| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
Emergency room services |
3,907 |
3,586 |
$140K |
| 70450 |
Computed tomography, head or brain; without contrast material |
250 |
246 |
$26K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
694 |
669 |
$24K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
157 |
157 |
$24K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
154 |
153 |
$15K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
781 |
755 |
$13K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
393 |
373 |
$13K |
| 80053 |
Comprehensive metabolic panel |
1,821 |
1,710 |
$12K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
454 |
431 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
901 |
879 |
$11K |
| 85027 |
|
1,852 |
1,730 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
106 |
105 |
$6K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
610 |
568 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
313 |
298 |
$4K |
| 84484 |
|
560 |
540 |
$4K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
441 |
423 |
$3K |
| 83690 |
|
742 |
721 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
71 |
66 |
$3K |
| 73564 |
|
137 |
126 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
162 |
158 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
41 |
41 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
24 |
24 |
$2K |
| 0270 |
|
270 |
235 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
486 |
460 |
$2K |
| 73610 |
|
93 |
87 |
$2K |
| 81001 |
|
985 |
964 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
462 |
371 |
$2K |
| 76830 |
Ultrasound, transvaginal |
30 |
30 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
90 |
89 |
$2K |
| 83880 |
|
77 |
77 |
$1K |
| 73630 |
|
75 |
71 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
96 |
89 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
118 |
96 |
$1K |
| 70486 |
|
12 |
12 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
200 |
199 |
$922.96 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
213 |
191 |
$914.06 |
| 84703 |
|
263 |
253 |
$904.68 |
| 82077 |
|
88 |
79 |
$801.56 |
| 0250 |
|
1,662 |
1,296 |
$785.76 |
| 73130 |
|
46 |
43 |
$619.03 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
172 |
172 |
$586.97 |
| 90715 |
|
37 |
37 |
$556.79 |
| 74018 |
|
24 |
24 |
$427.49 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
48 |
47 |
$424.55 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
47 |
46 |
$424.55 |
| 73030 |
|
26 |
25 |
$408.82 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
82 |
80 |
$404.37 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
46 |
46 |
$376.83 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
81 |
42 |
$374.00 |
| 81025 |
|
185 |
183 |
$360.14 |
| 83735 |
|
86 |
81 |
$321.17 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
46 |
46 |
$261.96 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
54 |
53 |
$233.00 |
| 86901 |
|
123 |
117 |
$218.88 |
| 85610 |
|
103 |
101 |
$210.93 |
| 85730 |
|
62 |
60 |
$194.67 |
| 73110 |
|
13 |
12 |
$180.28 |
| 86900 |
|
123 |
117 |
$168.62 |
| 83605 |
|
36 |
35 |
$159.63 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$140.66 |
| 87040 |
|
15 |
15 |
$128.36 |
| 87186 |
|
28 |
28 |
$124.07 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
53 |
51 |
$107.04 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
38 |
38 |
$89.88 |
| 85007 |
|
36 |
35 |
$79.59 |
| 84702 |
|
14 |
14 |
$79.55 |
| 0272 |
|
99 |
90 |
$77.47 |
| 82248 |
|
12 |
12 |
$39.69 |