| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96361 |
Intravenous infusion, hydration; each additional hour |
402 |
359 |
$55K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,149 |
334 |
$49K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
924 |
846 |
$45K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
838 |
792 |
$44K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
414 |
380 |
$22K |
| 80053 |
Comprehensive metabolic panel |
652 |
605 |
$17K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
690 |
229 |
$17K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
168 |
159 |
$17K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
85 |
81 |
$16K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
186 |
174 |
$13K |
| 87081 |
|
207 |
201 |
$10K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
69 |
60 |
$9K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
101 |
98 |
$9K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
128 |
101 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
132 |
121 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
935 |
838 |
$7K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
380 |
337 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
87 |
81 |
$7K |
| 70450 |
Computed tomography, head or brain; without contrast material |
142 |
134 |
$6K |
| 81001 |
|
461 |
425 |
$6K |
| 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 |
90 |
84 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
230 |
224 |
$5K |
| 81025 |
|
368 |
344 |
$4K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
69 |
67 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
116 |
110 |
$4K |
| 82962 |
|
206 |
175 |
$4K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
38 |
38 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
412 |
380 |
$3K |
| 97161 |
|
67 |
65 |
$3K |
| 81003 |
|
277 |
261 |
$3K |
| 84484 |
|
276 |
224 |
$2K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
15 |
13 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
52 |
52 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
52 |
52 |
$2K |
| 83690 |
|
245 |
222 |
$2K |
| 97162 |
|
43 |
39 |
$2K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
65 |
38 |
$2K |
| 82565 |
|
47 |
42 |
$1K |
| 76830 |
Ultrasound, transvaginal |
16 |
16 |
$1K |
| 85610 |
|
148 |
140 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
132 |
118 |
$915.47 |
| 84443 |
Thyroid stimulating hormone (TSH) |
55 |
54 |
$906.45 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
33 |
12 |
$883.25 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
14 |
$718.48 |
| 82550 |
|
60 |
55 |
$667.66 |
| 83605 |
|
76 |
68 |
$605.75 |
| 85027 |
|
81 |
74 |
$546.24 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
453 |
416 |
$501.20 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
15 |
$494.46 |
| 80061 |
Lipid panel |
32 |
29 |
$476.14 |
| 74018 |
|
26 |
24 |
$402.79 |
| 80076 |
|
39 |
39 |
$341.25 |
| 85730 |
|
52 |
49 |
$282.34 |
| 71045 |
Radiologic examination, chest; single view |
185 |
171 |
$261.82 |
| 83880 |
|
14 |
13 |
$238.88 |
| 85379 |
|
28 |
26 |
$236.40 |
| 82553 |
|
38 |
35 |
$190.95 |
| 87040 |
|
12 |
12 |
$171.52 |
| 87186 |
|
27 |
25 |
$167.98 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
18 |
15 |
$162.54 |
| 86901 |
|
44 |
42 |
$142.28 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
17 |
16 |
$126.75 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
451 |
409 |
$120.77 |
| 73630 |
|
29 |
27 |
$107.55 |
| 72100 |
|
12 |
12 |
$83.90 |
| 86900 |
|
15 |
13 |
$77.23 |
| 86850 |
|
13 |
12 |
$64.83 |
| 73610 |
|
27 |
26 |
$64.80 |
| 83735 |
|
14 |
12 |
$64.15 |
| 73564 |
|
13 |
13 |
$48.80 |
| 73502 |
|
12 |
12 |
$32.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
330 |
292 |
$28.23 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
196 |
173 |
$9.83 |
| 36415 |
Collection of venous blood by venipuncture |
114 |
104 |
$3.00 |
| J2704 |
Injection, propofol, 10 mg |
189 |
164 |
$2.37 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
186 |
163 |
$2.17 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
336 |
302 |
$0.59 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
224 |
203 |
$0.26 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
271 |
247 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
49 |
47 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
100 |
84 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
126 |
119 |
$0.00 |
| 96376 |
|
13 |
12 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
57 |
34 |
$0.00 |
| 94760 |
|
170 |
153 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
71 |
68 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
17 |
12 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
49 |
42 |
$0.00 |