| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,898 |
4,659 |
$480K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,862 |
3,758 |
$254K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
600 |
579 |
$83K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
228 |
225 |
$39K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,049 |
993 |
$26K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
276 |
272 |
$20K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,341 |
3,078 |
$17K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
720 |
657 |
$14K |
| 80053 |
Comprehensive metabolic panel |
1,281 |
1,179 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
157 |
152 |
$10K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,337 |
1,233 |
$10K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
74 |
71 |
$6K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
95 |
86 |
$6K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
213 |
208 |
$4K |
| 84484 |
|
472 |
421 |
$4K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
157 |
155 |
$4K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
129 |
123 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
534 |
504 |
$3K |
| 80076 |
|
443 |
435 |
$3K |
| 81001 |
|
1,315 |
1,231 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
245 |
237 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
256 |
245 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
330 |
314 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
375 |
352 |
$2K |
| 83735 |
|
413 |
371 |
$2K |
| 83605 |
|
341 |
324 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
209 |
184 |
$2K |
| 83690 |
|
462 |
442 |
$2K |
| 85379 |
|
181 |
175 |
$2K |
| 81025 |
|
400 |
383 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
302 |
292 |
$1K |
| 87077 |
|
153 |
142 |
$923.01 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,286 |
1,207 |
$919.24 |
| 83880 |
|
39 |
36 |
$905.16 |
| 87186 |
|
117 |
111 |
$752.01 |
| 87430 |
|
113 |
111 |
$710.60 |
| 73630 |
|
75 |
71 |
$620.46 |
| 73610 |
|
28 |
27 |
$496.28 |
| 87081 |
|
84 |
83 |
$437.81 |
| 87040 |
|
32 |
26 |
$434.86 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,489 |
1,417 |
$409.87 |
| 85610 |
|
90 |
86 |
$290.82 |
| 85652 |
|
96 |
95 |
$243.96 |
| 80329 |
|
14 |
13 |
$153.84 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
743 |
658 |
$107.95 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
118 |
114 |
$80.90 |
| 85027 |
|
14 |
13 |
$72.18 |
| 82962 |
|
18 |
16 |
$47.80 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
89 |
82 |
$44.79 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
176 |
150 |
$42.04 |
| J3490 |
Unclassified drugs |
20 |
12 |
$27.38 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
73 |
69 |
$9.79 |
| 36415 |
Collection of venous blood by venipuncture |
100 |
72 |
$2.01 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
15 |
13 |
$0.96 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
89 |
76 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
57 |
57 |
$0.00 |