| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
11,089 |
9,581 |
$3.08M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
11,816 |
10,205 |
$2.59M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,048 |
843 |
$417K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,967 |
4,366 |
$172K |
| 71045 |
Radiologic examination, chest; single view |
1,992 |
1,676 |
$149K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,190 |
887 |
$128K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,823 |
3,008 |
$121K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,937 |
2,465 |
$98K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,626 |
3,831 |
$92K |
| 70450 |
Computed tomography, head or brain; without contrast material |
391 |
325 |
$74K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,467 |
3,105 |
$71K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,381 |
1,062 |
$64K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
269 |
246 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,096 |
1,505 |
$50K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
650 |
151 |
$49K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
109 |
90 |
$47K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,946 |
7,203 |
$42K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,456 |
3,021 |
$42K |
| 80050 |
General health panel |
963 |
920 |
$41K |
| 80053 |
Comprehensive metabolic panel |
6,201 |
5,127 |
$39K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
264 |
164 |
$37K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
588 |
402 |
$33K |
| 36415 |
Collection of venous blood by venipuncture |
15,776 |
12,597 |
$31K |
| 71046 |
Radiologic examination, chest; 2 views |
218 |
191 |
$17K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
351 |
240 |
$15K |
| 80061 |
Lipid panel |
1,277 |
1,166 |
$14K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
788 |
641 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
367 |
209 |
$11K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
32 |
27 |
$10K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
61 |
50 |
$9K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
56 |
50 |
$8K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
27 |
25 |
$8K |
| 76770 |
|
60 |
54 |
$8K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
36 |
25 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,095 |
871 |
$6K |
| 81003 |
|
2,966 |
2,533 |
$5K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
12 |
12 |
$5K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
103 |
24 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
209 |
158 |
$4K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
92 |
79 |
$4K |
| G0378 |
Hospital observation service, per hour |
16 |
14 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
382 |
352 |
$3K |
| 81001 |
|
1,430 |
1,198 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
491 |
389 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
315 |
245 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
228 |
190 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
63 |
54 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
32 |
32 |
$2K |
| 76857 |
|
15 |
12 |
$2K |
| 81025 |
|
227 |
195 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
22 |
13 |
$1K |
| 82550 |
|
300 |
244 |
$1K |
| 87081 |
|
160 |
152 |
$954.02 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
46 |
38 |
$651.18 |
| 83690 |
|
136 |
110 |
$574.02 |
| 84484 |
|
101 |
78 |
$538.86 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
36 |
24 |
$464.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
47 |
37 |
$440.60 |
| 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 |
16 |
14 |
$392.84 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
63 |
40 |
$337.18 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
21 |
17 |
$330.88 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
14 |
12 |
$316.04 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
54 |
40 |
$314.32 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
2,053 |
1,738 |
$274.40 |
| 84439 |
|
48 |
41 |
$270.60 |
| 82553 |
|
56 |
42 |
$265.95 |
| 87807 |
|
13 |
12 |
$192.40 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
16 |
14 |
$179.67 |
| 81005 |
|
93 |
73 |
$165.64 |
| 90688 |
|
15 |
14 |
$130.50 |
| 82150 |
|
28 |
25 |
$102.96 |
| J2704 |
Injection, propofol, 10 mg |
2,560 |
1,776 |
$84.92 |
| 85379 |
|
16 |
13 |
$71.26 |
| 82043 |
|
12 |
12 |
$68.64 |
| 84703 |
|
18 |
12 |
$67.68 |
| 85730 |
|
17 |
12 |
$51.94 |
| 82962 |
|
43 |
39 |
$44.66 |
| 85610 |
|
17 |
12 |
$33.95 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
12 |
$20.75 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
20 |
16 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
295 |
235 |
$0.00 |
| J7121 |
5% dextrose in lactated ringers infusion, up to 1000 cc |
16 |
12 |
$0.00 |
| 88342 |
|
15 |
12 |
$0.00 |