| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
24,335 |
23,717 |
$3.20M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
10,617 |
10,183 |
$3.19M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,871 |
1,841 |
$249K |
| 80053 |
Comprehensive metabolic panel |
7,855 |
7,321 |
$54K |
| 85027 |
|
13,535 |
12,561 |
$45K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,271 |
2,226 |
$43K |
| 87400 |
|
3,075 |
2,984 |
$43K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
262 |
79 |
$35K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
3,003 |
2,848 |
$28K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,511 |
1,489 |
$23K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,980 |
1,836 |
$20K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
134 |
131 |
$18K |
| 71045 |
Radiologic examination, chest; single view |
2,067 |
1,969 |
$17K |
| 70450 |
Computed tomography, head or brain; without contrast material |
507 |
493 |
$16K |
| 59025 |
Fetal non-stress test |
99 |
86 |
$14K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
290 |
272 |
$13K |
| 81001 |
|
6,879 |
6,627 |
$12K |
| 87430 |
|
621 |
610 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
67 |
65 |
$5K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,343 |
1,159 |
$4K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,046 |
973 |
$4K |
| 83690 |
|
1,465 |
1,390 |
$3K |
| 76801 |
|
31 |
29 |
$3K |
| 84484 |
|
1,413 |
936 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
12 |
12 |
$1K |
| 84703 |
|
310 |
298 |
$961.04 |
| 83880 |
|
186 |
171 |
$832.00 |
| 84702 |
|
53 |
45 |
$658.38 |
| 80306 |
|
85 |
78 |
$544.00 |
| 81025 |
|
110 |
105 |
$449.91 |
| 82077 |
|
168 |
157 |
$434.61 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
276 |
248 |
$332.52 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
754 |
675 |
$268.17 |
| 83735 |
|
124 |
114 |
$221.53 |
| 86901 |
|
160 |
158 |
$210.84 |
| 86900 |
|
160 |
158 |
$210.84 |
| 85610 |
|
404 |
389 |
$140.27 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
180 |
170 |
$137.66 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
235 |
126 |
$122.12 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
123 |
105 |
$114.03 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
58 |
52 |
$110.25 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
209 |
191 |
$99.37 |
| 85730 |
|
114 |
110 |
$60.89 |
| 87807 |
|
21 |
21 |
$53.72 |
| 87040 |
|
20 |
12 |
$34.68 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
58 |
55 |
$22.04 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
42 |
38 |
$15.21 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
15 |
12 |
$1.46 |
| A9270 |
Non-covered item or service |
2,631 |
1,386 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
53 |
52 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
28 |
24 |
$0.00 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
16 |
16 |
$0.00 |
| G1003 |
Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program |
327 |
306 |
$0.00 |