| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13,183 |
12,133 |
$624K |
| Z7502 |
|
5,883 |
5,606 |
$215K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,648 |
3,456 |
$213K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,625 |
1,525 |
$138K |
| 80053 |
Comprehensive metabolic panel |
10,679 |
9,313 |
$113K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,015 |
3,854 |
$99K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
997 |
951 |
$93K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,789 |
8,689 |
$78K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,281 |
762 |
$70K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,044 |
2,561 |
$54K |
| 70450 |
Computed tomography, head or brain; without contrast material |
401 |
395 |
$49K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,632 |
1,564 |
$43K |
| Z7610 |
|
3,346 |
3,197 |
$39K |
| 0450 |
Emergency room services |
823 |
705 |
$37K |
| 86710 |
|
2,144 |
2,073 |
$37K |
| 71250 |
|
233 |
228 |
$34K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,617 |
1,442 |
$31K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,405 |
2,846 |
$30K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
832 |
777 |
$28K |
| 80061 |
Lipid panel |
1,604 |
1,598 |
$28K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,119 |
1,108 |
$27K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
891 |
810 |
$27K |
| 87430 |
|
1,565 |
1,529 |
$19K |
| 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 |
266 |
250 |
$17K |
| 82553 |
|
1,523 |
1,329 |
$17K |
| 84484 |
|
1,683 |
1,458 |
$16K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
748 |
689 |
$16K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
628 |
628 |
$16K |
| 99222 |
Initial hospital care, per day, moderate complexity |
263 |
254 |
$15K |
| 99499 |
|
339 |
269 |
$15K |
| 99070 |
|
3,650 |
3,211 |
$15K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
994 |
991 |
$14K |
| 83880 |
|
731 |
672 |
$13K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
233 |
191 |
$11K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
887 |
853 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
1,558 |
1,460 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
699 |
681 |
$10K |
| 81001 |
|
3,117 |
2,871 |
$10K |
| 82550 |
|
2,038 |
1,811 |
$9K |
| 84439 |
|
692 |
688 |
$8K |
| 81025 |
|
1,268 |
1,172 |
$8K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,089 |
1,777 |
$8K |
| 83690 |
|
712 |
653 |
$6K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
125 |
120 |
$5K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,040 |
1,737 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
29 |
29 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
326 |
294 |
$5K |
| 85379 |
|
375 |
346 |
$4K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,135 |
1,033 |
$4K |
| 82150 |
|
439 |
402 |
$4K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
105 |
65 |
$3K |
| 87088 |
|
564 |
531 |
$3K |
| 84481 |
|
161 |
161 |
$3K |
| 85730 |
|
421 |
400 |
$3K |
| J3490 |
Unclassified drugs |
1,527 |
1,205 |
$2K |
| 82746 |
|
132 |
132 |
$2K |
| 85610 |
|
447 |
424 |
$2K |
| 87040 |
|
151 |
115 |
$2K |
| 82607 |
|
84 |
84 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
41 |
39 |
$1K |
| 83735 |
|
207 |
193 |
$1K |
| Z7504 |
|
29 |
26 |
$1K |
| J3370 |
Injection, vancomycin hcl, 500 mg |
115 |
50 |
$1K |
| 80305 |
|
167 |
157 |
$1K |
| 83605 |
|
107 |
104 |
$1K |
| 96367 |
|
24 |
24 |
$811.72 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
151 |
139 |
$767.73 |
| 87186 |
|
84 |
78 |
$737.42 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
22 |
12 |
$733.89 |
| 73630 |
|
37 |
37 |
$688.97 |
| 71020 |
|
25 |
13 |
$609.69 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$592.95 |
| 87807 |
|
71 |
71 |
$580.61 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
182 |
155 |
$540.90 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
12 |
12 |
$509.68 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
809 |
719 |
$498.07 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
81 |
69 |
$468.78 |
| 84436 |
|
39 |
39 |
$421.33 |
| 87077 |
|
99 |
92 |
$320.31 |
| 86703 |
|
14 |
14 |
$232.31 |
| 73130 |
|
12 |
12 |
$226.74 |
| 0270 |
|
213 |
195 |
$224.88 |
| 36415 |
Collection of venous blood by venipuncture |
2,359 |
1,865 |
$184.45 |
| 87899 |
|
14 |
14 |
$184.42 |
| 82977 |
|
36 |
36 |
$155.28 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
20 |
14 |
$73.48 |
| 82043 |
|
13 |
13 |
$52.40 |
| S0164 |
Injection, pantoprazole sodium, 40 mg |
12 |
12 |
$51.68 |
| 0250 |
|
51 |
34 |
$32.38 |
| 0250R |
|
215 |
194 |
$0.00 |
| 0272R |
|
147 |
131 |
$0.00 |
| 0270R |
|
111 |
89 |
$0.00 |