| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
6,815 |
6,432 |
$248K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,617 |
4,282 |
$167K |
| 80053 |
Comprehensive metabolic panel |
4,579 |
3,957 |
$42K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,056 |
970 |
$41K |
| 87631 |
|
240 |
228 |
$23K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,942 |
4,967 |
$23K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
524 |
439 |
$15K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
453 |
396 |
$14K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
826 |
752 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
679 |
593 |
$13K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
349 |
336 |
$13K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
409 |
342 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
313 |
299 |
$10K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
156 |
57 |
$6K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
286 |
265 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
416 |
388 |
$3K |
| 81003 |
|
2,296 |
2,101 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
207 |
196 |
$2K |
| 87503 |
|
123 |
122 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
202 |
197 |
$2K |
| 80305 |
|
128 |
123 |
$1K |
| 84484 |
|
144 |
128 |
$1K |
| 80061 |
Lipid panel |
112 |
112 |
$1K |
| 83690 |
|
178 |
156 |
$1K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
32 |
16 |
$959.30 |
| 70450 |
Computed tomography, head or brain; without contrast material |
12 |
12 |
$880.92 |
| 84443 |
Thyroid stimulating hormone (TSH) |
50 |
50 |
$778.59 |
| 71046 |
Radiologic examination, chest; 2 views |
89 |
83 |
$734.38 |
| 87400 |
|
124 |
103 |
$616.73 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
341 |
304 |
$600.64 |
| 81025 |
|
76 |
70 |
$587.79 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
15 |
13 |
$508.98 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
46 |
41 |
$493.57 |
| 86850 |
|
57 |
51 |
$419.27 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
40 |
39 |
$417.82 |
| 73610 |
|
21 |
21 |
$415.70 |
| 36415 |
Collection of venous blood by venipuncture |
6,868 |
5,557 |
$375.02 |
| 72100 |
|
16 |
13 |
$314.70 |
| 73130 |
|
16 |
15 |
$290.68 |
| G0378 |
Hospital observation service, per hour |
54 |
31 |
$288.23 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
26 |
19 |
$248.91 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
367 |
302 |
$180.86 |
| 87186 |
|
17 |
16 |
$167.13 |
| 96376 |
|
14 |
13 |
$166.96 |
| 83735 |
|
33 |
25 |
$165.84 |
| J3490 |
Unclassified drugs |
53 |
47 |
$122.91 |
| 87088 |
|
13 |
12 |
$120.09 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,047 |
810 |
$119.60 |
| 85027 |
|
12 |
12 |
$113.62 |
| J2704 |
Injection, propofol, 10 mg |
249 |
166 |
$94.52 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
29 |
26 |
$91.70 |
| 85651 |
|
12 |
12 |
$68.34 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
166 |
151 |
$67.34 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
28 |
23 |
$60.89 |
| 84100 |
|
15 |
12 |
$58.18 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
38 |
37 |
$46.92 |
| 85610 |
|
17 |
15 |
$46.60 |
| J2274 |
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg |
16 |
12 |
$41.19 |
| A9150 |
Non-prescription drugs |
85 |
76 |
$38.85 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
29 |
26 |
$6.91 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
81 |
77 |
$5.75 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
20 |
13 |
$0.02 |
| A9270 |
Non-covered item or service |
183 |
154 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
12 |
12 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
44 |
42 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
15 |
13 |
$0.00 |