| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,919 |
1,731 |
$246K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
217 |
207 |
$145K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
628 |
560 |
$133K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
464 |
278 |
$119K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,289 |
1,092 |
$96K |
| 80053 |
Comprehensive metabolic panel |
1,546 |
1,284 |
$71K |
| 70450 |
Computed tomography, head or brain; without contrast material |
196 |
164 |
$66K |
| 71046 |
Radiologic examination, chest; 2 views |
519 |
421 |
$62K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
315 |
236 |
$61K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
57 |
57 |
$47K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,575 |
1,414 |
$46K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
574 |
494 |
$45K |
| 36415 |
Collection of venous blood by venipuncture |
5,062 |
2,285 |
$43K |
| 71250 |
|
162 |
123 |
$43K |
| 84443 |
Thyroid stimulating hormone (TSH) |
598 |
557 |
$37K |
| G0378 |
Hospital observation service, per hour |
169 |
96 |
$36K |
| 72131 |
|
84 |
78 |
$35K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
502 |
466 |
$35K |
| 80061 |
Lipid panel |
551 |
520 |
$34K |
| 74150 |
|
76 |
73 |
$31K |
| 84484 |
|
341 |
278 |
$24K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
307 |
293 |
$23K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
885 |
792 |
$21K |
| 87400 |
|
768 |
717 |
$20K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
352 |
330 |
$19K |
| 71045 |
Radiologic examination, chest; single view |
251 |
217 |
$19K |
| 82607 |
|
292 |
281 |
$18K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
127 |
25 |
$18K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
363 |
301 |
$17K |
| 72128 |
|
39 |
38 |
$17K |
| 73564 |
|
114 |
108 |
$15K |
| 72100 |
|
100 |
93 |
$14K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
173 |
142 |
$14K |
| 87070 |
|
480 |
443 |
$14K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
361 |
343 |
$12K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
147 |
142 |
$11K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
27 |
26 |
$11K |
| 83690 |
|
346 |
315 |
$10K |
| 73630 |
|
83 |
73 |
$9K |
| 73610 |
|
74 |
68 |
$9K |
| 87040 |
|
195 |
132 |
$8K |
| 82553 |
|
263 |
212 |
$8K |
| 82550 |
|
291 |
236 |
$7K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
288 |
251 |
$7K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
279 |
66 |
$6K |
| 85027 |
|
213 |
184 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
428 |
411 |
$6K |
| 80074 |
|
45 |
44 |
$6K |
| 83605 |
|
149 |
123 |
$6K |
| 81001 |
|
717 |
626 |
$6K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
300 |
275 |
$5K |
| 73030 |
|
49 |
46 |
$5K |
| 73130 |
|
53 |
53 |
$5K |
| 82150 |
|
267 |
244 |
$5K |
| 81025 |
|
284 |
272 |
$4K |
| 94664 |
|
198 |
176 |
$4K |
| 82043 |
|
97 |
89 |
$4K |
| 82746 |
|
115 |
111 |
$4K |
| 73110 |
|
36 |
31 |
$4K |
| 83735 |
|
179 |
154 |
$4K |
| 84439 |
|
44 |
43 |
$4K |
| 96376 |
|
145 |
90 |
$3K |
| 83880 |
|
49 |
42 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$3K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
231 |
174 |
$2K |
| 12001 |
|
17 |
16 |
$2K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
30 |
16 |
$2K |
| J3490 |
Unclassified drugs |
356 |
90 |
$2K |
| 87186 |
|
152 |
138 |
$2K |
| 82570 |
|
92 |
87 |
$2K |
| 82962 |
|
76 |
43 |
$2K |
| 85610 |
|
165 |
134 |
$2K |
| 72040 |
|
15 |
14 |
$2K |
| 86308 |
|
50 |
48 |
$1K |
| 85379 |
|
30 |
28 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
47 |
26 |
$1K |
| 96367 |
|
42 |
40 |
$1K |
| 81003 |
|
98 |
86 |
$955.35 |
| 85730 |
|
38 |
35 |
$678.47 |
| 36416 |
|
78 |
39 |
$595.90 |
| 87280 |
|
17 |
16 |
$528.82 |
| 83540 |
|
12 |
12 |
$454.26 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
25 |
$402.12 |
| J0595 |
Injection, butorphanol tartrate, 1 mg |
49 |
39 |
$280.28 |
| 84481 |
|
13 |
13 |
$275.21 |
| 85651 |
|
15 |
13 |
$265.15 |
| J8597 |
Antiemetic drug, oral, not otherwise specified |
142 |
133 |
$181.46 |