| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
19,029 |
17,128 |
$3.27M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
10,948 |
9,717 |
$2.14M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
18,260 |
16,771 |
$1.53M |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
15,697 |
13,375 |
$580K |
| 71045 |
Radiologic examination, chest; single view |
12,168 |
10,863 |
$287K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,019 |
1,777 |
$254K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
5,369 |
4,694 |
$240K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
527 |
460 |
$236K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
738 |
672 |
$208K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,249 |
3,803 |
$149K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
583 |
513 |
$146K |
| 80053 |
Comprehensive metabolic panel |
21,761 |
19,253 |
$144K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
22,762 |
20,146 |
$109K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,247 |
1,121 |
$90K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
24,610 |
16,886 |
$80K |
| 84484 |
|
9,158 |
7,291 |
$65K |
| 83880 |
|
2,749 |
2,469 |
$57K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
801 |
754 |
$57K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
174 |
149 |
$56K |
| 36415 |
Collection of venous blood by venipuncture |
28,334 |
24,129 |
$50K |
| 81025 |
|
6,764 |
6,119 |
$42K |
| 84145 |
|
2,606 |
2,320 |
$40K |
| 80050 |
General health panel |
1,023 |
902 |
$38K |
| 81001 |
|
16,846 |
14,439 |
$32K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
6,903 |
5,477 |
$29K |
| 83605 |
|
4,110 |
3,456 |
$27K |
| 83690 |
|
5,200 |
4,615 |
$24K |
| 85730 |
|
6,642 |
5,847 |
$22K |
| 82077 |
|
2,430 |
2,026 |
$21K |
| 85610 |
|
7,067 |
6,283 |
$17K |
| 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 |
409 |
204 |
$13K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,750 |
2,483 |
$10K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
363 |
343 |
$9K |
| 82550 |
|
2,174 |
1,767 |
$9K |
| 85379 |
|
1,176 |
1,061 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
266 |
218 |
$8K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,231 |
1,121 |
$7K |
| 83735 |
|
1,514 |
1,337 |
$6K |
| 86328 |
|
490 |
397 |
$6K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
13 |
13 |
$6K |
| 80061 |
Lipid panel |
470 |
444 |
$5K |
| 80143 |
|
467 |
395 |
$5K |
| 80179 |
|
441 |
377 |
$5K |
| 82553 |
|
730 |
639 |
$4K |
| 87040 |
|
720 |
348 |
$4K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
962 |
777 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
421 |
399 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
117 |
106 |
$3K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
779 |
614 |
$3K |
| 84439 |
|
355 |
318 |
$3K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,898 |
2,472 |
$2K |
| G0378 |
Hospital observation service, per hour |
22 |
13 |
$2K |
| 80320 |
|
422 |
293 |
$2K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
5,962 |
4,912 |
$1K |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
48 |
43 |
$1K |
| 86592 |
|
293 |
238 |
$879.10 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
206 |
186 |
$871.39 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
101 |
78 |
$603.23 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
110 |
90 |
$443.35 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$370.22 |
| 69990 |
|
57 |
43 |
$337.41 |
| 81003 |
|
242 |
213 |
$294.21 |
| 84703 |
|
46 |
41 |
$264.14 |
| A6257 |
Transparent film, sterile, 16 sq. in. or less, each dressing |
3,871 |
3,478 |
$214.64 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$184.97 |
| 86140 |
|
40 |
39 |
$171.61 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
109 |
94 |
$156.83 |
| C1751 |
Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) |
154 |
145 |
$136.07 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
29 |
28 |
$110.39 |
| 94760 |
|
193 |
129 |
$103.22 |
| 80076 |
|
13 |
13 |
$98.12 |
| J2060 |
Injection, lorazepam, 2 mg |
43 |
25 |
$40.49 |
| 82962 |
|
19 |
13 |
$39.62 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
148 |
65 |
$27.33 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
27 |
25 |
$23.92 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
78 |
67 |
$13.11 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
66 |
51 |
$9.13 |
| A9270 |
Non-covered item or service |
603 |
485 |
$0.46 |
| 80329 |
|
81 |
28 |
$0.00 |
| 00000 |
|
65 |
63 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
51 |
49 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
50 |
27 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
138 |
125 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
180 |
36 |
$0.00 |