| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,518 |
6,948 |
$1.33M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,969 |
4,600 |
$1.17M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,531 |
3,167 |
$851K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
858 |
798 |
$333K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
744 |
683 |
$318K |
| 70450 |
Computed tomography, head or brain; without contrast material |
934 |
857 |
$204K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,119 |
1,047 |
$121K |
| G0378 |
Hospital observation service, per hour |
75 |
60 |
$39K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
115 |
108 |
$30K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
25 |
25 |
$17K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
31 |
30 |
$10K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,186 |
1,786 |
$9K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,316 |
1,170 |
$8K |
| J3490 |
Unclassified drugs |
2,431 |
1,563 |
$5K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
75 |
70 |
$4K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,486 |
2,475 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,269 |
1,938 |
$2K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,373 |
2,240 |
$2K |
| 96376 |
|
814 |
496 |
$1K |
| J1815 |
Injection, insulin, per 5 units |
14 |
12 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
2,480 |
2,207 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
3,762 |
3,318 |
$966.72 |
| 80053 |
Comprehensive metabolic panel |
6,289 |
5,288 |
$937.62 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,031 |
977 |
$928.84 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
37 |
27 |
$765.63 |
| 87428 |
|
2,072 |
1,880 |
$671.37 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,942 |
1,627 |
$474.98 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,481 |
5,118 |
$453.19 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
680 |
609 |
$327.57 |
| 84484 |
|
2,193 |
1,657 |
$296.38 |
| A4649 |
Surgical supply; miscellaneous |
1,379 |
1,175 |
$278.10 |
| 93000 |
|
477 |
409 |
$249.97 |
| 71046 |
Radiologic examination, chest; 2 views |
841 |
798 |
$188.01 |
| 83690 |
|
2,118 |
1,870 |
$179.89 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,285 |
1,205 |
$160.07 |
| 83880 |
|
500 |
443 |
$142.71 |
| 85004 |
|
1,270 |
995 |
$135.50 |
| A4248 |
Chlorhexidine containing antiseptic, 1 ml |
1,068 |
965 |
$134.56 |
| 83605 |
|
1,098 |
871 |
$98.90 |
| 81001 |
|
2,594 |
2,147 |
$87.01 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
822 |
689 |
$83.36 |
| 85379 |
|
653 |
593 |
$75.80 |
| 83735 |
|
1,470 |
1,222 |
$75.31 |
| 84703 |
|
763 |
694 |
$68.96 |
| 81003 |
|
2,556 |
2,344 |
$65.49 |
| 81025 |
|
1,052 |
977 |
$61.22 |
| 36415 |
Collection of venous blood by venipuncture |
2,845 |
2,573 |
$58.95 |
| 82077 |
|
177 |
167 |
$58.73 |
| 85730 |
|
905 |
833 |
$50.81 |
| A4244 |
Alcohol or peroxide, per pint |
68 |
64 |
$48.24 |
| 85610 |
|
1,298 |
1,013 |
$46.58 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,684 |
2,406 |
$43.72 |
| 84443 |
Thyroid stimulating hormone (TSH) |
192 |
185 |
$40.70 |
| 84702 |
|
558 |
516 |
$40.36 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
181 |
160 |
$35.33 |
| 80305 |
|
655 |
600 |
$35.28 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,699 |
2,333 |
$29.32 |
| 82150 |
|
340 |
312 |
$25.32 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
400 |
375 |
$24.64 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
4,332 |
2,312 |
$22.07 |
| 84100 |
|
288 |
275 |
$20.95 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,076 |
835 |
$20.18 |
| 82550 |
|
75 |
65 |
$19.83 |
| 86140 |
|
308 |
294 |
$19.68 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,228 |
1,858 |
$19.03 |
| 99001 |
|
349 |
336 |
$18.01 |
| 87040 |
|
126 |
55 |
$17.96 |
| 99053 |
|
97 |
96 |
$12.58 |
| A6257 |
Transparent film, sterile, 16 sq. in. or less, each dressing |
1,135 |
1,013 |
$12.30 |
| 87088 |
|
155 |
141 |
$12.16 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
865 |
707 |
$11.11 |
| 84439 |
|
93 |
91 |
$10.82 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
700 |
549 |
$10.34 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
709 |
616 |
$8.22 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
142 |
86 |
$7.21 |
| 82947 |
|
285 |
148 |
$6.87 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
221 |
200 |
$5.53 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
250 |
242 |
$4.49 |
| A4450 |
Tape, non-waterproof, per 18 square inches |
52 |
47 |
$3.31 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
494 |
385 |
$0.17 |
| J7050 |
Infusion, normal saline solution, 250 cc |
208 |
173 |
$0.00 |
| 80320 |
|
448 |
378 |
$0.00 |
| 36410 |
|
171 |
65 |
$0.00 |
| A4657 |
Syringe, with or without needle, each |
51 |
49 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
216 |
193 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
62 |
61 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
228 |
169 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
123 |
94 |
$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 |
260 |
222 |
$0.00 |
| 94760 |
|
30 |
30 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
116 |
83 |
$0.00 |
| J3480 |
Injection, potassium chloride, per 2 meq |
44 |
12 |
$0.00 |
| 99000 |
|
76 |
60 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
17 |
15 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
12 |
12 |
$0.00 |
| J2470 |
Injection, pantoprazole sodium, 40 mg |
24 |
24 |
$0.00 |
| A9150 |
Non-prescription drugs |
21 |
13 |
$0.00 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
12 |
12 |
$0.00 |
| 80329 |
|
30 |
12 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
194 |
174 |
$0.00 |
| 80365 |
|
505 |
439 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
18 |
$0.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
82 |
63 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
18 |
14 |
$0.00 |
| 73562 |
|
31 |
26 |
$0.00 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
436 |
413 |
$0.00 |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
86 |
80 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
69 |
57 |
$0.00 |
| 73630 |
|
15 |
14 |
$0.00 |
| 74018 |
|
13 |
13 |
$0.00 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
15 |
15 |
$0.00 |
| S0164 |
Injection, pantoprazole sodium, 40 mg |
64 |
60 |
$0.00 |
| 73130 |
|
12 |
12 |
$0.00 |
| 87400 |
|
150 |
82 |
$0.00 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
28 |
26 |
$0.00 |
| 73030 |
|
13 |
12 |
$0.00 |