| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,659 |
2,610 |
$528K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,655 |
2,939 |
$459K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
5,974 |
1,683 |
$447K |
| 80050 |
General health panel |
2,831 |
2,480 |
$390K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,732 |
1,047 |
$321K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
822 |
580 |
$98K |
| G0378 |
Hospital observation service, per hour |
129 |
109 |
$82K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
808 |
698 |
$82K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
944 |
899 |
$81K |
| 71046 |
Radiologic examination, chest; 2 views |
625 |
590 |
$79K |
| 36415 |
Collection of venous blood by venipuncture |
7,825 |
5,953 |
$78K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
700 |
386 |
$76K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,584 |
2,201 |
$54K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
677 |
575 |
$47K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
989 |
362 |
$47K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,683 |
2,041 |
$38K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
651 |
541 |
$36K |
| 87088 |
|
942 |
856 |
$36K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
422 |
345 |
$35K |
| 80053 |
Comprehensive metabolic panel |
2,251 |
1,708 |
$26K |
| 83735 |
|
1,217 |
1,035 |
$26K |
| 81003 |
|
1,591 |
1,443 |
$23K |
| J3490 |
Unclassified drugs |
2,508 |
1,400 |
$23K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
277 |
65 |
$21K |
| 81001 |
|
956 |
860 |
$20K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
383 |
374 |
$19K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
448 |
388 |
$16K |
| 80061 |
Lipid panel |
296 |
290 |
$14K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
47 |
45 |
$14K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
558 |
547 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
15 |
15 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
138 |
125 |
$11K |
| 87400 |
|
204 |
200 |
$11K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
55 |
29 |
$10K |
| 86140 |
|
354 |
269 |
$9K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
138 |
126 |
$9K |
| 87430 |
|
169 |
165 |
$8K |
| 87070 |
|
108 |
103 |
$6K |
| 11721 |
|
354 |
328 |
$5K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
306 |
262 |
$5K |
| 73610 |
|
25 |
24 |
$3K |
| 84484 |
|
76 |
62 |
$3K |
| 73630 |
|
26 |
25 |
$3K |
| 85610 |
|
232 |
167 |
$3K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
58 |
27 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
104 |
97 |
$3K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
16 |
14 |
$3K |
| 87581 |
|
52 |
50 |
$2K |
| 83605 |
|
80 |
67 |
$2K |
| 87486 |
|
52 |
50 |
$2K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
29 |
26 |
$2K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
52 |
50 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
63 |
50 |
$2K |
| 97161 |
|
26 |
25 |
$2K |
| 97162 |
|
13 |
13 |
$1K |
| 87186 |
|
55 |
51 |
$1K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
46 |
46 |
$1K |
| 82550 |
|
61 |
48 |
$1K |
| A9270 |
Non-covered item or service |
20 |
13 |
$1K |
| 80320 |
|
13 |
12 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
46 |
41 |
$922.57 |
| 87420 |
|
12 |
12 |
$854.09 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
197 |
175 |
$850.99 |
| 83690 |
|
19 |
13 |
$709.56 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
59 |
53 |
$550.01 |
| 82962 |
|
47 |
24 |
$533.84 |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
27 |
14 |
$517.96 |
| 87040 |
|
22 |
13 |
$511.64 |
| 82150 |
|
17 |
13 |
$505.44 |
| 81025 |
|
13 |
13 |
$379.44 |
| 85651 |
|
24 |
16 |
$305.02 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
34 |
26 |
$286.18 |
| 87077 |
|
13 |
12 |
$200.30 |