| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,091 |
7,682 |
$1.79M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
6,943 |
6,521 |
$1.50M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
512 |
490 |
$102K |
| G0378 |
Hospital observation service, per hour |
19 |
19 |
$41K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
119 |
112 |
$27K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
184 |
157 |
$22K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,257 |
2,921 |
$13K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
118 |
111 |
$11K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
114 |
111 |
$11K |
| 76642 |
|
52 |
48 |
$11K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,033 |
949 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
25 |
24 |
$3K |
| 80053 |
Comprehensive metabolic panel |
1,885 |
1,742 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,878 |
3,424 |
$2K |
| 84484 |
|
1,949 |
1,636 |
$1K |
| Q0092 |
Set-up portable x-ray equipment |
1,063 |
1,010 |
$1K |
| 81025 |
|
1,041 |
965 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
1,143 |
1,072 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
71 |
68 |
$981.72 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$975.14 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
938 |
818 |
$907.43 |
| 81001 |
|
802 |
748 |
$879.65 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
416 |
402 |
$813.17 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
567 |
539 |
$612.83 |
| 70450 |
Computed tomography, head or brain; without contrast material |
91 |
90 |
$444.09 |
| 83735 |
|
757 |
634 |
$258.34 |
| 71046 |
Radiologic examination, chest; 2 views |
89 |
89 |
$155.91 |
| 73610 |
|
17 |
16 |
$100.38 |
| 73130 |
|
26 |
25 |
$61.88 |
| 83690 |
|
494 |
468 |
$57.00 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
181 |
155 |
$25.20 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
119 |
116 |
$18.21 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
150 |
142 |
$15.85 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
150 |
142 |
$15.85 |
| 87210 |
|
78 |
69 |
$1.06 |
| 82948 |
|
129 |
98 |
$1.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,137 |
1,870 |
$0.86 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,235 |
1,004 |
$0.60 |
| J3490 |
Unclassified drugs |
2,108 |
1,458 |
$0.04 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
857 |
528 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
425 |
338 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
402 |
336 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
129 |
113 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
494 |
357 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
231 |
125 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
357 |
316 |
$0.00 |
| J2371 |
Injection, phenylephrine hydrochloride, 20 micrograms |
13 |
12 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
259 |
194 |
$0.00 |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
203 |
193 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
284 |
251 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
437 |
362 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
15 |
13 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
350 |
293 |
$0.00 |
| 87070 |
|
50 |
46 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
48 |
45 |
$0.00 |
| 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 |
142 |
137 |
$0.00 |
| 83605 |
|
17 |
14 |
$0.00 |
| J1817 |
Insulin for administration through dme (i.e., insulin pump) per 50 units |
56 |
26 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
13 |
12 |
$0.00 |
| 84703 |
|
17 |
16 |
$0.00 |
| J3480 |
Injection, potassium chloride, per 2 meq |
21 |
13 |
$0.00 |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
349 |
261 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
329 |
276 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
14 |
13 |
$0.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
127 |
107 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
136 |
112 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
38 |
32 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
100 |
90 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,009 |
938 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
29 |
14 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
47 |
45 |
$0.00 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
117 |
66 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
55 |
49 |
$0.00 |
| 85610 |
|
14 |
13 |
$0.00 |
| 84702 |
|
43 |
34 |
$0.00 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
71 |
69 |
$0.00 |