| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7030 |
Infusion, normal saline solution , 1000 cc |
777 |
531 |
$118K |
| J3490 |
Unclassified drugs |
81 |
44 |
$43K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
114 |
90 |
$41K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
33 |
25 |
$16K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,158 |
824 |
$7K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
375 |
291 |
$7K |
| J7050 |
Infusion, normal saline solution, 250 cc |
41 |
30 |
$6K |
| G0378 |
Hospital observation service, per hour |
705 |
510 |
$6K |
| 80053 |
Comprehensive metabolic panel |
684 |
513 |
$6K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
924 |
764 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,604 |
1,441 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
445 |
347 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,173 |
1,202 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
426 |
321 |
$4K |
| 81025 |
|
259 |
234 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,658 |
1,035 |
$3K |
| 84702 |
|
203 |
167 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
305 |
253 |
$3K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
155 |
115 |
$3K |
| 82962 |
|
1,044 |
312 |
$3K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
191 |
160 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
422 |
204 |
$2K |
| 81001 |
|
1,285 |
983 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
481 |
393 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
1,270 |
915 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,089 |
788 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
119 |
95 |
$1K |
| 84484 |
|
547 |
365 |
$1K |
| 87400 |
|
75 |
57 |
$1K |
| 94762 |
|
587 |
492 |
$1K |
| 87186 |
|
42 |
25 |
$896.67 |
| 80076 |
|
513 |
402 |
$865.12 |
| 82550 |
|
814 |
527 |
$837.16 |
| 85027 |
|
219 |
135 |
$677.36 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
484 |
390 |
$666.81 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
16 |
13 |
$604.90 |
| 82553 |
|
689 |
466 |
$523.31 |
| J1956 |
Injection, levofloxacin, 250 mg |
95 |
38 |
$408.83 |
| 83690 |
|
494 |
403 |
$322.74 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
651 |
518 |
$276.58 |
| 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 |
156 |
134 |
$237.85 |
| 82150 |
|
136 |
103 |
$188.52 |
| J2060 |
Injection, lorazepam, 2 mg |
503 |
296 |
$143.42 |
| 36000 |
|
175 |
144 |
$97.60 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
274 |
226 |
$86.31 |
| 85610 |
|
473 |
387 |
$37.81 |
| 85730 |
|
357 |
297 |
$37.36 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
291 |
238 |
$36.77 |
| 82607 |
|
83 |
65 |
$18.44 |
| 86850 |
|
132 |
102 |
$8.47 |
| 86900 |
|
169 |
132 |
$4.31 |
| 85007 |
|
194 |
120 |
$0.90 |
| 71046 |
Radiologic examination, chest; 2 views |
22 |
16 |
$0.75 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
146 |
126 |
$0.45 |
| 86901 |
|
169 |
132 |
$0.14 |
| 83520 |
|
21 |
14 |
$0.14 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
75 |
54 |
$0.14 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
137 |
104 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
356 |
308 |
$0.00 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
98 |
83 |
$0.00 |
| 94760 |
|
94 |
26 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
141 |
115 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
216 |
190 |
$0.00 |
| 84479 |
|
17 |
15 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
364 |
308 |
$0.00 |
| 82746 |
|
66 |
53 |
$0.00 |
| 87040 |
|
14 |
12 |
$0.00 |
| J1630 |
Injection, haloperidol, up to 5 mg |
18 |
13 |
$0.00 |
| 93041 |
|
396 |
330 |
$0.00 |
| 82140 |
|
87 |
47 |
$0.00 |
| 80164 |
|
45 |
25 |
$0.00 |
| 58558 |
|
61 |
54 |
$0.00 |
| 94664 |
|
46 |
32 |
$0.00 |