| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0378 |
Hospital observation service, per hour |
1,774 |
1,522 |
$851K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,526 |
4,868 |
$715K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
433 |
162 |
$636K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,261 |
4,740 |
$479K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,217 |
2,957 |
$183K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,124 |
2,035 |
$158K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
6,060 |
2,828 |
$143K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
917 |
335 |
$102K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
771 |
713 |
$98K |
| 80053 |
Comprehensive metabolic panel |
13,374 |
10,469 |
$64K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
324 |
195 |
$47K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15,894 |
12,035 |
$46K |
| 84484 |
|
4,734 |
3,816 |
$35K |
| 36415 |
Collection of venous blood by venipuncture |
14,775 |
12,090 |
$35K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
918 |
884 |
$31K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,038 |
2,574 |
$29K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,562 |
4,728 |
$25K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
809 |
702 |
$25K |
| 87040 |
|
1,206 |
1,120 |
$20K |
| 36591 |
|
454 |
362 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
2,674 |
2,444 |
$16K |
| 81003 |
|
5,063 |
4,512 |
$15K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
512 |
479 |
$13K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
778 |
728 |
$13K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
382 |
359 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,910 |
1,771 |
$10K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,707 |
2,910 |
$10K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,103 |
1,819 |
$10K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,376 |
1,274 |
$10K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,001 |
893 |
$9K |
| 83690 |
|
2,382 |
2,078 |
$8K |
| 83735 |
|
4,265 |
2,921 |
$7K |
| 80061 |
Lipid panel |
670 |
636 |
$7K |
| 83605 |
|
1,523 |
1,386 |
$6K |
| 93971 |
|
101 |
98 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
2,209 |
2,021 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,327 |
1,238 |
$5K |
| 96523 |
|
409 |
342 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
168 |
158 |
$4K |
| 85610 |
|
3,290 |
2,197 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
452 |
418 |
$3K |
| 86900 |
|
503 |
448 |
$3K |
| 81025 |
|
362 |
329 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
899 |
700 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
52 |
51 |
$3K |
| 86850 |
|
268 |
238 |
$2K |
| 86901 |
|
358 |
323 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
231 |
185 |
$2K |
| J3490 |
Unclassified drugs |
430 |
316 |
$2K |
| 87077 |
|
690 |
656 |
$2K |
| 83880 |
|
722 |
658 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
143 |
138 |
$2K |
| 87186 |
|
504 |
485 |
$1K |
| 84702 |
|
88 |
75 |
$1K |
| 87081 |
|
189 |
181 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
29 |
27 |
$1K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
27 |
27 |
$965.42 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
143 |
137 |
$869.09 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
108 |
94 |
$764.08 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
38 |
37 |
$760.39 |
| 87070 |
|
155 |
152 |
$735.20 |
| 81001 |
|
93 |
82 |
$649.83 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
27 |
25 |
$644.54 |
| 80050 |
General health panel |
14 |
12 |
$541.44 |
| 71250 |
|
12 |
12 |
$540.11 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
231 |
144 |
$475.03 |
| 83615 |
|
182 |
137 |
$461.32 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
26 |
26 |
$411.25 |
| 85379 |
|
159 |
153 |
$406.18 |
| 84439 |
|
122 |
107 |
$303.85 |
| 84703 |
|
52 |
46 |
$284.34 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
13 |
12 |
$222.07 |
| A4649 |
Surgical supply; miscellaneous |
308 |
274 |
$216.70 |
| 85027 |
|
1,213 |
906 |
$174.88 |
| 94760 |
|
148 |
105 |
$145.40 |
| 85730 |
|
293 |
278 |
$129.85 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
115 |
68 |
$96.13 |
| 73030 |
|
14 |
14 |
$83.59 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
95 |
67 |
$77.18 |
| 88342 |
|
28 |
28 |
$58.24 |
| 73630 |
|
15 |
13 |
$44.30 |
| J8597 |
Antiemetic drug, oral, not otherwise specified |
31 |
28 |
$34.19 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
15 |
15 |
$22.00 |
| J2785 |
Injection, regadenoson, 0.1 mg |
14 |
14 |
$22.00 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
14 |
14 |
$22.00 |
| 93017 |
|
16 |
16 |
$22.00 |
| 73502 |
|
13 |
13 |
$19.35 |
| 82248 |
|
41 |
37 |
$18.42 |
| 87075 |
|
25 |
25 |
$14.32 |
| 85652 |
|
14 |
13 |
$13.50 |
| J7999 |
Compounded drug, not otherwise classified |
94 |
55 |
$3.60 |
| 94799 |
|
66 |
44 |
$0.16 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
12 |
12 |
$0.00 |
| 82607 |
|
29 |
25 |
$0.00 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
70 |
37 |
$0.00 |
| J1815 |
Injection, insulin, per 5 units |
22 |
12 |
$0.00 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
30 |
30 |
$0.00 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
12 |
12 |
$0.00 |
| 85007 |
|
459 |
325 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
76 |
24 |
$0.00 |