| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
465 |
443 |
$86K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
326 |
316 |
$67K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
288 |
281 |
$66K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
159 |
27 |
$25K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
33 |
31 |
$17K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
150 |
43 |
$11K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
53 |
53 |
$9K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
59 |
59 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
269 |
259 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51 |
48 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
51 |
51 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
537 |
259 |
$6K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
97 |
24 |
$5K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
100 |
93 |
$4K |
| ATP14 |
|
344 |
315 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
48 |
48 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
512 |
458 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
300 |
291 |
$3K |
| 71271 |
|
33 |
33 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
19 |
19 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
32 |
32 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
13 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$2K |
| 97161 |
|
17 |
17 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
109 |
106 |
$1K |
| 84484 |
|
214 |
122 |
$1K |
| 73562 |
|
31 |
31 |
$823.40 |
| 73030 |
|
31 |
31 |
$787.60 |
| 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 |
33 |
32 |
$775.97 |
| 83690 |
|
111 |
105 |
$632.32 |
| ATP08 |
|
66 |
63 |
$599.94 |
| 84702 |
|
45 |
36 |
$557.34 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
86 |
83 |
$541.12 |
| 81025 |
|
79 |
74 |
$531.30 |
| 93971 |
|
12 |
12 |
$511.96 |
| 87081 |
|
84 |
84 |
$473.85 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
16 |
16 |
$452.80 |
| 83880 |
|
17 |
15 |
$450.06 |
| 81001 |
|
164 |
154 |
$408.80 |
| 87807 |
|
35 |
34 |
$392.70 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
13 |
13 |
$371.28 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
15 |
15 |
$371.28 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
15 |
15 |
$371.28 |
| 83735 |
|
63 |
50 |
$354.60 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
214 |
201 |
$336.14 |
| 86850 |
|
38 |
35 |
$327.56 |
| 73630 |
|
15 |
15 |
$322.20 |
| 73610 |
|
18 |
18 |
$268.50 |
| 81003 |
|
136 |
132 |
$247.50 |
| 80050 |
General health panel |
14 |
14 |
$247.10 |
| ATP15 |
|
16 |
16 |
$181.44 |
| 85610 |
|
48 |
44 |
$154.98 |
| J2704 |
Injection, propofol, 10 mg |
154 |
87 |
$141.05 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
15 |
13 |
$141.05 |
| 82947 |
|
73 |
46 |
$107.57 |
| 86901 |
|
41 |
37 |
$105.60 |
| 86900 |
|
41 |
37 |
$105.60 |
| 73130 |
|
12 |
12 |
$89.50 |
| 85027 |
|
14 |
13 |
$74.23 |
| 85007 |
|
14 |
13 |
$43.55 |
| 82570 |
|
95 |
89 |
$22.85 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
76 |
55 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
94 |
93 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
87 |
83 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
401 |
366 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
51 |
44 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
34 |
22 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
55 |
53 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
108 |
103 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
161 |
152 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
15 |
12 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
176 |
165 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
38 |
38 |
$0.00 |
| 80320 |
|
21 |
20 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
26 |
25 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
53 |
50 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
158 |
139 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
13 |
12 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
131 |
114 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
17 |
14 |
$0.00 |