| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
384 |
363 |
$396K |
| 0450 |
Emergency room services |
558 |
536 |
$386K |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
309 |
120 |
$46K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
430 |
409 |
$43K |
| 71046 |
Radiologic examination, chest; 2 views |
118 |
116 |
$31K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
214 |
206 |
$24K |
| J3490 |
Unclassified drugs |
944 |
464 |
$22K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
331 |
321 |
$22K |
| 80076 |
|
186 |
181 |
$18K |
| 70450 |
Computed tomography, head or brain; without contrast material |
33 |
33 |
$16K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
78 |
68 |
$15K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
96 |
94 |
$15K |
| 81001 |
|
237 |
228 |
$14K |
| 84703 |
|
165 |
159 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
118 |
117 |
$13K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
18 |
18 |
$13K |
| G0151 |
Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes |
86 |
32 |
$13K |
| 83690 |
|
145 |
141 |
$10K |
| 84484 |
|
127 |
122 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
70 |
36 |
$9K |
| 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 |
69 |
63 |
$8K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
86 |
84 |
$8K |
| 85027 |
|
117 |
113 |
$6K |
| 87503 |
|
58 |
58 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
46 |
41 |
$6K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
64 |
60 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
44 |
42 |
$4K |
| 59025 |
Fetal non-stress test |
77 |
36 |
$4K |
| 0761 |
|
39 |
34 |
$3K |
| 82550 |
|
69 |
69 |
$3K |
| 87186 |
|
29 |
29 |
$3K |
| 84702 |
|
15 |
15 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
22 |
22 |
$2K |
| 81003 |
|
54 |
52 |
$2K |
| 87077 |
|
37 |
37 |
$2K |
| 82962 |
|
18 |
13 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
29 |
29 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30 |
30 |
$1K |
| 85610 |
|
38 |
37 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
55 |
53 |
$945.06 |
| 85730 |
|
14 |
14 |
$595.30 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
26 |
24 |
$557.12 |
| 86901 |
|
14 |
13 |
$542.33 |
| 83735 |
|
14 |
14 |
$355.11 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
18 |
18 |
$84.97 |
| 0270 |
|
25 |
16 |
$0.00 |