| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
17,559 |
14,893 |
$1.97M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
19,734 |
15,040 |
$1.77M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
7,757 |
6,622 |
$1.15M |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
2,975 |
2,773 |
$364K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,064 |
935 |
$215K |
| 80053 |
Comprehensive metabolic panel |
19,442 |
16,547 |
$188K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,978 |
3,219 |
$183K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
252 |
229 |
$173K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,430 |
2,065 |
$131K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
190 |
174 |
$60K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
416 |
384 |
$42K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
108 |
97 |
$38K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
438 |
387 |
$28K |
| 71046 |
Radiologic examination, chest; 2 views |
4,889 |
4,074 |
$24K |
| 83880 |
|
2,190 |
1,848 |
$21K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
781 |
714 |
$20K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
176 |
162 |
$18K |
| 59025 |
Fetal non-stress test |
113 |
99 |
$18K |
| 84484 |
|
2,479 |
2,038 |
$14K |
| 80320 |
|
193 |
163 |
$12K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
122 |
104 |
$11K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
476 |
361 |
$11K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,144 |
3,538 |
$11K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
60 |
51 |
$6K |
| 83605 |
|
1,547 |
1,308 |
$6K |
| 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 |
1,036 |
873 |
$5K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
32 |
12 |
$5K |
| 87040 |
|
316 |
264 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,106 |
4,377 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
20,712 |
16,896 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
59 |
12 |
$2K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
16 |
13 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
4,748 |
4,187 |
$2K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
1,010 |
830 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
295 |
263 |
$2K |
| 73562 |
|
27 |
24 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
12 |
$2K |
| 76801 |
|
12 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,899 |
2,538 |
$1K |
| 73100 |
|
17 |
14 |
$1K |
| 84145 |
|
713 |
598 |
$876.23 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
201 |
180 |
$875.58 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
92 |
79 |
$869.38 |
| 80061 |
Lipid panel |
77 |
70 |
$805.01 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$650.76 |
| G0378 |
Hospital observation service, per hour |
13 |
12 |
$647.54 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,212 |
1,952 |
$540.14 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
560 |
489 |
$476.39 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
34 |
25 |
$361.76 |
| 85379 |
|
84 |
74 |
$323.56 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
988 |
915 |
$304.13 |
| 36000 |
|
630 |
556 |
$275.73 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
114 |
89 |
$262.02 |
| 82728 |
|
12 |
12 |
$247.52 |
| 73030 |
|
73 |
37 |
$216.19 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,558 |
1,481 |
$215.82 |
| 83721 |
|
14 |
14 |
$143.88 |
| 71045 |
Radiologic examination, chest; single view |
346 |
305 |
$125.80 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,346 |
2,939 |
$121.71 |
| 83735 |
|
463 |
382 |
$100.49 |
| 76000 |
|
40 |
25 |
$99.32 |
| 84439 |
|
15 |
12 |
$94.85 |
| 83690 |
|
2,590 |
2,294 |
$91.15 |
| 82150 |
|
1,227 |
1,092 |
$79.50 |
| 83540 |
|
12 |
12 |
$78.48 |
| J2704 |
Injection, propofol, 10 mg |
762 |
695 |
$74.72 |
| 84703 |
|
546 |
497 |
$71.66 |
| 81001 |
|
3,908 |
3,400 |
$70.36 |
| 81003 |
|
2,472 |
2,192 |
$66.31 |
| 83550 |
|
12 |
12 |
$65.40 |
| 72100 |
|
21 |
12 |
$57.88 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
969 |
823 |
$31.34 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,768 |
3,352 |
$18.23 |
| 87081 |
|
52 |
50 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
136 |
98 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
57 |
51 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
30 |
27 |
$0.00 |
| 87077 |
|
29 |
24 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
17 |
14 |
$0.00 |
| 82803 |
|
12 |
12 |
$0.00 |
| 83615 |
|
14 |
12 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
799 |
701 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
78 |
77 |
$0.00 |
| 88313 |
|
45 |
40 |
$0.00 |
| 88312 |
|
75 |
63 |
$0.00 |
| 87186 |
|
29 |
24 |
$0.00 |
| 00731 |
|
13 |
12 |
$0.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
26 |
24 |
$0.00 |