| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,168 |
7,233 |
$2.75M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,739 |
3,211 |
$1.52M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,465 |
1,238 |
$1.15M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,100 |
1,932 |
$591K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
48 |
43 |
$56K |
| 59025 |
Fetal non-stress test |
243 |
108 |
$30K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
363 |
348 |
$29K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
593 |
455 |
$16K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
247 |
93 |
$12K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
50 |
27 |
$11K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,251 |
1,770 |
$11K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
57 |
53 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
576 |
474 |
$7K |
| G0378 |
Hospital observation service, per hour |
28 |
12 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
1,441 |
1,099 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
87 |
76 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
803 |
745 |
$962.28 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
90 |
83 |
$601.32 |
| 80053 |
Comprehensive metabolic panel |
4,001 |
3,207 |
$319.79 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
433 |
401 |
$246.00 |
| 84484 |
|
1,228 |
992 |
$240.39 |
| 84703 |
|
1,373 |
1,229 |
$237.36 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$186.08 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
625 |
407 |
$102.62 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,465 |
1,340 |
$101.28 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,841 |
1,487 |
$93.22 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,260 |
1,863 |
$79.60 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,162 |
1,713 |
$77.72 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,299 |
1,923 |
$49.82 |
| 73564 |
|
13 |
12 |
$46.48 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,871 |
3,055 |
$37.40 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
382 |
228 |
$29.06 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
157 |
141 |
$26.94 |
| 94762 |
|
758 |
641 |
$16.30 |
| C1751 |
Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) |
1,706 |
1,448 |
$11.92 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
709 |
609 |
$6.96 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,552 |
1,385 |
$6.66 |
| 83690 |
|
1,130 |
944 |
$6.08 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
373 |
305 |
$0.81 |
| 93041 |
|
262 |
223 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,393 |
1,168 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
2,127 |
1,548 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
237 |
210 |
$0.00 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
111 |
105 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
863 |
745 |
$0.00 |
| 80305 |
|
13 |
12 |
$0.00 |
| 87186 |
|
41 |
38 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
25 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
109 |
89 |
$0.00 |
| 85610 |
|
73 |
63 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
14 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
403 |
340 |
$0.00 |
| 87040 |
|
19 |
15 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
840 |
726 |
$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 |
218 |
201 |
$0.00 |
| 81001 |
|
2,615 |
2,286 |
$0.00 |
| 87077 |
|
166 |
155 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
50 |
43 |
$0.00 |
| 83605 |
|
520 |
436 |
$0.00 |
| A9270 |
Non-covered item or service |
105 |
86 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
339 |
304 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
39 |
38 |
$0.00 |
| 85027 |
|
752 |
609 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
15 |
12 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
139 |
130 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
271 |
248 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
72 |
64 |
$0.00 |
| 96376 |
|
83 |
64 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
56 |
53 |
$0.00 |
| 83735 |
|
67 |
57 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
12 |
12 |
$0.00 |
| 83880 |
|
59 |
52 |
$0.00 |
| 87070 |
|
12 |
12 |
$0.00 |
| 81015 |
|
12 |
12 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
12 |
12 |
$0.00 |
| 85730 |
|
28 |
25 |
$0.00 |