| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
336 |
326 |
$40K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
419 |
403 |
$23K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
600 |
598 |
$7K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
7,728 |
6,564 |
$7K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
283 |
276 |
$6K |
| 77080 |
|
266 |
266 |
$5K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
619 |
181 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
574 |
556 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
112 |
111 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,057 |
2,046 |
$3K |
| 80053 |
Comprehensive metabolic panel |
2,120 |
1,935 |
$3K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
51 |
51 |
$3K |
| 80061 |
Lipid panel |
1,147 |
1,140 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
807 |
802 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
600 |
598 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
178 |
173 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
117 |
117 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
4,841 |
4,117 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
348 |
347 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,350 |
1,208 |
$1K |
| 82607 |
|
428 |
428 |
$1K |
| 84153 |
|
398 |
392 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,684 |
1,458 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
26 |
25 |
$705.52 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
13 |
13 |
$656.85 |
| 82043 |
|
679 |
676 |
$571.58 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
626 |
564 |
$558.78 |
| 85027 |
|
498 |
489 |
$488.24 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
386 |
321 |
$445.23 |
| 84154 |
|
151 |
148 |
$436.08 |
| 83880 |
|
118 |
117 |
$426.64 |
| 72100 |
|
13 |
13 |
$393.45 |
| 71250 |
|
13 |
13 |
$393.45 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
57 |
56 |
$381.87 |
| 82746 |
|
107 |
107 |
$271.53 |
| 84439 |
|
121 |
120 |
$244.42 |
| 82728 |
|
249 |
242 |
$220.66 |
| 85610 |
|
399 |
275 |
$219.87 |
| 81001 |
|
739 |
685 |
$212.22 |
| 84466 |
|
240 |
233 |
$206.63 |
| 83735 |
|
258 |
224 |
$173.17 |
| 80076 |
|
199 |
198 |
$171.33 |
| 86803 |
|
67 |
66 |
$139.22 |
| 71045 |
Radiologic examination, chest; single view |
31 |
29 |
$132.38 |
| 83540 |
|
246 |
239 |
$120.74 |
| 87186 |
|
128 |
122 |
$118.56 |
| 84484 |
|
250 |
216 |
$111.48 |
| 83970 |
|
12 |
12 |
$101.92 |
| 87088 |
|
135 |
124 |
$101.01 |
| 86780 |
|
31 |
31 |
$98.04 |
| 82948 |
|
345 |
190 |
$95.76 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
24 |
24 |
$90.30 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
100 |
36 |
$68.21 |
| 73030 |
|
15 |
12 |
$66.40 |
| 82565 |
|
210 |
208 |
$58.72 |
| 82270 |
|
78 |
78 |
$56.85 |
| 85730 |
|
84 |
82 |
$51.64 |
| 84165 |
|
12 |
12 |
$26.52 |
| 84460 |
|
38 |
38 |
$26.16 |
| 84520 |
|
121 |
120 |
$25.74 |
| 84450 |
|
37 |
37 |
$25.56 |
| 85652 |
|
49 |
48 |
$9.99 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
240 |
234 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
19 |
18 |
$0.00 |
| 93017 |
|
14 |
14 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
20 |
15 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
67 |
66 |
$0.00 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
20 |
18 |
$0.00 |
| G0378 |
Hospital observation service, per hour |
283 |
144 |
$0.00 |
| 83690 |
|
15 |
14 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
165 |
164 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
17 |
17 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
17 |
14 |
$0.00 |
| 87040 |
|
14 |
12 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
37 |
37 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
13 |
13 |
$0.00 |