| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,634 |
1,395 |
$620K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,111 |
2,875 |
$349K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,663 |
2,469 |
$224K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,509 |
2,307 |
$170K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
508 |
495 |
$108K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
695 |
580 |
$90K |
| 70450 |
Computed tomography, head or brain; without contrast material |
432 |
419 |
$78K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
656 |
629 |
$72K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
308 |
305 |
$51K |
| 80053 |
Comprehensive metabolic panel |
4,194 |
3,575 |
$35K |
| 84484 |
|
1,402 |
963 |
$13K |
| 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 |
1,079 |
765 |
$9K |
| G0378 |
Hospital observation service, per hour |
181 |
157 |
$9K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
25 |
25 |
$8K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
228 |
110 |
$7K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
479 |
468 |
$7K |
| 83605 |
|
523 |
486 |
$6K |
| 87040 |
|
176 |
169 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
24 |
24 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
290 |
233 |
$2K |
| 85379 |
|
256 |
248 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,710 |
3,791 |
$2K |
| 87631 |
|
94 |
94 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
1,192 |
1,149 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
36 |
36 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
4,728 |
3,755 |
$2K |
| 83880 |
|
109 |
103 |
$1K |
| 90715 |
|
58 |
55 |
$1K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
49 |
24 |
$1K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
75 |
72 |
$984.03 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,475 |
1,322 |
$925.53 |
| 80305 |
|
854 |
757 |
$624.21 |
| 84443 |
Thyroid stimulating hormone (TSH) |
776 |
702 |
$417.95 |
| 83735 |
|
703 |
606 |
$351.56 |
| 84703 |
|
1,329 |
1,201 |
$315.16 |
| 71045 |
Radiologic examination, chest; single view |
471 |
448 |
$242.88 |
| 87420 |
|
12 |
12 |
$220.31 |
| 81001 |
|
1,766 |
1,621 |
$206.44 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
506 |
485 |
$176.19 |
| 85610 |
|
634 |
565 |
$163.05 |
| 83690 |
|
1,680 |
1,531 |
$146.53 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
13 |
$62.80 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,672 |
1,487 |
$49.82 |
| 85027 |
|
17 |
12 |
$33.30 |
| 87081 |
|
61 |
61 |
$23.99 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,564 |
1,295 |
$21.29 |
| 87186 |
|
136 |
132 |
$21.19 |
| 87430 |
|
24 |
24 |
$14.12 |
| 86140 |
|
38 |
38 |
$13.68 |
| 84439 |
|
31 |
30 |
$11.80 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
885 |
678 |
$9.17 |
| 85652 |
|
77 |
75 |
$8.31 |
| 86850 |
|
13 |
13 |
$6.84 |
| 87070 |
|
24 |
24 |
$6.28 |
| 87147 |
|
82 |
79 |
$6.28 |
| 86900 |
|
13 |
13 |
$4.93 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,388 |
1,159 |
$4.78 |
| 87205 |
|
67 |
64 |
$3.14 |
| 86901 |
|
13 |
13 |
$2.46 |
| 85730 |
|
35 |
34 |
$1.76 |
| J2060 |
Injection, lorazepam, 2 mg |
298 |
258 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
809 |
616 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
530 |
472 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
759 |
685 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
482 |
423 |
$0.00 |
| 96376 |
|
437 |
318 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
579 |
454 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
321 |
296 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
126 |
111 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
73 |
69 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
39 |
38 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
147 |
131 |
$0.00 |
| J1630 |
Injection, haloperidol, up to 5 mg |
58 |
52 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
14 |
12 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
16 |
12 |
$0.00 |
| 82550 |
|
33 |
27 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
826 |
798 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
362 |
320 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
46 |
41 |
$0.00 |
| 82075 |
|
27 |
24 |
$0.00 |
| 73610 |
|
13 |
13 |
$0.00 |