| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
Emergency room services |
5,716 |
5,215 |
$247K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,623 |
2,486 |
$123K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
669 |
659 |
$103K |
| Z7502 |
|
2,647 |
2,551 |
$99K |
| 70450 |
Computed tomography, head or brain; without contrast material |
892 |
877 |
$80K |
| 99199 |
Unlisted special service, procedure or report |
1,649 |
1,537 |
$39K |
| 80053 |
Comprehensive metabolic panel |
4,131 |
3,912 |
$37K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,397 |
1,349 |
$28K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,387 |
4,110 |
$28K |
| 80305 |
|
3,022 |
2,814 |
$27K |
| 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 |
735 |
706 |
$23K |
| 82553 |
|
2,076 |
2,007 |
$21K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
405 |
396 |
$18K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
198 |
196 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
1,167 |
1,152 |
$16K |
| 84484 |
|
2,215 |
2,142 |
$16K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
121 |
121 |
$15K |
| 0270 |
|
1,374 |
993 |
$14K |
| 0301 |
|
201 |
176 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
645 |
632 |
$12K |
| Z7610 |
|
822 |
627 |
$11K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
679 |
646 |
$10K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
280 |
265 |
$10K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
213 |
205 |
$10K |
| 82550 |
|
2,285 |
2,198 |
$10K |
| 85730 |
|
2,041 |
1,985 |
$10K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
126 |
115 |
$8K |
| 83690 |
|
1,488 |
1,444 |
$8K |
| 82150 |
|
1,480 |
1,437 |
$7K |
| 0259 |
|
1,531 |
1,094 |
$7K |
| 83880 |
|
339 |
337 |
$7K |
| 85610 |
|
2,130 |
2,070 |
$6K |
| 81025 |
|
1,102 |
1,013 |
$5K |
| 81001 |
|
2,215 |
2,160 |
$5K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
106 |
102 |
$3K |
| 94760 |
|
527 |
505 |
$3K |
| 0250 |
|
115 |
83 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
120 |
118 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
53 |
50 |
$1K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
55 |
51 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
203 |
197 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
896 |
842 |
$798.38 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
36 |
34 |
$767.68 |
| 87400 |
|
181 |
177 |
$765.61 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
13 |
12 |
$465.07 |
| 85378 |
|
67 |
66 |
$350.33 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
39 |
33 |
$311.58 |
| 86141 |
|
24 |
24 |
$249.12 |
| 84479 |
|
50 |
50 |
$236.44 |
| 87040 |
|
16 |
16 |
$208.76 |
| 84436 |
|
37 |
37 |
$193.52 |
| 99001 |
|
455 |
429 |
$187.30 |
| 85007 |
|
183 |
177 |
$183.52 |
| 86756 |
|
20 |
19 |
$154.67 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
12 |
$59.79 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
13 |
12 |
$56.30 |
| 80320 |
|
212 |
201 |
$11.06 |
| 94761 |
|
16 |
14 |
$0.00 |