1,040 |
$475.37 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,939 |
6,469 |
$433.81 |
| 73630 |
|
66 |
63 |
$322.88 |
| 94664 |
|
234 |
209 |
$312.52 |
| 93971 |
|
45 |
40 |
$280.82 |
| 83690 |
|
2,088 |
1,805 |
$273.46 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
415 |
401 |
$264.05 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
415 |
401 |
$263.86 |
| J3490 |
Unclassified drugs |
16 |
12 |
$224.08 |
| 85730 |
|
1,182 |
1,006 |
$223.37 |
| 81001 |
|
3,315 |
3,036 |
$198.24 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
15 |
13 |
$191.64 |
| 85610 |
|
1,684 |
1,369 |
$183.73 |
| 83880 |
|
844 |
717 |
$154.15 |
| 73610 |
|
25 |
24 |
$142.65 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
829 |
774 |
$141.99 |
| J3411 |
Injection, thiamine hcl, 100 mg |
245 |
218 |
$108.25 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,457 |
1,690 |
$87.18 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
227 |
221 |
$87.03 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
982 |
816 |
$84.37 |
| 36415 |
Collection of venous blood by venipuncture |
9,809 |
7,249 |
$69.65 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,450 |
2,437 |
$60.59 |
| 97161 |
|
208 |
176 |
$54.55 |
| 99152 |
|
4,521 |
3,084 |
$53.60 |
| 82962 |
|
4,817 |
2,819 |
$52.20 |
| 83735 |
|
1,241 |
1,070 |
$50.74 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
430 |
414 |
$50.10 |
| 90715 |
|
158 |
154 |
$49.57 |
| 81003 |
|
1,757 |
1,607 |
$48.52 |
| C1751 |
Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) |
1,403 |
1,277 |
$38.92 |
| 83605 |
|
640 |
538 |
$33.39 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,757 |
1,386 |
$30.88 |
| 82550 |
|
1,002 |
849 |
$19.62 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
50 |
25 |
$18.87 |
| 81025 |
|
1,817 |
1,080 |
$17.56 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
233 |
196 |
$15.23 |
| 87040 |
|
423 |
382 |
$14.36 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
278 |
237 |
$14.23 |
| 87077 |
|
698 |
654 |
$12.71 |
| C1760 |
Closure device, vascular (implantable/insertable) |
383 |
311 |
$12.49 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
5,776 |
4,095 |
$11.50 |
| 85027 |
|
896 |
593 |
$11.12 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
951 |
795 |
$10.70 |
| 87400 |
|
341 |
322 |
$9.26 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
167 |
146 |
$8.99 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
6,294 |
4,033 |
$8.02 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,234 |
935 |
$5.64 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
461 |
417 |
$5.35 |
| 86850 |
|
71 |
64 |
$2.08 |
| 86901 |
|
123 |
112 |
$1.97 |
| 86900 |
|
124 |
112 |
$1.90 |
| 94761 |
|
1,392 |
785 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
752 |
590 |
$0.00 |
| C1769 |
Guide wire |
482 |
381 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
254 |
240 |
$0.00 |
| 82553 |
|
140 |
110 |
$0.00 |
| 90870 |
|
2,753 |
659 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
1,059 |
859 |
$0.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
222 |
175 |
$0.00 |
| 88304 |
|
62 |
52 |
$0.00 |
| 64492 |
|
84 |
63 |
$0.00 |
| 80320 |
|
1,194 |
1,095 |
$0.00 |
| 64494 |
|
263 |
191 |
$0.00 |
| J3480 |
Injection, potassium chloride, per 2 meq |
43 |
33 |
$0.00 |
| 85379 |
|
152 |
137 |
$0.00 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
141 |
97 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
1,069 |
773 |
$0.00 |
| 94760 |
|
203 |
166 |
$0.00 |
| 88342 |
|
397 |
373 |
$0.00 |
| 87070 |
|
57 |
53 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
156 |
141 |
$0.00 |
| 80329 |
|
69 |
50 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
256 |
230 |
$0.00 |
| 87205 |
|
113 |
99 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
964 |
768 |
$0.00 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
43 |
41 |
$0.00 |
| 82150 |
|
17 |
16 |
$0.00 |
| 84132 |
|
59 |
37 |
$0.00 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
28 |
27 |
$0.00 |
| J1630 |
Injection, haloperidol, up to 5 mg |
63 |
52 |
$0.00 |
| 87081 |
|
14 |
13 |
$0.00 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
15 |
14 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
649 |
472 |
$0.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
80 |
74 |
$0.00 |
| 80061 |
Lipid panel |
169 |
140 |
$0.00 |
| C1887 |
Catheter, guiding (may include infusion/perfusion capability) |
134 |
105 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
894 |
628 |
$0.00 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
664 |
537 |
$0.00 |
| A4649 |
Surgical supply; miscellaneous |
404 |
346 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
512 |
433 |
$0.00 |
| 97116 |
|
110 |
53 |
$0.00 |
| 64495 |
|
263 |
191 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,191 |
514 |
$0.00 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
166 |
100 |
$0.00 |
| 84702 |
|
254 |
232 |
$0.00 |
| 64491 |
|
84 |
63 |
$0.00 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
99 |
90 |
$0.00 |
| 93225 |
|
69 |
60 |
$0.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
1,858 |
1,308 |
$0.00 |
| 76937 |
|
49 |
40 |
$0.00 |
| 87210 |
|
74 |
73 |
$0.00 |
| G0237 |
Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) |
38 |
12 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
39 |
38 |
$0.00 |
| 85007 |
|
14 |
12 |
$0.00 |