| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
18,352 |
16,147 |
$2.39M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
18,554 |
13,599 |
$2.10M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15,636 |
14,090 |
$1.67M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
6,968 |
6,039 |
$1.05M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
10,636 |
7,817 |
$697K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,190 |
15,425 |
$562K |
| A0425 |
Ground mileage, per statute mile |
29,469 |
21,906 |
$406K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,088 |
2,309 |
$343K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
11,561 |
9,779 |
$268K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,067 |
2,334 |
$262K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
7,788 |
6,750 |
$203K |
| 80053 |
Comprehensive metabolic panel |
21,989 |
18,700 |
$140K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,107 |
529 |
$130K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,105 |
730 |
$114K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,928 |
2,513 |
$105K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
21,914 |
18,705 |
$101K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,832 |
3,321 |
$89K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,676 |
629 |
$82K |
| 71045 |
Radiologic examination, chest; single view |
3,666 |
3,151 |
$66K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,990 |
1,677 |
$64K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,395 |
1,077 |
$43K |
| 70450 |
Computed tomography, head or brain; without contrast material |
364 |
321 |
$39K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,132 |
997 |
$35K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,124 |
986 |
$35K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
1,824 |
1,504 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
745 |
637 |
$34K |
| 71046 |
Radiologic examination, chest; 2 views |
1,289 |
1,117 |
$31K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
277 |
225 |
$31K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,035 |
858 |
$23K |
| 64721 |
|
82 |
71 |
$22K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
675 |
580 |
$20K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
633 |
537 |
$18K |
| 36415 |
Collection of venous blood by venipuncture |
8,251 |
6,295 |
$15K |
| 84484 |
|
1,904 |
1,468 |
$13K |
| 76820 |
|
183 |
139 |
$13K |
| 84703 |
|
1,831 |
1,568 |
$11K |
| 59025 |
Fetal non-stress test |
127 |
90 |
$11K |
| 0002A |
|
697 |
350 |
$10K |
| 0001A |
|
588 |
295 |
$8K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,718 |
1,469 |
$8K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
62 |
39 |
$7K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
89 |
81 |
$6K |
| 81001 |
|
2,826 |
2,448 |
$6K |
| 88142 |
|
497 |
445 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
127 |
122 |
$4K |
| 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 |
58 |
53 |
$4K |
| 83690 |
|
834 |
718 |
$4K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
138 |
123 |
$3K |
| 83735 |
|
908 |
723 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,211 |
1,092 |
$3K |
| 83880 |
|
130 |
119 |
$3K |
| 81025 |
|
502 |
431 |
$3K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
31 |
31 |
$3K |
| 86140 |
|
735 |
637 |
$2K |
| A0433 |
Advanced life support, level 2 (als 2) |
13 |
12 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
151 |
127 |
$2K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
125 |
69 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
29 |
24 |
$1K |
| 0003A |
|
40 |
37 |
$1K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
800 |
662 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
179 |
152 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
90 |
64 |
$1K |
| 84702 |
|
84 |
60 |
$958.74 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
14 |
12 |
$823.90 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
111 |
96 |
$822.83 |
| 97161 |
|
14 |
12 |
$714.36 |
| 80061 |
Lipid panel |
57 |
51 |
$602.55 |
| 80305 |
|
61 |
54 |
$568.68 |
| 82550 |
|
117 |
99 |
$498.66 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
284 |
218 |
$493.44 |
| 74018 |
|
14 |
14 |
$461.04 |
| G0378 |
Hospital observation service, per hour |
31 |
25 |
$455.13 |
| 81003 |
|
255 |
222 |
$372.33 |
| 80050 |
General health panel |
15 |
12 |
$364.32 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
23 |
12 |
$346.56 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
68 |
63 |
$253.80 |
| 80320 |
|
49 |
40 |
$228.82 |
| 80329 |
|
15 |
13 |
$210.45 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
13 |
12 |
$171.33 |
| 85730 |
|
80 |
64 |
$158.57 |
| A0998 |
Ambulance response and treatment, no transport |
59 |
53 |
$155.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
85 |
59 |
$154.61 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
26 |
25 |
$152.82 |
| 85027 |
|
44 |
39 |
$135.87 |
| 85610 |
|
78 |
66 |
$114.26 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
13 |
$110.29 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
14 |
13 |
$48.50 |
| J3490 |
Unclassified drugs |
42 |
31 |
$40.31 |
| 81002 |
|
15 |
12 |
$39.36 |
| 83615 |
|
14 |
12 |
$30.30 |
| 94760 |
|
16 |
12 |
$28.91 |
| J2704 |
Injection, propofol, 10 mg |
557 |
474 |
$17.33 |
| 86850 |
|
18 |
12 |
$13.48 |
| 84100 |
|
18 |
13 |
$9.48 |
| 86900 |
|
18 |
12 |
$5.98 |
| 86901 |
|
18 |
12 |
$5.98 |
| 91300 |
|
761 |
595 |
$0.27 |
| 01810 |
|
116 |
113 |
$0.00 |
| 99001 |
|
20 |
17 |
$0.00 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
24 |
13 |
$0.00 |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
19 |
13 |
$0.00 |
| 87631 |
|
12 |
12 |
$0.00 |
| 88342 |
|
13 |
12 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
117 |
102 |
$0.00 |
| A4648 |
Tissue marker, implantable, any type, each |
45 |
45 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
18 |
13 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
89 |
77 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
45 |
37 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
33 |
29 |
$0.00 |