| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
10,635 |
9,715 |
$2.27M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,438 |
4,546 |
$2.20M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,346 |
1,839 |
$1.37M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,408 |
4,172 |
$578K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,226 |
1,588 |
$398K |
| 80053 |
Comprehensive metabolic panel |
4,192 |
3,629 |
$358K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,736 |
1,520 |
$236K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,873 |
753 |
$213K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,651 |
1,416 |
$212K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,753 |
1,473 |
$117K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,218 |
3,595 |
$114K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
863 |
844 |
$106K |
| 36415 |
Collection of venous blood by venipuncture |
4,992 |
4,052 |
$105K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
920 |
794 |
$101K |
| 71046 |
Radiologic examination, chest; 2 views |
1,006 |
806 |
$92K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,131 |
971 |
$86K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
609 |
578 |
$70K |
| 70450 |
Computed tomography, head or brain; without contrast material |
145 |
108 |
$66K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
918 |
842 |
$63K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,646 |
1,531 |
$57K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
393 |
344 |
$54K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
57 |
41 |
$49K |
| 85007 |
|
842 |
726 |
$40K |
| 81001 |
|
2,101 |
1,919 |
$36K |
| 83690 |
|
631 |
562 |
$35K |
| J7050 |
Infusion, normal saline solution, 250 cc |
889 |
688 |
$29K |
| 85027 |
|
915 |
782 |
$28K |
| 80150 |
|
399 |
309 |
$28K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
152 |
117 |
$25K |
| 84484 |
|
468 |
393 |
$24K |
| 97162 |
|
192 |
182 |
$24K |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
598 |
482 |
$21K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
503 |
449 |
$20K |
| 84443 |
Thyroid stimulating hormone (TSH) |
568 |
547 |
$20K |
| 87634 |
|
119 |
117 |
$19K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
56 |
53 |
$18K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
399 |
363 |
$17K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
178 |
158 |
$17K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,027 |
914 |
$16K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
497 |
444 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
228 |
158 |
$14K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
706 |
651 |
$13K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,177 |
1,066 |
$12K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
58 |
57 |
$12K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,353 |
1,096 |
$12K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
146 |
124 |
$10K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
196 |
70 |
$9K |
| 59025 |
Fetal non-stress test |
57 |
39 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
141 |
136 |
$9K |
| 81003 |
|
632 |
584 |
$9K |
| 82077 |
|
58 |
50 |
$8K |
| G0378 |
Hospital observation service, per hour |
29 |
14 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
130 |
129 |
$6K |
| 87088 |
|
434 |
393 |
$6K |
| 81025 |
|
261 |
253 |
$6K |
| J3490 |
Unclassified drugs |
345 |
156 |
$5K |
| 73562 |
|
32 |
28 |
$5K |
| 80047 |
|
72 |
62 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$4K |
| A4649 |
Surgical supply; miscellaneous |
122 |
25 |
$4K |
| 83735 |
|
174 |
161 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
58 |
57 |
$3K |
| 36000 |
|
98 |
88 |
$3K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
210 |
137 |
$3K |
| 73630 |
|
18 |
14 |
$3K |
| 73610 |
|
15 |
14 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
82 |
52 |
$2K |
| 73110 |
|
18 |
15 |
$2K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
161 |
137 |
$2K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
31 |
27 |
$2K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
22 |
13 |
$2K |
| 97161 |
|
13 |
13 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
19 |
13 |
$1K |
| 85610 |
|
30 |
26 |
$1K |
| 87800 |
|
12 |
12 |
$1K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
30 |
30 |
$1K |
| A0425 |
Ground mileage, per statute mile |
95 |
75 |
$912.80 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
13 |
12 |
$753.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
374 |
336 |
$751.70 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$682.66 |
| 87275 |
|
15 |
15 |
$682.37 |
| 85379 |
|
15 |
12 |
$643.95 |
| 87077 |
|
84 |
78 |
$628.08 |
| 80061 |
Lipid panel |
13 |
13 |
$620.03 |
| 84703 |
|
18 |
16 |
$577.42 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
17 |
12 |
$389.79 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
24 |
24 |
$340.28 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
26 |
12 |
$252.93 |
| 87186 |
|
37 |
36 |
$249.15 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
17 |
12 |
$200.36 |
| 83519 |
|
19 |
13 |
$183.17 |
| 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 |
13 |
13 |
$143.58 |
| 87081 |
|
12 |
12 |
$82.61 |
| 86480 |
|
18 |
15 |
$76.38 |
| 82140 |
|
31 |
28 |
$73.77 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
19 |
16 |
$57.18 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
158 |
69 |
$44.49 |
| A9270 |
Non-covered item or service |
1,189 |
1,009 |
$0.00 |
| 93224 |
|
17 |
12 |
$0.00 |