| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,769 |
4,558 |
$2.52M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,349 |
4,236 |
$1.24M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,203 |
3,306 |
$599K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
950 |
914 |
$459K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
1,109 |
1,062 |
$349K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,685 |
1,987 |
$219K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,503 |
4,276 |
$187K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
7,663 |
5,442 |
$155K |
| 71045 |
Radiologic examination, chest; single view |
2,822 |
2,695 |
$136K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,109 |
2,511 |
$86K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
328 |
327 |
$80K |
| 80053 |
Comprehensive metabolic panel |
10,266 |
9,321 |
$69K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,006 |
1,741 |
$58K |
| 85027 |
|
11,836 |
10,829 |
$53K |
| 71046 |
Radiologic examination, chest; 2 views |
1,047 |
1,020 |
$49K |
| 86328 |
|
518 |
503 |
$48K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
942 |
896 |
$36K |
| 87260 |
|
1,959 |
1,799 |
$28K |
| 70450 |
Computed tomography, head or brain; without contrast material |
374 |
371 |
$21K |
| 87430 |
|
1,212 |
1,182 |
$21K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
522 |
504 |
$17K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
657 |
553 |
$16K |
| 81001 |
|
6,971 |
6,603 |
$16K |
| 96367 |
|
348 |
339 |
$14K |
| 74018 |
|
149 |
148 |
$14K |
| 87040 |
|
2,124 |
847 |
$13K |
| CP008 |
|
355 |
319 |
$13K |
| 84145 |
|
1,197 |
1,040 |
$11K |
| A0425 |
Ground mileage, per statute mile |
5,102 |
3,569 |
$11K |
| 83880 |
|
1,680 |
1,529 |
$10K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
73 |
72 |
$10K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
237 |
213 |
$10K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
808 |
784 |
$9K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,710 |
1,676 |
$9K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
69 |
66 |
$9K |
| 80050 |
General health panel |
113 |
109 |
$8K |
| 83605 |
|
1,405 |
1,190 |
$8K |
| 80061 |
Lipid panel |
1,520 |
1,509 |
$7K |
| 83690 |
|
1,294 |
1,243 |
$6K |
| 87420 |
|
328 |
321 |
$5K |
| 84484 |
|
2,400 |
1,570 |
$5K |
| 83874 |
|
2,437 |
1,582 |
$5K |
| 82150 |
|
1,193 |
1,154 |
$5K |
| 80320 |
|
340 |
325 |
$5K |
| 82553 |
|
2,493 |
1,610 |
$4K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,540 |
1,440 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
54 |
54 |
$4K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
945 |
934 |
$4K |
| 82550 |
|
1,829 |
1,719 |
$4K |
| 87070 |
|
400 |
387 |
$3K |
| 83525 |
|
189 |
187 |
$3K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
12 |
12 |
$3K |
| 72100 |
|
74 |
74 |
$3K |
| 85007 |
|
1,150 |
1,082 |
$3K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
19 |
17 |
$3K |
| 84703 |
|
286 |
280 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
12 |
12 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
13 |
13 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
134 |
132 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,112 |
1,105 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
238 |
230 |
$2K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
74 |
38 |
$2K |
| 84439 |
|
198 |
187 |
$2K |
| 86140 |
|
290 |
284 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
74 |
74 |
$1K |
| 73562 |
|
28 |
25 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
922 |
850 |
$1K |
| 83735 |
|
1,087 |
903 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
27 |
24 |
$1K |
| 76770 |
|
38 |
38 |
$1K |
| 77080 |
|
178 |
178 |
$972.34 |
| 85730 |
|
571 |
565 |
$513.14 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
76 |
57 |
$508.28 |
| CP007 |
|
16 |
16 |
$440.85 |
| 85610 |
|
675 |
666 |
$412.67 |
| 82803 |
|
52 |
38 |
$321.16 |
| 72170 |
|
26 |
25 |
$302.00 |
| J7510 |
Prednisolone oral, per 5 mg |
37 |
37 |
$285.56 |
| 85651 |
|
133 |
130 |
$263.68 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$238.50 |
| 84480 |
|
12 |
12 |
$228.72 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
27 |
26 |
$134.38 |
| 82948 |
|
183 |
91 |
$128.73 |
| 84479 |
|
15 |
15 |
$123.48 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
103 |
100 |
$118.87 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
25 |
25 |
$105.40 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15 |
15 |
$105.17 |
| 84100 |
|
131 |
116 |
$93.75 |
| 82570 |
|
479 |
468 |
$90.99 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
28 |
26 |
$80.80 |
| 86592 |
|
12 |
12 |
$60.27 |
| 82607 |
|
45 |
43 |
$57.98 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
12 |
12 |
$47.70 |
| 86901 |
|
14 |
13 |
$31.14 |
| 86900 |
|
14 |
13 |
$31.14 |
| 83540 |
|
28 |
26 |
$21.76 |
| 36415 |
Collection of venous blood by venipuncture |
6,595 |
5,453 |
$14.00 |
| 84550 |
|
49 |
48 |
$13.79 |
| 82270 |
|
12 |
12 |
$12.24 |
| J2704 |
Injection, propofol, 10 mg |
58 |
56 |
$0.00 |
| 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 |
23 |
12 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
12 |
12 |
$0.00 |
| 87631 |
|
14 |
13 |
$0.00 |