| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,009 |
3,715 |
$550K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,863 |
1,645 |
$390K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
26 |
24 |
$120K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,041 |
999 |
$96K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
4,073 |
3,398 |
$92K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
80 |
80 |
$71K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
203 |
191 |
$17K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
166 |
158 |
$17K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
199 |
184 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
185 |
170 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
113 |
101 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,317 |
2,891 |
$4K |
| 80053 |
Comprehensive metabolic panel |
2,006 |
1,789 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,929 |
2,628 |
$3K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
15 |
12 |
$3K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
16 |
14 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
13 |
13 |
$735.93 |
| 71045 |
Radiologic examination, chest; single view |
14 |
13 |
$599.21 |
| J1741 |
Injection, ibuprofen, 100 mg |
319 |
196 |
$519.14 |
| 83605 |
|
93 |
83 |
$461.63 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
266 |
164 |
$428.02 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
284 |
266 |
$284.04 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
137 |
122 |
$201.70 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$176.68 |
| 97803 |
|
25 |
24 |
$164.09 |
| 85027 |
|
25 |
24 |
$158.62 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
195 |
183 |
$139.09 |
| 90662 |
|
26 |
26 |
$131.58 |
| G0008 |
Administration of influenza virus vaccine |
27 |
27 |
$123.67 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20 |
12 |
$19.95 |
| 81001 |
|
87 |
83 |
$3.01 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
65 |
54 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
31 |
27 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
77 |
71 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
321 |
259 |
$0.00 |
| 88300 |
|
59 |
56 |
$0.00 |
| 84484 |
|
15 |
13 |
$0.00 |
| 83735 |
|
12 |
12 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
31 |
29 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
215 |
182 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
18 |
13 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
13 |
13 |
$0.00 |
| 81003 |
|
15 |
15 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
22 |
12 |
$0.00 |