| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
13,756 |
8,312 |
$461K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,932 |
1,648 |
$137K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,248 |
2,874 |
$133K |
| 36415 |
Collection of venous blood by venipuncture |
5,684 |
4,477 |
$108K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,453 |
1,293 |
$66K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,613 |
1,310 |
$57K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,367 |
1,142 |
$46K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
406 |
333 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
648 |
526 |
$23K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
528 |
414 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
484 |
463 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
251 |
225 |
$18K |
| C1751 |
Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) |
1,870 |
1,381 |
$17K |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
219 |
191 |
$16K |
| 80053 |
Comprehensive metabolic panel |
4,592 |
3,766 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
702 |
618 |
$14K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
125 |
115 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,563 |
2,030 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
397 |
387 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,297 |
3,293 |
$8K |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
109 |
98 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
869 |
705 |
$6K |
| J7510 |
Prednisolone oral, per 5 mg |
94 |
90 |
$5K |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
436 |
379 |
$5K |
| A6454 |
Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard |
74 |
68 |
$5K |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
135 |
96 |
$4K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,245 |
1,035 |
$4K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
828 |
697 |
$4K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
202 |
143 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
78 |
66 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,237 |
1,111 |
$4K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,189 |
933 |
$3K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
83 |
73 |
$3K |
| 81003 |
|
593 |
529 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
394 |
342 |
$3K |
| 81001 |
|
1,317 |
1,186 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,737 |
1,551 |
$2K |
| 81000 |
|
569 |
451 |
$2K |
| 83735 |
|
1,306 |
1,077 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
54 |
49 |
$2K |
| 87088 |
|
832 |
700 |
$1K |
| 80061 |
Lipid panel |
934 |
849 |
$1K |
| 81025 |
|
516 |
475 |
$1K |
| 83690 |
|
516 |
411 |
$839.09 |
| 82150 |
|
418 |
333 |
$816.36 |
| 84479 |
|
649 |
593 |
$784.74 |
| 84484 |
|
414 |
314 |
$729.62 |
| 84436 |
|
463 |
420 |
$689.65 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
46 |
39 |
$587.67 |
| 84439 |
|
278 |
252 |
$551.43 |
| 73630 |
|
26 |
25 |
$546.01 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
360 |
302 |
$520.93 |
| 83970 |
|
48 |
43 |
$495.05 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
417 |
307 |
$485.25 |
| 72110 |
|
14 |
14 |
$402.50 |
| 82550 |
|
287 |
226 |
$397.11 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
308 |
283 |
$396.73 |
| 84681 |
|
168 |
152 |
$318.31 |
| 86038 |
|
54 |
52 |
$301.69 |
| 94664 |
|
75 |
64 |
$234.82 |
| 85651 |
|
100 |
84 |
$230.11 |
| 83880 |
|
50 |
38 |
$67.12 |
| 82607 |
|
69 |
64 |
$66.17 |
| 82728 |
|
147 |
129 |
$14.91 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
33 |
30 |
$7.26 |
| 86430 |
|
14 |
13 |
$5.22 |
| 83550 |
|
51 |
46 |
$0.00 |
| 82746 |
|
34 |
32 |
$0.00 |
| 83655 |
|
12 |
12 |
$0.00 |
| 83540 |
|
49 |
44 |
$0.00 |
| 87186 |
|
18 |
13 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
21 |
20 |
$0.00 |