| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
18,494 |
17,275 |
$12.82M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,335 |
2,122 |
$890K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,542 |
8,607 |
$687K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14,862 |
14,021 |
$654K |
| 80053 |
Comprehensive metabolic panel |
29,105 |
25,566 |
$363K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
73 |
73 |
$330K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
32,005 |
27,771 |
$268K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
7,591 |
6,706 |
$240K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,294 |
4,087 |
$152K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
777 |
749 |
$135K |
| 71045 |
Radiologic examination, chest; single view |
5,183 |
4,753 |
$116K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,019 |
2,575 |
$108K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
350 |
199 |
$85K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
3,641 |
3,421 |
$61K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
201 |
171 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
434 |
407 |
$55K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
534 |
470 |
$50K |
| 93976 |
|
288 |
270 |
$44K |
| 83690 |
|
5,769 |
5,455 |
$42K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,042 |
997 |
$40K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
892 |
852 |
$38K |
| 84703 |
|
3,842 |
3,656 |
$37K |
| 81001 |
|
9,171 |
8,561 |
$37K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,173 |
2,016 |
$35K |
| 67311 |
|
26 |
24 |
$31K |
| 93975 |
|
129 |
120 |
$27K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
2,329 |
2,079 |
$20K |
| 84702 |
|
1,331 |
1,118 |
$19K |
| 84484 |
|
3,323 |
2,353 |
$17K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
250 |
243 |
$14K |
| Q3014 |
Telehealth originating site facility fee |
801 |
715 |
$14K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
786 |
718 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
88 |
82 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
452 |
437 |
$11K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,197 |
1,179 |
$9K |
| 83880 |
|
1,050 |
967 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
691 |
672 |
$7K |
| 86850 |
|
745 |
660 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,282 |
1,222 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
918 |
858 |
$4K |
| 90686 |
|
348 |
347 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,276 |
1,009 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
454 |
447 |
$4K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,185 |
1,035 |
$4K |
| 87070 |
|
319 |
306 |
$4K |
| 81003 |
|
1,521 |
1,433 |
$3K |
| 86328 |
|
196 |
182 |
$3K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,814 |
2,342 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,859 |
1,507 |
$3K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
3,122 |
2,567 |
$3K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,182 |
969 |
$2K |
| 83735 |
|
1,252 |
997 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
37,072 |
30,646 |
$2K |
| 83605 |
|
1,118 |
916 |
$2K |
| 87040 |
|
869 |
463 |
$2K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
913 |
666 |
$2K |
| 86900 |
|
1,315 |
1,210 |
$2K |
| 80061 |
Lipid panel |
596 |
590 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
541 |
501 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
227 |
153 |
$2K |
| 85730 |
|
1,885 |
1,726 |
$2K |
| 82077 |
|
371 |
321 |
$2K |
| 86901 |
|
1,301 |
1,211 |
$2K |
| 85610 |
|
2,205 |
1,972 |
$1K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
691 |
471 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
59 |
53 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
666 |
577 |
$976.26 |
| 87210 |
|
120 |
109 |
$811.01 |
| 81025 |
|
87 |
81 |
$754.79 |
| J1644 |
Injection, heparin sodium, per 1000 units |
418 |
258 |
$551.67 |
| J7050 |
Infusion, normal saline solution, 250 cc |
618 |
222 |
$423.92 |
| 85027 |
|
295 |
250 |
$416.05 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
183 |
169 |
$351.85 |
| 82728 |
|
28 |
27 |
$279.90 |
| 87186 |
|
213 |
179 |
$246.76 |
| 84439 |
|
97 |
96 |
$234.22 |
| 86923 |
|
15 |
12 |
$228.30 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
140 |
107 |
$223.53 |
| 83550 |
|
36 |
36 |
$223.44 |
| 73030 |
|
14 |
13 |
$200.46 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
906 |
725 |
$182.88 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
79 |
50 |
$172.33 |
| 83540 |
|
43 |
41 |
$170.78 |
| 84100 |
|
180 |
153 |
$161.28 |
| 86140 |
|
94 |
89 |
$156.60 |
| 87077 |
|
152 |
124 |
$148.70 |
| 85379 |
|
44 |
40 |
$119.27 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
853 |
786 |
$90.45 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
148 |
107 |
$72.98 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
659 |
547 |
$66.65 |
| 82607 |
|
13 |
13 |
$63.35 |
| 82746 |
|
12 |
12 |
$61.75 |
| 82550 |
|
19 |
15 |
$54.70 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
485 |
424 |
$36.86 |
| 87147 |
|
21 |
13 |
$17.40 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
641 |
504 |
$17.09 |
| 0011A |
|
24 |
24 |
$15.00 |
| A9270 |
Non-covered item or service |
1,995 |
1,546 |
$5.53 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
371 |
353 |
$0.00 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
12 |
12 |
$0.00 |
| 82962 |
|
3,995 |
2,220 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
757 |
600 |
$0.00 |
| C1769 |
Guide wire |
43 |
41 |
$0.00 |
| L8699 |
Prosthetic implant, not otherwise specified |
71 |
62 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
17 |
13 |
$0.00 |
| 0012A |
|
22 |
22 |
$0.00 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
13 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
25 |
25 |
$0.00 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
12 |
12 |
$0.00 |