| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,711 |
2,550 |
$3.05M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,782 |
2,632 |
$1.35M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,620 |
2,549 |
$1.16M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
650 |
619 |
$1.07M |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
3,205 |
3,075 |
$477K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
749 |
731 |
$440K |
| 71046 |
Radiologic examination, chest; 2 views |
1,241 |
1,214 |
$171K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
1,911 |
1,871 |
$158K |
| 71045 |
Radiologic examination, chest; single view |
1,322 |
1,250 |
$144K |
| 70450 |
Computed tomography, head or brain; without contrast material |
752 |
738 |
$130K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
253 |
251 |
$95K |
| 76830 |
Ultrasound, transvaginal |
533 |
531 |
$94K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
251 |
247 |
$93K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
550 |
550 |
$90K |
| 73630 |
|
647 |
561 |
$87K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
427 |
425 |
$75K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
448 |
444 |
$73K |
| G0378 |
Hospital observation service, per hour |
767 |
370 |
$69K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
196 |
196 |
$68K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
236 |
235 |
$66K |
| 73610 |
|
450 |
407 |
$65K |
| 73130 |
|
367 |
307 |
$52K |
| 73110 |
|
335 |
303 |
$50K |
| 73030 |
|
383 |
351 |
$48K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
113 |
104 |
$48K |
| 73564 |
|
286 |
205 |
$48K |
| 73560 |
|
315 |
275 |
$46K |
| 74018 |
|
281 |
273 |
$41K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,448 |
1,410 |
$39K |
| 72100 |
|
225 |
225 |
$37K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
182 |
182 |
$35K |
| 76770 |
|
200 |
200 |
$34K |
| 0450 |
Emergency room services |
763 |
691 |
$34K |
| 73140 |
|
221 |
205 |
$31K |
| 36415 |
Collection of venous blood by venipuncture |
6,596 |
5,075 |
$27K |
| 73502 |
|
208 |
201 |
$27K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
134 |
130 |
$25K |
| 73080 |
|
164 |
147 |
$23K |
| 72040 |
|
161 |
155 |
$22K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,698 |
5,964 |
$22K |
| 77080 |
|
143 |
143 |
$20K |
| 72141 |
|
45 |
44 |
$19K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
28 |
28 |
$18K |
| 86900 |
|
295 |
284 |
$17K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,384 |
1,282 |
$15K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
75 |
67 |
$13K |
| 71250 |
|
62 |
61 |
$13K |
| 73590 |
|
89 |
81 |
$13K |
| 81001 |
|
4,378 |
4,037 |
$11K |
| 83880 |
|
483 |
444 |
$11K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
40 |
40 |
$11K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,932 |
1,775 |
$10K |
| 82565 |
|
6,392 |
5,062 |
$10K |
| 76857 |
|
53 |
53 |
$9K |
| 80051 |
|
5,485 |
4,480 |
$9K |
| 93971 |
|
58 |
57 |
$8K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
14 |
14 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
37 |
37 |
$7K |
| 84702 |
|
710 |
572 |
$7K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
658 |
624 |
$7K |
| 86850 |
|
233 |
225 |
$7K |
| 76536 |
|
30 |
30 |
$6K |
| 82247 |
|
2,964 |
2,393 |
$6K |
| 84460 |
|
3,025 |
2,496 |
$6K |
| 73221 |
|
13 |
13 |
$5K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
972 |
943 |
$5K |
| 86901 |
|
295 |
284 |
$5K |
| 0270 |
|
734 |
415 |
$5K |
| 82947 |
|
5,613 |
4,571 |
$4K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
233 |
231 |
$4K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,189 |
1,110 |
$4K |
| 84450 |
|
2,597 |
2,209 |
$4K |
| 84520 |
|
5,512 |
4,497 |
$4K |
| 85652 |
|
936 |
