| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
Emergency room services |
5,049 |
4,256 |
$267K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
965 |
816 |
$91K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
173 |
153 |
$53K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
677 |
560 |
$43K |
| 70450 |
Computed tomography, head or brain; without contrast material |
298 |
266 |
$38K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,276 |
1,095 |
$37K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
197 |
175 |
$32K |
| 93975 |
|
82 |
73 |
$30K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
196 |
166 |
$22K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
218 |
190 |
$22K |
| 80053 |
Comprehensive metabolic panel |
1,821 |
1,529 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
895 |
793 |
$18K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,345 |
1,955 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
380 |
329 |
$15K |
| J3490 |
Unclassified drugs |
3,328 |
1,739 |
$14K |
| 84484 |
|
1,029 |
782 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
301 |
276 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
27 |
25 |
$6K |
| 83690 |
|
794 |
683 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
94 |
84 |
$6K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
416 |
349 |
$5K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
51 |
47 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
19 |
12 |
$5K |
| 83880 |
|
139 |
117 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
486 |
435 |
$4K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
466 |
410 |
$4K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
20 |
20 |
$4K |
| 85730 |
|
584 |
512 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
156 |
141 |
$3K |
| 81025 |
|
704 |
623 |
$3K |
| 81001 |
|
890 |
777 |
$3K |
| 85610 |
|
673 |
585 |
$3K |
| 93971 |
|
14 |
12 |
$2K |
| 87276 |
|
256 |
229 |
$2K |
| 87275 |
|
257 |
229 |
$2K |
| 0710 |
|
75 |
68 |
$2K |
| 83605 |
|
143 |
103 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
12 |
$1K |
| 87040 |
|
122 |
55 |
$1K |
| 99070 |
|
453 |
217 |
$1K |
| 81003 |
|
533 |
485 |
$1K |
| 87430 |
|
112 |
98 |
$1K |
| 84702 |
|
64 |
54 |
$1K |
| 83735 |
|
137 |
119 |
$967.36 |
| 73130 |
|
39 |
28 |
$954.71 |
| 72100 |
|
30 |
25 |
$927.71 |
| 84443 |
Thyroid stimulating hormone (TSH) |
52 |
52 |
$902.51 |
| 73030 |
|
33 |
30 |
$857.70 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
287 |
272 |
$811.03 |
| 36000 |
|
145 |
129 |
$798.60 |
| 84703 |
|
91 |
76 |
$761.30 |
| 87081 |
|
107 |
94 |
$759.35 |
| 73610 |
|
28 |
25 |
$722.54 |
| 82962 |
|
192 |
102 |
$697.50 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
204 |
162 |
$640.96 |
| 74018 |
|
27 |
27 |
$630.69 |
| 85379 |
|
51 |
46 |
$583.64 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
652 |
560 |
$529.31 |
| 73630 |
|
15 |
14 |
$493.59 |
| 73110 |
|
16 |
15 |
$492.82 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
130 |
93 |
$486.64 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
599 |
524 |
$374.12 |
| J2704 |
Injection, propofol, 10 mg |
76 |
70 |
$326.24 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
142 |
120 |
$314.81 |
| 87186 |
|
31 |
29 |
$292.21 |
| 87077 |
|
32 |
30 |
$282.83 |
| 84439 |
|
17 |
17 |
$167.04 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
129 |
117 |
$123.97 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
82 |
72 |
$117.60 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
103 |
97 |
$85.22 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
103 |
79 |
$61.66 |
| 86901 |
|
16 |
14 |
$45.50 |
| 86900 |
|
16 |
14 |
$43.96 |
| J2060 |
Injection, lorazepam, 2 mg |
60 |
49 |
$43.80 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
137 |
124 |
$39.88 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
12 |
12 |
$29.88 |
| J1644 |
Injection, heparin sodium, per 1000 units |
29 |
15 |
$24.51 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
13 |
13 |
$11.60 |