| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
6,462 |
6,342 |
$1.46M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,553 |
7,465 |
$1.25M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,273 |
3,204 |
$961K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,414 |
1,388 |
$173K |
| 87428 |
|
2,129 |
2,106 |
$81K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,000 |
978 |
$66K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,782 |
2,753 |
$44K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,051 |
5,000 |
$41K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
855 |
775 |
$38K |
| 80053 |
Comprehensive metabolic panel |
2,192 |
2,125 |
$20K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
112 |
111 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
3,807 |
3,566 |
$18K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
406 |
392 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
507 |
484 |
$15K |
| 87081 |
|
1,785 |
1,766 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
817 |
799 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
533 |
514 |
$10K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
76 |
76 |
$9K |
| 81001 |
|
2,349 |
2,310 |
$7K |
| 87400 |
|
243 |
235 |
$6K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
54 |
24 |
$4K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
114 |
109 |
$4K |
| 87807 |
|
338 |
333 |
$4K |
| 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 |
24 |
24 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
51 |
51 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
41 |
41 |
$2K |
| 80305 |
|
139 |
138 |
$2K |
| 84703 |
|
188 |
186 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
120 |
118 |
$896.07 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
137 |
137 |
$705.73 |
| 80306 |
|
40 |
38 |
$594.75 |
| 83690 |
|
66 |
66 |
$386.91 |
| 83655 |
|
36 |
36 |
$340.33 |
| 82140 |
|
24 |
24 |
$311.04 |
| 80061 |
Lipid panel |
25 |
24 |
$309.47 |
| 84484 |
|
16 |
15 |
$246.81 |
| 84443 |
Thyroid stimulating hormone (TSH) |
14 |
14 |
$209.16 |
| 80143 |
|
12 |
12 |
$198.96 |
| 83605 |
|
14 |
13 |
$186.42 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
25 |
25 |
$175.50 |
| 82607 |
|
12 |
12 |
$160.92 |
| 83735 |
|
24 |
24 |
$143.04 |
| 85014 |
|
48 |
48 |
$99.17 |
| 85018 |
|
48 |
48 |
$99.17 |
| 82150 |
|
12 |
12 |
$69.12 |
| 85730 |
|
12 |
12 |
$64.20 |
| 84100 |
|
12 |
12 |
$50.64 |
| 85610 |
|
12 |
12 |
$45.84 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
716 |
686 |
$5.81 |
| J7050 |
Infusion, normal saline solution, 250 cc |
263 |
257 |
$5.06 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
12 |
12 |
$3.84 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
127 |
125 |
$2.34 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
28 |
27 |
$0.00 |