| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
11,070 |
10,568 |
$2.19M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,226 |
3,933 |
$2.12M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,021 |
921 |
$509K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
941 |
914 |
$121K |
| 71045 |
Radiologic examination, chest; single view |
1,706 |
1,563 |
$108K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,937 |
1,908 |
$83K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,215 |
1,049 |
$74K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,439 |
1,393 |
$37K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,733 |
4,879 |
$35K |
| 80053 |
Comprehensive metabolic panel |
4,624 |
4,048 |
$32K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
931 |
885 |
$30K |
| 70450 |
Computed tomography, head or brain; without contrast material |
403 |
379 |
$20K |
| 87081 |
|
1,324 |
1,278 |
$19K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
906 |
647 |
$18K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
54 |
53 |
$16K |
| 81003 |
|
4,101 |
3,772 |
$15K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
897 |
843 |
$14K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,512 |
1,386 |
$9K |
| 83880 |
|
670 |
604 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
159 |
156 |
$7K |
| 84484 |
|
1,355 |
971 |
$6K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
854 |
776 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
53 |
52 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
76 |
74 |
$4K |
| 87420 |
|
162 |
159 |
$4K |
| 81025 |
|
257 |
246 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
44 |
40 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
496 |
410 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
968 |
838 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
605 |
535 |
$2K |
| 83690 |
|
404 |
375 |
$2K |
| 87077 |
|
700 |
523 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
111 |
104 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
14 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
698 |
652 |
$1K |
| 87186 |
|
510 |
384 |
$1K |
| 80061 |
Lipid panel |
728 |
718 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
674 |
663 |
$729.70 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
177 |
157 |
$635.07 |
| 80047 |
|
58 |
53 |
$564.42 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
118 |
113 |
$491.57 |
| 85610 |
|
526 |
390 |
$436.76 |
| 85730 |
|
158 |
150 |
$371.01 |
| 36415 |
Collection of venous blood by venipuncture |
9,295 |
7,233 |
$359.63 |
| 83735 |
|
267 |
250 |
$357.39 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
13 |
13 |
$282.60 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
41 |
14 |
$264.09 |
| 83605 |
|
51 |
38 |
$197.27 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
87 |
85 |
$195.23 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
40 |
26 |
$187.41 |
| 87040 |
|
26 |
13 |
$124.81 |
| 85027 |
|
232 |
223 |
$121.49 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
148 |
139 |
$82.26 |
| 81001 |
|
52 |
50 |
$71.41 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$61.82 |
| 80164 |
|
15 |
14 |
$17.67 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
263 |
257 |
$2.85 |
| A9270 |
Non-covered item or service |
670 |
577 |
$0.00 |
| 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 |
1,999 |
1,370 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
122 |
119 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
16 |
13 |
$0.00 |
| 84550 |
|
29 |
28 |
$0.00 |