| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
4,323 |
3,430 |
$771K |
| 0450 |
Emergency room services |
9,346 |
8,483 |
$308K |
| 70450 |
Computed tomography, head or brain; without contrast material |
687 |
680 |
$161K |
| 80053 |
Comprehensive metabolic panel |
6,567 |
6,098 |
$137K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,581 |
3,343 |
$106K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,037 |
1,936 |
$89K |
| Z7502 |
|
2,319 |
2,282 |
$86K |
| 71045 |
Radiologic examination, chest; single view |
4,288 |
4,129 |
$68K |
| 85027 |
|
7,229 |
6,632 |
$61K |
| 85730 |
|
1,601 |
1,503 |
$42K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,254 |
1,142 |
$34K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,960 |
2,825 |
$32K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,294 |
1,241 |
$29K |
| 81001 |
|
3,692 |
3,561 |
$29K |
| 84484 |
|
2,022 |
1,835 |
$28K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
176 |
174 |
$28K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,028 |
945 |
$27K |
| 83690 |
|
2,072 |
1,980 |
$27K |
| 85610 |
|
1,622 |
1,523 |
$26K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
244 |
213 |
$25K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
563 |
545 |
$25K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
956 |
877 |
$25K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
320 |
316 |
$23K |
| A4649 |
Surgical supply; miscellaneous |
473 |
321 |
$14K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
213 |
199 |
$12K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
86 |
84 |
$8K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
53 |
52 |
$8K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
188 |
166 |
$7K |
| 0272 |
|
1,330 |
1,143 |
$6K |
| 0270 |
|
1,816 |
1,361 |
$6K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
120 |
116 |
$4K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
597 |
556 |
$3K |
| 84703 |
|
741 |
726 |
$3K |
| 83880 |
|
81 |
75 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
178 |
176 |
$2K |
| 87631 |
|
60 |
60 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
120 |
117 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
268 |
266 |
$2K |
| J3490 |
Unclassified drugs |
1,045 |
689 |
$1K |
| 81025 |
|
535 |
525 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
412 |
398 |
$1K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
378 |
361 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
408 |
305 |
$1K |
| 73630 |
|
74 |
70 |
$875.79 |
| 73610 |
|
60 |
60 |
$793.92 |
| Z7610 |
|
65 |
51 |
$713.52 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
12 |
12 |
$631.17 |
| 87077 |
|
14 |
13 |
$610.20 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
88 |
84 |
$467.04 |
| 73130 |
|
30 |
28 |
$449.80 |
| 73564 |
|
27 |
26 |
$422.88 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
81 |
44 |
$419.64 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
12 |
$403.48 |
| 84702 |
|
39 |
37 |
$368.91 |
| 0250 |
|
2,685 |
2,045 |
$194.73 |
| 81003 |
|
46 |
46 |
$147.11 |
| 83605 |
|
13 |
13 |
$116.86 |
| 99199 |
Unlisted special service, procedure or report |
2,107 |
1,951 |
$108.07 |
| 82077 |
|
44 |
42 |
$96.60 |
| 86901 |
|
28 |
27 |
$62.18 |
| 86900 |
|
28 |
27 |
$47.76 |
| 83735 |
|
14 |
13 |
$40.64 |
| 0324 |
|
15 |
15 |
$0.00 |