| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
9,624 |
8,256 |
$752K |
| 0121 |
|
118 |
108 |
$723K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
750 |
682 |
$401K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,259 |
2,125 |
$346K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
199 |
188 |
$314K |
| 0250 |
|
365 |
338 |
$314K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,160 |
1,126 |
$270K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,415 |
2,297 |
$266K |
| 0450 |
Emergency room services |
2,723 |
2,418 |
$258K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
6,518 |
2,352 |
$246K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,801 |
1,673 |
$213K |
| 97039 |
|
6,964 |
1,480 |
$209K |
| 99199 |
Unlisted special service, procedure or report |
1,213 |
1,024 |
$141K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
254 |
246 |
$133K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,375 |
1,262 |
$132K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,817 |
2,651 |
$123K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
5,716 |
2,995 |
$121K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,080 |
1,041 |
$115K |
| 80053 |
Comprehensive metabolic panel |
5,411 |
5,070 |
$101K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,145 |
1,064 |
$98K |
| 71045 |
Radiologic examination, chest; single view |
1,956 |
1,895 |
$94K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
5,480 |
4,884 |
$93K |
| 0206 |
|
14 |
12 |
$86K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
248 |
238 |
$80K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,460 |
5,876 |
$78K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,770 |
845 |
$72K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
292 |
281 |
$67K |
| 0301 |
|
278 |
266 |
$65K |
| 88342 |
|
1,360 |
1,317 |
$62K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,618 |
1,579 |
$62K |
| 82077 |
|
1,180 |
1,138 |
$61K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
791 |
709 |
$46K |
| 97799 |
|
1,436 |
262 |
$44K |
| 97139 |
|
1,382 |
344 |
$43K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
705 |
671 |
$40K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
699 |
666 |
$39K |
| 88341 |
|
224 |
209 |
$34K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
114 |
112 |
$34K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,205 |
2,031 |
$32K |
| 84484 |
|
2,034 |
1,554 |
$31K |
| 97165 |
|
297 |
212 |
$26K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,565 |
1,011 |
$25K |
| 0305 |
|
263 |
253 |
$25K |
| 83690 |
|
2,095 |
1,990 |
$22K |
| 0258 |
|
192 |
184 |
$22K |
| 87536 |
|
112 |
110 |
$18K |
| J3490 |
Unclassified drugs |
1,228 |
785 |
$18K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
126 |
119 |
$15K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,248 |
1,153 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
314 |
307 |
$11K |
| 88142 |
|
1,806 |
1,796 |
$11K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
111 |
36 |
$11K |
| 0270 |
|
409 |
188 |
$11K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
825 |
747 |
$10K |
| 86360 |
|
108 |
106 |
$9K |
| 97750 |
|
148 |
100 |
$9K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
38 |
37 |
$8K |
| 81001 |
|
1,523 |
1,476 |
$7K |
| 0306 |
|
129 |
123 |
$7K |
| 83880 |
|
136 |
130 |
$7K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
447 |
423 |
$5K |
| 87040 |
|
213 |
142 |
$5K |
| 80143 |
|
27 |
27 |
$4K |
| 83605 |
|
250 |
202 |
$4K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
258 |
235 |
$4K |
| 85610 |
|
641 |
621 |
$3K |
| 80061 |
Lipid panel |
129 |
128 |
$3K |
| 81025 |
|
482 |
466 |
$3K |
| 97010 |
|
45 |
12 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
100 |
87 |
$3K |
| 81003 |
|
861 |
830 |
$3K |
| 85730 |
|
249 |
243 |
$2K |
| 80179 |
|
25 |
25 |
$2K |
| 97003 |
|
44 |
12 |
$2K |
| 0324 |
|
12 |
12 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
190 |
181 |
$2K |
| 97166 |
|
34 |
25 |
$2K |
| 88313 |
|
93 |
92 |
$1K |
| 88304 |
|
209 |
204 |
$1K |
| 83735 |
|
73 |
68 |
$1K |
| 87400 |
|
183 |
176 |
$1K |
| 88363 |
|
72 |
67 |
$1K |
| 88312 |
|
97 |
92 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
59 |
57 |
$997.17 |
| 71020 |
|
24 |
22 |
$584.88 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
25 |
15 |
$537.48 |
| 82947 |
|
57 |
54 |
$505.38 |
| 84443 |
Thyroid stimulating hormone (TSH) |
14 |
13 |
$356.23 |
| J2060 |
Injection, lorazepam, 2 mg |
42 |
40 |
$298.64 |
| 71010 |
|
18 |
14 |
$261.54 |
| 0300 |
|
42 |
42 |
$256.50 |
| 86592 |
|
14 |
14 |
$136.07 |
| 0730 |
|
26 |
26 |
$0.00 |
| 0430 |
|
12 |
12 |
$0.00 |
| 0307 |
|
25 |
25 |
$0.00 |
| 0420 |
|
15 |
15 |
$0.00 |