| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,882 |
2,427 |
$37K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
5,489 |
2,687 |
$36K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
373 |
240 |
$28K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,356 |
1,809 |
$26K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,402 |
1,258 |
$20K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
2,339 |
998 |
$18K |
| 80053 |
Comprehensive metabolic panel |
5,960 |
4,784 |
$15K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,178 |
861 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,863 |
3,874 |
$10K |
| 97161 |
|
629 |
578 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
1,431 |
947 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
139 |
90 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
95 |
67 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
11,730 |
8,880 |
$5K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
306 |
228 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
606 |
301 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,620 |
1,289 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,955 |
1,843 |
$3K |
| 87430 |
|
413 |
389 |
$3K |
| 85027 |
|
3,094 |
2,632 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
401 |
325 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,095 |
870 |
$2K |
| 86140 |
|
1,360 |
1,106 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
279 |
255 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
198 |
165 |
$2K |
| 80050 |
General health panel |
179 |
176 |
$2K |
| 81003 |
|
1,723 |
1,458 |
$2K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,734 |
1,030 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,517 |
1,450 |
$1K |
| 81025 |
|
693 |
616 |
$1K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
312 |
185 |
$1K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,263 |
794 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
621 |
526 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
843 |
525 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,018 |
735 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
71 |
67 |
$843.19 |
| 81001 |
|
1,033 |
871 |
$830.44 |
| 87088 |
|
586 |
511 |
$790.50 |
| A0380 |
Bls mileage (per mile) |
26 |
24 |
$717.24 |
| 80306 |
|
812 |
715 |
$544.00 |
| 87081 |
|
112 |
102 |
$542.30 |
| 80061 |
Lipid panel |
1,030 |
983 |
$507.07 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
715 |
450 |
$493.77 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
296 |
237 |
$437.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
194 |
139 |
$435.19 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
378 |
366 |
$368.90 |
| J2704 |
Injection, propofol, 10 mg |
1,007 |
510 |
$341.60 |
| 73110 |
|
14 |
12 |
$330.65 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
568 |
396 |
$316.66 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
770 |
491 |
$236.61 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
643 |
471 |
$233.01 |
| 85007 |
|
157 |
121 |
$229.50 |
| 82728 |
|
31 |
28 |
$204.85 |
| 97162 |
|
36 |
32 |
$161.60 |
| 92567 |
|
31 |
28 |
$129.20 |
| 84703 |
|
36 |
33 |
$125.80 |
| 83690 |
|
30 |
26 |
$107.95 |
| 87070 |
|
33 |
29 |
$95.20 |
| 83540 |
|
14 |
12 |
$84.15 |
| 85652 |
|
14 |
12 |
$56.09 |
| 87899 |
|
55 |
48 |
$43.35 |
| 86850 |
|
31 |
24 |
$0.00 |
| 84484 |
|
260 |
165 |
$0.00 |
| 82043 |
|
14 |
14 |
$0.00 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
118 |
78 |
$0.00 |
| 87077 |
|
66 |
50 |
$0.00 |
| 87492 |
|
78 |
74 |
$0.00 |
| 86901 |
|
32 |
25 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40 |
28 |
$0.00 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
48 |
38 |
$0.00 |
| 83605 |
|
15 |
13 |
$0.00 |
| 87807 |
|
13 |
12 |
$0.00 |
| 81015 |
|
35 |
29 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
18 |
13 |
$0.00 |
| 87390 |
|
12 |
12 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
30 |
13 |
$0.00 |
| 87592 |
|
78 |
74 |
$0.00 |
| 85610 |
|
159 |
103 |
$0.00 |
| 82948 |
|
24 |
12 |
$0.00 |
| 82570 |
|
40 |
37 |
$0.00 |
| 86703 |
|
66 |
60 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
129 |
118 |
$0.00 |
| 87210 |
|
14 |
13 |
$0.00 |
| 73030 |
|
15 |
12 |
$0.00 |
| 86900 |
|
32 |
25 |
$0.00 |
| 87186 |
|
74 |
63 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$0.00 |
| A0425 |
Ground mileage, per statute mile |
32 |
14 |
$0.00 |