| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
107 |
99 |
$37K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
365 |
352 |
$14K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
317 |
294 |
$13K |
| 87276 |
|
376 |
366 |
$6K |
| 80053 |
Comprehensive metabolic panel |
844 |
550 |
$6K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
107 |
99 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
153 |
68 |
$5K |
| 87430 |
|
344 |
337 |
$4K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
69 |
55 |
$4K |
| 87081 |
|
338 |
333 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
932 |
667 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
62 |
13 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
102 |
92 |
$2K |
| 87088 |
|
125 |
113 |
$1K |
| 87486 |
|
107 |
99 |
$1K |
| 87581 |
|
107 |
99 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14 |
14 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
101 |
98 |
$1K |
| 85027 |
|
114 |
105 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
37 |
34 |
$1K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
14 |
13 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
95 |
84 |
$908.78 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
19 |
15 |
$884.59 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
79 |
70 |
$882.89 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
14 |
12 |
$870.47 |
| 83735 |
|
148 |
67 |
$811.71 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
81 |
78 |
$651.65 |
| 84439 |
|
60 |
58 |
$646.55 |
| 87186 |
|
44 |
42 |
$603.68 |
| 87158 |
|
89 |
84 |
$590.45 |
| 81001 |
|
155 |
140 |
$481.40 |
| 80061 |
Lipid panel |
41 |
41 |
$401.32 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
59 |
59 |
$389.37 |
| 83615 |
|
85 |
54 |
$367.97 |
| 84703 |
|
36 |
36 |
$352.24 |
| 87070 |
|
43 |
43 |
$327.55 |
| 71045 |
Radiologic examination, chest; single view |
61 |
57 |
$313.82 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
16 |
15 |
$310.01 |
| 85610 |
|
159 |
88 |
$290.23 |
| 84484 |
|
40 |
34 |
$279.95 |
| 86317 |
|
21 |
21 |
$264.83 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
17 |
16 |
$249.38 |
| 85007 |
|
115 |
106 |
$245.71 |
| 82728 |
|
13 |
13 |
$189.76 |
| 82378 |
|
13 |
12 |
$174.91 |
| 80305 |
|
15 |
12 |
$173.70 |
| 84466 |
|
16 |
16 |
$172.38 |
| 83540 |
|
32 |
31 |
$111.60 |
| 83690 |
|
13 |
12 |
$109.41 |
| 82950 |
|
12 |
12 |
$91.29 |
| 85651 |
|
22 |
17 |
$80.46 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
40 |
40 |
$65.76 |
| 86140 |
|
16 |
12 |
$63.65 |
| J7050 |
Infusion, normal saline solution, 250 cc |
44 |
27 |
$59.66 |
| 81003 |
|
83 |
80 |
$56.82 |
| 36415 |
Collection of venous blood by venipuncture |
1,633 |
1,155 |
$54.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
51 |
46 |
$41.64 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
54 |
46 |
$32.02 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
43 |
39 |
$13.91 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
27 |
26 |
$9.49 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$5.94 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
22 |
12 |
$4.18 |
| J2704 |
Injection, propofol, 10 mg |
31 |
29 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
39 |
36 |
$0.00 |