| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,175 |
893 |
$137K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
232 |
173 |
$81K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
627 |
437 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
597 |
517 |
$43K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
407 |
255 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
190 |
175 |
$25K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
146 |
119 |
$18K |
| G0383 |
Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) |
135 |
116 |
$17K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
109 |
90 |
$14K |
| G0382 |
Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) |
152 |
137 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
60 |
53 |
$9K |
| 80053 |
Comprehensive metabolic panel |
716 |
561 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
37 |
29 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
193 |
172 |
$5K |
| 73630 |
|
111 |
88 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
877 |
677 |
$4K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
14 |
13 |
$4K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
216 |
56 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
163 |
148 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
74 |
66 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
14 |
13 |
$1K |
| 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 |
29 |
26 |
$1K |
| 81001 |
|
359 |
304 |
$1K |
| 83880 |
|
122 |
92 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
115 |
97 |
$1K |
| 84484 |
|
254 |
191 |
$987.40 |
| 83605 |
|
175 |
140 |
$820.29 |
| 83690 |
|
173 |
143 |
$781.89 |
| 87088 |
|
132 |
114 |
$771.41 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
17 |
14 |
$744.42 |
| 73610 |
|
14 |
14 |
$652.64 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
321 |
259 |
$649.23 |
| 87081 |
|
59 |
50 |
$641.37 |
| 85610 |
|
216 |
153 |
$606.56 |
| 86140 |
|
173 |
153 |
$600.67 |
| 81025 |
|
59 |
55 |
$419.60 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
21 |
$330.94 |
| 80305 |
|
32 |
27 |
$311.10 |
| 83735 |
|
128 |
100 |
$267.87 |
| 80061 |
Lipid panel |
12 |
12 |
$221.09 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
55 |
13 |
$151.18 |
| 36415 |
Collection of venous blood by venipuncture |
1,015 |
761 |
$131.80 |
| 81003 |
|
51 |
45 |
$129.30 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
520 |
357 |
$111.69 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
233 |
190 |
$106.33 |
| 71045 |
Radiologic examination, chest; single view |
201 |
162 |
$100.74 |
| 82150 |
|
20 |
12 |
$77.13 |
| 87040 |
|
16 |
12 |
$72.60 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
148 |
98 |
$33.31 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
191 |
147 |
$33.26 |
| 85730 |
|
12 |
12 |
$33.16 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
102 |
77 |
$15.58 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
194 |
146 |
$14.91 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
111 |
96 |
$13.79 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
32 |
24 |
$0.87 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
44 |
36 |
$0.73 |