902 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
603 |
564 |
$3K |
| 96376 |
|
344 |
289 |
$3K |
| 0637 |
|
13,097 |
3,024 |
$3K |
| 70486 |
|
13 |
13 |
$3K |
| 81003 |
|
1,993 |
1,926 |
$3K |
| 73090 |
|
15 |
14 |
$3K |
| 74022 |
|
12 |
12 |
$2K |
| J3490 |
Unclassified drugs |
847 |
434 |
$2K |
| 83735 |
|
1,234 |
791 |
$2K |
| 84484 |
|
1,091 |
964 |
$2K |
| 76870 |
|
13 |
13 |
$2K |
| 84075 |
|
2,127 |
1,902 |
$2K |
| 84132 |
|
367 |
247 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
114 |
71 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,128 |
1,692 |
$2K |
| 97162 |
|
119 |
115 |
$2K |
| 83690 |
|
1,944 |
1,819 |
$2K |
| 82248 |
|
456 |
304 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
913 |
842 |
$1K |
| 82570 |
|
253 |
218 |
$1K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
756 |
686 |
$1K |
| 82310 |
|
265 |
179 |
$1K |
| 84100 |
|
653 |
518 |
$1K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
131 |
130 |
$1K |
| 85610 |
|
545 |
449 |
$914.41 |
| 84156 |
|
237 |
204 |
$835.64 |
| 85027 |
|
184 |
173 |
$730.85 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
367 |
337 |
$705.99 |
| 85379 |
|
167 |
163 |
$674.63 |
| 86140 |
|
211 |
196 |
$659.68 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
550 |
469 |
$653.35 |
| 87324 |
|
53 |
52 |
$601.00 |
| 87449 |
|
55 |
54 |
$559.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
354 |
352 |
$529.05 |
| 84703 |
|
692 |
669 |
$505.12 |
| 82962 |
|
853 |
538 |
$495.42 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,054 |
1,010 |
$469.09 |
| 87088 |
|
662 |
642 |
$418.72 |
| 85730 |
|
78 |
78 |
$378.70 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
963 |
840 |
$348.59 |
| 0250 |
|
1,716 |
610 |
$321.05 |
| 82040 |
|
89 |
74 |
$298.72 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
98 |
95 |
$291.37 |
| 82077 |
|
368 |
344 |
$280.69 |
| 82803 |
|
61 |
60 |
$206.70 |
| 99070 |
|
51 |
30 |
$206.20 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
592 |
566 |
$192.76 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
603 |
543 |
$188.74 |
| 84295 |
|
36 |
24 |
$185.00 |
| 87040 |
|
445 |
413 |
$170.58 |
| 83605 |
|
474 |
419 |
$165.17 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
140 |
113 |
$134.17 |
| Z7502 |
|
13 |
13 |
$133.30 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
550 |
348 |
$108.56 |
| 87081 |
|
72 |
71 |
$93.76 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
329 |
286 |
$80.80 |
| J1815 |
Injection, insulin, per 5 units |
445 |
140 |
$66.29 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
24 |
24 |
$62.34 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
24 |
24 |
$62.14 |
| 80179 |
|
176 |
166 |
$59.64 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
193 |
144 |
$46.65 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
63 |
61 |
$41.15 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
54 |
50 |
$38.75 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
272 |
250 |
$38.25 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
195 |
183 |
$29.45 |
| J1644 |
Injection, heparin sodium, per 1000 units |
326 |
105 |
$14.91 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
27 |
$13.38 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
123 |
90 |
$5.64 |
| J2060 |
Injection, lorazepam, 2 mg |
49 |
42 |
$5.58 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
20 |
13 |
$0.00 |
| 76376 |
|
116 |
115 |
$0.00 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
31 |
12 |
$0.00 |
| 80306 |
|
58 |
54 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
13 |
12 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
26 |
26 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
29 |
27 |
$0.00 |
| 80349 |
|
12 |
12 |
$0.00 |