| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,805 |
4,364 |
$582K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,179 |
1,804 |
$284K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,555 |
1,235 |
$261K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
739 |
593 |
$39K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
320 |
286 |
$28K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,553 |
1,360 |
$16K |
| 92587 |
|
589 |
407 |
$16K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
266 |
220 |
$15K |
| 59025 |
Fetal non-stress test |
111 |
83 |
$8K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
101 |
88 |
$8K |
| G0378 |
Hospital observation service, per hour |
391 |
167 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
294 |
250 |
$7K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
215 |
196 |
$6K |
| 80053 |
Comprehensive metabolic panel |
1,225 |
944 |
$3K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
31 |
29 |
$3K |
| 93975 |
|
36 |
28 |
$2K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
345 |
297 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,049 |
813 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,114 |
747 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
453 |
385 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
571 |
455 |
$879.78 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
85 |
75 |
$679.58 |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
82 |
77 |
$626.67 |
| 87081 |
|
214 |
191 |
$558.52 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
978 |
732 |
$455.65 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
194 |
134 |
$454.92 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
13 |
$440.96 |
| 80305 |
|
212 |
182 |
$425.59 |
| 81001 |
|
1,158 |
921 |
$415.02 |
| 87088 |
|
495 |
414 |
$366.70 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
732 |
546 |
$343.05 |
| 36415 |
Collection of venous blood by venipuncture |
1,069 |
775 |
$318.63 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,522 |
1,715 |
$309.20 |
| 81025 |
|
962 |
751 |
$297.11 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
17 |
13 |
$229.65 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
30 |
29 |
$214.02 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
40 |
32 |
$205.33 |
| 81002 |
|
142 |
121 |
$170.64 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
37 |
31 |
$164.67 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
718 |
506 |
$164.67 |
| 81003 |
|
207 |
185 |
$130.16 |
| 84704 |
|
66 |
49 |
$98.94 |
| 74019 |
|
76 |
72 |
$41.06 |
| 82248 |
|
57 |
50 |
$39.91 |
| 71045 |
Radiologic examination, chest; single view |
683 |
554 |
$36.75 |
| 84484 |
|
775 |
479 |
$14.54 |
| 83735 |
|
340 |
227 |
$12.60 |
| 80076 |
|
313 |
240 |
$8.35 |
| 82962 |
|
136 |
108 |
$6.28 |
| 80051 |
|
72 |
46 |
$5.17 |
| 84443 |
Thyroid stimulating hormone (TSH) |
77 |
65 |
$4.05 |
| 82310 |
|
72 |
46 |
$3.13 |
| 82565 |
|
102 |
66 |
$3.12 |
| 83690 |
|
642 |
500 |
$2.95 |
| 82947 |
|
74 |
48 |
$1.56 |
| 84520 |
|
74 |
48 |
$1.56 |
| 86901 |
|
97 |
83 |
$1.38 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
477 |
340 |
$0.00 |
| 86140 |
|
66 |
61 |
$0.00 |
| 87430 |
|
418 |
367 |
$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 |
91 |
71 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
229 |
186 |
$0.00 |
| 85730 |
|
227 |
186 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
87 |
54 |
$0.00 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
68 |
63 |
$0.00 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
40 |
39 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
27 |
17 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
21 |
14 |
$0.00 |
| 96376 |
|
53 |
35 |
$0.00 |
| 83605 |
|
103 |
89 |
$0.00 |
| 82550 |
|
15 |
14 |
$0.00 |
| 85379 |
|
45 |
43 |
$0.00 |
| 83880 |
|
16 |
15 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
13 |
12 |
$0.00 |
| 85652 |
|
31 |
30 |
$0.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
20 |
12 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
15 |
12 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
202 |
134 |
$0.00 |
| 85610 |
|
285 |
229 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
27 |
24 |
$0.00 |
| 87210 |
|
34 |
31 |
$0.00 |
| 73610 |
|
14 |
14 |
$0.00 |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
43 |
25 |
$0.00 |
| 73630 |
|
13 |
12 |
$0.00 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
31 |
14 |
$0.00 |
| 0002A |
|
13 |
13 |
$0.00 |
| 84100 |
|
16 |
12 |
$0.00 |