| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0378 |
Hospital observation service, per hour |
1,552 |
1,447 |
$733K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
6,054 |
5,342 |
$488K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,011 |
3,506 |
$233K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,566 |
1,363 |
$154K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,957 |
1,645 |
$69K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
3,122 |
2,601 |
$37K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
12 |
12 |
$34K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
335 |
247 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
665 |
642 |
$5K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
6,255 |
4,519 |
$4K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
7,058 |
5,234 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,286 |
2,085 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,549 |
5,674 |
$3K |
| 80053 |
Comprehensive metabolic panel |
5,620 |
4,829 |
$2K |
| 84484 |
|
5,918 |
3,936 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
581 |
478 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
115 |
109 |
$2K |
| 81001 |
|
3,286 |
2,982 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
3,728 |
3,386 |
$1K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,310 |
1,193 |
$1K |
| 83690 |
|
1,865 |
1,678 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
534 |
475 |
$1K |
| 82962 |
|
4,975 |
2,140 |
$1K |
| 83735 |
|
370 |
314 |
$889.97 |
| 85027 |
|
4,254 |
3,534 |
$829.08 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
496 |
460 |
$722.07 |
| 84703 |
|
607 |
518 |
$616.65 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,021 |
667 |
$337.07 |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
504 |
337 |
$278.98 |
| J2704 |
Injection, propofol, 10 mg |
797 |
558 |
$250.32 |
| 71046 |
Radiologic examination, chest; 2 views |
373 |
351 |
$249.69 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
518 |
336 |
$155.41 |
| 87631 |
|
131 |
128 |
$139.43 |
| 80076 |
|
323 |
301 |
$130.41 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
64 |
64 |
$128.75 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
155 |
146 |
$125.37 |
| 83880 |
|
319 |
301 |
$118.12 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
134 |
130 |
$117.42 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
249 |
229 |
$108.53 |
| 85610 |
|
2,202 |
1,721 |
$66.40 |
| 84443 |
Thyroid stimulating hormone (TSH) |
105 |
98 |
$41.38 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
35 |
24 |
$36.61 |
| 84439 |
|
12 |
12 |
$34.61 |
| 83605 |
|
299 |
230 |
$32.90 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
628 |
409 |
$28.56 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
246 |
206 |
$12.98 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
142 |
121 |
$7.74 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
35 |
31 |
$6.13 |
| 86900 |
|
46 |
40 |
$2.39 |
| 86850 |
|
45 |
40 |
$2.39 |
| 86901 |
|
46 |
40 |
$2.39 |
| 80061 |
Lipid panel |
29 |
26 |
$0.00 |
| 97116 |
|
42 |
28 |
$0.00 |
| 94799 |
|
33 |
24 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
29 |
25 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
145 |
133 |
$0.00 |
| 82077 |
|
174 |
155 |
$0.00 |
| 82150 |
|
85 |
80 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
17 |
12 |
$0.00 |
| 97162 |
|
29 |
27 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
20 |
13 |
$0.00 |
| 87040 |
|
26 |
26 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
16 |
$0.00 |
| 90686 |
|
16 |
16 |
$0.00 |