| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
6,869 |
5,985 |
$1.04M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,312 |
7,453 |
$848K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,371 |
1,900 |
$400K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,491 |
1,380 |
$106K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
411 |
361 |
$87K |
| 36415 |
Collection of venous blood by venipuncture |
6,648 |
4,877 |
$68K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,438 |
1,879 |
$53K |
| 80053 |
Comprehensive metabolic panel |
8,746 |
6,737 |
$46K |
| 70450 |
Computed tomography, head or brain; without contrast material |
940 |
746 |
$40K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,412 |
1,214 |
$35K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,053 |
797 |
$35K |
| 71046 |
Radiologic examination, chest; 2 views |
1,752 |
1,506 |
$31K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
318 |
266 |
$28K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,627 |
1,136 |
$26K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,111 |
846 |
$25K |
| 81003 |
|
4,289 |
3,555 |
$24K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,088 |
6,339 |
$21K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,029 |
1,670 |
$20K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,851 |
2,119 |
$18K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
116 |
93 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,288 |
3,121 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,474 |
2,290 |
$16K |
| 84484 |
|
1,920 |
1,364 |
$11K |
| 81025 |
|
1,008 |
932 |
$11K |
| 82550 |
|
1,683 |
1,252 |
$9K |
| 84703 |
|
359 |
330 |
$9K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
225 |
203 |
$8K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,264 |
1,066 |
$8K |
| 86403 |
|
372 |
348 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
2,033 |
1,628 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
184 |
172 |
$7K |
| 73130 |
|
247 |
211 |
$7K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,416 |
1,132 |
$7K |
| 80305 |
|
1,050 |
903 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,151 |
2,836 |
$6K |
| 81015 |
|
1,726 |
1,415 |
$5K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,283 |
1,066 |
$5K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
595 |
481 |
$4K |
| 85610 |
|
1,245 |
969 |
$4K |
| 73560 |
|
107 |
80 |
$4K |
| 85730 |
|
1,113 |
896 |
$4K |
| 83880 |
|
353 |
247 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
617 |
522 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
26 |
26 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
14 |
14 |
$3K |
| 87186 |
|
1,111 |
899 |
$3K |
| 74018 |
|
73 |
60 |
$3K |
| 83690 |
|
1,133 |
971 |
$3K |
| 94664 |
|
340 |
294 |
$3K |
| 86756 |
|
135 |
131 |
$3K |
| 72100 |
|
94 |
79 |
$3K |
| 85027 |
|
588 |
470 |
$2K |
| 73030 |
|
103 |
82 |
$2K |
| 73620 |
|
69 |
56 |
$2K |
| 87088 |
|
910 |
756 |
$2K |
| 73610 |
|
51 |
39 |
$2K |
| 87077 |
|
978 |
829 |
$2K |
| 76642 |
|
36 |
26 |
$2K |
| 87040 |
|
136 |
73 |
$1K |
| A0425 |
Ground mileage, per statute mile |
302 |
206 |
$1K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
49 |
45 |
$1K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
210 |
191 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
168 |
142 |
$897.67 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$848.76 |
| 80061 |
Lipid panel |
547 |
462 |
$631.90 |
| 87081 |
|
1,135 |
1,060 |
$599.71 |
| 85379 |
|
148 |
123 |
$593.71 |
| 82948 |
|
140 |
93 |
$463.26 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
242 |
216 |
$299.09 |
| 96376 |
|
68 |
44 |
$298.18 |
| 85652 |
|
18 |
14 |
$229.76 |
| 82150 |
|
60 |
55 |
$192.58 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
53 |
38 |
$172.45 |
| 82553 |
|
36 |
28 |
$168.90 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
59 |
41 |
$123.92 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
173 |
155 |
$100.67 |
| J2704 |
Injection, propofol, 10 mg |
36 |
28 |
$9.32 |
| 83605 |
|
30 |
25 |
$0.00 |
| G2024 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source |
52 |
51 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
35 |
26 |
$0.00 |
| 86140 |
|
22 |
12 |
$0.00 |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
22 |
12 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
13 |
13 |
$0.00 |
| G0378 |
Hospital observation service, per hour |
16 |
14 |
$0.00 |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
21 |
17 |
$0.00 |
| G0404 |
Electrocardiogram, routine ecg with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination |
15 |
13 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
31 |
25 |
$0.00 |