| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,785 |
2,636 |
$536K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,366 |
1,293 |
$352K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
342 |
335 |
$182K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
451 |
447 |
$40K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
84 |
84 |
$30K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
499 |
488 |
$29K |
| 70450 |
Computed tomography, head or brain; without contrast material |
137 |
133 |
$6K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
636 |
590 |
$216.81 |
| J0137 |
Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg |
56 |
56 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
454 |
436 |
$0.00 |
| 81003 |
|
1,136 |
1,071 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
308 |
306 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
194 |
176 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
530 |
504 |
$0.00 |
| 81025 |
|
158 |
155 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
679 |
649 |
$0.00 |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
347 |
347 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
315 |
305 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
781 |
737 |
$0.00 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
273 |
269 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
108 |
101 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 85610 |
|
64 |
63 |
$0.00 |
| Q0163 |
Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen |
16 |
14 |
$0.00 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
46 |
46 |
$0.00 |
| 73130 |
|
12 |
12 |
$0.00 |
| 73562 |
|
12 |
12 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$0.00 |
| 84100 |
|
14 |
14 |
$0.00 |
| 84702 |
|
12 |
12 |
$0.00 |
| 83690 |
|
724 |
673 |
$0.00 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
176 |
174 |
$0.00 |
| 85730 |
|
29 |
28 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
1,425 |
1,330 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
638 |
625 |
$0.00 |
| 85027 |
|
436 |
422 |
$0.00 |
| 36416 |
|
85 |
84 |
$0.00 |
| 84484 |
|
543 |
463 |
$0.00 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
130 |
121 |
$0.00 |
| 83735 |
|
428 |
411 |
$0.00 |
| 83605 |
|
90 |
81 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
464 |
460 |
$0.00 |
| 83880 |
|
72 |
71 |
$0.00 |
| 87081 |
|
266 |
264 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
460 |
441 |
$0.00 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
191 |
191 |
$0.00 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
221 |
214 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
801 |
750 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
166 |
157 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,643 |
1,527 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
182 |
179 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
322 |
313 |
$0.00 |
| 82962 |
|
81 |
70 |
$0.00 |
| 85379 |
|
58 |
58 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,126 |
1,069 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
134 |
130 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
31 |
27 |
$0.00 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
110 |
100 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
42 |
41 |
$0.00 |
| 82550 |
|
15 |
15 |
$0.00 |
| 84703 |
|
49 |
49 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |