| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
6,664 |
5,220 |
$2.00M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,422 |
6,074 |
$1.29M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
716 |
570 |
$296K |
| 80053 |
Comprehensive metabolic panel |
4,885 |
4,365 |
$78K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
871 |
771 |
$68K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
457 |
395 |
$64K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,514 |
4,031 |
$56K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
496 |
446 |
$39K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
381 |
338 |
$34K |
| 36415 |
Collection of venous blood by venipuncture |
9,101 |
7,826 |
$33K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
149 |
140 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
720 |
557 |
$16K |
| 70450 |
Computed tomography, head or brain; without contrast material |
113 |
96 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
206 |
181 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
253 |
219 |
$12K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
65 |
58 |
$9K |
| 83735 |
|
478 |
435 |
$9K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
70 |
59 |
$9K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
183 |
153 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
303 |
165 |
$5K |
| 86140 |
|
667 |
587 |
$5K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
43 |
37 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
89 |
82 |
$3K |
| 81001 |
|
732 |
668 |
$3K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
413 |
270 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
64 |
60 |
$3K |
| 59025 |
Fetal non-stress test |
18 |
14 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
19 |
12 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
64 |
60 |
$2K |
| 80050 |
General health panel |
48 |
45 |
$2K |
| 87430 |
|
136 |
128 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
15 |
14 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
35 |
30 |
$1K |
| 85027 |
|
404 |
374 |
$1K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
306 |
262 |
$1K |
| 96376 |
|
14 |
13 |
$1K |
| 83690 |
|
159 |
147 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
199 |
184 |
$1K |
| 84484 |
|
148 |
127 |
$1K |
| 87081 |
|
133 |
121 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
109 |
96 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
94 |
89 |
$1K |
| 87808 |
|
66 |
61 |
$943.43 |
| 74018 |
|
14 |
13 |
$920.51 |
| 81025 |
|
86 |
84 |
$706.20 |
| 85007 |
|
317 |
294 |
$590.02 |
| 80306 |
|
43 |
40 |
$575.36 |
| 87807 |
|
35 |
33 |
$473.99 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
73 |
51 |
$445.40 |
| 87040 |
|
61 |
44 |
$434.30 |
| 84703 |
|
48 |
48 |
$384.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
209 |
191 |
$370.62 |
| 81003 |
|
152 |
110 |
$343.20 |
| 87210 |
|
63 |
60 |
$330.55 |
| 85610 |
|
71 |
59 |
$137.96 |
| J3490 |
Unclassified drugs |
17 |
12 |
$111.46 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
12 |
$86.73 |
| 87088 |
|
13 |
12 |
$72.25 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
34 |
24 |
$67.52 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
76 |
51 |
$25.44 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
12 |
12 |
$4.90 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
232 |
173 |
$3.30 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
15 |
12 |
$2.64 |
| A9270 |
Non-covered item or service |
957 |
644 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
269 |
114 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
51 |
48 |
$0.00 |