| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,070 |
3,647 |
$837K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,223 |
3,907 |
$623K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,585 |
1,399 |
$505K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
329 |
183 |
$22K |
| 71045 |
Radiologic examination, chest; single view |
376 |
331 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
212 |
191 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
209 |
191 |
$8K |
| 80053 |
Comprehensive metabolic panel |
4,516 |
3,802 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,128 |
3,442 |
$7K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
57 |
51 |
$5K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,535 |
1,304 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
58 |
52 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
16 |
13 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
124 |
71 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
4,620 |
3,673 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
35 |
28 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,492 |
1,307 |
$1K |
| 84484 |
|
616 |
508 |
$1K |
| 81001 |
|
700 |
639 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
128 |
58 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
13 |
13 |
$874.62 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
95 |
88 |
$821.27 |
| 87070 |
|
36 |
34 |
$767.33 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
35 |
33 |
$598.31 |
| 0011A |
|
25 |
24 |
$563.63 |
| 85610 |
|
596 |
523 |
$422.68 |
| 85730 |
|
454 |
398 |
$421.27 |
| 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 |
532 |
496 |
$402.67 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
206 |
171 |
$400.81 |
| 81003 |
|
252 |
229 |
$229.15 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
16 |
13 |
$150.07 |
| 85027 |
|
260 |
230 |
$142.36 |
| 87634 |
|
64 |
58 |
$63.18 |
| 83735 |
|
214 |
175 |
$54.61 |
| 83605 |
|
113 |
99 |
$52.05 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
815 |
729 |
$35.90 |
| 84443 |
Thyroid stimulating hormone (TSH) |
29 |
26 |
$30.24 |
| 86140 |
|
201 |
172 |
$27.96 |
| 83690 |
|
151 |
127 |
$18.18 |
| 82150 |
|
153 |
129 |
$17.10 |
| 85652 |
|
15 |
15 |
$4.86 |
| 81025 |
|
16 |
14 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
12 |
12 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
48 |
31 |
$0.00 |
| 83880 |
|
13 |
12 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
30 |
25 |
$0.00 |
| 87088 |
|
12 |
12 |
$0.00 |
| 87040 |
|
30 |
24 |
$0.00 |