| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99221 |
|
14,000 |
12,056 |
$327K |
| 0450 |
Emergency room services |
4,070 |
3,546 |
$155K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
441 |
437 |
$91K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,244 |
1,131 |
$43K |
| 0761 |
|
877 |
808 |
$41K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
777 |
405 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
909 |
555 |
$31K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
551 |
218 |
$28K |
| 97799 |
|
924 |
209 |
$27K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,106 |
1,053 |
$20K |
| 97139 |
|
630 |
171 |
$18K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
414 |
242 |
$17K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
93 |
85 |
$16K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
405 |
343 |
$15K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,232 |
388 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
731 |
707 |
$15K |
| G0378 |
Hospital observation service, per hour |
172 |
157 |
$14K |
| 0700 |
|
361 |
301 |
$14K |
| 80053 |
Comprehensive metabolic panel |
1,560 |
1,385 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,875 |
1,676 |
$11K |
| 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 |
202 |
165 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
480 |
437 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
81 |
73 |
$8K |
| 59025 |
Fetal non-stress test |
735 |
228 |
$7K |
| 94010 |
|
414 |
408 |
$6K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
232 |
185 |
$5K |
| 97010 |
|
696 |
222 |
$5K |
| 99201 |
|
321 |
197 |
$5K |
| J3490 |
Unclassified drugs |
3,692 |
2,034 |
$5K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
524 |
190 |
$4K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
34 |
32 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
272 |
176 |
$4K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
234 |
201 |
$4K |
| A4649 |
Surgical supply; miscellaneous |
2,474 |
1,679 |
$3K |
| J7050 |
Infusion, normal saline solution, 250 cc |
467 |
350 |
$3K |
| 85027 |
|
485 |
454 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
62 |
50 |
$3K |
| 81001 |
|
1,143 |
1,061 |
$3K |
| 94729 |
|
39 |
38 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
144 |
126 |
$2K |
| 84703 |
|
420 |
385 |
$2K |
| 85730 |
|
395 |
377 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
353 |
333 |
$2K |
| 94060 |
|
54 |
53 |
$2K |
| 97750 |
|
41 |
32 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
204 |
196 |
$2K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
55 |
50 |
$2K |
| 73610 |
|
93 |
84 |
$2K |
| 94726 |
|
25 |
24 |
$2K |
| Z7502 |
|
39 |
39 |
$2K |
| 85610 |
|
425 |
406 |
$1K |
| 80305 |
|
160 |
142 |
$1K |
| 84484 |
|
218 |
175 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
29 |
28 |
$1K |
| 83690 |
|
338 |
299 |
$1K |
| 71020 |
|
59 |
24 |
$1K |
| 86850 |
|
335 |
314 |
$1K |
| 94664 |
|
173 |
150 |
$1K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
43 |
33 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
349 |
302 |
$1K |
| 73630 |
|
67 |
66 |
$1K |
| 86901 |
|
434 |
391 |
$1K |
| 86900 |
|
434 |
391 |
$1K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
33 |
14 |
$953.60 |
| 97162 |
|
44 |
44 |
$882.59 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
64 |
49 |
$844.52 |
| 73562 |
|
41 |
40 |
$831.93 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
112 |
88 |
$770.47 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
197 |
157 |
$735.48 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$735.26 |
| 90658 |
|
44 |
44 |
$674.89 |
| 0760 |
|
17 |
16 |
$658.05 |
| 82947 |
|
195 |
171 |
$646.22 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
228 |
187 |
$610.13 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
67 |
58 |
$500.07 |
| 73130 |
|
26 |
26 |
$421.05 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
90 |
76 |
$399.87 |
| 59430 |
|
24 |
24 |
$302.40 |
| 84702 |
|
30 |
26 |
$226.19 |
| 81025 |
|
102 |
98 |
$203.91 |
| 73110 |
|
12 |
12 |
$190.34 |
| 36415 |
Collection of venous blood by venipuncture |
169 |
135 |
$185.65 |
| 81003 |
|
99 |
96 |
$183.01 |
| 73030 |
|
13 |
12 |
$176.61 |
| 81002 |
|
79 |
79 |
$161.75 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
71 |
60 |
$139.40 |
| 87210 |
|
39 |
38 |
$106.33 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
15 |
14 |
$77.18 |
| 87088 |
|
14 |
13 |
$61.60 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
58 |
48 |
$51.76 |
| 96376 |
|
25 |
24 |
$46.50 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
15 |
12 |
$40.50 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
25 |
25 |
$30.71 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$28.54 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
27 |
27 |
$13.78 |
| 0270 |
|
33 |
13 |
$11.18 |
| 0515 |
|
177 |
172 |
$0.00 |
| 0324 |
|
19 |
18 |
$0.00 |
| 0514 |
|
146 |
100 |
$0.00 |