| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,737 |
3,416 |
$1.05M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,293 |
2,068 |
$702K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,208 |
1,922 |
$689K |
| G0378 |
Hospital observation service, per hour |
415 |
294 |
$206K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
760 |
727 |
$90K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,518 |
1,327 |
$49K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,001 |
459 |
$49K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
327 |
314 |
$35K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,984 |
1,661 |
$34K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
444 |
416 |
$27K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
279 |
263 |
$15K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,311 |
1,156 |
$14K |
| 70450 |
Computed tomography, head or brain; without contrast material |
620 |
550 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
924 |
857 |
$12K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
502 |
370 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
764 |
688 |
$12K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
742 |
619 |
$12K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
964 |
848 |
$11K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
367 |
108 |
$11K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
589 |
555 |
$11K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
225 |
208 |
$9K |
| OP259 |
|
4,100 |
3,224 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
89 |
85 |
$6K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
277 |
113 |
$6K |
| 72110 |
|
208 |
190 |
$6K |
| OP710 |
|
264 |
235 |
$6K |
| 97161 |
|
224 |
193 |
$6K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
278 |
262 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
818 |
720 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
4,541 |
3,589 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,106 |
2,472 |
$5K |
| 73630 |
|
316 |
297 |
$5K |
| 76830 |
Ultrasound, transvaginal |
53 |
51 |
$5K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
78 |
78 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,449 |
2,699 |
$4K |
| 73130 |
|
276 |
258 |
$4K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
33 |
32 |
$4K |
| 73564 |
|
152 |
145 |
$3K |
| 73030 |
|
223 |
210 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
570 |
535 |
$3K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
135 |
125 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
83 |
74 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
212 |
203 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
651 |
567 |
$2K |
| 84484 |
|
1,062 |
825 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
28 |
26 |
$2K |
| 73610 |
|
165 |
153 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
212 |
203 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
41 |
38 |
$2K |
| OP250 |
|
1,508 |
1,187 |
$2K |
| 86901 |
|
101 |
88 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
75 |
68 |
$2K |
| 90715 |
|
107 |
101 |
$2K |
| 84703 |
|
1,260 |
1,147 |
$1K |
| 80053 |
Comprehensive metabolic panel |
579 |
497 |
$1K |
| 96376 |
|
218 |
189 |
$1K |
| 82553 |
|
862 |
716 |
$1K |
| 83880 |
|
254 |
216 |
$1K |
| 80076 |
|
915 |
808 |
$1K |
| 82962 |
|
1,410 |
1,041 |
$1K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
55 |
54 |
$1K |
| 86850 |
|
98 |
88 |
$1K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
275 |
249 |
$959.07 |
| 81001 |
|
2,048 |
1,837 |
$912.82 |
| 86900 |
|
101 |
88 |
$910.45 |
| 82550 |
|
903 |
737 |
$872.97 |
| 83690 |
|
861 |
762 |
$863.82 |
| 73562 |
|
97 |
81 |
$855.63 |
| 83735 |
|
827 |
647 |
$807.87 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
134 |
105 |
$765.08 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
282 |
274 |
$736.52 |
| 84443 |
Thyroid stimulating hormone (TSH) |
228 |
197 |
$720.97 |
| 73110 |
|
43 |
42 |
$563.45 |
| 74018 |
|
50 |
44 |
$560.20 |
| 97010 |
|
358 |
123 |
$539.58 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
173 |
74 |
$538.21 |
| 88342 |
|
14 |
12 |
$519.36 |
| C1767 |
Generator, neurostimulator (implantable), non-rechargeable |
128 |
122 |
$503.60 |
| 73502 |
|
43 |
37 |
$464.39 |
| 77080 |
|
14 |
12 |
$449.63 |
| 85027 |
|
173 |
151 |
$423.87 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
321 |
295 |
$388.82 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
221 |
73 |
$369.18 |
| J3490 |
Unclassified drugs |
1,344 |
781 |
$342.83 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
797 |
626 |
$342.16 |
| 93971 |
|
12 |
12 |
$267.34 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
331 |
302 |
$263.57 |
| 87420 |
|
70 |
67 |
$252.19 |
| 85610 |
|
267 |
224 |
$251.72 |
| 85379 |
|
171 |
155 |
$236.00 |
| 80061 |
Lipid panel |
112 |
98 |
$179.53 |
| 85730 |
|
129 |
107 |
$165.58 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
108 |
97 |
$137.34 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
833 |
678 |
$122.99 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
329 |
190 |
$119.51 |
| OP637 |
|
698 |
414 |
$117.47 |
| 83605 |
|
61 |
51 |
$114.96 |
| 97014 |
|
55 |
13 |
$99.47 |
| J2704 |
Injection, propofol, 10 mg |
298 |
242 |
$87.82 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
255 |
212 |
$83.45 |
| 87081 |
|
46 |
44 |
$74.45 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
285 |
236 |
$72.78 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
81 |
50 |
$68.96 |
| 84100 |
|
84 |
78 |
$57.46 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
431 |
308 |
$46.65 |
| Q9963 |
High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml |
125 |
114 |
$46.11 |
| 82803 |
|
16 |
14 |
$45.89 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
35 |
26 |
$45.47 |
| J2060 |
Injection, lorazepam, 2 mg |
79 |
59 |
$41.74 |
| 82248 |
|
27 |
25 |
$38.72 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
181 |
149 |
$37.01 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
13 |
12 |
$26.40 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
33 |
29 |
$16.08 |
| J1630 |
Injection, haloperidol, up to 5 mg |
40 |
29 |
$14.78 |
| 87040 |
|
17 |
12 |
$11.79 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
210 |
147 |
$11.44 |
| A9270 |
Non-covered item or service |
276 |
263 |
$4.77 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
56 |
38 |
$4.74 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
153 |
107 |
$4.03 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
35 |
28 |
$3.52 |
| C9113 |
Injection, pantoprazole sodium, per vial |
35 |
25 |
$3.46 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
35 |
32 |
$1.72 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
15 |
13 |
$0.00 |
| J2470 |
Injection, pantoprazole sodium, 40 mg |
16 |
12 |
$0.00 |