| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,225 |
1,674 |
$164K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,732 |
1,485 |
$163K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,658 |
3,725 |
$157K |
| 70450 |
Computed tomography, head or brain; without contrast material |
255 |
236 |
$56K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
840 |
736 |
$30K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
727 |
664 |
$19K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
94 |
88 |
$14K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
164 |
131 |
$10K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
156 |
146 |
$9K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
166 |
157 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
715 |
653 |
$7K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
69 |
57 |
$6K |
| A9270 |
Non-covered item or service |
3,110 |
2,155 |
$6K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
180 |
164 |
$4K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
694 |
604 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
297 |
281 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
470 |
428 |
$2K |
| G0378 |
Hospital observation service, per hour |
28 |
13 |
$2K |
| 84484 |
|
1,635 |
1,274 |
$2K |
| 83880 |
|
476 |
415 |
$2K |
| 80053 |
Comprehensive metabolic panel |
3,700 |
3,132 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
4,034 |
3,233 |
$1K |
| 83690 |
|
1,106 |
1,005 |
$1K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
44 |
13 |
$1K |
| 87040 |
|
90 |
62 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,403 |
1,304 |
$966.41 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
32 |
32 |
$966.30 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,711 |
3,075 |
$960.70 |
| 71045 |
Radiologic examination, chest; single view |
857 |
793 |
$808.62 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
412 |
368 |
$798.77 |
| 83605 |
|
1,043 |
930 |
$451.75 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
971 |
882 |
$249.50 |
| 81003 |
|
1,291 |
1,183 |
$233.24 |
| 85610 |
|
925 |
834 |
$231.81 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,088 |
1,678 |
$231.70 |
| 83735 |
|
809 |
723 |
$140.32 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$140.01 |
| 80320 |
|
288 |
224 |
$117.38 |
| 81001 |
|
1,174 |
1,056 |
$107.24 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
17 |
$96.68 |
| 80305 |
|
48 |
42 |
$78.42 |
| 86140 |
|
41 |
39 |
$68.63 |
| 82150 |
|
264 |
243 |
$56.67 |
| 84443 |
Thyroid stimulating hormone (TSH) |
93 |
85 |
$35.93 |
| 83874 |
|
117 |
102 |
$35.63 |
| 80306 |
|
100 |
90 |
$31.10 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
569 |
496 |
$28.63 |
| 82553 |
|
241 |
199 |
$24.69 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
21 |
17 |
$18.48 |
| 82550 |
|
393 |
322 |
$13.75 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
133 |
129 |
$11.89 |
| 94760 |
|
22 |
17 |
$10.46 |
| 82948 |
|
202 |
110 |
$7.41 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
457 |
361 |
$2.26 |
| 87181 |
|
27 |
24 |
$0.00 |
| 81015 |
|
14 |
13 |
$0.00 |
| 85730 |
|
14 |
14 |
$0.00 |
| 87077 |
|
54 |
48 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
35 |
33 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
186 |
177 |
$0.00 |
| 87186 |
|
13 |
12 |
$0.00 |
| 94664 |
|
20 |
17 |
$0.00 |