| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,116 |
7,703 |
$464K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,523 |
2,375 |
$183K |
| 80053 |
Comprehensive metabolic panel |
5,743 |
5,293 |
$53K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,125 |
1,066 |
$44K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,157 |
1,123 |
$40K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
442 |
405 |
$39K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,155 |
1,121 |
$38K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,233 |
6,747 |
$34K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
388 |
360 |
$30K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,169 |
1,135 |
$30K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,847 |
1,804 |
$28K |
| 85027 |
|
2,293 |
2,176 |
$21K |
| 87400 |
|
2,082 |
2,014 |
$19K |
| 80061 |
Lipid panel |
1,251 |
1,223 |
$18K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,237 |
1,210 |
$16K |
| 36415 |
Collection of venous blood by venipuncture |
14,428 |
12,828 |
$15K |
| 84439 |
|
1,248 |
1,209 |
$14K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
461 |
420 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
570 |
539 |
$14K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
378 |
323 |
$12K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
678 |
658 |
$10K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
792 |
748 |
$9K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
264 |
62 |
$9K |
| 87081 |
|
987 |
960 |
$8K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
242 |
220 |
$8K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
218 |
216 |
$7K |
| 84681 |
|
420 |
409 |
$7K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
753 |
722 |
$6K |
| 85007 |
|
2,253 |
2,140 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
762 |
729 |
$6K |
| 87634 |
|
93 |
82 |
$5K |
| 86003 |
|
23 |
14 |
$4K |
| 86780 |
|
325 |
323 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
129 |
118 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
45 |
28 |
$3K |
| 86850 |
|
344 |
337 |
$3K |
| 81003 |
|
2,218 |
2,049 |
$3K |
| 87420 |
|
197 |
193 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
29 |
26 |
$2K |
| 87340 |
|
235 |
234 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
29 |
25 |
$2K |
| 86703 |
|
256 |
255 |
$2K |
| 80076 |
|
334 |
324 |
$2K |
| 86900 |
|
372 |
363 |
$1K |
| 80306 |
|
82 |
80 |
$1K |
| 86762 |
|
111 |
110 |
$1K |
| 82785 |
|
68 |
68 |
$1K |
| 84481 |
|
56 |
53 |
$961.22 |
| 81001 |
|
297 |
281 |
$916.91 |
| 71046 |
Radiologic examination, chest; 2 views |
73 |
72 |
$751.44 |
| 86480 |
|
13 |
13 |
$731.98 |
| 83690 |
|
118 |
110 |
$730.28 |
| 82947 |
|
159 |
158 |
$711.93 |
| 94664 |
|
48 |
43 |
$707.30 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
58 |
43 |
$691.31 |
| 87186 |
|
63 |
58 |
$633.84 |
| 83605 |
|
69 |
67 |
$592.20 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
230 |
220 |
$584.47 |
| 86901 |
|
203 |
196 |
$569.34 |
| 82150 |
|
99 |
93 |
$563.25 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
12 |
12 |
$559.69 |
| 87088 |
|
60 |
55 |
$482.16 |
| 87070 |
|
63 |
60 |
$471.94 |
| 87802 |
|
48 |
48 |
$451.76 |
| 83735 |
|
75 |
56 |
$422.91 |
| G0378 |
Hospital observation service, per hour |
17 |
16 |
$391.36 |
| 82105 |
|
26 |
26 |
$384.29 |
| 85610 |
|
88 |
72 |
$306.36 |
| 87040 |
|
19 |
19 |
$238.64 |
| 82248 |
|
66 |
65 |
$229.97 |
| 84512 |
|
21 |
12 |
$228.45 |
| 83880 |
|
13 |
12 |
$204.29 |
| 87481 |
|
12 |
12 |
$203.14 |
| 86140 |
|
33 |
31 |
$192.28 |
| 82784 |
|
13 |
13 |
$185.25 |
| 84100 |
|
33 |
19 |
$175.88 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,086 |
929 |
$160.35 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
165 |
153 |
$156.65 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
16 |
16 |
$140.63 |
| 84466 |
|
14 |
14 |
$140.36 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
91 |
79 |
$112.75 |
| 84436 |
|
12 |
12 |
$106.96 |
| 84479 |
|
12 |
12 |
$106.24 |
| 82550 |
|
12 |
12 |
$79.58 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
53 |
53 |
$76.95 |
| 85730 |
|
15 |
14 |
$61.00 |
| 83540 |
|
14 |
14 |
$60.50 |
| 85651 |
|
13 |
12 |
$43.80 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
94 |
70 |
$43.17 |
| 82378 |
|
12 |
12 |
$35.27 |
| J7614 |
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg |
18 |
15 |
$15.64 |
| J7050 |
Infusion, normal saline solution, 250 cc |
26 |
16 |
$10.19 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
20 |
12 |
$8.01 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
46 |
40 |
$0.53 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
16 |
13 |
$0.06 |
| J2704 |
Injection, propofol, 10 mg |
14 |
13 |
$0.00 |
| A9270 |
Non-covered item or service |
39 |
32 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
27 |
26 |
$0.00 |