| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 41899 |
Unlisted procedure, dentoalveolar structures |
1,534 |
1,502 |
$4.77M |
| G0378 |
Hospital observation service, per hour |
3,179 |
2,921 |
$1.60M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
9,302 |
8,256 |
$1.49M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
9,380 |
8,261 |
$1.07M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,525 |
1,366 |
$349K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,616 |
1,487 |
$85K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
2,097 |
1,542 |
$58K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
133 |
77 |
$41K |
| 80053 |
Comprehensive metabolic panel |
13,553 |
10,863 |
$33K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,033 |
1,868 |
$29K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16,597 |
11,852 |
$20K |
| 87070 |
|
271 |
251 |
$16K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
72 |
62 |
$14K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
8,090 |
7,229 |
$13K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,376 |
1,304 |
$11K |
| 84484 |
|
10,736 |
6,056 |
$10K |
| 87040 |
|
207 |
181 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
2,315 |
2,163 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,970 |
2,819 |
$7K |
| 93971 |
|
53 |
48 |
$7K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
250 |
238 |
$5K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
119 |
66 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
3,253 |
3,028 |
$3K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
42 |
39 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
616 |
495 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,064 |
3,048 |
$2K |
| 82553 |
|
2,510 |
1,714 |
$2K |
| 82962 |
|
3,697 |
1,729 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
5,499 |
4,157 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
16 |
13 |
$2K |
| 73564 |
|
114 |
95 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
277 |
256 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
58 |
44 |
$1K |
| 81001 |
|
3,383 |
3,118 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
159 |
153 |
$1K |
| 84702 |
|
499 |
436 |
$1K |
| 87077 |
|
64 |
63 |
$1K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
218 |
205 |
$1K |
| 82550 |
|
2,790 |
1,863 |
$1K |
| 83690 |
|
3,169 |
2,834 |
$994.79 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
419 |
399 |
$991.85 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,272 |
1,143 |
$970.96 |
| 87088 |
|
978 |
917 |
$933.67 |
| 87210 |
|
14 |
13 |
$906.53 |
| 81025 |
|
327 |
296 |
$890.62 |
| 81003 |
|
1,535 |
1,430 |
$839.57 |
| 73030 |
|
44 |
40 |
$804.69 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,726 |
1,338 |
$714.27 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
25 |
25 |
$677.21 |
| 97165 |
|
30 |
30 |
$653.34 |
| 83605 |
|
712 |
654 |
$647.05 |
| 83880 |
|
1,140 |
1,047 |
$640.18 |
| 73630 |
|
14 |
14 |
$620.83 |
| 83735 |
|
3,852 |
2,956 |
$606.93 |
| 87486 |
|
259 |
242 |
$587.18 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
257 |
248 |
$542.29 |
| 73610 |
|
12 |
12 |
$531.18 |
| J2704 |
Injection, propofol, 10 mg |
1,524 |
1,423 |
$516.11 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
250 |
238 |
$491.64 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,026 |
1,352 |
$435.63 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
39 |
24 |
$403.17 |
| 85610 |
|
2,302 |
1,999 |
$398.72 |
| 93307 |
|
51 |
49 |
$362.57 |
| 84145 |
|
14 |
14 |
$347.79 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
666 |
632 |
$347.31 |
| 84443 |
Thyroid stimulating hormone (TSH) |
532 |
496 |
$314.33 |
| 85730 |
|
898 |
843 |
$296.52 |
| 86850 |
|
440 |
412 |
$263.01 |
| 87581 |
|
250 |
238 |
$254.69 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,316 |
2,721 |
$220.62 |
| 93041 |
|
1,030 |
562 |
$209.94 |
| 80061 |
Lipid panel |
79 |
79 |
$196.42 |
| 85378 |
|
495 |
474 |
$195.23 |
| 0223U |
|
21 |
21 |
$160.38 |
| 86900 |
|
686 |
456 |
$159.32 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
335 |
246 |
$145.76 |
| 87631 |
|
29 |
29 |
$141.07 |
| 97166 |
|
13 |
12 |
$129.57 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
358 |
240 |
$129.55 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,197 |
1,044 |
$115.82 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
459 |
430 |
$106.32 |
| 86901 |
|
466 |
418 |
$89.07 |
| 85027 |
|
240 |
182 |
$76.97 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
37 |
37 |
$52.77 |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,355 |
765 |
$30.96 |
| J1630 |
Injection, haloperidol, up to 5 mg |
15 |
12 |
$23.78 |
| 94760 |
|
53 |
38 |
$23.11 |
| 87186 |
|
53 |
49 |
$21.66 |
| J2060 |
Injection, lorazepam, 2 mg |
35 |
27 |
$16.16 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
137 |
92 |
$12.55 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
783 |
744 |
$11.92 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
365 |
329 |
$8.49 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
315 |
298 |
$7.04 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
107 |
91 |
$5.83 |
| 84100 |
|
63 |
39 |
$3.54 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
39 |
37 |
$0.05 |
| 81015 |
|
211 |
201 |
$0.00 |
| 82077 |
|
111 |
106 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
227 |
200 |
$0.00 |
| 97535 |
Self-care/home management training, each 15 minutes |
40 |
36 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
22 |
19 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$0.00 |
| 87400 |
|
23 |
23 |
$0.00 |
| 97161 |
|
124 |
121 |
$0.00 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
109 |
107 |
$0.00 |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
256 |
193 |
$0.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
49 |
38 |
$0.00 |
| 93798 |
|
270 |
39 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
41 |
38 |
$0.00 |
| 80179 |
|
12 |
12 |
$0.00 |
| 80143 |
|
12 |
12 |
$0.00 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
12 |
12 |
$0.00 |