| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,122 |
2,319 |
$1.11M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,419 |
4,240 |
$864K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
4,175 |
3,495 |
$689K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,001 |
4,332 |
$672K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,875 |
2,246 |
$453K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,072 |
1,791 |
$347K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,110 |
1,884 |
$325K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,538 |
981 |
$316K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,203 |
2,184 |
$264K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,974 |
1,688 |
$212K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
984 |
865 |
$203K |
| 70450 |
Computed tomography, head or brain; without contrast material |
646 |
574 |
$145K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,931 |
969 |
$98K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,508 |
2,157 |
$96K |
| 87631 |
|
750 |
666 |
$87K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
259 |
216 |
$57K |
| 80053 |
Comprehensive metabolic panel |
6,146 |
4,876 |
$47K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
443 |
287 |
$39K |
| 71046 |
Radiologic examination, chest; 2 views |
2,516 |
2,208 |
$36K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,647 |
5,936 |
$35K |
| 59025 |
Fetal non-stress test |
127 |
70 |
$31K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
279 |
230 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
216 |
184 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
216 |
190 |
$21K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
777 |
264 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
176 |
159 |
$19K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
40 |
36 |
$17K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,841 |
2,214 |
$16K |
| 73630 |
|
618 |
488 |
$16K |
| 81025 |
|
1,776 |
1,509 |
$12K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
75 |
66 |
$12K |
| 84484 |
|
2,299 |
1,688 |
$11K |
| 83605 |
|
1,850 |
1,400 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
678 |
607 |
$9K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
978 |
733 |
$9K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
455 |
392 |
$9K |
| G0378 |
Hospital observation service, per hour |
184 |
81 |
$9K |
| 83690 |
|
1,859 |
1,498 |
$8K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
272 |
242 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
53 |
41 |
$8K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,731 |
3,760 |
$8K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
27 |
25 |
$8K |
| 81001 |
|
2,707 |
2,314 |
$6K |
| 87070 |
|
703 |
621 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
27 |
25 |
$6K |
| 85027 |
|
1,146 |
883 |
$5K |
| 76830 |
Ultrasound, transvaginal |
43 |
38 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
797 |
708 |
$4K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
3,203 |
2,571 |
$4K |
| 82962 |
|
1,802 |
791 |
$4K |
| 73610 |
|
187 |
160 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
377 |
336 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,597 |
1,297 |
$3K |
| 83880 |
|
255 |
221 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
66 |
51 |
$3K |
| 81003 |
|
1,232 |
1,078 |
$2K |
| 82077 |
|
288 |
217 |
$2K |
| 83735 |
|
628 |
498 |
$2K |
| 99201 |
|
14 |
14 |
$2K |
| 85610 |
|
386 |
294 |
$2K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
36 |
12 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
10,163 |
7,327 |
$2K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
20 |
16 |
$2K |
| 73030 |
|
57 |
49 |
$1K |
| 73562 |
|
80 |
61 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
1,394 |
1,208 |
$1K |
| 84145 |
|
109 |
89 |
$1K |
| 80306 |
|
73 |
64 |
$911.14 |
| 97035 |
|
83 |
26 |
$779.93 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
16 |
12 |
$760.25 |
| 87040 |
|
164 |
93 |
$690.88 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$665.01 |
| 87186 |
|
137 |
126 |
$606.21 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13 |
12 |
$605.84 |
| 99000 |
|
110 |
93 |
$558.99 |
| 73130 |
|
30 |
24 |
$517.30 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,482 |
1,982 |
$487.76 |
| 85379 |
|
66 |
62 |
$363.45 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
12 |
$316.10 |
| 94761 |
|
2,809 |
2,145 |
$286.33 |
| 82805 |
|
13 |
12 |
$279.37 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
43 |
39 |
$273.97 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,018 |
862 |
$230.92 |
| 86140 |
|
64 |
51 |
$217.76 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
242 |
215 |
$187.67 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
2,210 |
1,655 |
$176.64 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
867 |
728 |
$155.42 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,908 |
2,298 |
$153.03 |
| 87088 |
|
43 |
39 |
$146.95 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,986 |
1,734 |
$136.58 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
3,394 |
2,595 |
$126.24 |
| 80050 |
General health panel |
12 |
12 |
$39.10 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,394 |
1,903 |
$38.98 |
| 85652 |
|
18 |
16 |
$38.47 |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,818 |
1,353 |
$33.23 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
814 |
686 |
$19.15 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
381 |
282 |
$14.76 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
154 |
139 |
$12.83 |
| 96376 |
|
212 |
153 |
$8.02 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
123 |
94 |
$5.99 |
| 36000 |
|
31 |
26 |
$5.10 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
605 |
509 |
$3.01 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
14 |
12 |
$2.93 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
24 |
24 |
$2.16 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
648 |
538 |
$1.26 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
62 |
51 |
$0.62 |
| J2060 |
Injection, lorazepam, 2 mg |
14 |
12 |
$0.24 |
| J3490 |
Unclassified drugs |
243 |
184 |
$0.13 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
30 |
26 |
$0.00 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
29 |
25 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
36 |
26 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
57 |
37 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
16 |
12 |
$0.00 |